WELCOME Problem Gambling All Providers Meeting Hosted by State - - PowerPoint PPT Presentation

HEALTH SYSTEMS DIVISION Problem Gambling Services

WELCOME

Problem Gambling All Providers Meeting

Hosted by State Problem Gambling Service Staff June 20, 2019 GotoMeeting Webinar

We will begin in a few moments…….

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Webinar Etiquette and Structure

• We will be administratively muting this call and recording it. You will

not be unmuted or allowed to verbally ask questions.

• You can use the chat box to ask questions at anytime during the webinar,

and we will read and answer at the end of each presentation.

• To minimize the GoToMeeting box from your screen, click on the orange

arrow button. Click again to bring it back.

Agenda Items

• Welcome (10 minutes)
• State Updates (20 minutes)

– System – Prevention – Treatment

• Sports Betting Updates (20 minutes)
• Updates on Workforce Development Plan (30 minutes)
• Questions and Answers (10 minutes)

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Post Webinar

• PowerPoint, accompanying documents

and CEU certificates will be emailed to you next week.

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State General Updates:

CMHP contracting and reporting period changes:

• CMHP’s will be contracted with from July 1, 2019 until December 31,

2020 (18 months)

• For CMHP’s next contracting period will begin January, 2021.
• Reasoning: Need for legislatively approved budget prior to

disseminating funding, Medicaid Residential Rate Standardization (restructure) and civil commit case load reduction.

• What this mean for PGS: There will be different reporting timelines

for county and direct contractors. Counties will end their contracts

• n December 31, 2020 and direct contracts on June 30, 2021.
• PGS will try and ensure that these different timelines are

communicated properly.

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State General Updates:

All Contracts:

• Due to the change in contracting, contracts have been delayed from

going out.

– CMHP contracts should have been received and returned with signatures. – Direct contracts should have gone out this week and returned for signature.

• If signed contracts are not returned by June 30, 2019, funding will be

retro activated to July 1, however payment will be delayed.

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State General Updates: Oregonpgs.org

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State General Updates:

• Oregonpgs webpage has a been updated and content

reduced/cleaned.

– New tabs- Resource with new Reflect, Resource, Renew campaign materials, infographics and tip sheets – Workforce Development, includes WFD plan – About Oregon PGS, includes OARs/Rules, contract/service element language, 5 year System Improvement Plan, system wide guidelines

• Moving to a new contractor to maintain on July 1, 2019 and may

cause some delays in getting information posted for a few months as we transition.

• By July 1, 2021, PGS will be moving our provider web page

information to OHA web page and will begin transitioning to this site in June 2020.

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State General Updates:

PGS Satisfaction Survey

• Part of the recommendations/activities out of 5-year System

Improvement Plan.

• Collecting feedback from providers on state staff
• Survey will be distributed in mid-July.
• Look for an email and please complete as feedback will help inform
• n customer service, etc. that you receive.

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State Prevention Updates

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2020 Problem Gambling Awareness Calendar Cover Artwork submitted by Marion County 2020 Problem Gambling Awareness Calendar will feature artwork from 13 youth across Oregon this year! Ready for distribution late fall.

State Prevention Updates

• Problem Gambling “101” & Prevention Foundation E-learning

training video will be released early this fall. Stay tuned for more information regarding how to access the E-learning opportunity.

• Looking for PG Prevention Providers interested in conducting

prevention and problem gambling related trainings.

• 4th quarter PG Prevention reporting link is now live at:

https://www.oregonpgs.org/prevention/quarterly-data-collection/

• Annual reports are due on August 15th. The report form can be

found at: https://www.oregonpgs.org/prevention/reporting-tools/

• Trauma Informed Care Report are due on August 15th, the reporting

forms can be found at: https://www.oregonpgs.org/prevention/reporting-tools/

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State Prevention Updates

A&D SE 80 Language Updates 2019-2021 Performance Requirement

• Conducting a community assessment to identify trackable outcome

measurements to assist in biennial implementation plan development;

• Participate in a minimum of one Technical Assistance/Program

Development visit in a three year period. TA visit Toolkit and Schedule for visits, located at: https://www.oregonpgs.org/prevention/reporting-tools/.

