Presentation on theme: "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."— Presentation transcript:
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 ® Don@800gambler.org Compulsive Gambling: The Invisible Addiction June 24, 2010
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.
Legal Gaming in the U.S. States2007 Revenue Casino12$35.5 billion Indian26$26.0 billion Charitable47$2.2 billion Racing33$3.5 billion Lotteries47$24.8 billion $92.3 billion (Data from NCPG)
Adult Rates of Smoking, Drinking & Gambling Past yearLifetime Tobacco Use35%71% Alcohol Use64%82% Gambling65%85% (Data from NCPG)
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 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 Spinning wheel type amusement game Arcade type games Chances for Fundraisers Stock market gambling Fantasy football? Office pools?
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 Social (80%) Problem (15%) Compulsive (Pathological) (5%)
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 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 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? 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) A. Must meet 5 out of 10 criteria: 1. Preoccupation 2. Tolerance (increasing amounts of $) 3. Inability to control, cut back or stop 4. Restless, irritable when not gambling 5. Escape or relief of dysphoric mood
DSM IV-TR (312.31) Pathological Gambling (Impulse-Control Disorders, NEC) A. Must meet 5 out of 10 criteria (cont.): 6. Chasing –trying to win back losses 7. Lying to family members and others 8. Illegal acts to finance gambling 9. Jeopardized relationship, job, education, career 10. Bail Outs – relies on others to cover debts B. Not better accounted for by a Manic Episode
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 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 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 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 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 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 Compulsive and Problem Gamblers: 350,000 Substance Abusers: 806,000
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 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 30% of drug and alcohol clients in treatment likely have gambling problem 50% of compulsive gamblers in treatment have substance abuse or dependence
Prevalence of MH Disorders Gen PopPGsTx Seeking PGs Any Disorder 8%40%60% Maj. Depression 5%20%60% Bipolar1.5%10%15% Suicidality5%20%50% (Data from NCPG)
ADOLESCENT PREVALENCE 2-4 times higher rate than among adults Past year gambling problem: 1-6%
GAMBLING, DRUGS & ALCOHOL Four (4) Similarities for all addictions Preoccupation Withdrawal Progression Tolerance
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 & 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 & ALCOHOL Differences (cont.) No saturation point for gamblers Gamblers excel at math and/or superstitious Gamblers recovery requires financial restitution
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 All clients answer a 3-Question Screen. If yes is answered for any question counselor will be directed automatically to Councils 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 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 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
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
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 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 28 th Statewide Conference (10/7/10) In-Service Trainings Advocacy & Collaboration
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 Don@800gambler.org http://www.800gambler.org For Immediate Assistance 24 hours a day: 1-800-GAMBLER ®