Meeting You Where You Are: One Mentalizing Stance, and the Many Versions Needed in (Non-)Mentalizing Systems of Help

ABSTRACT

This paper addresses an approach to therapeutic work (Adaptive Mentalization-Based Integrative Treatment) that is directed toward young people who are often well known to multiple helping services; those whose needs are multiple and intersectional, and for whom efforts to intervene effectively are complicated by high levels of risk and low levels of what is conventionally expected in the form of “help-seeking.” The first section offers an introduction to AMBIT framed as a series of reflections emphasizing the social, cultural, and networked roots of mentalizing and the nature and demands of adaptation in the realities of working in complex outreach settings. The second section gives an example of one place-based iteration, the Equipo Clínico de Intervención a Domicilio (ECID) based in Barcelona and includes a summary of a recent outcome evaluation from these teams that work with excluded youth who have previously actively avoided invitations to use mainstream mental health services.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Notes

1. https://manuals.annafreud.org/ambit – this is a freely available open source resource hosted by Anna Freud.

Additional information

Notes on contributors

Dickon Bevington

Dickon Bevington is a Medical Director, Anna Freud, London and Consultant in Child and Adolescent Psychiatry, Cambridge and Peterborough Foundation (NHS) Trust.

Mark Dangerfield

Mark Dangerfield is a Director, Vidal & Barraquer University Institute of Mental Health, Ramon Llull University and Clinical Psychologist