Mental Health Issues and Substance Misuse in Adolescents.

Mental Health Issues and Substance Misuse in Adolescents.

CONSENT FORM

Title of study:
‘Experiences of mental health issues and substance misuse in adolescence, in relation to current homelessness in adults.’

Researcher:
Nicola Ansell
Email: Nicola.ansell@brunel.ac.uk

Agreeing to consent to participate in this research will have no impact on your access and right to use the soup kitchen at any time, or to talk to any member of staff you wish to. If you wish at any time to remove your consent, your access to the soup kitchen and rights to use it will not be affected.

You can agree to participate in either the interview or focus group or both. However, if you volunteer to participate in one if these you do not need to participate in the other. You can remove your consent at any time.

I agree that I have read and understood the information sheet for the above study and have had the opportunity to ask questions. Please circle.
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I understand that my participation is voluntary and I am able to withdraw at any time without giving a reason. Please circle.
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I agree to take part in the interview part of the above study.

Please Circle.
Yes No

I agreed to take part in the focus group part of the above study

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I agree to the interview and/or focus group being audio recorded. Please circle below:
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I agree to the use of anonymised quotes in publications. Please circle below:
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………………………… ………………………
Name of Participant Date Signature


………………………… ………………………
Name of Researcher Date Signature

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