Presenter: Scott Anderson ODADAS

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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


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?


http://www.wildnatureimages.com/Blackjack%202.htm

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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?


Bingo!

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• $142,100,000 in profits


Gambling behaviorOccurs on a continuum – is not static

No Gambling

Experimentation Social At-Risk Problem Pathological

Level 1 Level 2

Level 3


Comparison of CD and GamblingTolerance

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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.


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


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.


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 …


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.


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?



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• Motivational Interviewing-meet client where they are at.

• CBT-magical thinking, belief systems• GA• Harm Reduction



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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.


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


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


Risk Factors…medication

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Compulsive gambling problems as side effect of medication for Parkinson’s & Restless Leg Syndrome


Risk Factors…Mental Illness

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• Depression• PTSD/TBI• Mania• Obsessive-

Compulsive Disorder-------------------------------also Grief/Loss


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


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


Self Exclusion/Restriction

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Some might not know about this option, customer has ability to ask for restrictions

• Check cashing• Credit


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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


http://www.org.ohio.gov/

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


http://www.org.ohio.gov/

Questions?

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Scott Anderson ODADAS (Treatment)[email protected]

614-466-8562Melinda Norman ODADAS (Prevention)

[email protected] 614-644-8318


mailto:[email protected]

mailto:[email protected]

Presenter: Scott Anderson ODADAS

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