Children’s MOSAIC Project Update to the Springfield Public Schools Board of Education Jan Gambach, President, Mental Health Centers of Central Illinois, Lead Agent Cindy Knight, Supervisor, Student Support Services, District 186 Funding Provided by The Illinois Children’s Healthcare Foundation June 17, 2013

Collaborate to transform bold ideas into reality Draw on evidence- based models Challenge the status quo Light Bulb picture The MOSAIC solution

The MOSAIC’s Partners Children and Families City of Springfield, Alderman Gail Simpson Community Foundation of the Land of Lincoln The Hope Institute for Children and Families Illinois Department of Child and Family Services Lincoln Prairie Behavioral Health Center Mental Health Centers of Central Illinois, The Children’s Center Sangamon County Court Services, Juvenile Services Sangamon County Department of Public Health SIU School of Medicine Center for Family Medicine SIU School of Medicine Department of Psychiatry The Springfield Project Springfield Public Schools Springfield Urban League United Way of Central Illinois Wade Management Consulting Illinois Children’s Healthcare Foundation

Moving mental health out of the clinic

Engaging Families and the Community Even the best planned and funded system of care is of little effectiveness if it does not adequately and actively work to engage families in appropriate supports and services.

The Neighborhood of Hope Neighborhood Outreach Workers identify needs, connect with resources, screen, coordinate care Neighborhood Organizer engages and activates neighborhood Neighborhood clinician provides treatment and assessment in the home or in a neighborhood office Partnering with The Springfield Project in the Neighborhood of Hope to engage children and families Photo of nice house and bad house

Primary Care Practices MDs and RNs conduct social/emotional screening as part of children’s routine care Masters-level clinicians provide support and consultation to staff, brief intervention for children, enhanced care coordination for families Partnering with SIU Center for Family Medicine and Memorial Physician Services

Schools Teachers conduct screening School social worker conducts screens and care coordination School clinician offers brief, focused intervention and conducts triage assessment Behavior interventionist responds to crises, ‘hot spots’ and provides support to teachers Partnering with Springfield Public Schools and Urban League Head Start

WHAT DOES THIS LOOK LIKE WITHIN OUR SCHOOLS?

Schools Screened 532 students (universal) Elevated screens – 118 (22%) were elevated on BESS – By strengthening Tier 2 prior to launch, 66 already involved in some support/intervention – Developing targeted groups based on screenings 72 (13.5%) scored in the ‘extremely elevated range) All were referred to MOSAIC clinician Sustainability

WHAT’S WORKING?

What’s Working? Business as Usual Only 25% of those with mental health diagnosis receive treatment in their lifetime 2-4 year lag between symptom onset & treatment Average length of treatment: 3-4 sessions MOSAIC 42% receive treatment Average 26 days, engaged in treatment Average 11.6 sessions

What’s Working? Business as Usual 2-7 SASS screens at school per year MOSAIC : 0 SASS screens Correlating with other crisis data – very positive trend Greater parent involvement in school-based services Significance of positive relationship & trust between school staff & families

What’s Working? Business as UsualMOSAIC Increased classroom seat time if MH needs are met Improved recovery time within the school day & return to class Some students have not experienced this supported recovery – suspension, isolation, exclusion, etc.

What we have learned so far… Utilization of Social Workers – embedded, building relationships, redefining, systems approach, work at the top of their skill level More than adding services or activities, success has come through braiding via ~ Location: assessment and intervention available at screening site ~ Relationships: warm handoffs ~ Collaborative Processes: how we shift responsibilities ~ Reducing complexity of system

Food for Thought… Promoting Prevention – – PBIS – Psychological First Aid – Suicide Awareness – Bullying

Opportunities Continue to braid school and community resources and social workers Support screening and prevention activities Scale up to other schools Focus/track outcomes

Questions