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Julie Hynes, MA, CPS
Sr. Community Health Analyst - PreventionLane
Instructor - University of Oregon
July 11, 2014
Key Information for
Gambling Industry, Regulators & Policymakers
Slide deck:
www.preventionlane.org/ncpg
• Define what preventionists call “prevention”
• Understand the need for disordered/problem gambling
prevention
• Identify strategies and resources for
disordered/problem gambling prevention
SPECIAL THANKS
• Oregon Problem Gambling Services
• Jim Wuelfing
• Researchers!
prevention.
Problem Gambling Prevention: Key Information for Gambling Industry, Regulators & Policymakers
Problem Gambling Prevention: Key Information for Gambling Industry, Regulators & Policymakers
Problem Gambling Prevention: Key Information for Gambling Industry, Regulators & Policymakers
Problem Gambling Prevention: Key Information for Gambling Industry, Regulators & Policymakers
Problem Behaviors
Problem Behaviors
for prevention in problem
gambling
5.6% college age (18-24)
2½ % all adults (18+)
4-6% teens (13-17)
This is the first generation of widely
available electronic gambling.
We really don’t know the effects yet.
Why?
Is it the
generation?
Technology? Or
what?
Problem Gambling Prevention: Key Information for Gambling Industry, Regulators & Policymakers
Problem Gambling Prevention: Key Information for Gambling Industry, Regulators & Policymakers
Problem Gambling Prevention: Key Information for Gambling Industry, Regulators & Policymakers
Problem Gambling Prevention: Key Information for Gambling Industry, Regulators & Policymakers
Amygdala
active
Risk-taking &
impulsive behaviors
Source: Ramoski, S., Nystrom, R. (2007). Image source: simpsons.wikia.org
Prefrontal
whaaa?
Problem Gambling Prevention: Key Information for Gambling Industry, Regulators & Policymakers
2012 Oregon Student Wellness Survey, Lane County (“ESD”) and Oregon; available
at http://oregon.pridesurveys.com/esds.php?year=2012
• Youth gambling is harmless
• Youth who gamble are unlikely to have problems
in school
• Youth gambling is not associated with alcohol or
drug use
…AND THOSE BELIEFS ARE
Source: PARENTS’ PERCEPTIONS OF ADOLESCENT GAMBLING (2011).,
All parents in their focus groups said their
kids didn’t gamble
All of their kids, who were in their own focus
groups, said they did gamble
Neither sees gambling as risky
Problem Gambling Prevention: Key Information for Gambling Industry, Regulators & Policymakers
Youth gambling & other
risky behaviors.
3.1%
14.6%
29.5%
14.9%
30.9%
46.9%
Grade 6 Grade 8 Grade 11
Did not gamble Gambled
0.5%
5.6%
16.4%
4.3%
12.7%
28.7%
Grade 6 Grade 8 Grade 11
Did not gamble Gambled
Available at: www.preventionlane.org/sws.htm
1.1%
6.2%
12.5%
5.1%
10.8%
18.7%
Grade 6 Grade 8 Grade 11
Did not gamble Gambled
Available at: www.preventionlane.org/sws.htm
0.7%
8.3%
19.3%
4.3%
15.8%
28.4%
Grade 6 Grade 8 Grade 11
Did not gamble Gambled
Available at: www.preventionlane.org/sws.htm
5.7%
12.8%
22.5%
15.4%
23.0%
35.4%
Grade 6 Grade 8 Grade 11
Did not gamble Gambled
Available at: www.preventionlane.org/sws.htm
7.2%
5.0%
11.3%
9.0%
Grade 8 Grade 11
Did not gamble Gambled
Available at: www.preventionlane.org/sws.htm
10.1%
8.0%
21.0%
18.6%
Grade 8 Grade 11
Did not bet/gamble more than wanted to
Bet/gambled more than wanted to
41.80%
22.40%
Physical fight
Gambled Did not gamble
Teens who gamble are
smoking, toking,
drunken, depressed thugs.
Teens who gamble are
smoking, toking,
drunken, depressed thugs.
delinquency
sexual
behavior
depression
substance
use
gambling
Conclusion: Problem Gambling is
of
Problem Behaviors
Problem gambling??
