Presentation on theme: "EAPA GAMBLING ADDICTION IN THE WORKPLACE. About Last Door Last Door Recovery Society is a non-profit organization that operates two core addiction treatment."— Presentation transcript:
About Last Door Last Door Recovery Society is a non-profit organization that operates two core addiction treatment programs: Last Door Adult Program Last Door Youth Program Treatment for drugs, alcohol, gambling, media and nicotine addictions is specific to males. Our Family and Transitional Living Programs are for both genders. www.lastdoor.org
Addiction Treatment How does a Social Model Program increase awareness of what clients’ addictions are? Multiple screeners – ask the questions as a matter of course. www.lastdoor.org
Who are our Clients? Last Door works well with people: with families who go back to work who want to become members of their community www.lastdoor.org
Addictions Treatment Bio psycho social aspects of addiction Screening tools and assessments that help guide the treatment plan How a Social Model Program elicits change in the awareness of what clients may really be “addicted” to...substance vs process addictions.
Gambling WHAT IS IT? Disordered Gambling, Pathological Gambling, Problem Gambling, Responsible Gambling etc...... Diagnosis is KEY – but difficult. South Oaks Gambling Screen generally agreed as the best screener. How bad is it (social cues)? What are warning signs? Who are gamblers – WE ALL ARE to some degree. Male 25 under largest growing group of problem gambling group wordwide. Risk Takers, Impulsive, social problems..... What treatment strategies work?....Counselling, Self banning from Gaming venues, Interventions, Residential Treatment, 12 Step.... How does gambling pathology relate to pathology of other addictions? Is the Therapeutic/Social Model effective treatment for gambling addiction.... benefits and long term success when treating the person rather than just gambling
NCRG-National Center for Responsible Gaming NCRG National Center for Responsible Gaming 1299 Pennsylvania Avenue, NW, Suite 1175 Washington, DC 20004 Tel: 202-552-2689, Fax: 202-552-2676 E-mail: firstname.lastname@example.org email@example.com www.ncrg.org Good Source of Information
NCRG Resources Research, Education, Public Outreach, Resources, Annual Conference in Las Vegas NCRG Treatment Provider Workshop Series. This year, the NCRG will host five regional workshops this year. According to a 2008 analysis of the National Comorbidity Survey Replication (NCS-R), respondents with a psychiatric disorder are 17.4 times more likely to develop pathological gambling than those without such problems (Kessler et al., 2008) How do clinicians determine an appropriate treatment plan for clients with gambling problems? The current dearth of research on treatment outcomes and the lack of a treatment standard make this a challenge for treatment providers.
Co-Morbidity Examples of Co-Morbid disorders - A 2005 USA study (N. M. Petry, Stinson, & Grant, 2005). of more than 43,000 individuals found that there are often comorbid disorders associated with Pathological gambling eg – alcohol use disorders (73 percent), – drug use disorders (38 percent), – mood disorders (49 percent), – anxiety disorders (41 percent) and – personality disorders (60 percent) While it is reasonable to hypothesize that genetic and environmental factors are both responsible for these co-occurrences, more research is necessary to learn how the two variables work together. One study that addresses these questions was recently published in the Journal of Affective Disorders (Giddens, Xian, Scherrer, Eisen, & Potenza, 2011).
Gambling Addiction Philosophy "The belief that Awareness & Education are helpful tools to elicit change in gambling addiction" Gambling group is a focused therapy group designed to educate clients on the aspects of problem gambling and media addictions and discuss day to day challenges with learning to be free of these self defeating behaviours. Goals: · Assessment of each individual that fits criteria to address a media and / or gambling addiction · Education of potential hazards. · Provide awareness and healthy alternatives and prevention tools. Objectives: · To cover the fundamentals of recovery that can help clients overcome the urges to participate in self defeating behaviours · Identify Stress & Triggers · Define individual treatment plan related to gambling and or media use. · Reduce or eliminate Gambling use · Guide healthy choice alternatives post treatment, and effect positive peer influence.
Gambling Educational group Once an individual has been exposed to gambling, they may be unable to predict or control the extent to which they will continue its use. Gambling addicts must have more and more social media to sustain their "high" and avoid the intense "crash" and anxiety that occurs when they're "out of touch" for any length of time. Gambling addicts become physically and psychologically dependent on the ritual and practise of gambling - the impact of this in various life areas is substantial.
Statistics 26 attendees have completed the curriculum of the Last Door Gambling Education Group. 16 of the attendees of the group have identified Gambling as their primary concern, rather than other types of media. Of the 16 members who indicated gambling as their primary concern, all 16 identified that their gambling usage affected three or more primary life areas such as family relationships, financial stability, and emotional wellbeing. Of the members who identified gambling as their primary concern, and who have completed the curriculum, all indicated that three or more life areas have majorly improved.
Last Door - Pioneer in NO SMOKING “Smoking Triggers” are linked to relapse to drugs, alcohol, sex and gambling. People who quit smoking at the time of intake have improved health and social outcomes. www.lastdoor.org
Smoking Cessation with Addictions Treatment Can people quit smoking, abusing alcohol and drugs all at the same time? How does working with “smoking triggers” are linked to relapse to drugs, alcohol, sex and gambling? Why do people who quit smoking at the time of intake improve their health outcomes?
Client experience with Last Door’s Smoking Cessation Program I was distracted from my obsessions to use other drugs Grateful Healthy Conscious Clearly obvious that there was no smoking drama Noticed how nicotine wasn’t being used as currency I now have the desire to be healthy I went to many other centres and my smoking picked up I always smoke while on the patch When I deviated from the rules it helped me to reflect on how to deal with addiction “I heard it was the hardest thing to quit – but it wasn’t” I realized there we no positives in smoking and found no negatives in being smoke free I had to learn new behaviours to stop smoking
Therapeutic Community Model What are the Peer programming benefits? How will your client become a mentor? How will your client feel a sense of community? How will your client feel a sense of purpose? How does the principle of Integrity keep people in recovery? How will this model assist your clients with reintegration into society and work?
Monday to Friday Schedule 6:30 amBreakfast 7:00 amTherapeutic Duties 8:00 amMorning Meeting Health Group Acupuncture 9:30 am Group until noon 12:00 pmLunch 2:00 pmAppointments Exercise 5:00 pm Dinner 6:30 pmCo-Parenting Group Alumni Group 7:00 pmNaranon Women’s Group Parent’s Group 9:00 pmYoga www.lastdoor.org
Family & Community Involvement Family Program : Women’s Group Parent’s Group Co Parenting Group www.lastdoor.org
The importance of Family Involvement Success rates with Clients who deal with family while in treatment
Short term or Long term? Costs benefits Efficiency of long term social residential treatment is cheaper Case Management is cost effective Work Place Wellness (financials)