For some patients who have had a cleft lip and/or palate, problems continue into adulthood or arise later in life. These problems are often multiple and treatment often requires the input of more than one specialist. The results of this audit support the need for coordinated multidisciplinary care for adults who have had a cleft lip and/or palate.

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Reducing handicap in clients with complex needs requires input from a variety of disciplines. This input must be coordinated in order to prevent duplicated or conflicting goals that are not relevant to the reduction of handicap. Also, clients should be heavily involved in choosing their goals. Methods that help to ensure clear communication between professionals and facilitate the functioning of the interdisciplinary rehabilitation team are described.