Will a young person and family in crisis be able to make sense of (and to use) such a wide range of interventions, particularly if the interventions are delivered in the midst of a crisis?

It is axiomatic that young people have to (and mostly do) manage many different kinds of conversations, often with the same individuals, in different contexts. For instance, the way a family speak together in private may be very different from when an elderly relative (or for that matter a mental health professional) is present. Similarly, the way a young person addresses a teacher may be very different in a formal lesson compared to the context of a half-time 'pep-talk' by that same teacher, now in the role of coach in a football match. In this sense, young people are quite at home managing a wide variety of contexts and modes of communication within the same relationship.

The theoretical underpinning of this model of therapy takes this natural and inevitable complexity of communications as a given in all spheres of human interaction, and therefore assumes that it applies equally in the realm of therapeutic interventions. This allows for the possibility - and even desirability - of a whole range of interventions, directed at improving levels of function across a whole range of domains, being brought to bear simultaneously, by the same therapist(s).

It is also important to distinguish between the notion of 'different interventions' that may be in the mind of the therapist, and the service user's experience of working with their KeyWorker - which (we hope) is a much more seamless package. For this reason it is important that the KeyWorker has a grasp of KeepingYourBearings, so as to remain not only confident in terms of grasping sufficient Theory and support from the EvidenceBase, but also oriented as to the boundaries of task, etc.