Professional Documents
Culture Documents
Funded by DHMH/ADAA
Maryland Center of Excellence on Problem Gambling
Purpose:
Identify and promote problem gambling treatment resources
Provide Maryland based prevention and research initiatives
Establish problem gambling lending library resources
Conduct Public and Professional Awareness Outreach Campaigns
Manage Maryland Problem Gambling Hotline: 1-800-522-4700
Funded by DHMH/ADAA
• If you bet on a horse, that’s gambling.
• If you bet you can make three spades, that’s
entertainment.
• If you bet cotton will go up three points, that’s
business.
• What’s the difference?
Funded by DHMH/ADAA
DSM V
+
REPRESENT?
Capacity 71,008 x 2 = 142,016
Represents less than the 154,400 Adult Gamblers in MD
Youth Prevalence Findings
• 4-8 % Level III, Probable Pathological gambler (NRC,
1999)
• 1.1 million youth 12-17 exhibit pathological
gambling behavior (NGISC, 1999)
• 10-15% at-risk for Problem Gambling (Shaffer & Hall, 1996;
Winters, Stinchfielf, & Fulkerson, 1991; Wiebe, 1999; Wynne, Smith, & Jacobs,
1996)
• Youth Gambling 4 to 6 % (problem/pathological)
Mental Substance
Health Gambling Abuse
Center Treatment
Problems Center
Gambling PG Enhanced
PG Enhanced
Specific Treatment
Treatment
Treatment
Funded by DHMH/ADAA
22
Lifetime Co-morbidity
Kessler et al., 2008 (National Comorbidity Survey Replication)
~50-80%
Affect
Disorders
Pathological
Gambling
Similarities
Loss of Control
Preoccupation
Negative impact on major life areas
Tolerance
Pathological Gambling: Comparison to Substance
Abuse
Similarities
Withdrawal Symptoms
Self-help groups
Biopsychosocial/spiritual disorders
Family involvement
Pathological Gambling: Comparison to Substance
Abuse
Differences
Unpredictable outcome
Fantasies of success
No biological test
Easier to hide
Pathological Gambling: Comparison to Substance
Abuse
Differences
Greater financial problems
Intensity of family anger
Less public awareness and
acceptance
Screening
Carl Robertson
croberts@psych.umaryland.edu
410-328-4710
Funded by DHMH/ADAA