Keynote presentation for the Positive Youth Justice Initiative at the Sierra Health Foundation, Sacramento, California. In 2012, the Sierra Health Foundation launched a new Positive Youth Justice Initiative to improve the outcomes of young people involved in the child welfare and juvenile justice systems, often referred to as crossover youth. Through the Positive Youth Justice Initiative, the Foundation is seeking to establish a vanguard of county juvenile justice systems and leaders from across California to foster a major shift in practice and policy by addressing the disconnections that have negative long-term effects for this vulnerable population.