Dis-integratedInterventions

28th December 2013

Video introduction


There is a Video introduction to disintegration as the idea of Dis-integration is used in AMBIT.

What is Dis-integration?


Just as, for any individual client, there are different domains and levels of dysfunction ("from the molecular to the political") which help us to consider how and where to direct our therapy interventions, so there are different DOMAINS and LEVELS of dis-integration in the care-network, within which different Dis-integrativeProcesses are always active.

They are inevitable!


Just as the theory of Mentalization suggests that misunderstandings are inevitable in human interactions, so some level of dis-integration will always occur in any multi-disciplinary or multi-agency network. We take it for granted that this is the case; rather than 'setting ourselves up' for disappointment or irritation with this feature of the work, which would cloud our capacity to work with this, we direct effort proactively (see Active Planning) towards diminishing the harmful effects of such dis-integration.

Unchecked, these processes prevent well-intentioned interventions from 'joining up' in a coherent way, and undermine their effectiveness.

One of the Core Features of AMBIT is therefore Addressing Dis-integration - which involves identifying and acting to minimise these dis-integrative processes.

Interventions - the Dis-integration grid


Using the "DIS-INTEGRATION GRID" is an important part of our Multi-Domain Assessment, or can be used at any time that Dis-integration is identified as a barrier to progress.

The Dis-integration grid is designed to identify where different interventions that are being delivered to a young person or their carer are 'pulling in oppositie directions'.

Examples of the dis-integrative processes occurring at different LEVELS are described for each of the DOMAINS listed here:

  1. Dis-integrative processes in an Individual Clinician
  2. Dis-integrative processes in a Multi Disciplinary Team
  3. Dis-integrative processes in a Multi-Agency context
  4. Dis-integrative processes in a Family/Systemic context