<p>Adolescents experiencing mental health concerns often encounter barriers to engagement and access, including language differences, stigma, and system fragmentation. This article presents a clinical model for addressing these challenges through a multilevel ecological approach that integrates assessment, relational engagement, family involvement, and system coordination. A clinical vignette illustrates how developmentally responsive strategies, including the structured inclusion of supervised non-clinical providers, can enhance engagement and extend service capacity. Emphasis is placed on culturally and linguistically appropriate care, particularly for families navigating barriers to access. Practice considerations highlight the importance of integrating clinical services with workforce and community-based supports to improve continuity of care and reduce disparities in youth mental health outcomes.</p>