Trial Outcomes & Findings for Effect of a Rent Subsidy and Mentoring on Youth Transitioning Out of Homelessness (NCT NCT03779204)

NCT ID: NCT03779204

Last Updated: 2025-01-13

Results Overview

This outcome is a measure of behavioural (e.g., participation in activities) and psychological (e.g., sense of belonging) aspects of community integration. This will be measured using the Community Integration Scale (CIS), an 11-item scale. The CIS includes a psychological subscale (possible score range is from 4-20, 4 being low psychological community integration and 20 being high integration), and a physical subscale (total score range is 0-7, 0 being low physical community integration, and 7 being high integration). Only the psychological subscale has been reported here.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

24 participants

Primary outcome timeframe

Change from baseline to 18 months

Results posted on

2025-01-13

Participant Flow

Participant milestones

Participant milestones
Measure
Rent Subsidies + Mentorship
Participants in this arm (n = 13) will receive rent subsidies (ranging from $400 - $500/month) for 24 months as part of the intervention and be matched with an adult mentor recruited by one of the community partners. Mentorship: The mentors will be encouraged to incorporate the key relationship-based components of natural mentors (e.g., a 'coach' or 'cheerleader' role) to assist with mainstream integration. The mentors will have more flexibility than a typical formal mentorship program in the types of activities they pursue with their mentees. They will not be mandated to attend shelter-based social events, but rather engage in activities that direct their mentees away from the shelter system (and their old identities as homeless youth) and toward the mainstream (e.g., meeting for coffee at a local university campus). All of the mentors will meet monthly with their mentees for two years. In addition, the mentor will be encouraged to touch base with their mentee via phone or text message every week. If a mentor is unable to continue their role and there are at least six months left in the study, the study participant will be matched with a new mentor. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Rent Subsidies Only
Participants in this arm (n = 11) will receive rent subsidies only (ranging from $400 - $500/month) for 24 months as part of the comparator group intervention. This group will not receive mentorship. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Overall Study
STARTED
13
11
Overall Study
COMPLETED
11
11
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Rent Subsidies + Mentorship
Participants in this arm (n = 13) will receive rent subsidies (ranging from $400 - $500/month) for 24 months as part of the intervention and be matched with an adult mentor recruited by one of the community partners. Mentorship: The mentors will be encouraged to incorporate the key relationship-based components of natural mentors (e.g., a 'coach' or 'cheerleader' role) to assist with mainstream integration. The mentors will have more flexibility than a typical formal mentorship program in the types of activities they pursue with their mentees. They will not be mandated to attend shelter-based social events, but rather engage in activities that direct their mentees away from the shelter system (and their old identities as homeless youth) and toward the mainstream (e.g., meeting for coffee at a local university campus). All of the mentors will meet monthly with their mentees for two years. In addition, the mentor will be encouraged to touch base with their mentee via phone or text message every week. If a mentor is unable to continue their role and there are at least six months left in the study, the study participant will be matched with a new mentor. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Rent Subsidies Only
Participants in this arm (n = 11) will receive rent subsidies only (ranging from $400 - $500/month) for 24 months as part of the comparator group intervention. This group will not receive mentorship. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Overall Study
Lost to Follow-up
2
0

Baseline Characteristics

Effect of a Rent Subsidy and Mentoring on Youth Transitioning Out of Homelessness

