national pacific fono 2010. tupu services pacific alcohol, drugs and gambling interventions...
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Tupu Alcohol,Drug and Gambling Service
National Pacific Fono 2010
Tupu Services
Pacific Alcohol, Drugs and Gambling Interventions
Service
Regional Service under WDHB
Consists of 16 staff members
Multi-disciplinary Team
Introduction
MOH Targets in Four Areas:
1. Brief Intervention
2. Full Intervention
3. Facilitation
4. Follow Up
Ministry of Health and CLIC
Introduction
Name: X
Age: 49 Years Old
Ethnicity: Tongan
Residence: Otara
Status: Married with 4 Children
Referral: Manukau Community Psychological Probation Services
Charge: Male Assault Female
Sentence: Alcohol and Drug/Anger Management Programme
Case Study
Processes
Contact with Tuþu Services
Confidentiality and Client Rights Discussed
Brief Assessment around Alcohol, Drugs and Gambling Use
Gambles between $150-$300 per week (Pokie Machines)
‘Brief Gambler’ & ‘Brief Family/Affected Other’ Screens
Information and Treatment Options provided
Case Study
Tuþu Clinical Meeting for Allocation
Matua/Cultural Advisor offered
Cultural approach offered
Home Visit
Extended Family Involvement
Talatalanoa around Presenting Issues
Case Study
Events
Lost $250 gambling
Drinking alcohol after losing his money
Argued with his wife
Lack of Food
Domestic Violence
Arrested by Police
Case Study
Case Study
Treatment Plan
Agrees to 6 Alcohol & Gambling Counselling
Sessions
Self Exclusion /Self Ban from Sky City Casino
Support from Family
Gambling Support for Extended Family Members
Outcome
Completion of Counseling after 6 sessions
Abstinent from Alcohol and Stopped
Gambling
Agrees to Follow Up Session in 1 month
Case Study
Self Referral
Family /CYFS
Justice
Gambling Helpline
Budgeting Services
Mental Health Services etc
Client Referrals
First Point of Contact
Carries Out Brief Assessment of Clients
Identifies Potential Problem Gamblers or
Significant Others Affected by Problem Gambling
Carries Out Brief Intervention
Provides Information & Treatment Options to
Clients
Registers Gambling Clients into CLIC Database
Duty Counsellor
TUAK Numbers (CLIC Identity Number)
TUAK Number & Gambling Client Details
Registered
CLIC Data (except Clients Personal Information)
used by MOH
Clients Can Remain Anonymous
TUAK Identity Numbers Provides Client
Confidentiality
Registering Clients into ‘CLIC’ Database
3 Assessments Scores Required for Brief
Intervention:
1.Brief Gambler Score
2.Brief Family Awareness Score
3.Brief Family Effect Score
Brief Intervention and CLIC
Gambling Clients Experiencing Harm
Involves Counseling, Facilitation and Follow Up
Entered into CLIC after 1st ‘Face to Face’ Session
Full Intervention on CLIC Similar to Brief
Intervention Except it Remains Open until the
Client is Discharged
Full Intervention and CLIC
Provides a Holistic Understanding
Addresses Areas Of Concern
Assists in Future Counselling & Facilitation onto
Appropriate Services
Can be Used to Monitor Clients Progress
Comprises of 3 Groups of Screening:
Comprehensive Assessment
Gambler Harm Screen: Gambling Harm Screen
Gambler Outcome Screens: Control Over Gambling Screen Dollars Lost Screen Annual Household Income Screen Family/Affected Other Screen Gamblers Gambling Frequency Screen Coping with the Gamblers Gambling Screen
Comprehensive Assessment
Co-existing Issues Screens:
Alcohol Use Screen
Drug Use Screen
Depression Screen
Suicidality Screen
Family/Whanau Concern Screen
Comprehensive Assessment
Motivational Interview /Cognitive Behavioral Therapy
Treatment Planning /Goal Planning
Cultural Approaches e.g. Language, Matua Involvement
Harm Reduction Strategies Around Gambling
Relapse Prevention Plan
Discharge Plan
Counselling
Assisting Clients to ‘Access’ Other
Services e.g. Mental Health, GP,
Budgeting, Food Banks etc…
Self Exclusion
Matua/Cultural Advisors
Malaga Service
Facilitation
Person is affected by Someone’s
Gambling
Brief Gambler and Brief Family/Affected
Others Screens
Discuss Treatment Options
Brief Intervention episode.
Family /Whanau and Significant Others
‘Follow Up’ is Optional
Monitor Clients Progress
Provides ‘Opportunity’ for further
Counseling and Support
To motivate and encourage clients
Provided after 1,3,6 and 12 months
Follow Up
Summary and Questions