Educators are considering ways to help youth identified as “at-risk” succeed in school and beyond. Alternative programs (AP) can be effective environments for students who may not fit the mainstream mold and need additional support. Effective AP use a holistic approach that encompasses social, academic, psychological and career-related needs. The following eight factors consistently recur in research reports and descriptions of effective AP: (1) caring, knowledgeable adults; (2) a sense of community; (3) an assets approach; (4) respect for youth; (5) high expectations for academic achievement and responsible behavior; (6) holistic, comprehensive, multidimensional developmental curriculum; (7) authentic, engaging learning that connects school and work; and (8) support and long-term followup services. Some examples of AP include: career academies (small learning communities that engage students by focusing on career interests and rigorous academics that reflect high expectations); YouthBuild USA (program features include supportive peer-group communities, community service, culturally appropriate curricula, youth leadership, and follow-up through alumni clubs and support services such as information, counseling, and job placement); and Bridge over Troubled Waters (comprehensive programs and services include nontraditional outreach, runaway services, a preemployment program reflecting an assets approach, health education/peer counseling, parenting support, and a program for youth with developmental disabilities). (CG)