National Pacific Fono 2010 Tupu Services Pacific Alcohol Drugs and Gambling Interventions Service Regional Service under WDHB Consists of 16 staff members Multidisciplinary Team Introduction ID: 816413
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Tupu Alcohol,Drug and Gambling Service
National Pacific Fono 2010
Slide2Tupu ServicesPacific Alcohol, Drugs and Gambling Interventions Service Regional Service under WDHB Consists of 16 staff members Multi-disciplinary Team
Introduction
Slide3MOH Targets in Four Areas:Brief InterventionFull InterventionFacilitationFollow UpMinistry of Health and CLIC
Introduction
Slide4Name: XAge: 49 Years OldEthnicity: TonganResidence: Otara Status: Married with 4 ChildrenReferral:
Manukau Community Psychological Probation ServicesCharge: Male Assault Female
Sentence: Alcohol and Drug/Anger Management Programme
Case Study
Slide5ProcessesContact with Tuþu ServicesConfidentiality and Client Rights DiscussedBrief Assessment around Alcohol, Drugs and Gambling UseGambles between $150-$300 per week (Pokie Machines)
‘Brief Gambler’ & ‘Brief Family/Affected Other’ ScreensInformation and Treatment Options provided
Case Study
Slide6Tuþu Clinical Meeting for Allocation Matua/Cultural Advisor offeredCultural approach offeredHome VisitExtended Family InvolvementTalatalanoa around Presenting Issues
Case Study
Slide7EventsLost $250 gamblingDrinking alcohol after losing his moneyArgued with his wifeLack of FoodDomestic ViolenceArrested by Police
Case Study
Slide8Case StudyTreatment PlanAgrees to 6 Alcohol & Gambling Counselling SessionsSelf Exclusion /Self Ban from Sky City CasinoSupport from FamilyGambling Support for Extended Family Members
Slide9OutcomeCompletion of Counseling after 6 sessionsAbstinent from Alcohol and Stopped GamblingAgrees to Follow Up Session in 1 monthCase Study
Slide10Self ReferralFamily /CYFSJusticeGambling HelplineBudgeting ServicesMental Health Services etc
Client Referrals
Slide11First Point of ContactCarries Out Brief Assessment of ClientsIdentifies Potential Problem Gamblers or Significant Others Affected by Problem Gambling Carries Out Brief Intervention Provides Information & Treatment Options to ClientsRegisters Gambling Clients into CLIC Database
Duty Counsellor
Slide12TUAK Numbers (CLIC Identity Number) TUAK Number & Gambling Client Details Registered CLIC Data (except Clients Personal Information) used by MOHClients Can Remain AnonymousTUAK Identity Numbers Provides Client Confidentiality
Registering Clients into ‘CLIC’ Database
Slide13Slide143 Assessments Scores Required for Brief Intervention:Brief Gambler ScoreBrief Family Awareness ScoreBrief Family Effect ScoreBrief Intervention and CLIC
Slide15Slide16Gambling Clients Experiencing HarmInvolves Counseling, Facilitation and Follow UpEntered into CLIC after 1st ‘Face to Face’ SessionFull Intervention on CLIC Similar to Brief Intervention Except it Remains Open until the Client is Discharged Full Intervention and CLIC
Slide17Slide18Provides a Holistic Understanding Addresses Areas Of ConcernAssists in Future Counselling & Facilitation onto Appropriate ServicesCan be Used to Monitor Clients Progress Comprises of 3 Groups of Screening:
Comprehensive Assessment
Slide19Gambler Harm Screen:Gambling Harm ScreenGambler Outcome Screens:Control Over Gambling Screen Dollars Lost ScreenAnnual Household Income ScreenFamily/Affected Other Screen
Gamblers Gambling Frequency ScreenCoping with the Gamblers Gambling Screen
Comprehensive Assessment
Slide20Co-existing Issues Screens:Alcohol Use ScreenDrug Use ScreenDepression ScreenSuicidality Screen
Family/Whanau Concern Screen
Comprehensive Assessment
Slide21Slide22Motivational Interview /Cognitive Behavioral TherapyTreatment Planning /Goal PlanningCultural Approaches e.g. Language, Matua Involvement Harm Reduction Strategies Around Gambling
Relapse Prevention Plan
Discharge Plan
Counselling
Slide23Assisting Clients to ‘Access’ Other Services e.g. Mental Health, GP, Budgeting, Food Banks etc… Self ExclusionMatua/Cultural AdvisorsMalaga Service
Facilitation
Slide24Person is affected by Someone’s GamblingBrief Gambler and Brief Family/Affected Others ScreensDiscuss Treatment OptionsBrief Intervention episode.
Family /
Whanau and Significant Others
Slide25‘Follow Up’ is OptionalMonitor Clients ProgressProvides ‘Opportunity’ for further Counseling and Support To motivate and encourage clientsProvided after 1,3,6 and 12 months
Follow Up
Slide26Summary and Questions