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Self-Exclusion Reinstatement and Renewal Session 4-1-A: Getting Gamblers to Get Help PRESENTED AT THE 16 TH INTERNATIONAL CONFERENCE ON GAMBLING & RISK TAKING Alex Price, PhD – June 10, 2016

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Page 1: Self-Exclusion Reinstatement and Renewal

Self-Exclusion Reinstatement and RenewalSession 4-1-A: Getting Gamblers to Get Help

PRESENTED AT THE 16TH INTERNATIONAL CONFERENCE ON GAMBLING & RISK TAKING

Alex Price, PhD – June 10, 2016

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Overview

DEFINITIONS: Self-Exclusion, Reinstatement, Renewal and Revocation

RATIONALE: Problems and Knowledge Gaps

RESEARCH DESIGN: Objectives and Methods

FINDINGS

SYNTHESIS: Themes and Proposed Practice

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Quick Thanks and Acknowledgements

This RGC project was made possible through financial support provided by the Atlantic Lottery Corporation, the British Columbia Lottery Corporation, Loto-Quebec, Manitoba Lotteries & Lotteries, the Nova Scotia Provincial Lotteries & Casino Corporation, the Ontario Lottery and Gaming Corporation, and the Saskatchewan Liquor and Gaming Authority.

RGC also wishes to thank the many individuals who have contributed to this project. These include researchers, treatment specialists, gaming operators and employees, and On-Site Responsible Gambling Information Centre staff from across Canada and around the world. Special thanks are also due to the self-excluded individuals who participated in focus group discussions.

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DEFINITIONS: Self-Exclusion, Reinstatement, Renewal and Revocation

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Defining Self-Exclusion

Self-exclusion is a protective measure thatallows people to voluntarily ban themselvesfrom accessing gambling facilities. It is acommonly used by gambling industries andplayers to minimize the harms of problematicgambling.

(Nower & Blaszczynski 2006; Gainsbury 2014)

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Defining Reinstatement

Reinstatement refers to an individual’s removal from theself-exclusion program upon completion of the agreedterm, or a minimum exclusion period, and the ability togain access to gaming venue(s) from which they werebarred.

AC

TIVE

PASS

IVE

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Defining Renewal

Renewal refers to the process of renewing or extending aperiod of self-exclusion.

(Tremblay et al., 2008)

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Defining Revocation

Revocation is a feature of some self-exclusionprograms. It represents a form of prematurereinstatement whereby an individual can revoke theirself-exclusion agreement before the end of the term.It typically proceeds a minimum non-revocationperiod after which an individual is eligible to apply forreinstatement.

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RATIONALE: Problems and Knowledge Gaps

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Problems and Knowledge Gaps

Lingering questions following RGC’s 2007 Insight project, entitled “From Enforcement to Assistance: Evolving Best Practices in Self-Exclusion”

A general dearth of research evidence on the process of reinstatement and renewal

Interest from Canadian operators and other stakeholders about reinstatement and renewal best practices

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RESEARCH DESIGN: Objectives and Methods

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Project Objectives

To contribute greater contextual understanding of reinstatementand renewal processes in Canada

To examine the research, current practices, operator andgambler experiences and synthesize approaches to self-exclusion reinstatement and renewal that hold the potential toimprove existing processes or reaffirm best practices

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Research Methods

Literature Review

Policy and Procedures Analysis

Gambling and Corporate Staff Interviews

Client Focus Group Discussions

Insight Roundtable Discussion

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KEY FINDINGS: Literature Review, Policy Analysis, Interviews, Focus Groups, and Roundtable Discussion

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Literature Review: It Starts with VSE

Programs vary in process and conditions (e.g., registration,terms, enforcement, etc.)

Self-exclusion as ‘enforcement’ or as ‘assistive’ carriesimplications for reinstatement and renewal

Effectiveness of VSE is associated with other measures toaddress problematic gambling behaviour—this carriesover to the formation of reinstatement and renewal

(Responsible Gambling Council, 2008; Hing & Nuske, 2011; Hayer & Meyer, 2011a, 2011b)

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Literature Review: Reinstatement

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Literature Review: Renewal

Like reinstatement, renewal conforms to two general pathways: active and passive

Clear and unambiguous communication an important factor affecting renewal process effectiveness

Active renewal: location of administration is important

Continued restrictions on direct marketing

(Hing et al. 2014; Bellringer et al. 2010; Responsible Gambling Council 2011; Parke & Rigbye 2014)

