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	<title>Belfast Area | ASCERT</title>
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	<description>Reducing alcohol &#38; drug related harm in our communities</description>
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		<title>SHIP</title>
		<link>https://ascert.biz/project/ship/</link>
		
		<dc:creator><![CDATA[ASCERT ADMIN]]></dc:creator>
		<pubDate>Fri, 18 Oct 2024 13:32:02 +0000</pubDate>
				<guid isPermaLink="false">https://www.ascert.biz/?post_type=project&#038;p=76656</guid>

					<description><![CDATA[Self-Harm Intervention Programme]]></description>
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				<div class="et_pb_text_inner"><h2><strong style="font-size: 22px;">What is the Self-harm Intervention Programme (SHIP)?</strong></h2>
<p>SHIP provides people who self-harm with quick access to support and counselling to help deal with the issues that are causing distress. It equips people with new ways of coping with problems.<strong><br /></strong></p>
<h3><strong>Who is it for?</strong></h3>
<p>SHIP is suitable for people who have self-harmed and have personal or social problems that are causing distress. Before you are referred to SHIP, your needs will be assessed to make sure this is the right service for you. Some people who self-harm may need care by mental health services in the local Trust rather than SHIP.</p>
<p><strong></strong>SHIP also offers a short period of education and support to people who care for someone who self-harms (e.g., a parent, partner or friend).</p>
<h3>Who provides the service?</h3>
<p>SHIP is provided by a network of counselling organisations that work in partnership with your GP and local health services. These organisations are listed in the table below. The experienced counsellors work to professional standards and are highly skilled.</p>
<h3><strong>Where is the service provided?</strong></h3>
<p>SHIP is provided at a range of locations within each of the five Trust areas, so it’s available right across Northern Ireland to anyone who needs it. Help is usually offered at the premises of a voluntary sector organisation within your local Trust area</p>
<h3><strong>How to access the service</strong></h3>
<p>The SHIP service can only be accessed through referral from Trust Mental Health Services and Multi-Disciplinary Teams</p>
<p>If you are self-harming or concerned about someone who is, then speak to your GP.</p>
<h3><strong>Can a parent/carer or friend get support?</strong></h3>
<p>Yes, even if you don’t want counselling, someone else close to you can get some support. A family member or friend can be referred by a health professional, or they can contact the SHIP service directly using the telephone numbers provided. Please note that the numbers are for families and carers only. People who self-harm must be referred by a health professional.</p>
<h3>What should I do if I feel like harming myself?</h3>
<p>You should contact your GP or the ‘out-of-hours’ GP immediately. If you have difficulty reaching a GP, <strong>you can attend a hospital Emergency </strong><strong>Department, or ring 999 or 112 if you or someone else is at </strong><strong>immediate risk.</strong></p>
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				<span class="et_pb_image_wrap "><img decoding="async" width="924" height="344" src="https://ascert.biz/wp-content/uploads/2021/03/logo-Project-supported-by-PHA.jpg" alt="" title="logo Project supported by PHA" srcset="https://ascert.biz/wp-content/uploads/2021/03/logo-Project-supported-by-PHA.jpg 924w, https://ascert.biz/wp-content/uploads/2021/03/logo-Project-supported-by-PHA-480x179.jpg 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 924px, 100vw" class="wp-image-57380" /></span>
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				<div class="et_pb_text_inner"><h2 style="text-align: center;">SHIP Service Providers</h2></div>
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				<span class="et_pb_image_wrap "><img loading="lazy" decoding="async" width="960" height="444" src="https://ascert.biz/wp-content/uploads/2024/10/ship-providers.png" alt="" title="ship providers" srcset="https://ascert.biz/wp-content/uploads/2024/10/ship-providers.png 960w, https://ascert.biz/wp-content/uploads/2024/10/ship-providers-480x222.png 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 960px, 100vw" class="wp-image-76767" /></span>
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				<div class="et_pb_text_inner"><h2 style="text-align: center;">GP out of hours contact numbers</h2></div>
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				<div class="et_pb_text_inner"><h2 style="text-align: center;">Other contacts numbers</h2></div>
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		<title>SMART Recovery</title>
		<link>https://ascert.biz/project/smart-recovery/</link>
		
		<dc:creator><![CDATA[ASCERT ADMIN]]></dc:creator>
		<pubDate>Fri, 13 Sep 2024 11:15:59 +0000</pubDate>
				<guid isPermaLink="false">https://www.ascert.biz/?post_type=project&#038;p=76593</guid>

					<description><![CDATA[Free weekly recovery meetings]]></description>
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				<span class="et_pb_image_wrap "><img loading="lazy" decoding="async" width="1280" height="900" src="https://ascert.biz/wp-content/uploads/2025/07/Landscape-images-3.png" alt="A group of people sit around in a circle for a SMART Recovery meeting." title="Landscape images (3)" srcset="https://ascert.biz/wp-content/uploads/2025/07/Landscape-images-3.png 1280w, https://ascert.biz/wp-content/uploads/2025/07/Landscape-images-3-980x689.png 980w, https://ascert.biz/wp-content/uploads/2025/07/Landscape-images-3-480x338.png 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1280px, 100vw" class="wp-image-77142" /></span>
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				<div class="et_pb_text_inner"><h2><span style="color: #ffffff;"><strong>SMART Recovery Groups</strong></span></h2>
<p><span style="color: #ffffff;"><strong>We warmly extend an invitation to join us at these weekly meetings facilitated by ASCERT.</strong></span></p>
<p><span style="color: #ffffff;"></span></p>
<h2><span style="color: #ffffff;"><strong>Wednesdays 11am &#8211; 12.30pm</strong></span></h2>
<p><span style="color: #ffffff;"><strong style="font-size: 14px;">Omagh Library, 1 Spillars Place, </strong></span><strong style="color: #ffffff; font-size: 14px;">Irishtown Road, Omagh, BT78 1HL</strong></p>
<p><span style="color: #ffffff;"><strong style="font-size: 14px;"></strong></span></p>
<h2><span style="color: #ffffff;"><strong>Thursdays 11am-12.30pm</strong></span></h2>
<p><span style="color: #ffffff;"><strong style="font-size: 14px;">Atlas Centre, 7 Bachelors Walk, </strong></span><strong style="font-size: 14px;"><span style="color: #ffffff;">Lisburn, BT28 1XJ</span></strong></p></div>
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				<span class="et_pb_image_wrap "><img loading="lazy" decoding="async" width="453" height="343" src="https://ascert.biz/wp-content/uploads/2025/07/Website-Photos-Please-compress-3-1-1.png" alt="Multiple sets of hands on top of each other in a circle." title="Hands Together" srcset="https://ascert.biz/wp-content/uploads/2025/07/Website-Photos-Please-compress-3-1-1.png 453w, https://ascert.biz/wp-content/uploads/2025/07/Website-Photos-Please-compress-3-1-1-300x227.png 300w" sizes="(max-width: 453px) 100vw, 453px" class="wp-image-77094" /></span>
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				<span class="et_pb_image_wrap "><img loading="lazy" decoding="async" width="1080" height="1080" src="https://ascert.biz/wp-content/uploads/2025/07/LISBURN-SMART-RECOVERY-SOCIAL-MEDIA-POST-1.jpg" alt="A SMART Recovery meeting. We see the back of a woman who is sitting on a chair. She is sitting in a circle with other people." title="SMART Recovery" srcset="https://ascert.biz/wp-content/uploads/2025/07/LISBURN-SMART-RECOVERY-SOCIAL-MEDIA-POST-1.jpg 1080w, https://ascert.biz/wp-content/uploads/2025/07/LISBURN-SMART-RECOVERY-SOCIAL-MEDIA-POST-1-980x980.jpg 980w, https://ascert.biz/wp-content/uploads/2025/07/LISBURN-SMART-RECOVERY-SOCIAL-MEDIA-POST-1-480x480.jpg 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1080px, 100vw" class="wp-image-77095" /></span>
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				<div class="et_pb_text_inner"><h2><strong>SMART Recovery</strong></h2>
<h3><strong>What is SMART Recovery?</strong></h3>
<p>SMART Recovery is an evidenced-informed recovery method grounded in Rational Emotive Behavioural Therapy (REBT) and Cognitive Behavioural Therapy (CBT), that supports people with substance dependencies or problem behaviours to:</p>
<ul>
<li>Build and maintain motivation</li>
<li>Cope with urges and cravings</li>
<li>Manage thoughts, feelings and behaviours</li>
<li>Live a balanced life</li>
</ul>
<p>Our weekly meetings follow a number of guiding principles to ensure everyone gets the best out of the time available.  We ensure that our meetings are a safe and non-judgemental space and open to all adults.</p>
<p><span style="background-color: #ffffff; font-size: 14px;">ASCERT facilitates weekly SMART Recovery meetings that are free of charge and open to everyone aged over 18.</span></p>
<p>To find out more about SMART Recovery ethos or access tools and resources visit the <span style="text-decoration: underline; color: #0c71c3;"><a href="https://smartrecovery.org.uk/" style="color: #0c71c3; text-decoration: underline;">SMART recovery UK website</a></span></p>
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					<div class="et_pb_testimonial_description_inner"><div class="et_pb_testimonial_content"><p><span class="OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none">“Something I didn’t expect was that I would learn so much about myself and how my brain and thought process works which has been invaluable because the tools go beyond just managing addictive behaviour – they help me everyday in creating and living a more balanced life overall.”</span></p></div></div>
					
