Julie Hynes, MA, CPS 2014 National Conference on Problem Gambling

1. Julie Hynes, MA, CPS
Sr. Community Health Analyst - PreventionLane
Instructor - University of Oregon
July 11, 2014
Key Information for
Gambling Industry, Regulators & Policymakers

2. Slide deck:
www.preventionlane.org/ncpg

3. • Define what preventionists call “prevention”
• Understand the need for disordered/problem gambling
prevention
• Identify strategies and resources for
disordered/problem gambling prevention
SPECIAL THANKS
• Oregon Problem Gambling Services
• Jim Wuelfing
• Researchers!

4. prevention.

9. Problem Behaviors

10. Problem Behaviors

11. for prevention in problem
gambling

12. 5.6% college age (18-24)
2½ % all adults (18+)
4-6% teens (13-17)
This is the first generation of widely
available electronic gambling.
We really don’t know the effects yet.
Why?
Is it the
generation?
Technology? Or
what?

17. Amygdala
active
Risk-taking &
impulsive behaviors
Source: Ramoski, S., Nystrom, R. (2007). Image source: simpsons.wikia.org
Prefrontal
whaaa?

19. 2012 Oregon Student Wellness Survey, Lane County (“ESD”) and Oregon; available
at http://oregon.pridesurveys.com/esds.php?year=2012

20. • Youth gambling is harmless
• Youth who gamble are unlikely to have problems
in school
• Youth gambling is not associated with alcohol or
drug use
…AND THOSE BELIEFS ARE

21. Source: PARENTS’ PERCEPTIONS OF ADOLESCENT GAMBLING (2011).,

22. All parents in their focus groups said their
kids didn’t gamble
All of their kids, who were in their own focus
groups, said they did gamble
Neither sees gambling as risky

24. Youth gambling & other
risky behaviors.

25. 3.1%
14.6%
29.5%
14.9%
30.9%
46.9%
Grade 6 Grade 8 Grade 11
Did not gamble Gambled

26. 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

27. 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

28. 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

29. 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

30. 7.2%
5.0%
11.3%
9.0%
Grade 8 Grade 11
Did not gamble Gambled
Available at: www.preventionlane.org/sws.htm

31. 10.1%
8.0%
21.0%
18.6%
Grade 8 Grade 11
Did not bet/gamble more than wanted to
Bet/gambled more than wanted to

32. 41.80%
22.40%
Physical fight
Gambled Did not gamble

33. Teens who gamble are
smoking, toking,
drunken, depressed thugs.

34. Teens who gamble are
smoking, toking,
drunken, depressed thugs.

35. delinquency
sexual
behavior
depression
substance
use
gambling
Conclusion: Problem Gambling is
of
Problem Behaviors

36. Problem gambling??
– Apparently similar risk factors
– Very high co-occurrence between problem gambling & other
problem behaviors, especially alcohol/substance abuse
Substance abuse
Violence
Delinquency
Teenage pregnancy
School dropout
Depression & Anxiety

37. ALL

38. • Tobacco, alcohol, and other
drug use and abuse
• Delinquency and crime
• Premature or unsafe sex
• Depression and suicidality
• School failure, dropout
Based on the above & those
connections, we should also be
able to prevent
PROBLEM GAMBLING.

40. In fact, they can be
HARMFUL.

41. Follow-up link: best practices
http://preventionlane.org/best-practices.htm

42. Prevention in .

43. We Use the Center for Substance Abuse
Prevention’s (CSAP) Effective Prevention
Strategies
Research: it takes
ongoing efforts in all
six areas for
prevention to really
work

44. Long-lasting
Protective Interventions
Clinical
Interventions
Counseling
& Education
Socioeconomic Factors
Changing the Context
Make the Healthy Choice the Easy Choice
Examples of
Interventions
Screening for
problems
Parenting classes
Home visiting
Changing Social Norms
& Creating Nurturing
Environments
small group
a population
Success in education,
 Economic opportunity,
 Access to
affordable housing
Approach
Source: Frieden, (CDC) adapted by L. Adkisson & J. Webster (LCPH)

45. – Schools: Local school/college/university codes of
conduct
– Workplace: Policy manuals: gambling behavior
– Community: Local jurisdiction's ordinances
– Industry: marketing practices
Adapted from Oregon DHS, 2010

46. • Public awareness
• Policy
• School-based
curriculum
• Parent education

47. • Public awareness
• Policy
• School-based
curriculum
• Parent education

48. Prevention and awareness efforts have
been able to PREVENT an increase in
the prevalence of problem gambling
while facing a dramatic increase
in the amount of gambling.

