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Housing First for Youth Who Experience Homelessness: A Systematic Review.

Julia Woodhall-Melnik¹, Cassandra Monette¹, Chloe Reiser¹

¹University of New Brunswick, Saint John, Canada.

Urban Affairs Review (Thousand Oaks, Calif.)

|July 24, 2025

Summary

Housing First for Youth (HF4Y) programs show promise in improving housing security for young people experiencing homelessness. However, more research, including longitudinal and randomized controlled trials, is needed to confirm its effectiveness.

Keywords:

housing first housing interventions youth youth homelessness youth housing

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Area of Science:

Social Sciences
Public Health
Psychology

Background:

Housing First programs are established interventions for chronic homelessness in adults.
Housing First for Youth (HF4Y) is increasingly recognized as a specialized model for addressing youth homelessness.
A comprehensive synthesis of evidence supporting HF4Y's effectiveness is currently lacking.

Purpose of the Study:

To systematically review and thematically synthesize the existing peer-reviewed literature on the impacts of Housing First for Youth (HF4Y).
To evaluate the evidence base for HF4Y's effectiveness in addressing various outcomes for homeless youth.

Main Methods:

A systematic literature search was conducted across five databases from inception to April 2023.
Reference lists of relevant articles were hand-searched to identify additional studies.
Seven studies specifically measuring outcomes related to HF4Y enrollment were included in the thematic synthesis.

Main Results:

The review identified seven studies that assessed the outcomes of HF4Y programs.
Findings suggest that HF4Y interventions can positively impact housing security among youth experiencing homelessness.
The current evidence base for HF4Y is limited, necessitating further investigation.

Conclusions:

Housing First for Youth (HF4Y) demonstrates potential in enhancing housing stability for homeless youth.
There is a critical need for more rigorous research, including longitudinal studies, randomized controlled trials, and qualitative research, to strengthen the evidence base for HF4Y.
Further research should focus on a wider range of outcomes and long-term impacts of HF4Y programs.