Events from October 23, 2015 – April 15, 2016

Screening Tool Instructions

The following questions have been adapted from the screening tool developed by Wellspring Living & Georgia Cares. This form IS NOT INTENDED AS AN INTERVIEW FORM with questions to be asked of the youth directly. It is New Hope’s opinion that such interviews should be handled by (or in the presence of) licensed mental health professionals.

Instead, this form should be completed by (or with the assistance of) persons who are familiar with the child and their circumstances. Such persons might include foster parents, case workers, counselors, CASA, and etc. Feel free to use this form and the narrative field both if you feel responses require some explanation.

Referral Form Instructions

Thank you for completing this referral form! New Hope is anxious to partner with Arkansas DHS /DCFS in the restoration of youth who have a known or likely history of human trafficking and who meet the “Referral Criteria.”

Services Offered:
New Hope seeks to provide:

Mentoring to youth meeting the referral criteria
Other supportive services and activities for both the youth themselves and their foster families.

In the event that DHS should be contacted concerning care for any trafficking survivors not within the AR DHS system, New Hope will accept referrals from any location in Arkansas to assist in finding restorative placements for these survivors. Our contact information may be shared with any agency or individual.

Referral Criteria:
New Hope will accept NEW REFERRALS for youth meeting these criteria:

Male or female youth
Ages 6-17
- (For youth who attain the age of 18 while already being served by New Hope, a relationship with a mentor may continue at the discretion of the mentor and mentee.)
Known or suspected history of sex or labor trafficking or sexual exploitation
- (A field exists within the form to describe the youth’s known history, or to explain why you suspect trafficking. You may instead complete the included screening tool.)
Voluntary Participation
- New Hope CURRENTLY will ONLY accept youth whose participation is voluntary
Residing within a 35 mile radius of Russellville, AR
- As we add new volunteers, our service area will expand and this bullet point will change.
Without active psychosis, suicidal or homicidal ideation, or condition indicating locked placement
Without a pattern of violence towards persons within the last year

New Hope staff will meet with the foster family and with the youth themselves prior to assignment of a volunteer mentor. Mentors are assigned as our volunteer availability permits. A mentor will be assigned who is of the same sex as the student.

As volunteer availability allows, we will attempt to assign a mentor of the same race as the student to provide a positive role model to whom the student can readily relate. If a mentor of the same race is unavailable, a mentor of a different race will of course still be assigned. New Hope provides services without discrimination except as pertaining to the referral criteria.

For questions, please contact us by phone at 501-777-5955 or via email at [email protected].

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