Post on 11-Apr-2017
transcript
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!