Practical Alternatives to Self-Harm uses the APEX© model - an evidence-based approach designed by Diane Clare on how to respond effectively to those who are engaging in non-suicidal self-injury (NSSI). 

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, and for when the approach is offered in a group context, 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 Māori and Pacific Island cultures.