Make a Referral

Are you referring a women between the ages of 18 and 23?

Yes they meet the age requirement

No they do not meet the age requirement. I will return when they are of age

This person will be 18 within 30 days

Please be advised that unfortunately, we are currently unable to accept young women and their children

This person has no children

This person has a child/children but not in her care

How soon is housing needed?

Within 3-5 days

Within 30 days

Within 30-60 days

We want to help! What mental health services are already in place?

Has some mental health needs and already receives mental health treatment

Has some mental health needs and would like to be connected to mental health services

Has participated in mental health services in the past but not currently

Has never had mental health services and has no need

We want to help! Will this person need to be supported with the following services or does she already receive the following services?

Drug and Alcohol

Domestic Violence

Probation or Parole

What is the Employment status?

Currently searching for employment

Working part-time

Working full-time