Julia is the 24-year-old single mother of 6-year-old Luke. Julia abused heroin for many years but is now stable on melhadone. You have known her for a while and you share a warm clinical rapport. At a planned review, she discloses 10 you in confidence that there are some days she is struggling to look after Luke. Just the smallest things like picking him up from school seem so stressful'. He is a boisterous young boy, but always looks healthy and well looked after. Historically, social services have been involved in Luke's welfare during Julia's detox. He has never been removed from her care and Julia benefits from the ongoing support of her parents.
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