More than ever before, there is an evident and pressing systemic need to reduce the overrepresentation of Aboriginal children in out-of-home care and its intergenerational impacts, by collaborating to facilitate ‘meaningful engagement’ and listening and responding to the voices and aspirations of Aboriginal children and families with complex needs. ITJ-care is a conceptual, participatory framework that seeks to embed an ‘ethos of care’ and collaborative care processes, for the implementation of ‘new ways ‘of working, that collectively promote transformative and sustainable systemic change, across the justice, health, and social care domains. It is proposed, that embedding collaborative care processes, has the potential to facilitate timely access and enhance service engagement, while reducing service fragmentation and cumulative distress and harm for children and families with complex needs who may be experiencing family violence and ‘at risk’ of justice involvement. At the’ heart’ of embedding an ITJ-care approach, is the urgent need for facilitating relational processes that enhance relational care and safety, and collectively promote Aboriginal community -led initiatives for cultural healing and social connection with community stakeholders, while promoting timely service engagement and capacity building .This framework seeks to promote a ‘shared vision’ and commitment to innovating and collaborating for a 'systemic ‘responsivity of care’ that prioritizes prevention, care capacity, family restoration and wellbeing. The author briefly reviews the empirical evidence in support of this promising approach and further considers implications for integrated therapeutic justice reform.