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

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HEALTH SYSTEMS DIVISION Problem Gambling Services

WELCOME

Problem Gambling All Providers Meeting

Hosted by State Problem Gambling Service Staff March 16, 2017 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.

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Agenda Items

Welcome (10 minutes)
State Updates (20 minutes)
Oregon Lottery Updates- Thais Rodick (20 minutes)
Oregon Council Council on Problem Gambling Updates- Tom

Moore- Executive Director of OCPG (15 minutes)

– Legislative Updates – National Conference on Problem Gambling

Interesting from Latest Treatment Reports- Tom Moore, Herbert and

Louis (5 minutes)

PGS Implementation Work Plans- Greta Coe, OHA (15 minutes)
Questions and Answers (5 minutes)

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Post Webinar

PowerPoint, accompany documents and

CEU certificates will be emailed to you next week.

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State PGS General Updates

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Next PGS All Provider Webinar/Meeting

June 15 from 9-10:30am. To register: https://attendee.gotowebinar.com/register/2024019862819633924 Agenda to be emailed mid May 2017 Training Calendar now available listing out the monthly prevention and treatment calls and all provider webinars and other upcoming trainings planned. Located at: http://www.oregonpgs.org/all-providers/workforce- development/

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State PGS General Updates

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Upcoming Training Opportunities:

31th National Conference on Problem Gambling

July 21-22, 2017 Preconference: July 19-20, 2017 DoubleTree by Hilton, Portland, OR

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Scholarships Available to National Conference

State PGS program will be providing scholarships for the General

Conference (Friday, July 21 and Saturday, July 22) to one treatment provider from each program and one prevention coordinator from each county or program.

Specific on registration process will be emailed this week.
Stipulation of receiving scholarship is that you will become a

volunteer for the conference

There are numerous volunteer task and we will ensure that

volunteering will not interfere with conference attendance.

More information on volunteering will be announced later.

Registration is first step.

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2017-19 Budget Allocations

Budget allocations were emailed to program managers March 2.
This year, prevention and treatment contracts received a 2.5 percent

increase for administrative oversight and cost of living. These funds were added to AD 80- prevention funds and AD 03- treatment administration.

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State Prevention Updates

March is Problem Gambling Awareness Month - resources located at

http://www.ncpgambling.org/programs-resources/programs/pgam/.

Governor Brown proclaimed March 2017 “Problem Gambling

Awareness Month.” Copy of the proclamation can be found at: http://www.oregonpgs.org/pgam/.

New “plan type” will be rolling out in March/April in OPDS – stay tuned

for training webinars on how to enter your 2017-19 Problem Gambling Prevention Plan, and use reports in SSRS.

Deadline to submit artwork to the State for the 2018 Problem Gambling

Awareness Calendar is April 14th.

Revision of Substance Abuse and Problem Gambling Prevention OAR

is underway.

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Grief Recovery Method Training and Project

Date: May 8-11, 2017
Time: 8:30 am to 5:30 pm, lunch provided
Location: Doubletree by Hilton in Bend, Oregon
Requirements: Attend 4 day training, implement Grief Recovery

groups/individual sessions within agency and collect data for evaluation of individuals receiving the groups/individual support within the gambling treatment system. Participants will be responsible for travel and lodging expenses.

Only one clinician from each program may apply.
Applications due March 24, 2017 with notification emailed by March

28.

For more information, email Greta.

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Family Therapy Learning Session and Forums

Dates in 2017: April 27, July 27, and October 26
Time: 10-11:30 am
Facilitated and Coordinated by Teresa McDowell, Ed.D., Professor

and Chair, Department of Counseling Psychology; Lewis & Clark Graduate School of Education and Counseling

Calls will include pre-meeting readings and structured agendas and

topics.

Information on login and call in, along with reading assignment

provided via email closer to each call.

1 hour of CEUs provided for those that attend.

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Advanced Families and Problem Gambling Treatment Discussions

Dates in 2017: May 25, Sept 7, Nov 30
Time: 10-11:30 am
Information on login and call in provided via email closer to each
call. All levels of clinicians welcome.
Please mark your calendars if you are interested.
Information on login and call in provided via email closer to each

call.

1 hour of CEUs provided for those that attend.

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Free Webinar Training Announcement

Using SBIRT for Problem Gambling in the Military
June 15, 2017
12:00- 1:130 pm
Hosted by the Institute for Research Education and Training in

Addictions

Register at: http://ireta.org/improve-practice/addiction-

professionals/webinars/

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April Treatment Call

Wednesday, April 5
3:00 – 4:00 pm
Log in and call instructions
Agenda to be sent later this month.
Future dates in 2017: May 3, August 2, October 4, and November

1.

