The FLOURISH Annual Meeting took place from September 27th to September 30th 2026, in Chișinău, Moldova, and was hosted by the Health for Youth Association (HYA).

The meeting brought together project partners to review progress across the project’s work packages, discuss findings from the implementation of the Parenting for Lifelong Health (PLH) program for caregivers and teens, and reflect on the results of the implementation assessment and scale-up study.

Discussions also explored key lessons learned, opportunities for future programme scale-up, and approaches to maintaining programme quality through appropriate training, supervision, and collaboration with relevant stakeholders.

The meeting provided a valuable opportunity to exchange knowledge and discuss next steps towards ensuring the program’s sustainability beyond the project’s lifetime.

Our new 3-minute video “Turning Insight into Impact” introduces the FLOURISH project, highlights key considerations for successful program implementation and scale-up, and shares participants’ voices and experiences, bringing the program’s impact to life.

Watch now on YouTube, available in English, Macedonian, and Romanian: https://www.youtube.com/@FLOURISH-Study-Project

We are pleased to share a new publication examining the ordinal scaling properties of the WHO-5 Well-Being Index among 653 adolescents aged 10-14 in Moldova and North Macedonia. Using baseline data from Phase 2 of the FLOURISH project, the study applied Mokken Scale Analysis to assess how the WHO-5 items perform in this population.

The results support the scalability and monotonicity of the WHO-5, providing evidence for the use of its summed score to distinguish between relatively lower and higher levels of adolescent well-being. These findings contribute to our understanding of how adolescent well-being can be measured in research and practice.

Read the full article here: https://doi.org/10.1186/s12955-026-02624-7

The FLOURISH scale-up video “Turning Insight into Impact” is now available on YouTube (https://www.youtube.com/@FLOURISH-Study-Project) in English, Macedonian, and Romanian. The video provides an overview of the project, outlines key considerations for successful programme implementation, and incorporates participant quotes reflecting their experiences with the programme.

We are pleased to share that data collection for the FLOURISH Scale-Up Study has been successfully completed!
The study explores how the intervention has been disseminated and positioned among practitioners and policymakers, with a particular focus on factors that can support its sustainability and future scale-up within policy and practice.
We are grateful to all the practitioners, policymakers, and other stakeholders who took the time to participate and share their perspectives.

A total of 315 participants completed the survey:

• 163 participants from Moldova
• 152 participants from North Macedonia

We are pleased to share our new article published in BMJ Open: “Evaluation of a family-focused intervention to promote adolescent mental health and family relationships (phase 3 of MOST): protocol for a randomised controlled trial.”
The study protocol presents the next phase of the FLOURISH project, which will evaluate an adapted Parenting for Lifelong Health (PLH) for Parents and Teens programme.
The programme brings adolescents aged 10-14 and their caregivers together to strengthen positive parenting, communication, problem-solving and emotional regulation, with the broader aim of promoting adolescent mental health and stronger family relationships.
This publication marks Phase 3 of the FLOURISH project - the evaluation phase - building on the preparation and optimisation work conducted in the earlier phases. Read the full article in BMJ Open. https://pubmed.ncbi.nlm.nih.gov/42608044/

On June 17 2026, members of the FLOURISH consortium - Dr. Yulia Shenderovich, Viorel Babii, and Anastasia Gkaitatzi-Sazdov - participated in the Parenting for Lifelong Health (PLH) Global Community Meeting.
The meeting brought together PLH practitioners and partners from across the world, including participants from Asia and South America, to exchange updates, share experiences, and discuss ongoing implementation and collaboration within the PLH network.
The discussion focused on sharing practical experiences of delivering PLH in different contexts. Key topics included how PLH delivery can be sustained and funded during periods of funding cuts, as well as how we can continue to learn from each other across diverse settings.
The exchange highlighted the value of global collaboration and mutual learning within the PLH community.

