Problem Gambling: Guest Lecture at University of Oregon SAPP 407
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This document provides an overview of gambling addiction and treatment options in Oregon. It begins with definitions of gambling and problem gambling, noting that about 2-3% of adults and 5-6% of teens and college-aged individuals experience problem or disordered gambling. It then discusses trends in gambling, including the rise of electronic gambling and daily fantasy sports. The document outlines typical phases of problem gambling and connections to substance abuse and mental health issues. Finally, it describes treatment options in Oregon that are free for problem gamblers, including outpatient and residential programs, and notes that treatment also helps friends and family members affected by a problem gambler.
Problem Gambling: Guest Lecture at University of Oregon SAPP 407
- 1. Julie Hynes, MA, CPS 6/19/17 University of Oregon GAMBLING:Guest Lecture for SAPP 407 Addictive Behaviors
- 2. The complete slide deck & print-friendly handouts are posted at: www.preventionlane.org/SAPP 1:07 PM
- 3. Define trends in gambling & define problem/disordered gambling. Talk about how people get help. 1:09 PM Understand substance abuse & mental health connections.
- 6. DEFINITION: ______ something of value in the _________________ something of greater value. hopes of obtaining RISKING Source: American Psychiatric Association - DSM-5 (2013).
- 7. Image sources: Oregon Lottery, Hynes
- 8. out of every lottery dollars ELECTRONICGAMBLING: “Video Poker/Slots/Line Games” Source: Oregon Health Authority (2012; ibid) Photo source: Daniel Berman.
- 9. Photo: Hynes
- 11. THE GAMIFICATION
- 12. DAILY FANTASY SPORTS Image source: FX Network Image sources: FanDuel.com Season → Day
- 13. problem
- 14. NOTALLGAMBLINGIS PROBLEM GAMBLING. IT’S ACONTINUUM. No Gambling Experimentation Recreational Problem Pathological Sources: 1. Moore (2016). 2. Volberg, Hedberg, & Moore (2008). 3. Shaffer & Hall (2001). 4. Northwest Survey & Data Services (2007). 5. Moore (2001). Between 2-3% adults 18+ problem gamblers (2.6%) Teens (13-17 y.o.): 6% at risk or problem gamblers 2 College age (18-24): 5.6% 3 At-Risk “GAMBLING DISORDER”
- 17. “reflects the increasing and consistent evidence that some behaviors, such as gambling, activate the brain reward system with effects similar to those of drugs of abuse.” Source: American Psychiatric Association, 2013. http://www.dsm5.org/Documents/changes%20from%20dsm-iv-tr%20to%20dsm-5.pdf According to the American Psychiatric Association (APA), this change to an addiction:
- 20. Typical Phases of Problem Gambling Information source: Custer, R. (1982); Lesieur, H. & Rosenthal, M. (1991) WINNING LOSING DESPERATION HOPELESSNESS
- 21. These comparisons are of course generalizations & do not by any means reflect all male & female gamblers. Comparison by Start gambling at older age Get addicted faster More likely to be “escape” gamblers (slots) More likely to seek help Start gambling fairly young (teens, 20s) Tend to like games of strategy & “action” (poker, sports bets) Less likely to seek help
- 22. Source: Brain Briefings (2007, October), Society for Neuroscience, Washington, DC Gambling &Dopamine Dopamine not released when expecting a loss. Flooded with dopamine when expecting a win! It’s not about the money – it’s about the ACTION of the game and the HOPE of winning.
- 23. connections
- 24. (Poole et al. 2017; Hodgins et al. 2010; Najavits et al. 2010; Petry and Steinberg 2005; Kraus et al. 2003; Taber et al. 1987) Exposure to early childhood trauma has consistently been associated with disordered gambling.
- 25. 23% are current tobacco users 66% have current alcohol problems 39% have had a mental health episode of care Source: Oregon Gambling Treatment Programs Evaluation Update, 2016 24% experience suicidal ideation Have current drug problems
- 27. Because of our time limitations, we’re focusing today on the services of treatment & recovery.
- 28. It often takes years for someone to 1) admit they have a problem 2) seek help, and then 3) continue in recovery
- 29. First Steps to getting help could be… 24/7 Helpline: 1.877.MY.LIMIT Referral to provider for assessment Often family members come in; later bring gambler in This is an actual helpline counselor. Everyone who answers the phone is a Certified Gambling Addictions Counselor (CGAC).
- 30. Treatment is free. The Oregon legislature requires that 1% OF LOTTERY PROFITS go to a Problem Gambling Treatment Fund.
- 31. Minimal intervention (Skype) Outpatient treatment (44) Crisis respite (2) Residential treatment (1) TREATMENTOPTIONS INOREGON Local service (Lane County) Local service (Lane County)
- 32. IN TREATMENT, 2016: Outpatient (81%) Residential (5%) Respite (1%) Home-based (4%) Prison-based education & treatment (10%) friends & family 134 gamblers1,081 Source: Oregon Gambling Treatment Programs Evaluation Update, 2016
- 33. $32k 85% 87% 24% $23k $! IS THE AVERAGE HOUSEHOLD INCOME. Range is from $0 to over $1million/year. ARE WHITE. 4.4% Hispanic/Latino., 3.4% Asian. People of color are under-represented in treatment. prefer ELECTRONIC GAMBLING. Video (slots/poker/line games). Cards 4.1%; scratch-its 1.3%; sports 0.9%; HAVE COMMITTED CRIMES TO FINANCE THEIR GAMBLING. Most crimes are “white collar” (forgery, check fraud, embezzlement.) IS THE AVERAGE INDIVIDUAL GAMBLING DEBT. Oregonians in gambling treatment (2016):
- 34. WHAT OUTPATIENT Tx IS LIKE: (SPOTLIGHT: EMERGENCE IN LANE COUNTY) Treatment free for gamblers and loved ones - Over 250 problem gamblers and family members treated last year - Gender-specific Many different things happen in treatment: - Individual sessions - Family therapy - Group sessions - Recreational counseling - Class type lectures - TV/internet/Skype 55 % male 45% female IN OREGON GAMBLING TREATMENT:
- 35. gambler. IT’S NOT ALL JUST ABOUT THE NEED HELP TOO!
- 36. Learning. Education about problem gambling as an addiction. What to watch out for. Gaining tools for financial/legal/other issues. Dealing with trust issues. Being allowed to vent rage and betrayal. Healing from more “unfolding truths.” No more secrets. No more bailouts! Getting continued support. Renew sense of hope & empowerment. Determining future of relationship. Healing. Growing.
- 37. FOR MORE INFO ON Tx OPTIONS IN OREGON: OPGR.ORG (Oregon Problem Gambling Resource) (Clickable Link)