Who We Are

OTR isn't just a charity providing mental health services, it's a mental health movement mobilised to support, promote and defend the mental health, rights and social position of young people!

How we do this is just as important as what we do, because our approach is grounded in a set of beliefs and assumptions about mental health we think it’s important to be transparent about.

Our Approach

  1. We believe that mental health is social and political as well as personal, so our approach embraces social action and tries to influence systems and policy.
  2. We believe that in the face of contemporary diversity, all theoretical models are wrong, but all of them are useful. As a result, we build our team from diverse backgrounds, experiences and disciplines.
  3. We believe that relationships are what make the difference - so our approach is fundamentally relational.
  4. We believe in the power of networks, and so we emphasise peer relationships, professional partnerships and organisational collaboration in our approach.
  5. We believe enabling young people starts with recognising their capabilities before their vulnerabilities, so our approach is fundamentally strengths based.
  6. We believe participatory services are more sustainable than transactional ones, so young people play a large and active role designing, delivering and communicating our work - not just consuming it.
  7. We believe what we do should be a vocation - and we love what we do! So our approach and team are full of enthusiasm, imagination, curiosity, and talent.

The Team!

There are loads of people working to make OTR what it is – in fact we now have over 150 staff and volunteers on our books! Here are some key contact details for people you may want to get hold of:

Karen Black | Chief Executive

Karen joined OTR in 2015 and has over fifteen years experience working in the third sector delivering and managing services for young people and families with complex needs, including those in the criminal justice system and with problem substance use. As OTR’s Operations Director, Karen successfully led a radical re-design of our delivery model to better reflect the health and social challenges faced by young people today.

E: karen@otrbristol.org.uk
P: 0808 808 9120 (option 1)

Susan Parry | Facilities & Resources Manager

Susan joined OTR in 2014, and brings a wealth of skills and experience from senior management in a contract catering company, and more recently as a school governor.

Contact Susan for all estates, supplies and services enquiries.

E: susan@otrbristol.org.uk
P: 0808 808 9120 (option 2)

Liam McKinnon | Marketing, Digital & Comms Manager

Liam joined OTR in 2010. With a degree in journalism he has worked in media, marketing and communications for a number of national charities, including CLIC Sargent and Winston’s Wish, alongside projects for Ruby Wax and Social Media Week Bristol.

Contact Liam for press, media and online enquiries.

E: liam@otrbristol.org.uk
P: 0808 808 9120 (option 4)

Kellie Horder | Finance & HR Manager

Kellie joined OTR in 2016 from the Federation of City Farms and Community Gardens, and has over 10 years experience in a variety of administrative roles within the private, public and third sector.

Contact Kellie for all finance and HR enquiries.

E: finance@otrbristol.org.uk
P: 0808 808 9120 (option 2)

Charlotte Randomly | Team Leader (Health Promotion)

Charlotte joined OTR in 2008 as a Support Worker. She is trained in Brief Solution-Focused Therapy and is the brains behind Resilience Lab, having conceived the idea and designed the project back in 2013. Today, Charlotte oversees all our health promotion work with young people and leads the Lab’s ‘Train The Trainer’ initiative, providing practical guidance for fellow professionals across Bristol and South Gloucestershire.

E: charlotte@otrbristol.org.uk
P: 0808 808 9120 (option 1)

Cat Taylor | Head of Diffusion

Cat joined OTR in 2014. She is a registered Occupational Therapist with training and skills in Positive Psychology and Brief Solution Focussed Therapy. Cat began her working life in the NHS, including in the adult mental health crisis team for Bristol. She is an experienced trainer and consultant in a wide variety of areas of mental health and has also developed a successful business focused on mental wellbeing, providing coaching and personal training among other services to her clients.

E: cat@otrbristol.org.uk
P: 0808 808 9120 (option 1)

Jo Harper | Monitoring & Evaluation Manager

Jo joined OTR in 2010 as a counselling student on placement. Now a qualified and accredited Counsellor, as well as a registered Cognitive Behavioural Therapist and Supervisor, Jo is our lead on all things data, monitoring and evaluation.

E: jo@otrbristol.org.uk
P: 0808 808 9120 (option 1)

Laura Brain | Team Leader (Engagement & Participation)

Laura joined OTR in 2008 as an eighteen year-old volunteer and has been with us ever since. She launched our Mentality project back in 2010 and has been at the forefront of getting young people involved in OTR ever since, even finding time to study for a degree in Youth and Community Work. Laura now leads our new Engagement Team as well as our participation work.

E: laura@otrbristol.org.uk
P: 0808 808 9120 (option 1)

Henry Poultney | Team Leader (LGBTQ+)

Henry joined OTR in 2015 having spent time working in community development for Terrence Higgins Trust. An activist and passionate advocate for LGBTQ+ rights, Henry has a degree in sociology and is also a member of the Independent Advisory Group for Avon & Somerset Police. He oversees all our work on gender and sexual diversity here at OTR.

E: henry@otrbristol.org.uk
P: 0808 808 9120 (option 1)

Marie Hart | Team Leader (Schools & Outreach)

Marie joined OTR in 2014 and has experience working in and managing services for young people with eating disorders, young people in mental health crisis accessing A&E, and in schools and community settings. She now leads our schools and outreach team, who deliver a diverse range of therapies and preventative work for young people and professionals across Bristol and South Gloucestershire.

E: marie@otrbristol.org.uk
P: 0808 808 9120 (option 1)

Rosie Backhouse | Team Leader (Social Work)

Rosie joined OTR in 2015 from the HIV charity, Body & Soul, where she was Head of Adult Programmes. She is a registered Social Worker and a qualified practitioner in outdoor education. Rosie oversees our social work offer, which includes our Natural Health Service – a programme of activity that works across OTR and beyond to connect young people to the natural world and issues of conservation and sustainability.

