Gambling Support Centre GaM - S North Hub In October 2014, - - PowerPoint PPT Presentation
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
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
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
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
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
Our service strategy focuses on health & wellbeing – not treating addiction in isolation...
I don’t understand..Why do you keep doing this?!
Why don’t you just stop!! How did it come to this?!
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
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
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
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
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
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
Vulnerable Adults ‘at risk’
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
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
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
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
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
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