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From efficacy to effectiveness: managing organisational change to improve health services for young people with deliberate self harm behaviour.

Journal Article


Abstract


  • Repeat Deliberate Self Harm is a recognised risk factor for completed suicide and therefore reduction by effective health service response represents a valid contribution to suicide prevention. However, only a small fraction of people with deliberate self harm presentations to general health settings actually reach specialist mental health follow-up appointments. Therefore, even if responses at that point are known to be effective they do not make a significant contribution to reducing repeat self-harm overall. We describe health system organisational change strategies to improve health service engagement for the target group, and present data demonstrating the effectiveness of these strategies.

Publication Date


  • 2001

Citation


  • Tobin, M. J., Clarke, A. R., Buss, R., Einfeld, S. L., Beard, J., Dudley, M., . . . Dietrich, U. (2001). From efficacy to effectiveness: managing organisational change to improve health services for young people with deliberate self harm behaviour.. Australian health review : a publication of the Australian Hospital Association, 24(2), 143-151. doi:10.1071/ah010143

Scopus Eid


  • 2-s2.0-0035230479

Web Of Science Accession Number


Start Page


  • 143

End Page


  • 151

Volume


  • 24

Issue


  • 2

Abstract


  • Repeat Deliberate Self Harm is a recognised risk factor for completed suicide and therefore reduction by effective health service response represents a valid contribution to suicide prevention. However, only a small fraction of people with deliberate self harm presentations to general health settings actually reach specialist mental health follow-up appointments. Therefore, even if responses at that point are known to be effective they do not make a significant contribution to reducing repeat self-harm overall. We describe health system organisational change strategies to improve health service engagement for the target group, and present data demonstrating the effectiveness of these strategies.

Publication Date


  • 2001

Citation


  • Tobin, M. J., Clarke, A. R., Buss, R., Einfeld, S. L., Beard, J., Dudley, M., . . . Dietrich, U. (2001). From efficacy to effectiveness: managing organisational change to improve health services for young people with deliberate self harm behaviour.. Australian health review : a publication of the Australian Hospital Association, 24(2), 143-151. doi:10.1071/ah010143

Scopus Eid


  • 2-s2.0-0035230479

Web Of Science Accession Number


Start Page


  • 143

End Page


  • 151

Volume


  • 24

Issue


  • 2