corporate powerpoint template · treatment seeking in numbers calls 03/04 –21,778 calls 14/15...
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Problem GamblingPredictors of treatment completion
Dr Amanda Roberts
School of Psychology
University of Lincoln, UK
17th January 2018
Treatment seeking in numbers
Calls 03/04 – 21,778
Calls 14/15 – 77,900
Website visits 08/09 – 191,042
Website visits 14/15 – 1,219,931
The Gordon Moody Association
• Only residential
treatment programme for
pathological gamblers
• 12 week programme:• CBT
• Health, legal, career,
accommodation and debt
advice
• Group living and group
therapy.
Current evaluation
• 15 years data (2000-2015)
• Outcomes from residential
treatment packages
• PHQ-9, GAD-7, SOGS, PGSI
• Christo Inventory
• Qualitative behavioural picture
• 778 residents (n=658).
Treatment completion
• Difficulty retaining problem gamblers in
treatment (50% drop out)
• The longer a client remains in treatment
better the chance of reductions in
behaviour
• Limited research in UK
– Aim: To examine the differences in
sociodemographic and clinical
characteristics according to treatment
completion.
?
Treatment completion
48.7
35.4
9.6
4.1
1.1 0.5 0.6
0
10
20
30
40
50
Completed Chose to leave Asked to leave FailedAssessment
Arrested Referral Other
%
51.3%
Age at commencement
39.3
49.150.6
57.1
60.7
50.949.4
42.9
0
10
20
30
40
50
60
70
17-25 26-35 36-45 46-70
Completed Did not complete
%
χ2(1, N = 655) = 4.01, p < .05
χ2(1, N = 655) = 7.59, p < .01
Education
45.9
51.3
60.1
66.7
54.1
48.7
39.9
33.3
0
10
20
30
40
50
60
70
80
None Up to GCSE A level Degree
Completed Did not complete
%
χ2(1, N = 658) = 13.72, p < .01
Debts
51.2
61.9
56.6
48.8
38.2
43.4
0
10
20
30
40
50
60
70
Less than £10,000 £10-000-£50,000 £50,000+
Completed Did not complete
χ2(1, N = 521) = 4.86, p < .05
Loss of control: Aggression
44.543.1
35.4
55.556.9
64.6
0
10
20
30
40
50
60
70
Verbally aggressive Physically aggressive Damage to property
Completed Did not complete
%
χ2(1, N = 612) = 8.62, p < .01
Depression
46.2
75.0
60.9
50.853.9
25.0
39.1
49.2
0
10
20
30
40
50
60
70
80
Mild Moderate Mod severe Severe
Completed Did not complete
%
χ2(1, N = 556) = 5.29, p < .05
Negative family environment
60.7
5253.8
47.5
67.9
47.9
39.3
4846.2
52.5
32.1
52.1
0
10
20
30
40
50
60
70
80
yes no yes no yes no
Parental Divorce Violence in childhood Abuse
Completed Did not complete
%
χ2(1, N = 555) = 4.12, p < .05
χ2(1, N = 658) = 6.81, p < .01
Gambling forms
45.9
52.9
45.6
50.7
41.3
62.5
54.1
47.1
54.4
49.3
58.8
37.5
0
10
20
30
40
50
60
70
Horse racing Other sports Slots/ fruit FOBT Casino Online
Completed Did not complete
χ2(1, N = 633) = 4.77, p < .01
Length of programme
58.1
45.1
41.9
54.9
0
10
20
30
40
50
60
70
3 months 6-9 months
Completed Did not complete
%
χ2 (1, N = 613) = 9.74, p < .01
SummaryOlder age at commencementOnline gambling
Higher education
Higher debt
Moderate depression
Less aggression
More negative
childhood
Shorter treatment
programme
Conclusion and implications
• Confirms previously reported rates of
treatment drop out
• Useful to identify those at risk of dropout
and make attempts to retain them
• Some clients could be benefit from a
more intensive treatment option in
addition to the standard CBT therapy at
GMA and elsewhere?
Acknowledgements
• Ms Ruth Champion: Gordon Moody Association, Dudley, UK
• Dr Stephen Sharman: School of Psychology, University of East
London, UK
• Dr John Turner: School of Psychology, University of East London, UK
• Dr Raegan Murphy: School of Applied Psychology, University College,
Cork, Ireland
Thank you!
Dr Amanda Roberts: School of Psychology, University of Lincoln, Brayford Pool, Lincoln. UK