Risk Support

i-THRIVE Academy Practice Development Module

The THRIVE Framework for system change (Wolpert et al., 2019) encourages recognition of the needs of children, young people and families who are at risk of adverse and harmful experiences such as family breakdown, school exclusion, criminality, child sexual exploitation etc, and where CAMHS and other agencies have been unable to bring about positive change. CAMHS treatment may have been tried and found to be ineffective, or the child, young person or family are not “treatment ready”. Often these families are intensively supported by CAMHS but the risks cannot be reduced. There is usually a high level of professional anxiety in these cases and collaborative interagency working is sometimes challenged by differing opinions in the professional network about what needs to be done.

In this practice development module, attendees:

  • Discuss problems commonly faced while supporting families with multiple/complex needs
  • Discuss real-life case studies of children and families in detail
  • Learn to overcome some of the barriers to effectively supporting families that require risk support
  • Learn about Adolescent Mentalisation-based Integrative Therapy (AMBIT) from one of AMBIT’s co-developers
  • Practice and build on their skills
  • Receive actionable steps to take away and continue the conversation back in their home organisations


Download an overview of the Risk Support modules here


This module is led by Dr Peter Fuggle, Director of Clinical Services and AMBIT Co-Lead, the Anna Freud National Centre for Children and Families and Dr Andy Wiener, Consultant Child and Adolescent Psychiatrist and Associate Clinical Director, the Tavistock and Portman NHS Foundation Trust.


If you would like to buy in this training for your services please contact Bethan Morris at


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The i-THRIVE Academy pilot in 2017 was funded by Health Education England.