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				<div style="background-image:url(https://ascert.biz/wp-content/uploads/2025/07/SMART-Recovery-Logo-1.png)" class="et_pb_testimonial_portrait"></div>
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					<div class="et_pb_testimonial_description_inner"><div class="et_pb_testimonial_content"><p class="cvGsUA direction-ltr align-start para-style-body"><span class="OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none">SMART has been an integral part of my path to recovery, helping me to maintain </span><span style="font-size: 14px;">sobriety, better understand my addictive behaviour and thinking patterns, manage my emotions and build resilience to more readily cope with living. I didn’t realise how alone I had become in addiction nor how unmanageable my life had become. </span></p>
<p class="cvGsUA direction-ltr align-start para-style-body"><span style="font-size: 14px;">Coming to my first SMART meeting was one of the first steps I took in reengaging with the world and others again and the weekly groups with welcoming fellow attendees and facilitators has helped me feel ‘part of’ again and less alone. The peer support is vital – to be able to share experiences and difficulties with others who understand what you’re going through has helped me navigate and overcome challenges in my recovery that I couldn’t have faced alone.</span></p>
<p class="cvGsUA direction-ltr align-start para-style-body"><span class="OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none">The SMART group and resources have over time equipped me with a practical toolkit of support to navigate triggers, thoughts and feelings to successfully plan to manage situations and events in life to safeguard my sobriety and continue my recovery journey.”</span></p></div></div>
					
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<p><span class="OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none">“I’ve found my time at the SMART Recovery group extremely beneficial. I’ve found out so many ways of dealing with intrusive thoughts etc that could lead me back to my old ways. The way I have learned to understand my thoughts and feelings has been second to none. </span></p>
<p><span class="OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none">When I first started the group I was scared and angry but I no longer am. The facilitators and group members have been fantastic and how they talk about repeated behaviours and thoughts is very easy to understand. SMART Recovery has definitely helped me on my road to recovery.”</span></p>
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		<title>Self Help</title>
		<link>https://ascert.biz/project/self-help/</link>
		
		<dc:creator><![CDATA[Fiona McCann]]></dc:creator>
		<pubDate>Fri, 28 Feb 2020 11:17:41 +0000</pubDate>
				<guid isPermaLink="false">http://www.ascert.biz/?post_type=project&#038;p=54568</guid>

					<description><![CDATA[Tools and resources you can use to support your wellbeing]]></description>
										<content:encoded><![CDATA[<p><div class="et_pb_section et_pb_section_7 et_pb_with_background et_pb_fullwidth_section et_section_regular" >
				
				
				
				
				
				
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<p>Self help materials are resources you can work through yourself to help you make changes in your life.  We understand that not everyone is in a place where they want to speak to a professional service. Also, some people may be getting support already but need a bit of extra help. </p>
<p>In our resource hub, we have booklets and online tools that you can use at your own pace to help you consider your situation and make changes that will be helpful to you. </div>
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				<div class="et_pb_text_inner"><h1><span style="color: #ffffff;">Visit our Self help section now</span></h1>
<h4><span style="color: #ffffff;">Get started now and use our self help resources.</span></h4></div>
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		<title>Training</title>
		<link>https://ascert.biz/project/training/</link>
		
		<dc:creator><![CDATA[ASCERT ADMIN]]></dc:creator>
		<pubDate>Fri, 28 Feb 2020 11:06:44 +0000</pubDate>
				<guid isPermaLink="false">http://www.ascert.biz/?post_type=project&#038;p=54249</guid>

					<description><![CDATA[Discover more about our range of training and development opportunities ]]></description>
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						<div class="et_pb_header_content_wrapper"><h4><span style="font-size: small;">Discover more about our range of training and development opportunities </span></h4></div>
						
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		<title>Engage</title>
		<link>https://ascert.biz/project/engage/</link>
		
		<dc:creator><![CDATA[Fiona McCann]]></dc:creator>
		<pubDate>Wed, 07 Aug 2019 22:57:28 +0000</pubDate>
				<guid isPermaLink="false">http://www.ascert.biz/?post_type=project&#038;p=47943</guid>

					<description><![CDATA[Therapeutic support for families]]></description>
										<content:encoded><![CDATA[<p><div class="et_pb_section et_pb_section_11 et_pb_with_background et_pb_fullwidth_section et_section_regular" >
				
				
				
				
				
				
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				<div class="et_pb_text_inner"><h2><strong>Service Overview</strong></h2>
<p>The Engage service provides a family therapy programme available to professionals working with families experiencing problems. We can support to strengthen the relationships and functioning within the family will help repair and stabilise relationships in order to reduce risks experienced by the persons of concern of full family breakdown. In addition to the direct therapy sessions, we provide further unscheduled support and partnership working to support the family.</p>
<p>Through systemic therapy we increase awareness and help families and individuals to make connections between systems/events that can sometimes appear unrelated. This issues or ‘problems’ would be broadened and reframed in order to help those who are stuck see issues in new way and therefore new solutions. By doing this individuals and families understand themselves and the others in their family better in their own context and are more capable to make sustainable positive changes that can avert crisis and breakdown.</p>
<h3>How to access this service:</h3>
<p>This is not a funded service. Professionals or agencies can purchase packages of support as they require it. To discuss how we can help you, contact Engage Service Manager Julie McNamara</p>
<p>T: 0800 2545 123<br />E:<span><a href="mailto:juliem@ascert.biz">juliem@ascert.biz</a></span></p></div>
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				<span class="et_pb_image_wrap "><img loading="lazy" decoding="async" width="2560" height="1707" src="https://ascert.biz/wp-content/uploads/2020/03/Teen-in-Family-Therapy-scaled.jpg" alt="" title="" srcset="https://ascert.biz/wp-content/uploads/2020/03/Teen-in-Family-Therapy-scaled.jpg 2560w, https://ascert.biz/wp-content/uploads/2020/03/Teen-in-Family-Therapy-1280x854.jpg 1280w, https://ascert.biz/wp-content/uploads/2020/03/Teen-in-Family-Therapy-980x653.jpg 980w, https://ascert.biz/wp-content/uploads/2020/03/Teen-in-Family-Therapy-480x320.jpg 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 2560px, 100vw" class="wp-image-55065" /></span>
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		<title>Steps To Cope</title>
		<link>https://ascert.biz/project/steps-to-cope-2/</link>
		
		<dc:creator><![CDATA[Fiona McCann]]></dc:creator>
		<pubDate>Wed, 07 Aug 2019 21:32:47 +0000</pubDate>
				<guid isPermaLink="false">http://www.ascert.biz/?post_type=project&#038;p=47890</guid>

					<description><![CDATA[For young people living with alcohol, substance use or mental health issues in their family.]]></description>
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							>An online information resource designed to support young people living with the presence of Alcohol misuse, substance misuse or mental health in their family. 
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				<div class="et_pb_text_inner"><h2><strong>Steps to Cope Service Overview</strong></h2>
<p>The Steps to Cope Service provides support to young people aged 11-25 who are experiencing or who have lived with another family member’s alcohol or substance use or mental health difficulties. </p>
<p>The service is available across Northern Ireland and offers direct support for young people and parents. We also have information and an online self-care tool for young people in the Steps to Cope section of this website. If you are a young person seeking help, or you want to refer a young person to the Steps to Cope service you can make a referral online using the form at the bottom of this page or just click the button below.   </p>
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				<div class="et_pb_text_inner"><h3><strong>Information on Steps to Cope for young people</strong></h3>
<p>Steps to Cope has been developed specifically for young people who have experienced parental alcohol or drug issues or mental health issues in their family. It can be difficult to understand what is going on in your family, discuss it with others or know how to cope with things. <span style="font-size: 14px;">You cant change what is happening in your family but you can learn how to be more resilient to these challenges.</span></p>
<p>You can get support from one of the Steps to Cope team, who will work directly with you either face to face or virtually. If you would like to discuss direct support you can use the online form below, or call us on 0800 2545 123 or contact us using our online referral form. </p></div>
			</div><div class="et_pb_button_module_wrapper et_pb_button_1_wrapper  et_pb_module ">
				<a class="et_pb_button et_pb_button_1 et_pb_bg_layout_light" href="#stc-form">Make a referral online</a>
			</div><div class="et_pb_module et_pb_text et_pb_text_12  et_pb_text_align_left et_pb_bg_layout_light">
				
				
				
				
				<div class="et_pb_text_inner"><p>We also have online information and a self care programme you can work through. These have been developed with the help of other young people that have experienced these issues too and include things that they found helpful. You can have a look at the information and online support tool in the <strong><a href="https://ascert.biz/stc-home/">Steps to Cope</a></strong> area of our website.</p></div>
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				<a class="et_pb_button et_pb_button_2 et_pb_bg_layout_light" href="https://ascert.biz/stc-home/">Take me to the Steps to Cope online support</a>
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				<span class="et_pb_image_wrap "><img loading="lazy" decoding="async" width="393" height="289" src="https://ascert.biz/wp-content/uploads/2019/08/kids.png" alt="" title="" srcset="https://ascert.biz/wp-content/uploads/2019/08/kids.png 393w, https://ascert.biz/wp-content/uploads/2019/08/kids-300x221.png 300w" sizes="(max-width: 393px) 100vw, 393px" class="wp-image-47896" /></span>
			</div><div class="et_pb_module et_pb_text et_pb_text_13  et_pb_text_align_left et_pb_bg_layout_light">
				
				
				
