In a family where a child with complex communication needs are alter the life situation for the family and the family often become coordinator of the contacts and efforts by various actors. Professionals in rehabilitation become one of those contacts and cooperation partners who perceptions of the concepts activity, participation, context, interaction and influence, and the rehabilitation plans drawn up on the above target. Focus Calls and text analysis of the rehabilitation plans have been the methods used in this study. The starting point is the WHO's classification, ICF. The text content has been encoded in accordance to with ICF´s components and domains. Results show both similarities and differences in parents' and professionals' understanding of concepts, interaction and influence. There is a dilemma between rehabilitation as a volunteer effort and the family’s voice and activity rate, which has been visible. The professionals' mission is not to self-clarity compatible with family circumstances and expressed needs. ICF´s concepts is well known to those working on the one hand, but is not fully anchored. For parents on the other hand, the ICF is not something familiar, however given the concepts a meaning, although couched in other terms to some extent. Analyzed rehabilitation plans can be related to both physical function component as the components and domains activity, participation and environment. Formulated goals and accompanying activities are not automatically linked. The majority of parents expresses satisfaction with rehabilitation efforts but also formulates proposals for improvement. The professionals remarked that there is a dilemma between professional and family spoken or unspoken needs.