Mentoring Pack - Older Ages to be completed by a Mentor working with a Young Carer aged between 15-24 Mentoring Assessment Pack - Older Ages "*" indicates required fields Young Carers come in all shapes and sizes. They can be any young person between the ages of 5 – 17 who do lots to help a loved one with an illness, disability, mental health condition or dependent on drugs/alcohol. Young Carer's Name* First Last Please avoid using the carer's initials when completing.Young Carer's School/College*-Please select from options-Akiva School (J)All Saints' Primary School, Childs Hill (CE)All Saints' Primary School, Whetstone (CE)Alma Primary School (J)Annemount SchoolArk Pioneer AcademyAshmole AcademyAshmole Primary SchoolAteres Beis Yaakov Primary SchoolBarnet and Southgate CollegeBarnet Hill AcademyBarnfield Primary SchoolBeis Medrash ElyonBeis Soroh SchneirerBeis Yaakov Primary School (J)Beit Shvidler Primary School (J)Bell Lane Primary SchoolBeth Jacob Grammar School for GirlsBishop Douglass Catholic SchoolBlessed Dominic Primary School (RC)Brampton CollegeBroadfields Primary SchoolBrookland Infant SchoolBrookland Junior SchoolBrunswick Park Primary SchoolChalgrove Primary SchoolChilds Hill Primary SchoolChrist Church Primary School (CE)Christ's CollegeChurch Hill SchoolClaremont Primary SchoolColindale Primary SchoolCoppetts Wood Primary SchoolCopthall SchoolCourtland SchoolCromer Road Primary SchoolDanegrove Primary SchoolDeansbrook Infant SchoolDeansbrook Junior SchoolDollis Primary SchoolDwight School LondonEast Barnet SchoolEdgware Jewish Girls - Beis ChinuchEdgware Primary SchoolEllern Mede SchoolEtz Chaim Primary School (J)Fairway Primary SchoolFinchley and Acton Yochien SchoolFinchley Catholic High School North FinchleyFoulds SchoolFriern Barnet SchoolFrith Manor Primary SchoolGarden Suburb Infant SchoolGarden Suburb Junior SchoolGoldbeaters Primary SchoolGoodwyn SchoolGrasvenor Avenue Infant SchoolHasmonean High School (Jewish)Hasmonean Primary School (J)Hendon Preparatory SchoolHendon SchoolHenrietta Barnett SchoolHolland House SchoolHollickwood Primary SchoolHolly Park Primary SchoolHoly Trinity Primary School (CE)Imperial College London Mathematics SchoolIndependent Jewish Day School (J)Jewish Community Secondary School (Jewish)Kerem SchoolKing Alfred SchoolKisharon SchoolLivingstone Primary SchoolLondon AcademyLondon AcademyLubavitch Senior Boys SchoolLubavitch Yeshiva Ketanah of LondonLyonsdown SchoolManorside Primary SchoolMapledown SchoolMartin Primary SchoolMathilda Marks-Kennedy Primary School (J)Menorah Foundation School (J)Menorah Grammar SchoolMenorah High School For GirlsMenorah Primary School (J)Mill Hill County High SchoolMill Hill SchoolMillbrook Park Primary SchoolMonken Hadley School (CE)Monkfrith Primary SchoolMoss Hall Infant SchoolMoss Hall Junior SchoolMount House SchoolNancy Reuben Primary SchoolNorth London Grammar SchoolNorthgate SchoolNorthside Primary SchoolNorthway SchoolOak Hill SchoolOak Lodge SchoolOakleigh SchoolOsidge Primary SchoolOur Lady of Lourdes School (RC)Pardes House Grammar SchoolPardes House Primary School (J)Parkfield Primary SchoolPavilion Study CentrePeninimQueen Elizabeth's SchoolQueen Elizabeth's School for GirlsQueenswell Infant SchoolQueenswell Junior SchoolRimon Primary School (J)Rosh Pinah Primary School (J)Sacks Morasha Primary School (J)Sacred Heart Primary School (RC)Saracens High SchoolShiras Devorah High SchoolSt Agnes' Primary School (RC)St Andrew the Apostle Greek Orthodox SchoolSt Andrew's Primary School (CE)St Anthony's School for GirlsSt Catherine's Primary School (RC)St James' Catholic High SchoolSt John's Primary School, Friern Barnet (CE)St John's Primary School, Whetstone (CE)St Joseph's Primary School (RC)St Martin's Nursery and Preparatory SchoolSt Mary's & St John's School (CE)St Mary's and St John's CE SchoolSt Mary's Primary School, East Barnet (CE)St Mary's Primary School, Finchley (CE)St Michael's Catholic Grammar SchoolSt Paul's Primary School, Friern Barnet (CE)St Paul's Primary School, Mill Hill (CE)St Theresa's Primary School (RC)St Vincent's Primary School (RC)Summerside Primary SchoolSunnyfields Primary SchoolSusi Earnshaw Theatre SchoolTalmud Torah Tiferes ShlomohTashbar of EdgwareThe Annunciation Infant School (RC)The Annunciation Junior School (RC)The Archer AcademyThe Compton SchoolThe Holmewood SchoolThe Hyde SchoolThe Noam Primary SchoolThe Orion Primary SchoolThe Totteridge AcademyThe Windmill SchoolTiferes High SchoolTorah VodaasTrent Primary School (CE)Tudor Primary SchoolUnderhill SchoolUnity Girls High SchoolWatling Park SchoolWentworth CollegeWessex Gardens Primary SchoolWhitefield SchoolWhitings Hill Primary SchoolWoodcroft Primary SchoolWoodhouse CollegeWoodridge Primary SchoolWoodside SchoolWren AcademyNot ListedUnknownMentor's Name*-Please select from options-Kate MichaelAndrew Konadu-BoadiSarah KushimoSuzanne FreemanDeborah MillsEmma Brown - DelanbanqueJamelia CampbellMentoring Period*-Please select from options-Week 1Week 2Week 3Week 4Week 5Week 6Week 7Week 8Date of Mentoring Session* DD slash MM slash YYYY Identified area(s) of need: [Areas identified in initial Mentoring Referral] Reducing isolation (encouraging integration into activities, social groups) Managing emotional wellbeing Tips and strategies for how to manage caring role/home life Guidance with school/future prospects Summary of Agreed Mentoring Goals*Mentoring Goals Achieved*-Please select from options-YesPartiallyNoPlease give a short description as to how Agreed Mentoring Goals were fully achieved*Please give a short description as to why Agreed Mentoring Goals were not fully achievable* Education and Work I’m getting on well with school, training or work I’m finding ways to get on better with school, training or work but there are a few problems I’m trying to get on better with school, training or work, but it’s difficult I want to get on better with school, training or work but don’t know how I don’t get on with school, training or work WEEK 1: Education and Work - How do you rate this area?