More than ten years have passed since I first stepped foot in St. James Town. Here, a global pandemic, the birth of my daughter Lina, and a rigorous job hunt following the completion of my doctorate undoubtedly delayed the publication of this book. At the same time, these events allowed me to step back from the work and reflect on my approach to research as well as the validity and implications of my findings. Upon doing so, I am filled first with incredible gratitude to those who trusted me enough to let me into their worlds—a privilege I never took lightly. When conducting ethnographic research on marginalized peoples, however, “with trust comes responsibility” (Robidoux 2012, 146). In my study this meant that I had the duty to represent my research subjects in a dignified way, to share their stories truthfully, and as I believe, to use my platform to advocate for empirically based solutions to the systemic social problems affecting their lives. Therefore, following my summation of the book’s major findings and limitations, below I engage in a detailed discussion of potential policy implications of the project.