Pasifika Gambling Helpline 0800 654 657 Pasifika Gambling Fono – 2010 Caring for Tagata Pasifika...

Pasifika Gambling Helpline 0800 654 657 www.gamblingproblem.co.nz

Pasifika Gambling Fono – 2010

Caring for Tagata Pasifika Through Telephone Counselling

Case Study

by Hana Asi-Pakieto


Family

Fonofale Model

Ph

ysic

al

Sp

iritual

Men

tal

Oth

er

CultureShelter for Life

•Belief Systems –•traditional healing methods•Use of Western methods or both.

E.g. Genderemployment

sexualityage, etc

Foundation

•Nuclear and extended family, ancestral and genealogical links basis of social organisation for Pasifika

Other influences: Environment: e.g. rural or urban setting. Time: time in history that impact’s on Pacific people. Context: PI born/NZ-born identity. Others include politics and socio-economics.


Client Care

Assessment and

screening

Interventions and ongoing

support

Resourcing with practical tools and

self or peer support

ReferralsSpecialist Programs

e.g. Pasifika, Youth,

Maori, Debt

Alerts andInterventions


Case Study – 52yo Pasifika Women

• Gambling provided a form of escape– Husband’s death, she felt lonely and isolated– She used gambling as leisure/pastime to escape boredom

• Gambling always involved pleasure– Her gambling habit was reinforced by

• Intermittent rewards feeding her urges• Heightened sense of excitement /anticipation

• Gambling totally controlled the gambler– Her cycle of addiction: leisure favourite pastime

habit obsession addiction


Case Study – 52yo Pasifika Women

• Destructive and Unhealthy

Financial• Lost family home - once freehold• Living in $350+ rental home• Little assets and debts over $40,000

Relationship/Spiritually• Ashamed of letting her family and church community

down

Emotionally• Guilt feelings• Lost her self respect and status amongst others


• Identify level and nature of problem– Anxiety– Depression– Alcohol and Drugs– Suicidal intentions– Additional financial screens

• Building Rapport and Trust– Engage– Establish a connection– Roundabout approach– Use of stories and metaphors

Assessment and Screening


Interventions

• Basic Education – Harms of gambling and consequences

– Simple explanation of the brain

– Harm Reduction

• Referrals to Face to Face– Offered a 3-way conference call

– Declined by client

– Client preferred to make own appointment to a Pacific Service

– Client Choice


Interventions• Ongoing Support

– Full Intervention – 6 weekly phone calls 1,3,6,12,18mth callbacks

– Encourage client to call Helpline

– Support between face to face sessions (if applicable)

• Resources– Information pack:

• Gambling Helpline self-help booklets

• Nationwide list of Gambling Counselling Services

• Gamblers Anonymous (GA) meetings

• Appropriate pamphlets related to service

• Self Exclusion Order


Specialist Services

• Pasifika Gambling Helpline - 0800 654 657

• Gambling Debt Helpline - 0800 654 658

• Maori Gambling Helpline - 0800 654 656

• Youth Gambling Helpline - 0800 654 659


Alert Procedures

1. Treats all calls very seriouslye.g. informing police to send someone to check

2. At risk client placed on “Alert” - Facilitates tracking

3. Clients stay on Alert minimum 10 days Consultation with Clinical Psychologist

4. Counselling agencies may request client be placed on Alert

Phone or fax (preferably fax)More information provided the better


Suicide Question Checklist

1. Does the caller have suicidal thoughts?

2. Does the caller have a clear plan?

3. Have there been previous suicide attempts?

4. Is the caller alone now?

5. Has the Caller received or is receiving any mental health care or support?


Operating Hours

Tuesday 5 pm – 9 pm

Thursday 6 pm – 9 pm

Friday 12 noon – 4pm

0800 654 [email protected]

www.gamblingproblem.co.nz

Pasifika Gambling Helpline 0800 654 657 Pasifika Gambling Fono – 2010 Caring for Tagata Pasifika...

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