				
				<div class="et_pb_text_inner"><p>Whether it is face to face support from our service or you choose to use the online support<span style="font-size: 14px;"> programme you will be guided through 5 simple steps that can help you. These are</span><span style="font-size: 14px;">:</span></p>
<p>1) looking at <strong>what life has been like for you</strong> living with these issues.</p>
<p>2) Giving <strong>information</strong> on alcohol and drug use, addiction and mental health to help you understand more about the situation</p>
<p>3) Looking at <strong>coping</strong> and what methods of coping are helpful or unhelpful and what else you can do</p>
<p>4) Identifying the <strong>support</strong> you have available and who else you could reach out to</p>
<p>5) Looking at <strong>further help</strong> you may require</p></div>
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				<span class="et_pb_image_wrap "><img loading="lazy" decoding="async" width="1183" height="947" src="https://ascert.biz/wp-content/uploads/2019/08/family.png" alt="" title="family" srcset="https://ascert.biz/wp-content/uploads/2019/08/family.png 1183w, https://ascert.biz/wp-content/uploads/2019/08/family-600x480.png 600w, https://ascert.biz/wp-content/uploads/2019/08/family-300x240.png 300w, https://ascert.biz/wp-content/uploads/2019/08/family-768x615.png 768w, https://ascert.biz/wp-content/uploads/2019/08/family-1024x820.png 1024w, https://ascert.biz/wp-content/uploads/2019/08/family-1080x865.png 1080w" sizes="(max-width: 1183px) 100vw, 1183px" class="wp-image-47945" /></span>
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				<div class="et_pb_text_inner"><h3><strong>Information on Steps to Cope for parents or carers</strong></h3>
<p>When there are issues like alcohol, substance use or mental ill-health difficulties in a family, children can struggle to understand what is going on, feel they are to blame or having difficulty coping. They cant change what is happening in their family but they can learn how to make them selves more resilient to these challenges. If your family is experiencing these issues then Steps to Cope can be of help to your children. </p>
<p>If your child or young person has questions, whether it be about alcohol use, drugs, mental health or associated issues, it may help reduce their anxiety to have answers and develop their understanding. They can also look at how they cope and what supports they can use to help them.</p>
<p>If you think your child would benefit from face to face support, then our Steps to Cope service for young people can help. Just complete the online form below or give us a call on 0800 2545 123.</p>
<p>Or your children <span style="background-color: #c88bda; font-size: 14px;">get information from the <a href="https://ascert.biz/stc-home/"><strong>Steps to Cope</strong></a> area of our website or use the online self care tool to help them.</span></p></div>
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				<a class="et_pb_button et_pb_button_3 et_pb_bg_layout_light" href="#stc-form">Make a referral online</a>
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				<div class="et_pb_text_inner"><h3><span style="color: #ffffff;"><strong>Information for Referral Agents </strong></span></h3>
<p><span style="color: #ffffff;">If you are working with a family where there are parental drugs, alcohol or mental health problems, you can refer a young person for one to one support or signpost the young person to the <strong><a href="https://ascert.biz/stc-home/" style="color: #ffffff;">Steps to Cope</a></strong> area of our website where they can get helpful information and find a self care tool that they can work through themselves.</span></p>
<p> If <span style="font-size: 14px;">you wish to refer them for face to face support you can make a referral using the online form below. </span>There is also a practitioners area on the site where you can get information resources that may be useful to you.</p>
<p>For more information contact us:</p>
<p>T: 0800 2545 123<br />E: stc@ascert.biz</p></div>
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				<div class="et_pb_text_inner"><h1 style="text-align: center;">Make an online referral to Steps To Cope</h1></div>
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				<div class="et_pb_code_inner"><script type="text/javascript">var gform;gform||(document.addEventListener("gform_main_scripts_loaded",function(){gform.scriptsLoaded=!0}),window.addEventListener("DOMContentLoaded",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener("DOMContentLoaded",o):document.addEventListener("gform_main_scripts_loaded",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook("action",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook("filter",o,n,r,t)},doAction:function(o){gform.doHook("action",o,arguments)},applyFilters:function(o){return gform.doHook("filter",o,arguments)},removeAction:function(o,n){gform.removeHook("action",o,n)},removeFilter:function(o,n,r){gform.removeHook("filter",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+"_"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){"function"!=typeof(t=o.callable)&&(t=window[t]),"action"==n?t.apply(null,r):r[0]=t.apply(null,r)})),"filter"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});</script>
                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_18' style='display:none'><div id='gf_18' class='gform_anchor' tabindex='-1'></div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_18' id='gform_18'  action='/project_category/belfastarea/feed/#gf_18' >
                        <div class='gform_body gform-body'><ul id='gform_fields_18' class='gform_fields top_label form_sublabel_below description_below'><li id="field_18_3"  class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_3">All fields marked with a * are required to be filled in</li><li id="field_18_4"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_4"><label class='gfield_label' for='input_18_4' >Person requesting referral<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_4' id='input_18_4' class='medium gfield_select'  aria-describedby="gfield_description_18_4"  aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Myself' >Myself</option><option value='Parent / Legal Guardian' >Parent / Legal Guardian</option><option value='Referral Agent' >Referral Agent</option></select></div><div class='gfield_description' id='gfield_description_18_4'>The Steps to Cope service can accept direct referrals from young people themselves (between the ages of 11-25), or from a parent/legal guardian or a professional referral ‘agent’ who is working in some way with the young person (e.g. a GP, social worker, youth worker, probation officer etc.). </div></li><li id="field_18_5"  class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_5"><h2 class="gsection_title">Client details</h2><div class='gsection_description' id='gfield_description_18_5'>If you are asking us to support you, then input your details here. If you are referring someone else for support, then input their details</div></li><li id="field_18_6"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_6"><label class='gfield_label gfield_label_before_complex'  >Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_18_6'>
                            
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                        </div></li><li id="field_18_69"  class="gfield field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_69"><label class='gfield_label screen-reader-text gfield_label_before_complex'  ></label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_18_69'><li class='gchoice gchoice_18_69_1'>
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								<label for='choice_18_69_1' id='label_18_69_1'>I would like a confirmation of this referral via the above email</label>
							</li></ul></div></li><li id="field_18_56"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_56"><label class='gfield_label' for='input_18_56' >Trust area you live in<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_56' id='input_18_56' class='medium gfield_select'    aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Belfast' >Belfast</option><option value='South Eastern' >South Eastern</option><option value='Southern' >Southern</option><option value='Western' >Western</option><option value='Northern' >Northern</option><option value='Don&#039;t Know / Other' >Don&#039;t Know / Other</option></select></div></li><li id="field_18_62"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_62"><label class='gfield_label gfield_label_before_complex'  >Consent<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_18_62'><li class='gchoice gchoice_18_62_1'>
								<input class='gfield-choice-input' name='input_62.1' type='checkbox'  value='I confirm that the person being referred is aware of the referral and has agreed to being contacted by ASCERT'  id='choice_18_62_1'   />
								<label for='choice_18_62_1' id='label_18_62_1'>I confirm that the person being referred is aware of the referral and has agreed to being contacted by ASCERT</label>
							</li></ul></div></li><li id="field_18_49"  class="gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_49"><label class='gfield_label' for='input_18_49' >GP / GP practice name</label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_18_49' type='text' value='' class='medium'      aria-invalid="false"   /> </div></li><li id="field_18_50"  class="gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_50"><label class='gfield_label' for='input_18_50' >GP practice telephone number</label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_18_50' type='text' value='' class='medium'      aria-invalid="false"   /> </div></li><li id="field_18_51"  class="gfield field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_51"><label class='gfield_label gfield_label_before_complex'  >Address</label>    
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                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_18_51_1_container' >
                                        <input type='text' name='input_51.1' id='input_18_51_1' value=''    aria-required='false'    />
                                        <label for='input_18_51_1' id='input_18_51_1_label' >Street Address</label>
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                                    <input type='text' name='input_51.3' id='input_18_51_3' value=''    aria-required='false'    />
                                    <label for='input_18_51_3' id='input_18_51_3_label' >City</label>
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                                    <label for='input_18_51_5' id='input_18_51_5_label' >ZIP / Postal Code</label>
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                </div></li><li id="field_18_9"  class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_9"><h2 class="gsection_title">Reason for referral</h2></li><li id="field_18_57"  class="gfield field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_57"><label class='gfield_label' for='input_18_57' >Reason for referral (optional)</label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_18_57' type='text' value='' class='medium' maxlength='500'     aria-invalid="false"   /> </div></li><li id="field_18_11"  class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_11"><h2 class="gsection_title">Parent / legal guardian details</h2></li><li id="field_18_12"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_12"><label class='gfield_label gfield_label_before_complex'  >Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_18_12'>
                            
