Self Referral

You can refer yourself for support using this form. Once we receive it, a member of our team will get in touch to talk about the next steps.

What is self referring, and why do I need to do it?

You can contact us yourself if you want support – this is called self-referring. It means you don’t need a GP, police, or anyone else to refer you. You can reach out directly, in your own time, and we’ll listen and talk through what support you’d like.

Eligibility

If you or someone you know has experienced sexual abuse or sexual violence, it can be difficult to know where to turn. You are not alone, and what has happened is not your fault. Support and understanding are available, and help can be accessed at your own pace.

Sexual violence can take many forms, including:

Rape or sexual assault (recent or non recent)
Sexual abuse in childhood or adulthood
Online sexual abuse, including sharing intimate images without consent
Other forms of sexual behaviour that feel unwanted, unsafe, or controlling

It is important to know that sexual violence is never the survivor’s fault, no matter the circumstances.

*We are a survivor focused organisation and as such we do not accept referrals for anyone who is subject (the suspect) to an ongoing police investigation for sexual, domestic or violent offences, or for anyone who may pose a risk of harm to others*

What happens after I submit my referral?

Speak to us

Our specialist team provides confidential, non-judgmental support.

If you submit a self referral form, a member of our Pathway Navigator team will make contact with you to discuss your support options, and if you would like to access the support they will obtain more information from you to process the referral.

You can also self refer by calling us on 0330 363 0063. Your call will be answered by a Pathway Navigator, who will discuss your support options and take your details over the phone.

If you are referring yourself for counselling or group support, the Pathway Navigator will book you in for an appointment to complete an initial assessment, in which a comprehensive care plan will be made to ensure the support is tailored to your needs, and ensure the support from RASASC is right for you at this time.

If you are referring yourself for support from an Independent Sexual Violence Advisor (ISVA), you will be referred to your local ISVA who will make contact with you directly to arrange an initial assessment.

There is no right or wrong way to feel after experiencing or witnessing sexual violence.

If you are not ready to reach out yet, our information pages are here whenever you need them.

What information do you need from me?

In order to process a referral, we require the following information:

Full Name & Date Of Birth
Contact Details (you can inform us of your contact preferences- for example if you don’t want us to send post)
GP details
Brief details of the abuse (approximate time frame, type of abuse, and if/how the perpetrator was known to you)- this is to ensure the team can assess current risk, and to provide you with relevant information (such as sexual health/SARC)
If you are 16 or under, you will need to provide your parent/carers name and contact details.

Are you ready?

I’m ready to refer myself

If you are not ready to refer yourself now

You can access our self-help resources instead for more help and advice.

What our service users say

My ISVA has supported me more than I ever thought they could. If it wasn’t for RASASC I probably wouldn’t be here today. They have helped me to do coping methods and breathing and gave me the confidence to be open and honest with people. Anytime I phoned or text they were there to help me. They made me realise that I am not the guilty one. I am not a victim; I am a survivor.

Female, 36

I have felt well supported by RASASC and have found the service easily accessible and has helped me process my emotions around trauma/SA. I would highly recommend this service. It has meant so much to have a safe space to be heard over these last few months. Thank you for your patience, your insight and for helping me to process some difficulty moments and find my voice again.

Female, 30

My ISVA must be commended for their professional skills in dealing with vulnerable victims, and for their kind and sensitive approach to their role as an ISVA. I couldn’t have coped without their support and the sense they gave me of feeling heard. They advocated on my behalf and I’m so grateful for that.

Female, 60