1. Making It Happen You gotta know when to fold em’ Riverside County

2. Riverside County Demographics Riverside County Statistics 4 th Largest County in California 2009 Population Est. 36,961,664 Represents 5.75% of the population of California Equivalent to the size of New Jersey

3. Riverside County Demographics Population Growth Rate Riverside County: 37.5% population increase April 1, 2000 to July 1, 2009 State of California: 9.1% population increase April 1, 2000 to July 1, 2009 Riverside growth: 4x that of the state

4. Riverside County Demographics Ethnicity/Race Riverside California White/Non-Hispanic 41.3% 41.7% Hispanic or Latino 44.7% 37.0% African American 6.8% 6.6% Native American/ 1.4% 1.2% Native Alaskan Asian American 5.6% 12.7% Native Hawaiian/ 0.4% 0.4% Other Pacific Islander Multi-Racial 2.4% 2.6% Source: US Census Bureau, 7/1/09

5. Riverside County Map, California Gaming Venues in Riverside County Red = Tribal Casinos Blue = Card Rooms

6. Establishing a Framework

7. Funding Indian Gaming Special Distribution –Fiscal Year 2008-2009 –Awarded $550,000 –Spent over a 2 year period Key Objectives –Problem Gambling Treatment Infrastructure –Substance Abuse/Problem Gambling Treatment to Temecula Valley Residents

8. Program Budget Grant Award Planning & Reporting $55,000 Administrative Costs $6,000 Training Costs$71,710 Billboards$24,558 Treatment$392,732 Total$550,000

9. Planning Collaborative Partners in Research –Office of Problem Gambling (ADP) –California Council on Problem Gambling 1-800-Gambler Hotline –Study conducted –10.5% of calls from Riverside County residents –Riverside County is 5.75% of CA population

10. Planning Continued Funding Objectives –Develop a counselor training program –Assess prevalence of Problem Gambling –Provide outreach and education –Develop and integrate P.G. treatment/Substance Abuse curriculum

11. Reporting Surveys and data Management and tracking

12. Program Design & Research

13. Training Contracted training through CCPG –Establish budget activities and admission requirements Close collaboration with CCPG

14. Clinic Research Surveys and Statistics –2009 Survey 5 Clinics 310 Clients Administered NODS Survey –September 2010 Survey 5 Clinics 440 Clients Administered SOGS Survey

15. Outcome Data 2009 Survey (NODS):

16. Outcome Data 2010 Survey (SOGS):

17. Outcome Data

18. Implementation

19. County Clinic Program Development Addition of Lie/Bet Questions –Do you gamble on a regular basis? –Have you ever lied to people important to you about how much you gamble? –Have you ever felt the need to bet more and more money?

20. County Clinic Program Development Substance Abuse Treatment Manual Additions –Definitions of gambling –Common gambling behaviors –Types of typical gamblers and their associated behaviors –Symptoms of the compulsive gambler –DSM IV criteria for the pathological problem gambler –Comparison of DSM IV criteria for Substance Abuse –Dependence and Pathological Gambler 20 questions –Chart of Compulsive Gambling and Recovery

21. ODF Program ONLY ODF/Gambling COMBO Program Gambling Program ONLY Negative Positive 16 Week Program Intake Assessment (ASI) 2 Groups/Week Individual as needed Discharge Planning 16 Week Program with Gambling Curriculum Intake Assessment (ASI & DIGS) 2-3 Groups/Week Individual as needed Discharge Planning 6-8 Week Program Intake Assessment (DIGS) 1 Group/Week Individual weekly or bi-weekly Discharge Planning Substance Abuse Client 1-800GAMBLER Referral Gambling Screening PG and/or Substance Abuse Screening Identifying Type of Treatment for County Client

22. Prevention Efforts

23. Implementing Prevention Services Utilizing Existing Friday Night Live (FNL) Model FNL/PG Integration –Staff training –Literature and resources –Advisor training –Incorporating issue of “Teen Gambling” into Youth Development Framework

24. Special Projects Funded by OPG/FNL “ Betting on our Future 2010” –Lincoln High School - RUSD Dramatic Presentation (Rodney Anderson) PSA development –Jurupa High School - JUSD Multiple Animated PSA’s (Royer Studios) $7,500 grant for each project through OPG

25. Special Projects Funded by OPG/FNL “Betting on our Future 2011” –Centennial High School - CNUSD Youth Media Video Diary (Rodney Anderson) PSA development –La Quinta High School - DSUSD Dramatic Presentation (Rodney Anderson) PSA development –River Springs Charter School - RUSD Multiple Animated PSA’s (Royer Studios) $7,500 grant for each project through OPG

26. Where did teens gamble in the last year? At home66% At a friend’s house52% At school20% At a sporting event18% At a casino13% On the internet10% Lottery Vending Machine 6%

27. Reasons Teens Gamble

28. PSA Video Clip

30. Indicated Prevention Services Screening tools now include questions on gambling behaviors Gambling issue can be addressed concurrently with other concerns

31. Future Plans for Prevention Services Funding for future expansion Continue with BOOF projects “Problem Gambling Prevention Specialist” –County-wide –Educational presentations –High-risk individuals Adolescents/Young Adults Senior Citizens

32. Where Do We Go From Here $$$ Funding Questions and Discussion

33. Contact Information Email addresses –April Marier AMMarier@rcmhd.org –Mark Thuve MThuve@rcmhd.org –William Harris WWHarris@rcmhd.org –Nicole Shaverdi NShaverdi@rcmhd.org Riverside County Department of Mental Health Substance Abuse Administration 3525 Presley Ave. Riverside, CA 92507 (951) 782-2400