Door 43 Service Criteria

While we want to support everyone who is within our service thresholds, there may be times when, in our professional opinion, our offer does not adequately meet the needs of a client; we will then make every effort to signpost to a more appropriate service.

  • Aged 13-25 

  • Key issue is mental health and emotional wellbeing, or barriers to accessing wellbeing support or community activities 

  • Willingness to engage in sessions with a worker face to face or online

  • Not already engaging in a service providing similar support to Door 43 which may conflict with our offer

  • If assessed by the STAR team in the past 3 months, then we require sight of the assessment before offering support

Please note, this list is not exhaustive – please give us a call if you are unsure.

Presenting issues we can work with:

  • Low mood and anxiety (low-medium level presentation)

  • Managing stress or resilience building

  • Emotional regulation

  • Understanding self and identity (not gender specific)

  • Low level issues around body image and appearance

  • Signposting and advice on sexual health

  • Signposting and advice on the impact of physical health issues

  • Identifying and sourcing wellbeing activities

  • Support needed with sex and relationships,

  • Friendships and bullying

  • Adverse Childhood Experience

Counselling service only:

  • Bereavement

  • Lived with or experienced domestic abuse*

*Specific counselling service offer (11-18)

We might support the below presenting issues depending on the level of risk and individual assessment:

  • Moderate Suicidal ideation but protective factors identified, and support is accessed.

  • Mild to moderate self-harm

  • Multiple issues in the green

  • Significant life event

If any young person has the below presenting issues, we will not offer any direct support on those. However, we may be able to offer them support with issues that are in the green if they have the appropriate services also involved.

  • Gender identity and sexuality

  • Substance use

  • Eating Disorders including body dysmorphia

  • OCD

  • Problems at home

  • Long term diagnosed mental illness

  • Inappropriate behaviours including online safety

We do not support young people with or currently experiencing the below regardless of having presentations on the green list: Support in a Crisis

  • High level or immediate suicide risk

  • Mental health crisis within 3 months

  • Housing crisis

  • Severe and persistent self-harm

  • Young people actively using substances which impacts the offer of support

Our Pathways

All our interventions are grounded in evidence-based practice, provided with clinical oversight.

We have the following types of support available:

Pathway Description Threshold of Need
Open access

Weekly Wellbeing Cafes groupwork service

Weekly Drop-in one to one service (accessible in-person and online) 		Level 2 – Universal Plus
Social prescribing Personalised social prescriptions and wellbeing interventions; finding and increasing motivation to engage in activities that support wellbeing Level 3 – Partnership Plus
1-1 Interventions 6-8 structured one to one sessions with a Health and Wellbeing Practitioner

Level 4 - Targeted
Groupwork Resilience building, psychoeducational, and therapeutic groupwork

Level 4 - Targeted
Counselling Psychotherapy provided by a qualified Counsellor (Registered with a recognised professional body, e.g. BACP, NCPS or HCPC)

Step up / step down between clinical services and Door 43, and transition from young peoples to adult services