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ویرایش: نویسندگان: Peter Fuggle, Laura Talbot, Chloe Campbell, Peter Fonagy, Dickon Bevington سری: ISBN (شابک) : 0198855915, 9780198855910 ناشر: Oxford University Press سال نشر: 2023 تعداد صفحات: 383 [385] زبان: English فرمت فایل : PDF (درصورت درخواست کاربر به PDF، EPUB یا AZW3 تبدیل می شود) حجم فایل: 21 Mb
در صورت تبدیل فایل کتاب Adaptive Mentalization-Based Integrative Treatment (AMBIT) For People With Multiple Needs: Applications in Practise به فرمت های PDF، EPUB، AZW3، MOBI و یا DJVU می توانید به پشتیبان اطلاع دهید تا فایل مورد نظر را تبدیل نمایند.
توجه داشته باشید کتاب درمان یکپارچه مبتنی بر ذهنیت تطبیقی (AMBIT) برای افراد با نیازهای چندگانه: کاربردها در عمل نسخه زبان اصلی می باشد و کتاب ترجمه شده به فارسی نمی باشد. وبسایت اینترنشنال لایبرری ارائه دهنده کتاب های زبان اصلی می باشد و هیچ گونه کتاب ترجمه شده یا نوشته شده به فارسی را ارائه نمی دهد.
پاسخگویی به نیازهای پیچیده برخی از آسیب پذیرترین جمعیت های جامعه ما اغلب مستلزم نیاز به شبکه های مراقبتی متصل به ارائه خدمات بهداشتی، مراقبت اجتماعی، آموزشی و خدمات بخش داوطلبانه است. این چالشهای بزرگی را هم برای مشتریان و هم برای پزشکان ایجاد میکند تا این کار به خوبی انجام شود. درمان یکپارچه مبتنی بر ذهنیت تطبیقی (AMBIT) در طی 15 سال گذشته برای رفع نیازهای مشتریان و پزشکان در تلاش برای انجام این کار به خوبی ایجاد شده است. چارچوب اصلی AMBIT توسط نویسندگان در AMBIT: راهنمای تیمها برای توسعه سیستمهای مراقبت در سال 2017 تنظیم شد، اما از طریق همکاری با پزشکان در سراسر جهان که با افرادی (چه جوانان و چه بزرگسالان) کار میکنند، به تکامل خود ادامه میدهد. خدمات فعلی به عنوان مفید تجربه نمی شوند. AMBIT برای افراد با نیازهای چندگانه: برنامه های کاربردی در عمل پیشرفت این همکاری را توصیف می کند و نشان می دهد که چگونه AMBIT در تنظیمات بهداشتی، مراقبت اجتماعی و آموزش در سراسر جهان به کار گرفته شده است. مشارکتکنندگان جزئیات مربوط به کاربرد AMBIT را در کار خود با ترکیب تصاویر موردی با توضیحات مفصل از شیوه و تکنیک درمانی، همراه با داستانهای الهامبخش و قابل توجه از تغییرات درمانی، منتقل میکنند. فصلها به بررسی موارد درمانی در خدمات بسیار متفاوتی میپردازند که مراقبتهای اجتماعی و مسکونی را با بزرگسالان و جوانان در سراسر اروپا و بریتانیا ارائه میکنند. با AMBIT که دائماً در حال تکامل است، این کتاب به بررسی پیشرفتهای اخیر در مدل AMBIT میپردازد و تفکر جدیدی را در مورد اینکه چگونه میتوان از خدمات \\\"کمک\\\" برای ارائه کمک و تغییر معنیدار پشتیبانی کرد، ارائه میکند.
Meeting the complex needs of some of the most vulnerable populations in our society often involves the need for connected networks of care providing health, social care, educational and voluntary sector services. This presents major challenges for both clients and practitioners for this to work well. Adaptive mentalization based integrative treatment (AMBIT) has been developed over the last 15 years to address the needs of both clients and practitioners in trying to make this work well. The basic framework for AMBIT was set out by the authors in AMBIT: A Guide for Teams to Develop Systems of Care in 2017 but continues to evolve through collaboration with practitioners across the world who work with people (both young people and adults) for whom many current services are not experienced as helpful. AMBIT for People with Multiple Needs: Applications in Practice describes the progress of this collaboration and shows how AMBIT has been applied in health, social care and education settings across the world. Contributors convey the detail of what it is like to apply AMBIT to their work by combining case illustrations with detailed descriptions of therapeutic practice and technique, along with inspiring and remarkable stories of therapeutic change. The chapters examine therapeutic casework in very different services providing community and residential based care with adults and young people across Europe and the UK. With AMBIT constantly evolving, the book explores recent developments in the AMBIT model and provides rich new thinking about how \"helping\" services can be supported to provide meaningful help and change.
