Purpose

Define the key components of a maintenance phase

Optional

This is the 4th (optional) of the 5 Phases of AMBIT work.

For some young people, and in some settings, a longer term 'Maintenance Arm' may be indicated (and commissioned), rather than AMBIT just being a short to medium term intensive intervention. Operation of a "Maintenance Phase" will be negotiated and commissioned locally, and will thus carry its own Criteria for admission to Maintenance Phase (local teams might want to edit this for themselves.)

This will depend on the specific service protocol and may not be possible, or desirable for some services.

Recovery and Maintenance

The ideas of Maintenance and the Recovery Model do not always sit well together, and this is discussed.

Risks - how do we part?

A risk for any team that develops capacity for such an intervention is that it may unintentionally "create" Hard-to-discharge clients.

What to do

1. Building networks and links

See Building networks and links

2. Monitoring (mental) health

See Monitoring mental health and in particular Relapse prevention

3. Developing maintenance routines

See Developing maintenance routines