– Apparently similar risk factors
– Very high co-occurrence between problem gambling & other
problem behaviors, especially alcohol/substance abuse
Substance abuse
Violence
Delinquency
Teenage pregnancy
School dropout
Depression & Anxiety
ALL
• Tobacco, alcohol, and other
drug use and abuse
• Delinquency and crime
• Premature or unsafe sex
• Depression and suicidality
• School failure, dropout
Based on the above & those
connections, we should also be
able to prevent
PROBLEM GAMBLING.
Problem Gambling Prevention: Key Information for Gambling Industry, Regulators & Policymakers
In fact, they can be
HARMFUL.
Follow-up link: best practices
http://preventionlane.org/best-practices.htm
Prevention in .
We Use the Center for Substance Abuse
Prevention’s (CSAP) Effective Prevention
Strategies
Research: it takes
ongoing efforts in all
six areas for
prevention to really
work
Long-lasting
Protective Interventions
Clinical
Interventions
Counseling
& Education
Socioeconomic Factors
Changing the Context
Make the Healthy Choice the Easy Choice
Examples of
Interventions
Screening for
problems
Parenting classes
Home visiting
Changing Social Norms
& Creating Nurturing
Environments
small group
a population
Success in education,
 Economic opportunity,
 Access to
affordable housing
Approach
Source: Frieden, (CDC) adapted by L. Adkisson & J. Webster (LCPH)
– Schools: Local school/college/university codes of
conduct
– Workplace: Policy manuals: gambling behavior
– Community: Local jurisdiction's ordinances
– Industry: marketing practices
Adapted from Oregon DHS, 2010
• Public awareness
• Policy
• School-based
curriculum
• Parent education
• Public awareness
• Policy
• School-based
curriculum
• Parent education
Prevention and awareness efforts have
been able to PREVENT an increase in
the prevalence of problem gambling
while facing a dramatic increase
in the amount of gambling.
Youthful subject
Little “street cred” as a real issue
Stigma/shame
People are buried with work
Mixed messages Gratuitous pic of my kid
KEY
IN prevention
Consider doing one of
your assignments on a
vulnerable population
group we didn’t get to
explore.
problemgamblingprevention.org
youthgambling.com:
Consider doing one of
your assignments on a
vulnerable population
group we didn’t get to
explore.
preventionlane.org
addictionisagamble.org
:
www.preventionlane.org
Julie.Hynes@co.lane.or.us | 541.682.3928
Lane County Public Health “PreventionLane”
hynes@uoregon.edu | 541.357.9334
University of Oregon
preventionlane
Problem Gambling Prevention: Key Information for Gambling Industry, Regulators & Policymakers
Problem Gambling Prevention: Key Information for Gambling Industry, Regulators & Policymakers
References
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental
disorders (4th ed., text revision). Washington, DC: Author.
Cross, Del Carmen Lorenzo, & Fuentes (1999). The extent and nature of gambling among college
student athletes. Ann Arbor, MI: University of Michigan Department of Athletics.
Department of Defense (2002). Survey of health related behaviors among military personnel
Washington, DC: Author. Report information available
http://www.tricare.mil/main/news/dodsurvey.htm
DiClemente, C. (2003). Addiction and change: How addictions develop and addicted people
recover. New York: Guilford Press.
ECONorthwest (2009). The contributions of Indian gaming to Oregon’s economy.
http://www.econw.com/reports/2009_ECONorthwest_Contributions-Indian-Gaming-Oregon-
Economy-2007.pdf
Engwall, Hunter & Steinberg (2004). Gambling and other risk behaviors on university
campuses. Journal of American College Health. 52 (6); 245-255.
Freimuth, M. (2008). Addicted? Recognizing Destructive Behavior Before It's Too Late
. Maryland: Rowman & Littlefield Publishers.
Kerber (2005). Problem and pathological gambling among college athletes. Annual of Clinical
Psychiatry. 17 (4); 243-7.
LaBrie, R., Shaffer, H., LaPlante, D., and Wechslet, H. (2003). Correlates of college student
gambling in United States. Journal of American College Health. 52 (2); 53-62.
