Youth Suicide is the leading cause of death in young Australian’s aged 15 to 24 years with rates increasing, for some, 3-fold over the past 10 years. Across Victoria, the adult HOPE (Hospital Outreach Post-Suicide Engagement) service has been successful in caring for adults in the immediate aftermath of a suicide attempt or as a result of suicidal ideation. In late 2021 there was a planned expansion of this service to include children and adolescents. Following an extensive co-design The Alfred Child and Youth HOPE service commenced in February 2022. The Alfred Child and Youth HOPE team offers 3-months of intense support for young people aged 26 years and under post suicide attempt or due to suicidal ideation. The approach incorporates a multi-disciplinary, outreach team incorporating both youth and family peer workers as a part of the core team. Despite the extensive co-design process staff faced multiple challenges in implementing the new service. One of the major challenges was a mismatch in expectation around the type of clients the team thought they would be supporting compared to those who needed support. This presentation focuses on the views of the CY HOPE staff tasked with the implementation of this new initiative. The presentation will discuss how the team adapted service provision to meet the individual and often unique needs of young people highlighting the need for a flexible approach. There will also be advice to service providers on ways to overcome operational challenges whilst addressing growing and often competing demands.