Bexley CCG and Oxleas NHS Foundation Trust are working together on their CAMHS transformation which has been shaped by the THRIVE Framework for system change (Wolpert et al., 2019). Bexley has focused on services which support children and young people who are ‘Thriving’, ‘Getting Advice and Signposting’ and ‘Getting Help’ according to the THRIVE Framework.
Key successes for Bexley to date include a new website called Headscape where children and young people can access information about mental health and get signposted to local services and other helpful websites, and the design of a new community CAMHS service which has been designed to meet the needs of children and young people in the ‘Getting Advice and Signposting’ and ‘Getting Help’ needs based groupings. The i-THRIVE workstream is linked in with the CYP IAPT group in Bexley which meets once a quarter.
Shared decision making between young people, families and their clinicians is core to the THRIVE Framework. While Bexley already felt they had a good culture of shared decision making in their services, they chose to further build on this by having clinicians attend the shared decision making training delivered by the i-THRIVE Academy.
One of the challenges has been in helping people to understand the difference between the tiers and the THRIVE Framework’s needs based groupings. Bexley is keen to not simply replace existing tiers with the needs based groupings.
If you would like further information on Bexley’s work with i-THRIVE, please contact Dorothy Pilling, Operational Manager, i-THRIVE implementation lead for Bexley, Oxleas NHS Foundation Trust, Dorothy.Pilling@oxleas.nhs.uk.