About the THRIVE Hull Framework 

In Hull, the national THRIVE Framework has been adopted to describe the range of emotional and mental health provision available for children and young people.  It provides us with a set of principles for creating a coherent and resource-efficient community of mental health and wellbeing support for children, young people, and families. It is needs-led, and person centred, and our aim is to use the principles of THRIVE to further build, simplify and refine our provision. It conceptualises five needs-based groupings for young people with mental health issues and their families.

Thrive Model Definitions 

Thriving : For those whose current need is support in maintaining mental wellbeing through effective prevention and promotion strategies. ‘Thriving’ includes population health and wellbeing promotion, universal prevention, and selective prevention.  

Getting Advice: Those who need advice and signposting 

Within this grouping are children, young people and families adjusting to life circumstances, with mild or temporary difficulties, where the best intervention is within the community with the possible addition of self-support.  

Getting Help: Those who need focused goals-based input  

This grouping comprises those children, young people and families who would benefit from focused, evidence -based help and support, with clear aims, and criteria for assessing whether these aims have been achieved.  

Interventions are characterised by an explicit shared understanding from the outset of: 

• What a successful outcome would look like

• How likely this is to occur by a specific date 

• What would happen if this was not achieved? 

Getting MORE Help: Those who need more extensive and specialised goals-based help  

This grouping also comprises those children, young people and families who would benefit from focused, evidence-based interventions, with clear aims, and criteria for assessing whether these aims have been achieved. 

There are no hard and fast rules as to who needs ‘More Help’ but the following are frequent indicators: 

• The child or young person is completely unable to participate age appropriately in daily activities in at least one context (eg. Schools, home, with peers) 

• They may even be unable to function in all domains (eg. Staying at home or in bed all day without taking part in social activities) 

Getting Risk Support: Those who have not benefited from or are unable to use help, but are of such risk that they are still in contact with services 

This grouping compromises those children, young people and families who are currently unable to benefit from evidence-based treatment but remain a significant concern and risk. 

Children or young people in this grouping may have some or many of the difficulties in Getting Help or Getting More Help but, despite extensive input, they or their family are currently unable to make use of help more help or advice AND they remain a risk to self or others.