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
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Tupu: Alchohol, Drug and Gambling Service