The Texas Foster Youth Health Initiative (TFYHI) is a partnership with the University of Texas Steve Hicks School of Social Work’s Institute for Child and Family Wellbeing. This project brings together child welfare and adolescent health systems to design innovative strategies that promote optimal health for child welfare-involved youth. The TFYHI supports a multidisciplinary network of community partners to develop and test cutting-edge sexual health interventions for youth and their caregivers, and work to increase capacity in organizations and communities. The TFYHI supports efforts in San Antonio, Dallas, the Rio Grande Valley, and Houston. The main goal is for youth in foster care to feel connected, safe, and empowered to make informed decisions about their sexual health.