This article presents the major components of three models of linked p
sychosocial care for HIV-positive youths and youths at high risk for H
IV infection: YouthCare (Seattle, Washington), TOPS Program (Bridgepor
t, Connecticut), and Boston HAPPENS (Boston, Massachusetts). These mod
els were developed to connect hard-to-reach and otherwise marginalized
youths to needed services. All sites have successful programs that ar
e well integrated with their communities' systems of care for HIV-posi
tive adolescents. The projects share their program elements, successes
, and challenges. Practical suggestions are offered to those intereste
d in providing and evaluating youth-oriented HIV care programs.