Development of a Self harm tool kit in Milton Keynes

Deliberate Self Harm Toolkit
for professionals
Dr Sobia Naz (Specialty Doctor)
Tina Swain (Senior Manager)
CNWL-MK specialist CAMHS
• 4% in General population
• Equal number of males & females (females
present more for treatment)
• Typical onset : puberty (can be seen in younger
children and adults)
• Often lasts 5-10 years (but can last longer
without treatment)
Local context
•Within Milton Keynes, CAMHS have seen 100%
increase in the number of referrals to A&E in the last
year (2013-2014) with the number rising.
•A significant number of the referrals to A&E were
from Schools and Universal service providers.
Why develop the
• CAMHS already provide a limited service to schools in
the form of School based clinics. However, staff within
schools reported a lack of confidence re: first response
• Confusion among staff: YP who are self harming-don’t
assume they are suicidal.
• It isn’t always “just to get attention” although certainly
that does sometimes happen.
Roll Out-Training
Targeted training sessions (including twilight) to:
Phase One
•All Secondary Schools in Milton Keynes
•Children and Family Practices
•Primary Care-doctors, practice nurses.
•Integration of the training into the Health & Social Care training directory
Phase two
•Primary School training
•Partnership agencies-Social Care, YOT, Paediatric Nurses, A&E, Police
•Initial development time
•Consultation and feedback from YP
•Cost of publications
•Flexible approach to training
•Response supported by CAMHS Service
•Staff feeling empowered and confident
•Consistent approach with yp and parents
•Reducing “knee-jerk” reactions and A&E attendances (where clinically
Thank you for listening