It is important that the participant is in the mild to moderately severe depression scale and does not have active suicidal ideation.
The referral form collects the participant's basic demographic information such as contact information and parent/guardian information for participants under the age of 18. It is also used to collect contact information for the referrer, confirm program eligibility, and provide a PHQ-9 score. The BounceBack® coach will re-administer the PHQ-9 during Session 1 and follow up with the referrer if a score greater than 21 is obtained or if active suicidal ideation is identified. A participant with minimal depressive symptoms is not turned away since the referrer knows him/her well and the program can be used as a preventative measure.
It is imperative that of all referrers are able to assess their clients' eligibility for BounceBack® (clinical criteria) . In addition, they must maintain clinical accountability for the participant throughout the course of their journey with the program.
To ensure the success of the program, please be aware that the BounceBack® administrative staff will contact referred potential participants as quickly as possible, within 3-5 business days of his/her application.
Register 
