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 December 13, 2018 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.

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Agenda Items

• Welcome (10 minutes)
• Oregon Lottery Updates- Krystal Smith (20 minutes)
• State Updates (30 minutes)

– Prevention – Treatment – System

• Positive Culture Framework Key Finding Report Presentation:

Roxann Jones (20 minutes)

• Questions and Answers (10 minutes)

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Post Webinar

• PowerPoint, accompany documents and

CEU certificates will be emailed to you next week.

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Oregon State Lottery

5 Presented by: Thais Rodick & Krystal Smith

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Beneficiary Program Beneficiary Program Beneficiary Program Beneficiary Program

Veteran Services

• Veteran Benefits

magazine

• Back of the page-

advertising OPGR

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New Responsible Gaming Training New Responsible Gaming Training New Responsible Gaming Training New Responsible Gaming Training

Coming up in 2019

NEW!!

• Oregon Lottery Responsible Gaming Staff Training
• Video Lottery Responsible Gaming Retailer Training

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Analytics Analytics Analytics Analytics – – – – Helpline Information to Helpline Information to Helpline Information to Helpline Information to-

• date

date date date

Referrals to Treatment

FY16 FY17 FY18 FY19 July 64 72 67 69 August 63 103 63 83 September 69 72 71 October 69 83 90 November 68 97 68 73 December 77 64 51 January 88 71 74 February 82 77 74 March 102 94 96 April 109 70 111 May 116 96 92 June 89 75 83 Total 858 957 934 313

Calls to the Helpline 1.877.MyLimit

FY 16 FY17 FY18 FY19 July 160 198 220 259 August 201 214 256 278 September N/A 181 237 225 October N/A 202 195 323 November N/A 209 212 272 December 172 160 217 January 226 204 234 February 205 188 212 March 239 215 276 April 187 167 275 May 180 192 253 June 210 182 254 Totals 1,780 2,312 2,841 1,085

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Analytics Analytics Analytics Analytics – – – – Helpline Information to Helpline Information to Helpline Information to Helpline Information to-

• date

date date date

Motivational Text signups

FY17 - 7/19/17 FY19 July August September October 15 November 14 December January February March April May June Total 448 477

Helpline Texts Helpline Chats

FY 16 FY17 FY18 FY19 FY 16 FY17 FY18 FY19 July 7 12 9 28 July 9 41 44 5 August 6 10 9 August 3 36 26 September 14 18 12 September 32 28 16 October 15 8 13 October 29 25 37 November 5 7 2 16 November 10 27 13 26 December 11 8 7 December 7 15 14 January 5 13 8 January 11 35 26 February 6 13 10 February 14 26 24 March 9 23 March 35 23 April 6 18 18 April 20 31 27 May 17 19 14 May 21 45 20 June 8 10 15 June 30 45 34 Totals 71 138 142 78 Totals 125 361 314 110

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Holiday Scratch Holiday Scratch Holiday Scratch Holiday Scratch-

• its Media Campaign: Product Advertising Television

its Media Campaign: Product Advertising Television its Media Campaign: Product Advertising Television its Media Campaign: Product Advertising Television

Holiday Scratch-its media campaign

• Holiday TV - Product Advertisement
• Holiday TV - RG Version – Don’t give to anyone under the age of 18

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New Problem Gambling Awareness Media Campaign: New Problem Gambling Awareness Media Campaign: New Problem Gambling Awareness Media Campaign: New Problem Gambling Awareness Media Campaign:

The Wall Creative:

• Male Problem Gambler
• Female Significant Other

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The Wall: New Problem Gambling Resource Awareness Campaign/Significant The Wall: New Problem Gambling Resource Awareness Campaign/Significant The Wall: New Problem Gambling Resource Awareness Campaign/Significant The Wall: New Problem Gambling Resource Awareness Campaign/Significant Other & Group Other & Group Other & Group Other & Group

The Wall:

• Multi Cultural: Female Gambler Spanish
• All Combined

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Oregon Lottery Mobile App: Play Responsibly Features Oregon Lottery Mobile App: Play Responsibly Features Oregon Lottery Mobile App: Play Responsibly Features Oregon Lottery Mobile App: Play Responsibly Features

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Questions

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State Prevention Updates

Problem Gambling Prevention Conference: April 10th, 11th and 12th

• April 10th: Community Readiness Assessment Project Completion and Strategic Planning (for

programs funded in Phase I of project 2018) –Carisa Dwyer, Sunshine Consulting

• April 11: Problem Gambling Positive Cultural Framework Tool Kit Rollout –Katie Dively, Montana

State University Center for Health and Safety Culture

• April 12th: Biennial Planning – Roxann Jones, Oregon PGS
• Registration information and subsidy information coming soon

Community Assessment Letters of Intent

• Due December 17th by 5:00 pm

New Prevention Coordinator Training – Coming in 2019!

