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U-CAN Referral Form

Inclusion criteria;

  • Currently registered as a student at LJMU or UoL
  • Continuous low mood, anxiety or both
  • Feeling like day to day life and activities are a struggle
  • Unsure how to improve mood or levels of anxiety
  • Struggling with levels of motivation
  • Happy to engage in a group therapy
  • Commitment to attend for 6-8 week period

Exclusion criteria;

  • Presenting with symptoms of mental illness such as psychosis
  • Already engaged with a secondary mental health service
  • Currently attending another therapy group or individual
  • Drug or alcohol use is the primary problem 

   


Students Information

Date format: DD/MM/YYYY


Students Contact Details

We will contact the student via email so please have the email account that they check and are happy for us to use


Students GP Details

Details of the referral