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rent Subsidies + Mentorship
n=13 Participants
Participants in this arm (n = 13) will receive rent subsidies (ranging from $400 - $500/month) for 24 months as part of the intervention and be matched with an adult mentor recruited by one of the community partners. Mentorship: The mentors will be encouraged to incorporate the key relationship-based components of natural mentors (e.g., a 'coach' or 'cheerleader' role) to assist with mainstream integration. The mentors will have more flexibility than a typical formal mentorship program in the types of activities they pursue with their mentees. They will not be mandated to attend shelter-based social events, but rather engage in activities that direct their mentees away from the shelter system (and their old identities as homeless youth) and toward the mainstream (e.g., meeting for coffee at a local university campus). All of the mentors will meet monthly with their mentees for two years. In addition, the mentor will be encouraged to touch base with their mentee via phone or text message every week. If a mentor is unable to continue their role and there are at least six months left in the study, the study participant will be matched with a new mentor. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Rent Subsidies Only
n=11 Participants
Participants in this arm (n = 11) will receive rent subsidies only (ranging from $400 - $500/month) for 24 months as part of the comparator group intervention. This group will not receive mentorship. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
21.5 Years
STANDARD_DEVIATION 2.3 • n=5 Participants
22.2 Years
STANDARD_DEVIATION 2.1 • n=7 Participants
21.8 Years
STANDARD_DEVIATION 2.2 • n=5 Participants
Sex/Gender, Customized
Woman
8 Participants
n=5 Participants
4 Participants
n=7 Participants
12 Participants
n=5 Participants
Sex/Gender, Customized
Man
5 Participants
n=5 Participants
7 Participants
n=7 Participants
12 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Black
5 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants
Race/Ethnicity, Customized
Indigenous
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Race/Ethnicity, Customized
White
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
Race/Ethnicity, Customized
Different choice
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
Canada
13 Participants
n=5 Participants
11 Participants
n=7 Participants
24 Participants
n=5 Participants
First time became homeless, age
18 Years
STANDARD_DEVIATION 3.1 • n=5 Participants
17.5 Years
STANDARD_DEVIATION 4.3 • n=7 Participants
17.8 Years
STANDARD_DEVIATION 3.6 • n=5 Participants
Born in Canada
11 Participants
n=5 Participants
9 Participants
n=7 Participants
20 Participants
n=5 Participants
Immigration Status
Canadian citizen
11 Participants
n=5 Participants
10 Participants
n=7 Participants
21 Participants
n=5 Participants
Immigration Status
Permanent resident
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Immigration Status
Refugee
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Child welfare involvement
5 Participants
n=5 Participants
8 Participants
n=7 Participants
13 Participants
n=5 Participants
No. of attempts to live on own after being homeless
1-2
7 Participants
n=5 Participants
6 Participants
n=7 Participants
13 Participants
n=5 Participants
No. of attempts to live on own after being homeless
≥3
6 Participants
n=5 Participants
5 Participants
n=7 Participants
11 Participants
n=5 Participants
No. of attempts to exit homelessness
1-2
7 Participants
n=5 Participants
6 Participants
n=7 Participants
13 Participants
n=5 Participants
No. of attempts to exit homelessness
3-4
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
No. of attempts to exit homelessness
≥5
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Highest educational level
Less than high school
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Highest educational level
Completed high school
5 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants
Highest educational level
Some or completed postsecondary education
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Regular contact with adult relative
12 Participants
n=5 Participants
7 Participants
n=7 Participants
19 Participants
n=5 Participants
Informal adult mentor
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Employed
7 Participants
n=5 Participants
8 Participants
n=7 Participants
15 Participants
n=5 Participants
Social assistance
Ontario Works
8 Participants
n=5 Participants
4 Participants
n=7 Participants
12 Participants
n=5 Participants
Social assistance
Ontario Disability Support Program
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
ACEs, adverse childhood experiences
1-3
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
ACEs, adverse childhood experiences
4-9
8 Participants
n=5 Participants
9 Participants
n=7 Participants
17 Participants
n=5 Participants
ACEs, adverse childhood experiences
Missing
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Change from baseline to 18 months

This outcome is a measure of behavioural (e.g., participation in activities) and psychological (e.g., sense of belonging) aspects of community integration. This will be measured using the Community Integration Scale (CIS), an 11-item scale. The CIS includes a psychological subscale (possible score range is from 4-20, 4 being low psychological community integration and 20 being high integration), and a physical subscale (total score range is 0-7, 0 being low physical community integration, and 7 being high integration). Only the psychological subscale has been reported here.

