PROBLEM

Prevention TalKSFebruary 2, 2017

making the connections

Julie Hynes, MA, CPS

GAMBLING:

SUPERFAST15MINUTEObjectives:• Why problem gambling?• Understand basic connections between

problem gambling and other behavioral health issues

• Integration: how does problem gambling prevention fit with other prevention efforts?

• What prevention coalitions can do

Let’s be real.Time is limited.Resources are limited.Priorities are always an issue.

PROBLEM GAMBLING?

It’s a“Continuum”

No Gambling Experimentation

Recreational Problem Pathological

Sources: 1. Moore (2016). 2. Volberg, Hedberg, & Moore (2008). 3. Shaffer & Hall (2001). 4. Northwest Survey & Data Services (2007). 5. Moore (2001).

Between 2-3% adults 18+ problem gamblers (2.6%) Teens (13-17 y.o.): 6% at risk or problem gamblers 2College age (18-24): 5.6% 3

At-Risk“GAMBLING DISORDER”

DISORDERED GAMBLING:

Clinical term for diagnosis

(DSM-5)

Definitions

PROBLEM BEHAVIORS ARE

gambling

depression

substance use

Research shows they Have Common

Risk & ProtectiVE Factors

• Substance Abuse• Violence • Delinquency• Teenage Pregnancy• School Dropout• Depression & Anxiety

Problem Gambling??Apparently similar risk factorsVery high co-occurrence between problem gambling & other problem behaviors, especially alcohol/substance abuse

Catalano, Hill, Haggerty, Fleming, & Hawkins, 2010; Hawkins, Catalano, & Miller, 1992

>70%are current

tobacco users

32%have current

alcohol problems

5%actually attempt

suicide

Source: Oregon Health Authority, 2014

27%experience

suicidal ideation

Have current drug problems

Example– of those in Gambling Treatment:

YOUTH GAMBLING & Other RISKY behaviors:

3.1%14.6%

29.5%14.9%

30.9%46.9%

Grade 6 Grade 8 Grade 11

Did not gamble Gambled

ALCOHOL:1.1% 6.2%

12.5%5.1%

10.8%18.7%

Grade 6 Grade 8 Grade 11

Did not gamble Gambled

TOBACCO:

0.7%8.3%

19.3%4.3%

15.8%28.4%

Grade 6 Grade 8 Grade 11

Did not gamble Gambled

MariJuana:5.7%

12.8%22.5%

15.4%23.0%

35.4%

Grade 6 Grade 8 Grade 11

Did not gamble Gambled

SKIPPED SCHOOL:

Source: Oregon Student Wellness Survey, 2015-16

Past month

7.2% 5.0%11.3% 9.0%

Grade 8 Grade 11

Did not gamble Gambled

YOUTH GAMBLING & Other RISKY ISSUES:

ATTEMPTED SUICIDE:

SKIPPED SCHOOL:

Past year:

41.80%

22.40%

Gambled Did not gamble

DELINQUENCY:

Source: Oregon Student Wellness Survey, 2015-16

5.6% college age (18-24)

2½ % all adults (18+)

4-6% teens (13-17)

This is the first generation of widely available electronic gambling.

We really don’t know the effects yet.

Why? Is it the generation? Technology? Or what?

YOUNGER PEOPLE, HIGHER RATES

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

a single month Started gambling before 8th

grade (early initiation)

Parents who are alcohol/substance abusers

Parents who gamble*

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

Key RISK risk factors for YOUTH:

*TWICE as likely to be at-risk gamblers & FOUR TIMES as likely to be PROBLEM GAMBLERS.

What is almost always a key underlying issue?

about 90% of problem gamblers

GET INVOLVED?

A FEWIdeas…

Information Dissemination

Prevention Education

Alternative Activities

Community-Based Processes

Problem Identification/ Referral

Environmental/Policy Approaches

A Common Approach: Uses the Center for Substance Abuse Prevention (CSAP) Strategies for Effective Prevention

Video Contest & Art Search• Great --& cheap!-- option for schools where

health curriculum not a possibility• Ask art, media, A/V, drama teachers about

participating• preventionlane.org/videos and

preventionlane.org/gambling/arthave examples, info Coalition

members!

Social Media PROMOTION

• Websites, Facebook, Twitter, YouTube, etc.

• Good reach• Fairly inexpensive & easy to update!

Partnering with schools• Casino night alternatives• Asking administrators/teachers to add

simple language about gambling into any drug or alcohol curriculum

• Provide schools with sample policies (see student handbooks)

ReTAIL ASSESSMENTS & REward and RemindersEvidence-based strategy effectively used for alcohol and tobacco retailers, many of whom are lottery retailers as well!

TAKE-AWAYS:• Problem gambling is an

issue needing attention.

• Coalitions don’t have to add a whole bunch of new work.

• Tangible projects are best for most coalitions.

Thank You FOR what YOU do!

hynes@preventionlane.org@hynesUO (Twitter)PreventionLaneUniversity of OregonNational Council on Problem Gambling

@preventionlane

Let’s CONNECT!