Figure displaying the support system for the Building Bridges Initiative (BBI)/Six Core Strategies Implementation Support Project. On the left side of the image, the state leadership team served as the governance layer of the support system; BBI and Six Core trainers and consultants, implementation specialists at the Frank Porter Graham Impact Center, and LME/MCO agencies served in intermediary support role. With these supports in place, this leads to PRTFs use of trauma-informed strategies and organizational principles of BBI and Six Core which leads youth family engagement, improved residential care, and stronger clinical outcomes. All of these are in service to the ultimate goal of family well-being and self-regulation.