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 for central Counselling and Health and Wellbeing or 11-18 for DA Counselling and SAPA5 Social Prescribing
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
If in doubt, please don’t hesitate to contact us.
Door 43 service criteria
Please note that 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 (ages 11-18)
We might support the following presenting issues – depending on the level of risk and individual assessment
Presenting issues we might be able to support:
Moderate suicidal ideation but protective factors identified, and support is accessed.
Mild to moderate self-harm
Multiple issues in the green section above
Significant life event
If any young person has the below presenting issues, we will not offer any direct support on those.
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
However, we may be able to offer them support with issues that are in the green if they have the appropriate services also involved.
Presenting issues we do not support:
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
We have gathered a list of resources for support in a crisis, which can be accessed by clicking the button below.
We do not support young people with or currently experiencing the following – regardless of having presentations on the green list
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