REFERRALS

YOUTH INTERVENTION TEAM SPECIALIST REFERRAL FORM

During these times of uncertainty we would like to firstly take this opportunity to thank all the frontline staff who are working hard to keep us all safe.

The VERU like many other agencies are still operating, although remotely. Our YIS (Youth Intervention Specialist) Team are providing ongoing (virtual 1-2-1) support for our existing cases and have the capacity to support a few more. Specific to our 1-2-1 support, we have our Specialist Counsellor also available.

All we ask, as we are working remotely is that all referrals meet our criteria listed below and that you complete all sections on the referral form for it to be considered.

Criteria – Revised (Covid-19)

Aged 11-25
Concerns of CCE/CSE
Has been known/are known to Police/Local Authority/YOS/Probation
NOT already working with more than 2 agencies (including Local Authority)
Has a valid phone number for the individual (over 18’s)/parent/guardian
Must have the ability to engage in either audio or video support

You can make a referral to the YIS team using the online form below.

For more information about or to speak to someone about a referral please email veru@bedfordshire.pnn.police.uk

Please note referrals made to the VERU is not a substitute for normal safeguarding referrals and should not be used as such

Name *

First

Last

Date of birth *

Gender *

Male
Female
Other / does not specify

Ethnicity *

Faith / Religion (if disclosed)

Registered address

Residing address

Contact phone number

Parent / appropriate adult name *

Address

Relationship

Contact phone number

Spoken language (an interpreter can be arranged if required)

Referring person name *

First

Last

Agency *

Address

Telephone number

Email *

History (background of the person being referred and why they are being referred, eg: concerns about gang association or personal safety)

Educational/alternative provisions(school/college/university)

Do you consider this person to be a witness/victim/suspect? *

Why?

Is the person known to other agencies?

Based on your knowledge of the person, please tick the following boxes as appropriate *

Has the person experienced violence during adolescence (domestic violence/family breakdown/fleeing a war torn country/sexual exploitation)?
Has the person been involved in anti-social behavior with other “known”/gang members?
Does the person talk about others you know are involved in a gang or criminal activities?
Does the person verbalise concerns or fears about personal safety due to gangs or criminal activities?
Does the person have a history of mental/chronic ill-health personally or with direct family members?
Has the person experienced a bereavement/loss?
Does the person have a history of physical or emotional/sexual abuse?
Do you believe the person poses a risk of harm to others? Please tick for yes.
Do you believe the person is at risk of harm from others? Please tick for yes.