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                                                    <input type='text' name='input_12.3' id='input_18_12_3' value=''   aria-required='true'     />
                                                    <label for='input_18_12_3' >First</label>
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                            <span id='input_18_12_6_container' class='name_last' >
                                                    <input type='text' name='input_12.6' id='input_18_12_6' value=''   aria-required='true'     />
                                                    <label for='input_18_12_6' >Last</label>
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                        </div></li><li id="field_18_13"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_13"><label class='gfield_label gfield_label_before_complex'  >Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>    
                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address' id='input_18_13' >
                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_18_13_1_container' >
                                        <input type='text' name='input_13.1' id='input_18_13_1' value=''    aria-required='true'    />
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                                    <input type='text' name='input_13.3' id='input_18_13_3' value=''    aria-required='true'    />
                                    <label for='input_18_13_3' id='input_18_13_3_label' >City</label>
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                                    <input type='text' name='input_13.5' id='input_18_13_5' value=''    aria-required='true'    />
                                    <label for='input_18_13_5' id='input_18_13_5_label' >ZIP / Postal Code</label>
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                </div></li><li id="field_18_14"  class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_14"><label class='gfield_label' for='input_18_14' >Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_14' id='input_18_14' type='text' value='' class='medium'   aria-required="true" aria-invalid="false"   /></div></li><li id="field_18_52"  class="gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_52"><label class='gfield_label' for='input_18_52' >Email</label><div class='ginput_container ginput_container_email'>
                            <input name='input_52' id='input_18_52' type='text' value='' class='medium'     aria-invalid="false"  />
                        </div></li><li id="field_18_55"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_55"><label class='gfield_label' for='input_18_55' >Is the parent or guardian aware of this referral?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_55' id='input_18_55' class='medium gfield_select'    aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Yes' >Yes</option><option value='No' >No</option></select></div></li><li id="field_18_58"  class="gfield field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_58"><label class='gfield_label' for='input_18_58' >We can provide advice and structured support for family members. Is this needed?</label><div class='ginput_container ginput_container_select'><select name='input_58' id='input_18_58' class='medium gfield_select'     aria-invalid="false" ><option value='' >Please select</option><option value='Yes' >Yes</option><option value='No' >No</option></select></div></li><li id="field_18_70"  class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_70"><h2 class="gsection_title">Support for other family members</h2></li><li id="field_18_72"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_72"><label class='gfield_label gfield_label_before_complex'  >Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_18_72'>
                            
                            <span id='input_18_72_3_container' class='name_first' >
                                                    <input type='text' name='input_72.3' id='input_18_72_3' value=''   aria-required='true'     />
                                                    <label for='input_18_72_3' >First</label>
                                                </span>
                            
                            <span id='input_18_72_6_container' class='name_last' >
                                                    <input type='text' name='input_72.6' id='input_18_72_6' value=''   aria-required='true'     />
                                                    <label for='input_18_72_6' >Last</label>
                                                </span>
                            
                        </div></li><li id="field_18_73"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_73"><label class='gfield_label' for='input_18_73' >Date of birth<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_date'>
                            <input name='input_73' id='input_18_73' type='text' value='' class='datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm/dd/yyyy' aria-describedby="input_18_73_date_format" aria-invalid="false" aria-required="true"/>
                            <span id='input_18_73_date_format' class='screen-reader-text'>MM slash DD slash YYYY</span>
                        </div>
                        <input type='hidden' id='gforms_calendar_icon_input_18_73' class='gform_hidden' value='https://ascert.biz/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg'/></li><li id="field_18_74"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_74"><label class='gfield_label' for='input_18_74' >Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_74' id='input_18_74' type='text' value='' class='medium'   aria-required="true" aria-invalid="false"   /></div></li><li id="field_18_75"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_75"><label class='gfield_label gfield_label_before_complex'  >Consent<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_consent'><input name='input_75.1' id='input_18_75_1' type='checkbox' value='1'   aria-required="true" aria-invalid="false"   /> <label class="gfield_consent_label" for='input_18_75_1' >I confirm that this person has given their consent to be contacted by ASCERT.</label><input type='hidden' name='input_75.2' value='I confirm that this person has given their consent to be contacted by ASCERT.' class='gform_hidden' /><input type='hidden' name='input_75.3' value='12' class='gform_hidden' /></div></li><li id="field_18_16"  class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_16"><h2 class="gsection_title">Referral agent details</h2><div class='gsection_description' id='gfield_description_18_16'>If you are a professional who wishes to refer someone into the DAISY service, please input your details below. </div></li><li id="field_18_17"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_17"><label class='gfield_label gfield_label_before_complex'  >Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_18_17'>
                            
                            <span id='input_18_17_3_container' class='name_first' >
                                                    <input type='text' name='input_17.3' id='input_18_17_3' value=''   aria-required='true'     />
                                                    <label for='input_18_17_3' >First</label>
                                                </span>
                            
                            <span id='input_18_17_6_container' class='name_last' >
                                                    <input type='text' name='input_17.6' id='input_18_17_6' value=''   aria-required='true'     />
                                                    <label for='input_18_17_6' >Last</label>
                                                </span>
                            
                        </div></li><li id="field_18_18"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_18"><label class='gfield_label gfield_label_before_complex'  >Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>    
                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address' id='input_18_18' >
                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_18_18_1_container' >
                                        <input type='text' name='input_18.1' id='input_18_18_1' value=''    aria-required='true'    />
                                        <label for='input_18_18_1' id='input_18_18_1_label' >Street Address</label>
                                    </span><span class='ginput_left address_city ginput_address_city' id='input_18_18_3_container' >
                                    <input type='text' name='input_18.3' id='input_18_18_3' value=''    aria-required='true'    />
                                    <label for='input_18_18_3' id='input_18_18_3_label' >City</label>
                                 </span><input type='hidden' class='gform_hidden' name='input_18.4' id='input_18_18_4' value=''/><span class='ginput_right address_zip ginput_address_zip' id='input_18_18_5_container' >
                                    <input type='text' name='input_18.5' id='input_18_18_5' value=''    aria-required='true'    />
                                    <label for='input_18_18_5' id='input_18_18_5_label' >ZIP / Postal Code</label>
                                </span><input type='hidden' class='gform_hidden' name='input_18.6' id='input_18_18_6' value='' />
                    <div class='gf_clear gf_clear_complex'></div>
                </div></li><li id="field_18_23"  class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_23"><label class='gfield_label' for='input_18_23' >Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_23' id='input_18_23' type='text' value='' class='medium'   aria-required="true" aria-invalid="false"   /></div></li><li id="field_18_21"  class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_21"><label class='gfield_label' for='input_18_21' >Profession<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_18_21' type='text' value='' class='medium'     aria-required="true" aria-invalid="false"   /> </div></li><li id="field_18_22"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_22"><label class='gfield_label' for='input_18_22' >Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'>
                            <input name='input_22' id='input_18_22' type='text' value='' class='medium'    aria-required="true" aria-invalid="false"  />
                        </div></li><li id="field_18_24"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_24"><label class='gfield_label' for='input_18_24' >Are you the main contact?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_24' id='input_18_24' class='medium gfield_select'    aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Yes' >Yes</option><option value='No' >No</option></select></div></li><li id="field_18_25"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_25"><label class='gfield_label gfield_label_before_complex'  >Details of main contact<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_18_25'>
                            
                            <span id='input_18_25_3_container' class='name_first' >
                                                    <input type='text' name='input_25.3' id='input_18_25_3' value=''   aria-required='true'     />
                                                    <label for='input_18_25_3' >First</label>
                                                </span>
                            
                            <span id='input_18_25_6_container' class='name_last' >
                                                    <input type='text' name='input_25.6' id='input_18_25_6' value=''   aria-required='true'     />
                                                    <label for='input_18_25_6' >Last</label>
                                                </span>
                            
