Samson and delillah

The undermenti peerlessd case study is an exploration of the Australian film papal bull and temptress which features the impact that the volatile bosom abuse VSA of flatulency sniffing has on one of the characters in the film, strapper. I consider chosen him to be the basis for my knob and case-study and will begin by giving a description of the character, his family flavour and the social context to start this case-study. I will then erect an prisement and case formulation as wellspring as fuzzs psychosocial necessarily and his volatile substance abuse of gas sniffing.The substance abuse focusing model hat I would draw on is explained, as well as the usefulness for Samson in the situation that he is in. I stick out explained the way in which I would choke with Samson and in like manner analysed research that is relevant to Samsons addiction on sniffing natural gas and discussed whatever in all in all prob efficacy outcomes. In concluding this case-study I sla ng listed some(prenominal) challenges that I savor he would face and identified any ethical issues that whitethorn arise. minimise Information Samson is a 14 year old endemical Australian male who lives in a remote original fellowship in the central Australian desert.Samson lives with his rothers who hang out in their persevere down shack, playing music from the morsel that they wake up until the moment that they go to sleep. When Samson wakes up in the morning the first off thing that he reaches for is his bungholeister of petrol and starts sniffing the fumes that enable him to get high. Samson doesnt go to school or have any direction in life, he seems to be very(prenominal) tire and spends his days hanging around the community, doing nothing precisely getting high on petrol fumes.Samson runs apart from the community with his girlfriend witch after Samson has a hot fight with his rother and Delilah is attacked by the older women after her beloved granny dies. Th ey go to the city where they camp out under a bridge, they have no money and in order to eat, and have to rely on a homeless man that they meet to feed them or fall away food from the local supermarket. Delilah is kidnapped as they atomic number 18 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 auto as they be walking along the road, which Samson is once much oblivious too, as they are both high on petrol fumes. Delilah recovers in hospital, comes back and takes Samson to a remote situation where she intends on helping him to dry out, but finds him sniffing petrol again. Assessment of Samson Samson has been heavily abusing this volatile substance to the point where he is physiologically dependent on sniffing petrol .Behave Net(2 013) explain that substance dependence can be diagnosed when an individual continues to use the rug, even though in that respect are problems associated with the use of the volatile substance. Samson has build up a adjustment to the petrol and seems to need increased amounts of this substance in order to make the desired level of intoxication. Rassool (2009) confirms this, stating that when a body adjusts to the habitual use ot a drug, tolerance occurs as higher doses ot the substance are needed to regurgitate the desired or similar cognitive, affective or behavioural courtship (p. ). Petrol sniffing is a form of volatile solvent abuse VSA that is to a greater extent common in isadvantaged or isolated communities which reflects the history of cultural oppression, unretentive wellness, unemployment, amateur opportunity and geographical isolation of remote natural Australians( Dingwall, Lewis,Maruff Cairney 2010). inquiry has shown that 14 to 17 year old native Australian males are more habitual in the use of VSA by using more frequently and longer than non- Indigenous users (Australian Government Department of Health and senescence Publications, 2004).High risk behaviours are associated with VSA out-of-pocket to the individual feeling a common sense of eing invulnerable, which can cause accidents, blot and death (Cairney Dingwall, 2010). VSA can in like manner cause the individual to have violent outbursts towards other individuals as well as covering signs of slurred speech, confusion and stupor which can lead to seizures, hit injury and death (Australian Government Department of Health and Aging Publications, 2004).Samson is showing all the signs of chronic use of VSA in relation to his oblivion of all of the trauma that has resulted from his dependence on petrol. I feel that Samson is bored because of the lack of recreational ctivities as well as schooling, there too does not appear to be any cultural programs in holding to guide him i n helping him with a sense of identity, or any real family support including the sharing of the cultural knowledge of elders.Intervention Plan Although there are screening tools such as The Indigenous Risk advert Screen and Brief Intervention Tool Kit (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 exclusively a minor, but there are in addition a accord of cultural arriers that would make it very difficult to counsell him unless the person were specially trained. It would be especially difficult as Samson speaks his traditional 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. prime people have a kinship structure where imm ediate and protracted family are seen as part of the roup and within Indigenous communities their health is seen as a collective of the emotional, social and cultural wellbeing of the community (Pattel, 2007).I have personally never worked with clients with VSA, but I feel that motivational interviewing would also benefit Samsons brothers and their community in helping them overcome the problems of VSA. Giddens-Tracey (2005) explains that motivational interviewing is non -Judgmental and avoids confrontation, it helps to contribute awareness of the problems, risks and consequences as a result of certain ehaviours, and it is also steadying in the context of treatment planning.MacLean and dAbbs (2002) also believe that the introduction of younker focused programs and the accessibility of basic food, shelter and education would reduce petrol sniffing, which would greatly benefit Samson if these projects were to be put in calculate. Cairney and Dingwall (2010) also designate that b y replacing the volatile petrol with a non-volatile discharge derivative there will be a reduction in the supply of petrol to inhale. Treatment Process I believe that the first step that would need to be taken in the extremity 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, office x-rays, blood tests and any additional tests that may be required to assess the presence of metabolic disturbances and morbidity to other organs such as the kidneys(p. 142). SVA has been a serious problem in many remote Aboriginal communities and there are many rograms that have been put in place to help these Indigenous tender person.The volatile substance abuse program (The Australian Indigenous Health Info Net, 2013) runs for 8 weeks offering resi dence to individuals move in their programs. They also travel to remote communities 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 heathenish programs that would give him a sense of identity that check him the ways of his ancestors by restoring the links to his traditional culture(MacLean& dAbbs). Ethical Issues The first and initiatory issue that would affect a counsellor 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 delinquent 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 counsellor 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 historic period old. The Psychotherapy and Counselling Federation of Australia PACFA (2011) states that Working with young people requires particular proposition training, ethical awareness and competence. The practitioner is required to consider and assess the equilibrize between young peoples dependence on adults and carers and their progressive development towards playacting in dependently (p. 14). Therefore I feel that it would be advisable to refer Samson on to a culturally appropriate 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 history 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 proces s 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 appropriate service treatment due to the ethical issues surrounding his age.