Atlas Health Group
All member stories
Justice Involved (JI)

A dual-status youth, one coordinated team

A 15-year-old crossing juvenile probation and foster care had been in three placements in six months. One care team synchronized the social worker, probation officer, and school — and she stayed put.

Member

Aaliyah (15)

Who we help

Justice Involved (JI)

Location

Sacramento County, CA

Timeframe

12-month coordination

What changed

The outcome for Aaliyah (15)

1 placement in 12 months

1

Placement in 12 months

Down from 3 in the prior 6 months.

0

Self-harm episodes

In the last 9 months of care.

1

School enrollment

Full year of continuous schooling.

12

Multi-agency case conferences

Monthly cadence sustained.

Where things started

The situation.

Aaliyah was on informal probation for a status offense and simultaneously a dependent of the court. Prior placement disruptions had cost her a full semester of consistent schooling.

For the first time, everyone in the room was on the same page — and I didn't have to be the messenger.

Aaliyah, Youth Reentry Member

The hard part

What stood in the way.

  1. 1

    Three placement moves in six months; two school changes.

  2. 2

    Untreated depression with self-harm history.

  3. 3

    PO and social worker communicating through Aaliyah, not each other.

  4. 4

    Resource family overwhelmed and considering a 7-day notice.

Our approach

How we built the plan.

Step 1

Single care manager holding the pen across probation, child welfare, school, and clinic.

Step 2

Adolescent DBT skills group + weekly individual therapy.

Step 3

Resource family respite and coaching to prevent placement disruption.

The support

What we actually did.

  1. 01

    Weeks 1–4 — Stabilization

    Joint case conference with PO, social worker, resource family, and school; one shared care plan produced.

  2. 02

    Months 2–6 — Skills + supports

    DBT skills group weekly; resource family coaching biweekly; mentor pairing through a community partner.

  3. 03

    Months 7–12 — Continuity

    Placement preserved through two crisis points using respite and rapid clinical response instead of disruption.

Behind the scenes

The team and services on this case.

Enhanced Care ManagementAdolescent Behavioral Health (DBT)Child Welfare CoordinationSchool Advocacy

You could be next

Tell us what's going on — we'll take it from there.

No cost, no paperwork to start, and help in your language.