Outcome measures

Outcome measures
Measure
Rent Subsidies + Mentorship
n=13 Participants
Participants in this arm (n = 13) will receive rent subsidies (ranging from $400 - $500/month) for 24 months as part of the intervention and be matched with an adult mentor recruited by one of the community partners. Mentorship: The mentors will be encouraged to incorporate the key relationship-based components of natural mentors (e.g., a 'coach' or 'cheerleader' role) to assist with mainstream integration. The mentors will have more flexibility than a typical formal mentorship program in the types of activities they pursue with their mentees. They will not be mandated to attend shelter-based social events, but rather engage in activities that direct their mentees away from the shelter system (and their old identities as homeless youth) and toward the mainstream (e.g., meeting for coffee at a local university campus). All of the mentors will meet monthly with their mentees for two years. In addition, the mentor will be encouraged to touch base with their mentee via phone or text message every week. If a mentor is unable to continue their role and there are at least six months left in the study, the study participant will be matched with a new mentor. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Rent Subsidies Only
n=11 Participants
Participants in this arm (n = 11) will receive rent subsidies only (ranging from $400 - $500/month) for 24 months as part of the comparator group intervention. This group will not receive mentorship. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Community Integration Scale Score at 18 Months
Baseline
11.3 score on a scale
Standard Deviation 2.6
10.8 score on a scale
Standard Deviation 4.1
Community Integration Scale Score at 18 Months
18 months
11.2 score on a scale
Standard Deviation 3.9
13.2 score on a scale
Standard Deviation 2.9

PRIMARY outcome

Timeframe: Change from baseline to 18 months.

This outcome is a measure of global self-worth and will be measured using the Rosenberg Self-Esteem Scale, a 10-item scale, internal consistency α = .77 - .88. The total scoring range is 0-30, a score of \<15 is categorized as low self-esteem, and 15-30 is categorized as normal self-esteem.

Outcome measures

Outcome measures
Measure
Rent Subsidies + Mentorship
n=13 Participants
Participants in this arm (n = 13) will receive rent subsidies (ranging from $400 - $500/month) for 24 months as part of the intervention and be matched with an adult mentor recruited by one of the community partners. Mentorship: The mentors will be encouraged to incorporate the key relationship-based components of natural mentors (e.g., a 'coach' or 'cheerleader' role) to assist with mainstream integration. The mentors will have more flexibility than a typical formal mentorship program in the types of activities they pursue with their mentees. They will not be mandated to attend shelter-based social events, but rather engage in activities that direct their mentees away from the shelter system (and their old identities as homeless youth) and toward the mainstream (e.g., meeting for coffee at a local university campus). All of the mentors will meet monthly with their mentees for two years. In addition, the mentor will be encouraged to touch base with their mentee via phone or text message every week. If a mentor is unable to continue their role and there are at least six months left in the study, the study participant will be matched with a new mentor. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Rent Subsidies Only
n=11 Participants
Participants in this arm (n = 11) will receive rent subsidies only (ranging from $400 - $500/month) for 24 months as part of the comparator group intervention. This group will not receive mentorship. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Rosenberg Self-Esteem Scale Score at 18 Months
Baseline
16.0 score on a scale
Standard Deviation 4.6
16.3 score on a scale
Standard Deviation 6.1
Rosenberg Self-Esteem Scale Score at 18 Months
18 months
18.1 score on a scale
Standard Deviation 5.2
19.6 score on a scale
Standard Deviation 5.7

SECONDARY outcome

Timeframe: Change from baseline to 18 months.

This outcome is a measure of belongingness - the degree to which people feel connected to others. It is measured using the Social Connected Scale, a 20-item scale, internal consistency α = .92. The total scoring range is 20-120, 20 being low social connectedness and 120 being high social connectedness.

Outcome measures

Outcome measures
Measure
Rent Subsidies + Mentorship
n=13 Participants
Participants in this arm (n = 13) will receive rent subsidies (ranging from $400 - $500/month) for 24 months as part of the intervention and be matched with an adult mentor recruited by one of the community partners. Mentorship: The mentors will be encouraged to incorporate the key relationship-based components of natural mentors (e.g., a 'coach' or 'cheerleader' role) to assist with mainstream integration. The mentors will have more flexibility than a typical formal mentorship program in the types of activities they pursue with their mentees. They will not be mandated to attend shelter-based social events, but rather engage in activities that direct their mentees away from the shelter system (and their old identities as homeless youth) and toward the mainstream (e.g., meeting for coffee at a local university campus). All of the mentors will meet monthly with their mentees for two years. In addition, the mentor will be encouraged to touch base with their mentee via phone or text message every week. If a mentor is unable to continue their role and there are at least six months left in the study, the study participant will be matched with a new mentor. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Rent Subsidies Only
n=11 Participants
Participants in this arm (n = 11) will receive rent subsidies only (ranging from $400 - $500/month) for 24 months as part of the comparator group intervention. This group will not receive mentorship. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Social Connectedness Scale Score at 18 Months
Baseline
67.0 score on a scale
Standard Deviation 12.9
77.0 score on a scale
Standard Deviation 15.9
Social Connectedness Scale Score at 18 Months
18 months
74.2 score on a scale
Standard Deviation 21.3
77.0 score on a scale
Standard Deviation 25.8

