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The following case study is a great exploration of the Australian film Samson and Delilah which features the effect that the risky substance abuse [VSA] of gasoline sniffing is wearing one of the character types in the film, Samson. I possess chosen him to be the basis for my personal client and case-study and can begin by providing an description from the character, his family your life and the social context to begin this case-study. I will supply an evaluation and case formulation as well as Samson’s psychosocial requires and his unstable substance abuse of petrol sniffing at.

The substance abuse guidance model hat I would attract on is explained, plus the usefulness pertaining to Samson in the situation that he is in. I’ve explained the way in which I would assist Samson and also analysed analysis that is relevant to Samson’s dependence on sniffing gas and discussed any probably outcomes. In concluding this kind of case-study I’ve listed any challenges i feel he’d face and identified any ethical issues that may come up. Background Information Samson is a 16 year old Indigenous Australian male who lives in a remote Original Community in the central Aussie desert.

Samson lives with his rothers who also hang out in their run down shack, playing music from the moment that they can wake up before the moment that they go to sleep. When ever Samson wakes in the morning the very first thing that he reaches pertaining to is his canister of petrol and starts sniffing the gases that permit him to get large. Samson does not go to college or have virtually any direction in life, he appears to be very bored and spends his days hanging around the city, doing nothing but getting high on petrol smells.

Samson runs away from the community with his girlfriend Delilah after Samson provides a violent battle with his rother and Delilah is bitten by the older women after her beloved grandmother drops dead. They go to the city where that they camp out under a link, they have necessary and in order to take in, and have to rely on a homeless man that they satisfy to feed them or perhaps steal meals from the local supermarket. Delilah is usually kidnapped as they are both walking along which in turn Samson can be oblivious too as he is indeed high on petrol fumes.

His girlfriend is definitely raped and bashed by abductors, when she earnings back to the camp Samson is subconscious on the ground, exceeded out coming from sniffing gas. Delilah tarts sniffing gas as well and is also hit with a car because they are walking along the road, which Samson is usually once more unaware too, because they are both at the top of petrol smoke. Delilah recovers in clinic, comes back and takes Samson to a remote property where she intends on helping him to dry out, but finds him sniffing petrol again. Analysis of Samson Samson has been heavily harming this unstable substance until he is physiologically dependent on sniffing at petrol.

Respond Net(2013) make clear that element dependence may be diagnosed when an individual continue to be use the square area rug, even though you will find problems linked to the use of the volatile element. Samson has built up a tolerance towards the petrol and seems to need increased levels of this substance in order to attain the specified level of intoxication. Rassool (2009) confirms this kind of, stating that when a body system adjusts for the habitual work with ot a drug, threshold occurs while higher amounts ot the substance will be needed to “reproduce the desired or perhaps similar cognitive, affective or behavioural effects” (p. ). Petrol sniffing at is a form of volatile solvent abuse [VSA] that is more prevalent in isadvantaged or remote communities which reflects a brief history of cultural oppression, poor health, unemployment, leisure opportunity and geographical solitude of distant Indigenous Australians( Dingwall, Lewis, Maruff, Cairney 2010). Research has shown that 14 to 17 year old Indigenous Aussie males will be more habitual inside the use of VSA by using more often and longer than non- Indigenous users (Australian Government Department of Health and The aging process Publications, 2004).

High risk behaviors are linked to VSA as a result of individual sense a sense of eing invulnerable, that may cause mishaps, injury and death (Cairney, Dingwall, 2010). VSA could also cause the individual to have chaotic outbursts towards other people as well as displaying signs of slurred speech, confusion and stupor which can cause seizures, human brain injury and death (Australian Government Division of Health insurance and Aging Guides, 2004).

Samson is displaying all the indications of chronic make use of VSA pertaining to his oblivion of all of the shock that has lead from his dependence on gas. I feel that Samson is fed up because of the deficiency of recreational ctivities as well as education, there also does not seem to be any ethnic programs in place to guide him in helping him with a feeling of identity, or any real family support including the sharing of the ethnic knowledge of elders.

Intervention Program Although there are screening tools such as The Local Risk Impact Screen and Brief Input Tool Kit (Amity Community Services, and. d), I feel that the best way in helping Samson and his reliance on VSA, is always to consult with community elders when he is not only a small, but in addition there are a lot of cultural arriers that would make it really hard to counsell him until the person had been specially qualified. It would be especially difficult as Samson addresses his traditional language and extremely little English.

