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Veteran’s Day 2024

November 11th became a nationally recognized day to honor and acknowledge the contributions of all living American Veterans in any branch of service when Public Law 380 was approved on June 1, 1954. Since then, communities throughout the United States have celebrated with parades and ceremonies to show gratitude for those who served their country. Veterans take many risks in the line of duty that take can take a toll not only on their physical health, but also their mental well-being. Exposure to high-stress situations, long periods of time away from home, Military Sexual Trauma (MST) and difficulties in adjusting to civilian life after service are just some of the factors that can contribute to poor mental health for veterans. An increasing number of veterans experience anxiety, depression, post-traumatic stress disorder (PTSD), and/or substance use disorders, which can sometimes lead to additional difficulties such as poverty or homelessness. Please click here to see statistics provided by the Housing Assistance Council. For over 12 years, Adult & Child Health (A&C) has provided necessary care and resources through the Supported Services for Veteran Families (SSVF) Program, having served over 400 Hoosier veterans and their families this year alone. The purpose of the SSVF program is to promote housing stability among low-income veteran families who reside in, or are transitioning to, permanent housing. In addition to providing housing assistance, the program provides services that include (but are not limited to) the following: case management, assistance to obtaining other VA services/benefits, financial planning, food resources, transportation, childcare, linkages to primary and mental health care, and outreach. Our SSVF teams serve Marion, Johnson, Boone, Clay, Hamilton, Hancock, Madison, Parke, Tippecanoe, Shelby, Sullivan, Vermillion, and Vigo counties. Please click here for an informational flier that includes program qualifications. In addition to serving Indiana veterans, A&C is proud to have several veterans on staff including Emily Pence and NaTasha Allen who have shared their experiences for a special Veterans Day Employee Spotlight. It is with tremendous gratitude that we honor Emily, NaTasha, and the thousands of others who have served our country. Thank you for your service. Employee Spotlight: Emily Pence I was a member of the United States Army (Hoah!) in April 1989 and ended my service in June 1990. I initially began my service in the Delayed Entry Program (DEP), then went to Fort Jackson in North Carolina (as it was named at the time) for basic training. Afterward, I went to Fort Bliss in El Paso, Texas to complete my A.I.T., which job-specific training – my Military Occupational Specialty (M.O.S.) was Patriot Missile Crew Member. I served in this role in Ansbach, Germany for my permanent duty station. While stationed in Germany, I personally experienced an event with one of my leaders, memories of which led to my developing Post-Traumatic Stress Disorder (PTSD). My lived experience as a veteran with a diagnosed mental health disorder has allowed me the unique capability to assist veterans who have gone through similar situations while understanding “veteran talk.” Employee Spotlight: NaTasha Allen I served in the served in the US Army for a total of three years. I entered the military as a Private and later transitioned to a Non-Commission Officer (NCO) with the rank of Sargeant. While stationed at Ft. Campbell, KY, 101st Airborne/Assault Division, I deployed to Iraq during Operation Iraqi/Enduring Freedom and completed two tours in Iraq war zones – Kuwait, Mosul, Q-West, Baghdad, and beyond. My military time taught me strength, courage, and the importance of perseverance despite obstacles. I learned to speak up for myself, to see my worth and value rather than viewing myself as “just a number”. It taught me leadership, compassion, discipline, and the true value friendship. These skills have allowed me to be empathic with Veterans from all walks of life – from Privates to Generals, everyone’s treated with respect and dignity, without judgement of age, race, ethnicity, gender, beliefs.   In my current role at A&C, I have the privilege to meet with Veterans where they are in their journey of healing and recovery to provide support and resources as they work toward adjusting to civilian life.

How to care for YOU this election season.

