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This section has a range of referral forms you can use to access external agencies at a more targeted level of support.

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Speech, language and communication needs might include difficulties in: making the sounds needed for your speech to be understood by other people. putting words and sentences together to ask for something, tell a story or hold a conversation. making sense of what other people say to you. SALT information on referrals and downloadable forms can be found via this link: Children's Services - Aneurin Bevan University Health Board

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Updated SLT 0002 Children's referral form Nov 2021(2)

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SPACE ND SCHOOL Referral FORM (Please read information below)

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SPACE ND SCHOOL Referral FORM (Please read information below)

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This is the new link for the one referral form to be used by schools only and to be used from September 2024:

https://forms.office.com/e/PqVB7BfdBd

If GPs or other professionals submit a referral, we would ask schools to complete this one form to gather supporting information:

https://forms.office.com/e/VJcrk7sVwS

In the same way, parent information has been condensed into one form.  This is the link if you need to share with parents:

https://forms.office.com/e/nQLTA9qVM0

I have attached a Word version of the referral form and parent supporting information form but we would encourage you to use the Forms links please.

*This is a referral for Neuro Diversity assessment for ASD and/or ADHD. You need to use the QR codes to scan for each referral and the parents must complete their sections too. The school will need to keep a record of referrals and give a code to each referral e.g. Heolddu006 / Heolddu007 etc.*

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SPACE Wellbeing ND School Referral Form 2024

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Yes schools are able to refer directly into the physiotherapy service. Attached is a referral form for completion; this is to be returned to our generic email : ABB.PaedsPhysio@wales.nhs.uk

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These referrals / documents are to be used when you have exhausted a range of universal and targeted provision over at least two term and have evidence that despite receiving this support the pupil is still not making progress. You will need to refer to the ALN Code regarding the implementation of IDPs.

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SPACE ND REFERRAL FORM PARENT SECTION (Please read information below)

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SPACE ND REFERRAL FORM PARENT SECTION (Please read information below)

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This is the new link for the one referral form to be used by schools only and to be used from September 2024:

https://forms.office.com/e/PqVB7BfdBd

If GPs or other professionals submit a referral, we would ask schools to complete this one form to gather supporting information:

https://forms.office.com/e/VJcrk7sVwS

In the same way, parent information has been condensed into one form.  This is the link if you need to share with parents:

https://forms.office.com/e/nQLTA9qVM0

I have attached a Word version of the referral form and parent supporting information form but we would encourage you to use the Forms links please.

*This is a referral for Neuro Diversity assessment for ASD and/or ADHD. You need to use the QR codes to scan for each referral and the parents must complete their sections too. The school will need to keep a record of referrals and give a code to each referral e.g. Heolddu006 / Heolddu007 etc.*

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SPACE Wellbeing ND Parental Questionnaire 2024

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This section has a range of possible referrals you could make for targeted provision for pupils from services that work outside of the school. This support needs to be monitored and added to your provision maps as it may be required as evidence of a 'graduated response'.

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SN Secondary SPOA A4 Poster (Eng and Cym)

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This referral is to the HPAD team and could result in support for young people at risk of homelessness.

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This section has a range of possible referrals you could make for universal provision for pupils from services outside of the school. This is not 'additional to or different from' normal provision; it is support that is accessible to all.

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ALN Panel referrals can  be made to the LEA to request additional funding or a change of placement for a learner. Staff are advised to provide evidence of a graduated response (suggested to be over at least 2 terms if possible) in order to support these applications.

*Please email your statutory officer for this form*

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This section has a range of possible referrals you could make for universal provision for pupils in school. This is not 'additional to or different from' normal provision; it is support that is accessible to all.

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Please email your statutory officer for this form

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These are guidance notes to help you make an application to the ALN panel - they clearly outline what you need to include in referrals and reference the requirements of the code.

*Please email your statutory officer for this form*

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A PCP Meeting should be held to ascertain what support is in place for a pupil and to decide whether an IDP (Individual Development Plan) is needed or if the school ALP (Additional Learning Provision) can meet the learners needs. This is usually held by the ALNCO / SLT and all multiagency stakeholders, parents and pupil should be invited.