The FLOURISH project was presented at the GACD workshop by Dr. Janina Müller and Dr. Christina Glasauer during Session B on Tuesday, 16 June 2026.
The presentation covered one current priority of the project, key challenges (both major and minor) that the team is actively working through, as well as advice, guidance, and practical tips sought from other project teams.
The discussion that followed focused primarily on strategies for recruiting hard-to-reach groups and effective approaches to stakeholder engagement. Participants shared their experiences and practical strategies, contributing to a valuable exchange of ideas, challenges, and lessons learned across projects.
These exchanges provided valuable input for ongoing implementation and collaboration within the FLOURISH project.

On June 4 2026, members of the FLOURISH consortium in North Macedonia – Prof. Dr. Marija Raleva, Dr. Slavica Knezhevikj Gajdadzis and Anastasia Gkaitatzi-Sazdov participated in the workshop - Parenting for Lifelong Health (PLH) in the Educational System in North Macedonia. The workshop brought together PLH practitioners from Institute Alternativa, UNICEF Country Office representatives and representatives from Ministry of Education, to discuss the needs, opportunities and means of collaboration between the three entities in implementing the PLH programs for parents of young children, as well as teens within the educational system in the country.

Dr. Christina Glasauer presented at the 5th International Workshop on Complexity in Innovation, Management, and Economics (CIME2026) in Klagenfurt (May 8 2026), giving the presentation “Understanding Workforce Constraints in Scaling Family-Based Mental Health Interventions” on the current status of the agent-based modeling of the capacity building FLOURISH scale-up strategies and the dissemination to and feedback from the complexity-modelling research community.

Michael Radloff and Prof. Heather Foran presented findings from FLOURISH at the Conference on Intervention Optimization: Science & Practice, Present and Future, organized by the NYU School of Public Health. (May 18 2026, USA).

FLOURISH is entering its next phase, with primary intervention cycles and post-assessments largely completed, the project is now progressing toward follow-up assessments in Moldova and North Macedonia Wave 1, while North Macedonia also prepares for upcoming waitlist interventions. In addition, Wave 2 post-assessments in North Macedonia are expected to begin in May. These next steps will support evaluation of the programme’s longer-term sustainability while expanding evidence-based family support to additional adolescents and caregivers.

Through continued implementation, follow-up, and expansion, FLOURISH aims to strengthen adolescent mental health support systems across both countries.

Over the past three months, the FLOURISH team has actively engaged with the international research community through a series of conferences, seminars, and workshops across Europe.

We are highlighting several recent contributions:

• Prof. Heather Foran and Dr. Christina Glasauer presented the FLOURISH PLH adapted manuals and the “House of Support” at the Long Night of Research at the University of Klagenfurt, Global Mental Health and Health Psychology Lab. Approximately 200 families visited the research lab.
• Prof. Heather Foran and Dr. Christina Glasauer established collaboration on parenting programs with pro mente and the FLOURISH PLH program was translated into German by Vanessa Steinkogler.
• Prof. Judit Simon presented “Applying a multi-criteria decision analysis framework for the optimization of a complex parenting intervention in Southeast Europe: A cost-consequences analysis of the FLOURISH factorial trial” at the 9th Austrian Health Economics Association Conference.
• Dr. Yulia Shenderovich delivered a seminar titled “Family-focused approaches to adolescent mental health: Family-Focused Adolescent & Lifelong Health Promotion (FLOURISH) project” at the Chair of Global Health, Technical University Munich (26 February 2026), presenting FLOURISH study findings with a particular focus on intervention development in LMICs.
• Dr. Christina Glasauer presented a poster titled “Simulating workforce capacity for scaling family focused interventions” at the Digital Health Symposium 2026.
• Prof. Nina Heinrichs presented “Family relationships, biographical backgrounds and their relationship to access and use of support services” at the workshop Families of the Future – Shaping Transformations.
• Dr. Yulia Shenderovich and Caitlyn Donaldson delivered a seminar titled “Family-focused approaches to adolescent mental health: Family-Focused Adolescent & Lifelong Health Promotion (FLOURISH) project” at the Centre for Evidence-Based Intervention Research Group (27 January 2026), presenting FLOURISH study findings and engaging in discussion with the research community.