SECONDARY outcome

Timeframe: Change from baseline to 18 months.

This outcome is a measure of motivation, expectations, and feelings about the future and will be measured using Beck's Hopelessness Scale, a 20-item scale, internal consistency α = .93. The total scoring range is 0-20, 0-3 = None or minimal, 4-8 = Mild, 9-14 = Moderate - requires monitoring, 15+ = Severe - suicide risk.

Outcome measures

Outcome measures
Measure
Rent Subsidies + Mentorship
n=13 Participants
Participants in this arm (n = 13) will receive rent subsidies (ranging from $400 - $500/month) for 24 months as part of the intervention and be matched with an adult mentor recruited by one of the community partners. Mentorship: The mentors will be encouraged to incorporate the key relationship-based components of natural mentors (e.g., a 'coach' or 'cheerleader' role) to assist with mainstream integration. The mentors will have more flexibility than a typical formal mentorship program in the types of activities they pursue with their mentees. They will not be mandated to attend shelter-based social events, but rather engage in activities that direct their mentees away from the shelter system (and their old identities as homeless youth) and toward the mainstream (e.g., meeting for coffee at a local university campus). All of the mentors will meet monthly with their mentees for two years. In addition, the mentor will be encouraged to touch base with their mentee via phone or text message every week. If a mentor is unable to continue their role and there are at least six months left in the study, the study participant will be matched with a new mentor. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Rent Subsidies Only
n=11 Participants
Participants in this arm (n = 11) will receive rent subsidies only (ranging from $400 - $500/month) for 24 months as part of the comparator group intervention. This group will not receive mentorship. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Beck Hopelessness Scale Score at 18 Months
Baseline
4.5 score on a scale
Standard Deviation 4.2
7.3 score on a scale
Standard Deviation 4.8
Beck Hopelessness Scale Score at 18 Months
18 months
4.6 score on a scale
Standard Deviation 4.8
5.8 score on a scale
Standard Deviation 5.5

SECONDARY outcome

Timeframe: Change from baseline to 18 months.

Participant engagement with school or a training program will be assessed. Participants will be prompted to answer questions about their current educational pursuit every 6 months in a questionnaire, including whether the individual is pursuing education, and the type of education.

Outcome measures

Outcome measures
Measure
Rent Subsidies + Mentorship
n=13 Participants
Participants in this arm (n = 13) will receive rent subsidies (ranging from $400 - $500/month) for 24 months as part of the intervention and be matched with an adult mentor recruited by one of the community partners. Mentorship: The mentors will be encouraged to incorporate the key relationship-based components of natural mentors (e.g., a 'coach' or 'cheerleader' role) to assist with mainstream integration. The mentors will have more flexibility than a typical formal mentorship program in the types of activities they pursue with their mentees. They will not be mandated to attend shelter-based social events, but rather engage in activities that direct their mentees away from the shelter system (and their old identities as homeless youth) and toward the mainstream (e.g., meeting for coffee at a local university campus). All of the mentors will meet monthly with their mentees for two years. In addition, the mentor will be encouraged to touch base with their mentee via phone or text message every week. If a mentor is unable to continue their role and there are at least six months left in the study, the study participant will be matched with a new mentor. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Rent Subsidies Only
n=11 Participants
Participants in this arm (n = 11) will receive rent subsidies only (ranging from $400 - $500/month) for 24 months as part of the comparator group intervention. This group will not receive mentorship. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Academic/Vocational Participation as Assessed by a Questionnaire at 18 Months
8 Participants
8 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Change from baseline to 18 months.