                        </div></li><li id="field_18_59"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_59"><label class='gfield_label' for='input_18_59' >Main contact email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_18_59' type='text' value='' class='medium'     aria-required="true" aria-invalid="false"   /> </div></li><li id="field_18_26"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_26"><label class='gfield_label gfield_label_before_complex'  >Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>    
                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address' id='input_18_26' >
                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_18_26_1_container' >
                                        <input type='text' name='input_26.1' id='input_18_26_1' value=''    aria-required='true'    />
                                        <label for='input_18_26_1' id='input_18_26_1_label' >Street Address</label>
                                    </span><span class='ginput_left address_city ginput_address_city' id='input_18_26_3_container' >
                                    <input type='text' name='input_26.3' id='input_18_26_3' value=''    aria-required='true'    />
                                    <label for='input_18_26_3' id='input_18_26_3_label' >City</label>
                                 </span><input type='hidden' class='gform_hidden' name='input_26.4' id='input_18_26_4' value=''/><span class='ginput_right address_zip ginput_address_zip' id='input_18_26_5_container' >
                                    <input type='text' name='input_26.5' id='input_18_26_5' value=''    aria-required='true'    />
                                    <label for='input_18_26_5' id='input_18_26_5_label' >ZIP / Postal Code</label>
                                </span><input type='hidden' class='gform_hidden' name='input_26.6' id='input_18_26_6' value='' />
                    <div class='gf_clear gf_clear_complex'></div>
                </div></li><li id="field_18_27"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_27"><label class='gfield_label' for='input_18_27' >Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_27' id='input_18_27' type='text' value='' class='medium'   aria-required="true" aria-invalid="false"   /></div></li><li id="field_18_28"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_28"><label class='gfield_label' for='input_18_28' >Profession<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_18_28' type='text' value='' class='medium'     aria-required="true" aria-invalid="false"   /> </div></li><li id="field_18_33"  class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_33"><label class='gfield_label' for='input_18_33' >Is this client currently engaged with another service<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_33' id='input_18_33' class='medium gfield_select'    aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Yes' >Yes</option><option value='No' >No</option></select></div></li><li id="field_18_34"  class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_34"><label class='gfield_label' for='input_18_34' >Please provide details<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_18_34' type='text' value='' class='medium'     aria-required="true" aria-invalid="false"   /> </div></li><li id="field_18_35"  class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_35"><label class='gfield_label' for='input_18_35' >Are you aware of any literacy difficulties<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_35' id='input_18_35' class='medium gfield_select'    aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Yes' >Yes</option><option value='No' >No</option></select></div></li><li id="field_18_36"  class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_36"><label class='gfield_label' for='input_18_36' >Please provide details<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_18_36' type='text' value='' class='medium'     aria-required="true" aria-invalid="false"   /> </div></li><li id="field_18_37"  class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_37"><label class='gfield_label' for='input_18_37' >Is english the young person’s first language<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_37' id='input_18_37' class='medium gfield_select'    aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Yes' >Yes</option><option value='No' >No</option></select></div></li><li id="field_18_38"  class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_38"><label class='gfield_label' for='input_18_38' >Please specify preferred language<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_18_38' type='text' value='' class='medium'     aria-required="true" aria-invalid="false"   /> </div></li><li id="field_18_39"  class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_39"><label class='gfield_label' for='input_18_39' >Does the young person have a disability<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_39' id='input_18_39' class='medium gfield_select'    aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Yes' >Yes</option><option value='No' >No</option></select></div></li><li id="field_18_40"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_40"><label class='gfield_label' for='input_18_40' >Please specify details<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_18_40' type='text' value='' class='medium'     aria-required="true" aria-invalid="false"   /> </div></li><li id="field_18_41"  class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_41"><label class='gfield_label' for='input_18_41' >Are there any risks identified (such as suicidal behaviour, self-harm, aggression etc)<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_41' id='input_18_41' class='medium gfield_select'    aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Yes' >Yes</option><option value='No' >No</option></select></div></li><li id="field_18_65"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_65"><label class='gfield_label' for='input_18_65' >Please specify details<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_textarea'><textarea name='input_65' id='input_18_65' class='textarea medium'     aria-required="true" aria-invalid="false"   rows='10' cols='50'></textarea></div></li><li id="field_18_43"  class="gfield field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_43"><label class='gfield_label' for='input_18_43' >Additional information</label><div class='ginput_container ginput_container_textarea'><textarea name='input_43' id='input_18_43' class='textarea medium'    placeholder='Please provide any other relevant information in relation to the client you are referring to enable appropriate and adequate services to be identified.'  aria-invalid="false"   rows='10' cols='50'></textarea></div></li><li id="field_18_64"  class="gfield field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_64"><label class='gfield_label screen-reader-text gfield_label_before_complex'  ></label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_18_64'><li class='gchoice gchoice_18_64_1'>
								<input class='gfield-choice-input' name='input_64.1' type='checkbox'  value='I would like a copy of this referral emailed to myself'  id='choice_18_64_1'   />
								<label for='choice_18_64_1' id='label_18_64_1'>I would like a copy of this referral emailed to myself</label>
							</li></ul></div></li><li id="field_18_44"  class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_44"><h2 class="gsection_title">Preferences</h2></li><li id="field_18_45"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_45"><label class='gfield_label gfield_label_before_complex'  >Data Consent<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_consent'><input name='input_45.1' id='input_18_45_1' type='checkbox' value='1'  aria-describedby="gfield_consent_description_18_45 gfield_description_18_45" aria-required="true" aria-invalid="false"   /> <label class="gfield_consent_label" for='input_18_45_1' >I agree</label><input type='hidden' name='input_45.2' value='I agree' class='gform_hidden' /><input type='hidden' name='input_45.3' value='12' class='gform_hidden' /></div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_18_45'>In compliance with UK Data Protection Law, ASCERT requires your consent to keep a record of your details submitted in this form to process this referral. Please check this box to indicate you have given consent for your personal data to be utilised in this way. Visit the <a href="http://www.ascert.biz/privacy-cookies-2/">Privacy Policy</a> section of this website to read more about how we process your data.</div></li><li id="field_18_47"  class="gfield field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_18_47"><label class='gfield_label gfield_label_before_complex'  >Marketing Consent</label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_18_47'><li class='gchoice gchoice_select_all'>
						<input class='gfield-choice-input' type='checkbox' id='choice_47_select_all'   onclick='gformToggleCheckboxes( this )' onkeypress='gformToggleCheckboxes( this )' />
						<label for='choice_47_select_all' id='label_47_select_all' data-label-select='Select All' data-label-deselect='Deselect All'>Select All</label>
					</li><li class='gchoice gchoice_18_47_1'>
								<input class='gfield-choice-input' name='input_47.1' type='checkbox'  value='Email Contact'  id='choice_18_47_1'   aria-describedby="gfield_description_18_47"/>
								<label for='choice_18_47_1' id='label_18_47_1'>Email Contact</label>
							</li><li class='gchoice gchoice_18_47_2'>
								<input class='gfield-choice-input' name='input_47.2' type='checkbox'  value='Postal Contact'  id='choice_18_47_2'   />
								<label for='choice_18_47_2' id='label_18_47_2'>Postal Contact</label>
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		<item>
		<title>DAISY</title>
		<link>https://ascert.biz/project/daisy-belfast/</link>
		
		<dc:creator><![CDATA[Fiona McCann]]></dc:creator>
		<pubDate>Mon, 17 Jun 2019 20:22:12 +0000</pubDate>
				<guid isPermaLink="false">http://www.ascert.biz/?post_type=project&#038;p=47408</guid>

					<description><![CDATA[Drug &#038; Alcohol Intervention Service for Youth]]></description>
										<content:encoded><![CDATA[<p><div class="et_pb_section et_pb_section_20 et_section_regular" >
				
				
				
				
				
				
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				<span class="et_pb_image_wrap "><img loading="lazy" decoding="async" width="1110" height="676" src="https://ascert.biz/wp-content/uploads/2019/06/DAISY.jpg" alt="" title="" srcset="https://ascert.biz/wp-content/uploads/2019/06/DAISY.jpg 1110w, https://ascert.biz/wp-content/uploads/2019/06/DAISY-980x597.jpg 980w, https://ascert.biz/wp-content/uploads/2019/06/DAISY-480x292.jpg 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1110px, 100vw" class="wp-image-50351" /></span>
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				<div class="et_pb_video_box"><iframe loading="lazy" title="Daisy -  Video 2" src="https://player.vimeo.com/video/368548416?dnt=1&amp;app_id=122963" width="1080" height="608" frameborder="0" allow="autoplay; fullscreen; picture-in-picture; clipboard-write; encrypted-media; web-share" referrerpolicy="strict-origin-when-cross-origin"></iframe></div>
				