These engagements are key to sharing knowledge, receiving valuable feedback, and strengthening collaboration within the global research community.

From March 9-11, 2026, University of Klagenfurt hosted a three-day facilitator training for the Parenting for Lifelong Health (PLH) Programme for Parents and Teens in collaboration with pro mente. Organized by Dr. Christina Glasauer, Prof. Heather Foran, and the Health Psychology Unit, the training was led by Prof. Dr. Marija Raleva and Dr. Slavica Gajdadzis-Knezevik from Institute ALTERNATIVA (IA), who brought extensive experience in training and supervising facilitators. The training aimed to build on the existing network and further strengthen excellence in facilitation across Austria.

The Magnificent Mei comic book, developed under the Helping Adolescents Thrive initiative (HAT), jointly led by World Health Organization and UNICEF, is now available in Macedonian. It contributes to ongoing efforts to promote adolescent mental health, prevent risk behaviors, and strengthen supportive environments for young people and their caregivers.

We are pleased to share the latest progress from Phase 3 of the FLOURISH project:

• Baseline assessments: completed
• Post assessments:
  • completed in Moldova
  • Wave 1 completed in North Macedonia
  • Wave 2 in North Macedonia ongoing
• Follow-up assessments:
  • starting soon in Moldova
• Intervention implementation:
  • completed in Moldova
  • Wave 1 completed in North Macedonia
  • Wave 2 ongoing in North Macedonia

These milestones mark an important step toward understanding how to better support families and adolescents across Eastern and Southeastern Europe.

Dr. Yulia Shenderovich met with representatives of two non-profit organizations in Bosnia and Herzegovina (Prevencija.ba and Mentis Institute) on 13 January 2026. The meeting followed up on discussions from the FLOURISH conference in North Macedonia and focused on opportunities for scaling evidence-based parenting program for adolescents in Bosnia and Herzegovina.

Invited presentation by Heather Foran at Workshop From Policy to Practice: Regional and Local Impacts of EU Missions and HE Clusters organized by the NCP4Missions in December 2025.

Adolescence is a period of growth and change, yet it is also when many mental health challenges emerge, shaped by social realities such as poverty, inequality, and conflict. The FLOURISH project supports families through the Parenting for Lifelong Health (PLH) Program for Parents and Teens, offering evidence-based tools to strengthen communication, trust, and supportive relationships. The program is implemented in North Macedonia and Moldova by partner organizations ALTERNATIVA (IA) and Youth Friendly Health Centers (Youth Klinics), respectively. To showcase the project’s impact, the video “Beyond the Data: Empowering Families to Support Youth” was presented at the FLOURISH conference in November 2025 in North Macedonia and is now available on the FLOURISH YouTube channel, website, Facebook, and LinkedIn.

The FLOURISH conference “Strengthening Families: Expanding Support Programs for Children, Adolescents, and Parents in Eastern and Southeastern Europe” was held on November 14, 2025 at Hotel Continental in Skopje, North Macedonia. Organized and hosted by project partner ALTERNATIVA (IA) with support from the FLOURISH consortium, the event promoted regional collaboration, the exchange of best practices, and enhanced mental health support for adolescents and their families. It brought together 120 experts, practitioners, organizations (such as UNICEF), and institutional representatives committed to building stronger and more supportive communities. FLOURISH extends its gratitude to ALTERNATIVA (AI) for organizing and hosting the event, to all FLOURISH consortium members for their valuable contributions and presentations, and to all attendees, whose participation made the conference a success.

