Case Study: Transforming Self-Harm Support for Young People in Kent and Medway 

Overview 

In Kent and Medway, a growing concern around how self-harm among children and young people was being understood and addressed sparked a transformative initiative. Led by i-THRIVE Champions, a collaborative effort emerged to create a unified, compassionate, and practical response—culminating in the development of the Kent and Medway Self-Harm Guidance. 

 

The Challenge

Local data and frontline feedback revealed a fragmented landscape: inconsistent responses, unclear pathways, and a lack of shared understanding across services. Young people and families often faced confusion and stigma when seeking help. Professionals, too, felt uncertain about how best to respond.

 

 

Catalyst for Change 

The publication of new NICE guidance on self-harm provided a timely opportunity. It called for a whole-system approach, with schools playing a more active role. Inspired by this, the i-THRIVE Champions convened a task and finish group to explore how Kent and Medway could lead the way in implementing a more integrated, person-centred response. 

 

Co-Designing the Solution

The development of the guidance was rooted in collaboration and lived experience. A wide range of stakeholders came together, including: 

• Mental health professionals 
• Local authority and education representatives 
• VCSE organisations 
• Youth workers and early help teams 
• Suicide prevention forums 
• Young people and families 

Through workshops, consultations, and iterative drafting, the group co-created a guidance document that was clear, inclusive, and practical. A dedicated project officer helped navigate differing perspectives and unify language across sectors. 

 

Key Innovations 

The guidance reframes self-harm as a symptom of emotional distress. It includes: 

• A clear definition and cycle of self-harm 

• Consistent pathways for practitioners, schools, families, and young people 

• Practical strategies for support and intervention 

• Training resources to build professional confidence 

 

Impact 

1. Consistent, Compassionate Care

Young people now receive a unified response—whether they speak to a teacher, youth worker, or clinician. This consistency builds trust and reduces the risk of being misunderstood or dismissed. 

2. Earlier Help, Less Harm

Professionals are equipped to spot signs sooner and intervene before self-harm escalates. Open conversations and reduced stigma encourage young people to seek help earlier. 

3. Stronger Partnerships

The guidance fosters better communication across agencies and with families, ensuring holistic care that addresses both emotional and physical wellbeing. 

4. Empowering Young Voices

Young people were central to the guidance’s development. Their input shaped respectful, person-centred approaches that make them feel seen, heard, and supported. 

5. Supporting Families

Parents and carers now have access to clear information and signposting, helping them respond with confidence and compassion. 

6. Building Professional Confidence

Training and protocols empower staff across sectors to respond effectively, reducing anxiety and improving outcomes. 

 

Looking Ahead 

The guidance is a living document—continuously reviewed and improved based on feedback. It’s being web-enabled for easier access, and work is underway to embed it further into clinical settings and healthcare partnerships. 

 

Conclusion 

This case study showcases how a shared commitment to young people’s wellbeing—driven by i-THRIVE Champions—can lead to meaningful, system-wide change. The Kent and Medway Self-Harm Guidance is more than a document – it sets out a clear, collaborative approach to supporting individuals with compassion and consistency.