A licensed clinical social worker, Barbara Scott, LCSW, MBA, joined Aspire in 1986, first as a van driver and then as a full-time outpatient clinician in Elwood, working with patients of all ages and clients with addictions. What started as a part-time job turned into a full-time career and passion for helping those with severe mental illness and addictions. Scott, who earned a Master of Social Work in 1987, has worked in community support services and inpatient services, both in clinic and administrative positions, before being promoted to Chief Operating Officer in 1997. Scott earned a Master of Business Administration in 2002 and in 2009, she became Executive Vice President and COO of Aspire Indiana.
Scott didn’t necessarily plan a career path in social work, but came to learn later in life how she was unknowingly influenced by her parents’ experiences. Victims of child abuse and molestation and the children of parents with mental illness and addiction, Scott’s parents worked quietly to end the cycle of abuse with their own children. Scott believes their examples guided her personal mission.
"I’m a social worker because that’s what my parents were innately. I am indebted that they chose to give me a social work heritage rather than one filled with the very atrocities it attempts to stamp out.”
In August 2020 Scott was appointed by Gov. Eric Holcomb to the state’s first Behavioral Health Commission to help create a comprehensive strategy for address Hoosier mental health. Under her guidance, Aspire has won numerous national, state, and local awards and recognitions, including the National Council for Community Healthcare Awards of Excellence in Community Collaboration, the Indiana Achievement Award, the Key Consumer Organization’s Recovery in Action Award, and the Madison County Chamber of Commerce Non-Profit of the Year. In 2014, Scott was awarded the Mental Health America of Indiana Mental Health and Addiction Professional Award; in 2009 she received the Anderson University MBA Distinguished Servant Leader Award and the National Council of Community Behavioral Healthcare Awards of Excellence for Community Collaboration.
Scott and her husband Dennis, live on a farm in a rural community in East Central Indiana. There Scott enjoys tending to her gardens and numerous farm animals, including horses, donkeys, cows, chicken, dogs, and cats. She most recently found a passion for scuba!
Tim brings a wealth of more than 30 years of broad experience in healthcare financial and administrative leadership roles. Prior to arriving at Aspire, Tim served as CFO of Breckinridge Health, Inc., a critical access hospital in Hardinsburg, Ky., where he helped lead a turnaround, restructuring physician clinics, implementing a 340b program, and other revenue generating/cost saving measures.
Facing near bankruptcy, Breckinridge Health transformed into a sustainable organization. Tim has also held executive roles with University of Louisville Physicians, Inc.; Jewish Hospital and St. Mary’s HealthCare; Kramer and Associates, Alliant Management Services, (a hospital management firm), and Lafayette Home Hospital. He earned a bachelor’s degree in Accounting from Valparaiso University and an MBA/Master in Strategic Finance from Indiana University Southeast.
Tim and his wife Charlotte love spending time with their five grandchildren. Exercising and reading occupy Tim’s free time; he is also an active member of Lord of Life Lutheran Church in Westfield, Indiana.
Dr. Jody Horstman is a Licensed Clinical Psychologist, HSPP, and Licensed Clinical Addictions Counselor (LCAC.) Dr. Horstman joined Aspire in March of 2012 and has worked in the Indiana community mental health system since 1990.
Dr. Horstman has extensive experience working in collaboration with family- and youth-serving organizations in the development and implementation of programs, as well as substance use treatment programs. Dr. Horstman worked closely with Indiana’s Department of Child Services (DCS) in implementing the DCS/CMHC service contract. She has brought her interest and knowledge of systems to her role at Aspire in the integration of primary medical care and behavioral health services.
Dr. Horstman also has extensive experience in disaster mental health, having served with the American Red Cross in New York following 9/11, as part of the Indiana Task Force that assisted Mississippi following Hurricane Katrina and most recently worked in Haiti following the 2010 earthquake. She is a member of Indiana’s State Disaster Mental Health Team and a trainer of Psychological First Aid (PFA). Her experiences led her to develop a greater appreciation and interest in resilience and well-being, leading her to work for the past ten years with the international Episcopal Church Pension Group (CPG) as a consultant/contractor providing seminars on resilience, work-life balance, Psychological First Aid, and related topics. Dr. Horstman has also previously worked with the Foundation for Advancement in Conservation in presenting webinars related to the impact of disasters.