Cover Adaptive Mentalization-Based Integrative Treatment (AMBIT) for People with Multiple Needs Copyright Contents Acknowledgements Contributors Abbreviations 1. Why has AMBIT come about? 1.1 Introduction 1.2 Many clients have multiple needs 1.2.1 Problems are often highly interconnected 1.3 Multiple needs attract multiple helpers 1.3.1 Collaboration between agencies is hard to achieve 1.3.2 Involving multiple services does not necessarily mean better help 1.3.3 The limitations of service redesign in addressing these problems 1.4 The helping process is crucial 1.4.1 The fragility of the helping process 1.4.2 The role of attachment theory 1.5 The worker’s state of mind is fundamental to help 1.6 Conclusion 1.7 The plan for the book 2. An introduction to AMBIT 2.1 Setting the scene 2.2 Introduction 2.3 Mentalizing: AMBIT as a mentalization-based approach 2.3.1 The fragility of mentalizing: a great power leveller 2.3.2 Mentalizing in four directions: balancing the wheel 2.4 Working with your Team 2.4.1 Mentalizing and non-mentalizing in teams and workers 2.4.2 Working with your Team: stance features 2.4.2.1 Individual keyworker relationship 2.4.2.2 Keyworker well connected to the team 2.4.3 Working with your Team: basic practice 2.4.3.1 Helping processes in teams 2.4.3.2 ‘Ripples in the pond’ 2.4.3.3 ‘Who’s got your rope?’ 2.4.4 Tools and techniques for Working with your Team 2.5 Working with your Client 2.5.1 Mentalizing and non-mentalizing in working with clients 2.5.2 Working with your Client: stance features 2.5.2.1 Scaffolding relationships 2.5.2.2 Managing risk 2.5.3 Working with your Client: basic practice 2.5.3.1 Epistemic trust 2.5.3.2 The mentalizing stance 2.5.3.3 Scaffolding relationships 2.5.3.4 ‘Active Planning’ 2.5.4 Tools and techniques for Working with your Client 2.6 Working with your Network 2.6.1 Mentalizing and non-mentalizing in networks 2.6.2 Working with your Network: stance features 2.6.2.1 Meeting multiple needs 2.6.2.2 Integrating the help 2.6.3 Working with your Network: basic practice 2.6.3.1 Team around the Worker 2.6.3.2 Taking a mentalizing approach to addressing dis-integration 2.6.4 Tools and techniques for Working with your Network 2.7 Learning at Work 2.7.1 Mentalizing and non-mentalizing in relation to learning 2.7.2 Learning at Work: stance features 2.7.2.1 Respect for evidence 2.7.2.2 Respect for local practice and expertise 2.7.3 Learning at Work: basic practice 2.7.4 Tools and techniques for Learning at Work 2.8 Implications 3. Epistemic trust and mistrust in helping systems 3.1 Setting the scene 3.2 Mentalizing in real-world settings 3.3 Mentalizing: a strength and a vulnerability 3.4 Mentalizing and collaboration within helping systems 3.4.1 Joint attention and the ‘we-mode’ 3.4.2 The we-mode and epistemic trust 3.4.3 Co-mentalizing and an epistemic match 3.5 What do we mean by non-mentalizing helping systems? 3.6 Why focus on mentalizing in systems? 3.7 AMBIT and non-mentalizing working contexts 3.8 Implications 4. Working out what is going on: Using the AIM cards with clients 4.1 Setting the scene 4.2 Introduction 4.3 What are the AIM cards? 4.3.1 A recap on mentalizing 4.4 Using the AIM cards with a client 4.4.1 Step 1: worker introduces the cards 4.4.2 Step 2: worker seeks agreement from client about using the cards 4.4.3 Step 3: client decides how to look through the cards 4.4.4 Step 4: client chooses labels for the piles of cards 4.4.5 Step 5: client sorts the cards into piles 4.4.6 Step 6: worker attunes to the client as they sort the cards 4.4.7 Step 7: worker and client explore how they have sorted the cards 4.4.8 Step 8: exploring whether there is anything the client might want to be different 4.4.9 Step 9: exploring who can help with the chosen cards 4.4.10 Other ways of using the cards when there is more significant ambivalence about help-seeking 4.4.11 Summary 4.5 What do clients say about using AIM cards? 