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				<div class="et_pb_text_inner"><h2><strong>Service Overview</strong></h2>
<p>The Drug and Alcohol Intervention Service for Youth (DAISY)  provides support for young people and young adults experiencing problems from their alcohol or substance use. DAISY is available to young people aged 11 – 25 years and also to the young person&#8217;s parents or other family members.</p>
<p>We provide confidential service and each young person or family will be offered support based on their particular needs. This can be provided through one to one sessions or in groups. </p>
<p>DAISY is a partnership between ASCERT and Start360 and operates in, Belfast, Northern, South Eastern, and the Western Trust Health and Social Care Trust areas.</p>
<p>We accept referrals from young people, their families or friends, and a range of professionals.</div>
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				<div class="et_pb_text_inner"><h3><strong>How to refer into the service</strong></h3>
<p>You can refer yourself or someone else into DAISY by completing the online form below.</p>
<p>You can also <a href="https://ascert.biz/wp-content/uploads/2020/03/DAISY_Referral_Form_revised_Feb_2016.docx">download</a> a referral form and send it to us if you prefer.</p></div>
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				<a class="et_pb_button et_pb_button_5 et_pb_bg_layout_light" href="#daisy-form">             Make a referral  online            </a>
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				<div class="et_pb_text_inner">For more information you can contact us:</p>
<p>T: 0800 25 45 123<br />
E: <span><a href="mailto:daisy@ascert.biz">daisy@ascert.biz</a></span></div>
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				<div class="et_pb_text_inner"><h3><strong>Information on DAISY for young people </strong></h3>
<p>If you are 11 to 25 and are concerned that your drinking or drug use is causing problems, DAISY can help you work out how to deal with this. We offer confidential advice and support. We will never judge you or tell you what to do, but we will work alongside you to discuss what is happening and what things would help you get to where you want to be. </p>
<p>If you want help from DAISY, you can contact us using the online form below or call or email us. We will arrange to meet with you in one of our offices or somewhere near where you live to discuss things. We will decide with you what the best way we can support you and how that will happen. We understand that life is complicated and there are often other things going on that influence a persons alcohol or drug use. We will help you look at these things and what you can do to make things better and keep yourself safe and what other supports you may need to do this.</p>
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				<span class="et_pb_image_wrap "><img loading="lazy" decoding="async" width="1000" height="664" src="https://ascert.biz/wp-content/uploads/2019/08/kids-beer.jpg" alt="" title="" srcset="https://ascert.biz/wp-content/uploads/2019/08/kids-beer.jpg 1000w, https://ascert.biz/wp-content/uploads/2019/08/kids-beer-600x398.jpg 600w, https://ascert.biz/wp-content/uploads/2019/08/kids-beer-300x199.jpg 300w, https://ascert.biz/wp-content/uploads/2019/08/kids-beer-768x510.jpg 768w" sizes="(max-width: 1000px) 100vw, 1000px" class="wp-image-48178" /></span>
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				<div style="background-image:url(https://ascert.biz/wp-content/uploads/2023/06/Web-images-1.png)" class="et_pb_testimonial_portrait"></div>
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					<div class="et_pb_testimonial_description_inner"><div class="et_pb_testimonial_content"><p><span class="OYPEnA text-decoration-none text-strikethrough-none">I feel like DAISY are the first people to actually listen to me and hear me, without putting words into my mouth. Everyone is friendly and actually willing to help. You guys are amazing. </span></p></div></div>
					<span class="et_pb_testimonial_author">Young person supported by DAISY</span>
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				<span class="et_pb_image_wrap "><img loading="lazy" decoding="async" width="1698" height="1131" src="https://ascert.biz/wp-content/uploads/2020/02/counselling.jpg" alt="" title="" srcset="https://ascert.biz/wp-content/uploads/2020/02/counselling.jpg 1698w, https://ascert.biz/wp-content/uploads/2020/02/counselling-1280x853.jpg 1280w, https://ascert.biz/wp-content/uploads/2020/02/counselling-980x653.jpg 980w, https://ascert.biz/wp-content/uploads/2020/02/counselling-480x320.jpg 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 1698px, 100vw" class="wp-image-54228" /></span>
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					<div class="et_pb_testimonial_description_inner"><div class="et_pb_testimonial_content"><p class="cvGsUA direction-ltr align-start para-style-body"><span class="OYPEnA text-decoration-none text-strikethrough-none">I am proud that I am taking better care of myself and have a better relationship with my family.</span></p></div></div>
					<span class="et_pb_testimonial_author">Young person supported by DAISY</span>
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				<div class="et_pb_text_inner"><h3><strong>Information on DAISY for parents or carers </strong></h3>
<p>The DAISY service can support young people to help them reduce their alcohol or substance use or make changes that will reduce the impact or harm it has for them. This is a voluntary service, so the young person has to have agreed to be referred and willing to engage with us. We can also provide advice and support to family members, even if the young person is not willing to accept help.</p>
<p>DAISY provides the space for the young person to talk confidentially about how to cope and deal with their substance and alcohol use. Within the working relationship with our practitioners they will be able to explore how they are feeling and understand why they are using. They will receive support on how to reduce their use, and also to reduce the risk to themselves. The therapies offered are client led, which means we support the young person based on where they are in life, we work collaboratively with them to agree what changes they want to happen and what support them need to do this.  </p>
<p>Family is an extremely important source of support for the young person, and also how things are in the family can be an influence on the young person&#8217;s alcohol or substance use. We know that parents, siblings or other family members like grandparents are also often impacted by the young person&#8217;s behaviours and can struggle to deal with what is happening.  </p>
<p>DAISY offers informal advice or more structured support to family members to help understand and manage things. There are options for therapeutic family support which creates a space to gain understanding around substance / alcohol use, help support and repair relationships and have better connected family .</p>
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				<div class="et_pb_text_inner"><h2><span style="color: #ffffff;"><strong>Information for referral agents </strong></span></h2>
<p><span style="color: #ffffff;">If you are working with a young person or young adult aged 11 to 25 where drugs and alcohol are present the DAISY may be able to help support this individual and their family.</span></p>
<p><span style="color: #ffffff;">This service supports young people and young adults aged 11-25 and their family.</span></strong></p>
<p><span style="color: #ffffff;">We offer a variety of approaches which include, brief intervention, therapeutic one to one counselling, mentoring, group work (therapeutic and educational), and family therapy.  </span></p>
<p><span style="color: #ffffff;">We will work collaboratively with you as the referrer and other professionals to ensure a co-ordinated and integrated support for the young person and their family.</p>
<p><span style="color: #ffffff;">The person being referred should have consented for the referral to be made. You can make a referral using the online form or download a referral form and send to us. You can give us a call to discuss the case in the first instance before you make a referral. Once we it we will contact you for any further information we need and discuss how we will deal with it.</div>
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				<span class="et_pb_image_wrap "><img loading="lazy" decoding="async" width="434" height="316" src="https://ascert.biz/wp-content/uploads/2019/08/Daisy_white.jpg" alt="" title="" srcset="https://ascert.biz/wp-content/uploads/2019/08/Daisy_white.jpg 434w, https://ascert.biz/wp-content/uploads/2019/08/Daisy_white-300x218.jpg 300w" sizes="(max-width: 434px) 100vw, 434px" class="wp-image-47887" /></span>
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				<div class="et_pb_text_inner"><h4><strong>DAISY is delivered in partnership between ASCERT and Start360 </strong></h4>
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				<div class="et_pb_text_inner"><h1 style="text-align: center;">Make an online referral to DAISY</h1></div>
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				<div class="et_pb_code_inner">
                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_1' style='display:none'><div id='gf_1' class='gform_anchor' tabindex='-1'></div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_1' id='gform_1'  action='/project_category/belfastarea/feed/#gf_1' >
                        <div class='gform_body gform-body'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below'><li id="field_1_3"  class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_3">All fields marked with a * are required to be filled in</li><li id="field_1_4"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_4"><label class='gfield_label' for='input_1_4' >Person requesting referral<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_4' id='input_1_4' class='medium gfield_select'  aria-describedby="gfield_description_1_4"  aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Myself' >Myself</option><option value='Parent / Legal Guardian' >Parent / Legal Guardian</option><option value='Referral Agent' >Referral Agent</option></select></div><div class='gfield_description' id='gfield_description_1_4'>The DAISY service can accept direct referrals from young people themselves (between the ages of 11-25), or from a parent/legal guardian or a professional referral ‘agent’ who is working in some way with the young person (e.g. a GP, social worker, youth worker, probation officer etc.). </div></li><li id="field_1_5"  class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_5"><h2 class="gsection_title">Client details</h2><div class='gsection_description' id='gfield_description_1_5'>If you are asking us to support you, then input your details here. If you are referring someone else for support, then input their details</div></li><li id="field_1_6"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_6"><label class='gfield_label gfield_label_before_complex'  >Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_1_6'>
                            
                            <span id='input_1_6_3_container' class='name_first' >
                                                    <input type='text' name='input_6.3' id='input_1_6_3' value=''   aria-required='true'     />
                                                    <label for='input_1_6_3' >First</label>
                                                </span>
                            
                            <span id='input_1_6_6_container' class='name_last' >
                                                    <input type='text' name='input_6.6' id='input_1_6_6' value=''   aria-required='true'     />
                                                    <label for='input_1_6_6' >Last</label>
                                                </span>
                            
                        </div></li><li id="field_1_61"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_61"><label class='gfield_label' for='input_1_61' >Gender<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_61' id='input_1_61' class='medium gfield_select'    aria-required="true" aria-invalid="false" ><option value='Please select' >Please select</option><option value='Male' >Male</option><option value='Female' >Female</option><option value='Prefer not to say' >Prefer not to say</option><option value='Other' >Other</option></select></div></li><li id="field_1_63"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_63"><label class='gfield_label' for='input_1_63' >Please Specify<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_1_63' type='text' value='' class='medium'     aria-required="true" aria-invalid="false"   /> </div></li><li id="field_1_53"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_53"><label class='gfield_label' for='input_1_53' >Date of birth<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_date'>
                            <input name='input_53' id='input_1_53' type='text' value='' class='datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd/mm/yyyy' aria-describedby="input_1_53_date_format" aria-invalid="false" aria-required="true"/>
                            <span id='input_1_53_date_format' class='screen-reader-text'>DD slash MM slash YYYY</span>
                        </div>
                        <input type='hidden' id='gforms_calendar_icon_input_1_53' class='gform_hidden' value='https://ascert.biz/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg'/></li><li id="field_1_8"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_8"><label class='gfield_label gfield_label_before_complex'  >Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>    
                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address' id='input_1_8' >
                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_1_8_1_container' >
                                        <input type='text' name='input_8.1' id='input_1_8_1' value=''    aria-required='true'    />
                                        <label for='input_1_8_1' id='input_1_8_1_label' >Street Address</label>
                                    </span><span class='ginput_left address_city ginput_address_city' id='input_1_8_3_container' >
                                    <input type='text' name='input_8.3' id='input_1_8_3' value=''    aria-required='true'    />
                                    <label for='input_1_8_3' id='input_1_8_3_label' >City</label>
                                 </span><input type='hidden' class='gform_hidden' name='input_8.4' id='input_1_8_4' value=''/><span class='ginput_right address_zip ginput_address_zip' id='input_1_8_5_container' >
                                    <input type='text' name='input_8.5' id='input_1_8_5' value=''    aria-required='true'    />
                                    <label for='input_1_8_5' id='input_1_8_5_label' >Post Code</label>
                                </span><input type='hidden' class='gform_hidden' name='input_8.6' id='input_1_8_6' value='United Kingdom' />
                    <div class='gf_clear gf_clear_complex'></div>
                </div></li><li id="field_1_48"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_48"><label class='gfield_label' for='input_1_48' >Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_48' id='input_1_48' type='text' value='' class='medium'   aria-required="true" aria-invalid="false"   /></div></li><li id="field_1_66"  class="gfield field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_66"><label class='gfield_label' for='input_1_66' >Email</label><div class='ginput_container ginput_container_email'>
                            <input name='input_66' id='input_1_66' type='text' value='' class='medium'     aria-invalid="false"  />
                        </div></li><li id="field_1_69"  class="gfield field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_69"><label class='gfield_label screen-reader-text gfield_label_before_complex'  ></label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_69'><li class='gchoice gchoice_1_69_1'>
								<input class='gfield-choice-input' name='input_69.1' type='checkbox'  value='I would like a confirmation of this referral via the above email'  id='choice_1_69_1'   />
								<label for='choice_1_69_1' id='label_1_69_1'>I would like a confirmation of this referral via the above email</label>
							</li></ul></div></li><li id="field_1_56"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_56"><label class='gfield_label' for='input_1_56' >Trust area you live in<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_56' id='input_1_56' class='medium gfield_select'    aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Belfast' >Belfast</option><option value='South Eastern' >South Eastern</option><option value='Southern' >Southern</option><option value='Western' >Western</option><option value='Northern' >Northern</option><option value='Don&#039;t Know / Other' >Don&#039;t Know / Other</option></select></div></li><li id="field_1_62"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_62"><label class='gfield_label gfield_label_before_complex'  >Consent<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_62'><li class='gchoice gchoice_1_62_1'>
								<input class='gfield-choice-input' name='input_62.1' type='checkbox'  value='I confirm that the person being referred is aware of the referral and has agreed to being contacted by ASCERT'  id='choice_1_62_1'   />
								<label for='choice_1_62_1' id='label_1_62_1'>I confirm that the person being referred is aware of the referral and has agreed to being contacted by ASCERT</label>
							</li></ul></div></li><li id="field_1_49"  class="gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_49"><label class='gfield_label' for='input_1_49' >GP / GP practice name</label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_1_49' type='text' value='' class='medium'      aria-invalid="false"   /> </div></li><li id="field_1_50"  class="gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_50"><label class='gfield_label' for='input_1_50' >GP practice telephone number</label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_1_50' type='text' value='' class='medium'      aria-invalid="false"   /> </div></li><li id="field_1_51"  class="gfield field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_51"><label class='gfield_label gfield_label_before_complex'  >Address</label>    
                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address' id='input_1_51' >
                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_1_51_1_container' >
                                        <input type='text' name='input_51.1' id='input_1_51_1' value=''    aria-required='false'    />
                                        <label for='input_1_51_1' id='input_1_51_1_label' >Street Address</label>
                                    </span><span class='ginput_left address_city ginput_address_city' id='input_1_51_3_container' >
                                    <input type='text' name='input_51.3' id='input_1_51_3' value=''    aria-required='false'    />
                                    <label for='input_1_51_3' id='input_1_51_3_label' >City</label>
                                 </span><input type='hidden' class='gform_hidden' name='input_51.4' id='input_1_51_4' value=''/><span class='ginput_right address_zip ginput_address_zip' id='input_1_51_5_container' >
                                    <input type='text' name='input_51.5' id='input_1_51_5' value=''    aria-required='false'    />
                                    <label for='input_1_51_5' id='input_1_51_5_label' >ZIP / Postal Code</label>
                                </span><input type='hidden' class='gform_hidden' name='input_51.6' id='input_1_51_6' value='' />
                    <div class='gf_clear gf_clear_complex'></div>
                </div></li><li id="field_1_9"  class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_9"><h2 class="gsection_title">Reason for referral</h2></li><li id="field_1_10"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_10"><label class='gfield_label' for='input_1_10' >Help With<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_1_10' class='medium gfield_select'    aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Drug use' >Drug use</option><option value='Alcohol use' >Alcohol use</option><option value='Drug &amp; alcohol use' >Drug &amp; alcohol use</option><option value='Someone else&#039;s use of substances' >Someone else&#039;s use of substances</option></select></div></li><li id="field_1_57"  class="gfield field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_57"><label class='gfield_label' for='input_1_57' >Reason for referral (optional)</label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_1_57' type='text' value='' class='medium'      aria-invalid="false"   /> </div></li><li id="field_1_11"  class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_11"><h2 class="gsection_title">Parent / legal guardian details</h2></li><li id="field_1_12"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_12"><label class='gfield_label gfield_label_before_complex'  >Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_1_12'>
                            
