This work would not be possible without the collaboration across the Office of Behavioral Health, Health Care Policy and Financing, and the Division of Child Welfare. Special thanks to Detre Godinez and Claudia Zundel of COACT Colorado - OBH and Angie Dreier and Dave Bonaiuto of Boulder Impact for their insight, dedication, and assistance in the development and critique of this work. We would also like to Thank Dr. John Lyons and the staff of Chapin Hall and the Praed Foundation for their patience and commitment to improve outcomes for youth through Transformational Collaborative Outcomes Management.