This is an exploratory outcome. This outcome is a measure of the degree to which an individual's self-concept is defined by their experience of homelessness. It will be assessed using the Modified Engulfment Scale, a 30-item scale, internal consistency α = .91. The total scoring range is 30-150, 30 being low engulfment, 150 being high engulfment. The scale was adapted for use in this study, substituting "experience of homelessness" for "illness". Increased levels of engulfment indicate that the individual was more likely to have an earlier age of onset (of homelessness), to have experienced a longer period of homelessness, with a greater number of homelessness/shelter contact, and a decreased level of social adjustment.

Outcome measures

Outcome measures
Measure
Rent Subsidies + Mentorship
n=13 Participants
Participants in this arm (n = 13) will receive rent subsidies (ranging from $400 - $500/month) for 24 months as part of the intervention and be matched with an adult mentor recruited by one of the community partners. Mentorship: The mentors will be encouraged to incorporate the key relationship-based components of natural mentors (e.g., a 'coach' or 'cheerleader' role) to assist with mainstream integration. The mentors will have more flexibility than a typical formal mentorship program in the types of activities they pursue with their mentees. They will not be mandated to attend shelter-based social events, but rather engage in activities that direct their mentees away from the shelter system (and their old identities as homeless youth) and toward the mainstream (e.g., meeting for coffee at a local university campus). All of the mentors will meet monthly with their mentees for two years. In addition, the mentor will be encouraged to touch base with their mentee via phone or text message every week. If a mentor is unable to continue their role and there are at least six months left in the study, the study participant will be matched with a new mentor. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Rent Subsidies Only
n=11 Participants
Participants in this arm (n = 11) will receive rent subsidies only (ranging from $400 - $500/month) for 24 months as part of the comparator group intervention. This group will not receive mentorship. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Modified Engulfment Scale Score at 18 Months
Baseline
81.6 score on a scale
Standard Deviation 13.6
83.8 score on a scale
Standard Deviation 28.1
Modified Engulfment Scale Score at 18 Months
18 months
70.4 score on a scale
Standard Deviation 15.3
79.5 score on a scale
Standard Deviation 27.0

OTHER_PRE_SPECIFIED outcome

Timeframe: Change from baseline to 18 months.

This is an exploratory outcome; it is the measurement of the presence and frequency of psychiatric symptoms experienced in the past month. Measured using the Modified Colorado Symptom Index, a 14-item questionnaire, internal consistency α = .90 - .92. The total scoring range is 0-56, 0 being a low frequency of psychiatric symptoms, and 56 being a high frequency of psychiatric symptoms.

Outcome measures

Outcome measures
Measure
Rent Subsidies + Mentorship
n=13 Participants
Participants in this arm (n = 13) will receive rent subsidies (ranging from $400 - $500/month) for 24 months as part of the intervention and be matched with an adult mentor recruited by one of the community partners. Mentorship: The mentors will be encouraged to incorporate the key relationship-based components of natural mentors (e.g., a 'coach' or 'cheerleader' role) to assist with mainstream integration. The mentors will have more flexibility than a typical formal mentorship program in the types of activities they pursue with their mentees. They will not be mandated to attend shelter-based social events, but rather engage in activities that direct their mentees away from the shelter system (and their old identities as homeless youth) and toward the mainstream (e.g., meeting for coffee at a local university campus). All of the mentors will meet monthly with their mentees for two years. In addition, the mentor will be encouraged to touch base with their mentee via phone or text message every week. If a mentor is unable to continue their role and there are at least six months left in the study, the study participant will be matched with a new mentor. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Rent Subsidies Only
n=11 Participants
Participants in this arm (n = 11) will receive rent subsidies only (ranging from $400 - $500/month) for 24 months as part of the comparator group intervention. This group will not receive mentorship. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Modified Colorado Symptom Index Score at 18 Months
18 months
32.9 score on a scale
Standard Deviation 10.0
34.9 score on a scale
Standard Deviation 16.0
Modified Colorado Symptom Index Score at 18 Months
Baseline
40.9 score on a scale
Standard Deviation 10.6
36.8 score on a scale
Standard Deviation 15.4

OTHER_PRE_SPECIFIED outcome

Timeframe: Change from baseline to 18 months.

