Referral form
Response and Mind share a referral form for applications for supported housing and support. Referrals are accepted from health, social care, and local authority organisations where longer-term placements and support are being sought for individuals.
We are unable to accept self-referrals.
We kindly ask that you answer all questions as fully as possible, so we can ensure you receive the most appropriate assistance. If this is your first time completing the form please read the guidance below.
Please note that it is not currently possible to save the form while completing it. However, once submitted, you will be able to download a copy for your records.
We are unable to accept self-referrals. If you need to access support for yourself, please visit our Get urgent help page.
We accept Referrals from:
Supported Housing Eligibility Criteria (Oxfordshire)
To be considered for a placement, applicants must meet the following criteria:
1. Local Connection
Must have a demonstrable local connection to Oxfordshire (e.g., residence, family, or established support networks).
2. Assessed Support Need
Must have an identified and assessed support need under either the:
- Section 117 aftercare (Mental Health Act)
- Care Act 2014 eligibility criteria.
3. Mental Health Diagnosis
Must have a diagnosed mental health condition.
4. Engagement with Mental Health Services
Must be:
- Currently open to Adult Mental Health Team (AMHT), or previously known to.
- Willing and able to be referred and engage with appropriate community mental health services.
5. Financial Eligibility
Must demonstrate the ability to pay rent and service charges, either through either:
- Welfare benefits (e.g., Housing Benefit/Universal Credit).
- Alternative secured funding arrangements.
We cannot accept:
- Self-referrals.
- Referrals from friends and family.
- Referrals from GPs.
What to prepare before you begin your referral
Before beginning this referral, please ensure you have the following paperwork available to send to us. A referral will not be processed until we have all of the information.
We require:
- A care plan.
- A risk assessment.
- A Care Act Assessment or 117 Assessment.
- Completed budgeting tool.
- A signed consent form, with wet (handwritten) or digital signature.
*If applying for 24-hour services, a Care Act Assessment or 117 Assessment is mandatory. If applying for transitional services, it is beneficial, but not required unless the applicant is currently admitted to a ward. If you are supplying a Care Act or 117 Assessment, please check which parts of the form you need to complete.
We require:
- A Care Act Assessment.
- A GP summary, GP letter or AMHT assessment with a clear, active, mental health diagnosis listed.
- A risk assessment (if available).
- A completed budgeting tool.
- A signed consent form, with wet (handwritten) or digital signature.
*Referrals for an applicant currently under probation require a risk assessment.
Including: Out of Hospital Teams, the Adult Homeless Pathway, local authority housing departments, social prescribers and probation.
We require:
- A care plan (if available).
- A risk assessment (if available).
- A GP summary, GP letter detailing a clear, active mental health diagnosis or AMHT assessment with a clear diagnosis.
- A completed budgeting tool.
- A signed consent form, with wet (handwritten) or digital signature.
*Referrals from probation departments or where the applicant is currently under probation require a risk assessment.
Contact us
If you have any questions or need help completing the form, please don’t hesitate to contact us at referrals@response.org.uk.
We’re here to support you.