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Pasifika Gambling Fono – 2010

This case study explores the impact of gambling on a 52-year-old Pasifika woman and the interventions and support provided through telephone counselling. It examines the cultural, familial, and financial factors contributing to her gambling addiction and the harm reduction strategies offered.

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Pasifika Gambling Fono – 2010

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  1. Pasifika Gambling Fono – 2010 Caring for Tagata Pasifika Through Telephone Counselling Case Study by Hana Asi-Pakieto

  2. Fonofale Model Culture Shelter for Life 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. • Belief Systems – • traditional healing methods • Use of Western methods or both. Family E.g. Gender employment sexuality age, etc Spiritual Mental Physical Other Foundation • Nuclear and extended family, ancestral and genealogical links basis of social organisation for Pasifika

  3. Client Care Assessment and screening Specialist Programs e.g. Pasifika, Youth, Maori, Debt Resourcing with practical tools and self or peer support Interventions and ongoing support Referrals Alerts and Interventions

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. Alert Procedures • 1. Treats all calls very seriously • e.g. informing police to send someone to check • 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

  11. Suicide Question Checklist • 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?

  12. Operating Hours Tuesday 5 pm – 9 pm Thursday 6 pm – 9 pm Friday 12 noon – 4pm 0800 654 657 hana.asi2@gamblinghelpline.co.nz www.gamblingproblem.co.nz

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