Gambling Problem Template


Seeking Help Workforce Development Prevention Activities Problem Gambling Planning Efforts Research and Evaluation Public Awareness & Marketing Links and Resources State Contacts	STAKEHOLDERS FORUM ADDRESSING PROBLEM GAMBLING: ENGAGING the COMMUNITY October 23, 2007, Rock Springs 4-H Center Six Break-Out/Work Sessions: Brief Reports of Themes/Summaries Prevention Q.1 What aspects of prevention are important when we think of problem gambling? What should we do? Education regarding risk and consequences of gambling, esp targeting youth Social/Environmental influences Address Availability Policies Q.2 What are our prevention priorities today? Where & how does problem gambling fit? Where do we start? Use existing frameworks ex. SPF (needs assessment) and CTC (risk factor identification for problem gambling) Counter-advertising Collaboration at national, state to state and local community level) Q.3 What people, organizations, systems and professionals should be at the table? Who should be at the table? Everybody!! 12 Key Community Sectors: govt, education, business (emphasis on financial), law enforcement, etc from prevention Lawmakers!!! Workforce Development Q.1 What are the training needs for existing prevention and treatment professionals? Begin with assessment - what population with what needs will we be serving Building on basics, on-going & different levels of training (awareness raising, to referring, to advanced...) for professional & non professionals (e.g. clergy), given populations with whom they will be dealing with part of intermediate & advanced to involve supervision in learning, coaching, etc. Base on best practices as that is learned Important to ask what they think they (the treatment professionals) need Q.2 Who should conduct the training? Involve in the training those recovering Build Kansas’ capacity...Kansas grown experts to further develop workforce (& community) - increase number of certified gambling counselors Based on answers to question one, different levels of expertise to address different levels of skill, etc.- those doing awareness, recognition training would have different background/training than those doing treatment, etc training - local coaches for application of training... Gamblers Anonymous important partner in the effort Keep in mind cultural differences (e.g. tribal nations) Q.3 How could the training needs of providers in rural and frontier and border state areas be addressed? Increase use of technology to meet the related challenges in these areas (e.g. videoconferencing, webcasts...) Make use of different & combination of modes to facilitate learning, skill development (e.g. on- line+classroom+coaching...) Share what training resources (tech, people...) are available Incentives to serve Assess needs (& assets) Provide state with study results Q.4 With what existing systems can we partner in the effort and what would their roles be (e.g. Addiction Technology Transfer Center (ATTC), community colleges)? Many already established good partners - KAAP; Problem Gambling Coalition; sister Kansas agencies Some new or increased - Tribal Nations, high schools, MATTC, interfaith councils, colleges... Thinking outside the box in regards to roles with all in this - partnering with & through use of technology, science of learning, sharing info, issue addressing... Research & Evaluation Q.1 What kind of research should be done and for what purpose? Lots of support for grant based research (not all pre-defined) Consider looking at socio-economic and other impact on one community (like Dodge City -"cleanest base line data"-. r/t whole state Q.2 What treatment outcomes would be important to measure for this population? Comprehensive component of outcomes and measures - don't limit to one. Importance of interface with existing system of recovery. Q.3 What data should SRS collect to evaluate problem gambling services? Remember to gather community data as well as program data. Purpose & description: Mental Models are deeply ingrained assumptions, generalizations, pictures, images, or stories that influence how we understand the world and how we take action. Identifying them and opening them up for exploration is key to thinking in new ways. Public Awareness & Marketing Q.1 On what should a public awareness campaign focus? We need to define the problem--define a gambling addiction versus recreational or responsible gambling--what it is and what it is not. Communicate the signs and symptoms of problem gambling and provide information regarding where to go for help--not only for the persons with the gambling addiction, but for family members and others affected as well. Q.2 What types of advertising, marketing and promotion might be especially effective? Create a brand--an organized effort with a simple, concise, consistent message--something that all coalitions can support. In this manner, the message will be more powerful and the resource dollars will not be diluted. The message can be communicated through billboards, in the news media, on the internet, and in the casinos themselves--sometimes even in bathroom stalls. Q.3 What sub-populations should be targeted and by whom? The sub-populations are very diverse--50+ up to retirees (perhaps AARP could assist), youth (schools and faith-based organizations), and general population are just a few. We need to be strategic in creating messages for each target audience. Crisis Intervention & Helpline Services Q.1 How will we assure there are no “wrong” doors for problem gamblers or affected others seeking services? Awareness and Education surrounding Problem Gambling for both professionals, across the board, and the community. "We need more training and better training." Q.2 What services should a helpline offer? Treatment on Demand/Crisis on Demand--the need to find a system that would work parallel to the current Mental Health model for handling crisis situations. Twenty-four hour a day access, Seven days a week Q.3 Where & how can we most effectively implement problem gambling assessment & referral programs within community contact points? A highly competent individual as the "point person" that may be doing an intake, answering a crisis hotline, etc.--needing knowledge of mental health, AAPS, gambling addictions, etc. Adequate funding to make all of these things happen Treatment Q.1 What levels of care are essential for problem gamblers? Crisis services, immediate intervention, family , group, individual, residential, couple, medication management, financial management, aftercare, support groups, legal counseling, dual diagnosis, intensive outpatient, case management, dialectical behavior treatment, recovery homes, transition services, assessment services, services for children, transportation Theme: availability throughout entire recovery process; multi-faceted Q.2 How should the client fee structure be set up? Income-based, progressive, ability to pay, debt ratio based, client % or portion, individualized treatment/ individualized fee, completion responsibility, no cost (Missouri), current research for guidance (empirical rather than preference), work equity Q.3 Who should be eligible to provide SRS supported problem gambling treatment? Include any discussion about provider training or certification requirements. Specialization (training emphasis), certification not so narrow to cut out addiction treatment facilities, certified specialty, oversight process, university courses, ongoing CEUs, personality disorders, social anxiety disorders, crisis intervention, suicide, decompression Q.4 What should provider reimbursement structure look like? No caps and no limits, fee for service, professional competitiveness (qualifications based), standard rate/fee, fee based on outcome, schedule based on % of Medicaid, incentive fee schedule to encourage providers to come into field, intensity of services=appropriate pay, incentives for treatment retention General themes: Cooperation and communication between entities; More knowledge of community supports; Need for access of services; Incentives for clients Problem Gambling