*Please email your statutory Officer for this form*

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This form would be used for a review PCP meeting (as opposed to an initial PCP meeting). This will help you to review objectives set out in the initial meeting or in previous reviews.

*Please email your statutory officer for this form*

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This is a blank IDP template. It has notes and comments to help you fill out each section. Ask your advisory teacher of statutory officer for support with this if you need to.

Please email your statutory officer for this form

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This section has overarching information to support with workload associated with referral writing.

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This is a blank template with NO guidance notes.

Please email your statutory officer for this document

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Occupational therapy supports people whose health, environment or social circumstances make it difficult to take part in the activities that matter to them. An occupational therapist will work with you to identify strengths and difficulties you may have in everyday life https://abuhb.nhs.wales/hospitals/a-z-of-services/occupational-therapy/

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By completing this form, you give permission for your child to be discussed at Nurture Screening Panel. If at Nurture Screening Panel it is felt that your child meets criteria for further assessment, this form will be used to request involvement from the Nurture  staff. This will involve Nurture staff completing an assessment of your child’s needs (involving completion of the Boxall Profile, discussions with key adults and classroom observations as appropriate). Nurture staff will then share the results of their assessment (via a written report) at  ALN Panel. All decisions will be made by the ALN panel as to whether a place is allocated within the Nurture Classes. In some circumstances, an outcome of panel may specify a piece of outreach work by nurture staff, in order to support pupils in their home schools.

*Please email your EP for these documents*

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This is a referral form for the school wellbeing dog. Please complete this for access to the Baxter Project for a pupil. Your school has to pay for support from the BAXTER project. https://forms.office.com/pages/responsepage.aspx?id=DQSIkWdsW0yxEjajBLZtrQAAAAAAAAAAAANAATgmdTxUMTVYUEJMQ1o3VzJZU0hEMzAzMlVDRTNWNy4u

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TAG Editable School Referral Form (1) (1)

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https://barod.cymru/where-to-get-help/service-2/gwent-n-gage/

Gwent N-Gage offers free, confidential and friendly one to one specialist support for young people who use substances and for their loved ones. N-Gage offers mental health support, training and can work with families to help them to understand, respond to and cope with the substance use of their young family members. Anyone can refer people at any time but you will need consent to do it.

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Children, young people and families are able to self-refer online or through a  telephone helpline available from noon 12pm until 7pm, Monday to Friday.  Professionals are also welcome to refer through using the phone line or the enquiry  form on the microsite. The microsite also holds a wealth of self-help information  and links to local services which support families with issues such as emotional  wellbeing, bereavement, domestic abuse and financial worries.

The helpline number is 0800 157 7015 or you can visit the microsite

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This is a referral form for GEMS support for pupils with EAL (English as an additional language).

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This consent form is to be used in conjunction with the Multi Agency Panel referral form on this padlet. You MUST gain informed consent for any pupil to be discussed on the MAP (Multi Agency Panel) at a school.

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https://service-request.nyas.net/servicegateway

NYAS is a leading children's charity who provide advocacy and legal representation to children and adults when important decisions are being made about them. Since 1979, we have been delivering services to support and empower children and adults in vulnerable situations.

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This is a referral for the ALNCO or SLT to access EPS advice and guidance for individual pupils, classes or whole school support and guidance. You must contact your own school EP to get a copy of this referral form. You cannot fill it out until they complete their sections.

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GDAFS - Gwent Alcohol and Drugs Family Support

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GDAFS - Gwent Alcohol and Drugs Family Support

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Unicorn is a service that specialises in grief counselling and support. Anyone can refer the young person for support but you would need the pupil/carers consent.

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Unicorn Bereavement Referral Form Revised 22_02_18 v1

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A PCP Meeting should be held to ascertain what support is in place for a pupil and to decide whether an IDP (Individual Development Plan) is needed or if the school ALP (Additional Learning Provision) can meet the learners needs. This is usually held by the ALNCO / SLT and all multiagency stakeholders, parents and pupil should be invited.

*Please email your statutory officer for this form.*

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This referral is to report any concerns or queries you have as a classroom practitioner and to request advice and support from your School ALNCO.

