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Historically, the prevention of youth homelessness has not been a priority in Canada or the United States. In recent years, this has begun to change. While there is growing recognition that a shift by preventing homelessness is required to bring a substantive end to homelessness, a common and shared understanding of what prevention is and what it involves has remained largely absent or obscured in both policy and practice. In this paper, we focus specifically on the prevention of youth homelessness and set out to provide conceptual clarity through presenting a clear definition of what prevention is and what it is not. Accompanying the definition is a five-point typology that includes (1) structural prevention; (2) systems prevention; (3) early intervention; (4) crisis intervention, and (5) housing stabilization. Each of the five elements of the typology is defined, identifying who is responsible for implementation. In addition, the typology is populated with examples of different approaches to the prevention of youth homelessness. We conclude with some key considerations to guide the implementation of preventive interventions and present core principles designed to support the development of effective and quality prevention interventions. [ABSTRACT FROM AUTHOR]

Amongst women and gender diverse (WGD) populations experiencing homelessness in Canada, one of the most vulnerable and understudied subgroups are those who are pregnant. A key barrier to accessing housing for this population are policies that lead to siloed sector work and complicated and inaccessible services. Frequent relocation and fragmented access to essential prenatal and postnatal support are the result. Experiences of homelessness for WGD people are distinct from that of cisgender men; the former tend to experience 'hidden homelessness' and are more likely to rely on relational, precarious, and sometimes dangerous housing options. The homelessness sector, its policies, and services tend to be cis-male-centric because of the greater visibility of homelessness in cis-men and fail to meet pregnant WGD people's needs. This paper describes the findings from a one-day symposium that was held in Toronto, Canada, in June 2023 that aimed to address the siloed approach to housing provision for pregnant WGD people experiencing homelessness. A key focus was to understand how to incorporate a gendered and intersectional discourse into practice and policy. Adopting a gender-based analysis plus (GBA+) approach within policymaking can help illuminate and address why certain groups of WGD people are disproportionately affected by homelessness, including Indigenous Peoples, recent immigrants, racialized people, and those experiencing intimate partner violence, poverty, and substance use. [ABSTRACT FROM AUTHOR]

Background: Several youth staying at emergency youth shelters (EYSs) in Toronto experience poorly coordinated care for their health needs, as both the EYS and health systems operate largely in silos when coordinating care for this population. Understanding how each system is structurally and functionally bound in their healthcare coordination roles for youth experiencing homelessness (YEH) is a preliminary step to identify how healthcare coordination can be strengthened using a system thinking lens, particularly through the framework for transformative system change. Methods: Forty-six documents, and twenty-four semi-structured interviews were analyzed to explore how the EYS and health systems are bound in their healthcare coordination roles. We continuously compared data collected from documents and interviews using constant comparative analysis to build a comprehensive understanding of each system's layers, and the niches (i.e., programs and activities), organizations and actors within these layers that contribute to the provision and coordination of healthcare for YEH, within and between these two systems. Results: The EYS and health systems are governed by different ministries, have separate mandates, and therefore have distinct layers, niches, and organizations respective to coordinating healthcare for YEH. While neither system takes sole responsibility for this task, several government, research, and community-based efforts exist to strengthen healthcare coordination for this population, with some overlap between systems. Several organizations and actors within each system are collaborating to develop relevant frameworks, policies, and programs to strengthen healthcare coordination for YEH. Findings indicate that EYS staff play a more active role in coordinating care for YEH than health system staff. Conclusion: A vast network of organizations and actors within each system layer, work both in silos and collaboratively to coordinate health services for YEH. Efforts are being made to bridge the gap between systems to improve healthcare coordination, and thereby youths' health outcomes. [ABSTRACT FROM AUTHOR]

This article conveys the results of a three-year ethnographic study of a pan-Canadian community–university collaboration to prevent and end youth homelessness. The collaboration adapted aspects of a collective impact (CI) approach to pursue a large-scale shift in how youth homelessness is addressed in Canada. The objective of this article is to codify and share the model developed and implemented by the community–university collaboration as an opportunity for ongoing adaptation and learning among others undertaking similarly complex and collaborative systems-change efforts. Findings suggest a CI approach is unlikely to be suitable for large-scale innovation-oriented initiatives, and that context-specific adaptations of the model should be encouraged. To what is already known about collaborative multisectoral partnerships, this article reveals the importance of strategic information sharing, targeted and flexible research and knowledge mobilization efforts, and ongoing attentiveness to the relational dimensions of collaborative evidence-informed systems-change efforts. [ABSTRACT FROM AUTHOR]