STAKEHOLDERS FORUM ADDRESSING PROBLEM GAMBLING:
ENGAGING the COMMUNITY
October 23, 2007, Rock Springs 4-H Center
Six Break-Out/Work Sessions: Brief Reports of Themes/Summaries

Prevention
Q.1 What aspects of prevention are important when we think of problem gambling? What should we do?

Education regarding risk and consequences of gambling, esp targeting youth
Social/Environmental influences
Address Availability
Policies

Q.2 What are our prevention priorities today? Where & how does problem gambling fit? Where do we start?

Use existing frameworks ex. SPF (needs assessment) and CTC (risk factor identification for problem gambling)
Counter-advertising
Collaboration at national, state to state and local community level)

Q.3 What people, organizations, systems and professionals should be at the table? Who should be at the table?

Everybody!!
12 Key Community Sectors: govt, education, business (emphasis on financial), law enforcement, etc from prevention
Lawmakers!!!

Workforce Development
Q.1 What are the training needs for existing prevention and treatment professionals?

Begin with assessment - what population with what needs will we be serving
Building on basics, on-going & different levels of training (awareness raising, to referring, to advanced...) for professional & non professionals (e.g. clergy), given populations with whom they will be dealing with part of intermediate & advanced to involve supervision in learning, coaching, etc.
Base on best practices as that is learned
Important to ask what they think they (the treatment professionals) need

Q.2 Who should conduct the training?

Involve in the training those recovering
Build Kansas’ capacity...Kansas grown experts to further develop workforce (& community) - increase number of certified gambling counselors
Based on answers to question one, different levels of expertise to address different levels of skill, etc.- those doing awareness, recognition training would have different background/training than those doing treatment, etc training - local coaches for application of training...
Gamblers Anonymous important partner in the effort
Keep in mind cultural differences (e.g. tribal nations)

Q.3 How could the training needs of providers in rural and frontier and border state areas be addressed?

