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National i-THRIVE Programme

The THRIVE Framework was originally developed by a collaboration of authors from the Tavistock and Portman NHS Foundation Trust and the Anna Freud National Centre for Children and Families in 2014. The THRIVE Framework is an integrated, person centred and needs led approach to delivering mental health services for children, young people and families which conceptualises need in five categories; Thriving, Getting Advice and Signposting, Getting Help, Getting More Help and Getting Risk Support. Emphasis is placed on the promotion of mental health and wellbeing, and for children, young people and their families to be empowered to be actively involved in decisions about their care through shared decision making.

The National i-THRIVE Programme is a national programme of innovation and improvement in child and adolescent mental health that is being implemented in sites across the country. i-THRIVE was selected as an NHS Innovation Accelerator in 2016 and is now endorsed in the NHS Long Term Plan.

i-THRIVE is the implementation of the THRIVE Framework for system change (Wolpert et al., 2019),translating the principles of the THRIVE Framework into local models of care using an evidence based approach to implementation. i-THRIVE has been designed to enable a move towards delivery of a population health model for children and young people’s mental health and promotes the use of Quality Improvement techniques.

Sites are supported in implementing the THRIVE Framework in the following ways:

  1. i-THRIVE Toolkit
  2. i-THRIVE Engagement events
    • The National i-THRIVE Programme facilitate cross-sector engagement events to:
      • Ensure shared understanding of the THRIVE Framework and the key principles
      • Identify good THRIVE-like practice already happening in each locality, and map them aligned to the THRIVE Framework needs based groupings
      • Identify priorities for each locality to take forward
      • Develop local definitions for the 5 needs based groupings
      • Inform the action plan to be developed locally, based on the identified priorities from the event
    • 6 and 12 monthly reviews are also available to:
      • Review progress made
      • Agenda to be clarified through action plan from initial stakeholder event
      • Role of i-THRIVE Programme as ‘critical friend’ to support fidelity to the THRIVE Framework
  3. i-THRIVE Academy
  4. i-THRIVE Academy E-learning Modules
    • The National i-THRIVE Programme Team are excited to release their E-learning package of all five i-THRIVE Academy modules, created in partnership with Pearson Education.

      The modules offer a comprehensive programme of training, with the addition of thought provoking activities embedded throughout to simulate the interactive element of face-to-face delivery. These include role play activities, assessment processes and exercises to promote diverse learning opportunities.

      Each module stands alone, and participants can complete as many modules as appropriate their role and learning needs. Each module is expected to be completed in half a day. However, this can be completed over different periods of time, enabling participants to access the modules in ways that best suit them.

      Please click on the module titles for information on the learning objectives and recommendations as to who might be best to participate:

    • These modules compliment other input from the National i-THRIVE Programme Team that continue to be delivered in a remote face-to-face format such as engagement events, action learning sets and other informative workshops.
  5. National i-THRIVE Community of Practice

An overview of the spread of direct support delivered by the National i-THRIVE Programme is below:

* Map based on Local Transformation Plans (LTP) for Children and  Young People’s Mental Health and Wellbeing in 2022

National i-THRIVE Programme Annual Reports


National i-THRIVE Programme Executive Summary


National i-THRIVE Programme Pixar Pitch


i-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 UCLPartners.

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