problem gambling foundation of new zealand · co-existing problems in the high risk gamblers...
TRANSCRIPT
Problem Gambling Foundation of New ZealandUpdates on our contracted services
Introductions
Bridgitte Thornley –National Director of Counselling Services and Public Health Support PGF
Choi Foong Kew – Practice Leader, Asian Family Services
Phillip Siataga – Counsellor & Health Promoter, Mapu Maia
Today’s presentation:
Prevalence of problem gambling
Co-existing problems
Impacts of pokies machines
How we are meeting client needs
Clinical specifications
Public health specifications
National prevalence study 2012
▪ 2.5% of New Zealanders moderate to high risk problem gamblers
▪ A further 5.0% are low risk problem gamblers
▪ Of those people who gambled at least once in the last year 10% are estimated to be moderate to high risk
▪ 6.2% of Maori
▪ 8.0% of Pacifika
▪ 2.9% of Asian
Co-existing problems in the high risk gamblers population:▪ Half (50.6%) were found to be drinking hazardously (5x)
▪ Nearly a third (29.2%) are alcohol dependent (6.3x)
▪ 57% are smokers (4.2x)
▪ 31.4% had used drugs (4x)
▪ 28.8% have co-existing anxiety or depression (6x)
Approx 80% of problem gamblers do not seek treatment
CEP continued:
▪ 80% of clients have suicidal thoughts
▪ 50% of clients in PG services have been victims of family violence
▪ 44% have been perpetrators
▪ In the USA 15-24% of clients presenting to AOD services have pathological gambling
Impacts of pokies▪ $2.2b spent on gambling per year
▪ About half is spent on pokies
▪ Christchurch loses $9000 an hour on non-casino pokies
▪ Wealthy areas: 1 machine per 465 people
▪ Poorer areas: 1 machine per 75 people
▪ 71.2% of moderate to high at risk problem gamblers were gambling on pokie machines. (60% of service users)▪ 14.8% of recreational gamblers used pokie machines
Meeting client needs
▪Mapu Maia Pasifika services expanded to ChCh, 0800▪Asian Family Services in Auckland available for phone
or Skype counselling in Korean, Cantonese, Mandarin, Thai, Khmer and Vietnamese, Japanese
▪Email, Skype and phone counselling options available▪On going development cultural competency in our
mainstream services
Clinical Services
Brief Interventions
▪Short interventions in the community to identify those people who may be pre-contemplative or contemplative about their own gambling or the impacts of another person’s gambling
▪ About fifteen minutes, one off motivational interventions, able to be performed by trained staff or volunteers
Face to Face Counselling
▪Free, professional and confidential
▪ As many sessions as required▪ Average number is 6
▪ For people experiencing a gambling problem
▪ For anyone affected by someone else’s gambling problem either currently or in the past (can include family, friends, employees, etc.)
Facilitations
Critical work when many clients face multiple and complex issues, examples include:
▪ Bringing together multiple agencies to create wraparound support plans for clients
▪ Supporting a client to attend another service and provide a ‘handover’
▪Advocate for a client’s gambling treatment needs while attending another service
▪Advocacy for services
Group SessionsTherapy groups:
▪ Variety of models can be used, evidenced based to treat problem gambling
▪ Structured and goal oriented
▪ Closed groups with a set number of weeks
▪ Living Well Groups:
Group activities that are less structured, may be open ended and drop in.
Focus to increase well-being and have cross over with other concerns, ie, AOD, FV, MH etc
Opportunity for collaborative leadership
Follow-up:
▪Discharged clients receive follow up phone calls 1, 3, 6, and 12 months after leaving the service
▪ Clients can request follow up calls to best suit their needs
▪Rescreening completed at follow-up to identify client outcomes
Public Health Services
1 Policy Development and Implementation2 Safe Gambling Environments3 Supportive Communities4 Aware Communities5 Effective Screening Environments
Accessing our services
PGF 0800 664 262 or CHCH 03 379 2824www.pgf.nz or [email protected]
Mapu Mia 0800 21 21 22 www.mapumaia.nz
Asian Family Hotline 0800 862 342 www.asianfamilyservices.nz