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Adaptive Mentalization-Based Integrative Treatment: A Guide for Teams to Develop Systems of Care

Online ISBN:
9780191799662
Print ISBN:
9780198718673
Publisher:
Oxford University Press
Book

Adaptive Mentalization-Based Integrative Treatment: A Guide for Teams to Develop Systems of Care

Dickon Bevington,
Dickon Bevington

Consultant in Child and Adolescent Psychiatry and Medical Director

Consultant in Child and Adolescent Psychiatry and Medical Director, Anna Freud National Centre for Children and Families, UK and Cambridgeshire and Peterborough Mental Health (NHS) Foundation Trust, UK
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Peter Fuggle,
Peter Fuggle

Clinical Director

Clinical Director, Anna Freud National Centre for Children and Families
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Peter Fonagy
Peter Fonagy

Professor and Head

Professor and Head, Research Department of Clinical, Educational and Health Psychology, University College London, UK
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Published:
August 2017
Online ISBN:
9780191799662
Print ISBN:
9780198718673
Publisher:
Oxford University Press

Abstract

This book is for youth workers, social workers, mental health staff, specialist teachers, family support workers, and so on, whose clients present with comorbidity, risk, and difficulty accessing mainstream services. It describes inevitably stressful, unsettling work, providing effective help in complex helping systems. An innovative response emerges, building on adaptive (evidence-based) mentalization-based theory and practice. Uniquely, AMBIT applies mentalizing not only directly, in work with clients, but also in work: (a) with the team, (b) with wider (often “dis-integrated”) networks, and (c) creating cultures of learning and radical transparency. AMBIT is as much an improvement system for teams as a “therapy”—strengthening team identity and coherence, and supporting a wider community of practice. Linking evidence-based practice to practice-based evidence, the book concludes with impact descriptions from some of the nearly 200 AMBIT-trained teams, a client’s perspective, and a challenging analysis of systems of care pointing toward the need to create more mentalizing systems.

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