Policy reform for at-risk youth is complicated by involvement of various service sectors. Issues related to coordinating systems of care in a dynamic policy environment are not new, but surprisingly little has been written to guide practitioners and policymakers in addressing them (Friedman in "Journal of Emotional and Behavioral Disorders" 11:11-18, 2003). To that end, a social worker, community psychologist, and nurse, working as part of a multidisciplinary team reviewed the practice literature on models to guide policy reform in justice and behavioral health systems. Five models are presented to assist community practitioners assessing similar policy reform.