THE BROWNE FAMILY

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 babys 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 Thomass 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 didnt
  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.