* Please give any details you may wish to add: Interests and Activities I’m taking part in activities that I enjoy and that build my skills I’m involved in activities that interest me and build my skills but there are some problems I’m trying to be more involved in positive activities and to build my skills but it’s difficult I would like to be involved in something positive but am not sure how I’m not engaged in positive activities that interest me WEEK 1: Interests and Activities - How do you rate this area?* Please give any details you may wish to add: Caring Role I mostly have the skills, understanding and information I need and can plan ahead I have a good idea about my caring role, but still would like to learn more Things are difficult but I’m starting to get to grips with my role I’m finding it hard to cope. I get some support but am not confident it’ll really help It’s hard. I don’t know if I can carry on as things are or how anyone could help WEEK 1: Caring Role - How do you rate this area?* Please give any details you may wish to add: Home Life Our/their home is suitable and we can manage day-to-day tasks well enough Mostly we can manage day-to-day tasks at home but some areas need to be addressed We’re getting by but it’s hard to stay on top of day-to-day tasks or changes are needed to our/their home We’re not coping with many of the day-to-day tasks or our/their home isn’t suitable. I’m getting help to sort this out We’re not coping with many of the day-to-day tasks or our/their home isn’t suitable. There’s no support available or it wouldn’t help WEEK 1: Home Life- How do you rate this area?* Please give any details you may wish to add: How You Feel I mostly feel calm and positive enough and can deal with the pressures of being a carer I’m finding what helps me feel OK or to manage stress, anxiety or difficulties in a relationship but things could be better I’m trying things that might help me manage stress, anxiety or difficulties in a relationship Stress, anxiety or difficulties in a relationship are getting me down but I have some support with this I experience high levels of stress, anxiety or difficulties in a relationship and have no support with this WEEK 1: How You Feel - How do you rate this area?* Please give any details you may wish to add: Health I am healthy enough and look after my health well My health and lifestyle are mostly OK but there are a few changes needed There are no immediate concerns but I need to look after my health a lot better My health is poor or at risk. I have some support with this My health is poor or at risk. There is no support available or it wouldn’t help WEEK 1: Health - How do you rate this area?* Please give any details you may wish to add: Hopes and Dreams I feel positive about my life and am motivated to do well I often feel positive about my life and want to do well but there are a few problems I’m trying to see my strengths and to develop aspirations or goals, but it’s difficult I want to have more hopes or aspirations for my future but I don’t know how I don’t see positive opportunities or feel hopeful about my life or future WEEK 1: Hopes and Dreams - How do you rate this area?* Please give any details you may wish to add:Notes and ObservationsHave you seen any improvements? Yes No Please give details of improvements observed Education and Work I’m getting on well with school, training or work I’m finding ways to get on better with school, training or work but there are a few problems I’m trying to get on better with school, training or work, but it’s difficult I want to get on better with school, training or work but don’t know how I don’t get on with school, training or work WEEK 8: Education and Work - How do you rate this area?* Please give any details you may wish to add: Interests and Activities I’m taking part in activities that I enjoy and that build my skills I’m involved in activities that interest me and build my skills but there are some problems I’m trying to be more involved in positive activities and to build my skills but it’s difficult I would like to be involved in something positive but am not sure how I’m not engaged in positive activities that interest me WEEK 8: Interests and Activities - How do you rate this area?* Please give any details you may wish to add: Caring Role I mostly have the skills, understanding and information I need and can plan ahead I have a good idea about my caring role, but still would like to learn more Things are difficult but I’m starting to get to grips with my role I’m finding it hard to cope. I get some support but am not confident it’ll really help It’s hard. I don’t know if I can carry on as things are or how anyone could help WEEK 8: Caring Role - How do you rate this area?