Bridge-way Referral Form

Bridge-way Referral Form

(Probation Use Only)

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

This referral form is for use by Probation staff only. Referrals submitted from outside of Probation cannot be accepted.

This form is used to refer individuals into the Bridge-way Navigator service. Bridge-way is a highly targeted intervention for people returning to Bradford from custody who have been sentenced (not on remand) and are at high risk of recall, particularly where this is linked to accommodation instability and multiple unmet needs.

This is an intensive, relational service delivered by a small specialist team of two Navigators, each working with a limited caseload of approximately 10 individuals. It is therefore essential that referrals align with the eligibility criteria and are focused on those most likely to benefit from this level of support.

The eligibility criteria are embedded within this form and must be met in full. A number of fields are mandatory to ensure that referrals can be reviewed efficiently and decisions made at pace. Referrals cannot be submitted unless all required fields are completed.

Once submitted, the referral will be received directly by the Bridge-way team, who will review the information and make contact with the referrer to confirm next steps.

If you would like to discuss a referral, or consider suitability before completing this form, please email the Bridge-way team at: bridge-way@thebridgeproject.org.uk. A member of the team will respond within 24 hours.

Referrer Details

Name*

Person Details

Name*

Consent

HMPPS grant funding requirements state that an individual's informed consent must be obtained and documented before a referral is submitted.

Declaration:

Consent*
Consent
Consent*
Consent*

Eligibility Check

Referrer must confirm ALL apply:

Aged 18+*
Post-sentence (not on remand)*
Returning to Bradford on release*
Minimum 2 months remaining in custody at point of referral*
Minimum 4 months licence period on release*
No sexual offence/sexual offending conditions*
Must have a history of recall within last 5 years*
Likely accommodation need on release*

Recall History

Please enter a number from 1 to 15.

Needs Profile

To meet eligibility, individuals must present with unmet needs at or above the following threshold:

  • Men: unmet needs in three or more areas
  • Women: unmet needs in two or more areas
Mental health needs*
Substance use (drugs and/or alcohol)*
Physical health issues*
Domestic abuse (perpetration)*
Domestic abuse (victim-survivor)*
Social isolation / lack of pro-social network*
Financial / benefits needs*

Risk Information

Risk of harm to others*
Risk of self-harm / suicide*
Risk of harm from others*
History of violence*
Gang affiliation*

Engagement history

Professional Rationale

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