In most cases, individuals aged 65 and over are not eligible for housing-related support funding through Housing Benefit under current regulations. 

If {name} is 65 or over, they would not be eligible for Housing Benefit and therefore would not be eligible for a place in Recovery Housing unless funding is secured privately.

We regret that we are unable to accept pregnant clients into Forward Trust Recovery Housing. This is due to the lack of on-site medical facilities and the need for specialist antenatal care, which falls outside the scope of what we can safely and appropriately provide in a community-based setting. If the client is pregnant, alternative specialist services should be explored that can meet both recovery and maternity needs.

Please provide a clear summary of any substance use by {name} within the past 30 days. This information helps us assess both risk and treatment needs. Include the following details where relevant:

• Substances used (e.g., alcohol, heroin, crack cocaine, cannabis, benzodiazepines, prescribed medication, NPS, etc.)
• Frequency and pattern of use (e.g., daily, binge, occasional)
• Quantity used, if known
• Route of administration (e.g., smoking, injecting, oral)
• Whether the client is currently physically dependent on any substances
• Any recent overdoses, adverse effects, or health complications
• Whether substance use is self-reported, observed, or confirmed via testing
• {name} awareness, motivation, and readiness to change
• Any harm reduction or prescribing interventions in place (e.g., OST, needle exchange, alcohol detox plan)

Please provide full details of any current or recent pharmacological treatment {name} is receiving for opiate or alcohol dependency. This is essential for determining admission readiness and detox status. Include the following information:

• Medication name (e.g., methadone, buprenorphine, Suboxone, lofexidine, disulfiram, acamprosate, naltrexone)
• Prescribing service (e.g., community drug and alcohol team, GP)
• Current dose and frequency
• Planned reduction or detox schedule, if applicable
• Estimated completion date for detoxification
• Whether the client will be fully medication-free and substance-free before admission
• Any recent or pending medication changes
• Urine/blood test results, if available, confirming abstinence
• {name} consent and engagement with the plan to come off treatment prior to admission

If {name} has expressed suicidal ideation or thoughts of harming others within the last 6 months, please provide as much detail as possible to help us assess their current level of risk and suitability for service. Include the following information where relevant: Date(s) of disclosure or incidents Nature of the ideation (e.g., passive thoughts, specific plans, means or intent) Whether the ideation was suicidal, homicidal, or both Context in which the ideation was expressed (e.g., during a keywork session, to a GP, in crisis presentation) Professional response/intervention (e.g., referral to crisis team, safeguarding alert raised, mental health assessment completed) Outcome of any assessments or interventions Whether {name} is currently engaging with mental health services Any risk management plans in place (e.g., safety plans, increased monitoring, support arrangements)

If {name} has made a suicide attempt within the last 12 months, please provide detailed information to help us assess the client’s risk history and current support needs. Include the following where relevant: Date(s) of the attempt(s) Method used (e.g., overdose, self-injury, hanging, etc.) Context or trigger for the attempt (e.g., relationship breakdown, substance use, recent bereavement) Whether emergency or medical intervention was required (e.g., hospital admission, A&E attendance) Any mental health assessments undertaken following the attempt Services involved post-incident (e.g., crisis team, CMHT, GP follow-up) Whether a safety plan or risk management strategy is now in place for {name} current presentation and level of risk, if known.

If {name} has a diagnosed psychotic illness (e.g., schizophrenia, schizoaffective disorder, drug-induced psychosis), please provide clear and detailed information to help assess their current mental health needs and whether appropriate support is in place. Include the following: Formal diagnosis (if known) and when it was diagnosed Current symptoms or behaviours (e.g., hallucinations, delusions, disorganised thinking) Whether the condition is currently being managed or unmanaged Mental health support currently in place (e.g., psychiatrist, CPN, CMHT, GP oversight) If unmanaged, explain why support is not currently in place (e.g., client disengaged, services withdrawn, not eligible) Impact on functioning, insight, and risk (e.g., to self or others) Any attempts made to re-engage mental health services or referrals pending Any concerns about medication compliance or deterioration in mental state

Please provide detailed observations if {name} is displaying significant psychotic symptoms that are not formally diagnosed or currently unmanaged by mental health services. This will help us assess potential risk, suitability for admission, and the need for mental health assessment prior to treatment. Include the following where relevant:

• Description of symptoms observed (e.g., auditory/visual hallucinations, fixed false beliefs, paranoia, disorganised or incoherent speech/thought patterns)
• Frequency and severity of these symptoms
• Duration (when symptoms first began or were noticed)
• Context in which the symptoms emerged (e.g., during detox, triggered by stress or substance use)
• Any known triggers or substance-related factors (e.g., psychosis following stimulant or cannabis use)
• Whether {name} has insight into the symptoms
• Any impact on functioning, safety, or engagement with support
• Whether any referrals have been made to mental health professionals for assessment
• Any known risk to self or others associated with these symptoms
   

This question is intended to assess whether {name} is likely to engage meaningfully in structured therapeutic work, including both emotional and physical aspects of their recovery. Please provide honest and detailed information about {name} current stability, readiness, and capacity for therapeutic engagement. Include the following:

