Samson and delillah

The following case study is an exploration of the Australian bring copper and Delilah which features the impact that the volatile summation horror VSA of gas pedal sniffing has on one of the characters in the film, shit. I switch chosen him to be the basis for my client and case-study and ordain begin by giving a description of the character, his family life and the social context to start this case-study. I will then provide an assessment and case formulation as salubrious as bruisers psychosocial needs and his volatile middle debase of gaseous state sniffing.The substance abuse counselling model hat I would draw on is explained, as s good up as the usefulness for fuzz in the smudge that he is in. I have explained the way in which I would litigate with copper and overly analysed research that is relevant to craps dependence on sniffing gaseous state and discussed whatever likely bycomes. In cogitate this case-study I have listed either challenges that I ho rse ch adenineion he would face and identified some(prenominal) good retorts that may arise. Background Information Samson is a 14 form old innate Australian male who lives in a irrelevant Aboriginal Community in the central Australian desert.Samson lives with his r other(a)s who hang out in their run down shack, playing music from the moment that they rouse up until the moment that they go to sleep. When Samson wakes up in the dawn the first thing that he reaches for is his weedister of gun and starts sniffing the fumes that change him to get luxuriously. Samson doesnt go to school or have any direction in life, he seems to be very bored and spends his divisions hanging around the community, doing nothing but getting high on gasoline fumes.Samson runs away from the community with his girlfriend Delilah after(prenominal) Samson has a violent fight with his rother and Delilah is attacked by the older women after her beloved grandmother dies. They go to the city where they camp out under(a) a bridge, they have no money and in order to eat, and have to rely on a homeless man that they meet to turn over them or steal food from the local supermarket. Delilah is kidnapped as they argon both walking along which Samson is oblivious too as he is so high on petrol fumes.His girlfriend is raped and bashed by the abductors, but when she returns back to the camp Samson is unconscious on the ground, passed out from sniffing petrol. Delilah tarts sniffing petrol as well and is hit by a car as they be walking along the road, which Samson is once to a greater extent oblivious too, as they are both high on petrol fumes. Delilah recovers in hospital, comes back and takes Samson to a unconnected property where she intends on portion him to dry out, but finds him sniffing petrol again. Assessment of Samson Samson has been heavily abusing this volatile substance to the grade where he is physiologically dependent on sniffing petrol .Behave Net(2013) explain th at substance dependence dope be diagnosed when an individual continues to use the rug, even though there are problems associated with the use of the volatile substance. Samson has built up a tolerance to the petrol and seems to need increased amounts of this substance in order to attain the want level of intoxication. Rassool (2009) confirms this, stating that when a body adjusts to the usual use ot a drug, tolerance advances as higher doses ot the substance are needed to reproduce the desired or similar cognitive, affective or behavioural effects (p. ). Petrol sniffing is a form of volatile consequence abuse VSA that is more common in isadvantaged or isolated communities which reflects the record of ethnical oppression, poor health, unemployment, recreational opportunity and geographical isolation of outdoor(a) autochthonic Australians( Dingwall, Lewis,Maruff Cairney 2010). Research has shown that 14 to 17 year old autochthonal Australian males are more habitual in the us e of VSA by using more frequently and longer than non- Indigenous users (Australian Government department of wellness and Aging Publications, 2004).High risk behaviours are associated with VSA due to the individual timbre a sense of eing invulnerable, which toilet cause accidents, injury and death (Cairney Dingwall, 2010). VSA bear also cause the individual to have violent outbursts towards other individuals as well as showing signs of slurred speech, confusion and stupor which can lead to seizures, brain injury and death (Australian Government Department of health and Aging Publications, 2004).Samson is showing all the signs of chronic use of VSA in copulation to his oblivion of all of the trauma that has resulted from his dependence on petrol. I tang that Samson is bored because of the lack of recreational ctivities as well as schooling, there also does not appear to be any cultural programs in place to guide him in helping him with a sense of identity, or any real family s upport including the sharing of the cultural intimacy of elders.Intervention Plan Although there are screening tools such as The Indigenous Risk Impact Screen and Brief Intervention Tool kit out (Amity Community Services, n. d), I feel that the best approach in helping Samson and his dependence on VSA, is to consult with community elders as he is not only a minor, but there are also a lot of cultural arriers that would make it very difficult to counsell him unless the soul were specially trained. It would be especially difficult as Samson speaks his handed-down language and very little English.Cairney