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Presented by Julie Hynes. APril 24, 2014
Citation preview
integratingproblemgambling
in PreventionJulie Hynes, MA, CPS
Focus on the Future ConferenceVancouver, WA | April 2014
Thanks! to…• Oregon Problem Gambling Services• Evergreen Council on ProblemGambling
• Jeff Marotta• Jim Wuelfing
www.preventionlane.org/focusonthefuture
First Things First:
Objectives:
• Understand why it is essential andefficient to integrate
• Identify and compare various methodsof integration
• Gain practical tools to bring back foruse with target population(s)
Let’s be real.
What aresome of theKey Challengesin yourwork?
Besidesfunding.
Besidestime.
Some of mine…Youthful subject
Perception
Stigma/shame
Industry
Proving results
prevention.
Pre-conception
Prenatal/Infancy
EarlyChildhood Childhood Early
Adolescence Adolescence
Family • Prenatal care• Home visiting
• Evidence-based parenting programs• Evidence-based kernels
Schools
• High-quality preschool and daycare• Classroom-based prevention curricula• Evidence-based kernels• Afterschool programs
Community
• Community organizing to improve neighborhood environments• Support for evidence-based strategies• Support for out-of-school activities• Evidence-based kernels
Policy• Community members have ensured access to services to meet basic needs• Promotion and support of healthy lifestyles• Policy to promote and support evidence-based strategies
Prevention Strategies byDevelopmental Phase and Domain
Prevention:
Behavioral Health
Public Health
ACA
Most focus
5.6% college age (18-24)
2½ % all adults (18+)
4-6% teens (13-17)
This is the first generation of widelyavailable electronic gambling.
We really don’t know the effects yet.
Why?Is it thegeneration?Technology?Or what?
Problem Behaviors
Problem Behaviors
• Tobacco, alcohol, andother drug use andabuse
• Delinquency and crime• Premature or unsafe
sex• Depression and
suicidality• School failure, dropout
Scientific consensus is that that we canprevent these problems
factors.
Resi
lien
cy T
heo
ry
ADVERSE CHILDHOOD EXPERIENCES (ACE)
40 DEVELOPMENTALASSETS
SOCIAL DEVELOPMENT STRATEGY
PROMOTIVE FACTORS
Risk & Protective FactorTheory
No onesize fits all
Risk Factors for AdolescentProblem Behavior
Recognized Problem Behaviors• Substance abuse• Violence• Delinquency• Teenage pregnancy• School dropout• Depression & Anxiety Problem gambling??
– Apparently similar risk factors– Very high co-occurrence between problem gambling &
other problem behaviors, especially alcohol/substanceabuse
Protective Factors
• Protective factor: a characteristicassociated with a lowerlikelihood of problem outcomesor that reduces the negativeimpact of a risk f actor onproblem outcomes
check it out.
)
Effects ofProblemGamblingon Children
“The earlier people begingambling, the more likely theyare to experience problems fromgambling.”- National Academy of Sciences
AVAILABILITY.
Acceptability.
Advertising.
age.
Amygdalaactive
Risk-taking &impulsivebehaviorsSource: Ramoski, S., Nystrom, R. (2007). Image source: simpsons.wikia.org
age…Prefrontalwhaaa?
2012 Oregon Student Wellness Survey, Lane County (“ESD”) and Oregon; availableat http://oregon.pridesurveys.com/esds.php?year=2012
Awareness (low).
ATTITUDESOregon parent/youth focus groups revealed:
All parents in their focus groups said theirkids didn’t gamble
All of their kids, who were in their own focusgroups, said they did gamble
Neither sees gambling as risky
by the numbers.