Dr. Jody Horstman was born and raised in southern California, currently residing in central Indiana. She has a long-standing passion for scuba diving and enjoys many outdoor activities.
Darrell Mitchell is an accomplished business driver whose entrepreneurial instincts and clarity of vision have carried multiple companies through rapid and continuous growth throughout his thirty plus year career. He has spent the last several years leading and impacting change at the state and national level in the recovery residence space. He is the Founder of the Indiana Affiliation of Recovery Residences (INARR) and serves as the Vice-President of the National Alliance for Recovery Residences (NARR). In 2017, Mitchell was instrumental in the drafting and passing of legislation which placed Recovery Housing standards into Indiana Law.
Mitchell did not plan a career in healthcare, behavioral health, or addiction treatment. Fortunately, with the help of others, Mitchell was able to overcome his own battle with addiction and has been a person in long-term recovery for many years now. Experiencing the miracle of recovery in his own life inspired him to pursue a new professional path, where he is able to be of service to those who suffer with mental health and substance use disorders. Mitchell serves on local, state, and national recovery and mental health boards and committees, and also speaks at local and national conferences and events.
In 2016, Mental Health America of Indiana presented Mitchell with the "Heroes for Recovery Consumer Advocate Award". In 2018, he was presented with the prestigious "Leadership Award" by the Indiana Housing & Community Development and the Indiana Affordable Housing Council.
In 2019 the White House Office of National Drug Control Policy (ONDCP) and the U.S. Department of Agriculture asked Mitchell to author a paper to appear in "The Rural Community Action Guide". The RCAG has been distributed nationally to equip rural leaders with critical information from lessons learned on the frontlines of prevention, treatment and recovery in rural America. In January 2020, Mitchell was invited to the White House to attend ONDCP's launch of the Rural Community Action Guide and to meet with senior leaders.
Mitchell serves as the Vice President of Corporate Development & Residential Recovery Services, overseeing corporate strategy and operations for branding, marketing, communications, public relations, and fund development. Residential Recovery Services includes overseeing organizational strategy and operation of our residential treatment and recovery facilities: Mockingbird Hill (Anderson), Progress House, and Next Step (Indianapolis).
Darrell and his wife Tracey live in Hamilton County and have two beautiful children, Abigale and Zachary, four beautiful dogs, and two beautiful cats. Their home is affectionately referred to as "The Mitchell Zoo".
Jim Skeel earned a Bachelor of Arts Degree in 1991 from Ball State University (BSU) in Muncie, Indiana, and published the results of a research project in the Journal of Social Psychology. He earned a Master of Arts degree in Clinical Psychology from BSU in 1993, while he worked as a graduate assistant. As a graduate assistant, he taught experimental psychology laboratory classes. Upon graduation, he accepted a position with BSU and was employed by the Counseling and Psychological Services department. He worked for about four months as a research assistant, presenter and trainer for a grant project. Jim, along with two staff psychologists, trained Kuwaiti University Social Workers how to provide mental health services for returning troops, prisoners of war, and released political prisoners from the Iraq invasion of Kuwait.
In 1993, Jim began clinical work at Charter Beacon Behavioral Health Systems in Fort Wayne, Indiana. He worked primarily in Charter’s outpatient offices providing counseling to all populations, while also coordinating intensive outpatient programs and an alternative education program for children and adolescents. He worked very closely with community partners in juvenile probation, schools, child protective services, domestic violence shelters, and child abuse advocacy agencies. While working in northern Indiana, he began involvement in boards of various community agencies and associations and was an instructor for Ivy Tech, an Indiana community college.
Jim has been with Aspire Indiana since 1999, and has held the positions of Child Team Manager, Clinical Director of Outpatient Services, and Quality Improvement Director and Senior Director, Performance and Outcomes. He provided direct oversight and leadership within the organization to the child and adult clinical service units, information systems department, medical records department, electronic medical records team, utilization review department, clinical training, and quality improvement.
He has also been responsible for the development and maintenance of community relationships, contract relationships with managed care companies, insurance companies, accreditation bodies, and state government entities. He assisted the organization in a corporate merger to form Aspire Indiana through leadership and involvement in a variety of work teams designed to align clinical and support functions within the merged company. Jim served on numerous boards and committees for local and statewide organizations and associations, as well as most of Aspire's internal committees and work teams.
