Why AMP?

AMP was originally developed and tested as an enhancement to Wraparound, which is a team-based planning and intensive care coordination process for children, youth and young adults who experience the highest levels of mental health and related needs. Wraparound is intended to be guided by the perspectives of the young people who participate in it. However, previous research showed that young people often did not participate actively in Wraparound, but that they would do so given the right preparation and supportive team facilitation.

The AMP enhancement for Wraparound aims to increase young people's satisfaction, active engagement, and self-determined participation in Wraparound, as well as their alliance with their treatment planning team. Findings from a randomized study of AMP showed that, relative to youth who received "as usual" Wraparound, young people who received Wraparound with the AMP enhancement participated more – and in a more active and self-determined manner – with their teams. They also rated their alliance with their Wraparound teams significantly higher. Furthermore, adult team members in the intervention condition rated team meetings as being more productive, and they were more likely to say that the AMP meetings were "much better than usual" team meetings.

Over the last few years, AMP models have been used to enhance providers' practice within other interventions that include a focus on youth/young adult voice, strengths, and self-determination. Evidence from a study of training for AMP and AMP-TF shows that the trainings have been effective in creating significant improvements in trainee competencies for working with youth/young adults as assessed by their practice in video recordings, and as assessed subjectively by the trainees themselves. Trainees have also been also highly satisfied with the training/coaching experience. A separate study has shown similar positive impacts for the AMP+ training for peer support providers.

Research on training and skill development for human service providers has shown the shortcomings of traditional training approaches, particularly workshop-based training, with or without the use of manuals and other informational materials. These types of training approaches have been shown to have almost no effectiveness in terms of the transfer of training into practice. In contrast, AMP training is completely delivered via "remote" training and coaching (i.e., via a series of web conferences across several months, and via a secure internet video-based coaching platform) in a way that conforms to best practices. Specifically, to ensure that AMP training will be applied in practice, each group web conference is followed up with individualized coaching that incorporates observation of a provider's work with young people and the provision of objective practice-focused feedback over time. This approach also allows trainees to learn and practice more basic skills (with coaching and feedback) before moving on to progressively more advanced skills.

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