WELCOME Problem Gambling All Providers Meeting

1. WELCOMEProblem Gambling All Providers Meeting Hosted by Problem Gambling Service Staff May 14, 2015 GotoMeeting Webinar We will begin in a few moments……. ADDICTIONS AND MENTAL HEALTH Problem Gambling Services

2. Webinar Etiquette and Structure • Please mute your phone when not speaking to reduce background noise. • *6 to mute • *6 to unmute • Additionally, we will be administratively muting this call and recording it. • To minimize the GoToMeeting box from your screen, click on the orange arrow button. Click again to bring it back. • Please hold your questions for all presenters until the end of their presentations of the webinar and we will administratively unmute participants. • You can use the chat box to ask questions at anytime during the webinar, and we will read and answer at the end of each presentation.

3. Agenda Items • State Updates (15 minutes) • Update from Oregon Lottery Projects- Thais Rodick and Shad Barnes (20 minutes) • Legislative Session Updates- Tom Moore, Executive Director of Oregon Council on Problem Gambling (10 minutes) • System Changes for Next Fiscal Year (25 minutes) • Oregonpgs.org Demonstration- Julie Hynes (15 minutes) • Questions and Answers (10 minutes)

4. Post Webinar • PowerPoint, accompany documents and CEU certificates will be emailed to you next week.

5. State PGS General Updates • OHA Reorganization- OHA is currently going through a reorganization and AMH will structurally appear differently. Structure should be complete by July 1. Not much information at this time, however we will keep you posted on implications to the system. • PGS 5 year Work Plan- Staff and consultant have reviewed the feedback from interviews and community forums. Consultant is currently drafting the plan and should be available for feedback by stakeholders (you) in July.

6. State PGS General Updates Upcoming Training Opportunities: • New training calendar for 2015-16 will be available in June on the Oregonpgs.org web page. • 2015 National Conference on Problem Gambling • July 8-9: Preconference Workshops • July 10-11: Main Conference • Baltimore, Maryland • Registration and information at: http://www.ncpgambling.org/training-certification/national-conference/ • Basic Problem Gambling Treatment Training • August 3-4, 2015 • Grants Pass, OR • Registration coming in early June.

7. State Prevention Updates • The Spring Prevention Summit will be held in Canyonville, Seven Feathers Convention Center on May 19th - 21st. May 19th is for pre-summit activities, there is a Problem Gambling Prevention break out on May 19th from 1:00 – 4:00. • The Oregon Prevention Data System (OPDS) will be rolling out over the next couple of months with a tentative “go live date” of August for entering plans and beginning to track data. All Problem Gambling Prevention Coordinators will need to enter their plan for Problem Gambling Prevention into OPDS. • Annual reports are due to AMH on August 15th. An email will be sent out in May to discuss end of the year reporting and transition to the new Oregon Prevention Data System.

8. State Treatment Updates • Treatment Specialist Position Update: OHA is currently on a hiring “pause” until after the reorganization. Anticipate hiring will not occur until January 2016. • No Dice Workbooks- hardcopies available upon request through state office. Request through Greta at greta.l.coe@state.or.us. Electronic version with updates will be available in September 2015. • Problem Gambling Treatment Compliance Checks • Will now be completed by one AMH compliance specialist conducting an integrated agency review with either addictions and/or mental health. • Since MH, A/D and PG use the same administrative rule (OAR 309-019-0100), AMH is moving to a model to have more integrated reviews with same compliance specialist.

9. State Treatment Updates • Internet Gaming Policy and Data Collection • ORS 413.522 states that all moneys in the Problem Gambling Treatment Fund are to be expended for programs for the prevention and treatment of gambling addiction and other emotional and behavioral problems related to gambling and for the administration of the programs. • Clients can be seen for internet gaming addition if internet use problems are related to gambling. • Use code “23- Gaming Disorder other than gambling” on Block 7: DSM Diagnostic Impressions on the Gambling Client Enrollment Record Abstracting form.  Code can be used as the primary or secondary diagnostic impression as long as codes 20 (pathological gambling), 21 (problem gambling), or 22 (for family) were also used. • No variances for internet gaming addiction will be approved. • In the meantime, AMH leadership has asked that we collect data to determine need and options of changing language within ORS 413.522 or develop policy option package for funding during future legislative sessions.

