All sites, as part of their CAMHS transformation programme, will have a multi-agency steering group that oversees its planning and implementation. We encourage sites implementing i-THRIVE to have key people from across the system of services that support children and young people’s mental health (education, social care, local authority, CCG and CAMHS providers) at the macro, meso and micro levels of the system involved in planning and implementation.
The THRIVE framework addresses the key challenges faced by CAMHS detailed in Future in Mind and so any sites working to implement THRIVE in their localities will benefit from this workstream being directly linked to Local Transformation Plans (LTPs). It will be this group’s responsibility to make decisions and guide implementation of i-THRIVE.
Making changes towards a more THRIVE-like system for children and young people’s mental health will depend on being able to influence those who are currently responsible for commissioning and providing local mental health services. The importance of community providers across the locality can not be underestimated and those with knowledge and influence within this provider group will also need to be involved. This will facilitate the development of joint pathways, referral systems, signposting, approaches to risk management and will help to grow services focusing on wellbeing promotion and preventative approaches that build resilience.
Recommended membership of i-THRIVE transformation team:
It is recommended that the i-THRIVE board is chaired by a senior leader with membership from the following agencies:
Clinical Commissioning Group
- Children’s Commissioning Lead
- CAMHS Transformation Lead
- Ideally the GP commissioner/a representative from primary care
- Key executive leads for CAMHS (including Service Mangers, Service Transformation leads and other operations leads)
- Commissioners: Commissioning Lead and Head of Services
- Local authority providers
- Children’s services
- Public Health
Local voluntary sector
- Organisations that are viewed as key to successful transformation
- Youth advice and counselling services
- Leadership from local schools
- It is important to consider the clinicians who have leadership roles within services that are likely to be most affected by, or critical to change
- Consider the CAMHS Director, local influential clinical leaders and academics, the local CYP IAPT Lead, Psychological Health Lead and Nurse Director as a start