Founded in 2013 at a community health center in the South Bronx, Terra Firma was built to respond to the urgent needs of unaccompanied children and immigrant families seeking safety in the United States. Since its inception, it has served thousands of children and families, gaining national recognition for its integrated medical, legal, and mental health model, and the need remains as urgent as ever.

Founded in Long Island, NY in 2024, Terra Firma Hempstead is a founding replication partner; one of the first programs to bring the Terra Firma model of care beyond New York City. Nassau County consistently ranks among the highest in New York State for unaccompanied immigrant children released to sponsors, reflecting the deep need for wraparound, interdisciplinary support right here in this community.

Founded in Baltimore, MD in 2024, Terra Firma Baltimore is a founding replication partner and the first program launched outside of New York. Maryland receives hundreds of unaccompanied children each year, and Baltimore has become a critical hub for families navigating the immigration system, making it a natural home for Terra Firma's innovative, interdisciplinary model of care.

Founded in Long Island, NY in 2025, Terra Firma Brentwood joins the network at a pivotal moment. Suffolk County historically sees more unaccompanied immigrant children released to sponsors than any other county in New York State, making it one of the most significant points of need in the entire country. Terra Firma Brentwood is putting its own stamp on high-quality care, meeting that need head-on.

Harris County, TX receives more unaccompanied immigrant children than almost any other county in the United States, making Houston one of the most urgent frontiers for this work. Terra Firma Houston brings the model's proven, interdisciplinary approach to one of the country's largest and most vibrant immigrant communities.