Supportive Listening Referral Form

Supportive Listening Referral Form2019-09-03T11:06:18+01:00


Safeguarding

Please indicate any safeguarding issues based on received information, past history and your knowledge.











Referrer Details

Level of Service

Please indicate the level of service required - without this information we will NOT process the referral.


Understanding, Acceptance & Change

Up to 20 One to One sessions with a trained support worker focusing on - Challenging behaviours, wellness and crisis planning, avoidance and commitment, confidence and engagement.

Group Based Learning - The opportunity for clients to take part in our group based learning programme - a rolling programme of living skills topics will allow individuals the chance to explore the journey towards addressing difficulties they may be experiencing in their lives.

Topics will include - Managing mental health, Trust and Hope, Living skills, Relationships, Responsibilities, Addictive Behaviours, Identity and Self-esteem, Social Networks and Work.

A psychological therapist will support in identifying where they feel they are in their journey and how they can plan a pathway for change.

Focus on Recovery

Up to 8 sessions of goal focused mentoring

Up to 8 sessions of counselling

Up to 4 sessions of information, signposting and advocacy

Group Based Learning – The opportunity for clients to take part in our group based learning programme – a rolling programme of Living skills topics will
allow individuals the chance to explore the journey towards addressing difficulties they may be experiencing in their lives.

Topics will include – Managing mental health, Trust and Hope, Living skills, Relationships, Responsibilities, Addictive Behaviours, Identity and Self-esteem,
Social Networks and Work.

A psychological therapist will support in identifying where they feel they are in their journey and how they can plan a pathway for change.

Living With ...

Individual Support –

Up to 12 One to One volunteer/peer support sessions

Group Based Learning- An 8 week course looking at building relationships, managing social media, money and budgeting, goal setting, aspirations and purpose, community engagement, physical activity

Please note Nottinghamshire Mind have other services and courses that may be accessed while working through our Learning Well Programme.

Consent


The information provided will be held in the strictest confidence and in accordance with Nottinghamshire Mind and GDPR guidelines and data protection policies and procedures.