CITY OF YORK COUNCIL Housing Department - Housing Options, Housing Registrations – North Yorkshire Home Choice, Temporary Accommodation, Resettlement Services, Single Access Point, Landlord Services / Sheltered Schemes Floating Support Services – Housing Options Support Worker, Hostel and Temporary accommodation Support Workers Children’s Social Care / Leaving Care (for example any previous or current social work or Pathway involvement you or your family may have had) and CYC Children’s Advice Team (your involvement with them will be recorded on their system). Local Area Teams (LAT) and Local Area Coordinators (LAC) – family related support submitted via Children’s Front Door Young Peoples Services (Youth Offending Team, Schools and Education etc) Adult Social Care and Mental Health Services Finance Department (Housing Benefit /Council Tax Benefit Section) ACCOMMODATION, ADVICE AND HOUSING SUPPORT PROVIDERS. Salvation Army – outreach / advice for sleepers Changing Lives – Union Terrace – Resettlement services for single homeless males 18 + and couples (including MEAM and ABA) Changing Lives – Robinson Court - Resettlement services for single homeless females 18 + and young people 16 - 25 SASH – Young Peoples 16 – 25 supported lodgings and floating support??? York Housing Association - Shipton Road and IHMS – supported housing and specialist floating support Changing Lives - Shared Housing scheme 18 + Changing Lives and Community Links – Housing need related floating support Yorkshire Housing- Help at Hand – older persons 60 + and persons with disabilities 18 + floating support Restore (York) Ltd –Supported housing for single homeless people aged 18+ Changing Drug and Alcohol Service Local Authority Housing Departments, Registered Social Landlords and NYHC partners Be Independent York Together Pathway Peasholme Charity – Next floating support Make Every Adult Matter (MEAM) – specialist floating support for entrenched rough sleepers Voluntary Organisations, including charities Private landlords Family members Employers / Places of work Health Services GP, community health workers, and Adolescent Mental Health Service –CAMHS, Adult Mental Health Services, Hospitals
Legacy Benefits Other .... Please specify: Family, relationships and children Describe current situation and any issues ....... Learning difficulty Yes No If ‘YES’ explain........ Repair issues, ASB, or hoarding in the property Yes N/A Describe current situation and issues...... Current Rent arrears, Notice to Quit, Notice of Seeking Possession Yes N/A Describe current situation and issues....... Other support needs not mentioned above Yes No Explain if ‘YES’....... The following section relates to the applicants risk - please fill out the risk analysis fully. Referrals should have a Police National Computer check carried out (where possible) and included within this assessment. Does the applicant have a history of any of the following? Arson Yes No Violent offences Yes No Sexual offences against a child Yes No Is the applicant subject to MAPPA? Yes No Sexual offences against an adult Yes No If yes which level 1 2 3 Firearms or weapons Yes No And which category 1 2 3 Any prolific offender or MAPPA customer will require Offender Assessment System (OASYS)/management plan/risk document included with referral THE REFERRAL WILL BE RETURNED IF YOU DO NOT PROVIDE THESE List documents attached to referral – 1. 2. 3.