                            <span id='input_1_12_3_container' class='name_first' >
                                                    <input type='text' name='input_12.3' id='input_1_12_3' value=''   aria-required='true'     />
                                                    <label for='input_1_12_3' >First</label>
                                                </span>
                            
                            <span id='input_1_12_6_container' class='name_last' >
                                                    <input type='text' name='input_12.6' id='input_1_12_6' value=''   aria-required='true'     />
                                                    <label for='input_1_12_6' >Last</label>
                                                </span>
                            
                        </div></li><li id="field_1_13"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_13"><label class='gfield_label gfield_label_before_complex'  >Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>    
                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address' id='input_1_13' >
                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_1_13_1_container' >
                                        <input type='text' name='input_13.1' id='input_1_13_1' value=''    aria-required='true'    />
                                        <label for='input_1_13_1' id='input_1_13_1_label' >Street Address</label>
                                    </span><span class='ginput_left address_city ginput_address_city' id='input_1_13_3_container' >
                                    <input type='text' name='input_13.3' id='input_1_13_3' value=''    aria-required='true'    />
                                    <label for='input_1_13_3' id='input_1_13_3_label' >City</label>
                                 </span><input type='hidden' class='gform_hidden' name='input_13.4' id='input_1_13_4' value=''/><span class='ginput_right address_zip ginput_address_zip' id='input_1_13_5_container' >
                                    <input type='text' name='input_13.5' id='input_1_13_5' value=''    aria-required='true'    />
                                    <label for='input_1_13_5' id='input_1_13_5_label' >ZIP / Postal Code</label>
                                </span><input type='hidden' class='gform_hidden' name='input_13.6' id='input_1_13_6' value='' />
                    <div class='gf_clear gf_clear_complex'></div>
                </div></li><li id="field_1_14"  class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_14"><label class='gfield_label' for='input_1_14' >Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_14' id='input_1_14' type='text' value='' class='medium'   aria-required="true" aria-invalid="false"   /></div></li><li id="field_1_52"  class="gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_52"><label class='gfield_label' for='input_1_52' >Email</label><div class='ginput_container ginput_container_email'>
                            <input name='input_52' id='input_1_52' type='text' value='' class='medium'     aria-invalid="false"  />
                        </div></li><li id="field_1_55"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_55"><label class='gfield_label' for='input_1_55' >Is the parent or guardian aware of this referral?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_55' id='input_1_55' class='medium gfield_select'    aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Yes' >Yes</option><option value='No' >No</option></select></div></li><li id="field_1_58"  class="gfield field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_58"><label class='gfield_label' for='input_1_58' >We can provide advice and structured support for family members. Is this needed?</label><div class='ginput_container ginput_container_select'><select name='input_58' id='input_1_58' class='medium gfield_select'     aria-invalid="false" ><option value='' >Please select</option><option value='Yes' >Yes</option><option value='No' >No</option></select></div></li><li id="field_1_70"  class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_70"><h2 class="gsection_title">Support for other family members</h2></li><li id="field_1_72"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_72"><label class='gfield_label gfield_label_before_complex'  >Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_1_72'>
                            
                            <span id='input_1_72_3_container' class='name_first' >
                                                    <input type='text' name='input_72.3' id='input_1_72_3' value=''   aria-required='true'     />
                                                    <label for='input_1_72_3' >First</label>
                                                </span>
                            
                            <span id='input_1_72_6_container' class='name_last' >
                                                    <input type='text' name='input_72.6' id='input_1_72_6' value=''   aria-required='true'     />
                                                    <label for='input_1_72_6' >Last</label>
                                                </span>
                            
                        </div></li><li id="field_1_73"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_73"><label class='gfield_label' for='input_1_73' >Date of birth<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_date'>
                            <input name='input_73' id='input_1_73' type='text' value='' class='datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm/dd/yyyy' aria-describedby="input_1_73_date_format" aria-invalid="false" aria-required="true"/>
                            <span id='input_1_73_date_format' class='screen-reader-text'>MM slash DD slash YYYY</span>
                        </div>
                        <input type='hidden' id='gforms_calendar_icon_input_1_73' class='gform_hidden' value='https://ascert.biz/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg'/></li><li id="field_1_74"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_74"><label class='gfield_label' for='input_1_74' >Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_74' id='input_1_74' type='text' value='' class='medium'   aria-required="true" aria-invalid="false"   /></div></li><li id="field_1_75"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_75"><label class='gfield_label gfield_label_before_complex'  >Consent<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_consent'><input name='input_75.1' id='input_1_75_1' type='checkbox' value='1'   aria-required="true" aria-invalid="false"   /> <label class="gfield_consent_label" for='input_1_75_1' >I confirm that this person has given their consent to be contacted by ASCERT.</label><input type='hidden' name='input_75.2' value='I confirm that this person has given their consent to be contacted by ASCERT.' class='gform_hidden' /><input type='hidden' name='input_75.3' value='6' class='gform_hidden' /></div></li><li id="field_1_16"  class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_16"><h2 class="gsection_title">Referral agent details</h2><div class='gsection_description' id='gfield_description_1_16'>If you are a professional who wishes to refer someone into the DAISY service, please input your details below. </div></li><li id="field_1_17"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_17"><label class='gfield_label gfield_label_before_complex'  >Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_1_17'>
                            
                            <span id='input_1_17_3_container' class='name_first' >
                                                    <input type='text' name='input_17.3' id='input_1_17_3' value=''   aria-required='true'     />
                                                    <label for='input_1_17_3' >First</label>
                                                </span>
                            
                            <span id='input_1_17_6_container' class='name_last' >
                                                    <input type='text' name='input_17.6' id='input_1_17_6' value=''   aria-required='true'     />
                                                    <label for='input_1_17_6' >Last</label>
                                                </span>
                            
