The Tavistock and Portman NHS Foundation Trust is the provider of child and adolescent mental health services in Camden and is home to five of the THRIVE authors. The four key priorities for Camden are ‘Getting Risk Support’, setting up ‘Getting Advice’ appointments, having robust systems of clinical oversight and review for cases in ‘Getting Help’ and ‘Getting More Help’, and embedding shared decision making across all categories of need.
Camden have used an AMBiT model to develop their approach to supporting children and families who are receiving ‘Getting Risk Support’ and have successfully implemented a new set of multi-agency local agreements to have collective responsibility and accountability for the support of this group of children and young people by creating one single multi-agency plan. To facilitate the development of ‘Getting Risk Support’ the CAMHS service for vulnerable children is collocated with Local Authority services, and multi-agency reflective practice meetings are now commonplace. The experience of receiving multi-agency support is being evaluated using a new measure from the Dartmouth Institute for Health Policy and Clinical Practice, called IntegRATE. This project is supported by a grant from Health Education England.
Camden is also at the forefront of improving shared decision making with a Health Foundation funded project to develop, design and trial the use of a decision aid for young people and their families. These ‘i-THRIVE grids’ were developed in collaboration with the Dartmouth Institute for Health Policy and Clinical Practice and are currently being piloted in clinical teams.
In addition to this, the THRIVE needs based groupings have been embedded into the electronic clinical record system used by CAMHS with a view to 80% of children and young people having a THRIVE plan by the end of the financial year.
The implementation of THRIVE is ongoing, and the impact of THRIVE will continue to be properly evaluated.
If you would like further information on Camden’s work with i-THRIVE, please contact Andy Wiener, Consultant Child and Adolescent Psychiatrist, The Tavistock and Portman NHS Foundation Trust firstname.lastname@example.org