Your vote matters, and so does your mental health. We live in a time of information overload — 24-hour news cycles, unlimited access to social media and our own personal stresses of daily living. Add in a presidential election year and it is no wonder that a survey from the American Psychiatric Association reported that 43% of U.S. adults are feeling more anxious in 2024 than they did in 2023 (American Psychiatric Association, 2024). Feeling more emotions around an election season is normal and can help us stay engaged in the political process. However, living with these intense emotions for too long can take a toll on our well-being. No matter which side of the political spectrum we’re on, many of us feel stressed by the state of American politics. A recent survey showed 73% of U.S. adults feel anxious about the upcoming election, and 53% said it’s affecting their mental health (American Psychiatric Association, 2024). So, how can we stay engaged with politics while also caring for our well-being?How Stress Affects UsOur brains are built to handle and even benefit from short bursts of stress. In small doses, stress can help us focus, tackle challenges, and grow as people. However, when we experience long-term stress, it can negatively affect our brains and bodies. We might start to notice muscle tension, difficulty with sleep or headaches. Over time, stress can even weaken our immune systems, leading to stomach issues, heart disease, weight gain and increased risk of stroke (APA, 2023). How to manage stress this election season. 1. Set boundaries around social media.“Setting boundaries” is a trendy phrase, but how do we limit our social media to help our mental health? Social media is often at our fingertips, so it can be easy to get caught in a doom scroll. Try This: 2. Be mindful of the type and amount of news you take in.We can get news any time, any place and anywhere, but this constant intake can take a toll on us. Try This: 3. Keep it in perspective.It’s easy to find ourselves in information overload and unsure of what we can do to make a difference. This can leave us feeling helpless. Try This: 4. Take care of YOU.When we take care of ourselves, we have more energy to care about what is happening in the world around us. Think about what has helped you manage stress in the past or try a new activity. Try This: References

Adult & Child Health, Mental Health America of IndianaAdvancing Peer Recovery Efforts Statewide

Integrated healthcare provider Adult & Child Health (A&C), ICAADA, and MHAI Stanley W. DeKemper Training Institute (MHAI SWD TI) have entered into an Agreement for Educational Partnership to advance the recovery support workforce within the state of Indiana by increasing training opportunities through MHAI Stanley W. DeKemper Training Institute for Indiana residents to become certified as  Certified Peer Recovery Coaches (CPRCs) or Certified Recovery Coaches (CRCs) through ICAADA. This effort is one of the commitments made by A&C as a recipient of the DMHA Workforce Recruitment and Retention Innovation Grant through which A&C was awarded $750,000 in fall of 2023. “This groundbreaking partnership between Adult & Child, ICAADA and MHAI SWD Training Institute shows their passion for increasing the recovery support workforce and, most importantly, increasing accessibility to care across Indiana. By using trusted, and vetted, recovery support training and credentialing organizations, along with a respected recovery support provider such as Adult & Child, we will be able to create a workforce development structure that increases the recovery support workforce while supporting sustainability of the recovery support profession,” said MHAI Vice President of Education and Credentialing Justin Beattey. In January 2023, the annual National Survey on Drug Use and Health (NSDUH) reported 9.2 million people aged 12 years or older had misused opioids in 2021, 94 percent of which did not receive any treatment; additionally, adults aged 18 to 25 had the highest rate of mental illness yet the lowest rate of treatment. The need for addictions recovery and mental health services is tremendous and increasing the number of people who are trained and qualified to provide those services through the peer support approach is critical to closing the gap. Additionally, peer support is proven to be an affective form of recovery treatment, resulting in reduced re-hospitalizations, fewer days spent in inpatient care and increased quality of life (Evidence for Peer Support, MHA, 2019). CPRCs provide recovery support and care for individuals who are experiencing challenges with mental health and/or substance use disorders by connecting with others through a direct lived experience of similar challenges. While CRCs do not have direct lived experience, they have often been indirectly affected by addiction or mental illness through a family member or friend. Direct nor indirect experience is a requirement for individuals to become CRCs – many folks in this role simply have a passion for helping those in need. “I am beyond proud and incredibly honored to become an adjunct trainer with MHAI. As an individual living in recovery, there was a time in my life when I was in such a dark, scary and stigmatizing place within my mental health and substance abuse. It is now my passion to provide as much education, resources, and hope to anyone who may need it. This new program not only provides me with another opportunity to do just that, but it also helps to emphasize the importance of peers in behavioral health throughout the state. As a representative of my amazing employer Adult and Child Health and of MHAI, it is my mission to act as a voice for anyone who might not yet have found theirs and to do this to the best of my ability every single day – it is a great honor to be able to do so,” said Matt Bane, A&C, who will be one of two training facilitators. # # # About Adult & Child Health Adult & Child Health, a Joint Commission accredited community mental health center and Federally Qualified Healthcare Center Look Alike (FQHC) in Central Indiana, strives for equitable, caring communities where all people can live healthy, purposeful lives. Services include behavioral health, primary care, social services, and addictions treatment, all of which are designed to provide quick, affordable, and efficient access to high quality care. Adult & Child is an affiliate and member organization of Brightli, a network of health providers across the Midwest. Please visit adultandchild.org for more information.  About ICAADA ICAADA, a subsidiary of Mental Health America of Indiana, provides credentialing for behavioral health professionals. ICAADA provides behavioral health professionals with credentials, membership, and advocacy that validate the professionals’ competencies to provide person-focused, evidence-based behavioral health services. About MHAI Stanley W. DeKemper Training Institute The MHAI Stanley W. DeKemper Training Institute is our partner in providing quality education for behavioral health professionals and the community. The Training Institute works tirelessly to ensure that the education provided meets the standards and competencies required for aspiring and current behavioral health professionals, to maximize the outcomes for the populations they serve.

