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Compulsive Gambling: The Invisible Addiction June 24, 2010. Donald Weinbaum, MBA, LCADC, CCJP Executive Director The Council on Compulsive Gambling of NJ, Inc. 3635 Quakerbridge Rd, Suite 7 Hamilton, NJ 08619 609-588-5515 ext 17 1-800-GAMBLER ® [email protected] About CCGNJ.

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compulsive gambling the invisible addiction june 24 2010

Compulsive Gambling:The Invisible AddictionJune 24, 2010

Donald Weinbaum, MBA, LCADC, CCJP

Executive Director

The Council on Compulsive Gambling of NJ, Inc.

3635 Quakerbridge Rd, Suite 7

Hamilton, NJ 08619

609-588-5515 ext 17

1-800-GAMBLER ®

[email protected]

about ccgnj
About CCGNJ
  • The Statewide ADVOCATE for problem gamblers and their families.
  • Founded in 1982- Second State Council in US
  • NEUTRAL on legalized gambling.
  • Affiliated with NCPG, which has chapters in 35 of 50 states.
  • Work with government, gaming industry & community.
slide3

Legal Gaming in the U.S.

(Data from NCPG)

who gambles
Who Gambles?

Adults:

  • Ever Gambled? 85%
  • Past Year? 65%
  • At Least Weekly? 15%
  • Path. Past Year? 1%
  • Prob. Past Year? 2%

Youth:

  • Ever Gambled? 85%
  • Past Year? 70%
  • At Least 2x Wk.? 11%
  • Prob. Past Year? 2%
  • At-Risk Past Year? 6%

(Data from NCPG)

legal gambling in nj
LEGAL GAMBLING IN NJ
  • Pari-mutuel gambling at race tracks
  • New Jersey legalized Bingo (charitable wagering)
  • First Lottery (.50 ticket twice weekly) was approved by New Jersey voters in 1970
  • Casino gambling was approved by New Jersey residents in 1976 and the first casino opened in 1978
other forms of legalized gambling
OTHER FORMS OF LEGALIZED GAMBLING
  • Spinning wheel type amusement game
  • Arcade type games
  • Chances for Fundraisers
  • Stock market gambling
  • Fantasy football?
  • Office pools?
illegal gambling
Illegal Gambling
  • Sports Betting
  • Internet Gambling
    • First Internet Gambling site – 1995
    • Over 2,000 Gambling sites – 2005
    • 1,100 Casino Gambling sites
    • 700 Sports Gambling sites
    • 200 + Poker Gambling sites
    • Estimated revenue – 2006 - $12 billion
  • Others
types of gamblers
Types of Gamblers
  • Social (80%)
  • Problem (15%)
  • Compulsive (Pathological) (5%)
types of gamblers10
TYPES OF GAMBLERS
  • Social gamblers-80%
    • Enjoyable experience
    • Entertainment
    • Gamble with others
    • Limit amount of money spent
    • Stop after reaching limits
    • Gamble for short periods of time
    • No interference with other parts of life
types of gamblers11
TYPES OF GAMBLERS
  • Problem gamblers- 15%
    • Gambles longer than planned
    • Loses more than intended
    • Starts to borrow money for gambling
    • Prolonged losing episodes
    • Starts to lie about amount gambled
    • Returns to gamble to win back losses
    • Relationship problems begin
types of gamblers12
TYPES OF GAMBLERS
  • Compulsive (pathological) gamblers- 5%
    • Cannot pay household expenses and debts
    • Marked increase in gambling episodes
    • Gambling for larger amounts
    • Receives bailouts for gambling debt
    • Gambling alone
    • Alienation from significant others in life
    • Illegal acts to finance gambling
    • Unsuccessful attempts to stop
    • Helpless and suicidal
what is pathological gambling
What is Pathological Gambling?
  • Enters DSM III in 1980
  • DSM IV (1994):

(312.31) Impulse Control Disorders, NEC

  • DSM5 (2013?) – Addictive disorder
dsm iv tr 312 31 pathological gambling impulse control disorders nec
DSM IV-TR(312.31) Pathological Gambling(Impulse-Control Disorders, NEC)

