Based on a qualitative and quantitative research conducted in partnership with COSMOSS La Mitis among young people (16 to 35 years old) living in the MRC of La Mitis, in the Lower St Laurent region, as well as with practitioners and social workers working with this target, our article proposes to explore the individual and collective trajectories of exclusion experienced by rural youth from the perspective of these professionals. In this article, we will have an overlook on the mechanisms and difficulties of young people access to services in rural areas. We make the hypothesis that several rural phenomena such as the strength of social links and social control, mobility and lack of a good public transport infrastructure, as well as other various obstacles to the work of intervention in terms of available resources and client vulnerability are all factors becoming potential barriers to the access to and consumption of services. In addition, the fear of stigmatization, the lack of anonymity, the low presence of alternative resources, as well as the “making do” culture complicate the access to services, especially the most vulnerable subjects and put at risk, as a consequence, their socio-economic integration. Highlighting the challenges and strategies of these professionals intervening with young people, the article also concludes with some possible solutions for practitioners and policy makers.