National i-THRIVE Programme
The National i-THRIVE Programme aims to improve outcomes for children and young people’s mental health and wellbeing. Working with CCGs, NHS Trusts, local authorities and charities across the country to implement the THRIVE Framework for system change (Wolpert et al., 2019), translating the principles of the THRIVE Framework.
Introducing THRIVE
THRIVE is delivered through a partnership between the Anna Freud National Centre for Children and Families, the Tavistock and Portman NHS Foundation Trust, the Dartmouth Institute for Health Policy and Clinical Practice and UCL Partners.
THRIVE Framework Key Principles
The THRIVE Framework for system change (Wolpert et al., 2019) principles are the basis for all support options that are provided by those implementing the THRIVE Framework. These principles should be embedded in everything that the service or community does.
1. Common Language
The conceptual framework, and its five needs based groupings: Thriving, Getting Advice and Signposting, Getting Help, Getting More Help, Getting Risk Support, supports a shared language and understanding across the system.
2. Needs-Led
Approach based on meeting need, not diagnosis or severity. Explicit about the definition of need at any one point, what the plan is and everyones role within that plan. Fundamental to this is a common understanding of the definitions of the needs based groupings across the local system.
3. Shared Decision Making
Voice of children, young people and families is central. Shared decision making processes are core to the selection of the needs based grouping for a given child or young person.
4. Proactive Prevention and Promotion
Enabling the whole community in supporting mental health and wellbeing. Proactively working with the most vulnerable groups. Particular emphasis on how to help children, young people and their communities build on their own strength including safety planning where relevant.
5. Partnership Working
Effective cross-sector working, with shared responsibility, accountability and mutual respect based on the five needs based groupings.
6. Outcome-Informed
Clarity and transparency from outset about children and young peoples goals, measurement of progress movement and action plans, with explicit discussion if goals are not achieved.
- Discuss the limits and ending of interventions.
- Differentiate treatment and risk management.
- Consider full range of options including self or community approaches.
7. Reducing Stigma
Ensuring mental health and wellbeing is everyones business.
8. Accessibility
Advice, help and risk support available in a timely way for the child, young person or family, where they are and in their community.
Free orientation video for THRIVE on TALK
TALK have developed a video to introduce the THRIVE model to the workforce in Norfolk and Waveney. Access to this video is free to all registered members of TALK Centre.
The session will cover the 8 key principles of THRIVE; a short explanation of the quadrants and what is needed for systemwide implementation.