august 2016 problem gambling treatment providers webinar

Problem Gambling Treatment ProvidersProblem Gambling Treatment ProvidersProblem Gambling Treatment ProvidersProblem Gambling Treatment Providers

Monthly Call/WebinarMonthly Call/WebinarMonthly Call/WebinarMonthly Call/Webinar

Facilitators:

Greta Coe, Problem Gambling Services Manager

and

Roxann Jones, Problem Gambling Services Coordinator

August 3, 2016

AgendaTime Topic

3:00pm-3:10pm Introductions/County Roll Call

3:10pm-3:20pm PGS Update/Announcements• Fall Oregon PGS Provider Gathering/Meeting• Respite Guidelines and Expansion• Peer Delivered Services Expansion/Guidelines

3:20pm – 3:45pm PGS State Program Evaluation/Data and NCPG Updates-Tom Moore

3:45pm – 3:55pm PGS Treatment Provider Discussion-Updates from the field/sharing

3:45pm-3:55pm Future agenda items: • Tips on how to better comply with OAR- Making sure you have the

proper pg documentation. • Working with Cultural populations:

o African Americano Latinoo Asian

• MH clinicians not knowing how to refer and screen• Treating gambling addiction and co-occurring disorders• Ideas for increasing enrollments

State PGS General Updates

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Upcoming Training Opportunities:

� Oregon PGS Provider Annual Gathering� September 29-30, 2016� Eagle Crest Resort, Redmond, OR

� Registration September 26. To register, visit: https://www.eventbrite.com/e/2016-oregon-pgs-annual-gathering-tickets-25701181927

Special discount on lodging only available through August 29.

If you need registration and lodging information on the conference, please contact [email protected]


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� Next PGS All Provider Webinar/MeetingSeptember 15 from 9-10:30am. To register: https://attendee.gotowebinar.com/register/456446133037621250Agenda items being determined and will be sent late August.

2016-17 Training Calendar now available listing out the monthly prevention and treatment calls and all provider webinars and other upcoming trainings planned. Located at: http://www.regonpgs.org/all-providers/workforce-development/


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Upcoming Training Opportunities:

� 31th National Conference on Problem Gambling� July 21-22, 2017� Preconference: July 19-20, 2017� DoubleTree by Hilton, Portland,

OR� National Council will be looking for

volunteers, and state office will be offering scholarships to assist providers with attending. More information to come in the fall.

Provider Contacts

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Please review our contacts and if you have any changes, particularly phone numbers, please inform Greta at [email protected] of changes.

State Treatment Updates• FY2016-17 Procedure Codes and Rates have been updated and

are available on the oregonpgs web page at: http://www.oregonpgs.org/treatment/billing-codes-and-rates/– Please share with your agency billing specialist and visit the web page

above as updates to document has been made since original email was sent by Greta in June.

• Respite Care: – Eastern Oregon expansion- Baker County – New Directions Northwest

has agreed to open a bed at their existing respite care facility for problem gamblers. Hope to have something available in the fall or by 2017. More information to come.

– CRC in Josephine County has develop a nice document to help you with referrals to their respite services. It can be found at: http://www.oregonpgs.org/treatment/crisis-resolution-center-pr-respite-care-referral-process/

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State Treatment Updates

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• PG Peer Delivered Services Guidelines- updated to include services provided by MH and SUDs Peers. Guidelines can be found at oreognpgs web page at: http://www.oregonpgs.org/treatment/policy-statements/ . Effective July 1, 2016.

• Other new program policy statements release:• Online counseling guidelines• Concurrent services at multiple agency policy statement• All can be found on the Oregonpgs web page at:

http://www.oregonpgs.org/treatment/policy-statements/

• Telephone and Online Counseling: Remember that if you are providing this type of service, you will need to have an informed consent form for telephone or online counseling signed by the client and in the chart for compliance specialist to review. This could be a separate form or integrated into your general consent form. More information on this and training during the November Tx call.