As the CQO, Jim will ensure the comprehensive collection, integration and effective utilization of the organization’s performance and clinical outcome data to promote Aspire’s mission, vision and strategic priorities. Ensure the provision of the necessary information to demonstrate the organization’s effectiveness in meeting internal and external healthcare targets, metrics, and benchmarks in order to demonstrate Aspire’s effectiveness within the healthcare system. Jim provides guidance and leadership within the organization to determine performance outcome targets and collaborates with Aspire’s leaders to develop organizational strategies, system adjustments and workflow to improve the health of our consumers.
Under the direction of the Chief Executive Officer (CEO), he works collaboratively with the organization's leaders to ensure accreditation standards and compliance with the regulatory and statutory requirements are met. This position assists Aspire’s organizational leadership to develop, implement and refine systems of operations to ensure the compliant and ethical operations of our programs and services.
Jim will be responsible for providing strategy and functional oversight to the continuous quality improvement of services, clinical documentation and developing and maintaining a range of evaluation and reporting systems to guide Aspire’s Quality Improvement Program. He will also provide program and provider performance data to Aspire leadership and facilitate all continuous quality improvement/performance activities for clinical processes. This is accomplished with oversight of Electronic Medical Records, Quality Improvement, Utilization Management and the Compliance Program.
Before joining the Aspire team, Lise worked as Director of Human Resources for the Avon Community School Corporation. She previously held HR leadership positions in the transportation, technology, banking and education sectors.
She has a bachelor’s degree in psychology and a master’s degree in organizational leadership (MSL), both from Trine University, as well as a professional graduate degree in human resources management from Cornell University.
Lise holds certifications as both a Senior Professional in Human Resources (SPHR) and a Society of Human Resources Certified Professional (SHRM-CP).
Lise has presented at national conferences on the topics of many HR and legal matters including but not limited to talent strategy, recruitment, pay equity, employee morale, performance management and navigating regulations.
She and her department are active with the Indiana Council of Community Health Centers. Previously she has held association committee/leadership roles in the transportation and education industries.
Jerry thought he was simply going to work as a part-time night-shift residential coach in the summer of 1993. But once he got involved in the challenging and gratifying work of the mental health organization and started helping residential patients with their mental illnesses, he signed on for a full-time job. Dr. Landers earned his doctorate degree in Business Administration from Columbia Southern University and he holds a Master of Science degree, in addition to a Master of Business Administration degree and he is a certified occupancy specialist for HUD. As a self proclaimed “Lifelong Learner”, he continues to seek out new learning opportunities whenever possible.
For nearly a decade, he worked in residential programs in various roles, which was invaluable when he was given the opportunity to develop and lead the Center for Mental Health’s Gradual Reintegration Program, which provides residential-style services in a community setting. Later, he served as manager of the Center’s Elwood and Noblesville offices and began managing business development functions of the organization. Landers implemented the Center’s HIV program, which is now, geographically, the largest HIV program in the state of Indiana. He also championed the expansion of behavioral health services in Elwood, including the construction of a larger facility. Over time, Landers directed the Center’s expansion into Hamilton County. For three years prior to the Center for Mental Health’s merger with BehaviorCorp in 2009, Landers served as the Center’s vice-president of finance and business development. After the merger, which resulted in a new company name, he continued as Aspire Indiana’s Chief Development Officer.
Landers has spent the majority of his professional career working with and developing programs that serve the needs of the homeless population. Landers has helped develop Shelter Plus Care services for the seriously mentally ill, Emergency Solutions Grant services for the homeless, has a long running “Projects for Assistance in Transition from Homelessness” (PATH) program, helps support Housing Opportunities for Persons with AIDS (HOPWA) services, and championed the expansion of the Support Services for Veteran Families (SSVF) program. Landers also serves as a SAMHSA Peer Reviewer for Housing, HIV and Integrated Care grant applications. As the Executive Director for Aspire Indiana Health, Inc, Landers’ focus was now on the integration of behavioral and primary health care into one unified process which can best be summarized as a "No Wrong Door” approach.
Under Landers' direction, Aspire Indiana Health was launched in 2015 with sites in Anderson, Elwood, Carmel, Noblesville, Lebanon and Indianapolis and served over 1,000 clients in its first year. Aspire Indiana Health has now been certified as a Federally Qualified Health Center in all the above-mentioned locations with a goal of seeing 20,000 annual patients by the year 2020. Landers and his wife, Rachel, live in Madison County. Together they have three children and are active in their community.
