This qualitative study examined the perspectives of formerly institutionalised youth labelled with psychiatric disabilities through the lens of agency. Rooted in the medical model, much research on institutionalised youth describes clinical symptoms and behaviour problems, locating the source of these problems within the individual. To address the lack of critical inquiry regarding the transactions between youth and institutions, this article examines youth perspectives on institutional practices. Semi-structured interviews were conducted with formerly institutionalised youth and young adults. The findings suggest that youth draw from agentic strategies to negotiate oppressive institutional practices. Implications for research and practice are discussed.