At the FLOURISH conference “Strengthening Families: Expanding Support Programs for Children, Adolescents, and Parents in Eastern and Southeastern Europe”, project partner Dr. Slavica Gajdadzis-Knezevik, an expert in systemic family therapy and founder of ALTERNATIVA in North Macedonia, highlighted the vital role of families in supporting adolescents. Together with UNICEF MK representative Lesley Miller, she emphasized that even when teens seem distant, they still turn to their parents for guidance and support. Strengthening families, she stressed, is not only a professional responsibility but a societal one. Read the full article on the Telma TV website.

Swetha Sampathkumar delivered presentation titled “Implementation and Process Evaluation Findings from a Pilot Feasibility Study Testing an Adapted Family-Focused Intervention for Adolescents and Their Caregivers” at ISPCAN 2025, held in Vilnius, Lithuania, on October 6-9, 2025. https://ispcan.org/congresses/vilnius-2025-recap/

Janina Müller and Michael Radloff delivered a conference presentation titled “Adapting a Parenting Intervention to Prevent Adolescent Mental Health Problems in North Macedonia and Moldova: A Feasibility Study” at the 16th EUSPR Conference, held in Berlin, Germany, on September 24-26, 2025. Swetha Sampathkumar also delivered a conference presentation titled “Implementation and Process Evaluation Findings from a Pilot Study Testing a Family-Focused Mental Health Promotion Intervention to Prevent Adolescent Mental Health Problems in Eastern Europe” at the 16th EUSPR Conference, held in Berlin, Germany, on September 24-26, 2025. https://euspr.org/conferences/upcoming-conference/

Ivo Kunovski, Magdalena Bilinska and Katica Stoimenovska delivered a conference presentation at the EFTA-RELATES 2025, Lyon, France (August 27-30, 2025).

Janina Müller and Michael Radloff delivered a conference presentation titled “Promoting Mental Health in Adolescents and Caregivers: A Multi-Informant Pilot Evaluation” in Zurich, Switzerland, on June 24, 2025. https://conference.irhcollaborative.com/

Organized by NGO IA, the event promoted regional exchange and policy dialogue on sustainable parenting programs, with the FLOURISH Project highlighted by Dr. Galina Lesco and Marija Raleva (06.05.25). https://www.linkedin.com/feed/update/urn:li:activity:7325529342158032898

Galina Leco presented insights about the institutionalization and sustainability of parenting programs at the regional virtual Conference on Parenting Programs, on May 6, 2025. https://mecc.gov.md/ro/content/fost-lansata-platforma-nationala-domeniul-educatiei-parentale-si-parentalitatii-pozitive

Viorel Babii presented the Moldovan PLH experiences at the event: PLH Global community Case Clinic titled "Building a Regional Training Coordination Organization for Parenting" on April 7, 2025.

Presentation by Heather Foran, Marija Raleva and Viorel Babii on engaging individuals with lived experience in the FLOURISH Project at the GACD Research Programme Workshop held on December 10, 2024.

Heather Foran delivered a symposium presentation titled “Family-Based Programs for Lifelong Health Promotion of Children and Adolescents.” at the “Biopsychosocial Together: Social Support as a Resilience Factor” symposium, held in Klagenfurt, Austria, on December 6, 2024.

Nevena Calovska Hercog hosted the EFTA Research Café, online, featuring a presentation in Lisbon, Portugal, on November 28, 2024. https://europeanfamilytherapy.eu/events/efta-research-cafe-family-focused-adolescent-lifelong-health-promotion/

Marija Raleva, Slavica Gaidazis Knezhevikj, and team delivered conference presentation at “Challenges of Contemporary Families”, held in Skopje, North Macedonia, on October 29-30, 2024. http://icccf.fzf.ukim.edu.mk/

Anita Burgund Isakov, Marija Raleva, Slavica Gaidazis, Nevena Calovska Hercog delivered a presentation at “Challenges of Contemporary Families” held in Skopje, North Macedonia, on October 29-30, 2024. http://icccf.fzf.ukim.edu.mk/

Anita Burgund Isakov and Nevena Calovska Hercog delivered an online presentation at the FICE International 35th World Congress in Split, Croatia on October 24, 2024. https://fice35.link/wp-content/uploads/2024/12/FICE35_Book-of-abstracts.pdf

