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(p. 351) Adopting the AMBIT approach to changing wider systems of help 

(p. 351) Adopting the AMBIT approach to changing wider systems of help
(p. 351) Adopting the AMBIT approach to changing wider systems of help

Dickon Bevington

, Peter Fuggle

, Liz Cracknell

, and Peter Fonagy

Page of

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date: 17 April 2021

AMBIT is now beginning to address larger whole systems of professional help, predicated on four assumptions: help is relational, contingent on trust, and requires collaboration, and processes are all underpinned by effective mentalizing. To illustrate this, problems in the UK’s existing service delivery model for children and young people are presented, followed by a description of a novel approach (the THRIVE model) organizing offers of help around service users’ needs, wishes, and help-seeking behaviors, rather than the technical specialisms that the system offers. AMBIT develops ways of delivering the offer described by THRIVE as “supportive risk management” for families not wanting or responding to advice-giving for self-management, or to specific forms of therapeutic help, or to more specialized/adapted evidence-based practices. Next, the systemic and organizational assumptions in AMBIT are described, especially the invitation for practitioners to relate to existing systems of help (formal and informal), which professional workers of any type must inevitably join (or disrupt).

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