THRIVE Framework


The THRIVE Framework for system change is transforming mental health promotion and support for children, young people and families in England.

Already, half of all children and families live in an area that is using the Framework. Services in these areas have seen major improvement in waiting times and using their resources efficiently.

The Framework is part of the NHS Long Term Plan.

What is the THRIVE Framework?

The THRIVE Framework provides a set of principles for creating coherent and resource-efficient communities of mental health support for children, young people and families.

It aims to talk about mental health and mental health support in a common language that everyone understands.

The Framework is needs-led. This means that mental health needs are defined by children, young people and families alongside professionals through shared decision making. Needs are not based on severity, diagnosis, or health care pathways.

Download the Framework

THRIVE Framework for system change (2019)

An accessible summary of the Framework including case studies and examples of the THRIVE Framework and Principles in practice. 

THRIVE Framework for system change 2019

THRIVE Elaborated: Second Edition (2016)

The full Framework including a foreword about the THRIVE Framework as a multi-agency initiative.

THRIVE Elaborated: Second Edition



The THRIVE Framework has been translated into a model of care called 'i-THRIVE’, which is an integrated, person-centred and needs-led approach to delivering mental health services for children, young people and families. 

i-THRIVE was successfully selected to be a national NHS Innovation Accelerator. To support the dissemination of the model, the i-THRIVE partnership has been created between the Anna Freud National Centre for Children and Families, Tavistock & Portman NHS Foundation Trust, Dartmouth Center for Healthcare Delivery Science and UCLPartners.

A Community of Practice involving 10 sites from across England is now working to implement the model, supported by a team made up of members from the partnership. We are supporting sites to use evidence based approaches to implementation and will be learning about the impact on access, waiting times, patient choice and engagement with services. Shared decision making (SDM) is an important element of the model and we will be using a new measure of the quality of the shared decision making process, called CollaboRATE, as well as developing tools to support patients and clinicians in the SDM process, called Option Grids.

The following CAMHS providers make up the community of practice:

  • East London Foundation Trust
  • Oxleas NHS Foundation Trust
  • Cambridge and Peterborough NHS Foundation Trust
  • Tavistock and Portman NHS Foundation Trust
  • Hertfordshire Partnership NHS Foundation Trust
  • Central Manchester University Hospitals NHS Foundation Trust
  • North East London Foundation Trust
  • Pennine Care NHS Foundation Trust

For more information, visit

The i-THRIVE Programme is being led by Rachel James. If you would like further information please email her at

If you would like to join the community of interest to receive updates please contact the i-THRIVE Research Officer, Bethan Morris at