Supporting Social & Economic Equity, Disrupting Cycles of Homelessness, And Nurturing Growth & Empowerment

NCT07419282 | Recruiting

• 1 other identifier: 25-126
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of the SEED CHANGE pilot study is to co-design and test a wraparound intervention for young people transitioning away from homelessness. This study will provide information about the types of supports these young people need to live meaningful and thriving lives, and the best ways to deliver these supports. The main questions it aims to answer are:

• Is the wraparound intervention feasible? (i.e., Will young people engage in the study and supports?)
• Is the wraparound intervention acceptable? (i.e., Do young people find the supports satisfactory and/or beneficial?) Participants will engage in an 18-month wraparound intervention including the following supports:
• Job Placement
• Housing Stabilization Funds
• Grocery Supplements
• Community Connections Worker
• Coaching
• Tools for Intentional Living Program

Conditions

Homelessness; Youth

Keywords

youth; coach; employment; homelessness; transition; socioeconomic inclusion; identity capital; social capital

Outcome Measures

Primary Outcomes (5)

• Feasibility and Acceptability: Recruitment, Enrolment, and Dropout Metrics

  Recruitment, enrolment, and dropout metrics were documented by the research team. The recruitment total is the total number of individuals who express interest in participating in the study. The enrolment total is the total number of recruited individuals who are eligible and consent to participate in the study. The dropout total is the total number of enrolled participants who drop out during the study. Participants are considered to have dropped out of the study if they explicitly request to withdraw from the study, or cease participating in all intervention and research activities (i.e., no contact).

  Recruitment and enrolment metrics are assessed at T0 (Baseline; pre-intervention). Dropout metrics are assessed at T4 (Month 18; end of intervention).

• Feasibility and Acceptability: Employment Placement Engagement

  Employment placement engagement is defined as the length of time participants remain in their job placement (self-reported).

  Assessed at T4 (Month 18; end of intervention).

• Feasibility and Acceptability: Coaching Engagement

  Coaching Engagement is defined as the proportion of total possible coaching sessions (max. 36) that a participant attends (reported by coaches).

  Assessed at T4 (Month 18; end of intervention).

• Feasibility and Acceptability: Group Program Engagement

  Group Program Engagement is defined as the proportion of total possible Tools for Intentional Living program sessions that a participant attends (reported by program facilitators).

  Assessed at T4 (Month 18; end of intervention).

• Feasibility and Acceptability: Community Connections Worker Engagement

  Community Connections Worker Engagement is defined as the total number of sessions a participant attends with their Community Connections Worker (reported by workers).

  Assessed at T4 (Month 18; end of intervention).

Secondary Outcomes (10)

• Economic Capital: Employment

  Assessed at T1 (Baseline), T2 (Month 6), T3 (Month 12), T4 (Month 18), and T5 (Month 24).

• Economic Capital: Education

  Assessed at T1 (Baseline), T2 (Month 6), T3 (Month 12), T4 (Month 18), and T5 (Month 24).

• Economic Capital: Housing Security

  Assessed at T1 (Baseline), T2 (Month 6), T3 (Month 12), T4 (Month 18), and T5 (Month 24).

• Economic Capital: Income

  Assessed at T1 (Baseline), T2 (Month 6), T3 (Month 12), T4 (Month 18), and T5 (Month 24).

• Economic Capital: Food Insecurity

  Assessed at T1 (Baseline), T2 (Month 6), T3 (Month 12), T4 (Month 18), and T5 (Month 24).

Study Arms (1)

Wraparound Intervention

EXPERIMENTAL

Young people transitioning away from homelessness will engage in an 18-month wraparound intervention including the following supports: * Job Placement * Housing Stabilization Funds * Grocery Supplements * Community Connections Worker * Coaching * Tools for Intentional Living Program

Behavioral: Wraparound Intervention

Interventions

Wraparound Intervention BEHAVIORAL

An 18-month wraparound intervention including the following supports: * Job Placement * Housing Stabilization Funds * Grocery Supplements * Community Connections Worker * Coaching * Tools for Intentional Living Program

Wraparound Intervention

Eligibility Criteria

• Age: 18 Years - 24 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• 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

You may not qualify if:

• 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)

Sponsors & Collaborators

• Unity Health Toronto: lead
• Covenant House Toronto: collaborator
• StepStones for Youth: collaborator
• Resource Association for Teens: collaborator

Study Sites (1)

Unity Health Toronto

Toronto, Ontario, M5B 1W8, Canada

RECRUITING

Study Officials

• Naomi S Thulien, NP-PHC, PhD

  Unity Health Toronto

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Naomi S Thulien, NP-PHC, PhD

CONTACT

416-360-4000; naomi.thulien@unityhealth.to

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 5, 2026
• First Posted: February 19, 2026
• Study Start: February 25, 2026
• Primary Completion (Estimated): February 1, 2029
• Study Completion (Estimated): August 1, 2029
• Last Updated: June 15, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)