This is an exploratory outcome. Participants will be prompted to answer questions about their current income every 6 months in a questionnaire. This outcome is assessed using a repeated measures analysis and changes in income will be assessed for change over time at the aggregate level.

Outcome measures

Outcome measures
Measure
Rent Subsidies + Mentorship
n=13 Participants
Participants in this arm (n = 13) will receive rent subsidies (ranging from $400 - $500/month) for 24 months as part of the intervention and be matched with an adult mentor recruited by one of the community partners. Mentorship: The mentors will be encouraged to incorporate the key relationship-based components of natural mentors (e.g., a 'coach' or 'cheerleader' role) to assist with mainstream integration. The mentors will have more flexibility than a typical formal mentorship program in the types of activities they pursue with their mentees. They will not be mandated to attend shelter-based social events, but rather engage in activities that direct their mentees away from the shelter system (and their old identities as homeless youth) and toward the mainstream (e.g., meeting for coffee at a local university campus). All of the mentors will meet monthly with their mentees for two years. In addition, the mentor will be encouraged to touch base with their mentee via phone or text message every week. If a mentor is unable to continue their role and there are at least six months left in the study, the study participant will be matched with a new mentor. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Rent Subsidies Only
n=11 Participants
Participants in this arm (n = 11) will receive rent subsidies only (ranging from $400 - $500/month) for 24 months as part of the comparator group intervention. This group will not receive mentorship. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Income as Assessed by a Questionnaire at 18 Months
Receiving Employment Income at Baseline
7 Participants
8 Participants
Income as Assessed by a Questionnaire at 18 Months
Receiving Employment Income at 18 Months
5 Participants
5 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Change from baseline to 18 months.

This is an exploratory outcome and is assessed by participant perception of housing choice and quality. Measured using the Perceived Housing Quality Scale.This scale was used extensively in the Chez Soi/At Home study, but psychometric properties have yet to be reported. It has been shortened it from 10 items (Chez Soi/At Home) to seven relevant items. The total scoring range is 7-35, 7 being very dissatisfied with current housing quality, and 35 being very satisfied with housing quality.

Outcome measures

Outcome measures
Measure
Rent Subsidies + Mentorship
n=13 Participants
Participants in this arm (n = 13) will receive rent subsidies (ranging from $400 - $500/month) for 24 months as part of the intervention and be matched with an adult mentor recruited by one of the community partners. Mentorship: The mentors will be encouraged to incorporate the key relationship-based components of natural mentors (e.g., a 'coach' or 'cheerleader' role) to assist with mainstream integration. The mentors will have more flexibility than a typical formal mentorship program in the types of activities they pursue with their mentees. They will not be mandated to attend shelter-based social events, but rather engage in activities that direct their mentees away from the shelter system (and their old identities as homeless youth) and toward the mainstream (e.g., meeting for coffee at a local university campus). All of the mentors will meet monthly with their mentees for two years. In addition, the mentor will be encouraged to touch base with their mentee via phone or text message every week. If a mentor is unable to continue their role and there are at least six months left in the study, the study participant will be matched with a new mentor. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Rent Subsidies Only
n=11 Participants
Participants in this arm (n = 11) will receive rent subsidies only (ranging from $400 - $500/month) for 24 months as part of the comparator group intervention. This group will not receive mentorship. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Perceived Housing Quality Scale Score at 18 Months
18 months
23.8 score on a scale
Standard Deviation 6.1
24.6 score on a scale
Standard Deviation 6.6
Perceived Housing Quality Scale Score at 18 Months
Baseline
24.6 score on a scale
Standard Deviation 4.1
23.5 score on a scale
Standard Deviation 5.2

OTHER_PRE_SPECIFIED outcome

Timeframe: Assessed every 6 months for 30 months, starting at baseline.