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Copy of ALN Faculty Referral Document (1) (2)

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JAFF referral for Supporting Family Change 

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JAFF referral for Supporting Family Change 

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This referral can be used to access support for the family of children who are struggling in school. It also to accesses support from youth engagement and other services linked with children's services teams. You need to specify on the form exactly what help the child/ family need.
Caerphilly Families First (padlet.com)

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Connect Gwent is a multi-agency service for anyone who has experienced (including witnessed) crime or anti-social behaviour living in Gwent. We offer a range of free and confidential emotional, practical and specialist support.  This support is available regardless of whether or not someone chooses to report the incident(s) to the police.   It also doesn’t matter how long ago the incident happened.

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Connect Gwent - Referral Form - 4.3 - English

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https://www.caerphillyearlyyears.co.uk/family-support/fis/
The Caerphilly Early Years and Childcare team provide information, advice and support for expectant parents and families with young children aged 0-7 years living in the Caerphilly county borough.

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The Family Information Service is part of the role of our Early Years Hub which is the main contact point for any professional, parent, or family member who needs information, advice, and support.

The Early Years Hub staff are on hand to offer free impartial information and advice for ALL parents / carers of children and young people aged between 0-20 and the professionals who work with them. Whether you're trying to organise childcare, want to know more about early years education and after-school activities in your area or you just need a little extra support to be a good parent, there is plenty of help available.

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Family Information Service - Caerphilly Early Years

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The Family Information Service is part of the role of our Early Years Hub which is the main contact point for any professional, parent, or family member who needs information, advice, and support.

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Charity to help with Private ASD Assessments 

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Charity to help with Private ASD Assessments 

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This charity can be found on facebook. It is for families who wish to pursue a private ND assessment but need support with costs. It is means tested but can be helpful for families.

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Sexual health, exploitation, relationship and self esteem support available in Caerphilly Borough.

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Daily check-ins provide a snapshot of how students' are feeling based on their responses to a few key questions asked at the beginning or end of a day. These can be requested by class teachers, heads of year and ALNCOs.

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We act as a first point of contact for all families, to help with enquiries about services and leisure activities that children and young people can access. We offer guidance and support to help families navigate the ‘system’ , signpost to the correct professionals and provide support and resources. We ensure that families are provided with access to appropriate services and to obtain feedback to inform service development

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https://www.caerphillyearlyyears.co.uk/family-support/fis/
The Caerphilly Early Years and Childcare team provide information, advice and support for expectant parents and families with young children aged 0-7 years living in the Caerphilly county borough.

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The Family Information Service is part of the role of our Early Years Hub which is the main contact point for any professional, parent, or family member who needs information, advice, and support.

The Early Years Hub staff are on hand to offer free impartial information and advice for ALL parents / carers of children and young people aged between 0-20 and the professionals who work with them. Whether you're trying to organise childcare, want to know more about early years education and after-school activities in your area or you just need a little extra support to be a good parent, there is plenty of help available.

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Family Information Service - Caerphilly Early Years

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The Family Information Service is part of the role of our Early Years Hub which is the main contact point for any professional, parent, or family member who needs information, advice, and support.

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Professionals can call the CAMHS emergency duty line if they need advice or guidance about a child's emotional needs. This should only be used in emergencies, where there is a real and imminent concern for a child's mental health.

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MAP (Multi Agency Panel) Referral EXAMPLE

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MAP (Multi Agency Panel) Referral EXAMPLE

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This is a referral to the school Multi Agency Panel. It is for HoYs (Heads of Years) to make referrals for support, advice and guidance from an array of multi agency staff who sit on the panel. These staff are from educational, medical and social professions.

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Person-centred Thinking Tools | HSA | Consultancy | Training (helensandersonassociates.co.uk) There are a ranged of person centred activities you can carry out with a child to unpick their views, wishes and needs. They are downloadable Pdf documents.
5-20 Minutes

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Person-centred Thinking Tools | HSA | Consultancy | Training

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Practical tools that help people to think and plan for their life, direct their own support and identify and achieve their goals.

