Marie Armstrong is a Nurse Consultant leading the Child and Adolescent Mental Health Self-harm Service in Nottinghamshire Healthcare NHS Trust. She has over 29 years’ experience working across the four tiers of CAMHS and in 2000 was appointed as the first CAMHS Nurse Consultant in the UK. Her current role includes 50% direct clinical practice as well as research, teaching, professional leadership, consultation and service development. She has developed and implemented good practice guidelines for the management of young people who self-harm, contributed to the NICE guidelines on self-harm and speaks at conferences. As well as being qualified in Child and Adolescent Mental Health Nursing Marie is also a UKCP registered Systemic Family/Psychotherapist.