Skip to main content

For the full experience please download a modern browser. Click here to find a modern browser or discuss with your IT department.

Practical Alternatives to Self-Harm 101 - 20 May 2022

The APEX model is an evidence-based approach on how to respond effectively to those who are engaging in non-suicidal self-injury (NSSI).

This workshop provides delegates with an introductory 1-day to ASH 101

Alternatives to Self-Harm (ASH) is based on the APEX model, which is an approach that has been demonstrated to lead to a reduction in self-harm risk for people with emotional dysregulation. It can increase confidence in clients to maintain more effective coping strategies, as well as progressing to other therapies as needed.

It is strongly influenced by Narrative Therapy, in that it takes a position of curious and respectful inquiry to the stories of those who consult with us (the mental health professional), developing a re-authoring approach to stories about their lives and the role self-harm has played. The program also includes some cognitive behavioural coping strategies, as well as some art therapy ideas where a less verbal approach has proved invaluable in being able to express feelings and tell stories in meaningful ways.

The ASH program also offers a collective approach, whereby support people and whanau (family) can be included, which is of particular importance within Maori and Pacific Island cultures.


Learning Outcomes:

· Find out what helps and what hinders in the attitude of staff when supporting a client to change self-harming behaviour.

· Understand how self-harming ‘helps’ the client and is best understood before offering alternative (and safer) coping strategies.

· Discover how building an Emotional First Aid Kit with your clients must be matched to their needs, and not be a random Pick-N-Mix approach.

· Grasp the X Factor: Know why a self-contract, not a contract with you/your service, is more likely to succeed and know how to do this.


Who should attend:

These workshops will appeal to anyone working with young people or adults on a regular basis including youth workers, case workers, community mental health nurses, teachers, school counsellors, school leaders, corrections & youth justice counsellors, social workers and counsellors.

In addition, frontline staff who regularly interact with these groups on a day-to-day basis and need to have some practical tools and insights to brief interventions that will allow them to support the person who is currently self-harming.

Resources