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Umbrella support people who have experienced any crime, and specifically work to support victims and survivors of hate crime, domestic abuse, sexual abuse, emotional abuse and so much more.

In addition to the above, Umbrella are passionate about inclusion and equity and offer support and counselling to members of the LGBTQ+ community or those effected by LGBTQ+ issues.

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This leaflet has a range of information on the youth service in Caerphilly.

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Single Parents Wellbeing is run by single parents for single parents.

Compassionate, empowering and positive approach to being a single parent, with a focus on wellbeing.

Edrych ar rieni sengl mewn modd tosturiol a chadarnhaol sy'n grymuso.

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Single Parents Wellbeing | Single Parents Advice, Health & Wellbeing

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Single Parents Wellbeing - empowering single parents to get involved and empower other single parents too. We think single parents are superheroes. Get involved, feel part of our growing community and never feel alone.

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CBT groups use a variety of group and individual activities to support pupils to understand the unhealthy cycle of their difficulties and to implement strategies to create a healthier cycle of wellbeing. Unfortunately, the groups are far less likely to have a positive impact for young people who are dealing with complex issues and need a bespoke approach to supporting their mental health. During the referral pathway process the EPS will be able to advise if other services are more appropriate for individuals.

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The school based counselling service is run through the EPS. There are criteria for referrals e.g. age ranges so please check with your school counselling / school EP for your school criteria before submitting a referral. Referral forms can be obtained via your school EP.

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Families First have created this padlet to share contact details and information on Children's Services in CCBC.

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Llamau offers a range of Domestic Abuse services, including domestic abuse refuges, floating support, and group sessions including the Freedom Programme.

You can access our Domestic Abuse services in Caerphilly through our Safer Caerphilly Centre at Unit B, Wernddu Court, Van Road, Caerphilly, CF83 3SG or by calling 029 2086 0255.

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If you are a woman, are homeless, in need of some support, and would feel unsafe in mixed-gender accommodation because of your previous experiences, you will need to contact your Local Authority. Your Local Authority Housing Team will look into your case and if you are in Cardiff or Newport, you may be referred to Llamau's gender-specific services.

In Cardiff, you should visit the Housing Options Centre on Hansen Street or call 029 2057 0750 or out of hours call 029 2087 3141.

In Newport, you should visit the Information Station at Station Buildings, Queensway or call 01633 656656.

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Our mission is to end homelessness for young people and women. Across Wales we prevent homelessness, provide safe accommodation and support to leave homelessness behind.

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Umbrella support people who have experienced any crime, and specifically work to support victims and survivors of hate crime, domestic abuse, sexual abuse, emotional abuse and so much more.

In addition to the above, Umbrella are passionate about inclusion and equity and offer support and counselling to members of the LGBTQ+ community or those effected by LGBTQ+ issues.

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Weekly consultations:

Schools may book a 30-minute slot with no more than 2 pupils to be discussed at any one time. Pupils should be attending school for a minimum of 6 school weeks before being brought to the clinic.

If the pupil has a diagnosed ALN then the ALN helpline may be more appropriate. Practitioners must ‘pre-book’ a slot for the discussion and complete a booking form to be sent to ilona.dziedzic@newport.gov.uk.

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Psychological Health Practitioners (PHPs) are experienced mental health practitioners. They are a good first point of contact for people with mild- to moderate mental health problems. PHP appointments are up to 45 minutes long and aim to help people to make sense of their worries, and difficult or confusing experiences. A PHP will give you information about the problem and show you how to manage these experiences better.

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Our Vision is to empower and inspire children, young people and adults to overcome bullying behaviour, recognise their self-worth and achieve their full potential. We offer school support at whole school, class, small group, 1-2-1 and peer mentoring levels.

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BulliesOut - Anti-Bullying Training, Awareness and Support

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BulliesOut provides much needed help, training, support and information to individuals, schools, youth and community settings affected by bullying.

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Here in South Wales Fire and Rescue Service we are passionate about working with young people and deliver a variety of youth intervention programmes aimed at those aged between 11 – 25 years.

Our Fire and Rescue Service has an important part to play in contributing to the well-being of children and young people by educating them about the importance of fire safety and the consequences of deliberate fires, hoax calls and anti-social behaviour. We do this through the Reflect Project and the Firesetting Intervention Scheme.