Used alcohol in the past month
3.1%
14.6%
29.5%
14.9%
30.9%
46.9%
Grade 6 Grade 8 Grade 11
Did not gamble Gambled
Binge drank in the last 30 days
0.5%5.6%
16.4%
4.3%
12.7%
28.7%
Grade 6 Grade 8 Grade 11
Did not gamble Gambled
Available at: www.preventionlane.org/sws.htm
Smoked cigarettes in the past month
1.1%6.2%
12.5%
5.1%
10.8%
18.7%
Grade 6 Grade 8 Grade 11
Did not gamble Gambled
Available at: www.preventionlane.org/sws.htm
Used Marijuana in the Past Month
0.7%
8.3%
19.3%
4.3%
15.8%
28.4%
Grade 6 Grade 8 Grade 11
Did not gamble Gambled
Available at: www.preventionlane.org/sws.htm
Skipped School One or More Daysin the Past Month
5.7%
12.8%
22.5%
15.4%
23.0%
35.4%
Grade 6 Grade 8 Grade 11
Did not gamble Gambled
Available at: www.preventionlane.org/sws.htm
7.2%5.0%
11.3%9.0%
Grade 8 Grade 11
Did not gamble Gambled
Available at: www.preventionlane.org/sws.htm
Attempted Suicide in the Past Year
10.1%8.0%
21.0%18.6%
Grade 8 Grade 11
Did not bet/gamble more than wanted toBet/gambled more than wanted to
Attempted Suicide in the Past Year
Delinquency(physical Fight in Past Month)
41.80%
22.40%
Physical fight
Gambled Did not gamble
CONCLUSION?
Teens who gamble aresmoked up, toked up,
drunk emo delinquents.
CONCLUSION?
Teens who gamble aresmoked up, toked up,
drunk emo delinquents.
delinquency
sexualbehavior
depression
substanceuse
gambling
ProblemBehaviors
Conclusion: Problem Gamblingis one component ofProblem Behaviors
Protective Factors:Characteristics
• Individual Characteristics:– Gender– Resilient Temperament– Positive Social Orientation– Intelligence
• Protective Processes:– Opportunities for involvement– Social and cognitive skills– RecognitionDickson, Derevensky & Gupta, 2002
Skills, Opportunity, Recognition
0
20
40
60
80
100
6th7th8th
Teachers noticewhen I do a
good job
At least one teacheror other adult at
school really caresabout me
I get many chancesto join in sports,clubs, and otheractivities outside
class
At home, myparent or another
adult alwayswants me to do
my best*
Protective Factors &Gambling
60.60%
29%
65.90%
21.80%
Strong Positive Youth development Depression
Gambled Did not gamble
43.80%
32.90%
53.70%
23.20%
Likes school absenteeism
Gambled Did not gamble
Protective Factors &Gambling
Prevention in action.
Common Goals
“Denormalization”PreventionProtectionHarm Reduction
The Right Support to the RightPeople
Ideally, we would havevarying levels of support tomeet the needs of diverseyouth and their families.
Size of population affected
More intensive for at-risk youth and families
~15%
Most intensiveinterventions for theyouth and families athighest risk
~10%
Universal supports forall youthand families
~75%
Evidence-based Prevention is aGood Investment
$61 $120 $880 $1,200$15
$30,828
$79,935 $94,900
$50
$5,050
$10,050
$15,050
$20,050
Annual cost per person per family
in Lane County.And your examples.
Priority Drives Evidence-basedProgram Selection
3-5Early Childhood Education
prenatal-2Prenatal/Infancy Programs
6-14Family Therapy
prenatal-14Parent Training
Family ManagementProblems
Developmental PeriodProgram StrategyFactor Addressed
Community Health Benefit &Health Reform
CommunityHealth
CommunityBased
Prevention
ServiceIntegration
ClinicalServices
Using Federal & StateFundingPROGRAM ASSURANCES:
We:
• Support evidence-basedprevention practices
• Are Certified PreventionSpecialists
• Engage the community
• Value & use data
EXAMPLES:
• Good Behavior Game• Family Check-up• Policy work• MH First Aid• Question, Persuade,
Refer• MH Promotion Steering
Committee, ProblemGambling AdvisoryCommittee, etc.
Leveraged Resources =Increased PreventionFEDERAL/STATE FUNDSALLOWS THE COUNTY TO:
• Employ preventionexperts
• Develop contentexpertise
• Engage the community
• Develop relationshipswith key stakeholders
• Fund limited preventionprograms
PARTNERSHIP WITHTRILLIUM ALLOWS:
• implementationprevention best practices
• ‘reach’ (geographically +discipline)
• FTE working inprevention
• Advocacy for policy &environmental change
Where can I find more info?
www.problemgamblingprevention.orgwww.evergreencpg.org/
Where can I find more info?
www.addictionisagamble.orgwww.preventionlane.org
www.preventionlane.org
Thank You! More info…
Connect :Connect :
[email protected] | 541.682.3928
Lane County Public Health
University of Oregon
preventionlane