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NEEDS ASSESSMENT
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Needs Assessment Detail:
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Date (dd/mm/yyyy):
Client Group:
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Primary client group:
User-defined primary client group:
Local connection:
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Local connection:
Disabilities:
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Has a disability:
Physical Health:
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Has physical health problems:
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Physical health problem details:
Other physical health problems:
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Physical health problems >12 months:
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Supported with physical health:
Mental Health:
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Has mental health difficulties:
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Mental health difficulties details:
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Mental health difficulties >12 months:
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Has mental health diagnosis:
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Mental health diagnosis details:
Other mental health diagnosis:
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Mental health diagnosis >12 months:
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Supported with mental health:
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Mental health support that helps:
Other MH support that helps:
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MH support that WOULD help:
Other MH support that WOULD help:
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Use drugs / alcohol to cope with MH:
Involvement with the Police in the last year:
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Had involvement with police - 1yr:
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Had reprimand/warning/caution - 1yr:
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Involved with probation - 1yr:
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Involved in youth justice - 1yr:
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Unspent criminal convictions - 1yr:
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Spent criminal convictions - 1yr:
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Subject to MAPPA arrangements - 1yr:
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Served a community penalty - 1yr:
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On licence - 1yr:
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Served a prison sentence - 1yr:
Involvement with the Police ever:
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Had involvement with police ever:
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Had reprimand/warning/caution ever:
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Been involved with probation ever:
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Been involved in youth justice ever:
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Had any criminal convictions ever:
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Been subject to MAPPA ever:
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Served a community penalty ever:
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Served a prison sentence ever:
Education, Training and Employment:
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Economic status:
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Total time in paid employment:
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Work history:
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When left last paid job:
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Highest qualification level:
Substance Consumption:
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Takes / used to take substances:
There are serious errors in your form submission, please see above for details.
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