A. Must meet 5 out of 10 criteria:

  • Preoccupation
  • Tolerance (increasing amounts of $)
  • Inability to control, cut back or stop
  • Restless, irritable when not gambling
  • Escape or relief of dysphoric mood
dsm iv tr 312 31 pathological gambling impulse control disorders nec15
DSM IV-TR(312.31) Pathological Gambling (Impulse-Control Disorders, NEC)

A. Must meet 5 out of 10 criteria (cont.):

  • “Chasing” –trying to win back losses
  • Lying to family members and others
  • Illegal acts to finance gambling
  • Jeopardized relationship, job, education, career
  • “Bail Outs” – relies on others to cover debts

B. Not better accounted for by a Manic Episode

adult problem gambling rates us per ncpg
Adult Problem Gambling Rates(US) (per NCPG)
  • (Past year) – Approx. 1% (2.3 million) meet Pathological Gambling criteria.
  • (Past year) – Approx. 2% (5 million) adults meet criteria for Problem Gambling.

(Data from NCPG)

bio psycho social risk factors
Bio-Psycho-Social Risk Factors
  • Male
  • Athlete
  • 18-24 Yrs
  • Substance use
  • Substance abuse
  • Other MH problem
  • Family history of addiction

(Data courtesy of NCPG)

  • Low SES
  • Military Service
  • Racial/Ethnic minority
  • Gamble illegally
  • Early onset
  • Early big win
  • Easy access to gambling
phases of compulsive gambling
PHASES OF COMPULSIVE GAMBLING
  • Winning phase (1-2 years)
    • Early big win
    • Excitement prior and during gambling
    • Unreasonable optimism
    • Feel special
    • Euphoria and fantasy
    • Gifts for wife and children
    • Part -time activity
phases of compulsive gambling20
PHASES OF COMPULSIVE GAMBLING
  • Losing Phase
    • Prolonged losing and chasing losses
    • Lies about gambling
    • Personality changes
    • Starts to borrow
    • Home life begins to be unhappy
    • Conversion of assets to cash
    • Fearful
    • Bets impulsively
phases of compulsive gamblin g
PHASES OF COMPULSIVE GAMBLING
  • Desperation Phase
    • Constant bailouts and increased debts
    • More time spent gambling
    • Remorse and isolation
    • Illegal activity
    • Thinking impaired
    • Physical symptoms of gambling
    • Helpless, hopeless, mental breakdown, divorce, substance abuse, suicide
subtypes
Subtypes

Action

  • More likely to be male
    • Prefer “skill” games (poker, sports betting, horses, casino table games)
  • Aroused euphoric state
  • Seeking the rush
  • Narcissistic, fantasy

Escape

  • More likely to be female
  • Prefer “luck” forms of gambling - lottery, slots, bingo
  • Gamble for relief, escape from stress or negative affect
prevalence nj
PREVALENCE - NJ

Compulsive and Problem Gamblers:

350,000

Substance Abusers:

806,000

pg in sa populations
PG in SA Populations

Rates are 2-10 times higher among substance abusers than in general population

  • Substance abuse (overall) (5 studies): 12.2 % and 8%
  • Alcohol (5 studies): 14.5% and 5.0%
  • Cocaine: 8 to 15%
  • Methadone (3 studies): 30%
  • Cannabis found most related to gambling problems
co occurring disorders among pgs
Co-Occurring Disorders Among PGs
  • 35-60% of PGs meet lifetime criteria for SA.
    • Alcohol: PGs average 4x higher lifetime abuse rate than non-gamblers.
    • Drugs: PGs average 30% lifetime abuse/dependence (6% gen. pop.)
    • Tobacco: PGs average 55% lifetime dependence.
  • SA associated with greater severity of PG.
gambling among substance abuse treatment population
GAMBLING AMONG SUBSTANCE ABUSE TREATMENT POPULATION
  • 30% of drug and alcohol clients in treatment likely have gambling problem
  • 50% of compulsive gamblers in treatment have substance abuse or dependence
adolescent prevalence
ADOLESCENT PREVALENCE
  • 2-4 times higher rate than among adults
  • Past year gambling problem: 1-6%
gambling drugs alcohol
GAMBLING, DRUGS & ALCOHOL

