Please note: We are not a crisis service. If you are feeling suicidal or in crisis, please contact one of the services listed below for support.

Young Person Self Referral form

If you are a young person interested in our services please complete the form below and one of our team will respond as soon as possible. If you need support to complete, one of the team will be happy to help you.

Please tick the boxes below, if you are unable to truthfully tick the boxes please refer to the list of services at the bottom of the page.

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Your Name(Required)
Date of birth(Required)
Please let us know if any of the following apply to you(Required)
Address(Required)
Please indicate your preferred method(s) of contact(Required)

YPS is not a crisis service

If you are in crisis, please seek urgent support

  • If it is an emergency: go to A&E or call 999 for emergency medical attention.

  • PAPYRUS HOPELINE247 (for individuals under 35): Call 0800 068 414

  • Call NHS 111 and select the mental health option.

  • Over 18’s contact the Samaritans on 116 123 (available 24/7).

  • Under 18’s contact Child line on 0800111

  • Visit the Staying Well Service (out-of-hours mental health crisis support for people aged 18+):
    Staying Well at Methold House, North Street, Worthing BN11 1DU.
    Opening hours: Monday–Friday, 5pm–10.30pm; Saturday & Sunday, 3pm–10.30pm.
    Call 01903 268107 or email sww@westsussexmind.org.

  • Text SUSSEX to 85258 (24/7 mental health text support)

  • SHOUT Crisis: text to 85258

  • Download the Stay Alive app, a suicide prevention resource offering tools and safety planning support.