Discussions of transformational change pervade the field of business but are rare in work with young people at risk--those most in need of deep change. Instead, the nation seems preoccupied with punishing or medicating problem behavior. Some propose the alternative of "rehabilitation," but that term means "to restore to former status." Many youth have never known healthy relationships. They need "transformation" which means "becoming something new that never before existed." In this article, the author asserts that deep, lasting change involves relational (connecting with a trusted adult), cognitive (thinking about thinking and choosing to think differently), and spiritual (finding a vision and purpose in life) change. Each of these types of change are detailed herein. The author concludes that transformation begins one life at a time but must move toward systemic transformation if there is to be wide and lasting change. [This article was written with Francisco Paulino.]