Four (4) Similarities for all addictions

  • Preoccupation
  • Withdrawal
  • Progression
  • Tolerance
gambling drugs alcohol30
GAMBLING, DRUGS & ALCOHOL

Differences

  • Gambling connected to fantasy
  • Gamblers favor suicide, alcoholics hopeless and helpless
  • Gamblers fully functional until hitting bottom
  • Gambler sees money as drug and power.
  • Disease model harder for others to accept.
gambling drugs alcohol31
GAMBLING, DRUGS & ALCOHOL

Differences (cont.)

  • Cannot measure through blood, urine, hair
  • Gambling sponsored by religion and state
  • Bailout or big win can stop self destructive cycle
  • Gambling win seen as solution for problems
  • Gamblers do it alone, addicts often in groups
gambling drugs alcohol32
GAMBLING, DRUGS & ALCOHOL

Differences (cont.)

  • No saturation point for gamblers
  • Gamblers excel at math and/or superstitious
  • Gambler’s recovery requires financial restitution
screening tools
Screening Tools
  • NODS (NORC Diagnostic Screen)
  • CPGI (Canadian Problem Gambling Index)
  • SOGS (South Oaks Gambling Screen)
  • GA 20 (Gamblers Anonymous 20 Questions)
  • Lie/Bet Screen
nj sams
NJ-SAMS

All clients answer a 3-Question Screen. If “yes” is answered for any question counselor will be directed automatically to Council’s web site, where they can answer “20 Questions”.

If a problem or compulsive gambler, the client/counselor will be referred to a page that lists professional help (free or low cost) and 12-step meetings.

lie bet screen
Lie/Bet Screen
  • Have you ever felt the need to bet more and more money?
  • Have you ever had to lie to people important to you about how much you gambled?
  • Yes to one or both classifies respondent as a pathological gambler (95% accuracy)
    • Johnson, et al, (1997) Psychological Reports
treatment options
TREATMENT OPTIONS
  • Treatment Planning/Aftercare – Integrate Svcs
  • 12 Treatment Providers in CCGNJ Network
    • Free or Low Cost Services for Gamblers and Significant Others
    • Funding Cutbacks limit network expansion at this time
  • 12-Step Self Help Groups:
    • Gamblers Anonymous
    • Gam-Anon
slide37

MORE

TOOLS

tip 42
TIP 42

“At a minimum, the rate of problem gambling among people with substance use disorders is 4 to 5 times that found in the general population.”

  • PGKIT (BKD 535) Includes:
    • excerpts from TIP 42
    • Problem Gamblers and Their Finances: A Guide for Treatment Professionals
    • Personal Financial Strategies for Loved Ones of Problem Gamblers
slide39
National Problem Gambling Awareness Week ( March 6-12, 2011)
  • In NJ, Month of March

www.800gambler.org/GAW

50+ free materials

    • Screening tools
    • Posters
    • Flyers
    • Brochures
    • Press releases
    • Stories
ccgnj programs and services
CCGNJ Programs and Services
  • Public Awareness
  • Prevention and Education (Schools & Colleges)
  • Intervention
    • 1-800-GAMBLER® Helpline
    • Outreach to Seniors, Treatment , IDRCs and Community Agencies
    • Criminal Justice Initiatives
  • Training & Workforce Development
    • Free 30 hr CCGC Workshops
    • Consultation on cases
    • 28th Statewide Conference (10/7/10)
    • In-Service Trainings
  • Advocacy & Collaboration
for more information
FOR MORE INFORMATION:

Contact us at:

The Council on Compulsive Gambling of NJ, Inc.

3635 Quakerbridge Rd

Suite 7

Hamilton, NJ 08619

609-588-5515

[email protected]

http://www.800gambler.org

For Immediate Assistance 24 hours a day:

1-800-GAMBLER®

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