International Conference Gambling in the Czech Republic and its New Regulatory Framework. Gambling Risks



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October 9, 2014 International Conference Gambling in the Czech Republic and its New Regulatory Framework Gambling Risks Assessing and Comparing the Risk Potentials of Different Gambling Types Chantal Mörsen Department of Psychiatry and Psychotherapie Research Group on Gambling and Gaming Addiction Charité Universitätsmedizin Berlin, Germany

Main Questions I. Does gambling types differ in their potential to facilitate the development of problem gambling? II. How can the risk potential of gambling types and products be quantified and assessed?

Risk Factors for Problem Gambling The development of pathological gambling is based on a complex interaction of various risk factors that are associated with the individual himself or herself, the social environment and specific features of gambling.

Does gambling types differ in their potential to facilitate the development of problem gambling?

Epidemiological Studies National surveys in Germany, UK, Australia, USA: highest prevalence rates of problem gamblers for slot machines, table games in casinos, sports betting and poker low rates for scratch cards and other lotteries Odds-ratios: Lotteries 0.4-0.8 Scatch Cards 1.9 Sport betting 5.3-10.7 Table games in casinos 8.5 Poker 11.7 Slot machines 10.6-18.2 (Bühringer et al., 2007; Buth & Stöver, 2008; Meyer et al., 2011; BZgA, 2012; Sproston, Erens & Orford, 2000; Wardle et al., 2007; Productivity Commission, 2010)

Studies on Treatment Demands Germany, patient survey (Meyer & Hayer, 2005) 79.3% slot machines 6% Lotto 6 out of 49 UK, patient survey (GamCare, 2007) most frequent casino table games, betting, slot machines 2% scratch cards, 0.5% lotteries Austria, patient survey (Spielsuchthilfe, 2007) 84% slot machines 13.4 21.3% roulette, betting and casino games 1.9% scratch cards, 4.2% lotteries

How can the risk potential of gambling types and products be quantified and assessed?

Assessment of Risk Potential I. Odds ratio (OR) in epidemiological studies given validity require large sample size no distinction between gambling products do not cover changes in gambling market II. Criteria based on characteristics of gambling activities require empirical validation distinction between gambling products possible evaluation of future products possible

Characteristics of Gambling Activities CHARACTERISTICS OF GAMBLING ACTIVITIES SITUATIONAL - CONTEXTUAL (e.g., availability, advertising) STRUCTURAL - GAME RELATED (e.g., event frequency) Making access easier Facilitating regular gambling EVALUATION OF THE RISK POTENTIAL OF A GAMBLING PRODUCT Abbott (2007); Parke & Griffiths (2007)

Assessment Tools GAM-GaRD (Griffiths et al., 2008) Gambling Assessment Measure Guidance about Responsible Design 10 items with divergent scaling and scores: event frequency multiple game/stake opportunities stake size prize-back ratio jackpot size near-miss opportunities continuity of play accessibility currency/ease of pay illusion of control features

Assessment Tools Product Evaluation Method for Reducing Potential Hazards (Veikkaus, 2008) 8 items: basic product elements risk of financial loss prize and stake structure role of skills chance and rules product and environment attractiveness social aspects additional attractive aspects accessibility

Assessment Tools ASTERIG (Wissenschaftliches Forum Glücksspiel, 2010; Peren, 2011; Blanco et al., 2013) Assessment Tool to Measure and Evaluate the Risk Potential of Gambling Products Risk potential criteria Weight (fix) Score (0-10) Range of value Event frequency 8 0-10 0-80 Interval of payback 6 0-10 0-60 Jackpot 5 0-10 0-50 Continuity of playing 8 0-10 0-80 Chance of Winning 6 0-10 0-60 Availability 7 0-10 0-70 Multiple playing-/ stake opportunities 6 0-10 0-60 Variable stake amount 6 0-10 0-60 Sensory product design 4 0-10 0-40 Near wins 6 0-10 0-60 Totals 62 0-100 0-620 Risk score 0-10

Summary Relationships between certain gambling types and specific risk potentials are empirically supported by epidemiological studies and studies on treatment demands. Components of gambling activities can be divided into situational and structural characteristics which can serve as criteria for the assessment of the risk potential of gambling products. Assessment tools allow an objective evaluation and comparison of the risk potential of present and future gambling products based on those criteria.

Thank you for your attention! Chantal Mörsen Department of Psychiatry and Psychotherapie Research Group on Gambling and Gaming Addiction Charité Universitätsmedizin Berlin, Germany chantal.moersen@charite.de