Plan Update / Review applied to cerebral palsy litigation: methodology, deliverables, and case-specific considerations.
Plans address orthopedic and neurology follow-up, spasticity management including botulinum toxin and baclofen pump care, orthotics and seating replaced with growth, therapies, communication devices, home accessibility, transportation, attendant care, and adult residential or supported-living options.
A written expert report, supporting data appendices, and, when retained, deposition and trial testimony.
Higher classification levels generally mean more attendant care, more complex equipment, and more frequent medical follow-up. The plan states the child's current level and the clinical basis for projecting future needs.
The plan documents educational supports the child needs and distinguishes services provided by public programs from those the family must fund privately, so counsel can address collateral-source questions in the jurisdiction.
At major developmental transitions or at least every few years while the child is growing, and again before the transition to adult services.
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