Contents Introduction Part 01 Part 02 Part 03 Part 04Part 05Part 06Part 07Part 08References Indigenous Mental Health - Module 04 - Margaret Part 08 Case study   “Mona, your mum told me about the problems she had with alcohol in the past and how it damaged her health. She also told me your father died from problems that drinking caused”. “That’s right Doctor,” she says looking meaningfully at Josiah, “drinking causes problems for lots of people”. You sense some potential difficulties in the air and choose to return the focus to their shared concerns about the future.  You return to their health through discussion of their need to be strong and healthy grandparents and identify that Mona already has diabetes and Josiah is being treated for hypertension and intermittent gastritis.  By the end of this session you feel that you have accomplished the primary task of developing a relationship based on a shared concern for the wellbeing of the family as a whole and of their daughter and prospective grandchildren specifically.  They agree to come back to see you at the next clinic and also to have a “good, proper check-up” as well.  You conclude the session by thanking them and commending them for talking so honestly.   Reflection   You organise for the local medical officer to undertake a full physical examination of Mona and Josiah.  What examination will the medical officer most likely undertake and why? What services and/or supports are likely to be available to Mona and Josiah to assist them in changing their behaviour? What will you do to communicate your approach to this case to the other staff at the clinic? What options are available to Felicia so that she has a “good future?”