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Principles of the THRIVE Framework

The THRIVE Framework for system change (Wolpert et al., 2019) principles are the basis for all support options that are provided by those implementing the THRIVE Framework. These principles should be embedded in everything that the service or community does.


1. Common Language: The conceptual framework, and its five needs based groupings: Thriving, Getting Advice and Signposting, Getting Help, Getting More Help, Getting Risk Support, supports a shared language and understanding across the system.

2. Needs-Led: Approach based on meeting need, not diagnosis or severity. Explicit about the definition of need at any one point, what the plan is and everyone’s role within that plan. Fundamental to this is a common understanding of the definitions of the needs based groupings across the local system.

3. Shared Decision Making: Voice of children, young people and families is central. Shared decision making processes are core to the selection of the needs based grouping for a given child or young person.

4. Proactive Prevention and Promotion: Enabling the whole community in supporting mental health and wellbeing. Proactively working with the most vulnerable groups. Particular emphasis on how to help children, young people and their communities build on their own strength including safety planning where relevant.

5. Partnership Working: Effective cross-sector working, with shared responsibility, accountability and mutual respect based on the five needs based groupings.

6. Outcome-Informed: Clarity and transparency from outset about children and young people’s goals, measurement of progress movement and action plans, with explicit discussion if goals are not achieved.

  • Discuss the limits and ending of interventions.
  • Differentiate treatment and risk management.
  • Consider full range of options including self or community approaches.

7. Reducing Stigma: Ensuring mental health and wellbeing is everyone’s business.

8. Accessibility: Advice, help and risk support available in a timely way for the child, young person or family, where they are and in their community.


If you would like any further detail on these principles or how you could be supported with implementation, please email Bethan Morris at bmorris@tavi-port.nhs.uk.

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