Follow-up training for established teams

10th June 2015
This is a training plan designed around a 2 day training for a team that has previously been trained, but which has new staff who have arrived AFTER the original training.

Follow up trainings are likely to be adapted to suit the needs of the team, and are arranged on an ad-hoc basis at present.

First day to be focused on training for staff who have not attended a previous training.


Below is a basic menu of what we could cover. It would be lively and concise if we did it this way and we could do this in five hours.

However, this could be modified by what emerges at the end of the first exercise around training objectives.
  1. Respecting existing expertise
    1. What are we good at now?
    2. What do we need to learn about (training objectives)
  2. Mentalization
    1. The basic theory (30 minutes)
    2. Practice (Passed out Discussion)
  3. Supervisory structures
    1. The basic theory (15 minutes)
    2. Practice (Thinking Together)
    3. Local application in OUR Team
  4. Addressing the network
    1. The basic theory (15 minutes)
    2. Practice (Disintegration Grid)
    3. Local application in OUR Team (existing AMBIT Leads to lead)
  5. Active Planning
    1. The basic theory (15 minutes)
    2. Local application in OUR Team (existing AMBIT Leads to lead)
  6. Manualizing
    1. The basic theory (15 minutes)
    2. Practice a current live issue (existing AMBIT Leads to FACILITATE)

Second day to pick up on themes identified by staff who have done previous training.


Based on these ideas we suggest.

  1. Reviewing where we have got to: what works, what doesn't.Start in groups of the different services again with a couple of observers and share:
    1. examples of good AMBIT practice e.g. real life examples
    2. areas where it has been difficult to implement and what has got in the way
    3. consider training needs noted from previous training
  2. Dis-integration - its still so hard to understand why people can be so unhelpful!
    1. Take a couple of shared cases across different CAMHS teams that have worked okay.
    2. Sculpt a particularly challenging case.
    3. Mentalise the perspective of adult mental health to think about transitions to adult teams
  3. Manualization
    1. Practice now. Each team take a live issue and practice doing a manualisation process
    2. Review some local manual pages.
    3. Key issues: small group discussion.
      1. Do we manualise the things that matter?
      2. How do we manualise if we just disagree about things
      3. Doesn't manualising ignore the power hierarchy?
      4. Just saying what we should do doesn't help with how it feels.
  4. Some new stuff! What do we know about client experience and outcomes?
    1. Improving mentalising by asking the clients. How do we check out what it is like for young people?
    2. The role of outcomes in containing staff anxiety.