Questions

PGS State Evaluation Update

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Presented by Tom Moore, PHD, Herbert and Louis, LLC

Some hopefully interesting tidbits

�Prison �Residential�GEAR

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Services Provided by Cascadia

� Introduced 2004� FY 12-13 Split into two tracks

Coffee Creek Correctional Facility

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n mean sd

TX 59 35.4 9.2

ED 38 41.8 9.4

Table 8.1 Corrections Average Age

(In Years)

Gambler Family Curious

TX 43.3 29.9 26.8

ED 50.0 23.2 26.8

Table 8.2 Corrections Reason For

(In Years)

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TX ED

Thoughts 10.2 20.5

Plans 0.0 7.7

Attempts 1.7 10.3

* All that apply

Table 8.8 Corrections Suicide *

(In percent)

n mean sd

TX 12 9,892 14,616

ED 15 49,017 65,625

Table 8.6 Corrections Gambling Debt

(In Dollars)

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Statement TX ED

1. Problem gambling can become an illness ns* ns*

2. Problem gambling is treatable p < .01 p < .05

3. Treatment is available in Oregon ns* p < .05

4. PG is widely accepted as a mental health issue p < .01 p < .05

5. Its possible to find PG treatment in Oregon p < .01 p < .05

6. Asking for help is OK ns* ns*

7. You have to gamble every day to be a Problem Gambler p < .01 p < .01

8. People gamble for the same reason p < .01 p < .01

9. Goals are important to help Problem Gamblers p < .05 ns*

10. Gambling treatment is affordable p < .01 ns*

Table 8.9 Corrections ANOVA Changes in Knowledge and Attitudes

* There was high agreement with these statements on the pretest and consequently little margin for improvement.

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Coffee Creek Correctional FacilityTable 8.10 Additional Self-Report of Outcomes and Satisfaction QuestionsI have gained insight and greater perspective about my gambling behavior.I have gained education about problem/compulsive gambling.I have gained some skills to help initiate recovery.I have gained education about the importance of a recovery support system.I am aware of the Action Cycle.I can identify three of my triggers to gamble. This program was helpful to you?I would recommend this program to others?The materials were helpful?The presenter was effective?I have set personal goals to reduce or eliminate problem gambling?

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Residential

Services Provided By

Bridgeway Recovery Services(2009 – Present)

� Introduced 2006� Over 640 Admission to date

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Residential

n mean sd

All 56 46.5 11.5

Males 29 45.2 10.8

Females 27 47.8 12.2

Table 6.1 Residential Average Age (In Years)

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Residential

20

Residential

n mean sd

All 51 20,698.40 21,441.20

Males 26 19,419.70 19,661.70

Females25 22,028.20 23,072.10

Table 6.2 Residential

Annual Household Income

(In dollars)

n mean sd

All 47 34,202 55,497

Males 25 40,136 68,297

Females 22 27,459 34,552

Table 6.3 Residential

Average Gambling Debt

(In dollars)

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Residential

22

Residential

Thoughts 33.9

Threat 8.9

Plan 3.6

Action 10.7

Table 6.5 Residential Suicide (In Percent)

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Residential

n mean sd

All 56 14 14

Males 29 14 15

Females 27 14 14

Table 6.6 Residential Lag Time

(In Days)

n mean sd

All 54 36.9 22.1

Males 28 36.5 22.6

Females 26 37.4 21.5

Table 6.7 Residential LOS

(In Days)

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Gambling Evaluation & Reduction

Services Provided By

Emergence (2007 – Present)

� Introduced 2001� 612 Enrollments to date

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n mean sd

All 36 49.0 13.8

Males 17 43.3 11.9

Females 19 54.0 13.5

Table 7.1 GEAR Average Age of Gambler

(In Years)

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The average number of DSM IV criteria endorsed was 8.7, significantly more than the outpatient population which was 7.4. Interestingly, the GEAR clients’ average DSM scores were not statistically different than those clients enrolling in the Residential program.

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The average length of time reported being enrolled in GEAR was 236.5 days, up again significantly from 167.7 days. Females were more likely to remain enrolled longer than males (288.6 days compared to 132.2 days).

The unadjusted successful completion rate was 53.3% with 36.7% reported as simply discontinuing the program.

Questions

�PGS Treatment Provider Discussion-Updates from the field

Future Agenda Items• November Call- Tips on how to better comply with

OAR- Making sure you have the proper pgdocumentation.

• Working with Cultural populations:• African American- Michael Braxton• Latinos- Latino Advisory Committee members• Asian Americans- Asian Advisory Committee members

� MH clinicians not knowing how to refer and screen

� Treating gambling addiction and co-occurring disorders

� Ideas for increasing enrollments

Questions

Hayden and program staff hope to see you in September at the Fall PG Gathering at Eagle Crest.

Thank you

august 2016 problem gambling treatment providers webinar

Government & Nonprofit