Population: Participants from both groups were included to explore factors beyond the intervention impacting socioeconomic inclusion. The path to inclusion is complex, with factors like informal mentorship (from non-study mentors) proving more influential than formal study mentorship. Thus, analyzing the groups as a cohort provided a more comprehensive understanding of participants' experiences.

This is an exploratory outcome. Using one-on-one, semi-structured interviews with young people from both the control and intervention arms, we examined and compared their experiences of social and economic inclusion. Additionally, we explored how mentorship, provided to youth in the intervention arm, influenced this experience.

Outcome measures

Outcome measures
Measure
Rent Subsidies + Mentorship
n=12 Participants
Participants in this arm (n = 13) will receive rent subsidies (ranging from $400 - $500/month) for 24 months as part of the intervention and be matched with an adult mentor recruited by one of the community partners. Mentorship: The mentors will be encouraged to incorporate the key relationship-based components of natural mentors (e.g., a 'coach' or 'cheerleader' role) to assist with mainstream integration. The mentors will have more flexibility than a typical formal mentorship program in the types of activities they pursue with their mentees. They will not be mandated to attend shelter-based social events, but rather engage in activities that direct their mentees away from the shelter system (and their old identities as homeless youth) and toward the mainstream (e.g., meeting for coffee at a local university campus). All of the mentors will meet monthly with their mentees for two years. In addition, the mentor will be encouraged to touch base with their mentee via phone or text message every week. If a mentor is unable to continue their role and there are at least six months left in the study, the study participant will be matched with a new mentor. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Rent Subsidies Only
Participants in this arm (n = 11) will receive rent subsidies only (ranging from $400 - $500/month) for 24 months as part of the comparator group intervention. This group will not receive mentorship. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Barriers and Facilitators of Social and Economic Inclusion: Key Themes and Subthemes as Informed by Individual Interviews With Youth Participants at 30 Months
Themes
3 Key themes and sub-themes
Barriers and Facilitators of Social and Economic Inclusion: Key Themes and Subthemes as Informed by Individual Interviews With Youth Participants at 30 Months
Subthemes
10 Key themes and sub-themes

OTHER_PRE_SPECIFIED outcome

Timeframe: Assessed at 12 and 24 months.

Population: Mentors that were matched with youth in the intervention arm.

This is an exploratory outcome. We conducted focus groups with study mentors to explore their perception of barriers and facilitators to mentorship engagement.

Outcome measures

Outcome measures
Measure
Rent Subsidies + Mentorship
n=9 Participants
Participants in this arm (n = 13) will receive rent subsidies (ranging from $400 - $500/month) for 24 months as part of the intervention and be matched with an adult mentor recruited by one of the community partners. Mentorship: The mentors will be encouraged to incorporate the key relationship-based components of natural mentors (e.g., a 'coach' or 'cheerleader' role) to assist with mainstream integration. The mentors will have more flexibility than a typical formal mentorship program in the types of activities they pursue with their mentees. They will not be mandated to attend shelter-based social events, but rather engage in activities that direct their mentees away from the shelter system (and their old identities as homeless youth) and toward the mainstream (e.g., meeting for coffee at a local university campus). All of the mentors will meet monthly with their mentees for two years. In addition, the mentor will be encouraged to touch base with their mentee via phone or text message every week. If a mentor is unable to continue their role and there are at least six months left in the study, the study participant will be matched with a new mentor. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Rent Subsidies Only
Participants in this arm (n = 11) will receive rent subsidies only (ranging from $400 - $500/month) for 24 months as part of the comparator group intervention. This group will not receive mentorship. Rent Subsidies: Participants will receive rent subsidies ($500 for those living in Toronto, $400 for those living in Hamilton or St. Catherine's due to differences in cost of living) for 24 months.
Barriers and Facilitators of Mentorship Intervention: Key Themes and Subthemes as Informed by Focus Groups With Mentors at 24 Months
Themes
3 Key themes and sub-themes
Barriers and Facilitators of Mentorship Intervention: Key Themes and Subthemes as Informed by Focus Groups With Mentors at 24 Months
Sub-themes
11 Key themes and sub-themes

Adverse Events

Rent Subsidies + Mentorship

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Rent Subsidies Only

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Naomi Thulien

Unity Health Toronto

Phone: 647-460-0781

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place