MK CAMHS Deliberate Self Harm Toolkit for professionals Dr Sobia Naz (Specialty Doctor) Tina Swain (Senior Manager) CNWL-MK specialist CAMHS INCIDENCE AND ONSET • 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 Toolkit? • 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 Challenges/Benefits Challenges: •Initial development time •Consultation and feedback from YP •Cost of publications •Flexible approach to training •Accessablity Benefits: •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 appropriate). Thank you for listening