1. SCIENCE & POLICY: WHAT CHALLENGES FACE RESEARCHERS AND CLINICIANS?
Dr.Henrietta Bowden-Jones FRCPsych, BA (Hons) DOccMed MD(Imperial)
Consultant Psychiatrist in Addictions ,CNWL NHS Foundation Trust Director, National Problem Gambling Clinic, London Royal College of Psychiatrists Spokesperson on Problem Gambling
Honorary Senior Lecturer, Dept of Medicine, Imperial College
President Elect, Medical Women’s Federation
OCT 2017

2. THANK YOU PORTUGAL IS KNOWN FOR ITS EVIDENCE BASE AND
A GREAT HALF MARATHON…

3. The Royals…The Times Oct 2017..
THIS IS THE UK NOW……………………………….
I WILL GIVE YOU THE LATEST, THOUGHT PROVOKING 10 MINUTE
JOURNEY INTO THE HIGHLY CONTROVERSIAL FIELD OF
RESEARCH VS POLICY

4. 1070-80s HEROIN EPIDEMIC IN ITALY: SYRINGES IN PARKS AND PLAYGROUNDS.

5. 10 years ago Government plans to open super casino + regional casinos
MEDIA ROLE RCPSYCH 2007
THE REALISATION THERE WAS NO NHS CLINIC TO TREAT THE DISEASE

6. I BECAME INTERESTED IN GAMBLING BECAUSE OF THE
IMPULSIVITY DISPLAYED BY SOME PATIENTS ON DECISION-MAKING TESTS.
NATIONAL PROBLEM GAMBLING CLINIC IS THE ONLY NHS CLINIC TO TREAT PROBLEM GAMBLERS
TODAY I BRING YOU THE LATEST CONTROVERSIAL ISSUES FROM THE UK

7. Gambling in the UK Sept 2017
63% of adults (16+) had gambled in the past year
Men (66%) more than women (59%)
Most common gambling was National Lottery (46%) and Scratchcards (23%)
Excluding the National Lottery, 45% of adults had gambled in the last year.
Excluding the National Lottery, participation in gambling was highest among YOUNGER ADULTS

8. GAMBLING COMMISSION DATA AUG 2017*
THE NUMBER OF BRITISH PROBLEM GAMBLERS HAS RISEN BY MORE THAN 50 % BETWEEN 2012 AND 2015
FROM 280,000 TO 430,000
SHOULD A 50% INCREASE BE THE MOMENT WHEN RESEARCHERS AND CLINCIANS SAY ‘ENOUGH IS ENOUGH?’
SHOULD ACADEMICS GET INVOLVED IN THE POLITICS OF THINGS LIKE –A LEVY
- ADDICTIVE MACHINES -INDUSTRY LINKS TO RESEARCH AND TX????? I did….
*Gambling Behaviour in Great Britain in 2015 Lead Author Heather Wardle.NatCen.

9. 2017…CHATHAM HOUSE RULES….

10. SEPT 2017 REPORT BY GC
0.8% OF THE UK POPULATION ARE PROBLEM GAMBLERS…. ( with 3.9% at risk)
MEN 1.5%
WOMEN 0.2%
SHOULD WE AS ACADEMICS WORKING WITH THE VULNERABLE SUGGEST REMOVING ALL ENVIRONMENTAL STIMULI TO HELP THE HALF A MILLION PGs?

11. PROBLEM GAMBLING AND TYPE OF PLAY
HIGHEST RATES OF PG WERE AMONG
SPREAD BETTING 20.1% of players were PGs
BETTING VIA A BETTING EXCHANGE 16.2%
POKER IN PUBS/CLUBS 15.9%
BETTING OFFLINE eg election or prizes 15.5%
PLAYING MACHINES IN BOOKMAKERS 11.5%
SHOULD THE MOST ADDICTIVE AND HARMFUL FORMS OF PLAY BE BANNED???
How can a Government make objective decisions when the earnings from the Industry are so great?

12. New York Times SEPT 2017 MR FRANKLIN LOST £2,600 IN 42 MINUTES
£ 1 MILLION LOST
MARRIAGE BROKE DOWN
SEVERAL ATTEMPTS TO STOP GAMBLING
RELAPSING DUE TO FOBT
CONTROVERSIAL DEBATE ONGOING IN UK AT PRESENT
BAN THEM OR REDUCE £100 STAKE? What is the correct amount? £2/£20/£25??????

13. HIS RECEIPTS…..

14. FIXED ODDS BETTING TERMINALS
£100 EVERY 20 SECONDS …= A LOT OF MONEY
VERY ADDICTIVE ACCORDING TO OUR PATIENTS
INDUSTRY SAY THERE IS NO EVIDENCE OF HARM
FOBTs PROVIDE >50% OF BOOKMAKERS’ TAKINGS
RESTRICTED TO MAX 2 PER BOOKMAKER..
SOME RESEARCH SHOWS MUCH OF THIS IS FROM PGs
CAN CLINICIANS GET INVOLVED WITHOUT 100% RESEARCH TO BACK THEIR ISTINCTS????

15. SOME GAMES SPECIFICALLY TARGET WOMEN
IS THIS ACCEPTABLE?

16. OUR RESPONSE…

17. WHO EVALUATES THE EFFECTIVENESS OF SELF EXCLUSION?
THE FIRST MAJOR SUCCESS STORY 2017…

18. OCT 2017 FINALLY CHILDREN WILL NOT BE TARGETED….
TWITTER PLAYED A BIG PART
NO IMAGES WILL BE USED THAT CAN BE APPEALING TO CHILDREN
FREEPLAY WAS TARGETING THE YOUNG

19. Should PGs who steal end up in prison???
Research shows better results in community
treatment
Who decides?

20. SHOULD ALL GAMBLING ADVERTS BE BANNED?

21. PATIENTS ALWAYS COME FIRST……IF YOU CARE ABOUT THE
PEOPLE YOU TREAT OR RESEARCH…..YOU WILL NOT BE ABLE TO
AVOID GETTING INVOLVED

22. Dr Henrietta Bowden-Jones interviews Owen Bailey 2014
Over 35,300 people have watched it.
Next one will be about Naltrexone and its impact on PG

23. Any questions?
Twitter @ArtScienceDoc