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Adult & Child Health Receives CCBHC Designation

Adult & Child Health, a leading community mental health center in Central Indiana, is thrilled to announce it has been designated as a Certified Community Behavioral Health Clinic (CCBHC). This designation is announced alongside the exciting news that Indiana was selected as one of 10 new states to join the CCBHC Medicaid Demonstration Program. By becoming a CCBHC, Adult & Child Health can unlock critical resources to address the growing need for mental health services in Indianapolis. This includes crisis care, improved staff recruitment and retention thanks to sustainable funding, and the ability to expand their service offerings. CCBHC will allow Adult & Child Health to offer competitive compensation and top-of-market wages, making them a more attractive workplace for qualified providers. With the rich history and commitment of Adult & Child Health to making a difference, they can achieve even greater impact through this transformation. “Indiana’s selection for the CCBHC program is a major step forward in strengthening mental health resources for residents,” said C.J. Davis, CEO, Adult & Child Health. “This designation allows us to make a significant impact by expanding access to essential mental health services in Central Indiana. We’re committed to ensuring our community members have the resources they need to live healthy and fulfilling lives.” The Biden-Harris Administration announced the additional states being added to the CCBHC program earlier today. Adult & Child Health had been selected by the state to be a CCBHC if Indiana was selected, but the decision of which states would be selected to join the program had been pending until today. CCBHC is a transformational program that provides sustainable funding for designated organizations and has been shown to increase access to mental health and substance use care, reduce homelessness and substance use, decrease use of emergency rooms and hospitalizations and improve overall health outcomes. It requires that designated CCBHC organizations provide 24/7 crisis services, outpatient care within 10 business days, medication-assisted treatment for opioid use disorder, care coordination and support services, as well as other evidence-based treatments.

Preparations for NEW Behavioral Health Crisis Center Underway at Adult & Child Health

In an effort to decrease unnecessary emergency room visits and jail incarcerations, integrated healthcare provider Adult & Child Health (A&C) will use its recently awarded Vitality Grant of $500,000 to implement a Behavioral Health Crisis Center at the organization’s Indianapolis clinic. This crisis stabilization program will provide adults experiencing a mental crisis with a safe, comfortable, monitored care environment, and access to an array of mental health, addictions, and primary care services, including an on-site behavioral health prescriber. The launch of A&C’s crisis center aligns with Indiana’s plan to implement the SAMHSA Certified Community Behavioral Health Center (CCBHC) service continuum statewide.  A&C was one of eight Indiana community mental health centers recently selected to serve as a proposed pilot site in the Division of Mental Health and Addictions (DMHA) application for a federal CCBHC Demonstration Project. In the CCBHC model of care, crisis centers in the community play a prominent role in assuring individuals have timely access to services when urgent needs arise.    Located at 8320 Madison Avenue in Indianapolis, the new program is scheduled to open in March 2024. Services will be available to immediate walk-ins, persons brought by family or friends, and those referred by healthcare providers, mobile crisis teams, and/or law enforcement officers, who are often first on the scene when a mental health crisis occurs. Hospital emergency rooms, where patients often experience long wait times, historically have been the only available option for those experiencing a mental health crisis – most crises happen during evenings and weekends. A&C’s Behavioral Health Crisis Center will be open during these hours, providing access to care when it is most needed while alleviating pressure on local emergency rooms. “Time is always critical in a mental health crisis, and the quicker we can intervene, the better,” said Lauran Canady, Vice President of Integrated Health. “We know our hospitals are there should we need them, but this program will be a tremendous benefit for persons in need of a more appropriate level of care.” Utilizing a “Living Room” approach to assessment and stabilization, persons treated at the Crisis Center will receive individualized support and services from a peer recovery specialist, masters-level therapist, and an APRN who can prescribe medication, if necessary, in a calming therapeutic setting. Individuals also will have access to the entirety of A&C’s services, including aftercare to ensure services continue after discharge. “On behalf of Adult & Child Health, I would like to thank Mental Health America of Indianapolis and the City of Indianapolis for the Vitality grant that has allowed us to build a crisis receiving and stabilization program – this is a desperately needed resource in our community and one we are so grateful to be able to develop,” said Chief Medical Officer Dr. Christine Negendank, A&C.   