• Problem Gambling 101
• Prevention Science Foundation

New Prevention Connect Call Date and Time

• Prevention Connect Call – 3rd Wednesday at 9:00 am
• Look for details in email and on OregonPGS.org at https://www.oregonpgs.org/all-

providers/workforce-development/

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Treatment System Updates

Treatment Conference in Newport, OR; March 6th, 7th & 8th  Pre Conference on Early Engagement and Military Culture  Lori Rugle, Phd, BACC keynote speaker  Registration Open

New Treatment Call Structure in 2019

 Program Development Call – 1st Wednesday at 3pm  Clinical Topics & Case Consultation – 4th Thursday at 9am (CEU’s provided)

Look for details in email and on Oregonpgs.org. New Billing Codes take Effect January 1st



New parameters on billing for meetings and development activities



Co-Occurring Disorder Treatment Codes



Treatment Planning Codes Billing Codes/Rates Sheets Assessment/Level of Care Tool Workgroup forming in January – More Information to follow

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Treatment System Updates: Trainings & Supervision

• For Peer Mentors: Scholarships to Peerpocalypse available.
• Certified Recovery Mentor Training by VPGR in Eugene. April 17,18,19.

Mentor Training

• Evergreen Council on Problem Gambling Introductory Gambling Counselor

Training: February 11th – 14th. Heathman Lodge, Vancouver WA. Evergreen Counselor Training

• Lewis & Clark Problem Gambling Counselor Training, Advanced. 30 CEU’s
• Feb 23 and 24th, April 6th & 7th. On Lewis & Clark Campus -- PDX
• Supervision Towards CGAC certification – List of qualified supervisors

available to contract will be sent out next week.

• David Corse is able to provide supervision through OHA PGS. More

information sent out next week.

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State General Updates:

• PGS Workforce Development Report
• Problem Gambling Prevalence In the Oregon Criminal Justice

System Report

• Veterans
• PGS System Annual Evaluation Report Highlights
• System Wide Projects
• Treatment New Year Resolutions/Challenges

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2018-2023 PGS Workforce Development Report

• PGS has completed gathering feedback from advisory committee

and report is finalized. Soon to be distributed and posted to web page.

– 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 report and recommendations, review priorities and develop

implementation plans and timelines depending on resources.

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PG Prevalence in Criminal Justice System

• Survey completed between August 2017 and March 2018 at Coffee

Creek Corrections facility of all intakes.

• 1,111 participants complete the survey out of 3,970.
• Approximately 87% indicated they were male, 8.8% female, 0.5%
• ther, and 3.8% did not respond to the gender question
• Approximately 58.6% of the participants reported gambling in the

past 12 months prior to the current incarceration. This is comparable to the 56.6% that reported gambling in the most recent adult population prevalence study

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PG Prevalence in Criminal Justice System

• Females were significantly more likely (87.8%) to report gambling

than males (55.8%) unlike the general population where males are traditionally more likely to report gambling.

• Females were significantly more likely to report daily gambling

(46.9%) than males (10.9%) as well as weekly gambling (27.6% compared to 18.3%). For the general population the combined rate

• f daily and weekly gambling was only 4.5%.
• High risk- males 21.6% to 28.8% and females 61.2% to 70.4%.
• Females were much more likely to report that their current

incarceration was due to gambling (2.1% primarily and 25.8% to some extent).

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PG Prevalence in Criminal Justice System

Next Steps

• Report contains a list of recommendations/service implementation

that has been reviewed by DOC

– Screening of all intakes – Separate gambling treatment track – General education for all – Referrals to community resources during release planning – PG education training of corrections staff

• More to come and sharing at future all provider webinars.

