INTRO TO GAMBLING: Cultural Differences INFORMED OR CONCERNED Bruce Jones, Coordinator Nationally Cert. Gambling Counselor I Maryhaven Gambling Intervention Services Kathy Chen, Dir. Of Language Services, Asian American Community Services George Hicks, Prevention Specialist Maryhaven Gambling Intervention Services
What is Gambling
Definition- Activities in which something of value is risked on the outcome of an event when the probability of winning or losing is less than certain. (or left to CHANCE) Problem Gambling: Gambling behavior that results in problems with work, school, family, or finances, but does not meet the number of criteria to be recognized as: Disordered Gambling: (Formerly known as Pathological or Compulsive Gambling) Meets the APA Diagnostic & Statistical Manual V criteria for the behavioral addiction of Disordered Gambling
Gambling s Place in History One of the few social activities that occurs in nearly all cultures and every period of time George Caleb Bingham, Raftsman Playing Cards, 1847 Miners playing poker and shooting craps down by the river bank. Clover Gap Mine, Harlan County, Kentucky, 1946
Throwing the bones and casting lots-- Jonah 1:7 - And they said every one to his fellow, Come, and let us cast lots, that we may know for whose cause this evil [is] upon us. So they cast lots, and the lot fell upon Jonah.
Gambling Opportunities Poker tournaments in Residence Halls, Frats & Student Unions School and Student Org. Sponsored events Local Bars/ Pouring Est. Convenience Stores On-line Contests Internet Gambling Courses on Gambling There s an App TV Shows Community Events Family and Friends Dorms Church and Charity events Raffles Casinos Lotteries Video Games Sports Betting/Fantasy Leagues
Gambling is the favorite form of entertainment taking in more money than movies, amusement parks, sporting events, and concerts COMBINED!!
NO SKILL INVOLVED!! Dice, roulette wheels, coin flips, slot machines, and Bingo and lottery ball selections are all random events.
10 Speed of Play The more rapid the play, the more risky the activity, making electronic gambling (slots, internet gambling, EMGs) more potentially addicting than other forms of gambling.
Some skill involved: Horse racing- (Ohio used to be first in horse breeding-now a lot of lost income- 60,000 plus jobs linked to horse racing) Sports betting- ( Placing bets on a football game with your friends, March Madness!! Pools, all are illegal gambling) How much is estimated to be bet? Personal skills- pool, basketball, darts
Gambling is the favorite form of entertainment taking in more money than movies, amusement parks, sporting events, and concerts COMBINED!!
Gambling Problems Public Health Perspective None Mild Mod. Severe Healthy Gambling Brief Educ. Standard OP IOP Residential Youth programs Statewide Awareness No Gambling Universal Responsible Gambling Programs Selected Helpline Harm Reduction Unhealthy Gambling Indicated Public Health Interventions
Informed Gambling Sets a limit on how much can be spent. How much can you afford to lose means using disposable income. Gambling is just one of several social outlets. Gambling is not a way to make moneyit is seen as part of the entertainment budget.
Informed Gambling cont. Set a time limit-be aware gambling venues do not have clocks. Accept loss as a part of the activity. Gambling and alcohol do not mix. Gambling is not a way to solve problems or to escape from life issues.
Gambling that can be a concern-
Concerned or Problem Gambling Does not keep track of money spent. Money is spent that is needed for life s essentials such as rent, groceries and medications. Gambling has become only entertainment. Gambling and being lucky becomes the way to pay bills or pay back borrowed money.
Lose track of time spent gambling at a casino, bingo hall, or gas station. Gambling increases to win back the money lost. Quick loans and loans sharks are now accessed. Gambling is done with alcohol, marijuana and other chemicals. Gambling is used to escape both emotional and physical pain.
To meet the criteria for gambling disorder, a person has to have at least four of the problems identified below, within a 12 month period, in conjunction with "persistent and recurrent problematic gambling behavior Needing to gamble with more money to get the same excitement from gambling as before. Feels restless or irritable when trying to reduce or stop gambling. Keeps trying to reduce or stop gambling without success. Gambling is frequently on the person's mind -- both reliving past gambling experiences, and planning future gambling events. Gambles when feeling depressed, guilty or anxious. Tries to win back gambling losses. Lies to cover up how much they are gambling. Loses not only money, but also relationships, their job, or a significant career opportunity as a result of gambling. Becomes dependent on other people to give them money to deal with financial problems that have been caused by gambling. ( they took out illegal acts) ( also cannot be part of a manic episode)
How the Brain Gets Addicted to Gambling: Addictive drugs and gambling rewire neural circuits in similar ways Scientific American Oct 15, 2013
Addictions have a higher rate of suicide with gamblers highest- Suicide: 5% of all suicides are gamblers in a current ongoing Canadian study. Less likely to get help since they think the problem will solve itself or they are depressed due to drinking so they ignore the gambling No other addiction has as high a suicide rate as gambling. The National Council on Problem Gambling (NCPG) estimates that one in five gambling addicts will attempt to kill themselves, about twice the rate of other addictions Also I always check out family members to insure they are not suicidal
Lifetime Co-morbidity Kessler et al., 2008 (National Comorbidty Survey Replication) Although nearly half (49%) of those with lifetime pathological gambling received treatment for MH or SA problems, none reported treatment for GP. Untreated GP lead to decreased TX effectiveness & increased costs.
