Anna Freud National Centre for Children and Families (AFNCCF), London, UK.
Cambridgeshire Adolescent Substance Use Service (CASUS), Cambridge, UK.
Clin Child Psychol Psychiatry. 2021 Apr;26(2):490-504. doi: 10.1177/1359104521994875. Epub 2021 Feb 21.
Adaptive Mentalization Based Integrative Therapy (AMBIT) is a systemic, mentalization based intervention designed for young people with multiple problems including mental health problems. The purpose of this paper is to examine the impact of this approach both on clinical and functional outcomes for young people seen by a specialist young people's substance use service between 2015 and 2018. About 499 cases were seen by the service during this period. Substance use outcomes were obtained for 383 cases using the Treatment Outcome Profile (TOP). Cannabis and alcohol use were the key substance use problems for 81% and 63% respectively. Functional outcomes using the AMBIT Integrative Measure (AIM) were obtained for 100 cases covering domains of daily living, socio-economic context, peer relationships and mental health. At treatment end, cannabis use reduced significantly ( = 10.78; df = 311; = .00; Cohen's ES.61 as did alcohol use ( = 6.938; df = 242; = .000; ES 0.44). Functional improvements were shown in five out of seven domains with highly significant total functional improvements on key problems selected by the client ( = 14.01; df = 99; = .000; ES1.34). Measuring functional as well as clinical outcomes appears to reflect more accurately the overall benefit of the service to clients.
基于适应心理化的综合治疗（AMBIT）是一种系统性的、基于心理化的干预方法，专为有多种问题的年轻人设计，包括心理健康问题。本文旨在探讨 2015 年至 2018 年间，一家专门的年轻人药物使用服务机构为年轻人提供这种方法的临床和功能结果的影响。在此期间，该服务共接待了约 499 例病例。使用治疗结果概况（TOP）获得了 383 例病例的药物使用结果。大麻和酒精使用分别是 81%和 63%的主要药物使用问题。使用 AMBIT 综合测量（AIM）获得了 100 例病例的功能结果，涵盖日常生活、社会经济背景、同伴关系和心理健康领域。在治疗结束时，大麻使用显著减少（ = 10.78；df = 311； = .00；Cohen's ES.61；酒精使用也显著减少（ = 6.938；df = 242； = .000；ES 0.44）。七个领域中的五个领域显示出功能改善，客户选择的关键问题的总功能改善具有高度显著意义（ = 14.01；df = 99； = .000；ES1.34）。同时测量临床和功能结果似乎更准确地反映了该服务对客户的整体益处。
