West Tamar Youth Outreach Service E-Referral West Tamar Youth Outreach ServiceThe West Tamar Youth outreach Service is funded by the Irene Phelps Charitable Trust to provide a broad range of support to 12-25 year olds in the West Tamar region who live in Legana, Exeter, Beaconsfield and surrounding areas. Support is provided via:a) Individual therapeutic support at school, community centre or at headspace Launceston b) Group facilitation and psychosocial educational sessionsc) Support to families and caregivers d) Liaison with schools, service providers and other supports. The West Tamar Youth outreach Service has a multi-focused approach; and can assist with: Mental health and wellbeing Connections with education and/or employment Personal relationships, sexuality and gender identity Strengthening relationships with family, friends and communityHow to refer: The West Tamar Youth Outreach Service accepts referrals and self-referrals from family members, GP's, schools and from other services and supports. Please click "next" to make a referral. Young Person's Details: First Name* Last Name* Date of Birth* Gender* Home Phone Mobile Phone Street Address* Town/Suburb* Postcode* Is the young person Aboriginal or Torres Strait Islander? *YesNo Does the Young Person require an interpreter? *YesNo Preferred Language:* Current Living arrangements (e.g. couch surfing, with parents, etc.): * If a home visit is required, please outline any environmental hazards:Reasons for Referral: Anxiety/Depression*YesNo anx/dep specify* Self-Esteem/Body Image*YesNo self-esteem specify* Behaviour*YesNo Behaviour Specify* Friendship Issues*YesNo friendship specify * Anger Issues*YesNo Anger Specify* Relationships*YesNo Relationship specify* Financial Concerns*YesNo financial specify* Past Trauma*YesNo trauma specify* Self Harm*YesNo self harm specify* Suicidal Ideation/Attempt*YesNo suicide specify* Drug/alcohol Misuse*YesNo Drug/alcohol specify* Sexual Health*YesNo sexual specify* Concerns at Home*YesNo home concerns specify* Disengaged from School/Employment*YesNo school/employ specify* Other*YesNo other specify * Additional InformationConsent Is the young person aware of this referral? (young person must consent for the referral to proceed)*YesNoAdditional contact person if we are unable to reach the young person: Name:* Phone* Relationship to Young Person* Consent to contact:*YesNo Contact Notes (if applicable):Referred By: Your Name* Your Phone* Organisation/Role:* Your E-mail* How did you hear about the West Tamar Youth Outreach Service? *SubmitReset