Quality statement 8: Moving between services

Quality statement

People receiving continuing support for self‑harm and moving between mental health services have a collaboratively developed plan describing how support will be provided during the transition.

Rationale

Moving to different mental health services (for example, from services for young people to services for adults) can be a difficult period for people who self‑harm. Unless there are plans to manage these transitions, service users can feel isolated and unsupported, and be at increased risk of further self‑harm. It is important that service users are involved in agreeing how their support will be managed and understand who they can contact in a crisis.

Quality measure

Structure: Evidence of local arrangements to ensure that providers collaboratively plan in advance and coordinate effectively when people who have self‑harmed move between mental health services.

Process: Proportion of people receiving continuing support for self‑harm and moving between mental health services who have a collaboratively developed plan describing how support will be provided during the transition.

Numerator – the number of people in the denominator with a collaboratively developed plan describing how support will be provided during the transition.

Denominator – the number of people receiving continuing support for self‑harm and moving between mental health services.

What the quality statement means for each audience

Service providers ensure that systems are in place to coordinate effectively with other providers when people who have self‑harmed move between mental health services.

Healthcare professionals ensure that people receiving continuing support for self‑harm and moving between mental health services have a collaboratively developed plan describing how support will be provided during the transition.

Commissioners ensure that they commission services that provide people receiving continuing support for self‑harm and moving between mental health services with a collaboratively developed plan describing how support will be provided during the transition.

People who are having long‑term support after self‑harming and are moving between mental health services agree a plan with their healthcare professionals that describes how they will be supported while they move from one service to another.

Source guidance

NICE clinical guideline 133 recommendation 1.1.25.

Data source

Structure: Local data collection.

Process: Local data collection.

Definition

People moving between mental health services for continuing support for self‑harm

Children or young people (aged 8 years and older) and adults who have carried out an act of self‑poisoning or self‑injury, irrespective of motivation, who are receiving longer‑term psychological treatment and are moving from child and adolescent to adult mental health services, or from one adult mental health service to another. Continuing support refers to longer‑term psychological treatment and management. It includes people with both single and recurrent episodes of self‑harm. It does not include people having immediate physical treatment or management for self‑harm in emergency departments.