Proposed model:

Designed specifically for overseas teams, the model is comprised of 5 days of training for a new role - AMBIT Local Trainers (ALTs) who, after the 5 day training (5 days consecutively over the course of a week), will go back and train their local team - the intention is to support better implementation by developing more local ownership of the model and training, and leaving teams with more local expertise, supported by Training exercises in the web-based manual.

Pre-training phase

• Teams wanting to embark on this MUST first complete a Pre-training team audit
• Managers from the teams MUST attend an Engagement meeting in order to:
• Ensure full managerial support
• Clarify the team's Post-training outcome goals
• Clarify dates, etc
• AMBIT Local Trainers are selected. Teams put them forward, AFC team oversees selection based on combination of criteria and local recommendations:
• Have some authority in the team
• Enthusiasm for the model and role
• Have some experience of delivering training
• Moderate confidence in using a web-based app
• Teams receive and complete set reading list before the first training day:
• Bevington D, Fuggle P (2012) Supporting and enhancing mentalization in community outreach teams...
• Bevington et al (2012) Adolescent Mentalization-Based Integrative Therapy (AMBIT)

Training Schedule

Day 1: (See International Train the Trainer (TTT): Day 1 for more details).

• Main objectives: to learn about each other as a group; to explore methods of learning including the use of the AMBIT Manual; to explore methods of training; to learn about mentalization.
• Sections in the manual.
• The AMBIT Manual - About this Manual
• Mentalization

Day 2: International Train the Trainer (TTT): Day 2

• Main objectives: to learn about the AMBIT framework; to learn about working with your team and the technique of 'thinking together'.
• Sections in the manual.
• AMBIT: an overview and the Core Features of AMBIT
• Working with your TEAM

Day 3: International Train the Trainer (TTT): Day 3

• Main objectives: to learn knowledge and skills about applying mentalization to working with young people; to learn knowledge and skills about applying mentalizing to working with networks.
• Sections of the manual.
• Working with your CLIENT
• Working with your NETWORKS

Day 4: International Train the Trainer (TTT): Day 4

• Main objectives: to learn about methods of learning in AMBIT and the use of manualizing; to plan and practice a training session with your own team.
• Sections in the manual.
• LEARNING at work
• AMBIT training

Day 5: International Train the Trainer (TTT): Day 5

• Main objectives: to produce a short film about your training experience; to apply ideas of implementation to local contexts; to explore ways of using the community of practice; to make an training and implementation plan.
• Sections in the manual.
• Respect local practice and expertise
• Implementation Science
• Community of Practice

Post-training local (ALT-led) trainings sessions

• Ongoing local training sessions, supported by buddy ALTs
• 1. Local Session 01: What is AMBIT?
• 2. Local Session 02: What is AMBIT training for?
• 3. Local Session 03: Mentalization
• 4. Local Session 04: Working with your Team
• 5. Local Session 05: Working with your Networks
• 6. Local Session 06: Working with your Client pt. 1 (Mentalizing stance)
• 7.Local Session 07: Working with your Client pt.2 (Hard to reach)
• 8. Local Session 08: Review (1) and Auditing Team Practices
• 9. Local Session 09: Working with your Client pt.3 (Outcomes)
• 10. Local Session 10: Review (2) and Top-up plans
• 11. Local Session 11: Making a real difference - Implementation Science

• Monthly Remote Supervision
• a. Remote supervision with a named AMBIT trainer to support training, implementation, and practice
• b. Monthly 30 minute telephone supervision sessions using our teleconferencing system
• c. Once a quarter the monthly telephone supervision will be replaced by an hour-long webinar using our web-conferencing system. You can dial in to this on the telephone if you are not able to access the web conferencing platform.
• c. See Using Tele-supervision: a guide for participants

Assessment and accreditation

• TTT-Post Training Assessment |
• Assessment of team competence in AMBIT knowledge and skills is carried out by the team:
• i. Creating a film of AMBIT practice.
• ii. Having a one year Implementation Plan which should include planned in-house trainings
• iii. The team is able to demonstrate adaptation of AMBIT to local practice:
• creating a series of pages in the manual.
• presenting a series of APrAT audits
• self assessing AMBIT competencies using the AMBIT Full Competency Framework.

One year Review and Consultation

• TTT-One Year Review and Consultation Meeting - this will be developed as the first training progresses so as to adapt to the needs of the pilot group
• At the AFC?
• Locally?
• Who to attend? Whole teams? Implementation teams? Needs clarification over the course of the pilot project.

The AMBIT Lead peer-to-peer system is intended to support this model; whereby AMBIT Leads and AMBIT Local Trainers from different local teams are paired together - so that they can attend each others’ ‘in house’ trainings (preferably on a quid pro quo basis to reduce costs to local teams), helping to train neighbouring/other teams as well as their own, and in so doing offering a supportive outside perspective.