Housing

These questions will focus on your current accommodation circumstances and if there are any concerns highlighted in this area further questions will gather information on your housing history and related issues to enable appropriate referrals to support stable and suitable long term housing.

Which case study are you assessing?

Case study 1

Case study 2

Where are you currently living?

Criminogenic Need Identified

Social Acheivement

Where are you currently bedding down?

Are you bedding down with others?

Yes

No

Record details of who and any issues / concerns about these people

First Name :
Last Name :
Relationship :
Concerns :

Record details of who and any issues / concerns about these people (2)

First Name :
Last Name :
Relationship :
Concerns :

Where are you currently staying ?

Organisation :

Keyworker Name :

Address 1 :

Address 2 :

City :

Postcode :

:

Phone :

Email Address :

Country :

Do you have your own room?

Yes

No

Is there anyone over the age of 18 staying with you?

Yes

No

Details of co-habitants 1

First Name :
Last Name :
Relationship :
Date of Birth :

Details of co-habitants 2

First Name :
Last Name :
Relationship :
Date of Birth :

Is there anyone under the age of 18 staying with you?

Yes

No

Details of child 1

First Name :
Last Name :
Relationship :
Date of Birth :

Details of child 2

First Name :
Last Name :
Relationship :
Date of Birth :

Do you feel safe where you are currently sleeping?

Yes

No

Why don't you feel safe?

Criminogenic Need Identified

Social Acheivement

How long have you been homeless / in unsuitable accommodation? (in months)

Is this the 1st time you have been in this situation?

Yes

No

Criminogenic Need Identified

Social Acheivement

Have you ever been evicted from a property?

Yes

No

Criminogenic Need Identified

Social Acheivement

Is your name associated with any other property?

Yes

No

Record details

Why are you unable to stay at this property?

Are there any services currently supporting you in finding accommodation?

Yes

No

Record details of organisation

First Name :

Last Name :

Address 1 :

Address 2 :

City :

Postcode :

:

Phone :

Email Address :

Country :

Do you think you are able to find your own accommodation?

Yes

No

Would you like any support in arranging or attending an appointment?

Yes

No

** Vulnerabilities - Volunteer and Mentoring

How long have you been at this address?

Less than 6 months

6 months - 1 year

1 year +

Criminogenic Need Identified

Social Acheivement

Is your current accommodation temporary?

Yes

No

Do you rent or own this property?

Rent

Own

Record details

What kind of accommodation is this?

Have you got support with this accommodation?

Yes

No

Record details of current support

First Name :

Last Name :

Address 1 :

Address 2 :

City :

Postcode :

:

Phone :

Email Address :

Country :

How long have you been at your current address?

Less than 6 months

6 months - 1 year

1 year +

Is there anyone over the age of 18 staying with you?

Yes

No

Details of co-habitants 1

First Name :
Last Name :
Relationship :
Date of Birth :

Details of co-habitants 2

First Name :
Last Name :
Relationship :
Date of Birth :

Is there anyone under the age of 18 staying with you?

Yes

No

Details of child 1

First Name :
Last Name :
Relationship :
Date of Birth :

Details of child 2

First Name :
Last Name :
Relationship :
Date of Birth :

Do you feel safe where you are currently sleeping?

Yes

No

Why don't you feel safe?

Criminogenic Need identified

Social Acheivement

** Home Visit Prompt

Is your name associated with any other property?

Yes

No

Record details

Why are you unable to stay at this property?

Are you able to stay where you are currently living for longer than 3 months?

Yes

No

Do you wish to find alternative accomodation?

Yes

No

Why are you unable to stay?

Do you have to leave within next 28 days?

Yes

No

Criminogenic Need Identified

Social Acheivement

Considering what we have discussed on a scale of 1-10 how concerned are you about your housing situation?

Very concerned

Not concerned

-

Is Housing linked to:

	Yes	No
Risk of re-offending

Risk of serious harm