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
Pasifika Gambling Helpline 0800 654 657 www.gamblingproblem.co.nz
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.
Pasifika Gambling Helpline 0800 654 657 www.gamblingproblem.co.nz
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
Pasifika Gambling Helpline 0800 654 657 www.gamblingproblem.co.nz
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
Pasifika Gambling Helpline 0800 654 657 www.gamblingproblem.co.nz
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
Pasifika Gambling Helpline 0800 654 657 www.gamblingproblem.co.nz
• 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
Pasifika Gambling Helpline 0800 654 657 www.gamblingproblem.co.nz
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
Pasifika Gambling Helpline 0800 654 657 www.gamblingproblem.co.nz
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
Pasifika Gambling Helpline 0800 654 657 www.gamblingproblem.co.nz
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
Pasifika Gambling Helpline 0800 654 657 www.gamblingproblem.co.nz
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
Pasifika Gambling Helpline 0800 654 657 www.gamblingproblem.co.nz
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?
Pasifika Gambling Helpline 0800 654 657 www.gamblingproblem.co.nz
Operating Hours
Tuesday 5 pm – 9 pm
Thursday 6 pm – 9 pm
Friday 12 noon – 4pm
0800 654 [email protected]
www.gamblingproblem.co.nz