This article explains how individual academic case manager intervention programs were implemented in three urban middle schools. Academic case managers helped students integrate their personal lives with academic expectations by helping students learn to cope with their own personal challenges with the goal of improving their academic performance. Case studies over 3 years involving three cohorts (N = [approximately]1600) are presented to demonstrate program effectiveness. The results indicate case management strategies made a significant difference in suspending rapid performance declines in case-managed student groups. (Contains 1 table and 4 figures.)