Moore , T.L. (2002.) The etiology of pathological gambling. Salem, OR: Department of Human
ReferencesMoore, TL. (2006). Oregon gambling prevalence replication study. Salem, OR:
Department of Human Services. http://www.oregoncpg.com
Moore (2001). Older adult gambling in Oregon. Salem, OR: Department of Human
Services. http://www.oregoncpg.com
Northwest Survey & Data Services (2007). Lane County Health & Human Services
college gambling survey. http://www.preventionlane.org/gambling/college.htm
Oregon Health Authority, Problem Gambling Services (2011). Oregon problem
gambling awareness community resource guide. Salem, OR: Author.
Oregon Lottery (2009). Oregon State Lottery Behavior and Attitude Tracking Study.
November 2008. InfoTek Research Group, Inc.
Oregon Lottery (2008). Overview through fiscal year 2009. Salem, OR: Author.
Ramoski, S., Nystrom, R. (2007). The changing adolescent brain. Northwest Public
Health. http://www.nwpublichealth.org/archives/s2007/adolescent-brain
Rockey, D.L., Beason, K.R., & Gilbert, J.D. (2002). Gambling by college athletes: An
association between problem gambling and athletes.
http://www.camh.net/egambling/archive/pdf/EJGI-issue7/EJGI-issue7-research-
rockey.pdf
Shaffer, H.J., Donato, Labrie, Kidman, & LaPlante. (2005). The epidemiology of
college alcohol and gambling policies. Harm Reduction Journal. 2 (1).
Shaffer, H.J. & Hall, M.N. (2001). Updating and refining meta-analytic prevalence
estimates of disordered gambling behavior in the United States and Canada.
Canadian Journal of Public Health, 92(3), 168-172.
Volberg, R.A., Hedberg, E.C., & Moore, T.L. (2008). Adolescent Gambling in Oregon.
Northhampton, MA: Gemini Research. http://gamblingaddiction.org

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Problem Gambling Prevention: Key Information for Gambling Industry, Regulators & Policymakers

  • 1. Julie Hynes, MA, CPS Sr. Community Health Analyst - PreventionLane Instructor - University of Oregon July 11, 2014 Key Information for Gambling Industry, Regulators & Policymakers
  • 3. • Define what preventionists call “prevention” • Understand the need for disordered/problem gambling prevention • Identify strategies and resources for disordered/problem gambling prevention SPECIAL THANKS • Oregon Problem Gambling Services • Jim Wuelfing • Researchers!
  • 11. for prevention in problem gambling
  • 12. 5.6% college age (18-24) 2½ % all adults (18+) 4-6% teens (13-17) This is the first generation of widely available electronic gambling. We really don’t know the effects yet. Why? Is it the generation? Technology? Or what?
  • 17. Amygdala active Risk-taking & impulsive behaviors Source: Ramoski, S., Nystrom, R. (2007). Image source: simpsons.wikia.org Prefrontal whaaa?
  • 19. 2012 Oregon Student Wellness Survey, Lane County (“ESD”) and Oregon; available at http://oregon.pridesurveys.com/esds.php?year=2012
  • 20. • Youth gambling is harmless • Youth who gamble are unlikely to have problems in school • Youth gambling is not associated with alcohol or drug use …AND THOSE BELIEFS ARE
  • 21. Source: PARENTS’ PERCEPTIONS OF ADOLESCENT GAMBLING (2011).,
  • 22. All parents in their focus groups said their kids didn’t gamble All of their kids, who were in their own focus groups, said they did gamble Neither sees gambling as risky
  • 24. Youth gambling & other risky behaviors.
  • 25. 3.1% 14.6% 29.5% 14.9% 30.9% 46.9% Grade 6 Grade 8 Grade 11 Did not gamble Gambled
  • 26. 0.5% 5.6% 16.4% 4.3% 12.7% 28.7% Grade 6 Grade 8 Grade 11 Did not gamble Gambled Available at: www.preventionlane.org/sws.htm
  • 27. 1.1% 6.2% 12.5% 5.1% 10.8% 18.7% Grade 6 Grade 8 Grade 11 Did not gamble Gambled Available at: www.preventionlane.org/sws.htm
  • 28. 0.7% 8.3% 19.3% 4.3% 15.8% 28.4% Grade 6 Grade 8 Grade 11 Did not gamble Gambled Available at: www.preventionlane.org/sws.htm
  • 29. 5.7% 12.8% 22.5% 15.4% 23.0% 35.4% Grade 6 Grade 8 Grade 11 Did not gamble Gambled Available at: www.preventionlane.org/sws.htm
  • 30. 7.2% 5.0% 11.3% 9.0% Grade 8 Grade 11 Did not gamble Gambled Available at: www.preventionlane.org/sws.htm
  • 31. 10.1% 8.0% 21.0% 18.6% Grade 8 Grade 11 Did not bet/gamble more than wanted to Bet/gambled more than wanted to
  • 33. Teens who gamble are smoking, toking, drunken, depressed thugs.