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Literature Review: Revocation

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Policy and Procedures Analysis

International Perspective:

Most VSE programs support active reinstatement

Terms less than 6 months were rare

Minimum non-revocation period OR no revocation of terms

Requirements for some sort of interaction before approval

Lots of ambiguity surrounding renewal

(National Center for Responsible Gambling 2011)

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Policy and Procedures Analysis

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Policy and Procedures Analysis (Cont’d)

Reinstatement in Canada:

Generally, the active process begins with the submission of a letter or form requesting reinstatement

Eligibility may take under consideration breaching history or other evidence of risk

After approval, names and photos are removed from exclusion list

Some conditions or restriction upon re-entry may apply

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Policy and Procedures Analysis (Cont’d)

Renewal in Canada:

Active renewal may require the submission of a new VSE agreement

Submission of requests usually done in person on-site or off-site

If the total ban length exceeded several years, applicants sometimes required to renew due to outdated photographic references

Passive renewal does not require any action to be taken

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Gambling and Corporate Staff Interviews

Reasons for self-exclusion and reinstatement

Objectives of reinstatement

Perceptions of gambler sentiments

Awareness of reinstatement and renewal process

Benefits and challenges of reinstatement and renewal

Additional reinstatement options (education, counselling, multiple VSE, multiple breaches)

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Client Focus Group Discussions

Self-exclusion: awareness, motivation, ban length, experience

"I heard about through group [here at the treatment centre]."

"For me, it was 6 years before I actually did it [enrolled in the self-exclusion program]."

"I was tired of hurting myself and my loved ones"

“I had chosen indefinite and was told that I could come back in six months. This made so angry. At that point I was at my lowest and broken. I chose indefinite because I never wanted to come back.”

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Client Focus Group Discussions

Reinstatement: general thoughts, perspectives on options and consideration of multiple self-exclusions and breaches

“This is treading on dangerous water.”

“I don't want a stamp of approval that I can now gamble.”

“We all want some autonomy for making decisions for ourselves.”

Page 30: Self-Exclusion Reinstatement and Renewal

Client Focus Group Discussions

Renewal: awareness, thoughts on administration, other considerations for informed decision-making

"It could be a phone call with some way of identifying myself."

"It could be done in writing, but definitely not in the casino."

"If it has to be done in person, then at a place that is not the casino."

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Insight Roundtable Discussion

After reinstatement: minimum requirement, implementation challenges, impressions of various reinstatement requirements

Scenario-based discussion:

First-time self-excluder, no breaches

Multiple self-excluder, no breaches

Self-excluder, confirmed breaching

Renewal and active reinstatement

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Knowledge Synthesis and Recommendations

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Active Reinstatement, Passive/ActiveRenewal and No Revocation

Active Reinstatement:

Positive Action

Reinstatement Options (Meetings, Education Session, Counselling)

After Reinstatement:

Restriction of Credit

Exclusion from Marketing

Exclusion from Loyalty Programs

VSE Renewal:

Active or Passive, based on preference

Off-Site Administration

Revocation:

Eliminate Feature

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SE term fulfilled.

No history of multiple breaching or other red-flag behaviour.

SE term fulfilled.

Confirmed history of multiple breaching and/or other red-flag behaviour.

High-Risk Signs Absent

High-Risk Signs Present

Operator checks and confirms completion of SE term and any risk warning signs.

Operator checks and confirms completion of SE term and any risk warning signs.

Voluntary options to access reinstatement services:

1. Meeting to develop safe gambling plan

2. Brief educational course (online or in person)

3. Professional counselling

Mandatory options to access reinstatement services: (at least one)

1. Meeting to develop safe gambling plan

2. Brief educational course (online or in person)

3. Professional counselling

Re-entry to gambling venue approved.

Conditions of Reinstatement:- No credit- Exclusion from marketing

(unless requested)- No loyalty membership

(unless requested)

If mandatory reinstatement option met, re-entry to gambling venue approved.

Conditions of Reinstatement:- No credit- Exclusion from marketing- No loyalty membership

(unless requested)

Step 1 Step 2 Step 3

Complete and submit reinstatement form stating intent to return to gambling venue.

Complete and submit reinstatement form stating intent to return to gambling venue.

Proposed Strategy for Self-Exclusion Reinstatement

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Thank you! Questions?

[email protected]

Additional RGC contributors: Jamie Wiebe, Jon Kelly, Sherene Fernando, Nadine Kauffman

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