Supporting social and economic equity to help young people move out of homelessness and thrive

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This pilot co-designs and tests an 18-month wraparound intervention that combines job placement, housing stabilization funds, grocery supplements, a community connections worker, individualized coaching, and a Tools for Intentional Living program for young people transitioning from homelessness. Participants are 18–24 years old with at least four consecutive weeks of homelessness in the past year and currently living in market-rent housing in the Greater Toronto Area or Niagara Region. The study focuses on feasibility (will participants engage and stay engaged) and acceptability (do participants find the supports satisfactory and beneficial) rather than clinical efficacy. Data collection will track engagement, satisfaction, service uptake, and practical outcomes such as employment and housing stability to guide refinement of the intervention.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Aged 18 - 24 years
* Experienced homelessness (defined as unstable/time-limited housing arrangements like shelter stays, foster care, or couch surfing) for at least seven consecutive days in the past year
* Living in market rent housing (defined as non-subsidized housing, inclusive of both formal and informal rental agreements) in the Greater Toronto Area or Niagara Region for at least one month preceding study start
* Willing to actively participate in all components of the intervention
* Able to legally work in Canada (includes having a valid Social Insurance Number)
* Able to provide free and informed consent
* Able to understand English well enough to give consent and participate in the intervention and data collection

Exclusion Criteria:

* In imminent danger of losing their housing (e.g., facing eviction)
* Planning to move out of the Greater Toronto Area or Niagara Region in the next 18 months
* Employed full-time or enrolled in an education or training program that requires a long-term (\>4 weeks) full-time work placement (coinciding with the duration of the study intervention)
* Receiving rent subsidies (does not include shelter allowance through social welfare programs such as Ontario Works or the Ontario Disability Support Program)
* Enrolled in a program or study with features similar to the SEED CHANGE intervention (e.g., 1:1 coaching, supported employment, group program targeting identity/social capital)

Where it's running

• Unity Health Toronto
  Toronto, Ontario, Canada Recruiting

Study contacts

• Principal investigator: Naomi S Thulien, NP-PHC, PhD — Unity Health Toronto
• Study coordinator: Naomi S Thulien, NP-PHC, PhD
• Email: naomi.thulien@unityhealth.to
• Phone: 416-360-4000

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.