Make a Referral

COVID-19

The WISH Centre are continuing with our vital support services for young people during this difficult time. Many of our face to face services will be digital and we will be checking with each young person to ensure our service remains accessible to all.

We are accepting new referrals as the evidence base shows the importance of connection and support during social distancing and quarantine.

Outreach contact will be made with the referrer and young person via phone, text & email to discuss and agree which of our services are best suited, and to ensure they can access.

Peer Support groups are being held at the same times using whatsapp.

One to one therapy is accessible via phone or video call. There is also the option for young people to put their sessions on hold until later in the year.

Please share this information with young people who may need support

You can make a referral to our services using the secure online form links below.  Referrals can be made by Schools, Health, Police, Statutory Agencies, Voluntary Organisations or families and carers and a young person age 14+ can refer themselves.

Harrow

We ask that you complete as much information as possible, in particular your Reasons for Referral outlining any concerns you have and any other interventions that have been carried out. We also encourage you to complete this form with the young person so they are aware of what information is being shared. Once completed the form is securely sent to the wïsh centre and you will receive a confirmation email with 10 working days.

Hard Copy Forms  the online forms are our preferred method of receiving referrals as they are a secure method of sending sensitive information.  If you are experiencing issues please contact admin@thewishcentre.org.uk  and we will look at sending a paper version (although please be aware this method is not secure).

The wïsh centre Privacy Policy

Service information

Self Harm Peer Support

Young women and female to male or non-binary transgender young people ages 13-16 years can join our weekly group. The group is held weekly after school in our centre in Wealdstone.

Safe to speak

Long term open ended therapy for young people ages 12-19 who are self harming or have experience of sexual abuse or exploitation. Young people need to be attending a Harrow school or be able to come to the wïsh centre in Wealdstone for sessions.

We can also offer 1:1 support for young people who self harm ages 19-25.

Positive changes

Weekly peer support group for young people (mixed gender) ages 15-19 years with mental health vulnerabilities to develop new skills, friendships and confidence through volunteering and campaigning. The group is held weekly after school in our centre in Wealdstone.

Safe step

Early intervention and prevention of self harm and child sexual exploitation for children ages 8-12 years. Arts based and talking therapies. Children will be seen weekly at their Harrow School.

Outreach

Up to 4 sessions with our Youth Support & Participation Worker to explore the best options for you or for the young person and help them engage with the wïsh centre or other services. Young people can be seen in school or at the centre in Wealdstone.

We will not accept a referral if:

  • The young person hasn’t consented
  • The young person is currently using class A drugs
  • The young person has a recent history of violence or exploitation of others

Acceptance of a referral for a young person who has made a recent suicide attempt or who is currently involved in high risk CSE will be dependent on the outcome of our risk assessment.

Here is a copy of the information you submitted:

Referral Details

Referral Type

Referral Type (Other)

Referral Date


Name

Job Title

Organisation

Organisation(Health)

Organisation(School)

Organisation (Social Care)

Organisation (Statutory/Voluntary)

Organisation (Other)


Phone

Mobile

Email

Programme

Which programme are you referring yourself or the young person to?

Young Person Details

Name

Date of Birth

Gender

Gender (Other)


Religion

Religion - Other

Ethnicity

Ethnicity (Other)

Sexuality

Sexuality - Other


Disability

Disability - Other


House Name/No and Road

Town/City

Postcode


Is it Ok to contact Young Person directly?

Is it Ok to leave a telephone message?


Alternative/Safe Emergency Contact Details(Tel/mobile)

Have parents/carers been informed of the Referral?


Reasons for Referral

Status

Status

Status - School

Status - College

Status - Other

GP Name and Surgery

GP Name (Doctor)

Surgery

Surgery - Other

Family Composition

Family Member 1

Family Member Relationship 1

Family Member 2

Family Member Relationship 2

Family Member 3

Family Member Relationship 3

Family Member 4

Family Member Relationship 4

Family Member 5

Family Member Relationship 5


Main Address and Tel if different from Client

Other significant Adults not living in the household

Living with

Reasons For Referral

Reasons For Referral - Main

Reasons For Referral - Other

Reasons For Referral - Additional


Please tick if female therapist is required
Are you/young person/family on a Child Protection Plan?
Further Details (Child Protection)

Clinical/Support History

Is the young person/you taking any medication?

Further Details


Does the young person/you have a clinical diagnosis?

Further Details


Has the young person/you made any suicide attempts or been hospitalised?

Further Details


Does the young person/you have a recent history of violence or aggressive behaviour toward others?

Further Details


Has the young person/you been to A&E for Self Harm in the last 12 months?

Further Details


Are there any known associated risks e.g. Domestic/Honour-based violence?

Further Details


Is the young person/you a Class A drug user?

Further Details


Is the young person/you or family members on a Child in Need plan?

Further Details


Has the young person/you been a victim of sexual violence/exploitation?

Further Details

Interventions already completed

Interventions already completed
Intervention details


Organisations or workers involved

Further information