Problem Gambling Treatment ProvidersProblem Gambling Treatment ProvidersProblem Gambling Treatment ProvidersProblem Gambling Treatment Providers

Monthly Call/WebinarMonthly Call/WebinarMonthly Call/WebinarMonthly Call/Webinar

Facilitator:

Greta Coe, Problem Gambling Services Manager

January 4, 2017

Agenda

Time Topic

3:00pm-3:10pm Introductions/County Roll Call

3:10pm-3:25pm PGS Update/Announcements• Family Therapy Quarterly Call• Media Tracking Form• New Helpline Television Ad

3:25pm – 3:45pm • Review of 2016 Treatment Evaluation Data

3:45pm – 4:00pm PGS Treatment Provider Discussion-Updates from the field/sharing

Future agenda items: • Working with Cultural populations:

o African Americano Latinoo Asian

• MH clinicians not knowing how to refer and screen• Treating gambling addiction and co-occurring disorders• Ideas for increasing enrollments

National Conference on Problem Gambling

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� 31th National Conference on Problem Gambling� July 21-22, 2017� Preconference: July 19-20, 2017� DoubleTree by Hilton, Portland,

OR� National Council will be looking for

volunteers, and state office will be offering scholarships to assist providers with attending. More information to come in February 2017.

� Please save the date on your calendars and start seeking approval from management.

PGS General Updates

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� Next PGS All Provider Webinar/MeetingMarch 16 from 9-10:30am. To register: https://attendee.gotowebinar.com/register/2052305896895172098Agenda items being determined and will be sent mid February.

� Next PGS Treatment CallFirst Wednesday of the Month- February 1 from 3-4:00 pmLog in: https://global.gotomeeting.com/join/237724573Join the conference call: 1-877-336-1828 Participation Code= 907760

� 2016-17 Training Calendar now available listing out the monthly prevention and treatment calls and all provider webinars and other upcoming trainings planned. Located at: http://www.oregonpgs.org/all-providers/workforce-development/

PG Family Therapy Learning Session and Forum:

• New services being offered• 4th Thursday each quarter from 10-11:30am • January 26, April 27, July 27 and October 26• Facilitated and Coordinated by:

Teresa McDowell, Ed.D.Professor and Chair, Department of Counseling PsychologyLewis & Clark Graduate School of Education and Counseling

• Calls will include pre-meeting readings and structured agendas and topics.

• Structure: 45 minutes predetermine topic and 45 minutes for discussion and questions.

• 1 hour of CEUs provided for those that attend. • Information on log in and call numbers to be provided in the near future

via email. Mark your calendars now, if interested.

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Media Tracking Form• New form to collect data on large media campaigns that are

occurring in communities in order for us to cross tabulate with enrollments and helpline calls.

• Reported Quarterly • First Quarter is October – December, 2016. • Please go to the below link and complete the reporting form.

https://www.surveymonkey.com/r/RX5ZG9G

• Submit by February 15, 2017• You will also receive an email regarding this reporting form. • If you do not connect with state via email that you have no reports

for the quarter or go to reporting form and input 0, you may be contacted if you have encountered for outreach codes/treatment advertising code.

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More Follow-Up from Fall Conference

• Grief Recovery Model– Working on setting up training dates, location and process for applying.

• Chris Anderson– Looking at different products and services that he offers and how they

may be useful to us in Oregon

• Continue to work on activities within 5 year strategic plan. More specific information to be presented at March All Provider Meeting.

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New Helpline Ad• “Boater” • Will start airing in early January

• https://www.youtube.com/watch?v=PFpcWMheSNU&feature=youtu.be

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New Lottery Product (VLT) Ads• Begun airing in December on TV• In past, Lottery said they would not air VLT ads on television.• With their large investment in updated machines, they now feel that

they need to let the public know and advertise on television. • This may trigger some of your clients, as the state has heard from

one provider.• Voices on Problem Gambling Recovery (VPGR) may propose some

legislative action to remove VLT advertisement on television. • If you hear complaints from your clients, and they or you would like

to document the complaints, VPGR would be willing to collect documentation and use it for testimony for their legislative action.

• State will do a better job of informing providers of new lottery ads, specifically VLTs, so that you have a heads up of what your clients may encounter.

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New Lottery Product (VLT) Ads• “Excite the Night”• Gamble Responsible, Jazz it up, Punch it Up

• https://www.youtube.com/watch?v=30iDhIM_2m810

Questions

Review of 2016 Treatment Evaluation Data

Presented by Tom Moore, PhDEvaluation Consultant,

Herbert and Louis

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FY 15-16 Treatment Evaluation Data Overview

• 42 Agencies Providing Treatment/Education Interventions in 54 programs:

– Traditional Outpatient– Homebased Minimal Intervention (GEAR)– Residential– Respite– DOJ Education– DOJ Treatment– Cultural Specific

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Historic and Current EnrollmentsAll Programs Combined

Year over Year Change Gambler Enrollments

Year Gamblers % Change

FY11-12 1321 9.3

FY12-13 1214 -8.1

FY13-14 1119 -7.8

FY14-15 1182 5.6

FY15-16 1081 -8.5

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DemographicsOP Marital Status

(In Percent)

All Males Females

Married 31.1 32.1 29.8

Single Never

Married29.6 34.2 24.1

Separated 25.0 21.6 29.1

Living as Married 5.9 6.7 5.0

Widowed 3.9 3.4 4.5

Divorced 3.8 1.3 6.8

Not Reported 0.7 0.7 0.7

Average Age of OP Gamblers

(In Years)

n mean sd

All 874 47.7 13.2

Males 476 45.0 13.0

Females 398 51.0 12.6

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Access Source

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System Performance

1. OP Lag First Call/Frist Available

(Days)

n Mean sd

Calendar Days 997 4.2 6.2

Work Days 997 3.5 4.8

3. OP Completion Rates

(In Percent)

