1. THE BROWNE FAMILY Linda Budden SLT Katie Parsons OT Bryony Dunham OT Samantha Lynch MID

2. Underlying issues that family may be facing Rob tiredness, affected relationship with wife, anxiety and financial concerns. Gina Fear for new baby’s health, lack of support, anxiety and depression, stress, loneliness. Thomas New school, loss of friends, new and unfamiliar surroundings, new health team to adapt to. Claire lack of attention from mother and same relocation issues as Thomas, i.e. school.

3. Thomas Difficulties that Thomas may have: Development: communication difficulties may impaire development. Normal developmental landmarks not reached may be difficult for family to accept psychologically. Functional ability: Lack of independence walking/sitting balance, self care productivity and leisure may need support. Lifestyle: Restricted in play in relation to other children of his age, may not be able to attend mainstream school. Other professionals and agencies involved. Dietician, speech and language therapist, physio, OT, education board, GP, social services. Advantages of Thomas attending a specialist school. – Higher staff ratio, specific equipment for extra needs, staff and children would be more understanding of his needs. Disadvantages – Stigma for Thomas and family, may be treated differently Advantages of attending mainstream school- may feel less different to other children by attending the same school, Social inclusion, may raise awareness of condition with other children. Necessities for Thomas to attend mainstream school – educate teachers and children of his needs, ensure support for Thomas and teacher, environment must support his physical needs with appropriate equipment available and work must be gauged at an appropriate academic level.

4. Gina and family What might happen to family Changes in relationships with family members. Gina may be less able to look after baby if she is stressed. Other children affected, Robs stress levels may increase. Perception of families needs Short term – Medication for Gina, find out why Claire is truanting, arrange family support and respite for Thomas Medium – Find out what would help Gina, Develop longer term support structure, work on issues with children. Consider Thomas’s schooling. Long term – restore relationships within family, maintain good mental health for Gina. Contented children. What would other professionals/ agencies be able to offer in terms of intervention - Speech and language therapist, dietician and physio (would help with Thomas as discussed on previous slide.) Midwife – would support Gina and new baby. O.T. – could work with Gina to restore balance in her life. G.P. could keep overview of family. Community mental health team – if Gina didn’t improve. Social worker – to counsel and arrange benefits and community support. Education board – to help with children's school needs, community support groups. Advantages of MDT Comprehensive service, more support than just one agency, all families needs will be addressed. Disadvantages multiple assessments, overlap, may slip through net, overload of appointments. Factors that promote an affective MDT - Communication, clarity of goals, understanding of each others roles.