Increase use of technology to meet the related challenges in these areas (e.g. videoconferencing, webcasts...)
Make use of different & combination of modes to facilitate learning, skill development (e.g. on- line+classroom+coaching...)
Share what training resources (tech, people...) are available
Incentives to serve
Assess needs (& assets)
Provide state with study results

Q.4 With what existing systems can we partner in the effort and what would their roles be (e.g. Addiction Technology Transfer Center (ATTC), community colleges)?

Many already established good partners - KAAP; Problem Gambling Coalition; sister Kansas agencies
Some new or increased - Tribal Nations, high schools, MATTC, interfaith councils, colleges...
Thinking outside the box in regards to roles with all in this - partnering with & through use of technology, science of learning, sharing info, issue addressing...

Research & Evaluation
Q.1 What kind of research should be done and for what purpose?

Lots of support for grant based research (not all pre-defined)
Consider looking at socio-economic and other impact on one community (like Dodge City -"cleanest base line data"-. r/t whole state

Q.2 What treatment outcomes would be important to measure for this population?

Comprehensive component of outcomes and measures - don't limit to one.
Importance of interface with existing system of recovery.

Q.3 What data should SRS collect to evaluate problem gambling services?

Remember to gather community data as well as program data.

Purpose & description: Mental Models are deeply ingrained assumptions, generalizations, pictures, images, or stories that influence how we understand the world and how we take action. Identifying them and opening them up for exploration is key to thinking in new ways.

Public Awareness & Marketing
Q.1 On what should a public awareness campaign focus?

We need to define the problem--define a gambling addiction versus recreational or responsible gambling--what it is and what it is not. Communicate the signs and symptoms of problem gambling and provide information regarding where to go for help--not only for the persons with the gambling addiction, but for family members and others affected as well.

Q.2 What types of advertising, marketing and promotion might be especially effective?

Create a brand--an organized effort with a simple, concise, consistent message--something that all coalitions can support. In this manner, the message will be more powerful and the resource dollars will not be diluted. The message can be communicated through billboards, in the news media, on the internet, and in the casinos themselves--sometimes even in bathroom stalls.

Q.3 What sub-populations should be targeted and by whom?

The sub-populations are very diverse--50+ up to retirees (perhaps AARP could assist), youth (schools and faith-based organizations), and general population are just a few. We need to be strategic in creating messages for each target audience.

Crisis Intervention & Helpline Services
Q.1 How will we assure there are no “wrong” doors for problem gamblers or affected others seeking services?

Awareness and Education surrounding Problem Gambling for both professionals, across the board, and the community. "We need more training and better training."

Q.2 What services should a helpline offer?

Treatment on Demand/Crisis on Demand--the need to find a system that would work parallel to the current Mental Health model for handling crisis situations. Twenty-four hour a day access, Seven days a week

Q.3 Where & how can we most effectively implement problem gambling assessment & referral programs within community contact points?

A highly competent individual as the "point person" that may be doing an intake, answering a crisis hotline, etc.--needing knowledge of mental health, AAPS, gambling addictions, etc.
Adequate funding to make all of these things happen

Treatment
Q.1 What levels of care are essential for problem gamblers?

Crisis services, immediate intervention, family , group, individual, residential, couple, medication management, financial management, aftercare, support groups, legal counseling, dual diagnosis, intensive outpatient, case management, dialectical behavior treatment, recovery homes, transition services, assessment services, services for children, transportation
Theme: availability throughout entire recovery process; multi-faceted

Q.2 How should the client fee structure be set up?

Income-based, progressive, ability to pay, debt ratio based, client % or portion, individualized treatment/ individualized fee, completion responsibility, no cost (Missouri), current research for guidance (empirical rather than preference), work equity

Q.3 Who should be eligible to provide SRS supported problem gambling treatment? Include any discussion about provider training or certification requirements.

Specialization (training emphasis), certification not so narrow to cut out addiction treatment facilities, certified specialty, oversight process, university courses, ongoing CEUs, personality disorders, social anxiety disorders, crisis intervention, suicide, decompression

Q.4 What should provider reimbursement structure look like?

No caps and no limits, fee for service, professional competitiveness (qualifications based), standard rate/fee, fee based on outcome, schedule based on % of Medicaid, incentive fee schedule to encourage providers to come into field, intensity of services=appropriate pay, incentives for treatment retention

General themes: Cooperation and communication between entities; More knowledge of community supports; Need for access of services; Incentives for clients

Problem Gambling