Globally vulnerable populations are negatively impacted by policy and practice. For vulnerable youth, risks to growth, development, and a lack of participation in decisions about their lives are common. Leadership programs are frequently implemented to address the risks faced by vulnerable youth. This review sought to describe the goals, content, and outcomes of existing youth development programs to better understand if they are meeting the needs of vulnerable youth. A scoping review was conducted using the PRISMA-ScR methodology. Ten electronic databases and grey literature were searched. A total of 89 youth development programs were identified. The goals, content, and outcomes of the programs were thematically analyzed. Four foci emerged, namely, youth, relationship, community, and social justice-focused development. A youth focus was most commonly represented, and the social justice focus was the least represented. Most programs addressed only one focus area. If youth development programs are to provide youth with both the skills to engage with and opportunities to change their circumstances, then all four focus areas need to be included. Secondly, a need for the active involvement of youth in both the planning and implementation of programs was identified. Finally, safeguarding needs to be highlighted in any program working with vulnerable youth.