Commonwealth Psychosocial Support initial enquiry form

Areas of support

These questions are about the participant / person who is seeking support from Uniting.
Does the person needing support have positive social connections?*
This may include their social skills and if they have friendships or family relationships.
Is the person taking care of themselves?*
This could include caring for the mental and physical wellbeing
Is the person building life skills and improving their day to day living?*
Is the person employed or studying?*
Please provide further details about employment or study*
Is the person receiving support from any other services?*
Please provide further details about the other supports and the organisation/s are providing them*

Safety and risk
Does the person needing supports have a mental health diagnosis?*
Please provide further details about the mental health diagnoisis*
Are there any known safety concerns to self, others, or environment?*
Please provide further details about safety concerns to self, others, or environment*
Has the person needing support had suicidal ideation in the last 7 days?*
Is the person needing support dependent on alcohol or other drugs?*
Does the person needing support have any other diagnosed disabilities?*
Please provide further details about the other diagnosed disabilities*