Rapid response pathway united to reduce self-harm (RUSH): A case study of a pilot pathway for children and young people

Cross, Molly ORCID: https://orcid.org/0000-0003-4484-5868 and Clarke, Tim (2022) Rapid response pathway united to reduce self-harm (RUSH): A case study of a pilot pathway for children and young people. Journal of Public Mental Health, 21 (1). pp. 15-22. ISSN 1746-5729

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Purpose: In response to elevated local self-harm and suicide rates, and the lack of a dedicated pathway for children and young people (CYP) who self-harm, a rapid response pathway united to reduce self-harm (RUSH) was developed and implemented within Norwich (Norfolk, England). This public health case study aims to describe the pathway model and share its outcomes, learnings, and reflections over the pilot year. Design/methodology/approach: RUSH was a community-based pilot pathway aiming to support CYP, 11–18 years old, engaging in or at risk of engaging in repeated self-harm and subsequently at risk of repeated attendance at local emergency departments. From May 2020 to April 2021, RUSH supported 61 CYP using funding from NHS England and Improvement. Findings: This case study shares the pathway’s outcomes, through a mixed-method evaluation. Results indicate statistically significant reductions in self-harm frequency (p = 0.01) and anxiety and depression symptomatology (p < 0.001); a statistically significant increase in progress towards goals (p < 0.001); and a general downward trend in re-attendance at local emergency departments following RUSH. Findings also illustrate high service user satisfaction. Framework analysis of focus group data highlights positive experiences with hope for recommissioning from a staff perspective. Originality/value: This study will be valuable for services looking to develop and implement a similar service provision, in response to the need to tackle self-harm rates as a broader approach to suicide prevention. In light of the NHS long-term plan (2019), it also serves as an example of how to develop and use a strategic co-production group, and work collaboratively with the voluntary, community and social enterprise sectors.

Item Type: Article
Additional Information: Funding Information: National Health Service England and Improvement
Uncontrolled Keywords: camhs,children and adolescents,mental health,self-harm,suicide,young people,public health, environmental and occupational health,psychiatry and mental health,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700/2739
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 26 Jul 2022 13:30
Last Modified: 22 Oct 2022 17:30
URI: https://ueaeprints.uea.ac.uk/id/eprint/86872
DOI: 10.1108/jpmh-09-2021-0112

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