Self-Injury & Recovery Resources (SIRR)

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  • "We don't know how to respond when a young person self-injures."

    • Clinical Protocols & Response Frameworks

      When staff encounter self-injury, the response in the next few minutes — and the days that follow — can shape a young person’s trajectory for years. Too often, organizations respond from instinct rather than evidence, leading to reactions that inadvertently escalate harm or deepen shame.

      I work with your team to develop clear, compassionate, evidence-based protocols tailored to your setting and population. Drawing on decades of research and real-world implementation, we build frameworks that help staff distinguish NSSI from suicidal behavior, stratify risk appropriately, and respond in ways that strengthen rather than rupture connection. The result is a protocol your people will actually use — because it makes sense, fits your culture, and reflects the latest science.

      This service includes:

      • Clinical decision trees and risk stratification frameworks
      • NSSI/suicide differentiation guidelines
      • Integration with existing tools (C-SSRS, PHQ-9, and others)
      • Staff implementation guides and custom reference materials
      • Policy and procedure review and revision

    "Our staff want to help but don't feel equipped."

    • Training & Capacity Building

      Knowledge without confidence doesn’t save lives. Your clinicians, educators, counselors, and paraprofessionals may have heard of self-injury — but knowing how to respond in the moment, how to hold space without escalating, and how to support recovery without enabling avoidance requires something deeper than a one-hour workshop.

      I design and deliver tiered training programs that meet your staff where they are — from frontline paraprofessionals to clinical leads to organizational leadership. Grounded in trauma-informed, strength-based principles, these programs build real competence and genuine confidence. Training is never one-size-fits-all: every program is shaped around your organization’s structure, population, and goals, and can be delivered in-person, virtually, or as a blended format. CEU eligibility is available for clinical staff.

      This service includes:

      • Needs-based curriculum design for multiple staff levels
      • Tiered training programs (paraprofessional, clinical, leadership)
      • Family and caregiver psychoeducation components
      • Custom staff guides and participant materials developed alongside training
      • Follow-up coaching and technical assistance

    "We're not sure we're measuring the right things — or measuring them well."

    • Assessment Tool Development & Needs Assessment

      Good decisions require good data. Whether your organization is trying to understand the scope of NSSI in your population, evaluate the effectiveness of your current response, or build a screening process integrated with your existing clinical workflows, the right assessment infrastructure makes all the difference.

      As the developer of the NSSI Assessment Tool (NSSI-AT) — now widely adopted in clinical and research settings globally — I bring both the technical expertise and practical experience to help you build tools that are valid, usable, and meaningful. I also conduct organizational needs assessments that surface what’s working, what’s missing, and where the highest-leverage opportunities for change lie. This isn’t about finding fault — it’s about building on your strengths and filling the gaps that matter most.

      This service includes:

      • Custom screening and assessment tool development
      • Validation planning and analysis
      • Organizational needs assessment design and facilitation
      • Findings reports with actionable priorities and recommendations
      • Integration with existing EHR systems and clinical workflows

    "We need resources our staff will actually pick up and use."

    • Custom Materials & Resource Development

      Generic handouts get filed away. Resources that speak directly to your population, your language, and your context get used — by staff in the hallway, by clinicians in session, by parents at the kitchen table.

      I develop organization-specific guides, toolkits, and client-facing materials that translate the latest research into clear, accessible, actionable resources. Whether you need a staff reference guide for responding to NSSI disclosure, a psychoeducation booklet for families, a clinical quick-reference card, or a comprehensive resource library tailored to your setting, every piece is grounded in evidence, written for real humans, and designed to fit seamlessly into your existing workflows.

      Materials can stand alone or be developed as part of a broader training or protocol engagement — often the most powerful approach is building your training program and its accompanying materials together, so staff leave with both the knowledge and the tools to act on it.

      This service includes:

      • Staff guides and clinical reference materials
      • Client and family psychoeducation resources
      • Clinical quick-reference cards and decision tools
      • Needs-specific toolkits for diverse populations (LGBTQ+ youth, IDD, foster care, and others)
      • Review and revision of existing organizational materials

    "We know something needs to change, but we don't know where to start."

    • Strategic Consultation & Implementation Support

      Sometimes the hardest part isn’t knowing what good looks like — it’s knowing how to get there from where you are. Organizational change in youth mental health is rarely straightforward. It requires navigating competing priorities, limited resources, staff resistance, and systems that weren’t designed with mental health in mind.

      I work alongside leadership teams to map the path forward — clarifying vision, identifying leverage points, sequencing change thoughtfully, and building internal champions who can sustain momentum long after our work together ends. My approach is collaborative and strengths-focused: we start with what your organization already does well and build from there, rather than importing a model that doesn’t fit your culture or community.

      This service includes:

      • Strategic planning facilitation for mental health initiatives
      • Policy and protocol review and enhancement
      • Implementation roadmapping and sequencing
      • Stakeholder engagement and change management support
      • Ongoing advisory and technical assistance

    "We need someone who can inspire our people and shift the culture."

    • Keynotes, Workshops & Professional Development

      Culture change starts with a shift in understanding. Whether you’re launching a new initiative, convening a staff training day, hosting a community forum, or opening a conference, the right keynote or workshop can move people from passive awareness to genuine commitment.

      I bring over 25 years of translating complex research into language that resonates — with clinicians, educators, administrators, parents, and policymakers alike. My presentations are grounded in evidence but delivered with warmth and the kind of hard-won perspective that only comes from decades at the intersection of science and practice. Audiences leave not just informed, but energized and ready to act.

      This service includes:

      • Customized keynote presentations for conferences and organizational events
      • Half- and full-day professional development workshops
      • Community forums and family education events
      • Webinar facilitation and panel participation
      • CEU-eligible formats available for clinical audiences

  • Join Our Listserv

    Send an email to crpsib-l-request@cornell.edu. The body of the message should simply be “join”. Be sure to send your “join” message from the email address where you want to receive CRPSIR (previously CRPSIB) updates.

  • Have a Question? Contact Us!

    We welcome your questions, thoughts, suggestions, and stories. Please feel free to email us at selfinjury@cornell.edu or fill out the following contact form.

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Please feel free to contact us if you have questions, would like additional information about our education and consultation services, or want to participate in our study activities.

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