1. The Browne Family Bernice Pearson B11

2. Background to the Brown family §THOMAS, 4- has cerebral palsy §GINA, pregnant with 3rd child §CLARE, 7-truanting, at risk §ROB-breadwinner, new job §RELOCATION presents new factors, needs and underlying issues §FAMILY §EG:Loss of support/loneliness §Financial strain §GINA:anxiety/depression/ tiredness §Fear for new baby(disability) §Fear of reoccurrence of PND §CLARE:isolation, feeling unsupported §New school §THOMAS:new MDT §Future schooling §Ongoing developmental challenges §ROB:unable to support Gina fully, travels with new job

3. Priority Areas of Intervention §GINA-liaise midwife §team of helpers (POC)s/s §rest and respite §treat depression §paternity leave (ROB) §extra time for CLARE §mother/baby group, make friends/settle in community §CLARE-liaise school §mentoring §taxi/walk with mentor to school §child psychologist §THOMAS-acclimatise to new MDT §decision on future schooling §full ongoing support §condition specific agencies/info/friends/ support for all family §s/s holiday for FAMILY

4. T ogether E veryone A chieves M ore MDT

5. Thomas §POSSIBLE EFFECTS ON DEVELOPMENT §-May be slowed §-Learning difficulties §-Physical disabilities §POSSIBLE EFFECTS ON FUNCTIONAL ABILITY §-Lack of independence in;sitting, standing, mobility §-Communication difficulties §-Feeding problems POSSIBLE EFFECTS ON LIFE STYLE -Full time care -Aids/adaptations- alterations to home, could affect choice of home -Less time for family -Financial constraints -Travel constraints -Social constraints

6. PRO’s & CON’s of schooling for Thomas §SPECIAL SCHOOL-pro’s §would not feel “different” §adapted environment §specialist trained staff §“safer” environment §smaller classes §con’s §not the “real” world §often further to travel §quality of education? §Costs? §Not part of local community §challenge independence? §MAINSTREAM pro’s §same school as Clare §mix with able bodied §disability act(environment adaptation) §local/integrate in community §after school activities/less travel §may reach higher potential §con’s §possible bullying(Clare & Thomas) §lack of adaptive equipment §independence training? §Bigger classes §less trained workers §stigma/prejudice §disability act-lift/wheelchair access?