10. State Treatment Updates • Oregon Administrative Rule Outpatient Rule 309-019-0100 • Rule on the Secretary of State web page is not accurate- under 309-019-0125- Specific Staff Qualifications and Competencies • Qualifications and Competencies Section • Currently Is- 5) Clinical Supervisors in problem gambling treatment programs must be a Certified Gambling Addiction Counselor level 2 for a minimum of two years, an have completed a minimum of 10 hours of clinical supervision training. • Should be: Clinical Supervisors in problem gambling treatment programs must meet the requirements for clinical supervisors in either mental health or substance use disorders treatment programs, and have completed 10 hours of gambling specific training within two years of designation as a problem gambling services supervisor.

11. State Treatment Updates • Oregon Administrative Rule Outpatient Rule 309-019-0100 • Refined the rule with some additional definitions and additions of problem gambling related to peer specialist and peer delivered services • Qualification and Competencies Section: • Current: (9) Peer support specialists must demonstrate knowledge of approaches to support others in recovery and resiliency, and demonstrate efforts at self-directed recovery. • Addition: (10) Recovering Staff: Program staff, contractors, volunteers and interns recovering from a substance use or gambling disorder must provide written verification or attestation of their sustained recovery and long-term management of addictive behaviors under independent living conditions or recovery housing for the immediate past two years. • Addition: (11) Individuals providing peer support services must disclose to their clinical supervisor the use of alcohol, tobacco, other drugs, and gambling activities. Supervisors shall determine if staff behavior compromises their ability to perform their duties and responsibilities and at their discretion may suspend or revoke duties.

12. State Treatment Updates • Oregon Administrative Rule Outpatient Rule 309-019-0100 • Personnel Documentation, Training and Supervision Section • Addition: (e) Clinical supervisors must document specific corrective activities that are taken in cases when problematic behaviors by program staff, contractors, volunteers and interns have the potential to jeopardize client health, safety or welfare. Clinical supervisors must document decisions and follow-up activities in cases of suspected impairment by program staff, contractors, volunteers and interns, including (but not limited to) returned addictive behavior by those who are in recovery from addictive disorders.

13. State Treatment Updates • Oregon Administrative Rule Outpatient Rule 309-019-0100 • Outpatient Problem Gambling Treatment Services • Addition: (8) A risk assessment for suicidal ideation must be included in the entry process and documented in the assessment, as well as appropriate referrals made; and • Addition: (9) The service plan must address suicidal risks if determined within the assessment process.

14. Oregon Lottery Project Updates Presented by: Thais Rodick and Shad Barnes, Oregon Lottery

15. PROBLEM GAMBLING CLICKS TO WEBSITE

16. Collateral materials • We’re re-printing the posters • Brochures are still available • We would be willing to send these materials to you directly, just let us know the need. • We will be producing these materials in Spanish as well. • How are they being received in the field?

17. Recent results April 2015 34,654 hits to the web page 16 chats, 6 SMS 417 calls 96 referrals to treatment March 2015 32,624 hits to the web page 12 chats, 3 SMS 343 calls 83 referrals to treatment

18. New resource available for problem gamblers What is GamTalk? GamTalk is a service for anyone who gambles (or used to gamble) and their family and friends. The key purpose of GamTalk is to provide community based support and information for dealing with a gambling issue. Typically, visitors to GamTalk read the stories posted in the forums by other members and, when they are ready, begin to discuss their own situation. Visitors can join GamTalk to start posting messages, or can chat straight away as a guest in our chat room. One of the benefits that visitors frequently report is that it helps them to feel less alone. This is particularly helpful for someone who may be experiencing gambling problems and who hasn’t yet talked to anyone about it. It takes a lot of courage to start talking to family, friends, or even professionals about gambling problems. Talking on GamTalk is easy because it is completely anonymous, simple to access, free, and there are other people there who have gone through the same experiences. This means that people are more likely to talk on GamTalk sooner, and this can help prevent a smaller issue becoming a major problem. Also, it is a good way to ask questions and find out what other support/treatment options are available both locally and nationally.