A&C Aligns with Leadership Model of Parent Company Brightli

Integrated healthcare provider Adult & Child Health, a Brightli affiliate, has announced the promotions of Dr. Christne Negendank, MD, MBA, CCHP to Indiana Region President and Dr. Jessica Stembel, PsyD, HSPP, IMH-E to Indiana Region Chief Operating Officer. Adult & Child joined Burrell Behavioral Health, Preferred Family Healthcare, Southeast Missouri Behavioral Health, and other subsidiaries under the Brightli umbrella in March 2024, boosting the parent organization’s employee count to over 6,000 individuals across seven regions. The promotions of Dr. Negendank and Dr. Stembel align A&C with Brightli’s regional leadership model, which provides operational autonomy for each region to ensure services and operations are meeting the unique needs of the community. As President, Dr. Negendank provides strategic direction and leadership of A&C and the Indiana Region, assisting in the execution of short-term and long-term goals while engaging with community partners and leaders to help drive A&C’s continued success and growth in Central Indiana. “I am honored to have been given the opportunity to serve as President of Adult & Child Health. I look forward to continuing to work with Adult & Child’s dedicated staff who strive daily to provide compassionate and high-quality whole health care.  Adult & Child Health is well-positioned to continue its 75-year legacy of excellence and innovation in health care and social services. We look forward to expanding our services and programming through strategic initiatives, community partnerships, and advocacy efforts. Our goal is to not only provide treatment to those in our local communities but also to help advocate for improved health care for all Hoosiers,” said Dr. Negendank. Dr. Negendank recently celebrated seven years of employment at A&C having joined the organization in 2017 as Associate Medical Director of Psychiatry before moving into the role of Chief Medical Officer. During her tenure, Dr. Negendank led the development and implementation of A&C’s Medication Assisted Treatment (MAT) program for substance use disorders. She has also helped A&C make tremendous strides in integrating primary and psychiatric care by strengthening working relationship among prescribers and fostering collaboration between medical and therapy staff. As Chief Operating Officer, Dr. Stembel oversees the day-to-day operations of A&C and the Indiana Region, facilitating teamwork across the organization’s leaders to ensure effective delivery of top-quality services to Central Indiana communities. “As Chief Operating Officer, I am incredibly excited about A&C’s opportunity to be a leader in the state’s transformation to the Certified Community Behavioral Health Clinic (CCBHC) model, and the evolution of mental health, substance abuse treatment and primary healthcare. Emphasizing community partnerships through CCBHC is not just a strategic interchange but a commitment to holistic care. Together, we can foster a system of care where our Hoosiers and communities can thrive,” said Dr. Stembel. Dr. Stembel joined A&C in 2015 as a clinical psychologist providing oversight to multiple service lines and treatment teams while continuing direct clinical care. Since 2018 she has served A&C as Chief Clinical Officer, overseeing continuous quality improvement, behavioral health, primary care accreditation and corporate compliance. During her tenure, Dr. Stembel led the development of the Response and Resilience in Stressful Events team to respond to critical incidents both internally and within the community and organized the agency’s response during the COVID public health emergency. She has also increased A&C’s 340B Drug Discount Program revenue to 12 million dollars, enabling the organization to stretch scarce federal resources to provide comprehensive and integrated health services to eligible patients who may not otherwise receive care.  “Dr. Negendank and Dr. Stembel’s exceptional leadership, combined with their deep industry knowledge, will be instrumental in driving our organization’s ability to serve our mission and the Indianapolis community. Their contributions are invaluable, and I am confident in their ability to lead our teams toward increased access to the quality care our communities deserve,” said A&C and Brightli CEO C.J. Davis.

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.