Contents Introduction Part 01 Part 02 Part 03 Part 04 Part 05 Part 06 Part 07 Part 08References Indigenous Mental Health - Module 01 - John Part 08 Case study   John, Auntie Matilda, the Aboriginal Mental Health Worker and the team finally reach a decision that John will go and stay with his uncle at a substance free outstation some distance from his community. His uncle lives in a camp with twenty other people, including a large number of children. The outstation is visited once a week by one of the nurses and Aboriginal Health Workers from the main community. John is not sure if he will remember to take his medication regularly and John and Auntie Matilda are concerned that the children will accidentally consume his tablets as there is virtually no privacy in the outstation. As a result, it is decided to continue John’s treatment with a depot medication. John is uncertain whether he will accept the depot medication on a regular basis from the community nurse and the treating team. Auntie Matilda considers that a community treatment order under the Mental Health Act may assist in management, but acknowledges that the practicalities of administering the order in a rural setting have to be considered. These issues may be made easier through review of John by teleconferencing, if the facilities are available. The question of when to cease John’s depot medication also has to be considered in the context of his provisional diagnosis of substance-induced psychosis and the management issues of being in a remote location. The team decides to place John on a community order to improve initial compliance with treatment and to organise a psychiatric review at three months, with a view to checking John’s progress and ceasing his medication if appropriate.