Gabrijela Boshkov, Katica Stoimenovska Mantova, Natka Pachovska, Despina Stojanovska, Marija Raleva delivered a presentation titled “Visions for Parenting and Caregiving Support: Systemic Training in Facilitating Adolescents’ Mental Health” at the EFTA TIC Conference, held in Lisbon, Portugal on October 18-20,2024. https://efta-tic.eu/5907-2/

Heather Foran delivered a keynote presentation titled “Family-Focused Intervention Approaches for Global Mental Health and Violence Prevention” at the 15th Alps-Adria Psychology Conference, held in Klagenfurt, Austria, on September 11-13, 2024. https://aapc2024.aau.at/

Heather Foran delivered a symposium presentation titled „The Use of the Multiphase Optimization Strategy to Advance Interventions in Health Psychology (MOST designs)“ at the European Health Psychology Conference, held in Cascais, Portugal, on September 6, 2024. https://2024.ehps.net/wp-content/uploads/2024/09/ehps24_final_program_04_september.pdf

Heather Foran delivered a keynote presentation titled “Family-Focused Approaches for Child and Adolescent Mental Health and Prevention of Violence” at the 15th International Conference of the European Network for Mental Health Services Evaluation (ENMESH), held in Versailles, France, on July 4-6,2024. https://www.enmesh2024-versailles.org/inscriptions/index.php?langue=en&onglet=16&acces=&idUser=&emailUser=&messageConfirmation=¶mSearch16-1=Keynote

We are excited to announce that the FLOURISH website https://www.flourish-study.org/about.html is now available in six languages: English, Macedonian, Romanian, Russian, Serbian, and Ukrainian. Additionally, the FLOURISH-adapted PLH Manual for Facilitators and the PLH Family Guidebook are now accessible in English, Macedonian, Romanian, Russian, and Ukrainian, to better support participants in the FLOURISH project. https://www.flourish-study.org/study-materials.html

We are pleased to announce the open-access publication of our Phase 2 study protocol “Family-focused intervention programme to foster adolescent mental health and well-being: protocol for a multicountry cluster randomised factorial trial (FLOURISH Phase 2), now available in BMJ Open. The protocol outlines the design and methodology of our multicountry cluster randomised factorial trial, implemented according to the multiphase optimization strategy (MOST framework). It evaluates the effectiveness and costs of three add-on components alongside the Parenting for Lifelong Health for Parents and Teens program for adolescents and caregivers in Moldova and North Macedonia. Read the full paper here.

Emma Wassell, a psychology student, at Cardiff University, shared her experience working on the FLOURISH project. During her placement, Emma explored parent-adolescent relationships in Moldova and North Macedonia, gaining hands-on experience in developmental psychology. She highlighted the practical impact of research, from data analysis to international collaboration. Read the full interview here.

On January 24, 2024, the YERUN network published an article on the "FLOURISH" project. In the article, Heather Foran, Professor of Health Psychology at the University of Klagenfurt, highlights that around half of all mental health issues emerge during early adolescence and discusses how programs like "Parenting for Lifelong Health for Teens" and the "Helping Adolescent Thrive" initiative can provide valuable support to both adolescents and their caregivers. You can read the full article here.

We are excited to announce the successful completion of Phase 1 of the FLOURISH study! During this phase, we adapted our family-focused intervention to the cultural contexts of North Macedonia and Moldova, ensuring alignment with the program’s theory of change.
Phase 1 involved consultations with four advisory groups—adolescents, parents, implementers, and policy stakeholders—who provided invaluable feedback for refining the program. The adapted intervention was then piloted with families of adolescents aged 10-14, with both quantitative and qualitative data collected.
We are now preparing for Phase 2, where we will conduct a factorial trial based on the insights gained from Phase 1. Stay tuned for further updates!

The FLOURISH project has officially started on January 1st 2023 and will continue through December 31st 2026.