Illinois Children's Healthcare Foundation CMHI 1.0 initiative funded $2.85M over 8 years to create an integrated system in Springfield Illinois that addresses children's mental health in schools, primary care and community settings.

1. Jan Gambach, LCSW, MPA,
President, Memorial Behavioral Health
System Administrator for Behavioral Health ,
Memorial Health System

2. Springfield, IL Demographics
• MOSAIC serves children and adolescents living in the city of Springfield
• 26,000 youth, ages 0-17
• 22% of the total population of 117,000*
• Home to:
• Mid-Illinois Medical District
• 2 hospitals/2 health systems
• Southern Illinois University School of Medicine
• 2 FQHCs
• Many social service, faith- and community-based, and government agencies

3. Springfield Demographics
• 63% of students are from low-income households
• Majority of students live in neighborhoods highlighted in green
• Student body:
• 47% white
• 39% black
• 10% multi-racial
• 3% Hispanic
• 1% other

4. Children’s MOSAIC Project
Providing Meaningful Opportunities for Success and Achievement
through Service Integration for Children

5. • We have developed and implemented
a model that provides timely,
accessible services to
underserved and vulnerable
children by increasing ease of
access and leveraging existing
relationships.
• We have successfully
integrated in primary care
practices with varying payor mixes.
• We have established a strong
school/mental health
partnership (not just co-location).
MOSAIC Brief Overview

6. Total Children Served, Years 1-6
• # of children served: 649 (school setting) +
• # over 11,000 encounters in primary care
• # of screenings done: ~40,000*
• # of positive screenings: 2,183*
• # of positive screenings given a referral: 443*

7. MOSAIC’s Impact and Influence
• Improved Access
• Improved Awareness
• Early Identification and
Intervention
• Increased Strength in Partnerships
• Expansion of services and
innovations

8. MOSAIC’s Impact and Influence
• Springfield Public Schools district-wide universal screening
• Geographic expansion of MOSAIC
• Community Health Worker model in local neighborhoods
• Implementation of PHQ-2 and PHQ-9 in local primary care clinics
• The MOSAIC brand=children’s behavioral health services