19. Oregon Legislative Session and Gambling Behavioral Studies Updates Presented by Tom Moore, Executive Director Oregon Council on Problem Gambling

20. Legislation Tracked • HB 2201 (Greenlick) • Establishes Gaming Council to study gaming policies and activities • Human Services & Housing ref to Joint Committee On Ways and Means • Not scheduled • HB 2548 (Greenlick) • Permits social games and poker tournaments • House Committee On Business and Labor • Public hearing; Nothing further scheduled • HB 2726 (Clem) • Permits credit union to conduct savings promotion raffle • House Committee on Business and Labor • Not scheduled • HB 2893 (Davis, Read, Keny-Guyer) • Permits financial institutions to conduct savings promotion raffles • Business & Labor; Passed House ref Senate Business & Transportation • Awaiting 3rd reading (5/12/15)

21. HB 3316 (Taylor) • Retailor is a casino if 50% or > of net income from lottery sales • Human Services & Housing • Public hearing; nothing scheduled • HB 3317 a (Taylor) • OSL & OLCC to report biennially distribution & concentration • Human Services & Housing; passed House to Senate Business & Transportation • Nothing scheduled • HB 3318 (Taylor) • Established OSL Responsible Gambling Code of Practice • Human Services & Housing; ref Senate Business & Transportation • Nothing scheduled • SB 5526 (Oregon Department of Administrative Services) • Funds OHA including Problem Gambling Services • Ways & Means Subcommittee on Human Services • ± 16 Public Hearings Held; nothing currently scheduled

22. Gambling Behaviors Studies • Adult study replicating 2006 study • Targeting completion of report December 2015 • Funded by OHA, OSL, SMCF,ORLA, PGS, Inc., H&L • Adolescent study replicating 2008 study • Targeting completion of report March 2016 • Funded by OHA/PGS • Changing technology • Land lines, cell phones, internet • Research Team: • Thomas Moore, PhD; OCPG • Rachael Volberg, PhD; Gemini-Research • Debi Elliott, PhD; Portland State University

23. PGS System Changes for Next Fiscal Year • Service Element Language • Moving back to service elements and PGS funds are being removed from what AMH called Flex Funds, (MH 37) • Removal of settlement for counties and direct contracts for SE 81 (treatment) • Accountability will be based on performance based contracting for treatment • Prevention service element know stipulates that general public awareness activities need to include all populations across the lifespan. • Billing Rates and Reimbursement Updates • Reviewing and updating reimbursement levels to be similar to current MH Medicaid rates. • Addition of additional peer delivered services codes • Bring back an assessment code

24. PGS System Changes for Next Fiscal Year 2015-16 Treatment Performance Based Contracting and Payments • Moving to a Performance Based Contracting Model starting July 1, 2015 • Contractors (Direct and Counties) will be eligible for a 5% performance payment each year if metrics are met. • There will be five metrics and each represents 1 percent. • Data will be reviewed in mid-March 2016 for the reporting period of July 1, 2015 through December 31, 2015. • Performance payments must be used for problem gambling.

25. PGS System Changes for Next Fiscal Year • Performance Based Contracting Metrics • 95% completion of enrollment surveys • 90% of clients seen within 5 business days (access/wait time) • 90% of reporting submitted within contractual requirement timeframe (3 data points- enrollment, discharge and encounter data) • 50% penetration rate reach for counties • 50% or greater of yearly allocation spent on gambling treatment services

26. Oregonpgs.org Demonstration Presented by Julie Hynes, Lane County Health and Human Services, Problem Gambling Prevention Program

27. Oregonpgs.org Demonstration Content: • New content for treatment providers • New order form-- order materials directly from the website • Embedded presentations in the site; access what you need faster • More in-page content (rather than just links to documents) • Older content is now archived toward the bottom of each page, so you can continue to access older material

28. Oregonpgs.org Demonstration Design: • Responsive design (new best practice standard; best for mobile devices) • “Breadcrumbs” – know where you are on the site, for easier navigation around the site • Page tags – so you can find similar content throughout the site • Site speed is faster

29. Oregonpgs.org Demonstration Other: • The current website is basically a launching point for more content. We need YOUR content! • Please provide us your feedback on design and any technical problems to: Julie.Hynes@co.lane.or.us. • Provide content for the web page to: • Treatment related resources: Greta.l.coe@state.or.us • Prevention related resources: Roxann.r.jones@state.or.us

30. Questions

31. Contacts • Greta Coe, Problem Gambling Services Manager • Greta.l.coe@state.or.us; 503-945-6187 • Roxann Jones, Problem Gambling Prevention Specialist Roxann.r.jones@state.or.us; 503-947-5548 • Patricia Alderson, Problem Gambling Administrative Support • Patricia.alderson@state.or.us; 503-945-9710

32. Final Notes: • PowerPoint, accompany documents and CEU certificates will be emailed to you next week. Thanks for your participation in this webinar, and for the work that you do every day!