Reach North West

Outreach Crisis Service

We understand that raising an autistic child can present unique challenges.

We know it is vital that families are empowered to support their child in order for them to REACH their potential.

Our Outreach Crisis Service provides bespoke packages designed to meet your families individual needs. Our professional teams work in the home environment with your family over 12 sessions providing the support needed to reduce the crisis and leave the family in a stronger position.

REACH NW can support families facing the following challenges.

Communication

Communication may cause ‘behaviours that may be seen as challenging’ and all children regardless of needs should have a form of communication, it’s imperative a child can make themselves understood, have a voice and express their likes and dislikes, we will help your child with communication in whichever form meets your child's and family needs.

Behaviour Which May Be Seen As Challenging

If your child is displaying behaviours please do apply, behaviour is communication, a child will display behaviours for a reason, and we will support your child and family in finding out firstly why the behaviour is occurring and secondly what we can do to support.

Independence /Self Help Skills

Self-help skills are critical for maintaining physical health and well-being. We can support your child in acquiring new skills that will enable greater independence.

Food Selectivity/ restricted eater

When a child restricts foods and is unable to obtain the nutrients they require to thrive it is important to seek support. We can support to expand food repertories and mealtime habits.

Apply today using the below form. We are excited to meet you and support your family as a whole.

Please enter your contact information

First Name*

Please let us know your first name.

Last Name*

Please let us know your last name

Email Address*

Please let us know your email address.

Phone Number*

Please let us know your telephone number

Your Address*

Please let us know your address

Town/City*

Please let us know which town or city you live in

Post Code*

Please let us know your post code

Reason for application

Please tick only one of the listed categories below, tick the one that most concerns you, the one that you want us to support your child and family with over the 12 sessions.

Please Tick below*

Behaviours Which May Challenge

Communication

Independence /Self Help Skills

Food Selectivity/Restricted Eater

Please let us know which category you would like help with

Please describe in as much detail as you can the behaviour which is challenging and how it affects your child and you as a family.

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Please describe in as much detail as you can the communication issues your child is experiencing and how it affects your child and you as a family.

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Please describe in as much detail as you can the Food Selectivity/Restricted Eater issues your child is experiencing and how it affects your child and you as a family.

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Please describe in as much detail as you can Independence/self help issues which affects your child and you as a family.

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Childs Information

Childs First Name*

Please enter the childs first name

Childs Last Name*

Please enter the childs last name

Gender*

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Childs Age*

Childs age e.g. 3 years 6 months

Date of Birth*

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Has Your Child Had SaLT (Speech and Language Therapy)*

YesNo

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How Was The SaLT Provided

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How Often?

Please let us know how often

Has your child had behavioural therapy or any intervention regards to the behaviours that may challenge *

YesNo

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How Was The Therapy Provided?

PrivateNHS Invalid Input

How Often?

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How Often?

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Under Which Consultancy and or Company?

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Payment

To support the cost of the REACH North West ‘In home outreach service’ we ask families to make a a donation each week/per session for 12 sessions rather than request a set payment. A form will be given to you every session for you to fill in and return the same day, by making your donation you allow us to continue to help support families just like your own and for that we thank you.

Please confirm you are happy with a donation for the sessions*

YesNo

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Sessions

Each course is 12 home sessions, each session is 2-3hrs, these sessions will be run over a 3-month period and a time and date will be discussed with you – we have a limited number of places please tick which days your child could attend at home.

Do you have a separate quiet space, without interruptions from family members or siblings in your home for the sessions? The answer will not affect your application.*

YesNo

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Would you like us to put your child's name down on our waiting for a set of 12 sessions if we have no immediate availability? *

YesNo

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Please tick to confirm that if you decide the sessions are not for you will let us know as soon as possible, we always have a waiting list

I agree to inform you asap if I do not want a place when offered *

I Agree

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Reach North West is a voluntary group that rely on supporters and volunteers. Would you be able to help in any of the following ways?

Please tick those you are able to help out with.

Please let us know in which way you could help

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If you have any other questions please use this box

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How Did You Hear About REACH North West? *

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‘In Home Outreach Service’ Application

Outreach Crisis Service

Communication

Behaviour Which May Be Seen As Challenging

Independence /Self Help Skills

Food Selectivity/ restricted eater

Apply today using the below form. We are excited to meet you and support your family as a whole.

Please enter your contact information

Reason for application

Childs Information

Payment

Sessions

REACH North West. All rights reserved