Provider /Service Name
Contact Name: 
Address: 
Phone Number: 
Fax Number: 
Email Address: 
Website Address: 
 Does the provider:
  Employ people with mental health support needs

Have a double tick (positive about disabled people)
  Have a charter Cater specifically for Mental Health needs
 
Does the provider offer:
  Employment - paid work Sheltered Employment
  Voluntary work Work preparation
  Employment support scheme Education
  Training Vocational Assessment
  Work experience placements Job Brokerage
  Advocacy Translation/Interpretation services
  Welfare advice Support to sustain employment
  Age specific groups: if yes, which groups
  Women/men only groups: if yes, which groups
  Groups for specific ethnic minorities: if yes, which groups

 
Setting:

 
Target groups :
 
Training provided:
 
Employment Provided:
 
Funding:
 
Places per sessions:
 
Places per course:
 
Links with Job Centre Plus:
 
Links with Job Brokers:
 
Links with primary Mental Health:
 
Links with secondary Mental Health:
 
Outcome measures :
 
Number in paid employment:
 
Number in training:
 
Number in Jobs:
 
Accessible Premises:

  Fully Limited (ie ground floor only) Not accessible
 Service Description: please use approximately 50 words
 
 Transport information: please list buses, trains and underground info.