Problem Gambling Services All-Provider Meeting May 9, 2013

Agenda

Introductions and AnnouncementsNatasha Pineda – PG Prevention SpecialistLegislative UpdateReport from the Latino Advisory CommitteeData Update from Herbert and LouisReport from the Asian-American Advisory CommitteePolicy discussion re: private providers being added as problem gambling treatment providers

Introductions and Announcements

New PG Prevention Specialist

National Conference

Budget/Contract update

Latino Advisory Committee

Cultural Change: Transforming Latino Families, Influencing Gambling Behavior

Pathological Gambling DSM IV Criteria:-Preoccupation - Lying-Tolerance - Loss of Control-Chasing - Illegal Acts-Withdrawal - Bailouts-Escape - Risking Important Relationships

Strong Latino Family Unit Cohesive Latino Family

Less Psychological Problems Less Risk for (Rivera, et al. 2008) Substance Abuse (Ojeda, Patterson & Strathdee,2008)

Acculturation Stress

Fragments Latino Family More Risk for Substance Abuse (Alegria, et al. 2007)Higher Psychological Distress(Rivera, et al. 2008 and Alegria, et al., 2007)

Family issues:

-Rage - Distrust-Betrayal - Loss of respect-Financial crisis - Isolation-Domestic violence - Resentment-Child neglect - Grief and loss- More prevalence for gambling in youth

Health Issues in Gamblers:

-High blood pressure -Suicidality-Headaches - Ulcers-Diabetes - Heart problems-Problems sleeping - Lack of exercise-Anxiety-Depression

Risk Factors among Youth Gamblers: - Use alcohol or other substances- Smoke tobacco- Participate in risky behaviors- Greater screen time use- Involvement in illegal activities- Poorer self-reported mental health- More frequent in boys than girls (11th and 8th grades) (Chaumeton, Ramowski, & Bystrom, 2011)

Low-acculturated Latinos experience sub-clinical gambling problems at a higher rate than others, but Latinos show similar prevalence for pathological gambling relative to other gamblers (Campos, 2012).

40% of Hispanic students in 6th grade, 43% of Hispanic students in 8th grade and 40% of Hispanic students in 11th grade reported to have gambled in past 30 days (OR Student Wellness Survey, 2010).

Latino Advisory Committee on Problem Gambling, Oregon Problem Gambling Services Unit, Oregon Health Authority

Michael Campos, Ph.D.

UCLA Gambling Studies Program

Phone: 310.825.6427

E-mail: mdcampos@mednet.ucla.edu

Acknowledgements

Richard J. Rosenthal, M.D.

Office of Problem Gambling (OPG)

UCLA Gambling Studies Program (UGSP)

Rachel Volberg, Ph.D.

Prevalence of Gambling Problems

Studies show elevated prevalence rates for problem or pathological gambling among Hispanics relative to Non-Hispanic Caucasians (Stinchfield, 1997; Welte et al., 2001; Westermeyer et al., 2005)

Help Seeking for Gambling Problems

Source: Caudrado, 1999

CA Prevalence Survey Data

Prevalence of Gambling Problems

3.0%**

1.8%1.5% 1.5%

0.0%

0.5%

1.0%

1.5%

2.0%

2.5%

3.0%

Problem Gambling Pathological Gambling

Hispanic All Others

** p < 0.01

Prevalence of Gambling Problems by Gender

Note: Percentages with different superscripts are significantly different at p < 0.05 or less.

Preferred Games for Past Year Gamblers

* p < 0.05; ** p < 0.01

**

** ***

Preferred Games for Past Year Male Gamblers

**

*

**

* p < 0.05; ** p < 0.01

Preferred Games for Past Year Female Gamblers

**

**

* p < 0.05; ** p < 0.01

Key Points

Problem, but not pathological gambling, is higher among Hispanics relative to Non-Hispanics, particularly among males.

Past year gambling is lower among Hispanic females relative to Non-Hispanic females.

Counter to expectations, we did not see a preference for action oriented games among Hispanic males.

Prevalence of Gambling Problems by US Acculturation

Note: Percentages with different superscripts are significantly different at p < 0.05 or less.

Prevalence of Gambling Problems Among Males

Prevalence of Gambling Problems Among Females

Preferred Games for Past Year Gamblers

Preferred Games for Past Year Male Gamblers

Preferred Games for Past Year Female Gamblers

Key PointsWhen acculturation was taken into account it was the high-acculturated Hispanics were more likely to play action oriented games.

Low-acculturated were more likely to play lottery or slot machines.

Counter to expectations, the data did not support the preference for action oriented games among low-acculturated, male Hispanic gamblers.

ConclusionsStudies show elevated prevalence rates for pathological gambling; our data show more problem gambling, particularly among males, but similar prevalence for pathological gambling.

Hispanics may be less likely to seek help for gambling problems.

Preferred types of games among Hispanics similar to those for all other groups surveyed.

Our data did not support the idea that Hispanics play more ‘culture bound’ games.

Herbert and Louis

Tom Moore

HERBERT & LOUIS LLC

Brief UpdateAnd

Reminders

May 9, 2013

LLC

GAMBLER ENROLLMENTSPAST 13 MONTHS

FY11-12/FY12-13

LLC

ENROLLMENTS SINCE INCEPTIONFY 12-13 Estimated

LLC

GAMBLER: “TRAUMA”Gamblers Self-Report at Enrollment

LLC

CLIENT SELF-REPORT OUTCOMES

LLC

CLIENT SATISFACTION

LLC

REMINDERS

1. Semi-Annual Client Satisfaction Surveys

2. All clients to complete enrollment survey

3. FLEX Funds Submission

4. Reconcile Encounter Data

tlmoore@herblou.com(503) 685-6100 ext 101

LLC

Asian American Advisory Committee

Billboard project

Policy Discussion

Private providers vs. Agencies and Counties

Thanks!

Return from lunch at 1:30

Next PGS meeting via Webinar August 8th, 9:00 – 10:30