See training calendar: http://www.oregonpgs.org/wp-

content/uploads/2016/03/2015-17-PGS-Calendar-rev-2-1-17.pdf

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Problem Gambling Message Impact Focus Groups

Dates: May 2, 3 and 4, 2017
Location: Portland Area
Looking for gamblers who are in treatment or have completed

treatment to review and provide input on the advertisement for the helpline services.

Looking for significant others of a gambler to provide input.
Looking for Spanish speaking gamblers to provide input.
Each population will have a separate session.
Email will be sent in the next few days with more specifics.

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New Resource

Problem Gambling Treatment Site Review, Encountering and

Paperwork CHEAT SHEET

Includes all the recommendations and items that have been covered

in past treatment calls in one document.

Will be sent out via email to tx providers.

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Reimbursement Rate Increase

Worked with the Actuarial Services Unit of OHA to determine how our PG

rates compared to other rates (Medicaid, CCO, etc.)

It was determined that our rates were a bit low.
Some procedures will be increased starting July 1, 2017
More information and new rate sheet to be developed in June.
This does not mean that contracts gets more treatment funding, as most

treatment providers have not been encountering for their allocations.

By increasing rates, subcontractors will get a better reimbursement if they

are on a fee for service system and at a statewide level our expenditure rate will increase and it will appear that we are using a greater level of our funds to treat the client.

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Questions

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Oregon State Lottery

Presented by: Thais Rodick, Oregon Lottery

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Agenda

1. Research & Analytics
Message testing
Data sharing
2. Marketing Communications Update
Problem Gambling Awareness Month outreach
Year-to-date marketing metrics
3. Responsible Gambling Training Update
Employee training
Retailer training

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Research & Analytics – Message Testing Research

OBJECTIVES Conduct initial, exploratory research with adult Oregonians reflecting a spectrum of gambling levels, from moderate and frequent gamblers to problem gamblers in recovery and their spouses/significant others, to help answer the following questions:

Do they feel that RGPG ads launched in the past have been effective?
Should messaging be tailored differently for the different audiences we’re trying to

reach? If so, how?

Should messaging and/or placement change based on language? If yes, how?
Secondary objective: Where and when should ads and collateral be placed to have

the greatest impact/reach?

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Research & Analytics – PGS Partner Data Sharing

GOALS

Establish an ongoing, structured process for sharing data related to:
RG Advertising Reach
PG Advertising Reach
OSL RGPG Media Schedule
County Level Media

Campaign Schedules for Prevention and Treatment

Helpline
GamTalk.org
GEAR
Enrollment in Treatment
Level of Gambling for

12-Month Treatment Completers

Reported Treatment

Referral Source

Review/discuss trends
Are advertising and support working?
Work together to fine-tune efforts

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Problem Gambling Awareness Month

Lottery developed new assets for the National Council on

Problem Gambling web site, http://www.ncpgambling.org

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Problem Gambling Awareness Month

31 days of tweets in English and Spanish

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Problem Gambling Awareness Month

Key messages and themes
Ad, poster and web banner templates
Press releases

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Problem Gambling Awareness Month

Lottery and OHA requested Governor’s Proclamation

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Problem Gambling Awareness Month

Lottery engaged every employee

Letter from the Director
Wrist bracelets for all
Internal newsletter articles
Posters and collateral materials throughout the building

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Problem Gambling Awareness Month

Lottery engaged every employee

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Problem Gambling Awareness Month

Lottery increased marketing spend starting in February through the end of June

TV
Spanish TV- Eastern Oregon for now
Hispanic Radio
Tilde Noticias
Wallscape
Out of home (Corvallis/Eugene/Klamath Falls/

Medford/Portland)

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Responsible Gambling OSL Staff Training

All employees completed a 40 minute
nline training, as of January 1, 2017;
Post training research currently in

progress;

Player and retailer facing employees

to receive enhanced in person training in June 2017.

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Responsible Gambling Retailer

2,200 Video Lottery retailer

staff have completed the training as of today

Post training research in

progress

Traditional Lottery retailer

training will launch in July 2017 with two major chain retailers

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Oregon Council on Problem Gambling Updates

Presented by: Tom Moore, Executive Director of OCPG

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Legislation

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SB 252 adds problem gambling

treatment to hardship driving permit

HB 2549 makes OSL regulatory body

for fantasy sports (Committee on Business & Labor)

HB 2761 includes fantasy sports

game as contest of chance for existing laws (Committee on Business & Labor)

HB 2971 increases number of VLTs

from 10 to 50 at race meet licensee (Committee on Business & Labor)

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NCPG National Conference

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Listening, Learning, Leading
Preconference Workshops July 19 &

20, 2017

Main Conference July 21 & 22 , 2017
Double Tree By Hilton at the Lloyd

Center

Online registration:

www.ncpgambling.org/conference

Early Bird Ends May 15th, 2017
On-site registration + $100.00
Sports & Gambling Summit
Tribal Gaming Summit
Keynote on Friday: Dr. Marotta
Scholarships

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Questions

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Presented by: Tom Moore, PhD; Evaluator for Herbert and Louis, LLC “Where have all the Family Clients gone?”

