The Browne Family Alan Mckeever, Annie Hoyle, Rosie Charman

Circumstances Underlying issues Circumstances Underlying issues New to area, job, schools and community New to area, job, schools and community Rob less supportive due to commuting Rob less supportive due to commuting Medical issues - cerebral palsy, pregnancy Medical issues - cerebral palsy, pregnancy Lack of support network Lack of support network Pregnancy monitoring and support Pregnancy monitoring and support Community midwife, GP, health visitor Community midwife, GP, health visitor Antenatal classes, hospital scans Antenatal classes, hospital scans

Thomas: development function & lifestyle Communication, psycho-social Communication, psycho-social Poor trunk control, ADL difficulties Poor trunk control, ADL difficulties MDT assessors OT OT SALT SALT Educational Psychologist Educational Psychologist Physiotherapists Physiotherapists Podiatrists Podiatrists Social worker Social worker GP GP

Special and mainstream schools Special Pros: have needs met, better understanding, family support, alleviate mum’s concerns Pros: have needs met, better understanding, family support, alleviate mum’s concerns Cons: stigma, labelling, and difficulties in social interaction outside school Cons: stigma, labelling, and difficulties in social interaction outside schoolMainstream Pros: locality, community, same as sister, Pros: locality, community, same as sister, developing social skills developing social skills Cons: class size, not specialised, children can be cruel, mum’s worries Cons: class size, not specialised, children can be cruel, mum’s worries Inclusion involves TA support, good access, and family support and agreement.

Post birth and family relations Short term needs Gina needs practical & medical support Gina needs practical & medical support Paternity leave for Rob Paternity leave for Rob Recognition for Clare & her needs Recognition for Clare & her needs Medium term needs Clare to start social activities Clare to start social activities Clare & Gina spend time together Clare & Gina spend time together Visits from family and friends Visits from family and friends Long term needs Gina to develop coping strategies Gina to develop coping strategies Thomas to start school Thomas to start school

Professions/ Agencies Involved OT: assessment, support, adaptations OT: assessment, support, adaptations Physio: assessment, mobility Physio: assessment, mobility SLT: Assessment, swallowing and feeding, communication SLT: Assessment, swallowing and feeding, communication Social worker: general family support Social worker: general family support PODS: footwear PODS: footwear Surestart Surestart SCOPE SCOPE Social support groups Social support groups Mother and baby group Mother and baby group

Pros and Cons of MDT Pros: collaboration, better understanding and partnership Pros: collaboration, better understanding and partnership Cons: potential for communication breakdown, same questions asked in assessment, team in different locations Cons: potential for communication breakdown, same questions asked in assessment, team in different locations Factors promoting MDT Good communication Good communication Common understanding and goals Common understanding and goals Knowledge of other professions Knowledge of other professions