Core manualized content is managed centrally, using best available evidence, and where evidence is lacking aiming to be 'evidence-oriented'.

For instance, there is an AMBIT editorial team at the Anna Freud Centre, which curates the content at http://ambit.tiddlyspace.com.

Not just 'top-down'

However... these novel wiki manuals ('tiddlymanuals') explicitly move away from being a "top-down" resource that dictates methods from a setting (and often an evidence base) that may be remote from the site of implementation.

• A local team can Set up your own Local Version of the AMBIT manual which will automatically include all the public content from the Core into that space, but allow the local team to adapt, edit or add this themselves.
• After setting up their own TeamTemplate, teams can (indeed, should!) alter or add to that material within its own space, developing their own adapted or customised versions of this material. This is a unique blend of Core content (that is curated by the Core editorial team) and Local Customisations (see Dynamic, adaptive Manualization and Customising your local TeamTemplate).
• Local teams are encouraged to browse each others' TeamTemplates - using the Comparing and Sharing functions that are built in.
• Using the Show references and info button, they can easily compare and contrast what other teams are doing (each time a team adds their own material that veers away from, or adds to the Core AMBIT content this is clearly marked in their version) and SHARE BEST PRACTICE.
• Adding new tiddlers to a TeamTemplate, or editing the content of existing tiddlers, does not alter the Core AMBIT content - it simply 'over-writes' it in the local version.
• Deleting any tiddlers that have 'overwritten' Core AMBIT content team means that the core content that lies 'behind' it just pops back into view.

So what?

1. This is a customised version of the Core therapeutic approach that is "attuned" for use in your neighbourhood, with your clients.
2. Evidence suggests that working faithfully to a manualized treatment offering a clearly structured approach improves treatment outcomes for our clients.
1. Work as a team to edit it, bit by bit, in brief regular sessions for Manualization
2. Your TeamTemplate should come more and more closely to represent "our way of working" (see Customising your local TeamTemplate, a process explained in Dynamic, adaptive Manualization.)
3. Commissioners of services prefer to know what they are getting for their money.
4. "OUR TeamTemplate" increasingly comes to define OUR team, as a record of our sense of (story of) who we are.
1. We use it to help induct new team members
2. To remind each other how to "stay on course"
5. You can also download fresh copies of the whole manual (which will run without being attached to the internet, and can be stored on a USB stick, a laptop, or a secure server).
6. You can rename and file this copy of the manual, editing separate copies as "work-books" for each new client. (This is using the manual in its ICR capacity; see Start a new patient file on how to do this).