IMP and TiddlyManuals

This blog is about Adolescent Psychiatry, and a novel way of working that uses new technology to support people in working together as teams, and in their face-to-face interactions with young people in crisis; particularly those who are conventionally seen as "hard-to-reach".



IMP (Integrative Multimodal Practice) is a framework for practice and a means of joining up existing (and more or less evidence-based) technologies/techniques for working with adolescents in psychiatric crisis. The original authors of a paper manualization of this approach are:

• Prof Peter Fonagy


• Dr Mary Target


• Dr Eia Asen


• Dr Peter Fuggle


• Dr Dickon Bevington


• Rabia Malik


• Neil Dawson

They are a group of clinicians and academics based around the Anna Freud Centre and in various NHS settings. The Anna Freud Centre is a charity whose aims are to develop innovative treatments for children and adolescents, to evaluate these, and to disseminate them by training.

The technological aspects of the project are based on my development and use of TiddlyWiki as a platform to deliver a radically new means of manualizing operationalized treatment interventions, which I call TiddlyManuals, and in a sense it is this that I am wanting to talk about in this blog.