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4. The following slide show addresses gambling, our youth, and the potential risks associated with it.

5. Oregon’s Gambling Services Program strongly encourages you to include problem gambling when discussing other addiction issues with clients. Here’s why... Spacebar to advance slide

6. Clients learn about the characteristics of an addiction to alcohol, drugs and sex, right?

7. Spacebar to advance slide What about gambling?

8. Spacebar to advance slide Is gambling a factor in some of your client’s lives? What about gambling?

9. Spacebar to advance slide Probably What about gambling?

10. Spacebar to advance slide Consider age of onset. Is it possible that gambling has been a component of your client’s risky behavior since childhood?

11. Spacebar to advance slide Oregonians are increasingly being exposed to gambling opportunities - on the Internet, in the community, at home and even at church - so it's no surprise that problems associated with gambling are being seen in youth.

12. The featured data comes from the Oregon Student Wellness Survey, an anonymous and voluntary survey of 6th, 8th and 11th grade youth, conducted in the spring of 2010. Spacebar to advance slide

13. The featured data comes from the Oregon Student Wellness Survey, an anonymous and voluntary survey of 6th, 8th and 11th grade youth, conducted in the spring of 2010. Spacebar to advance slide The Survey was designed to assess a wide range of topics that included school climate, positive youth development, mental health, substance use, problem gambling, fighting and other problem behaviors.

14. Spacebar to advance slide There were 52,635 surveys collected from 35 counties, representing 458 schools in 138 public school districts.

15. Consider 30-day substance use, depression, and gambling rates, among Oregon youth. Which is most prevalent? Spacebar to advance slide

16. Gambling Alcohol Binge drinking Marijuana Cigarettes Depression Psychological distress Gambling Alcohol Binge drinking Marijuana Cigarettes Depression Psychological distress Gambling Alcohol Binge drinking Marijuana Cigarettes Depression Psychological distress 6 th Grade 8 th Grade11 th Grade Consider 30-day substance use, depression, and gambling rates, among Oregon youth. Which is most prevalent?

17. Spacebar to advance slide Only three targeted risk behaviors demonstrated an increase in prevalence between 2009 and 2010. The three were gambling, marijuana use, and depression…

18. Gambling represented the largest increase Spacebar to advance slide Only three targeted risk behaviors demonstrated an increase in prevalence between 2009 and 2010. The three were gambling, marijuana use, and depression…

19. Grade 8 Grade 11 Oregon Oregon Felt bad about the amount you bet, or about what happens when you bet money 4.2 2.9 Felt that you would like to stop betting money but didn't think you Could2.7 1.8 Lied to anyone about betting/gambling5.9 3.5 Bet/gambled more than you wanted to 6.4 5.5 This table shows the percentage of 8th and 11th grade students who reported signs of problem gambling behavior in the last 12 months. Spacebar to advance slide

20. Grade 8 Grade 11 Oregon Oregon Felt bad about the amount you bet, or about what happens when you bet money 4.2 2.9 Felt that you would like to stop betting money but didn't think you Could2.7 1.8 Lied to anyone about betting/gambling5.9 3.5 Bet/gambled more than you wanted to 6.4 5.5 This table shows the percentage of 8th and 11th grade students who reported signs of problem gambling behavior in the last 12 months. Spacebar to advance slide The “Lie/Bet” screen… The last two questions are based on a valid and reliable problem gambling screening instrument which has been used for many years; saying yes to either of these is highly correlated to a potential gambling problem and indicates a need for further assessment by a trained counselor.

21. Spacebar to advance slide How many are talking to youth about the potential risks of gambling? Not many…

22. 6 th Grade 8 th Grade 11 th Grade Oregon Oregon Oregon Parents have talked to you about the risks of bet- ting/gambling 58.3 46.5 36.4 Teachers have talked to you about the risks of bet- ting/gambling 32.3 30.7 23.2 Spacebar to advance slide How many are talking to youth about the potential risks of gambling? Not many…

23. 6 th Grade 8 th Grade 11 th Grade Oregon Oregon Oregon Parents have talked to you about the risks of bet- ting/gambling 58.3 46.5 36.4 Teachers have talked to you about the risks of bet- ting/gambling 32.3 30.7 23.2 Spacebar to advance slide How many are talking to youth about the potential risks of gambling? Not many… …Especially when compared to substance abuse education

