SCESS Young person self-referral form, 2022-23

Referrals for this offer will close on 5 May.  If you would like to receive this support please make sure you submit your referral before 5 May. 


The Schools & Colleges Early Support Service (SCESS) is a young people’s service. We provide support for young people aged 16-25 who are experiencing low to moderate difficulties such as anxiety and low mood. We offer 1:1 support of 6-8 sessions, remotely. 


We can only accept requests for support from young people who are a pupil at one of the partner schools or colleges of SCESS.  


Whilst our service is confidential, we work with a key adult in your school or college, and by completing this form you are agreeing to share your information with us and them.  


This key adult can support you in accessing the service remotely and will be our key contact for safeguarding purposes. For example, if you share you are at risk of harm when receiving support from us, or do not attend sessions without letting us know, we will need to share this with them. . If you are aged 16 or 17, we also require your parent or carer details for safeguarding purposes. 


The Service is not suitable for all young people. We cannot provide support to young people who are already accessing support for their mental health from another service, or who are on the waiting list for an appointment with NHS Children and Young People's Mental Health Services. 


The following services are open to all young people, 24 hours: 

Please note, this service is  not an urgent or emergency service. If you feel you are at risk of harming yourself,  please contact your GP, attend the nearest A&E department or call 999 as a matter of urgency.  


Call the NHS emergency number 111 if: 

  • You need medical help fast but it's not a 999 emergency  
  • You think you need to go to A&E or need another NHS urgent care service  
  • You don't know who to call or you don't have a GP to call  
  • You need health information or reassurance about what to do next 

We hold all information confidentially, including information relating to equity & diversity, such as ethnicity & gender. As part of our service evaluation, we may use some information anonymously to monitor and identify where we need to focus efforts to ensure we are reaching a representative audience.  


One of our team will contact you within 5 working days to discuss next steps. 





Please complete even if it is the same as your first name.

Please give full postal address of where you live now. Do not include postcode.

Please give the full postcode of where you live now.



We are unable to consider your self referral if you do not give your school email ID.

Please give the full name of the school or college.





Please provide a brief description of the nature of the difficulties.

We cannot offer support to young people who are already accessing support from another service.

If you are 16 or 17 this section must be completed.  We would only contact your Parent/Carer if you are at risk of harm to yourself, to others, or from others.





We try to monitor how we work with people from all backgrounds and cultures, namely to gauge who we are reaching and whether any group is disadvantaged in access to our services.







This means that you are primary carer for a relative or someone close to you.

For example you have been in the care of a local authority or you have had a foster parent foster care.










Contact Information