1. Greater Manchester i-THRIVE Dr Paul Wallis, GM i-THRIVE Lead
Angela Daniel, GM i-THRIVE Programme Manager

2. GM Children & Young People Mental Health Programme
Chief Officer, GMHSCP Locality Assurance meetings
Adverse Childhood Experiences (ACE)
Themes
CYP MH Board
(Chairs: Dr Sandeep Ranote &
Charlotte Ramsden Salford DCS)
4 x Transformation Fund programmes:
CYP MH community-based access and crisis care programme
Perinatal and parent-infant MH programme
THRIVE and CYP workforce development programme
Mental and emotional wellbeing in education settings (up to age 18) project
Communities of Identity/ Equalities
6 x CYP Mental Health
Non-Transformation Fund programmes:
ADHD
Eating Disorders
Transitions
MH of Looked after children (LAC)
MH and Youth Justice (in conjunction with Health and Justice Board)
CAMHS Tier 4
(Delegated Specialised Commissioning)
Growing the Voice of young people and families
Working with VCSE and faith sectors

3. GM Mental Health Programme Implementation
Provider Federation Board
Association of GM CCGs
GMCA
GM Mental Health Network
MH VCSE forum and reference group
MH service user/ carer networks
Enabling programmes: business intelligence, finance and contracts, workforce, estates, IM&T
Greater Manchester Health & Care
Partnership Board
GM Commissioning Hub
Dementia United Board
Population Health Board
Health and justice Board
Joint Commissioning Board
(NHS/ LAs)
MH Programme Delivery Board
CYP MH Board
Adult MH Board
GMHSCP Performance and Delivery Board

4. The THRIVE Framework

5. Current model of provision
Highly specialised CAMHS units and intensive community treatment services
Tier 4
Specialist multidisciplinary outpatient CAMHS teams
Tier 3
A combination of some specialist CAMHS services and some community-based services including primary mental health workers
Tier 2
Universal services consisting of all primary care agencies including general medical practice, school nursing, health visiting and schools
Tier 1
Criticised even by its own developers for leading to a reification of service divisions

6. The THRIVE Framework
Attempts at drawing a clearer distinction than before between:
Treatment and support
Self-management and intervention
Developers are aware there are a number of initiatives across the country who use “Thrive” in their title. Term used to reflect core commitment to young people “thriving” and to represent our commitment to provision that is Timely, Helpful, Respectful, Innovative, Values-based and Efficient.

7. Consideration of the Different System ‘Levels’
MACRO
Consideration of Population Health Improvement
How agencies work together and commission services for the population
MESO
Needs based groups of young people and the services/ teams that enable delivery of care according to those needs
MICRO
Ways of working with young people and their families, and how professionals can work best in a collaborative and integrated way

8. Identifying the Population Groups and Services within System Levels
Young People
Services
Example
Macro System
All young people within a locality
Commissioners (Health, Social Care & Education)
Agencies that deliver care (Health, LA, Education, Independent & Third Sectors)
CCG, Council
NHS Trust
Council
Young Minds
Meso System
Needs based groups of young people who require care for a mental health concern. These are the 5 needs based groupings identified in THRIVE.
The services that provide care for these needs based groups of young people.
LAC, ADHD services, locality teams, school counselling services.
Micro System
Individual young people receiving care for a mental health concern
The teams and individuals within those teams for provide care for young people in their services.
Individual therapists giving CBT
The members of the SPA assessment team in a particular setting

9. Taking an evidenced based approach to implementation with the Quality Implementation Framework
Self Assessment
Prioritisation
Implementation Planning
Structural features of Implementation
Finalising Implementation Plan
Developing Implementation Teams
Community of Practice
Training Clinical & Professional Teams
Measurement in place
Phase 1
Phase 2
Phase 3
Phase 4
Initial considerations
Improving future applications
Creating Structure for Implementation
Ongoing Structure Supporting Implementation
Learning from
Experience
Sustainability
Normalisation
Process Theory
Ongoing Implementation Support Strategies
Making changes – use of QI
Technical Assistance/Coaching/Supervision
Ongoing Training
Process Evaluation
Supportive Feedback Mechanisms
In implementing THRIVE we are following a structured evidence based approach recommended by Meier. It has 4 phases, which are: name them

10. GM i-THRIVE Aims GM i-THRIVE Evaluation Understanding the System
Enhancing the System via
Training & Development
Broadening the System
for CYPF mental health
Sustaining the System via Supervision
& Consultation

11. Deliverables – Impact of GM i-THRIVE
Clearer Pathways for CYPF MH
Improved Choice and Shared Decision-making
Enhanced Agency Collaboration
Enhanced system skill-base with ongoing training and supervision
Enhanced support for complex needs and risk

12. From Theory to Practice
Engaging System Leads
Identifying local sector Champions
Delivery of training – train the trainer
Supervision and Consultation
Ongoing Evaluation

13. Cross-system Core training modules
Impact of Adverse Childhood Experiences (ACEs)
Shared Decision-Making
Getting Advice and Signposting
When to Stop Treatment (letting go)
Managing Risk Within Teams
Managing Risk Across Agencies
i-THRIVE Grids

14. What has happened so far?
Transformation funding approved December 2017/Operational from April 2018
Investment
Programme Manager, Project Support and Assistant Psychologist recruited
Recruitment
Consultant Lead and Programme Manager attending locality high level strategic boards to present i-THRIVE
Implementation plan drafted
Outcomes framework drafted
Communication and engagement strategy drafted
Initial intelligence tool circulated to all localities
Plan

15. Next Steps Engagement workshops on i-THRIVE held in each locality
Jan 2019
Engagement workshops on i-THRIVE held in each locality
GM Community of Practice Event - 12th December 2018
Dec 2018
i-THRIVE training modules begin
September 2018
Initial intelligence gathering tool completed and planning meetings held with all localities
Regular newsletter
Data collection and outcomes framework completed
Locality implementation plans completed
Subject Matter Experts recruited