• Mental state and level of emotional stability (e.g., is the client overwhelmed, highly distressed, or emotionally numbed?)
• Level of insight into their substance use and its impact
• Willingness and motivation to engage in therapy and structured support
• Whether the client can sustain focus and participation in group or one-to-one settings
• Any barriers to engagement, such as unmanaged mental health symptoms, cognitive difficulties, high levels of distress, or chaotic behaviours
• Any supports in place that aid engagement (e.g., recent stabilisation, good relationships with professionals, clear goals)
• Whether {name} is currently medically or physically stable enough to engage in therapy (e.g., not in acute withdrawal, not experiencing severe sleep disturbance or physical health crises)

This question helps us assess whether {name} has any physical or mental health conditions that would fall outside the safe and manageable scope of the Forward Trust Recovery Housing environment. Please provide accurate and detailed information about any concurrent health issues and their potential impact on participation in the day rehab programme. Include the following:

• Any diagnosed or suspected illnesses, disabilities, or conditions (e.g., uncontrolled epilepsy, unstable diabetes, unmanaged cardiac or respiratory illness, active infections, complex wounds, severe mobility issues)
• Whether the condition is stable, under control, or being actively treated
• Any specialist care or monitoring required (e.g., nursing oversight, medical intervention, frequent GP visits, wound care)
• Any recent hospitalisations or A&E attendances
• Current medication and whether it requires medical supervision or specialised storage/administration
• The impact of the condition on the client’s ability to engage in group and one-to-one sessions, daily routines, or shared living
• Whether the client would be at risk of harm due to lack of on-site clinical support
• Any discussions or advice from medical professionals indicating that structured rehabilitation is not currently suitable

This question is designed to identify {name} who may be in a physically compromised or medically unstable state, posing a risk to their safety within a community-based rehabilitation environment. Please provide detailed information on any observed or diagnosed concerns related to nutrition, hydration, or general physical health that could require clinical supervision or inpatient care. Include the following where relevant:

• Evidence or clinical indicators of severe malnutrition (e.g., significant weight loss, muscle wasting, BMI < 17, signs of vitamin deficiency, weakness)
• Signs of dehydration (e.g., dry mucous membranes, low blood pressure, dizziness, confusion, poor fluid intake)
• Any other signs of physical deterioration (e.g., unsteady gait, poor mobility, non-healing wounds, extreme fatigue, physical frailty)
• Whether {name} has been recently assessed by a GP or hospital team for these concerns
• Any referrals to dietitians, hospital admissions, or medical monitoring currently in place
• Whether the client’s current condition would pose a risk if not managed in a clinical setting
• How their physical health is impacting engagement, ability to self-care, or tolerate group work
• Any recommendations from health professionals regarding the client’s ability to safely participate in community-based treatment

This question helps assess whether {name} has the physical mobility and alertness required to safely participate in a community-based recovery programme, which does not provide clinical or nursing care. Please provide accurate information regarding the client’s current level of mobility and consciousness. Include the following:

• Whether {name} is fully mobile, uses mobility aids, or has any physical limitations
• Whether {name} can walk unaided or requires support with stairs, transfers, or general movement around a shared property
• Any conditions affecting mobility (e.g., recent surgery, chronic pain, neurological conditions, injuries)
• Whether {name} is generally conscious, alert, and oriented throughout the day
• If {name} experiences periods of reduced consciousness, confusion, or drowsiness due to medication, illness, or withdrawal
• Whether they can independently manage basic tasks such as attending group sessions, accessing the bathroom, and preparing simple meals
• Any recent falls, A&E attendances, or GP assessments related to mobility or consciousness
• Any professional advice indicating whether {name} is suitable for an unsupported residential setting

This question is intended to assess risk to staff and other residents by identifying any history of aggression, violence, or restraint when the client is either sober or under the influence of substances. This helps us ensure the safety of the client, other residents, and staff within a community-based setting. Please include the following:

• Details of any known incidents of violence, aggression, or threatening behaviour
• Whether incidents occurred when {name} was sober, intoxicated, or withdrawing
• Nature and severity of the behaviour (e.g., verbal aggression, physical assault, property damage)
• Whether restraint was used, by whom, and in what context (e.g., police, hospital staff, support services)
• Frequency or pattern of such incidents
• Any known triggers or contributing factors (e.g., mental health symptoms, trauma, substance use)
• Whether {name} has engaged in anger management or similar interventions
• Current risk assessment status, if known (e.g., MARAC involvement, forensic history, MAPPA status)
• Any strategies or professional support in place to reduce risk

This question helps determine whether {name} has any legal or criminal justice issues that could disrupt treatment or pose risks within a community-based environment. It is essential for managing continuity of care, risk, and suitability for a non-custodial setting. Please include the following:

• Whether the client is currently wanted by police, has an active warrant, or is facing imminent arrest or recall to custody
• Details of any pending court dates, sentencing hearings, or bail conditions
• Any Probation or Community Orders that may impact treatment attendance or impose restrictions
• Whether the client is subject to electronic monitoring (tagging) or a curfew
• Details of any MAPPA, MARAC, or high-risk offender status
• Whether any of these conditions would interfere with engagement in the programme (e.g., court appearances during treatment, breach of conditions by attending a community setting)
• Whether the criminal justice partners (e.g. probation officer, court liaison, police) are aware of and supportive of the treatment plan
• Any risk to the service or other residents due to the nature of charges or pending action

By signing below, I confirm that I have read and understood the licence conditions outlined in this document. I agree to abide by these conditions should I be offered accommodation. I understand that this document does not constitute an offer of accommodation or guarantee of placement. My signature indicates acknowledgment and agreement to the terms, not acceptance into the Recovery Housing