• County shall not spend greater than 25% of their total allowance on

the purchase of a product or supply unless preauthorized by OHA PG Prevention & Outreach Specialist. PG PX funds are intended to support FTE for the integration and direct service of PG PX services.

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State Prevention Updates

A&D SE 80 Language Updates 2019-2021 Special Reporting Requirements

• County shall notify OHA PG Prevention & Outreach Specialist within

10 business days of any changes related to designated PG A&D 80 Services program staff.

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Trauma Informed Care/Organization

• Report due August 15th.
• Report is a reflective “snapshot” of where your organization is at in

TIC/TIO development.

• Information on the report is available at www.oregonpgs.org
• More information on TIC/TIO tools: www.traumainformedoregon.org

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Treatment System Updates

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Working with Co-Occurring Disorders

• Billing codes introduced in January to

adequately capture co-occurring disorders treatment.

• Guideline statement released and available on
• regonpgs.org
• Addresses Gambling Disorder as

primary or truly co-occurring to qualify for integrated PG Treatment.

Treatment System Updates

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Culturally Specific Treatment Programs

• Guideline Statement Introduced in February.
• Allows statewide reach for culturally specific

programs.

• NARA– Native American.
• New Horizons Program – Latinx
• Lewis & Clark LPGS – Latinx
• Centro Latino Americano – Latinx
• Asian Health & Services Center – Korean,

Mandarin, Cantonese, Vietnamese

• Japanese Language Services

Treatment System Updates

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Residential Referral Toolkit. Tentative Release 7/1/19

• OHA PGS and Bridgeway Recovery Services Collaboration
• Development of clear processes and assistance for referral to

residential

Assessment Tool. Tentative Release 9/1/19

• Formed workgroup of providers across our system to

provide input.

• Completed four meetings, developed
• Structure of assessment
• Specifics around assessing Gambling disorder
• Specifics around assessing for co-occurring disorders
• Specifics around assessing for gambling specific

challenges in readiness for change, recovery challenges and recovery environment.

Treatment System Updates

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A&D SE 81 Language Updates 2019-2021

• Technical Assistance and Program Development
• Program shall participate in a minimum of one Technical

Assistance/Program Development visit in a three year

• period. Schedule of visit, located at:

https://www.oregonpgs.org/treatment/.

• Process/procedure and reporting guidelines for Technical

Assistance and Program Development visit is located at: https://www.oregonpgs.org/treatment/.

• County shall provide problem gambling in-reach efforts within

their A&D 81 Service organization. This should include engagement, education, screening, identification and referrals to A&D 81 Services using a Gambling Screening, Brief Intervention, and Referral to Treatment (GBIRT) type model.

Treatment System Updates

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A&D SE 81 Language Updates 2019-2021 Special Reporting Requirements

• County shall notify OHA PGS Treatment & Recovery

Specialist within 10 business days of any changes related to designated PG A&D 81 Services program staff

Treatment System Updates

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Billing Codes and Encounter Reporting

• Remember to get encountering in to H&L no later than August

1st! For a list of denied encounters, email Tom Moore at tlmoore@herblou.com

• Flex codes for treatment webinars – Note that there should NOT

be “a space” between “FLEX” and “01” when submitting billing. Please submit as FLEX01.

• Will be introducing some new codes addressing outreach

activities, and eliminating some old and unused codes.

Sports Betting – Oregon Lottery App

Betting Types

• Single event
• Parlay- combines 2 or more wagers. Must be successful with all

wagers to collect

• Inplay- wager placed after event start time.

