The Strength Builders Child and Adolescent Trauma Center of Youth Health Service, Inc. was developed in 2005 to serve children and adolescents aged two to 18 and their families who have experienced complex trauma in a three-county area of rural Appalachia. Since its inception, these services have expanded to incorporate a large rural area covering six counties in North Central West Virginia, to include young adults through age 24 years who have experienced intimate partner violence, and to expand trauma treatment and services in school settings in addition to traditional outpatient clinics. The program works collaboratively with a wide variety of child-serving agencies in this region to maximize the treatment opportunities for children and youth and their families who have experienced trauma. The philosophy of this program can be inferred from its title. Strength Builders recognizes that all children, teens, families, and communities have strengths that can be built upon as they move from trauma to recovery.