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Presenter:Scott AndersonODADAS
Problem Gambling Training
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
What is Gambling?
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• Gambling is risking something of value on an event that is determined mostly by chance.
• A person is gambling if he or she puts up something of value, such as money or property
• The outcome has an element of chance beyond the person’s control
• Once the bet is made, it’s not reversible
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Types of Gambling Activities
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• Lottery and lottery scratch offs• Pull-tabs and raffle tickets• Bingo• Sports betting• Slot machines/VLT’s• Card and table games• Internet/sweepstakes cafes• Horse betting• Internet gambling- poker, bingo sites• Stock market speculation• Betting on other games-pool, bowling etc.• Other?
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
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John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
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How big is Gambling?
# ONE –Entertainment/ Leisure activity in USA
Grosses $84,000,000,000 (84 BILLION)
How much profit was there on Bingo in 2009?
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Bingo!
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• $142,100,000 in profits
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Gambling behaviorOccurs on a continuum – is not static
No Gambling
Experimentation Social At-Risk Problem Pathological
Level 1 Level 2
Level 3
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Comparison of CD and Gambling
Tolerance
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Chemical Dependency
Tolerance, as defined by either of the following:o a need for markedly increased
amounts of the substance to achieve intoxication or desired effect
o markedly diminished effect with continued use of the same amount of substance.
Pathological Gambling
needs to gamble with increasing amount of money in order to achieve the desired excitement.
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Comparison of CD and Gambling Withdrawal
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Chemical Dependencywithdrawal, as manifested by either of the following:o the characteristic withdrawal syndrome
for the substanceo the same (or closely related) substance is
taken to relieve or avoid withdrawal symptoms.
Pathological Gamblingis restless or irritable when attempting to cut down or stop gambling
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Comparison of CD and Gambling Loss of control
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Chemical Dependencyo the substance is often taken in
larger amounts or over a longer period than was intended
o there is a persistent desire or unsuccessful efforts to cut down or control substance use.
Pathological Gambling:repeated unsuccessful effort to control, cut back, or stop gambling.
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Comparison of CD and Gambling Preoccupation
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Chemical DependencyA great deal of time is spent in activities necessary to obtain the substance, use the substance, or recover from its effects.
Pathological Gamblingis preoccupied with gambling …
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Co-Occuring
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Among pathological gamblers, alcohol has been found to be the most common substance of abuse. At minimum, the rate of problem gambling among people with substance use disorders is four to five times that found in the general population.
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Screening and Treatment
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• SOGS- South Oaks Gambling Screening Widely used, available, easy to use
• NODS-based on DSM IV criteria• Lie/Bet- 1) Have you ever felt the need to bet more and more money?2) Have you ever had to lie to people important to you about how much you gambled?
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Screening and Treatment
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• Motivational Interviewing-meet client where they are at.
• CBT-magical thinking, belief systems• GA• Harm Reduction
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Screening and Treatment
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Currently listed as Impulse Control Disorder in DSM IV
The DSM V will move gambling to the addiction section, it will be the only process disorder, (not
involving substance) in this section.
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Risk Factors
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Significant financial lossHigher rates of relationship and family breakdownHigher rates of emotional
and health problemsWork-related difficultiesLegal problemsHigher rates of suicide
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Risk Factors…suicide
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Among those with gambling problems:38% suicidal ideation (SI)32% suicide attemptSI leads to more gambling when gamblingSI+ PG = 5x more likely to have depressionPG + Drug history = 6x more likely attempt21% of attempters say it is gambling
relatedHodgins et al 2006
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Risk Factors…medication
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Compulsive gambling problems as side effect of medication for Parkinson’s & Restless Leg Syndrome
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Risk Factors…Mental Illness
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• Depression• PTSD/TBI• Mania• Obsessive-
Compulsive Disorder-------------------------------also Grief/Loss
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
What to look and listen for
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Listen:• There goes the rent/car
payment’• ‘If I go home my wife is going
to kill me’• ‘I would be better off dead’
Look:• Not eating• Not going to the restroom• Same clothes/grooming
Gut feeling
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Self Exclusion/Restriction
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Some might not know about this option, customer has ability to voluntarily exclude themselves
• Urge to gamble significantly reduced
• Perception of control increased
• Intensity of negative consequences from gambling decreased
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Self Exclusion/Restriction
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Some might not know about this option, customer has ability to ask for restrictions
• Check cashing• Credit
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
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Statewide Initiative• Ohio Lottery Commission (OLC)• Ohio Casino Control Commission (OCCC)• Ohio State Racing Commission • Ohio Department of Drug and Alcohol
Addiction Services (ODADAS)
www.org.ohio.gov
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Problem Gambling Helpline
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1 800 589 9966• Statewide Resource
• In operation since 1990• Continuously Updated• Printed on Ohio Lottery
tickets/materials• Gaming Advertising• Ohio for Responsible
Gambling website www.org.ohio.gov
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director
Questions?
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Scott Anderson ODADAS (Treatment)[email protected]
614-466-8562Melinda Norman ODADAS (Prevention)
[email protected] 614-644-8318
John R. Kasich, GovernorOrman Hall, ODADAS Director Tracy Plouk, ODMH Director