Zoe is the only child of Sarah and Martha. Zoe is 8 months old and has Down Syndrome. This was discovered at birth as neither parent wanted prenatal testing. Martha was very upset with this news and has had a very difficult time interacting and engaging with Zoe. Martha tends to leave most of the parenting to Sarah. Martha is an engineer and is often required to travel for her work and Sarah is an occupational therapist in an elder care complex. Sarah is at home with Zoe for now but plans to return to work as soon as Zoe is one year old. The family has not decided on what care arrangement will be made once Sarah returns to work.
This family lives in Vancouver and have a very extensive family and friend network. Sarah’s parents and siblings live in Vancouver as well and are often at the home when you, the Infant Development Consultant, visit the home.
Sarah demonstrates a strong attachment to Zoe and is very involved in not only caregiving tasks for Zoe but is also keen to implement as many therapeutic interventions as possible. She researchers extensively on the internet and asks you many questions and has lots of suggestions during the visits.
While the parents differ in their attachment and care with Zoe, they feel very strongly that they want all correspondence and meetings concerning Zoe to retain a gender- neutral stance as well as the language used in home visit reports and all documentation to be gender neutral.
Zoe had a very healthy birthweight but has not been gaining weight as anticipated. Zoe has a heart murmur so that is being monitored very closely. Zoe’s hearing is fine but visual acuity and field is not yet determined.
You have had several visits with Sarah and Zoe (and various extended family members) but Martha has not been able attend any visits. Sarah has told you that Martha thinks that Zoe should just be left alone and will develop at whatever rate and pace they need to.

1. You will be sent a completed MPOC-20 from the family in your case study.
MPOC-20
You were first introduced to the MPOC-20 in Lesson 1.3 with a short video.
Here is the link to the information on the Canchild website and the video you watched in Lesson 1: CanChild MPOC-20 (Links to an external site.) https://www.canchild.ca/en/resources/47-measure-of-processes-of-care
2. Analyze the MPOC-20 results based on the 5 scales to determine which particular scale you as an interventionist is doing well in and what are you may want to improve on.
The five scales of the MPOC are:
• Enabling and Partnership
• Providing General Information
• Providing Specific Information about the Child
• Coordinated and Comprehensive Care for the Child and Family
• Respectful and Supportive Care
Attached is a document that outlines what questions fall into each of the 5 scales. Measure of Process of Care Document Download Measure of Process of Care 20 scale and questions-1.pdf
3. Based on your analysis of the feedback from the family on the MPOC-20, outline 2-3 strategies you might use on your next visit with the family, or indicate how you might change your practice based on this feedback. You can use information from articles and readings from any of the lessons so far. You will add these to the power point/summary document you create.