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Youth and Education - South Wales Fire and Rescue Service

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At South Wales Fire and Rescue Service our links with education services are very important to us and help us deliver safety education directly to children and young people at every stage of their school life.

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We aim to provide access to high quality information and advice to deal with most sleep issues, and ensure everyone understands the value of a good night’s sleep. We also campaign for improvements to the support available as well as providing  accredited training for professionals so they can offer sleep support to the people they work with.

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Supporting people across all ages to improve sleep, and provides sleep training to professionals in the health, social and corporate sectors.

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C.A.L.L. Mental Health Helpline For Wales Offers emotional support and information/literature on Mental Health and related matters to the people of Wales. Anyone concerned about their own mental health or that of a relative or friend can access the service. C.A.L.L. Helpline offers a confidential listening and support service.

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Try our self assessment tool

Community Advice & Listening Line

Offers emotional support and information/literature on Mental Health and related matters to the people of Wales.

Anyone concerned about their own mental health or that of a relative or friend can access the service. C.A.L.L. Helpline offers a confidential listening and support service.
Neurodivergent work - find out more

Mind Cymru is here to support you, whether you're living with a mental health problem, or supporting someone who is.

Visit our website for information on mental health conditions, treatment and where to get help: MIND Services

Contact our legal line for general advice on mental health related law: Legal Line

Join the Elefriends community for online peer support: Elefriends

Be part of Time to Change Wales, to end metal health stigma: TTCW

You can also order up to 3 free Mental Health related leaflets from a wide selection available.

Are you having debt, housing or financial problems?

The Mental Health Helpline service is available 24 hours a day, 7 days a week, 365 days of the year.

Our admin office is available during office hours only (9am - 5pm, Monday to Friday).

Supporting Those Living With Dementia And Their Carers

The helpline offers emotional support to anyone, of any age, who is caring for someone with Dementia as well as other family members or friends.

The service will also help and support those who have been diagnosed with Dementia.

Get information sent to your mobile phone

C.A.L.L. Helpline has launched a Mental Health text messaging service allowing people to access support and information via a text message from their mobile phone.

The Staying Safe website is a potentially life-saving resource developed by 4 Mental Health, with invaluable with invaluable input from our Expert Reference Group of international academics, people with lived experience (including of surviving a suicide attempt, self-harm, supporting a friend or family member or bereavement by suicide), suicide prevention experts, mental health practitioners, general practitioners, policy makers, public health experts, sector experts, educationalists and concerned citizens.

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C.A.L.L. Mental Health Helpline For Wales

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CALL offers emotional support and information/literature on mental health and related matters to the people of Wales.

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SilverCloud Wales is a supported self-help service. It is suitable for:

People aged 16+ with mild to moderate levels of anxiety, depression or stress AND

Who are registered with a GP in Wales or live in Wales AND

Who are not receiving secondary or tertiary mental health services (e.g. not under the care of a psychiatrist or psychologist).

When you sign up for this service you will be asked to complete some questionnaires. This helps to ensure that this is the right service for you. In some instances, you may be asked to participate in a telephone call to assess your suitability.

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This referral is to access support from the young offenders service to help support pupils who are engaging in risky or antisocial behaviours.

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With schools closed the Corona virus is impacting on the direct services the Caerphilly  Autistic Spectrum Service (CASS) team are able to offer. CASS is offering a telephone  advice line to support families/carers of a child with a diagnosis of Autism during this time of  uncertainty.

Please note this is not an emergency or crisis line.

The service is available to offer:

⮚ General advice

⮚ Suggestions for possible strategies

⮚ Signposting to resources or other services

⮚ A listening ear

You do not need to be referred to CASS to access this service; it is open to any family of a  child with Autism living in Caerphilly County Borough Council.

Opening times  Monday - Friday 10.00am - 3.00pm

Phone Numbers: 07765401031 or 07765406955

If no one is available to take your call please leave a message and a contact number. A  member of the team will get back to you as soon as possible.

