42 Participants NeededMy employer runs this trial

Wraparound Intervention for Homelessness

(SEED CHANGE Trial)

NS
Overseen ByNaomi S Thulien, NP-PHC, PhD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a program called SEED CHANGE, designed to help young people who have been homeless transition to a stable life. The program provides support such as job placement, housing funds, grocery assistance, and coaching to evaluate the effectiveness and engagement of these services. Young people aged 18-24 who have experienced homelessness for at least four weeks in the past year and currently live in market rent housing in the Greater Toronto Area or Niagara Region may qualify. The goal is to determine if this wraparound support system is feasible and beneficial. As an unphased trial, the study offers a unique opportunity to contribute to meaningful research that could shape future support systems for young people facing homelessness.

Do I need to stop taking my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications. It seems focused on providing support services rather than medical interventions, so it's unlikely that you would need to stop your medications.

What prior data suggests that this wraparound intervention is safe for young people transitioning away from homelessness?

Research has shown that programs like those in the SEED CHANGE study are generally safe for participants. These programs often assist young people experiencing homelessness in finding stable housing and improving job prospects, typically benefiting participants without harmful effects. Wraparound services offer comprehensive support to manage complex needs with minimal risk of negative outcomes.

Existing data has not shown significant negative effects, indicating that participants tolerate the programs well. While effects on mental health and education may vary, participants' physical health generally improves. This suggests the treatment is not only safe but also potentially beneficial in several important areas of participants' lives.12345

Why are researchers excited about this trial?

Researchers are excited about the Wraparound Intervention for homelessness because it offers a comprehensive, multi-faceted approach rather than focusing on a single aspect of support. Unlike standard care options, which might address just housing or employment, this intervention combines job placement, housing stabilization, grocery supplements, and personalized coaching. It takes a holistic approach, aiming to equip young people with tools for intentional living and community connections, which could lead to more sustainable and long-term solutions for transitioning out of homelessness.

What evidence suggests that this wraparound intervention is effective for young people transitioning away from homelessness?

Studies have shown that wraparound interventions can reduce homelessness and improve housing stability for young people. Research indicates these programs are particularly effective in helping youths maintain stability in their homes and communities. For example, one study found that housing stability for homeless youth improved within the first six months of program participation. A review of multiple studies also showed significant positive effects across various outcomes. Overall, this evidence suggests that the wraparound approach, which participants in this trial will receive, could effectively support young people transitioning away from homelessness.678910

Who Is on the Research Team?

NS

Naomi S Thulien, NP-PHC, PhD

Principal Investigator

Unity Health Toronto

Are You a Good Fit for This Trial?

This trial is for young adults aged 18-24 who have been homeless for at least four weeks in the past year and are now living in regular rental housing in the Greater Toronto Area or Niagara Region. Participants must be able to work legally in Canada, speak English, and not currently be at risk of losing their housing.

Inclusion Criteria

I am between 18 and 24 years old.
Able to provide free and informed consent
Experienced homelessness for at least four consecutive weeks in the past year
See 4 more

Exclusion Criteria

In imminent danger of losing their housing
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)
Planning to move out of the Greater Toronto Area or Niagara Region in the next 18 months
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants engage in an 18-month wraparound intervention including job placement, housing stabilization funds, grocery supplements, community connections worker, coaching, and tools for intentional living program

18 months

Follow-up

Participants are monitored for outcomes related to feasibility, acceptability, economic capital, social capital, and identity capital

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • SEED CHANGE

Trial Overview

The study is testing an 18-month wraparound support program that includes job placement help, funds for stable housing, grocery supplements, a community worker, coaching sessions, and life skills training. The goal is to see if these supports are helpful and practical for young people leaving homelessness.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Wraparound InterventionExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Unity Health Toronto

Lead Sponsor

Trials
572
Recruited
470,000+

Covenant House Toronto

Collaborator

Trials
5
Recruited
330+

StepStones for Youth

Collaborator

Trials
2
Recruited
70+

Resource Association for Teens

Collaborator

Trials
3
Recruited
90+

Citations

Wraparound Intervention for Homelessness

... SEED CHANGE will have tolerable side effects & efficacy for patients with Homelessness and Young People. See if you qualify today!

Effectiveness of interventions to reduce homelessness - PMC

The results showed that it mayreduce homelessness and improve housing stability, compared with usual services or case management (low certainty evidence).

Latest Wraparound Research

Results indicate positive effects for Wraparound, especially for maintaining youths with SED in the home and community. However, many studies showed ...

An evaluation of Wraparound with homeless youth ...

A total of 87 youth enrolled in WMR during the evaluation period and results indicate youth housing stability improved within the first six months of youth ...

Measuring the Effectiveness of Interventions on Improving ...

The team examined the effectiveness of these strategies for different demographic and geographic targets, supporting the goal of ensuring that all individuals ...

Interventions to Mitigate the Effects of Housing Insecurity on ...

Reported outcomes varied: physical health and healthcare use generally improved, while mental health and educational effects were mixed. Only ...

A Scoping Review of Housing Instability Among Former ...

The lack of family support and financial resources frequently worsens these difficulties, resulting in 11% to 33% of young individuals facing unstable living ...

Each year, an estimated 4.2 million young people ...

During the 2024 Point-in-Time Count, 205,878 people under age 25 were experiencing homelessness on a single night—an increase of 29% from 2023.

SEEDING GENERATIONS

status, housing stability, and risk—need to be incorporated, across the board we find a call for mental health and substance abuse assessment and interventions.

Stabilizing—and Transforming—Young Lives

Youth homelessness continues to increase every year, according to federal data. The surge in the number of homeless people of all ages in ...