they are working within for any one person at any one time and this explicit to all part of the assessment process. This should be explicitly discussed with CYP and families and the outcome of these decisions is recorded as part of assessment. Rating Circle the rating level that best describes your service. Capture key points in the deliberation and note particular areas of strength or opportunities for improvement. THRIVE Principle 1 2 3 4 Notes MICRO PRINCIPLE 2: People (staff, CYP and families) are clear about which needs based group they are working within for any one person at any one time and this explicit to all 1 2 3 4 Micro System Considerations (The relationships between professionals and CYP, and inter-professional relationships)
THRIVE Principle Measure used (where relevant) Level 1 Some way to go to achieving THRIVE-like Practice 2 3 Level 4 Practice is very MICRO PRINCIPLE 3: People CYP and families) are clear about for help and reasons for ending A: Staff survey – 50% staff must have completed the survey. 20% staff agree that there are clear parameters for the length of treatment, and that clear reasons for ending are set out at the beginning of therapy. 40% staff agree that there are clear parameters for the length of treatment, and that clear reasons for ending are set out at the beginning of therapy. 60% agree that there are clear parameters for the length of treatment, and that clear reasons for ending are set out at the beginning of therapy. 80% staff agree that there are clear parameters for the length of treatment, and that clear reasons for ending are set out at the beginning of therapy. B: Reasons for ending proforma and information for patients. 0-40% of notes have the reasons for ending proforma filled out and this confirms that there was explicit consideration of endings and that this was discussed 40% - 59% of notes have the reasons for ending proforma filled out and this confirms that there was explicit consideration of endings and that this was discussed 60-79% of notes have the reasons for ending proforma filled out and this confirms that there was explicit consideration of endings and that this was discussed 80-100% of notes have the reasons for ending proforma filled out and this confirms that there was explicit consideration of endings and that this was discussed
with children and young people and their families at the beginning of therapy. with CYPAF at the beginning of therapy. with CYPAF at the beginning of therapy. with CYPAF at the beginning of therapy. C: Staff do not have access to training on when to end therapy and it is not routinely addressed at the beginning of therapy. Not all staff recognise that this is an important part of all therapy sessions. Some staff have access to training on when to end therapy and some are clear about how to address this at the beginning of therapy. Not all staff recognise that this is an important part of all therapy sessions. Some staff have access to training on when to end therapy and are confident in how to address this at the beginning of therapy. Most staff are clear that this is an important part of all therapy sessions. All staff have access to training on when to end therapy and are confident in how to address this at the beginning of therapy. All staff are clear that this is an important part of all therapy sessions. Rating Circle the rating level that best describes your service. Capture key points in the deliberation and note particular areas of strength or opportunities for improvement. THRIVE Principle 1 2 3 4 Notes
Any would involve explicit agreement from the beginning about the outcome being worked towards and the likely timeframe. There would be a plan for what happens if it is not achieved. number of therapy sessions according to THRIVE-group. number of therapy sessions according to THRIVE-group. number of therapy sessions according to THRIVE-group. recommended number of therapy sessions according to THRIVE-group. B: Audit In 0-39% of notes, the goals and expected outcomes for treatment are discussed with CYPAF and recorded in notes. There is a plan in place for what happens if this is not achieved. In 40-59% of notes, the goals and expected outcomes for treatment are discussed with CYPAF and recorded in notes. There is a plan in place for what happens if this is not achieved. In 60-79% of notes, the goals and expected outcomes for treatment are discussed with CYPAF and recorded in notes. There is a plan in place for what happens if this is not achieved. In 80-100% of notes, the goals and expected outcomes for treatment are discussed with CYPAF and recorded in notes. There is a plan in place for what happens if this is not achieved. Rating Circle the rating level that best describes your service. Capture key points in the deliberation and note particular areas of strength or opportunities for improvement. THRIVE Principle 1 2 3 4 Notes
MICRO PRINCIPLE 5A: Intervention involves explicit agreement the outcome being worked towards and the likely timeframe. There would be a plan for what happens if it is not achieved 1 2 3 4 MICRO PRINCIPLE 5B: Intervention involves explicit agreement about the outcome being worked towards and the likely timeframe. There would be a plan for what happens if it is not achieved 1 2 3 4 Micro System Considerations (The relationships between professionals and CYP, and inter-professional relationships) THRIVE Principle Measure used (where relevant) Level 1 Some way to go to achieving THRIVE-like Practice 2 3 Level 4 Practice is very THRIVE-like MICRO PRINCIPLE 6: Most experienced practitioners inform advice and signposting There is not a Grade 8 or above mental health practitioner involved in the signposting and advice provided across the service. There are multiple teams in different From a mental health point of view, at least one Grade 8 or above is involved in giving advice and supporting signposting. Individuals involved in advice and signposting From a mental health point of view, at least one Grade 8 or above is involved in giving advice and supporting signposting. Most individuals across the From a mental health point of view, at least one Grade 8 or above is involved in giving advice and supporting signposting. While the team undertaking assessments
settings that provide advice and signposting, with no way for these teams to access expert supervision. There is no way to know how effective the advice and signposting across the system works. are from a number of different teams. There is supervision for most of these, but some of the assessments in the community (e.g. LA or schools) are not routinely discussed with a senior practitioner. system are linked into the Advice & Signposting Team and feel able to get support from the senior clinician in providing advice & signposting. There are systems in place through which the senior practitioner can be assured that the advice and signposting systems are operating effectively. would be expected to be and/or this should act as a coherent team and should be supervised by a senior team member with mental health expertise. Rating Circle the rating that best describes your service. Capture key points in the deliberation and note particular areas of strength or opportunities for improvement. THRIVE Principle 1 2 3 4 Notes
MICRO PRINCIPLE 6: Most experienced practitioners inform advice and signposting 1 2 3 4 Micro System Considerations (The relationships between professionals and CYP, and inter-professional relationships) THRIVE Principle Measure used (where relevant) Level 1 Some way to go to achieving THRIVE-like Practice 2 3 Level 4 Practice is very THRIVE-like MICRO PRINCIPLE 7: THRIVE used to help those managing risk Audit 0-39% of CYP in the GETTING RISK SUPPORT group have a THRIVE plan documented and up to date. 40-69% of CYP in the GETTING RISK SUPPORT group have a THRIVE plan documented and up to date. 60-79% of CYP in the GETTING RISK SUPPORT group have a THRIVE plan documented and up to date. 80-100% of CYP in the GETTING RISK SUPPORT group have a THRIVE plan documented and up to date. Rating Circle the rating that best describes your service. Capture key points in the deliberation and note particular areas of strength or opportunities for improvement. THRIVE Principle 1 2 3 4