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 ReferralFamily /CYFS JusticeGambling HelplineBudgeting ServicesMental 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 ExclusionMatua/Cultural AdvisorsMalaga Service

Facilitation

Person is affected by Someone’s Gambling

Brief Gambler and Brief Family/Affected Others Screens

Discuss Treatment OptionsBrief Intervention episode.

Family /Whanau and Significant Others

‘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

Summary and Questions