This chapter describes the adoption of the AMBIT framework by a team working with adults with a personality disorder diagnosis, in Utrecht, the Netherlands. The implementation of the AMBIT model in this service context is explained with reference to the four quadrants of the AMBIT wheel. In the first quadrant, Working with your Client, the challenge of establishing epistemic trust and the significance of scaffolding healthy existing relationships is explained. In Working with your Team, the importance of a well-connected team in in supporting individual workers’ mentalizing capacity is covered, and the use of daily team briefings and weekly or two-weekly intervision sessions. The AMBIT model was particularly relevant in highlighting to the service the importance of the third quadrant, Working with your Network, and building awareness of the prevalence of network dis-integration and the value of using the dis-integration grid. The fourth quadrant, Learning at Work, was implemented by creating a learning space via regular meetings to discuss progress and practice, manualizing, local trainings, and sharing practice with other mental healthcare organizations.
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