                        </div></li><li id="field_1_18"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_18"><label class='gfield_label gfield_label_before_complex'  >Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>    
                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address' id='input_1_18' >
                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_1_18_1_container' >
                                        <input type='text' name='input_18.1' id='input_1_18_1' value=''    aria-required='true'    />
                                        <label for='input_1_18_1' id='input_1_18_1_label' >Street Address</label>
                                    </span><span class='ginput_left address_city ginput_address_city' id='input_1_18_3_container' >
                                    <input type='text' name='input_18.3' id='input_1_18_3' value=''    aria-required='true'    />
                                    <label for='input_1_18_3' id='input_1_18_3_label' >City</label>
                                 </span><input type='hidden' class='gform_hidden' name='input_18.4' id='input_1_18_4' value=''/><span class='ginput_right address_zip ginput_address_zip' id='input_1_18_5_container' >
                                    <input type='text' name='input_18.5' id='input_1_18_5' value=''    aria-required='true'    />
                                    <label for='input_1_18_5' id='input_1_18_5_label' >ZIP / Postal Code</label>
                                </span><input type='hidden' class='gform_hidden' name='input_18.6' id='input_1_18_6' value='' />
                    <div class='gf_clear gf_clear_complex'></div>
                </div></li><li id="field_1_23"  class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_23"><label class='gfield_label' for='input_1_23' >Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_23' id='input_1_23' type='text' value='' class='medium'   aria-required="true" aria-invalid="false"   /></div></li><li id="field_1_21"  class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_21"><label class='gfield_label' for='input_1_21' >Profession<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_1_21' type='text' value='' class='medium'     aria-required="true" aria-invalid="false"   /> </div></li><li id="field_1_22"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_22"><label class='gfield_label' for='input_1_22' >Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'>
                            <input name='input_22' id='input_1_22' type='text' value='' class='medium'    aria-required="true" aria-invalid="false"  />
                        </div></li><li id="field_1_24"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_24"><label class='gfield_label' for='input_1_24' >Are you the main contact?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_24' id='input_1_24' class='medium gfield_select'    aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Yes' >Yes</option><option value='No' >No</option></select></div></li><li id="field_1_25"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_25"><label class='gfield_label gfield_label_before_complex'  >Details of main contact<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_1_25'>
                            
                            <span id='input_1_25_3_container' class='name_first' >
                                                    <input type='text' name='input_25.3' id='input_1_25_3' value=''   aria-required='true'     />
                                                    <label for='input_1_25_3' >First</label>
                                                </span>
                            
                            <span id='input_1_25_6_container' class='name_last' >
                                                    <input type='text' name='input_25.6' id='input_1_25_6' value=''   aria-required='true'     />
                                                    <label for='input_1_25_6' >Last</label>
                                                </span>
                            
                        </div></li><li id="field_1_59"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_59"><label class='gfield_label' for='input_1_59' >Main contact email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_1_59' type='text' value='' class='medium'     aria-required="true" aria-invalid="false"   /> </div></li><li id="field_1_26"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_26"><label class='gfield_label gfield_label_before_complex'  >Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>    
                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address' id='input_1_26' >
                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_1_26_1_container' >
                                        <input type='text' name='input_26.1' id='input_1_26_1' value=''    aria-required='true'    />
                                        <label for='input_1_26_1' id='input_1_26_1_label' >Street Address</label>
                                    </span><span class='ginput_left address_city ginput_address_city' id='input_1_26_3_container' >
                                    <input type='text' name='input_26.3' id='input_1_26_3' value=''    aria-required='true'    />
                                    <label for='input_1_26_3' id='input_1_26_3_label' >City</label>
                                 </span><input type='hidden' class='gform_hidden' name='input_26.4' id='input_1_26_4' value=''/><span class='ginput_right address_zip ginput_address_zip' id='input_1_26_5_container' >
                                    <input type='text' name='input_26.5' id='input_1_26_5' value=''    aria-required='true'    />
                                    <label for='input_1_26_5' id='input_1_26_5_label' >ZIP / Postal Code</label>
                                </span><input type='hidden' class='gform_hidden' name='input_26.6' id='input_1_26_6' value='' />
                    <div class='gf_clear gf_clear_complex'></div>
                </div></li><li id="field_1_27"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_27"><label class='gfield_label' for='input_1_27' >Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_27' id='input_1_27' type='text' value='' class='medium'   aria-required="true" aria-invalid="false"   /></div></li><li id="field_1_28"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_28"><label class='gfield_label' for='input_1_28' >Profession<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_1_28' type='text' value='' class='medium'     aria-required="true" aria-invalid="false"   /> </div></li><li id="field_1_33"  class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_33"><label class='gfield_label' for='input_1_33' >Is this client currently engaged with another service<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_33' id='input_1_33' class='medium gfield_select'    aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Yes' >Yes</option><option value='No' >No</option></select></div></li><li id="field_1_34"  class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_34"><label class='gfield_label' for='input_1_34' >Please provide details<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_1_34' type='text' value='' class='medium'     aria-required="true" aria-invalid="false"   /> </div></li><li id="field_1_35"  class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_35"><label class='gfield_label' for='input_1_35' >Are you aware of any literacy difficulties<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_35' id='input_1_35' class='medium gfield_select'    aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Yes' >Yes</option><option value='No' >No</option></select></div></li><li id="field_1_36"  class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_36"><label class='gfield_label' for='input_1_36' >Please provide details<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_1_36' type='text' value='' class='medium'     aria-required="true" aria-invalid="false"   /> </div></li><li id="field_1_37"  class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_37"><label class='gfield_label' for='input_1_37' >Is english the young person’s first language<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_37' id='input_1_37' class='medium gfield_select'    aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Yes' >Yes</option><option value='No' >No</option></select></div></li><li id="field_1_38"  class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_38"><label class='gfield_label' for='input_1_38' >Please specify preferred language<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_1_38' type='text' value='' class='medium'     aria-required="true" aria-invalid="false"   /> </div></li><li id="field_1_39"  class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_39"><label class='gfield_label' for='input_1_39' >Does the young person have a disability<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_39' id='input_1_39' class='medium gfield_select'    aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Yes' >Yes</option><option value='No' >No</option></select></div></li><li id="field_1_40"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_40"><label class='gfield_label' for='input_1_40' >Please specify details<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_1_40' type='text' value='' class='medium'     aria-required="true" aria-invalid="false"   /> </div></li><li id="field_1_41"  class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_41"><label class='gfield_label' for='input_1_41' >Are there any risks identified (such as suicidal behaviour, self-harm, aggression etc)<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_41' id='input_1_41' class='medium gfield_select'    aria-required="true" aria-invalid="false" ><option value='' >Please select</option><option value='Yes' >Yes</option><option value='No' >No</option></select></div></li><li id="field_1_65"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_65"><label class='gfield_label' for='input_1_65' >Please specify details<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_textarea'><textarea name='input_65' id='input_1_65' class='textarea medium'     aria-required="true" aria-invalid="false"   rows='10' cols='50'></textarea></div></li><li id="field_1_43"  class="gfield field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_43"><label class='gfield_label' for='input_1_43' >Additional information</label><div class='ginput_container ginput_container_textarea'><textarea name='input_43' id='input_1_43' class='textarea medium'    placeholder='Please provide any other relevant information in relation to the client you are referring to enable appropriate and adequate services to be identified.'  aria-invalid="false"   rows='10' cols='50'></textarea></div></li><li id="field_1_64"  class="gfield field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_64"><label class='gfield_label screen-reader-text gfield_label_before_complex'  ></label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_64'><li class='gchoice gchoice_1_64_1'>
								<input class='gfield-choice-input' name='input_64.1' type='checkbox'  value='I would like a copy of this referral emailed to myself'  id='choice_1_64_1'   />
								<label for='choice_1_64_1' id='label_1_64_1'>I would like a copy of this referral emailed to myself</label>
							</li></ul></div></li><li id="field_1_44"  class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_44"><h2 class="gsection_title">Preferences</h2></li><li id="field_1_45"  class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_45"><label class='gfield_label gfield_label_before_complex'  >Data Consent<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_consent'><input name='input_45.1' id='input_1_45_1' type='checkbox' value='1'  aria-describedby="gfield_consent_description_1_45 gfield_description_1_45" aria-required="true" aria-invalid="false"   /> <label class="gfield_consent_label" for='input_1_45_1' >I agree</label><input type='hidden' name='input_45.2' value='I agree' class='gform_hidden' /><input type='hidden' name='input_45.3' value='6' class='gform_hidden' /></div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_1_45'>In compliance with UK Data Protection Law, ASCERT requires your consent to keep a record of your details submitted in this form to process this referral. Please check this box to indicate you have given consent for your personal data to be utilised in this way. Visit the <a href="http://www.ascert.biz/privacy-cookies-2/">Privacy Policy</a> section of this website to read more about how we process your data.</div></li><li id="field_1_47"  class="gfield field_sublabel_below field_description_below gfield_visibility_visible"  data-js-reload="field_1_47"><label class='gfield_label gfield_label_before_complex'  >Marketing Consent</label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_47'><li class='gchoice gchoice_select_all'>
						<input class='gfield-choice-input' type='checkbox' id='choice_47_select_all'   onclick='gformToggleCheckboxes( this )' onkeypress='gformToggleCheckboxes( this )' />
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								<input class='gfield-choice-input' name='input_47.1' type='checkbox'  value='Email Contact'  id='choice_1_47_1'   aria-describedby="gfield_description_1_47"/>
								<label for='choice_1_47_1' id='label_1_47_1'>Email Contact</label>
							</li><li class='gchoice gchoice_1_47_2'>
								<input class='gfield-choice-input' name='input_47.2' type='checkbox'  value='Postal Contact'  id='choice_1_47_2'   />
								<label for='choice_1_47_2' id='label_1_47_2'>Postal Contact</label>
							</li><li class='gchoice gchoice_1_47_3'>
								<input class='gfield-choice-input' name='input_47.3' type='checkbox'  value='Telephone / SMS Contact'  id='choice_1_47_3'   />
								<label for='choice_1_47_3' id='label_1_47_3'>Telephone / SMS Contact</label>
							</li></ul></div><div class='gfield_description' id='gfield_description_1_47'>Do not tick any of the boxes if you do not wish to be contacted.</div></li></ul></div>
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