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Julie Hynes, MA, CPSSr. Community Health Analyst - PreventionLaneInstructor - University of Oregon
For Problem Gambling 101: Introduction to Problem Gambling
July 14, 2016
Slide deck: www.preventionlane.org/ncpgOn Twitter? See @HynesUO for the link
Off the top:
Objectives:
• Attempt not to bore you with the definition of “prevention”
• Hopefully interest you in the need for disordered/problem gambling prevention
• With any luck, engage you in some effective strategies and resources for disordered/problem gambling prevention
prevention.
A
life:
for prevention in problem gambling
Availability & Accessibility
Mental Health Issues
Family History & Attitudes
Community Laws & Norms
Early Initiation, Peer involvement
Common Risk Factors
SocioeconomicIssues, Transitions
& MobilityAdverse Childhood Experiences
Adverse Childhood Experiences
$!
Note: this is NOT a comprehensive list!! Visit http://www.preventionlane.org/youth-risk-factors for researched problem gambling risk factors.
Tons of New Stuff
Sign of the Times
Amygdala active
Risk-taking & impulsive behaviorsSource: Ramoski, S., Nystrom, R. (2007). Image source: simpsons.wikia.org
…Prefrontal whaaa?
2012 Oregon Student Wellness Survey, Lane County (“ESD”) and Oregon; available at http://oregon.pridesurveys.com/esds.php?year=2012
Source: PARENTS’ PERCEPTIONS OF ADOLESCENT GAMBLING (2011).,
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?
All connected.
Problem Behaviors
Problem gambling??– Similar risk factors– Very high co-occurrence between problem gambling & other
problem behaviors, especially alcohol/substance abuse
Substance abuseViolence Delinquency
Teenage pregnancySchool dropoutDepression & Anxiety
delinquency
sexualbehavior
depression
substanceuse
gambling
ProblemBehaviors
Conclusion: Problem Gambling is one component of Problem Behaviors
• 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.
Scientific consensus is that that we can prevent these problems
In fact, research shows they
can be HARMFUL.
So: why do we continue funding them?
Follow‐up link: best practiceshttp://preventionlane.org/best‐practices.htm
Prevention in action.
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
Policy Examples (A few!)– 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• Peer involvement• School‐based curriculum (including integration)
Efforts
• Policy• Community process
• Parent education
Efforts
• Prevention Committee development: from 2006 – 2016
• Common understanding of prevention
• Overview of integration
NCPG Prevention Committee online: www.ncpgprevention.org
• Join some prevention sessions at the conference!
• See your conference bag for this
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.
right path
• Youthful subjectLittle “street cred” as a real issue
• Stigma/shame• Limited & Competing Resources• Mixed messages
KEY challengesIN prevention
Some Helpful Resources (click):
Consider doing one of your assignments on a vulnerable
population group we didn’t get to explore.For state agencies & regional providers:
www.oregonpgs.org
youthgambling.com:
Some Helpful Resources (click):
Consider doing one of your assignments on a vulnerable
population group we didn’t get to explore.preventionlane.org
addictionisagamble.org:
www.preventionlane.org
Thank You! Connect Anytime:[email protected] | 541.682.3928PreventionLane at Lane County Public [email protected] | 541.357.9334University of Oregon
preventionlane
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 personnelWashington, DC: Author. Report information available http://www.tricare.mil/main/news/dodsurvey.htmDiClemente, 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.pdfEngwall, 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 Services http://www oregoncpg com
ReferencesMoore, TL. (2006). Oregon gambling prevalence replication study. Salem, OR: Department of Human Services. http://www.oregoncpg.comMoore (2001). Older adult gambling in Oregon. Salem, OR: Department of Human Services. http://www.oregoncpg.comNorthwest Survey & Data Services (2007). Lane County Health & Human Services college gambling survey. http://www.preventionlane.org/gambling/college.htmOregon 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‐brainRockey, 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.pdfShaffer, 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
