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Tupu Alcohol,Drug and Gambling Service

Tupu Alcohol,Drug and Gambling Service . National Pacific Fono 2010. Introduction. 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:

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Tupu Alcohol,Drug and Gambling Service

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  1. TupuAlcohol,Drug and Gambling Service National Pacific Fono 2010

  2. Introduction • Tupu Services • Pacific Alcohol, Drugs and Gambling Interventions Service • Regional Service under WDHB • Consists of 16 staff members • Multi-disciplinary Team

  3. Introduction • MOH Targets in Four Areas: • Brief Intervention • Full Intervention • Facilitation • Follow Up • Ministry of Health and CLIC

  4. Case Study • 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

  5. 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

  6. Case Study • TuþuClinical Meeting for Allocation • Matua/Cultural Advisor offered • Cultural approach offered • Home Visit • Extended Family Involvement • Talatalanoa around Presenting Issues

  7. Case Study Events • Lost $250 gambling • Drinking alcohol after losing his money • Argued with his wife • Lack of Food • Domestic Violence • Arrested by Police

  8. 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

  9. Case Study Outcome • Completion of Counseling after 6 sessions • Abstinent from Alcohol and Stopped Gambling • Agrees to Follow Up Session in 1 month

  10. Client Referrals • Self Referral • Family /CYFS • Justice • Gambling Helpline • Budgeting Services • Mental Health Services etc

  11. Duty Counsellor • 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

  12. Registering Clients into ‘CLIC’ Database • 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

  13. Brief Intervention and CLIC • 3 Assessments Scores Required for Brief Intervention: • Brief Gambler Score • Brief Family Awareness Score • Brief Family Effect Score

  14. Full 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

  15. Comprehensive Assessment • 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:

  16. 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

  17. Comprehensive Assessment Co-existing Issues Screens: • Alcohol Use Screen • Drug Use Screen • Depression Screen • Suicidality Screen • Family/Whanau Concern Screen

  18. Counselling • 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

  19. Facilitation • Assisting Clients to ‘Access’ Other Services e.g. Mental Health, GP, Budgeting, Food Banks etc… • Self Exclusion • Matua/Cultural Advisors • Malaga Service

  20. Family /Whanau and Significant Others • Person is affected by Someone’s Gambling • Brief Gambler and Brief Family/Affected Others Screens • Discuss Treatment Options • Brief Intervention episode.

  21. Follow Up • ‘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

  22. Summary and Questions

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