Innovations in Practice: Adolescent Mentalization‐Based Integrative Therapy (<scp>AMBIT</scp>) – a new integrated approach to working with the most hard to reach adolescents with severe complex mental health needs

Bevington, Dickon; Fuggle, Peter; Fonagy, Peter; Target, M; Asen, Eia

doi:10.1111/j.1475-3588.2012.00666.x

Cited by 51 publications

(40 citation statements)

References 5 publications

(9 reference statements)

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“…In passing it should be noted, that many of the key elements highlighted by Chanen and colleagues (161) are also identified and used in the adolescent mentalization-based integrative therapy (AMBIT) approach to hard-to-reach adolescents with multiple mental health problems and vulnerabilities (220,221). This could indicate that they have wider applicability beyond borderline PD, for management and treatment of youth with complex psychopathology.…”

Section: Taking the Dodo Bird Serious: Effective Ingredients And Commmentioning

confidence: 99%

Personality Disorder in Childhood and Adolescence comes of Age: a Review of the Current Evidence and Prospects for Future Research

Kongerslev

Chanen

Simonsen

2014

Scandinavian Journal of Child and Adolescent Psychiatry and Psychology

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In this article, the authors provide a narrative review of the mounting evidence base on personality disorder in childhood and adolescence. Topics covered include diagnostic validity, prevalence, developmental issues, comorbidity, risk and protective factors, and treatment. Novel indicated prevention and early intervention programs for borderline personality disorder in adolescence are given special priority. To conclude, directions for future research are provided.

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Section: Taking the Dodo Bird Serious: Effective Ingredients And Commmentioning

confidence: 99%

Personality Disorder in Childhood and Adolescence comes of Age: a Review of the Current Evidence and Prospects for Future Research

Kongerslev

Chanen

Simonsen

2014

Scandinavian Journal of Child and Adolescent Psychiatry and Psychology

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“…Once engaged with services, such vulnerabilities represent modifiable qualities of interactions and relationships between individuals, families and services. Recently, there has been interest in designing (Bevington et al, 2013;Bevington, Fuggle, & Fonagy, 2015;Griffiths, Noble, Duffy, & Schwannauer, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…Ethical approval (17/SS/0116) was granted on 6 November 2017. (Bevington, Fuggle, Fonagy, Target, & Asen, 2013) in order to maximize the chances of effective engagement. Once young people are engaged in the service further therapeutic treatments such as family work and occupational therapy are offered.…”

Section: Aimsmentioning

confidence: 99%

Treatment outcomes and associations in an adolescent‐specific early intervention for psychosis service

Thomson

Griffiths

Fisher

et al. 2019

Early Intervention Psych

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Aim: Compared with adult onset psychosis, adolescent psychosis has been associated with poorer outcomes in terms of social and cognitive functioning and negative symptoms. Young people experiencing first episode psychosis have developmental needs that frequently pre-date and are compounded by psychosis onset (a previous study). There is a lack of published studies of adolescent onset psychosis and further information is needed so that developmentally appropriate interventions can be developed. We report an observational naturalistic cohort study of an adolescent specific service, the Early Psychosis Support service (EPSS).Method: We examined baseline demographic and clinical variables, treatments outcomes and predictors of outcome for this population.Results: The mean age of our sample was 16.3 years. Median duration of untreated illness (DUI) was 88 weeks, and median duration of untreated psychosis (DUP) was 16 weeks. We found significant improvements in positive symptoms, negative symptoms, disorganization, excitement, emotional distress and depression from 0 to 12 months. We found that baseline positive symptoms and DUI significantly predicted positive symptoms at 12 months and only negative symptoms at baseline predicted 12-month negative symptoms.Conclusion: Our finding that specialist early intervention for adolescents experiencing psychosis is effective suggests that such treatment should be routinely offered in line with existing clinical guidelines. Our finding that DUI is predictive of poorer outcome at 12 months suggests that even earlier intervention from a specialist team may further improve treatment outcomes.

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“…Adolescent Mentalization Based Integrative Treatment (AMBIT) (Bevington et al, 2015(Bevington et al, , 2012 focuses on helping caseworkers establish a bond with hard to reach adolescents. AMBIT recognizes the challenges that hard to reach youth pose for caseworkers' ability to maintain an empathic and mentalizing stance that is required for forming such a relationship.…”

Section: Treatment Elements and Mechanisms Of Changementioning

confidence: 99%

“…In spite of the difficulty in making retrospective assessments of relationship history, the treatments represented in this special issue generally include adolescent problems that are generally associated with more enduring and severe attachment disturbances. These include Attachment Based Family Therapy (ABFT) for depressed/suicidal adolescents (Diamond, Diamond, & Levy, 2013;Diamond et al, 2010), Connect parenting groups for antisocial adolescents (Moretti, Braber, & Obsuth, 2009), and Adolescent MentalizationBased Integrative Treatment for "hard-to-reach" youth (Bevington, Fuggle, Fonagy, Target, & Asen, 2012). Madigan and colleagues take a different tack to treatment by identifying adolescent mothers with an attachment disturbance (unresolved abuse in the AAI) rather than an established clinical diagnosis.…”

mentioning

confidence: 98%

Introduction to the special issue: attachment-based treatments for adolescents

Kobak

Kerig

2015

Attachment & Human Development

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During the past decade, new attachment-based treatments (ABTs) for adolescents have been developed and tested in both field and randomized control trials. The papers in this special issue represent important contributions to defining a more general model of ABTs for adolescents. Our discussion of these papers is organized by a series of challenges to developing and evaluating these treatments. We first consider how disturbances in the caregiver-adolescent attachment bond are implicated in adolescent psychopathology and family distress. We then describe different potential targets for attachment-based interventions for adolescents and their caregivers. Finally we review the different interventions and change mechanisms that have been used to increase security in the caregiver-adolescent bond. A general model of ABTs for adolescents can be useful in guiding future efforts to measure change in attachment constructs, evaluate the dynamic process of change in attachment bonds, and test the effectiveness of specific treatment elements in reducing adolescents' symptoms and increasing attachment security.

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Innovations in Practice: Adolescent Mentalization‐Based Integrative Therapy (AMBIT) – a new integrated approach to working with the most hard to reach adolescents with severe complex mental health needs

Abstract: Bevington, D; Fuggle, P; Fonagy, P; Target, M; Asen, E; (2013) Innovations in Practice: Adolescent Mentalization-Based Integrative Therapy (AMBIT) -a new integrated approach to working with the most hard to reach adolescents with severe complex mental health needs.

Cited by 51 publications

References 5 publications

Personality Disorder in Childhood and Adolescence comes of Age: a Review of the Current Evidence and Prospects for Future Research

Personality Disorder in Childhood and Adolescence comes of Age: a Review of the Current Evidence and Prospects for Future Research

Treatment outcomes and associations in an adolescent‐specific early intervention for psychosis service

Introduction to the special issue: attachment-based treatments for adolescents

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