Children and Young people
Spot the signs of abuse
Step 1 of 8
If you are referring yourself please skip this section
Please circle/highlight any of the following offered by Alumah which you are you interested in:
Escape the Trap (programme looking at unhealthy/healthy relationships), Peer support (creative group), C card, 1:1 support
Self-Esteem and Relationship workshops for schools and youth settings
A one-off morning or afternoon workshop about grooming. However, this can lead to a short course of more in-depth about how grooming works. Videos, worksheets, and discussion. This is great for year 6 upwards as this is when the perpetrators will look for victims. Phoebe’s Room is a good insight for parents of children too.
Please skip this section if you're not interested in counselling.
Please enter details for any of the relevant support options below
Who should we contact if an emergency happens while you are with us?
Please remember that you may prefer this person to know you are having counselling with us, in case we have to call them in an emergency
We are collecting your personal details and GP details to use during our work together. In case of crime or harm to yourself or others, I would need to contact the appropriate authorities. My need for knowing your medication or medical conditions, is to be aware of how these affect you during our work together.
Under certain other circumstances it may be necessary for me to breach confidentiality by talking to someone. This may happen if;
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We will use the information you give us to help monitor the effectiveness of our Equal Opportunities Policy and to help drive our policy and development.
This form is completely confidential. We will never use this information to identify individuals, so please do not add your name.