4.6 Implications 5. Getting started with AMBIT: The ECID project in Barcelona 5.1 Setting the scene 5.2 Introduction 5.3 Working with your Client 5.3.1 Understanding adverse relational experiences as an impediment to relationships 5.3.2 Implications of adverse relational experiences in our work: what AMBIT offers with our clients 5.3.3 ECID goes live 5.3.4 Professional’s stance 5.4 Working with your Team 5.4.1 Design of the ECID team 5.5 Working with your Network 5.6 Learning at Work 5.7 Implications 6. Connecting psychotherapy to the streets: The Malmö approach 6.1 Setting the scene 6.2 The team today 6.3 How it started 6.4 The first meeting 6.5 How our thinking developed 6.6 The beginning 6.7 Our first clients 6.8 We become a team 6.9 AMBIT 6.9.1 Theoretical aspects 6.9.2 Working with your Client 6.9.2.1 Create contact: establishing epistemic trust 6.9.2.2 Care planning and linking to the network 6.9.2.3 Concrete targeted support 6.9.2.4 Emotional support 6.9.2.5 Coexistence 6.9.2.6 Reflective conversations 6.9.2.7 Parent work 6.9.2.8 Psychological assessment 6.10 Evaluation 6.11 Final reflection 6.12 Implications 7. AMBIT for adults with severe personality disorders: Experience from Utrecht, the Netherlands 7.1 Setting the scene 7.2 Working with adults with personality disorder 7.3 The context in which we work 7.4 Working with your Patient 7.4.1 Example: Working with your Patient 7.5 Working with your Team 7.5.1 Example: Working with your Team 7.6 Working with your Network 7.6.1 Example: Working with your Network 7.7 Learning at Work 7.8 Concluding remarks 7.9 Implications 8. Enhancing multiprofessional cooperation in a child and youth social service institution: Vorarlberger Kinderdorf, Austria 8.1 Setting the scene 8.2 Introduction 8.2.1 Who we are and what we did: the story in a nutshell 8.2.2 Initial contact with AMBIT 8.2.3 What were the problems we needed help with? 8.2.3.1 Staff well-being 8.2.3.2 The need to pay attention to the workers’ state of mind 8.2.3.3 Pedagogy and the problem of help-seeking for workers 8.2.3.4 Increasing case complexity 8.2.3.5 The stress of working in networks 8.3 Implementation in practice 8.3.1 The ‘bones’: the implementation process 8.3.2 The ‘flesh’: implementation in practice 8.3.2.1 Working with your Client 8.3.2.2 Working with your Team: the role of mentalizing in supporting collaboration 8.3.2.3 Working with your Network 8.3.2.4 Learning at Work 8.4 Evaluation 8.4.1 The clients’ perspective: using the AIM outcome evaluation 8.4.2 The stakeholders’ perspective: implementation process evaluation 8.4.3 What we learned about AMBIT implementation 8.4.3.1 Bumpy roads: what did not work so well 8.4.3.2 The little and big successes: what worked 8.5 Where are we now? 8.6 Looking back: the AMBIT implementation wheel 8.6.1 Core element: mentalizing 8.6.2 Working with the Implementation Team (local facilitators) 8.6.3 Working with the Teams (defining goals, Active Planning) 8.6.4 Working with the Network (cooperation across the organization) 8.6.5 Learning at Work (learning culture) 8.7 Implications 9. Creating and supporting a Team around the Worker 9.1 Setting the scene 9.2 Introduction 9.3 What is a Team around the Worker? 9.4 Learning from training about what supports a Team around the Worker 9.4.1 Mentalizing the worker: ‘This Team around the Worker thing seems like a good idea, so why don’t I want to do it?’ 9.4.2 Trying it out: the importance of helping processes for the Team around the Worker 9.5 The Team around the Worker: a case example of AMASS in London 9.5.1 Building Team around the Worker into the service design 9.5.2 Requesting help versus making a referral 9.5.3 Seeking the family’s perspective on whether working with AMASS would be helpful 9.5.4 Supporting the development of helping processes between the social worker and the team 9.5.5 Building relationships with the young person using the Team around the Worker 9.5.6 Bridging other professionals into relationships where epistemic trust already exists 9.5.7 Team processes that support the Team around the Worker 9.5.7.1 Having the right mix of people who can work flexibly in the team 9.5.7.2 Establishing and sustaining help-seeking in the team: make it part of the work 9.5.7.3 Applying ‘Team around the Worker’ to group supervision 9.6 Implications 10. Working with networks: Implementing AMBIT in disrupted healthcare systems 10.1 Setting the scene 10.2 Introduction 10.3 The value of values: AMBIT in the age of disruptive dynamics 10.4 AMBIT as outpatient milieu therapy in the real world 10.5 Nothing unites people like a common enemy . . . but an enemy could become a friend 10.6 Can you establish mentalizing network meetings? The NET-Aim-Questionnaire 10.6.1 What will mentalizing network meetings improve? 