Status All Males Females

Adjusted Successful Completion Rate* 35.4 33.7 37.5

Stopped Attending ASA* 52.7 55.0 50.0

Successful Completion* 29.1 28.2 30.3

Non-Compliance With Rules* 0.5 0.5 0.5

Evaluation Only 4.7 5.4 3.8

Refused Service 3.7 3.2 4.3

Moved from Catchment Area 2.8 2.5 3.2

Further Treatment Not Appropriate 1.8 0.9 3.0

Conflicting Hours 1.6 2.0 1.1

Physical/Mental Illness 1.2 0.7 1.9

Incarcerated 0.7 1.1 0.3

No Transportation 0.2 0.5 0.0

Program Closure - Non Cap 0.2 0.2 0.3

Other 0.8 0.0 1.3

*Used for Adjustment

4. OP LOS

(Days)

n Mean sd

All 814 154.3 176.8

Males 444 135.3 165.4

Females 370 177.1 187.1

5. OP COMPLETERS

(Days)

n Mean sd

All 237 295.6 198.0

Males 125 274.0 197.8

Females 112 319.7 195.5

2. OP Service Encounters

n mean sd

Encounters

All Gamblers 759 21.7 35.8

Successful Completers 225 46.0 51.6

Dollars

All Gamblers 759 1,412.0 1,959.0

Successful Completers 225 2,813.4 2,737.8

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Outcomes

OP ANOVA Pre/Post Survey

Six-MonthTwelve

Month

Completers Non- Completers Completers

Satisfaction With

Life in General ↔ ns ↑ p < .01 ↑ p < .01

Physical Health ↔ ns ↑ p < .05 ↔ ns

Emotional Wellbeing ↔ ns ↑ p < .01 ↑ p < .01

Relationship with Spouse/SO ↑ p < .01 ↔ ns ↑ p < .05

Relationship with Children ↔ ns ↔ ns ↔ ns

Relationship with Friends ↔ ns ↑ p < .05 ↔ ns

Relationship with other Family ↔ ns ↔ ns ↑ p < .05

Job ↑ p < .05 ↔ ns ↔ ns

School ↔ ns ↔ ns ↔ ns

Spiritual Wellbeing ↑ p < .01 ↑ p < .05 ↑ p < .05

Key: ↑ Improvement; ↓ Regression; ↔ No Change

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Outcomes (2)

Key: ↑ Improvement; ↓ Regression; ↔ No Change

Six-Month Twelve Month

Completers Non- Completers Completers

Activities

Accomplish Responsibility at Home ↑ p < .05 ↑ p < .05 ↑ p < .05

Accomplish Responsibility at Work ↔ ns ↔ ns ↔ ns

Pay Bills ↑ p < .05 ↑ p < .01 ↑ p < .01

Thoughts of Suicide ↔ ns ↑ p < .05 ↑ p < .05

Attempt to Commit Suicide ↔ ns ↔ ns ↔ ns

Drink Alcohol ↔ ns ↔ ns ↔ ns

Problems with Alcohol ↔ ns ↔ ns ↔ ns

Use Illegal Drugs ↔ ns ↔ ns ↔ ns

Problems with Illegal Drugs ↔ ns ↔ ns ↔ ns

Use Tobacco ↔ ns ↑ p < .05 ↔ ns

Commit Illegal acts to get Money ↔ ns ↔ ns ↔ ns

Maintain Supportive Friend/Family ↑ p < .05 ↔ ns ↑ p < .05

Take off Time to Rest/Relax ↔ ns ↔ ns ↑ p < .05

Eat Health Foods ↔ ns ↔ ns ↔ ns

Exercise ↔ ns ↔ ns ↑ p < .05

Attend GA/Community Support ↑ p < .01 ↔ ns ↑ p < .05

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Outcomes (3)

Key: ↑ Improvement; ↓ Regression; ↔ No Change

Six Months Twelve Months

Completers Non-Completers Completers

DSM Criteria

Thinking about gambling ↑ p < .01 ↔ ns ↑ p < .01

Gambling with more money ↑ p < .01 ↑ p < .01 ↑ p < .01

Unsuccessful attempts to stop ↑ p < .01 ↑ p < .05 ↑ p < .01

Restless when attempting to control ↑ p < .01 ↑ p < .05 ↑ p < .01

Gambled to escape ↑ p < .01 ↑ p < .01 ↑ p < .01

Chasing ↑ p < .01 ↑ p < .01 ↑ p < .01

Lying to hide gambling ↑ p < .01 ↑ p < .01 ↑ p < .01

Illegal ways to get money ↔ ns ↔ ns ↔ ns

Risk/lost significant relationship/opportunities ↑ p < .01 ↑ p < .05 ↑ p < .01

Borrowed from others ↑ p < .01 ↑ p < .05 ↑ p < .01

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Outcomes (4)

Table 6.25 OP Gambled Since Enrolling

(In Percent)

None

Much

Less Less Same More

Much

More

12-Month Completers 59.2 32.4 1.4 5.6 1.4 0.0

6-Month Completer 56.3 33.3 4.2 6.3 0.0 0.0

6-Month Non-Completers 37.4 28.6 14.3 14.3 5.5 0.0

Questions

�PGS Treatment Provider Discussion-Updates from the field

Questions

Future Agenda Items• Working with Cultural populations:

• African American- Michael Braxton• Latinos- Latino Advisory Committee members• Asian Americans- Asian Advisory Committee members

� MH clinicians not knowing how to refer and screen

� Treating gambling addiction and co-occurring disorders

� Ideas for increasing enrollments

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