We want to change the way we work to provide the support that children and young people want and need, where they want and need it, and in a way which best suits them. We will continue to listen to children and young people, their parents and carers and people who work with our services (like schools, GPs, sports clubs and youth groups) to see how we can develop and improve our services.
Our new approach will be underpinned by a new service delivery model called the THRIVE Framework for System Change (Wolpert et el., 2019.) Its main emphasis is on giving children and young people a central voice in decisions about their care. We will also start to develop a commonly used language across children’s services.
THRIVE conceptualises the mental health and wellbeing needs of children, young people and families in terms of five different needs-based groupings:
- those who need advice and signposting to information and support – we call this ‘Getting Advice’
- those who need focused, goals-based input (such as overcoming anxiety in social settings) – we call this ‘Getting Help’
- those who need more extensive and specialised goals-based help (such as struggling with eating disorders) – we call this ‘Getting More Help’
- those who have been unable to use help, or for whom help has not resolved their difficulties, but are still of real concern to professionals and those that love them (such as homeless children or children not in education) – we call this ‘Getting Risk Support’
- as well as those who will benefit from prevention and promotion strategies that will help them maintain their own mental wellbeing. We call this ‘Thriving’.
You can see an animation about our new approach at below, or view it directly on YouTube.
Our alliance of partners will work together to advise, help and support children, young people and their families to thrive. All our services will support the five needs-based groups (to a greater or lesser extent).
The THRIVE Framework is suggested as a way of moving away from tiered services by the Green Paper: Transforming Children and Young People’s mental health as well as the NHS Long Term Care Plan.
The main principles of the THRIVE Framework are:
- common language (non-jargonistic) to support a shared understanding among all those involved
- needs-led plans, not based on diagnosis or severity, and everyone’s role within the plan is clear
- shared decision-making with children, young people, their families and carers at the core
- proactive prevention and promotion to enable the whole community to support mental health and wellbeing
- partnership working between different organisations with varied roles
- outcome-informed, with clear and transparent goals, measures of progress and action plans
- reducing stigma and ensuring mental health and wellbeing is everyone’s business
- accessibility to timely advice, help and risk support in locations where children, young people and their families are and in a way that best suits them