1. Problem Gambling Treatment with Hispanics

2.  Sergio Gutierrez, CADC I  Raul de la O, CGAC II, NCGC I  Janese Olalde, M.Ed, CADC II, CGAC II

3. IN OREGON:  Latinos comprise 10.5% of total population  Majority of Latino immigrants in Oregon are from Mexico

4. Respect “respeto” Family “familia”

5. Based on age, sex, social position, economic status and authority

6. Explain without condescending Take seriously responsibility as a helper Don’t misinterpret avoiding eye contact Address elders in traditional ways

7. Out of respect… Will avoid disagreeing or expressing doubts May be reluctant to ask questions or admit are confused

8. Cultural taboo about expressing negative feelings directly… May withhold information, May not follow treatment directions, OR may terminate medical care

9. How is respect effective when working with Latino problem gamblers in treatment?

10. Includes many people in extended family Support role is significant Family involvement important

11. Seen as willful, self-destructive conduct Threatens well-being of entire family Shame Banishment from family is enormous threat

12. More tolerant of mentally ill:  Sick role  Lowered expectations  People to be protected  Remain in home

13. Explore natural support system Investigate if some family members played role in addiction Look for pockets in family support to help with recovery

14. What methods do you use to involve family members of Latino problem gamblers?

15.  Personal relationships or “personalismo”  Spirituality or “espiritualismo”

16. Importance of personal relationships Expect providers to be warm, friendly, personal Take interest in personal life Rely on community-based organizations

17. Prefer being closer to each other If too far away, may be seen as uninterested Sit closer, lean forward, give pat on shoulder, other gestures to show interest

18. How do you employ “personalismo” with Latino problem gamblers and their family members ?

19. Combine respect for mainstream medicine, traditional healing with religious component If provider respects and understand this perspective, will be effective

20. “Embrujado” (Hexed) “Curanderos” (Healers) “Susto” (Fright)  Belief mental illness can be caused by witchcraft or evil spirits

21. How do you use “espiritualismo” when working with Latino problem gamblers and their family members?

22. Involve family members Show respect Get personal Respect traditional healing approaches Encourage asking of questions

23. Values: Family life Support for recovery Educate family on nature of addiction Spirituality – faith in God Collective cultural identify