The gap between hospital and home is where healing gets lost.
My System of Care is changing that in the United States. We build personalized healing journeys for youth ages 12–26 who are navigating the transition out of a mental health crisis - co-designed with the young people, families, and communities at the center of care.
One of the hardest parts of healing starts after discharge.
Hospital staff do extraordinary work stabilizing youth in crisis. But, there is often no bridge between inpatient care, the community, and the discharge home. Local supports, peer connections, and ongoing coordination help make recovery last – that’s the gap we’re built to fill.
7.8% of youth are readmitted within 30 days - a signal that the community bridge needs to be stronger
Families often lack a roadmap including community resources, care coordination, and what to expect at home
Healing is most powerful when it’s anchored in the places where youth live, learn, and grow
Youth and families need localized, co-created support for lasting recovery
Our approach is adapted from Resource Groups, an evidence-based, patient-centered model shown to significantly improve empowerment, quality of life, and personal recovery.¹
¹ Tjaden et al. (2021). Effectiveness of Resource Groups for Improving Empowerment, Quality of Life, and Functioning of People With Severe Mental Illness: A Randomized Clinical Trial. JAMA Psychiatry, 78(12), 1309–1318.
We bridge hospital and home.
Located inside hospitals and residential facilities, My System of Care Hubs are where youth and their families take ownership of what comes next. Before discharge, we co-design an 8 to 12-week healing journey anchored in their local community - with evidence-based partners who are ready and waiting. Then, we stay with them through the journey to lasting recovery.
“We left the hospital knowing more about medication schedules than about the community supports that could help her heal. No one told us what resources existed, or how to help her reconnect with the world she’d stepped away from.”
~ Parent of a 14-year-old
Built for the whole system of care.
We don’t just support one person - we bring together everyone involved in a young person’s life.
Youth & Young Adults (ages 12–26)
Parents & Caregivers
Educators & School Counselors
Clinicians & Hospital Discharge Teams
Peers & Peer Mentors
Community Organizations
Trusted by our launch partners:
We are transforming how we care for youth after a mental health crisis.
Whether you’re a hospital, funder, payer, community organization, or a family - there’s a place for you in this work.