Tupu: Alchohol, Drug and Gambling Service
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Transcript Tupu: Alchohol, 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
MOH Targets in Four Areas:
1.
Brief Intervention
2.
Full Intervention
3.
Facilitation
4.
Follow Up
Ministry of Health and CLIC
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
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
Tuþu Clinical Meeting for Allocation
Matua/Cultural Advisor offered
Cultural approach offered
Home Visit
Extended Family Involvement
Talatalanoa around Presenting Issues
Events
Lost $250 gambling
Drinking alcohol after losing his money
Argued with his wife
Lack of Food
Domestic Violence
Arrested by Police
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
Abstinent
of Counseling after 6 sessions
from Alcohol and Stopped
Gambling
Agrees
to Follow Up Session in 1 month
Self
Referral
Family
/CYFS
Justice
Gambling
Budgeting
Mental
Helpline
Services
Health Services etc
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
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
3
Assessments Scores Required for Brief
Intervention:
1. Brief
Gambler Score
2. Brief
Family Awareness Score
3. Brief
Family Effect Score
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
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:
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
Co-existing Issues Screens:
Alcohol Use Screen
Drug Use Screen
Depression Screen
Suicidality Screen
Family/Whanau Concern Screen
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
Assisting
Clients to ‘Access’ Other
Services e.g. Mental Health, GP,
Budgeting, Food Banks etc…
Self
Exclusion
Matua/Cultural
Malaga
Service
Advisors
Person
is affected by Someone’s
Gambling
Brief
Gambler and Brief Family/Affected
Others Screens
Discuss
Brief
Treatment Options
Intervention episode.
‘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