Grief counseling of Native Americans should take into account the culturally related feelings of the client. Extreme emotional reactions to the death of a loved one may be worked out by the client's attendance at a ceremonial funeral. Some clients desire to return to the reservation for the funeral, or days of mourning may be observed. It is important to prevent interruptions in the grieving process and to provide the client with facts of the healing process, validation, and confrontation with the fact of the death. The mental health practitioner may be required to also play an advocate role in arranging for the funeral and other matters.
This brief report aims to give an overview of the history and current status of clinical genetics services in Iceland and specific genetic counseling considerations for Iceland's population. Presently, there are two part time medical geneticists and one full time genetic counselor with an MSc education from Cardiff, within the Department of Genetic and Molecular Medicine, based in Iceland's only tertiary healthcare facility, Landspitali, the National University Hospital. An oncologist (20 %) also contributes to the cancer genetic counseling service. In addition, a pediatric medical geneticist has a 25 % appointment at the Children's Hospital. No other health care organization offers genetic counseling, and there are no private genetic counseling services.