Rethink Formulation planning; The Top Concern Approach

The Top Concern Approach; Stay Home, Stay Well and Stay Safe: Focussed crisis planning during the Covid 19  pandemic.

A major concern for practitioners today will be – who do I really need to visit and how can I support families in the current circumstances?

The Rethink Team have developed a formulation approach (The Top Concern Approach) to prioritise our work and support families as best we can to stay home, stay well and stay safe. This approach will enable practitioners to limit their contact to the absolute minimum and ensure that they too – stay home, stay well and stay safe.

All of us will have some struggles responding to current government directives and will be considering how to address them within our own families and networks. We can anticipate that the families we work with will also have struggles adapting and responding to these directives. If we do not respond to these struggles effectively, situations could escalate/deteriorate and create increased risk which would require further intervention later. 

If we can have simple restorative conversations with our families and young people, we can more easily identify:

  • The immediate need/concern for each family/individual.
  • The resources that are needed to address the identified need/concern.
  • The service response required to manage the need/concern.

The top concern approach focuses on using a formulation approach to address a family’s immediate top need/concern. It’s anticipated that the need/concern will relate to either staying home, staying well or staying safe.

The initial focus is identifying the top concern/need by asking: What is your top concern today/right now? Staying Home? Staying well? Staying safe?

We can then work through the top concern using the approach. The key is to develop an understanding of what the barriers are to staying home, staying well, staying safe and developing an action plan to address these barriers.

See the following document for further information regarding The Top Concern Approach and via the following video: