Thrive Together is a short-term support program for youth ages 11–17 who are medically ready for discharge but need additional support before returning home or to the community. The program combines intensive care coordination and a safe, short-term residential option to help youth transition out of hospital settings, including Emergency Departments, CPEPs, and pediatric units. Referrals are accepted directly from hospitals.

Thrive Together is: 

• Strengths-based and individualized
• Community-based
• Family-driven and youth-guided, with shared decision-making
• Resilience-oriented
• Culturally responsive and inclusive
• Trauma-informed and transparent

The program focuses on a critical transition period and uses a time-limited, phase-based approach with clear goals at each stage. Supports adjust over time as youth and families gain stability, with strong collaboration across community providers and systems.

Core Principals:

• Focused on supporting youth during a key transition period
• Organized in clear phases, with specific goals at each stage
• Short-term services with a defined timeframe
• Level of contact changes over time based on the youth and family needs
• Strong connections to community resources and supports
• Small caseloads to allow for hands-on, individualized coordination
• Services delivered in the home and community whenever possible
• Close collaboration with community providers and partnering agencies
• Ongoing team oversight through regular, structured meetings

Critical Time Intervention (CTI)

Youth and families are supported by a dedicated care team that provides hands-on coordination and frequent contact throughout
the transition process. Services typically last 6–9 months and focus on early engagement, problem-solving, and connecting families to lasting community supports.

The team works closely with caregivers, schools, providers, and other involved systems to support a safe and successful transition.

Transitional Residential Setting (TRS)

When needed, youth may stay in a home-like residential setting as an alternative to hospitalization. This option provides stabilization and respite while transition plans are put in place.

Key features include:
• Structured, supportive environment
• 24/7 supervision and monitoring
• Intensive crisis support
• Individual bedrooms (8 total)
• Nursing care

Stays are flexible and can be used at any point in the program, for up to 120 days total within the nine-month service period.