E: rosie@otrbristol.org.uk
P: 0808 808 9120 (option 1)

John McGuirk | Team Leader (Therapies)

John joined OTR in 2010 and oversees our therapeutic service, which offers a wide range of 1:1 and group therapies to thousands of young people each year. John balances his time leading the service, delivering 1:1 and group therapy and facilitating mental health training. A qualified and accredited Counsellor, John is also a registered Cognitive Behavioural Therapist and Supervisor.

E: john@otrbristol.org.uk
P: 0808 808 9120 (option 1)

Jo Moulton | Team Leader (Therapies)

Jo joined OTR as a counsellor in 2013, having worked in adoption and fostering services and as a lecturer in counselling at City of Bristol College. Jo is a qualified and accredited Counsellor and a registered Cognitive Behavioural Therapist and Supervisor. Jo is one of three Team Leaders who oversees all our one-to-one and group therapies.

E: joanna@otrbristol.org.uk
P: 0808 808 9120 (option 1)

OTR's Story

OTR opened its doors in 1965 and can justifiably claim to be one of the first young people’s information, advice and counselling services (YIAC) in the country.

OTR began life a combined initiative between the Bristol Association of Youth Clubs and Bristol Marriage and Family Guidance Council.

In the course of their work in youth clubs and schools, both organisations were aware of the considerable numbers of young people for whom counselling would be appropriate. In the absence of a service that was free, confidential, and targeted specifically at young people, Off the Record (Bristol) was born.

In 1975 we moved away from the Marriage Guidance Council in Clifton, and into dedicated premises on Pipe Lane, opposite Colston Hall.

In January 1981 we moved to the foot of St Michael’s Hill, in the Kingsdown area of the city – some of our services still run from here today.

The service developed and steadily evolved until the summer of 1996, when despite the best efforts of staff, volunteers and trustees, OTR closed for several months due to a lack of funding. Thanks to the campaigning efforts of a small number of trustees and volunteers, we re-opened six months later.

Having celebrated our 50th birthday in 2015, OTR has never been in better shape. Over 3,000 young people now access us for support each year, and we reach another 5,000 or so through working into schools and community settings to deliver workshops and social action campaigns. We have a great new home in the heart of Old Market, along West Street.

Lots of things have changed in the years we’ve been around; the issues young people bring, the funders, the city! Fundamentally though, we’re still offering the same thing – free, confidential, support for anyone aged 11-25 that doesn’t rely on an adult referral, and doesn’t have thresholds that turn you away if you don’t meet our criteria.

In 2015 we won a national GSK Impact Award, check out our winners video below:



Our Board of Trustees make a vital contribution to our mission – in fact, they keep us focussed on it! You can find out more about the members of our current Board below, they come from a variety of professional backgrounds but they’ve all joined OTR because they believe in better mental health, and a better world, for young people.

Mandy Bancroft (Chair)

Mandy joined OTR in 2015. She is a mental health nurse by background, specialising in children and adolescents. Mandy has been a Senior Lecturer in Mental Health at the University of the West of England for the last fifteen years, and is responsible for widening participation in the university among disadvantaged groups.

Amanda John (Treasurer)

Amanda is a qualified accountant with experience in reporting, audit, analysis and business partnering. She has worked in both the public and private sectors in financial services and joined OTR as Treasurer in 2016.

Karen Drake (Vice Chair)

Karen works for the University of Bristol at Engine Shed where she is Operations Director. She has previously run her own small business and been a professional life coach and a company director. Karen has an MSc in Charity Management and is also treasurer at Bristol Architecture Centre and secretary at the Redcliffe Neighbourhood Development Forum. Karen joined OTR in 2017.

Dr Rachel Brown

Rachel has been a GP in Bristol for the past twenty years. She practices at Montpelier Health Centre, a partner of OTR and large inner city practice with a young, multi ethnic population. Rachel’s professional interests are in women’s health and mental health, and it was this (and the needs of her diverse patients) that prompted her to become a trustee of OTR in 2007.

Jean Sapeta

Until retirement in 2015, Jean was an employment lawyer and partner at Hempsons, a leading health and social care legal firm. Jean has over twenty five years experience in the field and was previously a partner at Bevan Brittan, though she actually started her working life as a teacher. Jean joined us in 2015.

Dr Jochen Binder-Dietrich

Jochen joined OTR as a Trustee in 2015. He trained and worked as a Psychiatrist in Munich, Germany, before moving to Bristol in 2004. He has held Consultant Psychiatrist posts in both inpatient and community settings, and now works with the Early Intervention in Psychosis Service.

Patsy Hudson

Patsy has significant public sector experience gained as a member/vice chair of University Hospitals Bristol NHS Foundation Trust Board, a member of Avon and Somerset Probation Board, Panel Chair for the Judicial Appointments Commission, and Lay Member for Governance at Bristol Clinical Commissioning Group. Patsy joined OTR in 2016.

Joseph Hartland

Joe qualified as a doctor in 2013 from Cardiff University and worked in the NHS for 5 years. He now works at the University of Bristol Medical School, overseeing the teaching of diversity and protected characteristics to the doctors of tomorrow. As a gay man who has experienced discrimination, Joe is passionate about moving the dialogue around LGBTQ+ rights forwards in healthcare. Using his background, Joe aims to help build bridges between health services, third sector organisations and minority groups to reduced health inequalities.

Ashlee Carter

Ashlee has recently moved to Bristol from Brisbane, Australia, where she continues to work with the local and national YMCA. From the day of graduating secondary school, Ashlee has been working directly with young people, picking up a Bachelor of Human Services (Social Work) and international experience along the way. She now leads a team in Clevedon and loves a good policy read.

Big thanks to our funders