Populations more at risk- AOD & MH Clients/ People in Recovery Athletes/Scholar Athletes Cultures of Luck/Numbers Gambling Industry Employees Low Income & Minority Populations: Who is marginalized? People Who Live within 15 Miles of a Casino People Who Gamble! Special cautions for Older Adults, Women, Youth/College age, People in the Military. Be Aware: Risk Increases During Times of Transition!
Gambling locations including Casinos, bingo halls, internet cafes Feel safe and are clean Seniors and the disabled are welcomed Birthdays and anniversaries are remembered Many places remember individual names, drink preferences
What kind of gambling done most in Franklin County according to the needs assessments? Lottery - far and away - 70% $30 and $20 scratch offs - look for them Horse racing - by far the least - less than 5%
Community Research Partners Needs Assessment and 2012 Ohio Survey Three main indicated populations: Age 55+ seniors African Americans Young adults 18-25 esp. Athletes
Gambling in MY age group
If we take a moment to consider the demographics of casino patrons, according to the American Gaming Association, 36 percent of the U.S. population ages 50 to 64 and 28 percent of individuals 65 and older visited a casino in 2012. The fastest growing group of problem gamblers is female seniors, which is mainly due to the loss of a spouse, as women often have longer lifespans than men.
Special Senior Issues these are also faced by veterans and the disabled - They are often dealing with Retirement Death of a spouse- (or divorce due to duty) Physical and emotional pain Loss Loneliness Lack of social opportunities Time on their hands to gamble ( also due to disability )
Stats 2012 Ohio Survey listed African Americans as having twice the rate of gambling problems as other ethnic populations National studies report the same issues. It is speculated that this is due in part to culture and in part to being in a marginalized population. Addressing this issue is- Mr. Hicks, Prevention Specialist
Standard automatic dispenser
East Asians and Gambling Chinese have the highest rate of problem gambling with Koreans and Phillipinos along with Vietnamese reporting higher numbers than other ethnic populations. Short video Ms. Kathy Chen, AACS will address concerns in the Asian community.
Local Resources Maryhaven Gambling Services funded by ADAMH and OMAS Free Treatment Services which includes- Individual and Group Counseling
Prevention Services - Free Services including one hour intro sessions with CEUs if needed, presentations to social services organizations, civic groups and businesses along with interactive activities for all age groups including summer camps, athletic associations, recreation centers, youth groups Coalition Support and Development Information groups on lowering risky behaviors around finances including disposable income and gambling as part of the entertainment budget Problem Identification and Referral
Maryhaven Gambling Services Bruce Jones LSW, NCGC I, LCDC III-GAM and OCPS-A 614-324-5413 bjones@maryhaven.com George Hicks OCPS-A 614-324-5404 ghicks@maryhaven.com 1430 S. High Street 4 th floor, Columbus, OH
Asian American Community Services www.aacs.org 4700 Reed Road Suite B Upper Arlington, OH 43220 614-220-4023 614-216-4988 for Interpreting Hotline
Ohio Resources - Ohio Mental Health and Addiction Services http://mha.ohio.gov/ OhioMHAS Contacts Stacey Frohnapfel-Hasson, MPA Problem Gambling Services Administrator stacey.frohnapfel@mha.ohio.gov or 614-644-8456 Scott Anderson, AS, LCDC II Problem Gambling Treatment Coordinator scott.anderson@mha.ohio.gov or 614-466-8562 Shemane Marsh, MA Problem Gambling Prevention Coordinator shemane.marsh@mha.ohio.gov or 614-466-9021
More resources - National Council on Problem Gambling www.ncpgambling.org- lots of state based info - look under help by state National Center for Responsible Gaming www.ncrg.org= collegegambling.org Problem Gambling Toolkit SAMHSA store.samhsa.gov/.../problem-gambling- Tool... Cached =have examples available, very good for family members and loved ones