Pasifika Gambling Helpline www.gamblingproblem.co.nz Pasifika Gambling Fono – 2010 Caring for Tagata Pasifika Through Telephone Counselling Case Study by Hana Asi-Pakieto

Pasifika Gambling Helpline www.gamblingproblem.co.nz Family Fonofale Model Physical Spiritual Mental Other Culture Shelter for Life Belief Systems – traditional healing methods Use of Western methods or both. E.g. Gender employment sexuality age, 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 www.gamblingproblem.co.nz Client Care Assessment and screening Interventions and ongoing support Resourcing with practical tools and self or peer support Referrals Specialist Programs e.g. Pasifika, Youth, Maori, Debt Alerts and Interventions

Pasifika Gambling Helpline 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 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 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 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 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 www.gamblingproblem.co.nz Specialist Services Pasifika Gambling Helpline Gambling Debt Helpline Maori Gambling Helpline Youth Gambling Helpline

Pasifika Gambling Helpline www.gamblingproblem.co.nz Alert Procedures 1.Treats all calls very seriously e.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 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 www.gamblingproblem.co.nz Operating Hours Tuesday 5 pm – 9 pm Thursday 6 pm – 9 pm Friday 12 noon – 4pm