Where

• Mobile Device- all betting types allowed, August 2019
• Kiosks/retail sports venue- all betting types allowed, spring/summer

2020

• Lottery Retailers- parlay and single event only allowed, fall 2020
• Will be numerous ways to place money on a type of bet
• Launching with fixed odds wagering only

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Mobile Sports Betting RG Tools

• Budget/deposit limits
• Players can change upward, but must wait 24 hrs between changes
• Players who make more than 2 changes upward within a week will

receive a message

• Downward changes are immediately effective
• Intervening with information
• Account tools:

– Account History – Balance transfer – Loss limits – Self assessment – Odds, payouts and how games work – Customer bonuses and free plays

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Mobile Sports Betting RG Tools

Every player receives RG/positive play pop up messages based on a variety of triggers

• Helpline: number and messaging are displayed during log-on and

log-off

• Notifications: encourage/incent players to sign up for notifications

about their play/budget

• Lottery generated messages based on play behaviors, milestone

events (first win, first loss) or predetermined intervals

• Offer neutral, factual information based on observed negative behaviors

(increasing deposit limit)

• Encourage or congratulate based on observed positive behavior

(sticking to limit for period of time)

• Promote usage of tools
• Offer helpline number

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Mobile Sports Betting RG Tools

Customers are offered a “time-out” feature to create breaks in play

• Player choices: 24hrs, 48hrs, Week or date range
• Informed customer messaging: pop-ups about the positive benefits
• f taking a break and a confirming email with info on additional tools
• Lottery guidelines
• Minimum 24hrs
• Customers cannot change time-out period
• During time-out can log-in; withdraw
• During time-out can’t deposit or place bets
• Customers in time-out do not receive marketing messages
• Reinstatement is automatic following designated time-out period

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Mobile Sports Betting RG Tools

Customers may choose to exclude themselves from gambling on the app – either temporarily or permanently

• Customer choices: Temporary date range or permanently
• Informed customer messaging:
• Customers participate in a two-step process designed to ensure they

understand they are making an irrevocable decision and offered access to help.

• Customers who choose to reinstate will participate in a two-step process

designed to ensure they are making a considered decision to return to gambling

• n the app.
• Lottery guidelines
• Minimum self-exclusion is 30 days
• Temporary self-exclusion time periods cannot be shortened
• Reinstatement is not automatic
• Permanent self-exclusion is irrevocable, accounts are closed
• Temporary self-excluders may not log-in to their account
• Self-excluders are not marketed to; effective immediately

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Mobile Sports Betting RG Tools

• App users must be verified as 21+
• Duplicate account check on all registrations
• High-risk player segments do not receive marketing

information

• Lottery will enable players to determine whether to

automatically accept change of odds or be notified of any changes

• High-risk player segments will receive pop-up
• interventions. Lottery will work with industry experts to

identify messages that will resonate with this new group

• f gamblers

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Mobile Sports Betting RG Tools

• For further information on the Oregon Lottery’s move to sport

betting, view the entire presentation provided at the May Oregon Lottery Commission Meeting at: https://www.youtube.com/watch?v=hE9P6c9ho34

Presentation starts at 50 minutes into the total meeting recording.

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5 Year Workforce Development Plan

• PGS has completed gathering feedback from advisory committee

and report is finalized.

– Highlights:

• Treatment side of system in aging out
• Interest, energy and need for Professional Mentors on both sides of system
• Gap between experienced and newbies
• Prevention- What keeps them in the jobs is their passion around working in

the community

• Treatment- passion for working with this clientele

– Next Steps:

• PGS to review plan and recommendations, review priorities and develop

implementation plans and timelines depending on resources.

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5 Year Workforce Development Plan

4 areas within the plan

1. Recruitment and onboarding of problem gambling services workforce 2. Strengthen the core OPGS workforce 3. Broaden the concept of the workforce 4. Create structures to support the workforce Complete plan can be found at: https://www.oregonpgs.org/all-providers/workforce-development/

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5 Year Workforce Development Plan-

Things currently being worked on

• 1. Recruitment and onboarding of problem gambling services

workforce

• Continue to support the offering of the Problem Gambling Pre-

Certification Course.

• Continue to support a minimum number of hours of problem

gambling prevention and general prevention trainings

• Expose behavioral health care professionals to testimonials from

problem gambling counselors describing the appeal of working with individuals with gambling disorder.