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Where have all the family clients gone?

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Family Member: all traditional “relatives” as well as other individuals who are considered important recovery support persons.

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Where have all the family clients gone?

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Gambler Clients Family Clients % Family Clients FY 01-02 1402 274 16.3 FY 02-03 1503 299 16.6 FY 03-04 1399 299 17.6 FY 04-05 1541 300 16.3 FY 05-06 1698 365 17.7 FY 06-07 1997 324 14.0 FY 07-08 2014 354 14.9 FY 08-09 1877 334 15.1 FY 09-10 1493 265 15.1 FY 10-11 1211 145 10.7 FY 11-12 1321 179 11.9 FY 12-13 1216 178 12.8 FY 13-14 1035 132 11.3 FY 14-15 1096 115 9.5 FY 15-16 1034 125 10.8 Gambler and Family Enrollments

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Where have all the family clients gone?

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Where have all the family clients gone?

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% Change % Male Gamblers % Married Gamblers % Family Clients % Male Family % Family Married FY 01-02 0.0 53.1 38.9 16.3 31.0 63.1 FY 02-03 7.2 53.6 40.9 16.6 24.8 64.2 FY 03-04

6.9

52.3 40.1 17.6 25.4 63.9 FY 04-05 10.2 47.9 38.1 16.3 22.0 65.0 FY 05-06 10.2 47.5 36.0 17.7 32.1 58.6 FY 06-07 17.6 46.6 38.1 14.0 27.6 58.3 FY 07-08 0.9 47.9 33.2 14.9 31.6 52.8 FY 08-09

6.8

43.8 32.8 15.1 32.1 53.3 FY 09-10

20.5

45.8 35.9 15.1 30.6 60.4 FY 10-11

18.9

48.6 29.7 10.7 24.5 51.7 FY 11-12 9.1 48.7 31.5 11.9 27.9 64.8 FY 12-13

7.9

47.6 32.2 12.8 32.0 60.7 FY 13-14

14.9

53.5 28.2 11.3 22.7 65.2 FY 14-15 5.9 52.9 26.8 9.5 32.2 50.4 FY 15-16

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53.1 28.6 10.8 26.6 60.8 Distributions by Gender

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Where have all the family clients gone?

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Where have all the family clients gone?

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Program Gambler Family % Family Program Gam fam % FAMILY A 333 118 26.2 C 106 20 15.9 B 159 58 26.7 B 100 17 14.5 C 190 58 23.4 1 42 12 22.2 D 149 36 19.5 A 86 12 12.2 E 91 19 17.3 F 66 10 13.2 F 93 15 13.9 2 73 9 11.0 G 43 13 23.2 3 67 8 10.7 H 93 9 8.8 L 32 7 17.9 I 26 6 18.8 4 10 6 37.5 J 42 4 8.7 Z 41 5 10.9 K 22 4 15.4 N 42 4 8.7 L 61 4 6.2 P 13 4 23.5 M 18 3 14.3 M 17 3 15.0 N 60 3 4.8 5 6 1 14.3 O 39 3 7.1 J 31 1 3.1 P 32 2 5.9 AA 11 1 8.3 Q 36 2 5.3 K 17 1 5.6 R 52 2 3.7 6 6 1 14.3 S 7 1 12.5 AF 17 1 5.6 T 6 1 14.3 R 22 1 4.3 FY 05-O6 FY 15-16 Comparing Program Level Data From Biggest Year to Most Recently Completed

FY 05-06: 72.7% of programs enrolled family clients FY 15-16: 46.8% of programs enrolled family clients

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Where do they come from?

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General Demographics

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Table 12.1 Family Average Age (In Years) n mean sd All 118 48.9 16.1 Males 33 49.9 18.4 Females 84 48.3 15.0 Table 12.2 Family Relationship to Gambler (In Percent) All Males Females Spouse/SO 65.6 53.6 70.8 Parent 18.3 28.6 13.9 Child 7.5 7.1 7.7 Sibling 5.4 10.7 3.1 Other Family 1.1 0.0 1.5 Co-Worker/Friend 1.1 0.0 1.5 Employee/Employer 0.0 0.0 0.0 Other 1.1 0.0 1.5 Table 12.3 Family / Gambler Gender (In Percent) Gambler Male - Family Male 12.3 Gambler Male - Family Female 53.9 Gambler Female - Family Male 20.0 Gambler Female - Family Female 13.9

