Find Support.

We all need a bit of help sometimes but it can be difficult to know how, or who, to ask. At Brighter Futures, whatever you are dealing with and however you are feeling support is available.

Being a parent is sometimes challenging, and no one has all the answers. So if you, or someone you know, is looking for help and support within their family, we are here to help.

You can access support from Brighter Futures by contacting us directly or asking any professional who knows you to make the referral.

Every client at Brighter Futures is allocated a key worker who will work with you to identify the right support for you and help you to achieve your goals.

We also offer a number of groups and programmes that deal with a range of topics such as wellbeing, parent and child relationships and personal development.

There are two ways to access our services:

Self Referral - Where you simply complete the contact us form - CLICK HERE

Professional Referral - a professional completes the below form on your behalf. This could be a Midwife, Health Visitor, Doctor, School, Nursery or Childcare setting.

Either way will make a start towards creating your brighter future.

Downloads .

Click here to download a paper version of the form below

Download

Details

Client Surname (Adult) *

Client Forenames *

DOB of Client

Title *

Email Address

Mobile Telephone

Home Telephone

Work Telephone

Parent's First Language *

Holds Parental Responsibility

Is the client in employment (this may affect the client's availability for certain programmes) *

Address

Address Line 1 *

Address Line 2

Address Line 3

Parish *

Post Code *

Family: Child(ren): Details of All Children in The Family Need to be Included

Add Child

Family: SIGNIFICANT OTHERS: Details Of All Household Members

Significant Others {absolute_count}

First Name

Last Name

DOB

Relationship to Client

Holds Parental Responsibility

Any other relevant information (No More Than 500 Words)

Add Significant Others

Is This a 'MECSH' Family? *

If Yes, What is The Status With The 'MECSH' Family?

Is This Referral as a Result of a MASH Enquiry? *

If Yes, Please Give Brief Details and Outcome if Applicable: (No More Than 500 Words)

Does this family have an Early Help plan?

If yes, what is The status?

If Yes, Please Give Brief Details and Outcome if Applicable and Include Early Help Lead if Known: (No More Than 500 Words)

Children’s Service Thresholds

As Referrer, in Accordance With Children’s Service Thresholds, Which Threshold is Applicable For This Client? (Please Tick Appropriate Box)

Universal Level

Short Term Intervention - Only Available For Pregnant Ladies to Access Our Wellbeing Programmes (Estimated Date of Delivery)

Estimated Date *

Early Help Level

Low Level Targeted Single or Multi-Agency Support Required

Children in Need of Support

Moderate Level Targeted Multi-Agency Support Required For the Family With Considerable or Complex Needs

Children in Need of Protection

Severe Level Targeted Support Requiring a Specialist Response Where the Child is Suffering or at Risk of Suffering Significant Harm / Impairment or Serious Risk to Their Development

For more information or clarity regarding thresholds please visit https://safeguarding.je

Reason for Referral and Expected Outcome: (No More Than 500 Words)

Key Agencies: (If You Know of Other Agencies Working With This Family, Please add information in realated sections)

Key Agency {absolute_count}

Select Agency *

First Name *

Last Name

Email Address

Contact Telephone

Add Key Agency

Views of Parent/Carer and Child/Young Person

Views of Parent/Carer (No More Than 500 Words)

Views of Child/Young Person - If Appropriate (No More Than 500 Words)

Referrer's Details

Name *

Telephone Number *

Agency *

Email Address *

Consent for Referral *

By Ticking This Box And Signing This Referral Form You Are Confirming That You Are The Data Controller And Are Passing This Information To Us To Become The Data Processor. You Are Also Confirming That Your Company / Department is GDPR Compliant.

This website is using cookies. Find out more