  • 34. Teens who gamble are smoking, toking, drunken, depressed thugs.
  • 36. Problem gambling?? – Apparently similar risk factors – Very high co-occurrence between problem gambling & other problem behaviors, especially alcohol/substance abuse Substance abuse Violence Delinquency Teenage pregnancy School dropout Depression & Anxiety
  • 37. ALL
  • 38. • Tobacco, alcohol, and other drug use and abuse • Delinquency and crime • Premature or unsafe sex • Depression and suicidality • School failure, dropout Based on the above & those connections, we should also be able to prevent PROBLEM GAMBLING.
  • 40. In fact, they can be HARMFUL.
  • 41. Follow-up link: best practices http://preventionlane.org/best-practices.htm
  • 43. We Use the Center for Substance Abuse Prevention’s (CSAP) Effective Prevention Strategies Research: it takes ongoing efforts in all six areas for prevention to really work
  • 44. Long-lasting Protective Interventions Clinical Interventions Counseling & Education Socioeconomic Factors Changing the Context Make the Healthy Choice the Easy Choice Examples of Interventions Screening for problems Parenting classes Home visiting Changing Social Norms & Creating Nurturing Environments small group a population Success in education,  Economic opportunity,  Access to affordable housing Approach Source: Frieden, (CDC) adapted by L. Adkisson & J. Webster (LCPH)
  • 45. – Schools: Local school/college/university codes of conduct – Workplace: Policy manuals: gambling behavior – Community: Local jurisdiction's ordinances – Industry: marketing practices Adapted from Oregon DHS, 2010
  • 46. • Public awareness • Policy • School-based curriculum • Parent education
  • 47. • Public awareness • Policy • School-based curriculum • Parent education
  • 48. Prevention and awareness efforts have been able to PREVENT an increase in the prevalence of problem gambling while facing a dramatic increase in the amount of gambling.
  • 49. Youthful subject Little “street cred” as a real issue Stigma/shame People are buried with work Mixed messages Gratuitous pic of my kid KEY IN prevention
  • 50. Consider doing one of your assignments on a vulnerable population group we didn’t get to explore. problemgamblingprevention.org youthgambling.com:
  • 51. Consider doing one of your assignments on a vulnerable population group we didn’t get to explore. preventionlane.org addictionisagamble.org :
  • 52. www.preventionlane.org Julie.Hynes@co.lane.or.us | 541.682.3928 Lane County Public Health “PreventionLane” hynes@uoregon.edu | 541.357.9334 University of Oregon preventionlane
  • 55. References American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author. Cross, Del Carmen Lorenzo, & Fuentes (1999). The extent and nature of gambling among college student athletes. Ann Arbor, MI: University of Michigan Department of Athletics. Department of Defense (2002). Survey of health related behaviors among military personnel Washington, DC: Author. Report information available http://www.tricare.mil/main/news/dodsurvey.htm DiClemente, C. (2003). Addiction and change: How addictions develop and addicted people recover. New York: Guilford Press. ECONorthwest (2009). The contributions of Indian gaming to Oregon’s economy. http://www.econw.com/reports/2009_ECONorthwest_Contributions-Indian-Gaming-Oregon- Economy-2007.pdf Engwall, Hunter & Steinberg (2004). Gambling and other risk behaviors on university campuses. Journal of American College Health. 52 (6); 245-255. Freimuth, M. (2008). Addicted? Recognizing Destructive Behavior Before It's Too Late . Maryland: Rowman & Littlefield Publishers. Kerber (2005). Problem and pathological gambling among college athletes. Annual of Clinical Psychiatry. 17 (4); 243-7. LaBrie, R., Shaffer, H., LaPlante, D., and Wechslet, H. (2003). Correlates of college student gambling in United States. Journal of American College Health. 52 (2); 53-62. Moore , T.L. (2002.) The etiology of pathological gambling. Salem, OR: Department of Human
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