The Mosaic Project outlined in this proposal will make available a core benefits package of behavioral health services to all children and youth ages 0-18 plus youth in transition in Union County through culturally competent, accessible service coordination and services. The core benefits package is designed to fulfill the Institute of Medicine’s behavioral health intervention spectrum (IOM, 2009) from universal prevention through intensive treatment and recovery supports. This application is unique in that it starts with a sustainable financing plan that links child serving systems, providers and public/private payers including Medicaid and establishes universal social, emotional, and behavioral screening for every child in the County. The Mosaic Project provides the infrastructure of care management and service coordination to ensure that all children receive access to programs and services necessary to promote well-being, intervene early, treat behavioral health conditions, and give ongoing support for children and families. Partners committed to the Mosaic Project include the (applicant) Mental Health and Recovery Board of Union County (MHRBUC), the behavioral health planning and funding authority (political subdivision) for Union County; The Union County Council for Families, a statutory body charged with service coordination for multisystem youth; Partners for Kids (PFK) an Accountable Care Organization (ACO) for four of the five Ohio Medicaid Managed Care plans; and CareSource - the fifth and largest of Ohio’s Medicaid MCOs. It will be the responsibility of the Mosaic Project to engage families via Central Intake and to help the family select the correct mix and amount of services from the complete IOM Continuum and then utilize all available benefits – private insurance, Medicaid, MH Block Grant, SAPT Block Grant, state GRF funds, funds from juvenile justice and child protection, education funding, and local levy dollars to provide the service plan seamlessly to the family. Under the direction of the Mosaic Project governance board representing families with lived experience, providers, stakeholders, and payers, the project will: Establish SOC infrastructure to improve prevention, early identification, and referral for children with or at risk of developing SED; Identify and remove barriers to access, engagement, awareness of and service delivery for SOC; Establish and expand evidence-based mental health interventions to fulfill the required activities and ensure network adequacy for delivery of SOC services; and Identify and/or create community and natural supports for children/youth with SED and their families to support effective treatment and provide natural transition from services. The Mosaic Project will serve 250 youth with/at risk for SED annually, with a project total of approximately 400 unduplicated youth. An additional 800 youth/families per year (3,200 for the project) will be served through lower level engagements including prevention, problem identification, and referral.