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Housing and Support Solutions Supported Housing Referral

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Referral Form for Housing and Support Solutions Supported Housing

Referrer's details
Has your manager approved this referral?
Details of person being referred
Please input date (dd/mm/yyyy)
Type of Supported Accommodation
Type of care and support required

Please assess the priority level of need (0-3) based on the definitions below

Complete priority level of need score (0-3) using the tick box based on the priority matrix above.

Definitions


Low (0)
No Issue with current accommodation
(ie. Elderly carer likely to become unable to continue supporting (low needs? Next 12-18 months?)

Medium (1)
Housing/accommodation available but impeding holistic development escalating needs and prevent independence by requiring some additional support (ie. issues with neighbours/noise or disrespect of boundaries; previous trauma at the property risk of falls)

High (2)
Housing/accommodation available but is causing distress and risk of harm requiring a significant amount of care and support (ie. stairs, proximity to roads, MH interventions)

Urgent (3)
Cannot return to current housing/accommodation or doesn’t meet needs or doesn’t have accommodation. Housing leading to significant and repeated harm, safeguarding concerns, behaviours impacting the safety of others (ie. Resolution required to prevent homelessness/rough sleeping or doesn’t have accommodation. Delayed hospital discharge/admission; accommodation that cannot be adapted)