Zest is a counselling service for self-harm and suicidal behaviour. Zest is currently operating in the Western, Northern and Southern Trusts providing, counselling, family support and training. Zest has developed effective models of practice in working with these issues and more recently has incorporated alcohol management models to support those presenting with both self-harm and alcohol misuse Zest currently delivers the Self-harm Interagency Network (SHINE) service in the WHSCT. This is a direct referral pathway from the Mental Health teams for counselling after a serious episode of self-harm.