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prevention identification treatment

| | | recovery
Notes from this class
Go to
http://gamblingprevention.blogspot.com

Questions? Feedback?
Email julhynes@gmail.com
Continuum of Care

Institute of Medicine Continuum of Care


Prevention:
Statewide & Local Efforts
 Partnership with Department of
Education
 Curriculum integration in schools
 Youth video
 Oregon youth prevalence study
 Community Resource Guide*
 Middle School Poster Contest
 Partnering with addictions
prevention providers/groups
 Policy & coalition work

Resource guide can be downloaded at: http://lanecounty.org/prevention/gambling/opgaw.htm


Examples in Lane County

inform | educate | prevent harm


UO Problem Gambling Awareness
Project (PGAP)
 Fall 2008- June 2009
 Coordinator: Navit Parker
 navit@sapp.uoregon.edu | 346.0412
 Three goals:
 Student awareness
 Health/counseling staff awareness,
identification & referral
 On-campus housing: staff awareness & safe
online gambling
Small numbers,
big deal
• Emergence: Parents call, but students
never show up
• We’ve all heard the stories
• They just disappear
• We’re young, right?
• Making friends
– “Hello my name is Navit and I am not
Getting Started

going to add to your work load.”


• Know the issue
• Know the resources
• Know the population
• Slogo time
– Ad Team! Glory be!
Photo by Daniel Berman
Intercepts

 20 students
 Randomly pulled aside and asked to answer
a few questions
 Given Starbucks cards for incentive
 Results…
What’s

• Media Campaign
• Dorms
• OPGAW
• (Additional) Inspiration

Next?
Thank you!

Navit Parker
navit@sapp.uoregon.edu
346-0412
Getting Results

Oregon is one of the few states


that appears to have
averted a significant
increase in problem gambling
prevalence while expanding
legalized gambling.

Source: National Center For the Study of Gambling, 2006.


Source: 2. National Center For the Study of Gambling, 2006.
Key Challenges
 Youthful subject
 Perception of
harmlessness
 Stigma/shame
 Industry
Continuum of Care

Institute of Medicine Continuum of Care


Identification: “Social” or
Problem Gambler?
Social Problem
Gambler Gambler
Occasional Frequent, preoccupied

Sticks w/ limits Plays w/needed $, borrows

Hopes to win,
Hopes & expects to WIN
expects to lose

Can take it or leave it Primary source of “fun”


Intervention
 Helpline
541.741.7107:
emergence
Or 24/7: 1.877.MY.LIMIT
 Online:
1877mylimit.org
 Problem gamblers
&/OR loved ones
 Help is FREE
Continuum of Care

Institute of Medicine Continuum of Care


Treatment is Free.
Brad Killian, JD, BA, CDAC I, CGAC II
Emergence Gambling Treatment Counselor

24 hrs: 1877-my-limit
Online: 1877mylimit.org
Treatment
 Emergence Gambling Treatment Program:
 Treatment free for gamblers and loved ones
 Over 200 problem gamblers and family members treated last year
 Gender-specific
 Multimodal treatment (shows substantial effectiveness)
 Individual sessions - Vocational counseling
 Group sessions - Recreational counseling
 Didactic lectures - 12-step mtgs
 Audiovisual educ. - Financial & legal counseling
 Family therapy - Pharmacotherapy (if required)
Lane County Problem
Gambling Treatment Clients

Source: Oregon DHS (2009; ibid)


Oregon Gambling Treatment
Clients, 2007-08

 2,012 gamblers received treatment in outpatient,


residential, and minimal intervention programs.
 15.2% more clients were served over the previous
year.
 The total gambling debt reported of all clients
entering services was $44,276,489.
 60% of successful program completers report no
gambling 6 months after treatment.

Source: Oregon DHS (2009; ibid)


System
Evaluation Results
 Treatment is working
 60% of clients reported either no gambling or reduced
gambling at 6-months post-treatment1
 Prevention and outreach are working
 Oregon is one of the few states that appears to have
averted a significant increase in problem gambling
prevalence while expanding legalized gambling2

1. Oregon DHS (2009; ibid); 2. National Center For the Study of Gambling, 2006.
Guest Panel
 Brad Killian
 Michel Savage
 Pat Killian
 Ronda Hatefi
Wrapping it All Up
 Gambling’s recent popularity has not come without
cost
 Many population groups are susceptible to gambling
problems
 Problem gambling has strong addictions & mental
health connections
 Balance is needed; study impact, make informed
decisions
 Problem gambling services are free, confidential,
available and effective
For More Info…

Julie Hynes
Lane County Health & Human Services
541.682.3928 | julie.hynes@co.lane.or.us
lanecounty.org/prevention/gambling

Navit Parker
UO Problem Gambling Awareness Project Coordinator
541.346.0412 | navit@sapp.uoregon.edu

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