Research into health promotion and best practice services for culturally and linguistically diverse communities

Abstract

BACKGROUND: This report for CALD communities contains findings and broad recommendations, which will be used to develop future directions for problem gambling service delivery and health promotion activities for CALD communities. OBJECTIVES: The research aimed to examine approaches to health promotion and service delivery for CALD and Indigenous communities to explore best practice models, review current approaches and to provide recommendations for the development of new and existing programs. PROCESS: Research methodologies included an extensive literature review, data analysis and a broad consultation strategy to ensure the inclusion of views from a wide range of key stakeholders and community members. FINDINGS: Impacts on problem gamblers fell within three broad categories: on finances, on family relationships and on emotional wellbeing. As participants were primarily recruited through Gambler's Help Services, almost all indicated they had accessed services. The most common referral points were family. For several respondents, the family made the first contact with the service. The research identified a striking difference between the perceptions of problem gamblers and those of their families. Many family members thought many people are aware of the gambling services available, while problem gamblers felt many in the community are not aware of these services. Overall, the perception among stakeholders was that the current service environment is generally appropriate, given the limitations in which it operates and the specific challenges of meeting the needs of diverse CALD communities. Participants who did not access a service, or the family members of a problem gambler who did not access a gambling service, identified three main barriers: lack of confidence that a service can help; concerns around confidentiality; and feelings of shame and stigma. In canvassing key aspects of a quality service, the responses overwhelmingly focused on the characteristics of the counsellor and their attitude. For the service, participants had a preference for having a range of health, welfare and social services, including services for problem gambling, located in the one place. Almost all stakeholders identified community education and early intervention or prevention initiatives as a key priority for the service framework. RECOMMENDATIONS: Barriers to health care need to be reduced by incorporating aggressive community development, community education and service delivery outreach. It is recommended that the use of bilingual counsellors be enhanced. An in-language, bilingual telephone service should be established for problem gamblers or their family members to receive in-person referral and information.

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