• Reduce barriers to obtaining certification as a Certified Gambling

Addiction Counselor (CGAC) and Certified Prevention Specialist (CPS) through scholarship programs

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5 Year Workforce Development Plan-

Things currently being worked on

• 2. Strengthen the core OPGS workforce
• Increase the workforce’s competency to perform and meet program

requirements

• Educate county and agency administrative staff on the importance of

sustaining a robust problem gambling prevention and treatment program

• Implement a peer-review program
• Create funding incentives for developing and implementing

individual professional development plans

• Define core competencies for problem gambling treatment

counselors, prevention specialists and peer mentors.

• Create tools to demonstrate core competencies.
• Provide requested staff training and program development.

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5 Year Workforce Development Plan-

Things currently being worked on

• Increase access to training opportunities for those engaging at first

point of contact (including effective screening, motivational interviewing, engagement, and family interventions).

• Cross-train agency staff to serve as back-up or fill-ins for problem

gambling counselors and prevention staff.

• Develop multiple training platforms that meets the field’s needs, e.g.,

regional trainings & workshops, online courses, webinars and conferences.

• Disseminate tool kits and workbooks
• Offer scholarships and financial assistance to attend training and

education opportunities

• Create opportunities for counselors to become better informed about

Gamblers Anonymous (GA) including organizing open GA meetings for statewide conferences.

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5 Year Workforce Development Plan-

Things currently being worked on

• 3. Broaden the concept of the workforce
• Continue to implement OPGS Technical Assistance Visits as a

method of promoting the integration of problem gambling awareness and screening as a behavioral healthcare best-practice and promoting agency wide capability to address problem gambling

• Develop training and development programs in collaboration with
• ther state agencies (health, welfare, justice, corrections, and

education) to increase understanding of how problem gambling interacts with and impacts health, mental health, wellbeing, and system efficiency

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5 Year Workforce Development Plan-

Things currently being worked on

• 4. Create structures to support the workforce
• Continue to support and disseminate OPGS Quality Improvement

Reports and promote all stakeholders to utilize the data to track, evaluate, and manage key workforce issues through their continuous quality improvement processes

• Investigate, identify, develop, and implement measures of workforce

wellness

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5 Year Workforce Development Plan- Resources

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• Professional Development Scholarship Application Program
• Certification and Recertification Subsidy
• Training Subsidy Form
• All forms can be found at: https://www.oregonpgs.org/all-

providers/workforce-development/

5 Year Workforce Development Plan- Resources

Treatment Recruitment Testimonials

• Special thanks to our volunteers (celebrities)
• Amber Chytka - Polk County
• Roy Lara - Lifeways, Malheur County
• John Ackley – Bridgeway Recovery Services, Marion County
• Brandie Lyday – Yamhill County
• Halle Thomas - Lewis and Clark PG Program, Multnomah County
• Nate Peterson – VOA/InAct, Multnomah County
• Den O’hara - Bridgeway Recovery Services, Marion County
• Sergio Gutierrez - Polk County
• Eight short videos asking and answering 8 questions.
• All videos can be found at: https://www.oregonpgs.org/all-

providers/workforce-development/

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5 Year Workforce Development Plan- Resources

Treatment Recruitment Testimonials

• Intent for Problem Gambling Program Managers to use for internal

promotion to fill vacancy or for cross training.

• Many times our managers do not have great knowledge of problem

gambling and are not able to talk it up or help staff to understand why they might want to join the pg team.

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Next PGS All Provider Webinar

September 19, 2019 9-10:30 am Register at: https://attendee.gotowebinar.com/register/4546905387305347330 Agenda items

• Update from Oregon Lottery on Sport Betting
• Presentation on Community Readiness Assessment at OHA

(Roxann)

• Presentation on Trauma Informed Care at HSD (David)

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Questions

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Final Notes:

• PowerPoint, accompanying

documents and CEU certificates will be emailed to you next week. Thanks for your participation in this webinar, and for the work that you do every day!

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Contacts

• Greta Coe, Problem Gambling Services Manager

Greta.l.coe@state.or.us; 503-945-6187

• Roxann Jones, Problem Gambling Prevention Specialist

Roxann.r.jones@state.or.us; 503-947-5548

• David Corse, Problem Gambling Treatment and Recovery

Specialist David.Corse@state.or.us; 503-975-8134

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