Hertfordshire Partnership NHS Foundation Trust
as one



Urgent referrals

If life is at immediate risk, please call 999

If a referral requires a quick response, please contact 0800 6444 101, stating this is urgent.

Referrals are considered urgent if:

    • Child/Young person is has suicidal thoughts and plans with the intent to act on them
    • Concerns that a child/young person has acute psychosis
    • Concerns that a child/young person has a severe eating disorder, especially if there is rapid weight loss or very low weight.


  • The THRIVE Framework provides a set of principles for creating coherent and resource-efficient communities of mental health and well-being support for children, young people and families.
  • It aims to talk about mental health and mental health support in a common language that everyone understands.
  • The Framework is needs-led. This means that mental health needs are defined by children, young people and families alongside professionals through shared decision-making. Needs are not based on severity, diagnosis or healthcare pathways

Getting Advice

  • This group includes both those with mild or temporary difficulties AND those with fluctuating or ongoing severe difficulties who are managing their own health and not wanting goals-based specialist input.
  • Information is shared such that it empowers young people and families to find the best ways of supporting their mental health and wellbeing.

 Getting Help

  • This group comprises those who need specific interventions focused on agreed mental health outcomes.
  • An intervention is any form of help related to a mental health need in which a paid-for professional takes responsibility for input directly with a specified individual or group.
  • The professional may not necessarily be a trained mental health provider but may be a range of people who can provide targeted, outcomes-focused help to address the specific mental health issue

Getting more help

  • This is not conceptually different from Getting Help. It is a separate needs-based grouping only because the need for extensive resource allocation for a small number of individuals may require particular attention and coordination from those providing services across the locality.
  • It is for each community to determine the resource allocation threshold that defines Getting More Help from Getting Help.

Getting risk support

  • The aim of specifying a category of Getting Risk Support is for all partners to be clear that what is being provided is managing risk ONLY.
  • It is important to note that there are likely to be risk management aspects in all groupings. However, in the context of high concerns but a lack of therapeutic progress for those in this group, risk management is the sole focus.
  • Children or young people in this grouping may have some or many of the difficulties outlined in Getting Help or Getting More Help above 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

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