This Model Policy, designed for use by agencies and jurisdictions that provide services for youth in state custody, outlines the basic minimum requirements for sexual health care services. These services should be culturally competent and inclusive, including for youth who are pregnant, gender non-conforming, or LGBTQI. The Model Policy is a companion to Model Sexual Health Care Standards for Youth in State Custody, which sets out in more detail the specific health services essential to an adequate care program for youth in custody, including mental and physical health screenings, HIV and STI services, pregnancy services, ongoing care and discharge planning. It is essential that all adolescent detention, care, and custody facilities have written policies that ensure consistent, and consistently appropriate, sexual health care for the youth in their charge.