and Dingwall (2010) find that it is hard for the problem of VSA to be managed and the impact of it to be understood by Indigenous communities as well as health and government services because of the severe cultural differences that occur between these groups. Aboriginal people have a kinship twist where immediate and extended family are seen as part of the roup and within Indigeno us communities their health is seen as a collective of the emotional, social and cultural benefit of the community (Pattel, 2007).I have personally never hited with clients with VSA, but I feel that motivational interviewing would also benefit Samsons brothers and their community in helping them conquer the problems of VSA. Giddens-Tracey (2005) explains that motivational interviewing is non -Judgmental and avoids confrontation, it helps to raise alertness of the problems, risks and consequences as a result of current ehaviours, and it is also helpful in the context of manipulation planning.MacLean and dAbbs (2002) also moot that the introduction of Youth focused programs and the accessibility of basic food, shelter and education would reduce petrol sniffing, which would owing(p)ly benefit Samson if these projects were to be give in place. Cairney and Dingwall (2010) also suggest that by replacing the volatile petrol with a non-volatile fuel derivative there will be a redu ction in the supply of petrol to inhale. Treatment Process I believe that the first step that would need to be taken in the process ot treatingSamson is to have a doctor or health practitioner examine him for any signs of medical complications. The Australian Government Department of Health and Aging Publications (2004) suggest that when dealing with chronic VSA, it is important for mental state, organ and neurological examination, chest x-rays, blood tests and any additional tests that may be take to assess the presence of metabolic disturbances and morbidity to other variety meat such as the kidneys(p. 142). SVA has been a serious problem in galore(postnominal) remote Aboriginal communities and there are many rograms that have been fructify in place to help these Indigenous youth.The volatile substance abuse program (The Australian Indigenous Health Info Net, 2013) runs for 8 weeks offer residence to individuals participating in their programs. They also travel to remote co mmunities to work with Indigenous youth who are having problems with petrol sniffing. Although these services would be great for youth in bigger communities with elder support, I feel that Samson would be more beneficial in attending compulsory treatment Wouth workers back petrol sniffing laws, 2009) ue to his lack of family and elder support as well as his young age.By contrast If Samson did have the support of his brothers I feel that he would benefit from Cultural programs that would give him a sense of identity that teach him the ways of his ancestors by restoring the links to his traditional culture(MacLean& dAbbs). Ethical Issues The first and foremost issue that would affect a counselor working with Samson is their ability to be aware and respectful of any cultural differences or traditions.Westerman (2004) ,Vicary and Andrews (2001) McLennan and Khavarpour( 2004) ropose that due to non-indigenous health care workers being aware of cultural traditions and practices, many Indigenous Australians are wary of engaging in mental health services( as cited in Fan,2007). There is also the issue of gender roles in Indigenous culture, Fan(2007) also explains that it is common practice in health care to work with your same gender, so it may not be respectful for a female exponent to work with Samson as he may feel shame, which may have a detrimental effect on his treatment and recovery process.As a counsellor there is also the ethical esponsibility of working with a minor, as Samson is only 14 years old. The Psychotherapy and Counselling Federation of Australia PACFA (2011) states that on the job(p) with young people requires specific training, ethical awareness and competence. The practitioner is required to consider and assess the balance between young peoples dependence on adults and carers and their progressive development towards acting independently (p. 14). Therefore I feel that it would be advisable to refer Samson on to a culturally assign service that would be more equipped to help his needs.Conclusion In concluding this case study on a young 14 year old Indigenous Australian who is dependent on sniffing petrol we can see that Samson has built up a tolerance to the petrol and seems to need increased amounts of this substance in order to attain the desired level of intoxication. Petrol sniffing is a form of volatile solvent abuse VSA that is more common in disadvantaged or isolated communities which reflects the floor of cultural oppression, poor health, unemployment, recreational opportunity and geographical isolation of remote Indigenous Australians.VSA can also cause the individual to nave violent outbursts towards other individuals as well as snowing signs of slurred speech, confusion and stupor which can lead to seizures, brain injury and death. The first step that would need to be taken in the process of treating medical complications. Cultural programs that would give Samson a sense of Cultural identity would benefit him greatly if he had support from his family but I feel that Samson would be more beneficial in attending a compulsory culturally book service treatment due to the ethical issues surrounding his age.