Bail supervision: national guidance

Annex 11 Bail Supervision Outcomes Measure

DELETE BEFORE USE - agreement to complete this form must first be sought from the person subject to bail supervision.

Pre / Post-Bail Supervision (circle as required)

Name:

Date:

To support you through this period of change, this outcome measure allows you to document (on a scale of 1-5) where you feel that you are currently placed in relation to the specific areas noted. This will allow staff to identify areas where you can be supported.

[Examples provided below - insert areas of change as necessary]

Mental health

1

2

3

4

5

Substance use

1

2

3

4

5

Peers

1

2

3

4

5

Health

1

2

3

4

5

Lifestyle

1

2

3

4

5

(1=poor 5=positive)

This should be completed before and after the period of bail supervision, if possible.