1. The Brown family They have many underlying issues, they are: Leaving friends and family New baby on the way Thomas needing constant attention Worry of reoccurring post natal depression Added stress due to unfamiliar setting Extra pressure because of new job Gemma Ivey, (O.T.) Aisling Carroll, (O.T) Chloe Redman(O.T.)

2. Professionals Thomas Occupational Therapist Speech and language therapist Physiotherapist Social worker Dietician G.P Social services – for adaptation and aids Gina Midwife Psychologist or CPN Social worker G.P Counsellor Occupational Therapist – coping strategies and anxiety management

3. Development, functional ability and lifestyle of Thomas Progressive disease ( Cerebral Palsy) - it will possibly get worse Learning difficulties – slow down development in school Possibility of never being fully independent- always need aids and support e.g. walking aids and adaptations, compensatory approach. Communication and swallowing problems – will need a referral to a speech and language therapist. Eating – diet will need to be controlled. Range of movement – Thomas’s play will be affected.

4. Education and Goals Thomas – if attending a special needs school the pro’s and con’s are: Pro – Support for the family, Less chance of being discriminated against, more specific help, teachers have more understanding of condition Con – isolation from children in mainstream schools. Gina’s goals: Short term – see G.P, attend counsellor Medium – support for Claire Long – on-going treatment for depression.