Like the proverbial pebble in a pond, we feel confident that the Girls and Boys Health Screens©, the Electronic Girls & Boys Health Passport, our BluePrint for the Future training modules and our other upcoming programs and services will ripple nationwide, and systematically change the long term outcomes for girls and boys now in detention. For most of these young people, their first encounter with health care occurs when they enter the juvenile justice system. That’s why we focused first on gender and age-responsive health screens to provide a baseline for care and to assess needs. Now, we are innovating ways to provide continuity of care. We know that failing to treat the girls’ and boys’ medical needs, not only increases the odds they will re-offend, but also increases the severity of the health conditions they are likely to experience.