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Veterans and Service Members

OHA has a Veterans Initiative that includes 4 parts:

1. Hire 1 FTE position- Veterans Behavioral Health Liaisons 2. Provide 9 veteran suicide prevention trainings to BH providers 3. Development of veterans peer support specialist position through CMHPs 4. Complete BH gap analysis and set of recommendation (Regroup- local consultant group)

What will PGS be doing:

• Offer military cultural competency training at March conference
• Wait for recommendations from gap analysis and for OHA plans to

determine how we can integrate efforts or parallel our efforts.

• May develop stakeholder workgroup of our own in the late spring for

input on efforts.

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FY18 PGS System Evaluation Highlights

• 947 gambling individuals enrolled in program (down 2.7% from

previous year)

– All programs (OP, Res, GEAR) down from previous year, except for prison based tx programs which increased

• 117 family members/impacted others were enrolled in program (up

by 13 clients from previous year)- majority identifying as spouse, parent or child.

• Calls for help to the Helpline were up slightly to 1021

– 22.3% of gamblers accessed treatment providers through the Helpline – 11.2% through previous clients – 10.7% through other community health care providers – 40.5% reported accessing treatment through a large variety of other sources

• The lag time from initial call to first available appointment for
• utpatient treatment was, on average, 3.6 work days and 3.5

calendar days.

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FY18 PGS System Evaluation Highlights

Demographics of Clients

• Males (52.1%) Females (47.9)
• Caucasians enrollments decreased 77.6% from 80.9%
• 17% of males and 6.3% of females reported having current or prior

military experience.

• Primary gambling activity- machine based (VLT/slots) at 89.5%
• Primary gambling location- Video Lottery Retailers at 71.5% and

IGC/Casino 16.1%

• 6-month successful completers abstinence rate was 51.1%
• Approximately 27.8% reported to counselor of having thoughts of

suicide in the past six months.

• Approximately 32.0% reported having any prior SUD treatment

episodes of care.

• Approximately 35.9% reported as having prior mental health (MH)

episodes of care.

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FY18 PGS System Evaluation Highlights

• Only four programs encountered for peer delivered services during

the reporting period.

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11.1 Access Source for Phone Number (In Percent) Web/Internet 37.2 VLT Placard 19.8 TV Ad 17.0 Other 13.7 Brochure/Poster Local 5.4 Radio 2.4

FY18 PGS System Evaluation Highlights

Things at play? …..

• Prevention efforts
• Outreach/educational efforts
• Responsible gambling efforts

Untapped populations?....

• Criminal Justice System
• SUD/MH population
• Veterans
• Families

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Walking our Talk Projects

• Community Readiness Assessment

– PGS Prevention is completing this project within our organization and determining where our agency is with awareness and will create an internal plan of action to implement during the next biennium.

• Trauma Informed Assessment and Plan

– PGS Team is assessing our Addictions Treatment, Recovery and Prevention Team, Results from assessment will lead to recommendations and plan.

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Treatment New Year Resolutions/Challenges

• GBIRT model discussed, trained and modeled at Regional Training.
• David has been providing, when requested, additional technical

assistance to providers on this model.

• Outcome- should have better inform agency staff, increase in reach

code usage and encountering, and lead to more referrals/enrollments

• FY17-18; 947 gambling individuals enrolled into treatment services
• Resolution/Challenge/Goal= Increase statewide number by 10% by

end of FY19-20 (June 30, 2020)

A minimum of 1,042 gambling individuals enrolled

• Each program should attempt to increase their FY17-18 enrollments

by 10%.

• All programs have been trained and have 18 months to implement

and demonstrate results.

• State will continue to support efforts.

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Questions

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Positive Culture Framework Key Finding Report Presentation

Presented by: Roxann Jones

Source: Montana State University Center for Health & Safety Culture OHA Problem Gambling Services 2018 Key Findings Report

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Positive Cultural Framework

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Source: Montana State University Center for Health & Safety Culture

Positive Cultural Framework Campaign

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Positive Culture Framework

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Source: Montana State University Center for Health & Safety Culture

Assess Culture

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Assess Culture Outcome

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Assess Culture

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Collect Baseline data BEFORE messaging though surveying adult Oregonians to:

• measure actual and perceived norms
• measure injunctive and descriptive

norms

• measure communication awareness

Survey Core Questions

• 1. How concerned are people about problem gambling

behaviors?

• 2. To what degree do people have perceived stigma about

problem gambling?

a) And how does this correlate with their beliefs and behaviors?

