integrating problem gambling in prevention (part 1)

integrating problem gambling

in PreventionJulie Hynes, MA, CPS

18th Annual KYCPG Educational & Awareness ConferenceJanuary 29-30, 2015

Please…Not one more thing!

Image source: http://i.dailymail.co.uk/i/pix/2012/01/09/article-2084033-0F61EA6100000578-972_468x311.jpg

Goals

• Understand why problem gambling is so important to address in prevention work

• Give you some time tested prevention tools so you can use them where you work

• Save you from reinventing the wheel!

(Desired Outcomes:)• Understand why problem gambling is

a bigger issue than ever. • Identify similarities in risk and

protective factors for prevention• Understand why it is essential and

efficient to integrate • Identify and compare various

methods of integration• Gain practical tools to bring back

for use with target population(s)

Part I – This Afternoon• Current prevention in Kentucky: discussion –

strengths and challenges

• Why problem gambling fits in and should be part of prevention efforts

• Risk and protective factor framework

• Data to help you justify prevention

• Getting ready to move into practical strategies

Part 2 - TomorrowPractical Strategies for Integration!

• Going step by step through the CSAP strategies with various techniques to integrate prevention

• Resources you can take and use in your region(s)

• Q&A, trouble-shooting

www.preventionlane.org/kentucky

First Things First:

Let’s be real.

What are some of the Key Challenges in your work?

Some of mine…

Time (lack)Funding (lack)Perception Stigma/shameIndustryProving resultsWhac-A-Mole!

prevention.

And yet…

Problem Behaviors

We’re starting to see what doesn’t work.

Image source: Office of National DrugControl Policy (ONDCP) listserv

• Tobacco, alcohol, and other drug use and abuse

• Delinquency and crime• Premature or unsafe

sex• Depression and

suicidality• School failure, dropout

We’re starting to get research that shows what is effective to prevent :

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So why should I care about

gambling?

“The earlier people begin gambling, the more likely they are to experience problems from gambling.” - National Academy of Sciences

AVAILABILITY.

Acceptability.

Advertising.

Amygdala active

Risk-taking & impulsive behaviorsSource: Ramoski, S., Nystrom, R. (2007). Image source: simpsons.wikia.org

age… Prefrontal Cortex.

2012 Oregon Student Wellness Survey, Lane County (“ESD”) and Oregon; available at http://oregon.pridesurveys.com/esds.php?year=2012

Awareness (low).

ATTITUDES.

ATTITUDESOregon parent/youth focus groups revealed:

All parents in their focus groups said their kids didn’t gamble

All of their kids, who were in their own focus groups, said they did gamble

Neither sees gambling as risky

And we know that adult problem gambling affectschildren.

Getting more proof in the numbers.

RPC directors: Tell me about this--please!

Source: KIP 2012

30 Day Gambling Frequency

So, let’s leverage other data:COMBINED Behaviors. (cross-tabs!)

Used alcohol in the past month

3.1%

14.6%

29.5%

14.9%

30.9%

46.9%

Grade 6 Grade 8 Grade 11

Did not gamble Gambled

Source: 2012 Oregon Student Wellness Survey (2014 data pending – 1/29/15)

Binge drank in the last 30 days

0.5%5.6%

16.4%

4.3%

12.7%

28.7%




Smoked cigarettes in the past month

1.1%6.2%

12.5%

5.1%

10.8%

18.7%




Used Marijuana in the Past Month

0.7%

8.3%

19.3%

4.3%

15.8%

28.4%



Available at: www.preventionlane.org/sws.htm

Skipped School One or More Days in the Past Month

5.7%

12.8%

22.5%

15.4%

23.0%

35.4%



Available at: www.preventionlane.org/sws.htm

7.2%5.0%

11.3%9.0%

Grade 8 Grade 11


Attempted Suicide in the Past Year


10.1%8.0%

21.0%18.6%

Grade 8 Grade 11

Did not bet/gamble more than wanted toBet/gambled more than wanted to

Attempted Suicide in the Past Year

Delinquency (physical Fight in Past Month)

41.80%

22.40%

Physical fight

Gambled Did not gamble

Conclusion?Teens who gamble are smoked up, toked up, drunken delinquents.

Teens who gamble are smoked up, toked up,

drunk emo delinquents.

Conclusion?

What do the data tell us about risk & youth

gambling? How would you interpret the data?

delinquency

sexualbehavior

depression

substanceuse

gambling

ProblemBehaviors

Conclusion: Problem Gamblingis one component of Problem Behaviors

TAKING THAT…And Using PREVENTION science

Much of what we know, and do, is based upon the Risk and Protective Factor Framework.

Risk Factors for Adolescent Problem Behavior

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Recognized Problem Behaviors • Substance abuse• Violence • Delinquency• Teenage pregnancy• School dropout• Depression & Anxiety Problem gambling??

– Apparently similar risk factors– Very high co-occurrence between problem gambling & other

problem behaviors, especially alcohol/substance abuse

Being male, older teen Single-parent household Gambling on cards/sports Lower household income Competitive Having lost more than $50

in a single monthStarted gambling before

8th grade

Parents who are alcohol/substance abusers

Parents who gamble*

Source: Volberg, et al (2008; bid).

Examples: risk factors forYOUTH:

* Youth are TWICE as likely to be at-risk

gamblers & FOUR TIMES as likely to be PROBLEM

GAMBLERS.

Protective Factors

• Protective factor: a characteristic associated with a lower likelihood of problem outcomes or that reduces the negative impact of a risk f actor on problem outcomes

Protective Factors: Characteristics

• Individual Characteristics:– Gender– Resilient Temperament– Positive Social Orientation– Intelligence

• Protective Processes:– Opportunities for involvement– Social and cognitive skills– RecognitionDickson, Derevensky & Gupta, 2002

60.60%

29%

65.90%

21.80%

Strong Positive Youth development Depression


Protective Factors & Gambling

43.80%

32.90%

53.70%

23.20%

Likes school absenteeism



60.60%

29%

65.90%

21.80%

Strong Positive Youth development Depression



43.80%

32.90%

53.70%

23.20%

Likes school absenteeism



NEXT:PREVENTION in action

Stay Tuned for Part 2!

integrating problem gambling in prevention (part 1)

Health & Medicine