They accept referrals for the following reasons:

• You believe a Young Person is committing crime
• You have concerns around a young person, you believe that they are vulnerable to committing crime
• You are aware that a young person is committing crime and you believe these services can assist in the care package for this particular young person

A referral that is to be submitted, must be specific to that individual Young Person, If there is more than one Young person involved, please refer separately.

Before referring to the Early Action Team – You need to ask yourself:

• Has there been a crime committed- if it requires a crime to be recorded then it needs to be reported first to the police via 101/ 999 or over web chat, not through this form.

The Early Action Team at WYP have a weekly meeting to discuss these referrals, the young person will then be discussed amongst the team to see what support we may be able to offer them. Once your referral has been discussed, if there is any intervention work we can do, to support the Young Person, an officer from the Early Action Team will be allocated to the young person.

They will make contact with you and inform you of the outcome from the meeting and what the plan is moving forward.

Thank you.

    Your Details
    (referrer) *


    Your Details *


    Your Email *

    Your Phone Number *


    NICHE / POLICE Log Number / CROME No.

    Details of Young Person

    Please insert as much information as possible about the young person

    Title of Young Person *

    Young Person's Name *


    Does this Young Person have Warning Markers?

    Young Person's DoB *

    Address of Young Person






    Gender of Child *

    Is this a child looked after by local council *

    Name of Care Home (if applicable)

    Ethnicity of Young Person *

    What School Does the Child attend *

    Childs GP / Doctors Surgery

    Phone Number of Young Person


    What Services are you Requesting?

    POLICE - is this a "Outcome 22" Referral? *

    POLICE - Are you considering an Out of Court Disposal? *

    Which educational input do you think is most appropriate for the young person being referred?

    Please detail why you are requesting a service? *

    What targeted service are you requesting from the Early Intervention Team? *

    Include anything else that you feel might be useful to know about the young person / family *

    Has any support been provided so far? *

    Parent's / Carers Details

    Please provide as much information as possible, please research all systems available to get the correct & up to date parent details. Without them we can not deliver any intervention!

    Your Details
    (referrer) *


    Your Details
    (referrer) *


    Address (if different from Young Person)







    Have you informed the parent / carer that you are making this referral? *

    Does the parent / carer consent to the referral? *

    Does the parent / carer consent to this referral to the Early Intervention and or its partner services? (such as L&D / YJS) *

    Would you like to be updated on the outcome of this referral? *

    Any Additional / Further Comments *

    Would you like any more information about the EIT? Such as results / what the inputs cover etc?

    *

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