Parenting an Anxious Teen

Parenting an Anxious Teen

Expression of Interest
Learn about anxiety and find out practical skills to be able to support your young person!

Topics include:

· A quick introduction to Emotion Coaching

· Understanding anxiety

·     Challenging anxious thinking

·     Strategies for anxious moments

·     Common anxiety traps
Cost: FREE

Who: Parents and carers of young people aged 12 - 18 years.

When: Thursday 28th of April, 5th of May and 12th of May from 6pm-8pm

Where: Online via Zoom

* groups are limited in size, therefore sometimes not all expressions of interest can be confirmed for the upcoming group. However, those who don't make the next group will be contated for groups in the future.

* for groups to go ahead, minimum numbers are required. Therefore in the instance where minimum numbers aren't met the group will not proceed.

For further information contact Erryn at headspace Ballarat on (03) 5304 4777 or email programs@headspaceballarat.org.au

Your Details
Name*

First NameLast Name
Preferred name
Pronouns
Country of birth & ethnicity*
Address*

Street Address

Street Address Line 2

CityState

Postcode
Phone number*
Contact preference*

Phone callSMSEmail
If phone call selected as preferred method of contact is it OK for headspace Ballarat send you reminders and other information via SMS?*

YesNo
Email*
Are you currently involved with other services or supports? If so which?
Is your teen currently involved with other services or supports? If so which?
What do you hope to get out of the program?
Young Person 1
First NameLast Name
Date of Birth*
Please list further young people and ages if applicable:

Consent, Confidentiality, Your Rights & Responsibilities
It’s also important to us that you understand what happens to your information. Please read the below information and attached document carefully and, if you have any questions, ask us!

I have read the information for the collection and use of my personal information document and unders tand why my information must be collected. I also know headspace Ballarat has a Privacy Policy, which covers the collection, storage, disclosure and security of client information. The Policy conforms to the Health Records and Information Privacy Act 2002 and all other relevant Government laws and regulations. I understand that I do not have to give information when asked, but not doing so may limit the range of services available to me.

Consent to transfer information will allow:
- Access to client assessment information only by agreed relevant other services
- This service provider to indicate their involvement to other services
- Case management and care co-ordination meeting discussion for care planning
- Collection of non-identifiable statistical information
Agreed relevant other services:
- GP/Hospital
- Ballarat Community Health/Mental Health Services
- Department of Health & Human Services (e.g. CPU, Medicare, Centrelink)
- Counselling/Welfare support services
- Centacare Ballarat
- The Police
- School/School Wellbeing
Specific services NOT agreed to (please list):
Click the link below to read further important information about confidentiality and your rights and responsibilities when accessing headspace Ballarat services.

Confidentiality Statement - Rights & Responsibilities
Parent/Carer signature: Please note that by the notation of my name in the following section, this is an electronic representation of my signature for all the purposes required in this document, just the sameas my normal pen and paper signature
Parent/Carer signature*

Clear
headspace National Youth Mental Health Foundation is funded by the
Australian Government Department of Health.

headspace Ballarat
28 Camp Street BALLARAT CENTRAL VIC 3350
Phone: 5304 4777
Email: programs@headspaceballarat.org.au
Should be Empty:

Parenting an Anxious Teen

Your Details

Young Person 1

Consent, Confidentiality, Your Rights & Responsibilities