Children and Youth with Special Healthcare Needs (CYSHCN) efforts focus on improving access to care and support systems for CYSHCN and their families throughout California. Our programs integrate health promotion strategies, strengths-based approaches, and resilience-building to improve the mental health and wellness of CYSHCN and their families. Through technical assistance, resource sharing, and innovation grants, local MCAH capacity is strengthened, and collaboration among diverse organizations is fostered to create more inclusive, comprehensive, and coordinated systems of care for CYSHCN.