Seeing the Possibilities: The Need for a Mental Health Focus Amongst Street-Involved Youth

Recognizing and Supporting Resilience

Principal Organization: Faculty of Community Services at Ryerson University

Author: Elizabeth McCay, RN, Ph.D

Investigators: Elizabeth McCay, RN, Ph.D; John Langley, MD, FRCP (c); Heather Beanlands, RN, Ph.D; Linda Cooper, RN, Ph.D; Karen Bach, BA, MPsych; Colin Dart, MPsych; Carol Howes, MSW; Susan Miner, Social Services (Dip); Patricia Robinson, RN, C.B.S. (Dip), M. Ed.

Participants: Youth aged 16-24 in Toronto who had been without a home or without a place of their own for at least one month

Research Methods: Questionnaires, interviews, self-reporting measures, focus groups, participatory action research (PAR)

Achieving things is going to make me a better person. It is going to make me realize that no matter what obstacle this world is going to throw at me I am going to get around it, or crawl under it, I don’t care, I am going to find a way around it, you know. (Youth Participant, p. 3)

The social environments and activities of homeless youth frequently create a downward spiral leading to drug abuse and survival sex, as well as self-harm behaviours and suicidality. In response to this profound level of mental health need amongst street youth, our collaborative community-based research team undertook a comprehensive assessment of mental health challenges in order to ultimately provide direction for intervention.

Download the report Seeing Possibilities

Key Recommendations

  • There is an urgent need for increased access to mental health services for street-involved youth
  • Mental health services for street-involved youth need to be non-stigmatizing
  • Multi-component mental health programmes and interventions are required to enhance youth’s resilience and capacity to cope with challenging circumstances
  • Skillful intervention needs to
    • emphasize positive self acceptance
    • focus on the need to move away from negative coping strategies (such as self harm or addiction) toward more adaptive strategies (such as building positive relationships)

Themes Addressed

  • Surviving life on the street
  • Living with mental health challenges
  • Strength in the midst of challenge: The emergence of resilience