10.6.2 Will using the NET-Aim-Q improve patient-related outcome measures? 10.7 The mentalizing case manager: the new specialist-generalist 10.8 The resonance of young people and their helping systems 10.9 ‘The Case of the Teenager Behind a Closed Door’ 10.10 Implications 11. Applying AMBIT to teacher training: innovations in Germany 11.1 Setting the scene 11.2 Introduction 11.3 The needs of young people in special education settings 11.4 Introducing the pilot project: ‘Mentalization-based support for teachers’ 11.5 Teacher training and stress levels in Germany 11.6 Using Active Planning to design the seminars 11.6.1 Sensitive attunement—understanding the needs of the student teachers 11.6.2 Broadcasting intentions—sharing our own ideas about what might help 11.6.3 Setting the plan 11.7 Reflections on the seminars 11.7.1 Using the mentalizing stance and AMBIT tools in team discussions about pupils 11.7.1.1 Vignette—helping a child who is persistently late 11.7.1.2 Conclusion to section 11.7.2 Developing mentalization-based collegial case counselling 11.7.2.1 Conclusion to section 11.7.3 Reviewing video logs using mentalizing techniques 11.8 Overall reflections on the seminars 11.8.1 The student teachers’ perspective 11.8.2 The facilitators’ perspective 11.8.3 Creating epistemic trust within the group 11.8.4 Dealing with emotions in teaching–learning fields 11.8.5 How to best capture learning 11.8.6 How to embed a mentalizing stance: what is good-enough mentalizing? 11.9 Implications 12. Applying AMBIT principles to the training process 12.1 Setting the scene 12.2 Introduction 12.3 An AMBIT-influenced approach to training and implementation support 12.3.1 What do you need? Attending to the state of mind of the workers 12.3.1.1 How do we help teams to work out what they need? 12.3.1.2 Engagement call 12.3.1.3 Consultation day 12.3.2 Training as an AMBIT-influenced helping process 12.3.2.1 Who’s got your rope? Sustaining a mentalizing stance as a trainer 12.3.2.2 Using ‘Active Planning’ to adapt the training process to the team 12.3.3 Supporting implementation in complex multiagency systems 12.3.3.1 Strengthening the well-connected team 12.3.3.2 Using training to promote network integration 12.3.3.3 Keeping a focus on implementation throughout the training 12.3.3.4 Supporting teams to implement AMBIT after the training 12.4 Evaluating our training approach 12.4.1 Is the training a positive experience? 12.5 Implications 13. Adopting a mentalizing approach to evaluating outcomes 13.1 Setting the scene 13.2 Introduction 13.3 Looking from the inside: outcomes work for the worker, manager, and client 13.3.1 Mentalizing the worker’s experience of outcomes work 13.3.2 Creating a culture of curiosity about outcomes 13.3.2.1 Sharing mental models about outcomes 13.3.2.2 Connecting outcomes to interest in intentional states 13.3.2.3 Using logic models to determine outcomes that matter 13.3.2.4 Discussing and feeding back outcomes with the whole team 13.4 Looking from the outside: outcomes for AMBIT-trained teams 13.5 Creating a shared outcomes framework 13.5.1 An example of a local evaluation using the AIM 13.5.2 Establishing the international AMBIT Study Group 13.6 Implications 14. What are the future directions for AMBIT? 14.1 Setting the scene 14.2 Introduction 14.3 Developing the basic AMBIT approach 14.3.1 Making AMBIT values explicit and improving our attention to EDI 14.3.1.1 Articulate AMBIT values and ethics 14.3.1.2 Uphold the values in our work 14.3.1.3 Improve how the AMBIT approach promotes EDI 14.3.2 A deployment-based approach to model development 14.3.3 Improving our knowledge of routine client outcomes 14.3.4 Developing a research programme on the core model 14.4 Increasing training capacity and widening diversity 14.4.1 Setting up international AMBIT Training Centres 14.4.2 Widening diversity within the AMBIT Programme Team and in the community of practice to improve learning and adaptation 14.4.3 Widening methods of dissemination through training and consultation 14.5 Improving implementation 14.5.1 Supporting implementation after training 14.5.2 Improving the wiki manual 14.6 Conclusion Index