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(p. 374) Future ambitions for the AMBIT project 

(p. 374) Future ambitions for the AMBIT project
Chapter:
(p. 374) Future ambitions for the AMBIT project
Author(s):

Dickon Bevington

, Peter Fuggle

, Liz Cracknell

, and Peter Fonagy

DOI:
10.1093/med-psych/9780198718673.003.0011
Page of

date: 18 September 2019

The evidence for AMBIT is described, together with our intentions regarding future development and dissemination. Existing evidence, and its limits, is sketched out. Challenges for future data collection/analysis are highlighted in relation to a “model” that is, by design, broad and adaptable, rendering “fidelity” difficult to define in conventional terms. Opportunities for meaningful randomized trials are limited, but possible. A description of AMBIT’s strategy for future model development (referencing open-source computing, learning organizations, and quality improvement models) concludes with a summary of AMBIT’s “evidence-informed” approach. AMBIT’s role as a learning system is supported by innovative web-based collaborations (for instance POD, a pooled online data system). Diverse training methods and reflective self-audit questions for teams considering training are described. Skepticism about how conventional trainings could ever create the necessary “step change” in services is balanced by the opportunities for dissemination offered by web-based learning and devolved engagement of a community of practice.

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