Out-of-school time programs can provide valuable supports to the positive development of children and youth. These programs can help cultivate social and emotional skills, and further students' academic achievements. Furthermore, the safe environment provided by out-of-school time programs can offer children and youth, especially those living in disadvantaged urban areas, a welcome retreat from the streets and a place to be with friends. Analyzing parent report data from the 2003 National Survey of Children's Health (NSCH), Child Trends estimated that ten percent of teens in higher-income families do not participate in any activities, compared with 30 percent of teens in families living below 200 percent of the federal poverty line. Most Youth Roundtable participants implied that they have experienced financial problems, which could decrease the chances that they will participate in programs, as could "hood beats" and other safety concerns. However, youth in situations and environments similar to those experienced by the Roundtable participants might benefit the most from out-of-school time programs in that they provide stable environments in which young people can meet, grow, and interact with each other. Overall, Youth Roundtable participants mentioned numerous and varied reasons why youth do not get involved and eagerly shared their thoughts on how program providers can increase and maintain participation. For example, using peer recruiters, involving parents, offering activities for a variety of interests, and hiring competent, respectful staff are all ways to increase program recruitment, participation, and retention. While many at the Roundtable expressed frustrations with available programs, all of the participants voiced a clear desire to be involved in out-of-school time programs and requested that more opportunities be made available to them. (Contains 1 table and 11 endnotes.)