24. 6 th Grade 8 th Grade 11 th Grade Oregon Oregon Oregon Parents have talked to you about the risks of bet- ting/gambling 58.3 46.5 36.4 Teachers have talked to you about the risks of bet- ting/gambling 32.3 30.7 23.2 Spacebar to advance slide How many are talking to youth about the potential risks of gambling? Not many… …Especially when compared to substance abuse education 6th Grade 8th Grade 11th Grade Oregon Oregon Oregon Talked with at least one of your parents about the dangers of tobacco, alcohol, or drug use 66.2 64.9 64.8 Had a special class about drugs or alcohol in school 51.6 57.2 45.5 Recall hearing, reading, or watching an advertisement about prevention of substance abuse 47.7 67.1 76.8

25. Here’s something else to consider... Spacebar to advance slide

26. Here’s something else to consider... Students who indicated they gambled also demonstrated higher rates of alcohol use, marijuana use, smoking, and depression. Spacebar to advance slide

27. Did Not GambleGambled Used alcohol in the past 30 days Grade 6 Grade 8Grade 11 Spacebar to advance slide

28. Did Not GambleGambled Grade 6 Grade 8Grade 11 Binge Drank in the past 30 days Spacebar to advance slide

29. Did Not GambleGambled Grade 6 Grade 8Grade 11 Used marijuana in the past 30 days Spacebar to advance slide

30. Did Not GambleGambled Grade 6 Grade 8Grade 11 Smoked cigarettes in the past 30 days Spacebar to advance slide

31. Did Not GambleGambled Grade 6 Grade 8Grade 11 Depression in the past 12 months Spacebar to advance slide

32. Did Not GambleGambled Grade 6 Grade 8Grade 11 Skipped school one, or more, days in the past 30 days Spacebar to advance slide

33. Does this mean that youth who gamble also drink, smoke, use drugs, and are delinquents? Spacebar to advance slide

34. NO Spacebar to advance slide

35. It means that those kids that gamble also tend to participate in other high risk behaviors… Spacebar to advance slide

36. It means that youth who gamble are at higher risk for other risky behaviors… Spacebar to advance slide

37. … and those who use drugs, drink, smoke, and are depressed, are at higher risk to develop gambling problems. Spacebar to advance slide

38. It means that when clients are beginning the treatment process, PROBLEM GAMBLING needs to be considered.

39. So...how do we do that? Spacebar to advance slide

40. How would you know if a client has an issue with gambling? Spacebar to advance slide

41. How would you know if a client has an issue with gambling? Ask! Spacebar to advance slide

42. During the intake process consider using the BBGS Spacebar to advance slide

43. The BBGS??? Spacebar to advance slide

44. The “Brief Bio-social Gambling Screen” (BBGS), is a screening tool that consists of only three questions for identifying gambling problems: Source: Gebauer, L., LaBrie, R. A., & Shaffer, H. J. (2010). Optimizing DSM-IV. classification accuracy: A brief bio-social screen for gambling disorders among the general household population. Canadian Journal of Psychiatry, 55(2), 82-90. Spacebar to advance slide

45. The “Brief Bio-social Gambling Screen” (BBGS), is a screening tool that consists of only three questions for identifying gambling problems: During the past 12 months, have you become restless, irritable or anxious when trying to stop/cut down on gambling? 1. During the past 12 months, have you tried to keep your family or friends from knowing how much you gambled? 2. During the past 12 months, did you have such financial trouble that you had to get help from family or friends? 3. Source: Gebauer, L., LaBrie, R. A., & Shaffer, H. J. (2010). Optimizing DSM-IV. classification accuracy: A brief bio-social screen for gambling disorders among the general household population. Canadian Journal of Psychiatry, 55(2), 82-90. Spacebar to advance slide

46. Answering ‘Yes’ to one or more questions may indicate a gambling problem. Spacebar to advance slide

47. Incorporating problem gambling into existing education components is easy to do. Spacebar to advance slide

48. Resources are already available to assist you Spacebar to advance slide

49. Resources are already available to assist you For Local Treatment Services in Oregon log onto: www.1877mylimit.org Spacebar to advance slide

50. Resources are already available to assist you For Local Treatment Services in Oregon log onto: www.1877mylimit.org Treatment is Free, Confidential and it Works! Spacebar to advance slide

51. Resources are already available to assist you Other online resources offering access to a wealth of prevention and treatment information concerning problem and pathological gambling: www.1877mylimit.org Spacebar to advance slide

52. Resources are already available to assist you Other online resources offering access to a wealth of prevention and treatment information concerning problem and pathological gambling: www.1877mylimit.org www.problemgamblingprevention.org Spacebar to advance slide

53. Resources are already available to assist you Other online resources offering access to a wealth of prevention and treatment information concerning problem and pathological gambling: www.1877mylimit.org www.problemgamblingprevention.org www.gamblersanonymous.org Spacebar to advance slide

54. Problem Gambling Awareness Week is a great time to start the conversation! Spacebar to advance slide

55. Thank you!