The majority of the literature on homelessness conceptualizes it as an urban problem and a wide body of research exists that provides estimates of metropolitan street youth and qualitatively describes their experiences. Similar descriptions and population estimates are virtually absent for youth who experience rural homelessness despite the number of urban homeless youth with rural origins. Indeed, although some metropolitan literature does remark on rural youth homelessness, it comments only on its invisible nature. This exclusion has significant implications in that it marginalizes the rural homeless and hinders the development of social policy to address the issues this population faces. Drawing on existing literature on rural youth homelessness, discussions with service providers in a rural area and a small number of interviews with youth, this paper begins to explore key issues facing homeless rural youth, existing intervention options and recommendations for the development of service delivery systems.