Family Assessment Support Homicide

The HUB uses this assessment form to offer ‘peer support’ and advice under the roof the HUB. It will also identify concerns and a family’s additional needs in order to provide more accurate hands on service for the whole of a victim’s family of homicide and culpable road death. Families Fighting for Justice are here to support you and each of your family members once we have identified from your form any areas where support and advice is most needed.

We understand every part of your emotional roller coaster ride journey. Once you have helped us to fill out the assessment form, we will start helping you as we listen to your needs.

The HUB is a ‘One Stop Shop’ no appointment needed. We are open five days a week 9.30am to 4pm. We also offer a 24hr help/listening line. We know only too well there are days when you are unable to keep appointments this is why The HUB is that place that you can turn to without making or breaking appointments.

‘No one should have to suffer in silence’

Phone Number 0151 709 2994

24 HR PHONE/HELPLINE NO 07740149899

Email: homicideteam@homicidesupporthub.org

Visit: homicidesupporthub.org
Visit: familiesfightingforjustice.org
Visit: ourlostloveyears.co.uk

    Permission Consent Form

    This is to certify that as you

    are trying to reach your goals and achievements also objectives, if when within the assessment and development plan you have ticked affected areas in need of support, that if you would like us to speak with anyone regarding any one of those boxes ticked, example housing issues or school problems with your child/children.

    To do so we would need the legal requirement to allow us to speak on your behalf, therefore we would like to ask you to sign this form allowing us to do so. As we adhere to the Confidentiality and GDPR Act 2018.

    Please Sign

    About the Incident

    Situation Information

    This section identifies and details the situation and/or circumstances of the family that has led to The HUB becoming involved. Full details of what this could entail can be found in the FASH guide document and are not exhaustive.

    What areas of the family situation and/or circumstances are in need of being supported?

    This includes areas of concern to monitor, areas of priority and areas and/or needs that may need to be externally referred.

    Personal Details



    OLLY Childrens Group

    Would you like your child/children to become a member of our O.L.L.Y Group? (Our Lost Love Years). If so, please provide information for each child. Please note: you will be required to complete the O.L.L.Y enrolment form for each child.

    Childs Name Relationship Date Of Birth School/Collage

    Affected Areas In Need Of Support

    Any Extra Details?

    Other Factors

    Brief Outline of Your Tragedy Incident/Incidents

    If yes detail which services will be able to provide the support.

    Members Signature

    Assessors Signature

    Once you have read this form please sign to agree to its intentions in offering you or your family the support or referred to the appropriate agency who will be qualified in their own field to professionally help you. The Hub will monitor your journey including peer support you are receiving under the roof of The HUB. In making sure you are receiving the best support possible if we have to also with your consent refer you onto another organisation qualified in their own field.


    Signed by Assessor

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