* Please give any details you may wish to add: Home Life Our/their home is suitable and we can manage day-to-day tasks well enough Mostly we can manage day-to-day tasks at home but some areas need to be addressed We’re getting by but it’s hard to stay on top of day-to-day tasks or changes are needed to our/their home We’re not coping with many of the day-to-day tasks or our/their home isn’t suitable. I’m getting help to sort this out We’re not coping with many of the day-to-day tasks or our/their home isn’t suitable. There’s no support available or it wouldn’t help WEEK 8: Home Life - How do you rate this area?* Please give any details you may wish to add: How You Feel I mostly feel calm and positive enough and can deal with the pressures of being a carer I’m finding what helps me feel OK or to manage stress, anxiety or difficulties in a relationship but things could be better I’m trying things that might help me manage stress, anxiety or difficulties in a relationship Stress, anxiety or difficulties in a relationship are getting me down but I have some support with this I experience high levels of stress, anxiety or difficulties in a relationship and have no support with this WEEK 8: How You Feel - How do you rate this area?* Please give any details you may wish to add: Health I am healthy enough and look after my health well My health and lifestyle are mostly OK but there are a few changes needed There are no immediate concerns but I need to look after my health a lot better My health is poor or at risk. I have some support with this My health is poor or at risk. There is no support available or it wouldn’t help WEEK 8: Health - How do you rate this area?* Please give any details you may wish to add: Hopes and Dreams I feel positive about my life and am motivated to do well I often feel positive about my life and want to do well but there are a few problems I’m trying to see my strengths and to develop aspirations or goals, but it’s difficult I want to have more hopes or aspirations for my future but I don’t know how I don’t see positive opportunities or feel hopeful about my life or future WEEK 8: Hopes and Dreams - How do you rate this area?* Please give any details you may wish to add:Reducing IsolationThey know how to behave in different social situations A lot Quite a bit Somewhat A little Not at all People like to spend time with them A lot Quite a bit Somewhat A little Not at all They are usually supported by their friends A lot Quite a bit Somewhat A little Not at all They are treated fairly in their community A lot Quite a bit Somewhat A little Not at all They enjoy their family's/caregiver’s cultural and family traditions A lot Quite a bit Somewhat A little Not at all Managing emotional wellbeingTheir parent(s)/caregiver(s) know a lot about them A lot Quite a bit Somewhat A little Not at all They talk to their family/caregiver(s) about how they feel A lot Quite a bit Somewhat A little Not at all They feel safe when they are with their family/caregiver(s) A lot Quite a bit Somewhat A little Not at all Managing caring role/home lifeThey cooperate with people around them A lot Quite a bit Somewhat A little Not at all Their parent(s)/caregiver(s) really look out for them A lot Quite a bit Somewhat A little Not at all If they are hungry, there is enough to eat A lot Quite a bit Somewhat A little Not at all Their family/caregiver(s) stands by them during difficult times A lot Quite a bit Somewhat A little Not at all Their friends stand by them during difficult times A lot Quite a bit Somewhat A little Not at all Guidance with school/future prospectsGetting an education is important to them A lot Quite a bit Somewhat A little Not at all They feel that they belong at their school A lot Quite a bit Somewhat A little Not at all They have opportunities to show others that they are becoming an adult and can act responsibly A lot Quite a bit Somewhat A little Not at all They have opportunities to develop skills that will be useful later in life (like job skills and skills to care for others) A lot Quite a bit Somewhat A little Not at all Signposting/Referrals Information from your mentoring sessions are kept confidential between you, your mentor and the Barnet Young Carers Team. However, for us to make a referral to one of the services below, we will need to gain consent from your parent/guardian. We will also need to share relevant information on your referral form. Consent I agree to my information being shared.Please select your chosen activity and or area of support* None Access to Barnet Young Carers social activities and trips Access to Barnet Young Carers Tuition Support from my School's Pastoral Team Counselling (BICs, Raphael House, IAPT) Feedback Forms We appreciate receiving your valued feedback as to how the mentoring sessions have progressed and have created feedback forms for the Young Carer and Mentor. Please indicate below if you wish to complete your feedback forms now or to be sent to you to complete later on. Does the Mentor wish to complete their feedback form now?* Yes No Young Carers Feedback Form Here is the link to complete the Mentoring Programme - Young Carers Feedback Form The Mentee has completed their feedback form?* Yes No Mentor Feedback Form Here is the link to complete the Mentoring Programme - Mentor's Feedback Form Mentor's Email Address*
