Gambling Support Centre GaM - S North Hub In October 2014, - - PowerPoint PPT Presentation

gambling support centre gam s north hub in october 2014
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Gambling Support Centre GaM - S North Hub In October 2014, - - PowerPoint PPT Presentation

Betknowmore UK Frankie Graham Founder / CEO Gambling Support Centre GaM - S North Hub In October 2014, Betknowmore UK launched the first UK gambling support hub in Islington. The hub provides dedicated gambling services, including the


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Betknowmore UK Frankie Graham Founder / CEO

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Gambling Support Centre ‘GaM-S North Hub’

In October 2014, Betknowmore UK launched the first UK gambling support hub in Islington. The hub provides dedicated gambling services, including the first accredited

  • utreach mentoring programme for gambling sector:

Support / Treatment Education / Information Research / Evidence

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Betknowmore UK ACT Programme

Client referral Client Needs Assessment Support tier 1/2 3/4 Outreach/mentoring Referrals to Counselling Support Counselling and Family/Carer Support Post Treatment Support

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Current Support Services

Don’t Gamble with Health

Rapid support programme to LBO and their customers

Mental Health

Specialist support service to clients with complex co- morbidities

BKM Support Network

Provides services for affected others and family networks

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Evidenced Based Approaches

Assessment

  • Referral
  • Initial Assessment
  • Comprehensive Assessment
  • Problem Gambling Severity

Index

  • GAST G
  • GAST C
  • Core 10
  • Risk Assessment
  • Care Plan/ACT Plan

Interventions

  • Mentoring/Outreach
  • Mindfulness
  • Counselling
  • Psychotherapy
  • Cognitive Therapy
  • Motivational Interviewing
  • Alternative Therapies
  • Psychoeducational groups
  • Money Management
  • Signposting

Aftercare

  • Relapse Prevention
  • Volunteering
  • Counselling
  • Employment
  • Support groups
  • Aftercare groups
  • Workshops
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Our service strategy focuses on health & wellbeing – not treating addiction in isolation...

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I don’t understand..Why do you keep doing this?!

Why don’t you just stop!! How did it come to this?!

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Services developed by learning from the

‘lived experience’

 Themes that impacted on me as a child and teen:

Genetic Exposure to gambling Low Household Income Childhood trauma Connectivity

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Theme 1 – Genetic

Addiction in family

Several extended family members suffered from addictive behaviour traits However, close family members do not exhibit classic addictive behaviour

My Personality

Quiet and studious Unlikely to ask for help Uncomfortable speaking about emotions

Betknowmore UK

Empathic and non- judgmental approach Person-led support and treatment Encourage clients to try whatever works! BKM Support Network

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Theme 2 - Exposure to Gambling

School Yard & Family

Gambling culture in the playground Father took me to betting shops Wins were celebrated – gambling was positively viewed

Attitudes and Beliefs

Cemented belief money could be won from gambling Gambling was exciting and normal High motivation to gamble – losses were ignored

Betknowmore UK

Awareness and education through workshops and presentations Community & Youth focused services Signposts Workshop

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Theme 3 - Low Income Household

Perception of Money

Aware that money limited and a cause

  • f a lot of conflict

Money was associated with health – less money, increased impact on mental and emotional wellbeing

Employment

Started work as soon as I could – tried to be financially independent Quickly ran into problems with money management, asking for subs and loans from employers

Betknowmore UK

Target areas of high deprivation and vulnerability Rapid support to individuals includes focus

  • n financial safeguarding

Address ‘corrupted’ perceptions and views of money and financial management

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Theme 4 – Childhood Trauma

Exposure to domestic violence

Witness to childhood domestic violence Disrupted relationships into adulthood Lasting impact on wellbeing

Impact on Self Worth & Esteem

Massive impact on emotional wellbeing Gambling became a coping mechanism to feelings extreme low mood Felt suicidal and desperate – particularly after gambling binges

Betknowmore UK

Case management – client is likely to present with complex co- morbidities Signposting and referrals to external agencies In-house counselling expertise, mental health and addiction specialist

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Theme 5 – Loss of Connectivity

Betting shops

Felt at home immediately Felt gambling was a skill, the more I learnt, it increased the chances of big wins

Excluded Other Areas of Life

Identified as ‘gambler’ Time and money dedicated to gambling increased rapidly By 18 was regularly gambling to extinction Extreme behaviour crossed

  • ver to other areas of life

Betknowmore UK

Befriending and Mentoring empathic approach encourages engagement Support around routine, time management and support assets Opportunity to re- engage with Self and community through volunteering

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Vulnerable Adults ‘at risk’

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Who are most vulnerable? Gambling related harm

Social & Economic

Unemployed Low income Deprived areas Financial debt Homeless Prisoners / Probation

Demographic

Youth Older people Women Ethnic groups Affected Others

Poor / Impaired Judgement

Low educational attainment Low IQ Cross addiction Learning disabilities Personality traits High dependency

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Clients with high vulnerability: key points

Regular payments

Potential for abuse Money Management skills to manage personal budget Universal Credit

Social Network vs Isolation

Time vs Routine Speak to me Excitement of activity

Not experienced ’crash’

Supported Housing & Care Learning to live with issue Issue overwhelming to address – coping tool

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Clients with high vulnerability: key points

Stigma, Shame

Reported feelings of shame and guilt at gambling behaviour Spending money allocated for

  • ther items

May not disclose

Hidden harm Gambling beliefs may merge with other thought patterns

Impact of medication

Can affect behaviour and control around impulsive decision-making

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How do we support vulnerable and ‘at-risk’ clients?

Create awareness & access for support

GaM-S Hub is focal point for accessing services – support on the ground

Provide training & support to orgs

Ensure staff have the right knowledge, skills, resources

Engage with client & support network

Network meetings and signposting Harm minimisation

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Don’t Gamble with Health October 2016 – Present

Collaboration ABB, Gamble Aware Betknowmore UK collaboration Project designed by Betknowmore UK and proposed to ABB members Innovation – First direct support

First outreach service working directly with betting shops Support materials and referral system set up within betting shops Includes training and workshops with

  • perators compliance

and shop staff

Health & Wellbeing Focus

New message promoted in shop materials – wellbeing approach Suggests gambling as a ‘lifestyle’ behaviour has potential for harm if not managed properly

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Don’t Gamble with Health Support and Treatment

Rapid Support

Referred clients are contacted within 48 hours. 100% achievement rate Clients can be referred by LBO staff, self referred or through a third party Must have local contact to Islington and be LBO customer

Tiered Treatment Pathways

Clients are met initially by outreach team and provided with mentoring Brief Intervention & screening provided Clients can receive structured support, consisting of mentoring, counselling, group and peer 2 peer support

Integrating with Community

Accept referrals from statutory and voluntary

  • rgs – ICOPE, GP, Mental

Health, Substance Misuse, Family Support Connected with over 60

  • rgs In Islington

Provision of screening tools, workshops and support resources

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frankie@betknowmoreuk.org

Follow us on Twitter @betknowmore Facebook / www.betknowmoreuk.org