Building on our legacy of compassionate care
As I look back on 60 years of mental health services at Oaklawn, I’m immensely proud of the work we’ve accomplished together. Since 1962, when our first medical director began accepting clients, we’ve built a legacy of compassionate care. It’s a legacy we continue to create as mental health and addiction treatment evolves, and us with it.
Laurie N. Nafziger, President & CEO
Even in just the past year, Oaklawn has made tremendous advancements in the way we do our work. We’ve started the process to become a Certified Community Behavioral Health Clinic – a new federal designation that holds mental health centers to a higher standard. With that, we’ve launched Open Access, offering daily walk-in hours at our three outpatient campuses where new clients can be seen same-day, eliminating waitlists and getting people the help they need when they’re ready to receive it. Lastly, we’re launching our second capital campaign to purchase and renovate a building in South Bend that will replace our current outdated one, making room for new and expanded services and allowing us to better meet our community’s needs.
Much has changed in 60 years at Oaklawn – our understanding of mental illness and addiction, the methods we use in treatment, the ways we carry out our work. But one thing that has never changed is our firm commitment that every person deserves to be treated with dignity. Every day, I’m honored to work alongside hundreds of colleagues who believe in joining individuals, families and our community on the journey toward health and wholeness.
Laurie N. Nafziger, President & CEO
Oaklawn leaders break ground at our original site 2600 Oakland Avenue, Elkhart.
A vision for a better way
Though Oaklawn wouldn’t officially open its doors until 1963, its story begins during World War II. Conscientious objectors from the traditional peace churches – Mennonite, Brethren, Quaker and others – were posted at Civilian Public Service (CPS) projects around the country. About 3,000 were sent to work in state mental hospitals. The conditions they witnessed were shocking…
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Patients were beaten, regularly. They rarely, if ever, saw a doctor. They were naked, unclean and hungry. Hospitals were filled with hundreds more patients than they were built to hold. Attendants, not medical professionals, determined whether a patient should be restrained, isolated or medicated. One attendant could be in charge of up to 200 patients.
“So you have young, earnest, untrained people with good hearts — fresh off the farm, in many cases — and they witnessed these horrible conditions,” said Laurie Nafziger, Oaklawn’s President and CEO.
Many began to document what they saw, reporting conditions to state authorities and gathering enough evidence to gain national attention. For the next 30 years, there was a deinstitutionalization movement in America. Mennonites in particular, because of their CPS experience and belief in Christian love, felt called to make a difference in mental health care.
“They became part of a growing conversation that said, ‘There has to be a better way to treat the mentally ill,’ ” Nafziger said.
They decided to open six mental health centers across the U.S. Oaklawn was the last, opened in 1963. While much has changed since then, the principles that Oaklawn was founded on remain the same.
“We believe that people deserve to be treated with compassion and respect and dignity,” Nafziger said. “Every person has worth. That will never change.”
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Big changes in mental health care
Oaklawn has grown tremendously in its 60 years of operations. It started as a day treatment center at a single location, with fewer than 25 employees and serving just 600 clients in its first year. Today, it operates outpatient, inpatient and residential programs on four campuses across two counties, with over 800 employees serving 25,000 clients each year…
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In terms of size and scope of operations, there are two points in Oaklawn’s history that stand out – in 1987, when Oaklawn opened its second location, a then-78- bed inpatient hospital in Goshen; and in 2010, when Oaklawn became the community mental health center for St. Joseph County, taking over thousands of clients and hundreds of staff overnight.
But Oaklawn hasn’t just grown in size. It’s also grown in perspective. The way we approach treatment has changed over the years – for the better.
- Peer coaches. These are people in recovery from a mental health or addiction issue and specially trained to help others. Six years ago, we had just one coach. Today, we have more than 20, with several serving as team leaders in critical programs. They’ve proven to be an invaluable part of the treatment team, offering unique hope and support.
- Medication-assisted treatment. Our ability to combat addiction, particularly opioid addiction, has changed dramatically with the development of new medications. Combined with traditional treatment, client success rates are nearly doubled.
- Housing first. This model is changing the way our community deals with homelessness. This approach gives people housing first and invites them to voluntarily engage in treatment as they stabilize. Under this model, we see engagement rates over 90 percent.
This team of recovery coaches serves Oaklawn’s Motels4Now program, a housing first model helping address homelessness in South Bend.
A Better Continuum of Care
The future of mental health services
There’s a national focus on creating a better continuum of care for mental health, especially when it comes to crises…
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There’s a saying that captures this goal, explained Kelli Liechty, Oaklawn’s Vice President of Access and Crisis Services: Someone to call. Someone to go. Somewhere to go.
“Someone to call – that’s 988 or our crisis line,” Liechty said. “Someone to go – we have a mobile crisis team that goes out and meets people in the community, and somewhere to go will be a new crisis stabilization center.”
This is a national model being embraced by communities across the country and gaining momentum in St. Joseph and Elkhart counties. Oaklawn has a mobile crisis response team that’s served St. Joseph County for just over a year, with plans to add one in Elkhart County. In October, the team established a formal policy with 911 that they’ll be dispatched to some mental health calls in lieu of police or EMS.
The crisis stabilization center will be located on the first floor of Beacon’s inpatient psychiatric hospital. Oaklawn is taking the lead on the project, which includes community partners Beacon Health, Faith in Indiana, the St. Joseph County Health Department, South Bend Police Department and St. Joseph County Sheriff’s Office. The center will serve as an alternative to emergency departments and jails for those needing mental health or addiction services.
“We envision that to be a walk-in/drop-in center for individuals needing acute care and a place where we can further assess their level of need and observe. For many we will be able to treat at the center, for those who need escalated care we will work closely with the emergency departments and inpatient centers,” Liechty said. “This will be a place where we can treat them and link to ongoing treatment, engage in resources and provide more appropriate, more trauma informed care.”
Our multidisciplinary mobile crisis response team dispatches to mental health crises in the community to help stabilize people in crisis.
First board of directors appointed
Elkhart Accepting Patients
Began accepting patients at first office on Franklin Street, Elkhart
New facility opened at 2600 Oakland Avenue
State’s Largest Psychiatric Facility
Is state’s largest psychiatric facility with 1,138 admissions
Licensed as CMHC
Licensed as community mental health center for Elkhart County
Goshen Inpatient Facility
Opens new 78-bed inpatient facility at 330 Lakeview Drive, Goshen
Adolescent Residential Program
Opening of adolescent residential program, Goshen
Wraparound Process started; won national award in 2002
First Capital Campaign
Completes first Capital Campaign, exceeding $3.75 million by $100,000
St. Joseph County
Designated by Indiana as the community mental health center for St. Joseph County
Took over The Children’s Campus residential program, Mishawaka
Certified Recovery Specialists
Hired first certified recovery specialists
Opened first Housing First model project, Oliver Apartments in Rum Village, South Bend
Made temporary shift to telehealth during COVID-19 pandemic
Received $3.3 million SAMHSA grant to become Certified Community Behavioral Health Clinic
Second Capital Campaign
Launched second capital campaign, with goal of $5 million, to purchase and renovate South Bend building
A new way to serve even more clients
In May, Oaklawn introduced Open Access, a new model that provides daily walk-in hours for assessments, the first step to beginning treatment at Oaklawn. Here’s a look at how Open Access is expanding services for clients.
average weekly assessments in the four weeks prior to Open Access
average weekly assessments since Open Access
increase in weekly assessments with Open Access
Assessments by type