Mental Health Organizations and Providers Applaud Indiana Lawmakers and Governor for Enacting Critical Mental Health Legislation Amidst Growing Need for Services and Dire Workforce Shortages

Governor Holcomb

Today Governor Holcomb signed legislation into law HEA 1222 that would continue a critical grant program that has expanded access to urgently needed mental health and substance use disorder treatment services across the state of IN. The program is known as the Certified Community Behavioral Health Clinic (or CCBHC) program. CCBHCs are designed to provide a comprehensive range of mental health and substance use disorder services to vulnerable individuals; with an emphasis on the provision of 24-hour crisis care, utilization of evidence-based practices, care coordination and integration with physical health care. In Indiana, there are currently 18 CCBHC grantees throughout the state that are recipients of federal grants designed to jumpstart the CCBHC program. Initial evaluation outcomes from Indiana CCBHC program have shown a 73% reduction of depression and a 93% reduction of clients hospitalized for mental health reasons. Now, HEA 1222 will build upon these successes. “Around the state our community providers have seen demand for services sky rocket” said Zoe Frantz, CEO for the Indiana Council of Community Mental Health Centers. “That’s why today’s announcement, of Governor Holcomb signing the CCBHC legislation into law is such incredible news for the continued work of these programs and the people they serve every day.  Ultimately, this program gives providers more tools to ensure those in need, will get the help they need when they reach out.” Adult and Child Health (A&C) became a CCBHC in April of 2021 and, in the first 10 months, they’ve successfully supported 741 people in crisis through their CCBHC team.  In addition to their 24/7 crisis response team, A&C Health has worked very closely with the Johnson County Sheriff’s Department to increase immediate access to mental health professionals to support police response to calls involving people in crisis.  The two entities have found synergy in developing tandem training and crisis response programming to better support the needs of Johnson County. Under the leadership of Sheriff Burgess and Deputy Jim Engmark, nearly 100 law enforcement personnel have been trained in the Crisis Intervention Team (CIT) programming, which is an innovative community-based approach to improve outcomes for people who experience mental illness when they have encounters with law enforcement. “Our heightened partnership with A&C provides a beneficial impact for law enforcement and our ability to change the potential outcome for people we encounter who are experiencing a mental health-related crisis.  We’ve been able to deliver immediate support for Johnson County residents through A&C’s crisis teams and prevent unnecessary jail or ER placements,” said Deputy James Engmark of the Johnson County Sheriff’s Office. According to the National Council for Mental Wellbeing, CCBHCs have played a transformative role in addressing workforce shortages, creating a more integrated care delivery system, and ensuring providers meet quality metrics. Providers advocating for HEA 1222 see the legislation as an opportunity to provide better access and higher quality care through the state. Programs such as CCBHCs give community behavioral health agencies more tools successfully recruit and retain additional staff members as well as resources to ensure that consumers have access to critical, evidence based services.” “The legislation, HEA 1222, that was signed into law today requires the state to develop a plan for the expansion of the CCBHC program by November 1, 2022.  The behavioral health community has already seen demonstrable results from the CCBHC program and looks forward to supporting the Division of Mental Health and Addiction (DMHA) in developing a statewide infrastructure that meets the growing need for mental health services in Indiana,” said Steve McCaffrey, CEO of Mental Health America of Indiana. “We’re grateful for the leadership of Rep Cindy Ziemke, Rep Ann Vermilion, Sen. Mike Crider and the other members of the Indiana General Assembly, Department of Mental Health and Addiction, and Governor Holcomb for the passage of this critical mental health legislation.” For more information on CCBHCs, please visit the CCBHC Success Center, here. Media Contacts Zoe Frantz- 812-298-4533, zfrantz@indianacouncil.org Tina Serrano- 317-882-5122, tserrano@adultandchild.org Kelby Gaw-317-496-7193, kgaw@mhai.net Adult & Child Health is an accredited nonprofit primary care, behavioral health, and social services provider with multiple locations in central Indiana. We strive for caring communities, where every child, adult and family have the opportunities they need to live healthy, happy, productive lives. For more information about Adult & Child Health programs, please contact Tina Serrano, Director of Strategic Initiatives, at 317-882-5122.

Sarah Miller, PMHNP-BC

Sarah Miller works with the addictions team, general psychiatry for adolescents and adults, and the competency restoration team. She is board-certified as a Psychiatric Mental Health Nurse Practitioner. Her specialties are working in addictions and with people who experience serious mental illness.

Miller graduated from Indiana University with a psychology degree and went back to school for nursing. She received her nursing degree from Indiana Wesleyan University and worked in a nursing home and also spent time working in a group home with adolescents. She received her master’s degree from Vanderbilt University.

She enjoys hanging out with her family and her two dogs, and going to sporting events.

Joanna Chambers, MD

Dr. Joanna Chambers is a psychiatrist who began seeing Adult & Child Health patients in November 2021. She graduated from Medical College of Georgia with her Doctorate of Medicine in 1996 and completed her residency in psychiatry at Yale University School of Medicine. In addition to bringing a wealth of experience, she currently serves as an associate professor at Indiana University School of Medicine where she teaches Clinical Psychiatry. She is certified in Addiction Medicine and has a special interest in treating pregnant and postpartum women. She is President of the American Academy of Psychoanalysis and Dynamic Psychiatry Organization as well as a sitting member of many medical association boards. Recently, she has won the Residents’ Award for Teaching Excellence in 2020 from Indiana University and has received “Best Doctors Award” in 2010, 2011, and 2014. Dr. Chambers is incredibly active in the medical, academic, and research realms of medicine. She is currently accepting new patients on Wednesdays.