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Housing Support Service

Preventing anti-social behaviour in North Staffordshire by supporting people with mental health needs and avoiding evictions.

Refer your tenant

If you're concerned that your tenant's mental health is impacting their ability to manage their home or is attributing to incidents of ASB please fill out the form below and someone will be in touch!
Tenant personal details
Please enter the full name of your tenant
Please enter the date of birth of your tenant
Please enter the telephone number of your tenant
GP name and address
Landlord details
This could be any current physical or acute health concerns like mobility issues, sensory impairments, or communication issues.
These could be any current or previous mental wellbeing issues that may affect their mood or behaviour like memory concerns, a Dementia diagnosis, or capacity.
This could be outstanding debt, issues paying rent, or have accounts in arrears.
Are there any known incidences of physical or verbal abuse, threats, physical aggression or violence towards others, including loss of temper with staff?
This could include any current or previous issues with alcohol or any other substances relating to the tenant or the property
This could include any current or previous incidents of domestic abuse, harassment or threats from family, partner, or associates. Or is there anyone else of concern living at the property we need to be aware of?
This could include any pets