49. Youthful subject
Little “street cred” as a real issue
Stigma/shame
People are buried with work
Mixed messages Gratuitous pic of my kid
KEY
IN prevention

50. Consider doing one of
your assignments on a
vulnerable population
group we didn’t get to
explore.
problemgamblingprevention.org
youthgambling.com:

51. Consider doing one of
your assignments on a
vulnerable population
group we didn’t get to
explore.
preventionlane.org
addictionisagamble.org
:

52. www.preventionlane.org
Julie.Hynes@co.lane.or.us | 541.682.3928
Lane County Public Health “PreventionLane”
hynes@uoregon.edu | 541.357.9334
University of Oregon
preventionlane

55. References
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental
disorders (4th ed., text revision). Washington, DC: Author.
Cross, Del Carmen Lorenzo, & Fuentes (1999). The extent and nature of gambling among college
student athletes. Ann Arbor, MI: University of Michigan Department of Athletics.
Department of Defense (2002). Survey of health related behaviors among military personnel
Washington, DC: Author. Report information available
http://www.tricare.mil/main/news/dodsurvey.htm
DiClemente, C. (2003). Addiction and change: How addictions develop and addicted people
recover. New York: Guilford Press.
ECONorthwest (2009). The contributions of Indian gaming to Oregon’s economy.
http://www.econw.com/reports/2009_ECONorthwest_Contributions-Indian-Gaming-Oregon-
Economy-2007.pdf
Engwall, Hunter & Steinberg (2004). Gambling and other risk behaviors on university
campuses. Journal of American College Health. 52 (6); 245-255.
Freimuth, M. (2008). Addicted? Recognizing Destructive Behavior Before It's Too Late
. Maryland: Rowman & Littlefield Publishers.
Kerber (2005). Problem and pathological gambling among college athletes. Annual of Clinical
Psychiatry. 17 (4); 243-7.
LaBrie, R., Shaffer, H., LaPlante, D., and Wechslet, H. (2003). Correlates of college student
gambling in United States. Journal of American College Health. 52 (2); 53-62.
Moore , T.L. (2002.) The etiology of pathological gambling. Salem, OR: Department of Human

56. ReferencesMoore, TL. (2006). Oregon gambling prevalence replication study. Salem, OR:
Department of Human Services. http://www.oregoncpg.com
Moore (2001). Older adult gambling in Oregon. Salem, OR: Department of Human
Services. http://www.oregoncpg.com
Northwest Survey & Data Services (2007). Lane County Health & Human Services
college gambling survey. http://www.preventionlane.org/gambling/college.htm
Oregon Health Authority, Problem Gambling Services (2011). Oregon problem
gambling awareness community resource guide. Salem, OR: Author.
Oregon Lottery (2009). Oregon State Lottery Behavior and Attitude Tracking Study.
November 2008. InfoTek Research Group, Inc.
Oregon Lottery (2008). Overview through fiscal year 2009. Salem, OR: Author.
Ramoski, S., Nystrom, R. (2007). The changing adolescent brain. Northwest Public
Health. http://www.nwpublichealth.org/archives/s2007/adolescent-brain
Rockey, D.L., Beason, K.R., & Gilbert, J.D. (2002). Gambling by college athletes: An
association between problem gambling and athletes.
http://www.camh.net/egambling/archive/pdf/EJGI-issue7/EJGI-issue7-research-
rockey.pdf
Shaffer, H.J., Donato, Labrie, Kidman, & LaPlante. (2005). The epidemiology of
college alcohol and gambling policies. Harm Reduction Journal. 2 (1).
Shaffer, H.J. & Hall, M.N. (2001). Updating and refining meta-analytic prevalence
estimates of disordered gambling behavior in the United States and Canada.
Canadian Journal of Public Health, 92(3), 168-172.
Volberg, R.A., Hedberg, E.C., & Moore, T.L. (2008). Adolescent Gambling in Oregon.
Northhampton, MA: Gemini Research. http://gamblingaddiction.org