This study is an examination of resilience and treatment interventions that enhance qualities of resilience in youth identified as "at risk". This study is descriptive in nature and based on secondary data collection of multiple case studies. The data collected was from a non-probability sample in that youth were not randomly assigned to a specific group. The purpose was to explore the concept of resilience in youth by examining score changes in the Child and Adolescent Needs and Strengths Scale (Buddin Praed Foundation, 1999) in the sub-categories of "well being" and "optimism" over time, pre and post intervention and which interventions correlate with improvement in scores. Questions addressed in the study were: Do community based interventions correlate with improved scoring in well being and optimism for adolescents? What patterns emerge that correlate with an improvement in resilient qualities? Results suggest that multiple service intervention approaches with youth yield better overall results in strengthening resilient qualities rather than one service intervention by itself, that group based treatment approaches may have the most positive impact on youth optimism in the short-term, and that financial supports that address non-mental health needs have a beneficial impact on psychological strengths.