The Browne Family

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
• EGLoss of support/loneliness
• Financial strain
• GINAanxiety/depression/ tiredness
• Fear for new baby(disability)
• Fear of reoccurrence of PND

• CLAREisolation, feeling unsupported
• New school
• THOMASnew MDT
• Future schooling
• Ongoing developmental challenges
• ROBunable to support Gina fully, travels with
  new job

3
Priority Areas of Intervention

• 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

• 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

4
Together Everyone Achieves More MDT
5
Thomas

• POSSIBLE EFFECTS ON DEVELOPMENT
• -May be slowed
• -Learning difficulties
• -Physical disabilities

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

• POSSIBLE EFFECTS ON FUNCTIONAL ABILITY
• -Lack of independence insitting, standing,
  mobility
• -Communication difficulties
• -Feeding problems

6
PROs CONs of schooling for Thomas

• SPECIAL SCHOOL-pros
• would not feel different
• adapted environment
• specialist trained staff
• safer environment
• smaller classes
• cons
• not the real world
• often further to travel
• quality of education?
• Costs?
• Not part of local community
• challenge independence?

• MAINSTREAM pros
• 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
• cons
• possible bullying(Clare Thomas)
• lack of adaptive equipment
• independence training?
• Bigger classes
• less trained workers
• stigma/prejudice
• disability act-lift/wheelchair access?