Tu þ u

2. Tuþu Tuþu clinicians provide a range of AOD and gambling interventions, depending upon the needs of the Consumer including: • facilitation of culturally appropriate treatment • screening and comprehensive assessment • intervention/management of substance use problems and dependency and/or gambling problems • individual (Counselling/Talanoa) • Working with the family/extended family • group modalities (a growing feature) • Home visits, liaison, consultation and co-working with health and other professionals.

3. Pacific Gambling Interventions • Matua • Cultural Advisors • Using Language • Story telling (Talanoa) • Gambling in groups

4. Pacific Gambling Interventions • Drama, Dance, Song and Music • Projects: Satellites, Youth, Justice, Mental Health • Church and Community • Pacific Gambling Niu Tupu Fono

5. Matalafi Matrix- Cultural Formulation Tool • A brief assessment tool taking a picture snapshot of person’s life around their alcohol and drug use/gambling behaviours. • A Samoan herbal plant for healing • Legend: Once plucked by taulasea and used for “fofo” it will then move to another place and be fully replenished if you go back to get some more. • Similar to the client, who’s situation may change and the need for us to continually capture those changes.

6. Pacific Cultural Formulation Tool • Aiga – Family • Pule is a 45 year old Niuean Man from the village of Hakupu. • Migrated to NZ In 1990 with his family • Married and has four children, lives in Manurewa • Pule works as a storeman in a warehouse • Speaks limited english prefers to see a Niuean speaking worker • Tino Atoa – Physical • Pule has black hair, 6 ft in height and medium built, he has olive tanned complexion • Looks very tired and darkness around his eyes • Looks like he has not been sleeping/eating well as he spends most of his time at the TAB & Casino • Beard growing and appears to have issues with hygiene • Physical health

7. Lagona – Emotions • Pule appears to have low affect • Describes himself as being a Looser/ failure for gambling all his money away • and letting family down • Has thoughts of suicide but no plan as he does not want to leave his children behind • Pule describes winning through gambling makes him feel good • Reports of symptoms of mental health (depression) • Pule was very upset, crying when telling his story • Pule shares he wants to stop his gambling problem and alcohol use and is seeking help for this. • Aganu’u – Cultural • Pule is one proud village leader in the village/church and sports team • His male role as father/leader in the family • Feels fakama (ashamed) and guilty for lying to his family about his gambling • Fa’aleagaga – Spirituality • Attends the Niue church in Mangere with family and extended family • Christian beliefs and like to pray • Wants to help others in his family who gamble • Has dreams for his family especially his children to go to University • Wants to feel worthy and be a role model for his family

8. Questions? • Tuþu Pacific Alcohol/drugs and Gambling: Regional Auckland Service Base: Level 1, 409 New North Road, Kingsland • Ph: 845 1800 • Fx: 845 1840