Teen Grief- Virtual Group Support Cove Program

If you are the parent or caregiver of a grieving teenager (ages 13-17), or are a teenager who is grieving the death of a loved one-- please consider applying for our online support group for teenagers through The Cove Center for Grieving Children. This teen support group is run by a licensed mental health professional. The support group will cover topics related to exploring the needs of grieving teens, identifying feelings, coping skills and teen specific issues as it pertains to living with grief. This is a safe space for teenagers to be themselves, open up and support one another in navigating the trials and tribulations of grieving while being a teenager. Groups are closed and will take place 1x weekly over the course of 6 weeks, with an option to continue group during the next cohort.

This is a virtual group only

Please choose one or both cohorts to participate in:

Cohort 1: September 2023 - October 2023 (Thursdays 6:00pm-7:00pm, 6 week group)

Cohort 2: October 2023 - November 2023 (Thursdays 6:00pm-7:00pm, 6 week group)

Caregiver Contact Information

First name

Last name

Relationship to participant

Street Address

Street Address Line 2

City

State

Postal / Zip code

Phone

Does your family have current DCF involvement?

Yes

Teen's information

First Name

Last Name

School Grade

Birthday

Race

Allergies

Is the teen currently receiving counseling or therapy?

Yes

If other, please describe

Has the teen attended Intensive Outpatient Treatment (IOP) in the last year?

Yes

Has the teen been hospitalized psychiatrically in the last year?

Yes

Are there any specific concerns participant has for participating in a group setting?ere

Is there anything we should know about participant that was not covered above?

Death History

Please list all significant deaths (family members, friends, pets, etc.) in your child(ren)'s life along with the indicated information below.

Who died (full name and relationship to child(ren))

Cause(s) of death

Date of Death

Were you involved in the burial, funeral, or memorial service?

Yes

Cove Family Program Questions

Please tell us the story of the death(s) which brought you the Cove.

What specific concerns do you have regarding your child(ren)?

How did you hear about the Cove?

Please share any other questions or concerns you may have:

I understand this is not a therapeutic group but a mutual peer support group facilitated by a licensed clinical social worker.

Yes

I hereby give permission for The Cove Center for Grieving Children, Inc. to use my child’s artwork to promote the mission of The Cove, a program for grieving children and their families. This may include publication in their newsletter, social media, or on display in their coordinating office.

Yes

Once you submit your application you will be directed to our donation page. There is a recommended $25.00 one-time donation, which will help support our FREE Cove Virtual Programs and offset some of the costs of our organization, but you may contribute whatever is appropriate for your budget to support the services we provide. This process is optional. Thank you for your contribution.

Your application will be submitted to the site(s) of your choice and the site director will be following up with you to discuss your needs and see if the program is an appropriate fit. Please allow 5-7 business days for this request to be processed. If you are filling out this application during June-August, please allow additional response time as we do not run our program during those months. If you have any questions please email us at info@covect.org or contact our Coordinating office to speak with someone at (203) 634-0500.

Thanks for submitting!