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ODE: Working with Health Curriculum Specialist Exhibiting and presenting at school teacher trainings 2007-08 ODE health education standards now include problem gambling Curriculum: Subcommittee getting trained on ODE-recommended A&D curricula Developing booster lesson on problem gambling; hope to develop complete curriculum for middle school students, in conjunction with Oregon Dept. of Ed. Video: Features Oregon youth talking to their peers about gambling Follows the theme of myth busters 8 minutes; humorous To be used in conjunction with presentation and study guide

Presentations Who do we speak to? - Community groups, chamber’s of commerce, churches, treatment groups and senior centers, etc.. Television Newspapers PSA’s (and all messages, for that matter…) - Should require listeners to DO something -try to get people to make ONE PHONE CALL Brochures, signage, the Internet, direct mailings

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Paid through Lottery funds Gambling Evaluation and Reduction Program (GEAR) Corrections Program 27 outpatient treatment centers (Emergence Program in Lane County) 3 crisis-respite programs 1 residential treatment program

http://braininstitute.vanderbilt.edu/Vanderbilt_March07_PotenzaLecture.ppt

problem gambling prevention | identification | treatment | recovery SAPP Seminar | Day 2 Addressing the Issue

Notes from this class Go to http://gamblingprevention.blogspot.com Questions? Feedback? Email julhynes@gmail.com

Institute of Medicine Continuum of Care; graphic source: mentalhealth.samhsa.gov Continuum of Care

Prevention: Statewide & Local Efforts Partnership with Department of Education Curriculum integration in schools Youth video Oregon youth prevalence study Community Resource Guide* Middle School Poster Contest Partnering with addictions prevention providers/groups Policy & coalition work Resource guide can be downloaded at: http://lanecounty.org/prevention/gambling/opgaw.htm

Examples in Lane County inform | educate | prevent harm

UO Problem Gambling Awareness Project (PGAP) Fall 2008- June 2009 Coordinator: Navit Parker navit@sapp.uoregon.edu | 346.0412 Three goals: Student awareness Health/counseling staff awareness, identification & referral On-campus housing: staff awareness & safe online gambling

Small numbers, big deal Emergence: Parents call, but students never show up We’ve all heard the stories They just disappear We’re young, right?

Getting Started Making friends “Hello my name is Navit and I am not going to add to your work load.” Know the issue Know the resources Know the population Slogo time Ad Team! Glory be!

Photo by Daniel Berman

Intercepts 20 students Randomly pulled aside and asked to answer a few questions Given Starbucks cards for incentive Results…

What’s Media Campaign Dorms OPGAW (Additional) Inspiration Next?

Thank you! Navit Parker navit@sapp.uoregon.edu 346-0412

Getting Results Oregon is one of the few states that appears to have averted a significant increase in problem gambling prevalence while expanding legalized gambling. Source: National Center For the Study of Gambling, 2006. Source: 2. National Center For the Study of Gambling, 2006.

Key Challenges Youthful subject Perception of harmlessness Stigma/shame Industry

Institute of Medicine Continuum of Care; graphic source: mentalhealth.samhsa.gov Continuum of Care

Intervention Helpline 541.741.7107: emergence Or 24/7: 1.877.MY.LIMIT Online: 1877mylimit.org Problem gamblers &/OR loved ones Help is FREE

Institute of Medicine Continuum of Care; graphic source: mentalhealth.samhsa.gov Continuum of Care

Treatment is Free. Brad Killian, JD, BA, CDAC I, CGAC II Emergence Gambling Treatment Counselor 24 hrs: 1877-my-limit Online: 1877mylimit.org

Treatment Emergence Gambling Treatment Program: Treatment free for gamblers and loved ones Over 200 problem gamblers and family members treated last year Gender-specific Multimodal treatment (shows substantial effectiveness) Individual sessions - Vocational counseling Group sessions - Recreational counseling Didactic lectures - 12-step mtgs Audiovisual educ. - Financial & legal counseling Family therapy - Pharmacotherapy (if required)

Lane County Problem Gambling Treatment Clients Source: Oregon DHS (2009; ibid)

Oregon Gambling Treatment Clients, 2007-08 2,012 gamblers received treatment in outpatient, residential, and minimal intervention programs. 15.2% more clients were served over the previous year. The total gambling debt reported of all clients entering services was $44,276,489. 60% of successful program completers report no gambling 6 months after treatment. Source: Oregon DHS (2009; ibid)

System Evaluation Results Treatment is working 60% of clients reported either no gambling or reduced gambling at 6-months post-treatment1 Prevention and outreach are working Oregon is one of the few states that appears to have averted a significant increase in problem gambling prevalence while expanding legalized gambling2 1. Oregon DHS (2009; ibid); 2. National Center For the Study of Gambling, 2006.

Identification: “Social” or Problem Gambler?

Guest Panel Brad Killian Michel Savage Pat Kellison Ronda Hatefi

Wrapping it All Up Gambling’s recent popularity has not come without cost Many population groups are susceptible to gambling problems Problem gambling has strong addictions & mental health connections Balance is needed; study impact, make informed decisions Problem gambling services are free, confidential, available and effective

Thank You! For More Info… Julie Hynes Lane County Health & Human Services 541.682.3928 | julie.hynes@co.lane.or.us lanecounty.org/prevention/gambling Navit Parker UO Problem Gambling Awareness Project Coordinator 541.346.0412 | navit@sapp.uoregon.edu