• 3. Are people in situations to intervene with a potential

problem gambler?

a) If so, how often do people in this situation actually intervene?

• 4. What are the attitudes and beliefs that predict accessing

OPGR?

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Survey Development

Use several vignettes (i.e., short stories)

• Written based on DSM Criteria
• Independently scored by OPGR counselors
• 3 pilot test completed for survey development
• For each vignette, ask:
• How concerning is Roxann’s gambling behavior?
• How concerned would you be if Roxann’s was a close friend
• r family member?
• Agree or disagree: Something should be done to address

Roxann’s gambling behavior?

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Survey Demographics

Survey was completed over the Internet with 1,225 adults in May 2018 – 50% female – 91% White, 3% Black or African American, 3% American Indian or Alaska Native, 4% Asian – 9% Hispanic – Ages similar to US Census – 39% urban, 46% suburban, 15% rural – Educate attainment was higher than general population

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Participation in Gambling

• 65% report gambling in the past 12 months

– 38% gambling monthly or more often Gambling included: lottery tickets, poker, video poker, bingo, casino gambling, card games, slot machines, betting on sporting events or animal racing, fantasy sports, or other gambling activities

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Awareness of Individuals Impacted by Gambling

• 53% know someone who spent too much money gambling
• 36% know someone who lied or avoided telling the truth because of

gambling

• 33% know someone who had relationship problems because of

gambling

• 32% know someone who was not able to pay bills because of

gambling

• 13% know someone who lost a job because of gambling
• 9% know someone who did poorly in school because of gambling

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Concerned About Problem Gambling

• Many (46%) are moderately or more concerned about

problem gambling in Oregon.

• Fewer (27%) are concerned about problem gambling

among their family members or close friends.

• Some (20%) are concerned about their own gambling

behaviors.

• Some (38%) are concerned about someone else’s

gambling behaviors.

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Willingness to Take Action

When concerned about the gambling behaviors of a family member or close friend, many people are willing to take some actions:

• 79% are moderately or more willing to visit the OPGR website
• 68% are moderately or more willing to chat online on the OPGR

website and ask someone for guidance on what to do

• 60% are moderately or more willing to text the OPGR to text

someone and ask someone for guidance on what to do

• 67% are moderately or more willing to call the OPGR and ask

someone for guidance on what to do

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Attitudes About Contacting OPGR

Most people have positive attitudes about contacting OPGR if they are concerned about someone else’s gambling behaviors. However:

• 27% feel embarrassed
• 40% feel it is scary

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Beliefs About Contacting OPGR

• Most (78%) agree that trying to get help for someone who has a

gambling problem is the right thing to do.

• Most (65%) agree that they have a responsibility to intervene if they

know someone has a problem with gambling.

• Most (73%) agree that they would want someone to intervene if they

themselves had a problem with gambling.

• 53% believe that if they contacted the Oregon Problem Gambling

Resource, they would be more involved and required to do something.

• 37% believe that you have to wait for a person with a gambling

problem to hit rock bottom before they are willing to change.

• 13% believe that problem gambling is not an addiction.
• 24% believe that people can stop problem gambling on their own if

they want to.

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Acceptance About Contacting OPGR

Most respondents (70%) believe it is acceptable to contact OPGR. However:

• 35% did not perceive that their friends would find it acceptable (e.g.,

they would find it unacceptable or were neutral);

• 31% did not perceive that their family would find it acceptable;
• 60% did not perceive that most people who gamble would find it

acceptable; and

• 61% did not perceive that most people who have a problem with

gambling would find it acceptable.

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Key Takeaways

• Many people are in a situation to take action.
• There is room to grow concern about problem

gambling.

• Need to make contacting OPGR less

“embarrassing” and “scary”

• Need to normalize intervening (both expectation and

what people do)

• Increase knowledge and comfort in contacting

OPGR

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Knowledge About Contracting OPGR

• 39% report they are not at all familiar with OPGR

– 40% report they are moderately or more familiar

• 43% report they are not at all familiar that

OPGR provides free and confidential problem gambling treatment

– 36% report they are moderately or more familiar

• 44% report they are not at all familiar that OPGR provides free and

confidential guidance for people who are concerned about someone else’s gambling behaviors

– 35% report they are moderately or more familiar

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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

• David Corse, Problem Gambling Treatment and Recovery

Specialist

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

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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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