title: Sustaining evidence-based practice for young people who self-harm: a 4-year follow-up.
abstract: OBJECTIVE
  In 1998 and 1999, two NSW Area Health Services conducted the Youth At Risk of Deliberate Self Harm (YARDS) project. The YARDS project was designed to implement evidence-based service enhancements for the clinical management of young people with Deliberate Self Harm. This paper examines the extent to which service enhancements implemented during YARDS were maintained 4 years after the conclusion of the project and compares service quality with another NSW Area Health Service that did not participate in the YARDS project.
  
  
  METHODS
  Staff from mental health services and emergency departments completed the Service Activity Scale, a measure developed for the YARDS project to assess the quality of health service response to individuals who present following a suicide attempt.
  
  
  RESULTS
  RESULTS indicated that the service improvements made during the YARDS project were maintained 4years after the project ended. Furthermore, a significant difference was found between scores for services that participated in YARDS and services that did not participate in YARDS.
  
  
  CONCLUSIONS
  These results suggest that projects such as YARDS which support evidence based service nhancements may be useful in improving the management of young people with deliberate self-harm, and that these improvements may be long-lasting.
authors.affiliation: School of Psychiatry, University of New South Wales, Sydney, Australia.
authors.forename: Stewart
authors.initials: S
authors.lastname: Einfeld
authors.forename: Margaret
authors.initials: M
authors.lastname: Tobin
authors.forename: John
authors.initials: J
authors.lastname: Beard
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Evans
authors.forename: Michael
authors.initials: M
authors.lastname: Dudley
mesh_terms: D004636:Emergency Service, Hospital; D005500:Follow-Up Studies; D006801:Humans; D008605:Mental Health Services; D016728:Self-Injurious Behavior; D013406:Suicide, Attempted