As Medical Director of Primary Care, Dr. Jonathan Butler oversees all of Aspire Indiana Health's primary care operations at its Central Indiana clinics and other facilities.
Butler directs the supervision of medical practitioners providing direct care and give clinical/administrative support to Aspire’s Federally Qualified Health Centers (FQHC) in Marion, Hamilton, Madison and Boone counties. He works in conjunction with Dr. Betsy Rosiek, Medical Director, Psychiatry, and the rest of the leadership team in supporting the mission of Aspire to provide fully integrated medical, psychiatric and addiction care to patients.
Dr. Butler joined Aspire in July 2020 with a deep background in healthcare administration and innovation. Immediately prior he held the position of Regional Medical Director of Limestone Health, which runs methadone maintenance programs in Lafayette and Bloomington, Ind.
Previously Butler held roles as a direct care or staff physician, chief medical officer and medical director. He also was an adjunct professor at Vanderbilt University’s Peabody College of Education and Human Development, specializing in addictions and counseling.
Butler earned his bachelor’s degree in inorganic chemistry from David Lipscomb University and his medical degree from the University of Tennessee College of Medicine, serving his residency at St. Francis Hospital in Memphis. He also has a master's degree in education from Peabody College.
He is certified by the American Board of Family Medicine and the American Board of Addiction Medicine, and is a member of the American Academy of Family Practice and the American Society of Addiction Medicine.
Dr. Rosiek joined the Aspire team in 2004. She served as Aspire’s Associate Medical Director for ten years and then served as Medical Director prior to taking on her current position as Medical Director, Psychiatry. Dr. Rosiek is a native of Michigan’s Upper Peninsula. She attended Michigan State University, where she earned a Bachelor of Science degree in Physiology in 1986. She continued her education there, graduating from Michigan State’s College of Human Medicine with an M. D. Degree in 1990. She was inducted into Alpha Omega Alpha, a medical honors society, during her fourth year of medical school. Although she enjoyed many fields in medicine, she said it was in Psychiatry that she ultimately found her passion. She completed her psychiatric residency training at The Ohio State University in Columbus, OH, in 1994.
During her years in residency, she was recognized with awards for Clinical Excellence, Excellence in Teaching, and also a Service Award, for her year as serving as the program's Chief Resident. Her path into Community Mental Health Center work has been varied. After completion of her residency training, she took a position as a hospital based physician at Welborn Baptist Hospital in Evansville, IN, where she enjoyed working closely in a physician group, and doing a variety of community educational lectures on mental illness. Her family relocated to Ohio in 1999, and she spent several years there in private practice before returning to Central Indiana. It was with that move that she ventured into Community Mental Health Center work, and now can’t imagine doing anything else.
“Being able to care for the seriously mentally ill and those with addictions, who are in such great need of help but who often have the fewest resources, has been inspiring and rewarding. I love the collaboration with primary care, and working in treatment teams that can help with housing, employment, resources and training, that can truly make a difference in people's lives.”
Dr. Rosiek is Board Certified by the American Board of Psychiatry and Neurology. In addition to her role as Medical Director, Psychiatry, Dr. Rosiek serves on the Aspire Indiana Health Board of Directors.
Dr. Rosiek enjoys spending time with her family, traveling and boating.
After working for a large tertiary health system upon completing nursing school, Syd worked for five years as a hospice nurse with Visiting Nurse Service. It was during this time that she saw a different side of healthcare — many times venturing into the homes of the poor, seeing the need for education and feeling the appreciation from those who are often overlooked, but greatly in need of compassion and attention. Since then, she has been an advocate for the underserved, the underinsured and the undereducated. Syd graduated as a nurse practitioner in 1993 and has been providing primary healthcare to those in need ever since. She has always strived to start new programs and develop a delivery system that encourages engagement of the underserved patients she cares for.
In addition to her clinical work, her administrative roles have included oversight for the development of new medical offices, employer-based clinics, school nurse programs, wellness initiatives for the employer and community, population management strategies, occupational health and work related injury programs, and a community health clinic that catered to the underserved of Hamilton County. Continuing her administrative education included receiving a MBA from Butler University in 2011 with a focus on servant leadership.
