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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.

Adult & Child Health CEO Allen Brown Announces Retirement

Indianapolis, IN – After nine years working devotedly as the President and CEO for Indiana integrated healthcare provider Adult & Child Health (A&C), Allen Brown is set to retire at the end of March 2024. During his tenure as CEO, Brown has led A&C through many projects and positive changes that will continue to have a profound impact on the Indianapolis community and the organization’s 600 employees. Brown joined A&C in December 2014 with a vision to be the state’s leading provider of whole-person healthcare and played a crucial role in the organization’s growth as a prominent safety net organization in central Indiana. A&C started providing primary care services in 2016, earned FQHC look-alike designation in 2017, and currently operates  four integrated healthcare clinics in the south Indianapolis area. A&C services have also expanded in the areas of mental health counseling, addictions treatment, and housing resources for persons experiencing homelessness. Under Brown’s leadership the organization has nearly doubled its annual revenue and has tripled the number of people served each year. Brown also championed A&C’s early adoption of the Certified Community Behavioral Health Center (CCBHC) model, which is designed to increase access to care and crisis services for the community’s most vulnerable residents. A&C has been at the forefront of this movement in the state of Indiana and was recently selected as one of eight Indiana community mental health centers to serve as a proposed pilot site in the Division of Mental Health and Addictions (DMHA) application for a federal CCBHC Demonstration Project. Additionally, A&C plans to open a Behavioral Health Crisis Center at the organization’s south Indianapolis clinic in late March of 2024.  Under the CCBHC model of care, crisis centers located within the community play a prominent role in assuring individuals have timely access to services when urgent needs arise, helping to decrease unnecessary emergency room visits and jail incarcerations. “Allen is a skilled team builder and has had a knack for finding ways to help our organization achieve its goals,” said A&C Board President Tom Gaunt. “He has led our organization into a new era with a masterful vision for how we can be  more effective moving forward, which is a win-win for Adult and Child and the people we serve. He will be dearly missed.” While a CEO successor has not yet been named, A&C has forged a partnership with Missouri-based Brightli, Inc. – the nation’s fourth-largest nonprofit behavioral health organization by total revenue. The partnership will significantly increase financial and system support resources available to Adult & Child Health, for the benefit of underserved persons with behavioral health and primary care needs. The partnership has been approved by each company’s board and is anticipated to be finalized in coming weeks pending regulatory approval. A public signing and press conference will be announced upon partnership closing, which is expected in Spring 2024. “I am going to miss Adult and Child Health and I’m deeply grateful for the support, trust, and collaboration I’ve received. It has been an honor to serve as CEO and I know even greater things lie ahead for this remarkable organization,” said Mr. Brown.

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.

An Innovative Approach: Opening the State’s First “Tech-Enabled Behavioral Health Home”

Adult and Child has received a grant from the Division of Mental Health and Addiction (DMHA) to open a Tech-Enabled Behavioral Health Home, the first in the State of Indiana to integrate a web-based platform in their program design. People with mental illness die, on average, 25 years younger than the rest of the population, often due to unmanaged chronic disease.  This pilot program addresses the poor mental and physical health outcomes among adults experiencing a serious mental illness and gives them a single “home” for their coordinated health care services.   “We are excited to expand our services, and improve support for adults’ total health needs,” said Allen Brown, CEO at Adult and Child Center. “In addition to supporting our goals of improved health care for our clients, this model is of particular interest to many of our community partners because it allows for one stop health care shopping, social support engagements, supported employment, housing access, and on-going quality care. We believe this pilot will demonstrate both improved health outcomes and significant cost savings in treating people with serious mental illness.”     About the Tech-Enabled Behavioral Health Home The Tech-Enabled Behavioral Health Home is aimed at improving all health outcomes, while decreasing the costs of care. Adults who struggle with co-occurring mental and chronic physical health conditions comprise 5% of the population, but are estimated to use 50% of the available health care funding, due to their inability to effectively manage their illnesses.   Research demonstrates adults who experience a serious mental illness, when left to their own devices, do not effectively manage their health (mental or physical); often resulting in early mortalities and significantly increased costs of care (increased duration and frequency of inpatient stays and increased inappropriate health care expenses).   The primary guiding principles of this program are based upon the idea that mental illness is treatable; and that the role of A&C staff is to guide and support consumers in their recovery. Core elements of the Behavioral Health Home Pilot include disease self-management supports, patient focused delivery system design, clinical decision support, clinical information systems, and encouraging community linkages. Tech-Enabled Behavioral Health Home services will be available to adults who reside in Marion and Johnson counties, and who experience serious mental health and co-occurring primary care disorders.

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.