Amoskeag Health, working collaboratively with the Manchester School District, has been providing preventive health services to at-risk adolescents in Manchester’s middle and high schools since 2001. The Adolescent Preventive Service program provides an opportunity to increase the protective factors in adolescents’ lives while at the same time reducing some of the barriers to their success. The Adolescent Health Case Managers meet with referred students on a weekly basis, providing case management, brief counseling, and ongoing mentoring to a diverse student population. Students who commence the program in the 6th grade have to opportunity to be followed, grade-by-grade, up through high school until graduation. The long-term nature of the program allows for continuity and the development of a strong mentoring relationship, and optimizes the chances of connecting youth with the resources they need to succeed academically and to improve their overall mental and physical well-being.