The responsibilities of the administrative side of healthcare never diminished Syd's passion for patient care or developing programs to enhance patient’s lives and the communities where they live and work. Instead, they provided a platform to address, from an organizational level, the needs of the whole patient, both medical and behavioral. Having been associated with Aspire for more than 10 years, Syd knew the challenges that faced the organization as they too had a quest to care for the whole person — or the total healthcare of the individual — integrating medical care into the already established behavioral health program. She states “All of my working career has prepared me for this role and I can’t think of a better organization to be in partnership with to continue my life’s work.” As an employee of Aspire Indiana Health, she has continued her mission of providing healthcare services to the underserved, with many clients having substance abuse and serious mental illness.
Positions and Honors:
Before accepting the position of COO for the integrated Aspire program, Syd served as a board director for Aspire Indiana for nine years, resigning in 2015. She currently serves on the board for the Kristen EVE Foundation. She has had past affiliations with Hamilton Centers, Advisory Board member for Promising Futures and BABE Store. In 2010, Syd was honored with the State Award for Excellence from the American Academy of Nurse Practitioners and in 2011, received the Distinguished Community Leader award. The Legacy Fund of Hamilton County has recognized and awarded monetary rewards to Ehmke on behalf of the contributions the Riverview Community Health Clinic had made to the health of the community.
Selected Peer-reviewed Publications:
Co-author “Nursing Theorists and Their Work”
Syd and her husband Steve, have three grown children, one grandchild, and a “world just waiting to be traveled.”
Trusa Grosso is a licensed clinical social worker who holds a bachelor’s degree from Rhodes College and an MSW from the University of Alabama. Trusa has over 30 years of experience as an administrator and clinician in various settings, including hospital administration, state correctional systems, outpatient behavioral health and addictions, and community mental health centers. She taught psychotherapeutic approaches, managed care practice, and the assessment and treatment of sexual dysfunction as a faculty member in the Department of Psychiatry at the University Of Tennessee. While there, Trusa had the opportunity to practice in various medical settings, giving rise to a passion for and dedication to the development and implementation of integrated care strategies.
A native of the Deep South, Trusa moved to Indiana and joined Aspire in 2003 as the Director of Community Support Services. She later served as Director of Adult Services, Director of Outreach Services, Senior Director of Healthcare Integration, and Senior Director of Outpatient Services. At Aspire Trusa has continued to strive for integrated, whole person care that addresses the quadruple aim.
“As healthcare providers, it is incumbent upon us to attend to all of the factors that contribute to the well-being of an individual… the environmental, physical, emotional, spiritual, and social. My various experiences over the years have strengthened this core belief and have fueled my passion for whole person care.”
Trusa and her husband, Wayne, live in Westfield with their cat and Labrador Retriever. She enjoys spending time with her family and joining in whatever adventure her grandson can find. Trusa has a passion for music, enjoys reading, growing flowers and herbs, drawing, and spending time on the beach.
Kelly Howe is the Senior Director of Home and Community Based Services with Aspire Indiana. She began work with the Aspire in 1997 as a part-time residential coach shortly after graduation with her bachelors degree in Criminal Justice and Family Science from Anderson University. While Kelly was attending college, she never envisioned what is now her long-standing career in community mental health. Coming from a family who believes that community involvement is important, Kelly knew she would work in the human services field, but was surprised and pleased to discover her affinity for working in mental health.
In 2003, while she was the coordinator of the Elwood office and HIV/case management services, Kelly earned her Master of Science in Management degree from Indiana Wesleyan University. Kelly has served in management roles in various Aspire programs including Residential, Satellite Operations, Addictions, HIV, Community Based Services, Deaf Services, Youth & Family Services, and School Based services. Kelly is currently known as the expert on rehabilitative services for the agency.
Ms. Howe was raised in Kentucky with several generations of family surrounding her. Stories of her parents, grandparents, and other family who are all part of what makes Kelly such an accessible person to get to know. As a child, Kelly’s family taught her the values of honesty and respect. It's apparent when talking with her today that both of those things remain critically important to her. Kelly has spent her entire professional career at Aspire and feels blessed to work in an agency that feels like family and shares many of her same values.
Kelly resides in Madison County with her husband, Craig, who is a teacher and her daughter, Emma. She enjoys spending time with her family, reading and traveling.