title: A participatory action research methodology in the management of self-harm in prison.
abstract: BACKGROUND
  Self-harm in custody is a well-researched phenomenon. This is particularly true for women in prison who demonstrate disproportionately high rates of self-harm. Despite the growing body of prison research, there has been a lack of service user involvement (SUI). Aims To outline the first use of SUI in a custodial setting in developing care pathways for self-harm.
  
  
  METHODS
  A participatory action research approach was used to engage women prisoners and staff.
  
  
  RESULTS
  Participants were able to identify strengths and weaknesses of current care pathways and offer suggestions for service development based upon their experience of receiving and delivering care.
  
  
  CONCLUSIONS
  The authors conclude that despite participatory approaches being in their infancy in prisons the engagement of service users when aimed at effecting positive change can be successful.
authors: SASS, Durham University, Durham, UK. james.ward@durham.ac.uk
authors: James
authors: J
authors: Ward
authors: Di
authors: D
authors: Bailey
mesh_terms: D000293:Adolescent; D000328:Adult; D057237:Criminals; D005260:Female; D006801:Humans; D008605:Mental Health Services / Q000600:supply & distribution; D008875:Middle Aged; D011330:Prisons; D017064:Process Assessment, Health Care; D016728:Self-Injurious Behavior / Q000453:epidemiology*; D006113:United Kingdom / Q000208:ethnology; D055815:Young Adult