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

Author(s) : Dickon Bevington, Author(s) : Peter Fuggle, Author(s) : Peter Fonagy, Author(s) : Liz Cracknell

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

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Also by Peter Fonagy

Also by Peter Fuggle

Also by Dickon Bevington

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Socially excluded youth with mental health problems and co-occurring difficulties (e.g. conduct disorder, family breakdown, homelessness, substance use, exploitation, educational failure) attract the involvement of multiple agencies. Poorly coordinated interventions often multiply in the face of such problems, so that a young person or family is approached by multiple workers from different agencies working towards different goals and using different treatment models; these are often overwhelming and may actually be experienced as aversive by the young person or their family. Failure to provide effective help is costly throughout life

This is the first book to describe Adaptive Mentalization-Based Integrative Treatment (AMBIT). This is an approach to working with people - particularly young people and young adults - whose lives are often chaotic and risky, and whose problems are not limited to one domain. In addition to mental health problems, they may have problems with care arrangements, education or employment, exploitation, substance misuse, offending behaviours, and gang affiliations; if these problems are all occurring simultaneously, any progress in one area is easily undermined by harms still occurring in another.

AMBIT has been designed by and for community teams from Mental Health, Social Care, Youth work, or that may be purposefully multi-disciplinary/multi-agency. It emphasises the need to strengthen integration in the complex networks that tend to gather around such clients, minimising the likelihood of an experience of care that is aversive. AMBIT uses well evidenced 'Mentalization-based' approaches, that are at their core integrative - drawing on recent advances in neuroscience, psycho-analytic, social cognitive, and systemic treatment models.

About the Author(s)

Peter Fonagy is Freud Memorial Professor of Psychoanalysis and Director of the Sub-Department of Clinical Health Psychology at University College London. He is Chief Executive of the Anna Freud Centre, London. He is a clinical psychologist and a training and supervising analyst in the British Psychoanalytical Society in child and adult analysis. He has published over 200 chapters and articles and has authored or edited several books.

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