<p><strong>STUDY OBJECTIVE: </strong>To identify barriers to long-acting reversible contraception (LARC) uptake among homeless young women.</p>

<p><strong>DESIGN: </strong>In this mixed methods study surveys and guided interviews were used to explore women's contraceptive and reproductive experiences, interactions with the health care system, and their histories of homelessness.</p>

<p><strong>SETTING: </strong>All surveys and interviews were conducted at a homeless drop-in center or shelter.</p>

<p><strong>PARTICIPANTS: </strong>Fifteen women between 18 and 24&nbsp;years of age with a past year history of homelessness.</p>

<p><strong>INTERVENTIONS: </strong>None.</p>

<p><strong>MAIN OUTCOME MEASURES: </strong>Perceived barriers to contraceptive use, including knowledge and access barriers and interactions with the health care system around reproductive health.</p>

<p><strong>RESULTS: </strong>Confusion about the possibility of early termination of LARC, and the perception that providers deliberately withhold selective information about contraceptive options to bias contraceptive decision-making, were 2 key new findings. Women also reported interest in visual aids accompanying verbal contraceptive counseling. Pregnancy attitudes and history of reproductive and sexual coercion also influenced contraceptive decision-making and reported interest in LARC methods.</p>

<p><strong>CONCLUSION: </strong>Comprehensive counseling about all contraceptive options, including LARC, are important for targeting the perceived gaps in contraceptive education and care among homeless young women.</p>