Cairney and Dingwall (2010) find that it is difficult for the challenge of VSA to be maintained and the influence of it to be understood by simply Indigenous areas as well as health insurance and government services because of the severe cultural dissimilarities that arise between these kinds of groups. Radical people have a kinship framework where quick and prolonged family are noticed as part of the roup and within Indigenous communities their health is seen as a collective from the emotional, cultural and ethnic wellbeing from the community (Pattel, 2007).

I use personally hardly ever worked with clients with VSA, but I feel that motivational meeting with would also benefit Samson’s brothers and the community in helping them get over the problems of VSA. Giddens-Tracey (2005) points out that motivational interviewing is usually non -Judgmental and avoids confrontation, it helps to raise awareness of the problems, risks and consequences as a result of certain ehaviours, and it is also helpful in the circumstance of treatment planning.

MacLean and d’Abbs (2002) likewise believe that the introduction of Youth concentrated programs as well as the accessibility of basic food, shelter and education could reduce gas sniffing, which usually would tremendously benefit Samson if these kinds of projects were to be put in place. Cairney and Dingwall (2010) likewise suggest that by simply replacing the volatile gasoline with a non-volatile fuel derivative there will be a decrease in the supply of petrol to inhale. Treatment Process I really believe that the first step that would need to be taken in the process ot treating

Samson is usually to have a doctor or health practitioner examine him for any signs of medical issues. The Australian Government Section of Health and Aging Journals (2004) claim that when working with chronic VSA, it is important for “mental state, organ and neurological examination, chest x-rays, blood tests and any additional tests which may be required to measure the presence of metabolic disorders and morbidity to different organs like the kidneys”(p. 142). SVA has been a serious problem in lots of remote Original communities and there are many rograms that have been applied to help these types of Indigenous children.

The risky substance abuse program (The Australian Indigenous Health Info Net, 2013) works for 8 weeks offering home to individuals playing their applications. They also visit remote communities to work with Indigenous youth who are having complications with petrol sniffing. Although these types of services can be great for youth in greater communities with elder support, I feel that Samson would be more beneficial in attending required treatment Wouth workers backside petrol sniffing at laws”, 2009) ue to his deficiency of family and parent support and his early age.

By contrast If perhaps Samson do have the support of his brothers I feel that he would take advantage of Cultural applications that would give him a sense of personality that instruct him many ways of his ancestors by simply restoring backlinks to his traditional culture(MacLean& d’Abbs). Moral Issues The first and foremost issue that would impact a counsellor working with Samson is their particular ability to remember and well intentioned of any kind of cultural distinctions or traditions.

Westerman (2004), Vicary and Andrews (2001) McLennan and Khavarpour( 2004) ropose that due to non-indigenous health care employees being aware of cultural traditions and practices, many Indigenous Australians are cautious about engaging in mental health services( as mentioned in Enthusiast, 2007). There is also the issue of male or female roles in Indigenous lifestyle, Fan(2007) as well explains that it is common practice in healthcare to work with your same sexuality, so it will not be respectful for any female counsellor to work with Samson as he may feel disgrace, which may include a detrimental impact on his treatment and restoration process.

As a counsellor there is the moral esponsibility of working with a small, as Samson is only 14 years old. The Psychotherapy and Counselling Federation of Sydney [PACFA] (2011) states that “Working with young people needs specific teaching, ethical consciousness and skills. The specialist is required to consider and measure the balance between young people’s dependence on adults and carers and their accelerating development toward acting independently’ (p. 14). Therefore I feel that it would be recommended to refer Samson on to a culturally suitable service that could be more prepared to help his needs.

Summary In concluding this case analyze on a young 14 year old Indigenous Australian who is dependent upon sniffing gas we can see that Samson has generated up a tolerance towards the petrol and seems to want increased numbers of this substance to be able to attain the specified level of intoxication. Petrol sniffing at is a form of volatile solvent abuse [VSA] that is more usual in deprived or remote communities which usually reflects the history of ethnic oppression, poor health, unemployment, leisure opportunity and geographical isolation of distant Indigenous Australians.

VSA may also cause the individual to nave violent reactions towards different individuals and snowing signs of slurred talk, confusion and stupor which will lead to seizures, brain personal injury and fatality. The first step that might need to be taken in the process of treating medical complications. Cultural programs that would give Samson a feeling of Cultural identity would benefit him significantly if he previously support by his family but I feel that Samson can be more beneficial in going to a compulsory culturally appropriate service treatment due to the moral issues surrounding his grow older.