The Tavistock and Portman NHS Foundation Trust is the provider of child and adolescent mental health services in Camden and is home to five of the THRIVE Framework for system change (Wolpert et al., 2019) authors. The four key priorities for Camden are ‘Getting Risk Support’, setting up ‘Getting Advice and Signposting’ appointments, having robust systems of clinical oversight and review for cases in ‘Getting Help’ and ‘Getting More Help’, and embedding shared decision making across all of the THRIVE Framework’s needs based groupings.
Camden have used an AMBiT model to develop their approach to supporting children and families who are receiving ‘Getting Risk Support’ and have successfully implemented a new set of multi-agency local agreements to have collective responsibility and accountability for the support of this group of children and young people by creating a single multi-agency plan. To facilitate the development of ‘Getting Risk Support’ the CAMHS service for vulnerable children is collocated with Local Authority services, and multi-agency reflective practice meetings are now commonplace. The experience of receiving multi-agency support is being evaluated using a new measure from the Dartmouth Institute for Health Policy and Clinical Practice, called IntegRATE. This project is supported by a grant from Health Education England.
Camden was involved in the piloting of six i-THRIVE Grids as part of a Health Foundation funded project. i-THRIVE Grids are decision aids for young people and their families. These i-THRIVE Grids were developed in collaboration with the Dartmouth Institute for Health Policy and Clinical Practice. You can read more about it in this case study.
In October 2016, the THRIVE Framework needs based groupings were embedded into the electronic clinical record system used by CAMHS clinicians. By April 2017, over 90% of children and young people had a care plan which included information about which THRIVE Framework’s needs based group they were in as a result of a shared decision with the young person. You can read more about how this was achieved and the subsequent data that was collected in this case study.
Camden have been piloting of a new approach to ‘Getting Advice and Signposting’ since April 2017.
The implementation of the THRIVE Framework is ongoing, and the impact of which will continue to be properly evaluated.
If you would like further information on Camden’s work with i-THRIVE, please contact Andy Wiener, Consultant Child and Adolescent Psychiatrist, The Tavistock and Portman NHS Foundation Trust firstname.lastname@example.org