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Conclusions

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1. Efficiencies of Scale: larger programs were more likely to have dedicated family treatment assets and more likely to use 2. Declining enrollments most likely indicative of loss

f family treatment assets related to availability

3. No evidence in the gambler data to suggest a decreased need from family treatment 4. Apparent challenge: a) establishing readily available family treatment assets through coordination and cross training b) recruiting recovery support participants (release,

utreach, coordinated care)

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Questions

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PGS Implementation Work Plans

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Presented by Greta Coe, PGS State Staff

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PGS Implementation Work Plans

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Six Implementation Plans

Initiative 1- Collaboration
Initiative 2- Workforce Development
Initiative 3- Integration
Initiative 4- Prevention, Treatment and Recovery Services
Initiative 5- Rural Services
Initiative 6- Funding and Reimbursement

Implementation work plans are currently located at http://www.oregonpgs.org/about/2016-2020-oregon-pgs-system- improvement-plan/.

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Focus areas for Oct 2016 – June 2017

System:

Develop Best Practice Resource Guide

Status: Delayed. Development to start in the new few months.

Explore and reach out to Older Adult Population- learn how to educate,

engage and treat Status: Prevention/Outreach Projects with Older Adult focus; Cascadia VIEW pilot project; and PGAM Press Release and Video Clip

Incorporate Trauma informed language within Contract/Service Element

Language Status: Boiler plate language added to contracts.

Development of infographics

Status: In process of developing content.

Implement Funding Adjustments when feasible

Status: Increased funding by 2.5% in FY2017-18 for each contract.

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Focus areas for Oct 2016 – June 2017

Prevention

Continue to develop relationship with Public Health’s, Health Promotion and

Chronic Disease Prevention Unit, where substance abuse prevention now sits Status: Collaborative meeting scheduled every other month with Public Health

Begin developing relationship with Department of Education

Status: On hold

Offer and monitor Community Awareness Grants

Status: 17 projects funded, projects at various levels of implementation

Develop contract for Positive Community Framework Campaign

Status: Contract in place, six month planning project underway

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Focus areas for Oct 2016 – June 2017

Prevention (continued)

Create reports and dashboards within the Oregon Prevention Data System

Status: Reports have been created, training for providers to be scheduled in March/April

Development of prevention advisory committee

Status: Committee formed and meeting monthly

Oregon Youth Surveys

Status: Discussion at Public Health to combine OHT and SWS surveys, Statewide PG Prevention and Outreach Specialist on committee reviewing options

Technical assistance process for new providers

Status: Prevention process scheduled to begin in May

Creation of new Prevention Administrative Rule and Site Review Process

Status: New PG Prevention OAR is being created, the site Review Process revision on hold until the new rule has been adopted

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Focus areas for Oct 2016 – June 2017

Treatment Tasks:

Explore the development of core competencies for problem gambling

treatment for Oregon providers Status: Sample core competencies developed and being reviewed.

Develop treatment provider technical assistant visit protocols and process

Status: Format drafted and presented at February tx call. Revisions in

process. Piloting to begin this summer/fall.
Research structure and outcomes from other types of helplines

Status: New language written in Helpline contract. New services to be

ffered starting July 1. More information at next all provider webinar in

June.

Explore and implement alternative funding models for client finding outreach

Status: Drafted contract language that we can use in the future and tie funds to.

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Focus areas for Oct 2016 – June 2017

Treatment Tasks:

Development of Eastern Oregon Respite Services- New Directions NW,

Baker City Status: MOU drafted and waiting for signature. Service element drafted for next biennium.

Partnership with Criminal Justice System

Status: Multnomah County Provider Workgroup started process in metro area related to development of Gambling/Therapeutic Courts. State PGS has connection within Criminal Justice Commission who is connecting State PGS and Workgroup with numerous partners within larger system, development of population specific fact sheets for upcoming introduction meetings.

Technical assistance process for new providers

Status: Delayed. Drafting of checklist to begin in April.

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Focus areas for Oct 2016 – June 2017

Treatment Tasks:

Reinstate Treatment Specialist Position

Status: Policy Option Package (POP) to legislature did not move

ut of OHA. Future Plan: Present POP for special session in

February 2018 and work with advocacy groups for assistance with traction.

Update and increase reimbursement rates

Status: Rates reviewed and new rates effective July 1.

Expand flex codes

Status: Will work with Herbert and Louis in spring for development

f specific flex codes to improve data evaluation.

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Questions

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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

Patricia Alderson, Problem Gambling Administrative Support

– Patricia.alderson@state.or.us; 503-945-9710

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Final Notes:

PowerPoint, accompany 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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