From 2002 to 2008, the homeless population in Metro Vancouver has more than doubled in size to more than 2,660 people. Youth aged 16 to 24 account for a sizeable portion of the city's homeless, estimated between 10 and 20%. Studies suggest that the youth homeless population is extremely vulnerable, facing high levels of violence and sexual exploitation as well as complex mental health and addiction issues. This paper documents, through key informant interviews and focus groups with youth service providers, government managers and private philanthropic funders, the challenges of youth homelessness and provides best practices and policy recommendations for permanently housing street-involved youth in Vancouver and British Columbia.