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This referral is for secondary aged pupils and the sessions can be delivered in small groups. It is not suitable for primary aged pupils.

This is a referral to the Caerphilly Autistic Spectrum Service for sessions for pupils who have been diagnosed with ASD. The sessions are to help the pupil understand their diagnosis and what it means to them in their lives.

*Please email cass@sch.caerphilly.gov.uk for referral form.*

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This guidance gives you information on the services that CASS provide and the different referral types that can be made for varying ages and needs. The actual referral forms for support are on the universal, targeted and specialist support section of this padlet. This guidance is an overview of the type of support you could seek from CASS.

Please email cass@sch.caerphilly.gov.uk for this document.

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CASS CONSENT FORM AND PARTNERSHIP AGREEMENT 24-25

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CASS CONSENT FORM AND PARTNERSHIP AGREEMENT 24-25

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Please email cass@sch.caerphilly.gov.uk for this form

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This referral is for longer term referral support for pupils with ASD and their families. It is for them to access support from the Caerphilly Autistic Spectrum Service.  For more information on types of support available please see the guidance in the purple section of this padlet.

Please email cass@sch.caerphilly.gov.uk for this form.

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In very exceptional circumstances there may be a need for a temporary reduced / part-time timetable to meet a child or young person’s individual need. For example where a medical condition prevents full-time attendance in education such as in the case of children at the special school, or where reduced / part time offer is considered as part of a reintegration package. A reduced timetable should be supported by a package of blended learning led and monitored by the school and suitable for the individual child.  Please contact your statutory officer for this document

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Mental Health In Reach to Schools aims to improve and promote the wellbeing of pupils in school settings throughout Gwent by developing school staff’s skills and confidence to support pupils with lower-level mental health and wellbeing needs, within their competence and role as school staff. The team is made up of Mental Health Nurses, a School Nurse, a Occupational Therapist, Teachers, Counsellors and Mental Health Practitioners comprising of years of experience of working in CAMHS, education and with children, young people and their families.

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Professionals can call the CAMHS emergency duty line if they need advice or guidance about a child's emotional needs. This should only be used in emergencies, where there is a real and imminent concern for a child's mental health.

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Parent Self referral for SPACE WELLBEING

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Parent Self referral for SPACE WELLBEING

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This is a digital questionnaire for families to request support from the SPACE Wellbeing Panel.

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CAERPHILLY SPACE WELLBEING
FAMILY QUESTIONNAIRE

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This screening tool is to help staff ascertain the pupils area of communication need:
·       A & L = Attention and Listening

·       P/Interaction = Play/Interaction

·       Understanding = Understanding Spoken Language

·       Using Language = Using Spoken Language
This can be used as supplementary evidence when submitting a request for advice to the ComIT team.

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This is the form to request advice from the ComIT team who support with communication needs. You must complete the screen tool to submit with this request (the screen tool can be found in the EXTERNAL UNIVERSAL section of this padlet.

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The Vision Impairment Service has a new online referral form which is now live for referrals to be made to the service on behalf of families.

The official launch will take effect from 1st September 2023, at which point we will only be accepting referrals via the online method after this date.

To make a referral to the VI Service, please click on the link below.

Referral for assessment by a Qualified Teacher of Vision and/or Multi-Sensory Impairment

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Parent Self referral for SPACE WELLBEING

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Parent Self referral for SPACE WELLBEING

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This is a digital questionnaire for families to request support from the SPACE Wellbeing Panel.

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CAERPHILLY SPACE WELLBEING
FAMILY QUESTIONNAIRE

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This is a padlet created with information on a range of different needs. It is intended to upskill and educated people who are supporting learners with additional learning needs. You could direct teaching staff, LSAs and families to the resources on this padlet.

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ALN & Inclusive Education: Training Resources

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Topics are A-Z from left to right.

When you find what you’re looking for, scroll down to see what is available.

Approximate or suggested timings are provided.

🟡 Video training is yellow.
🔴 Reading materials and articles are pink.
🔵 Online courses and webinars (some are recorded) are blue.
🟣 Podcasts are purple.
🟢 Websites are green.

# data[].attributes.body
This padlet has information, research and resources for parents of ND Children and Young People.