THRIVE Framework for system change
The THRIVE Framework for system change (Wolpert et al., 2019) is an integrated, person centred and needs led approach to delivering mental health services for children, young people and their families that was developed by a collaboration of authors from the Anna Freud National Centre for Children and Families and the Tavistock and Portman NHS Foundation Trust.
It conceptualises need in five categories; Thriving, Getting Advice and Signposting, Getting Help, Getting More Help and Getting Risk Support. Emphasis is placed on prevention and also the promotion of mental health and wellbeing across the whole population. Children, young people and their families are empowered through active involvement in decisions about their care through shared decision making, which is fundamental to the approach.
THRIVE Elaborated (2015) expands on the 2014 THRIVE Framework.
THRIVE Elaborated: Second Edition (2016) includes an updated Foreword which addresses the critiques and possibilities of the THRIVE Framework, exploring how, in spite of the evident focus on mental health interventions for young people in healthcare settings, the THRIVE Framework holds rich potential when considered as a multiagency framework, across health, education, social care and community settings.
The THRIVE Framework for system change (2019) is an accessible summary of the Framework that is transforming mental health support for children, young people and their families. The summary booklet breaks the THRIVE Framework and Principles down into an accessible format and includes case studies and practice examples.