scholarly journals Treatment and help services for gambling during COVID-19: Experiences of gamblers and their concerned significant others

2021 ◽  
pp. 145507252110307
Author(s):  
Virve Marionneau ◽  
Johanna Järvinen-Tassopoulos
Keyword(s):  
Service Provision ◽  
Significant Others ◽  
Service Needs ◽  
Gambling Behaviour ◽  
Shared Experiences ◽  
Prevention And Treatment ◽  
Low Threshold ◽  
Concerned Significant Others ◽  
Negative Impacts ◽  
Gambling Harms

Aims: During the COVID-19 pandemic, many treatment or help services for gambling were closed or moved online. At the same time, closures of gambling opportunities impacted gambling availability and practices. This study investigates gamblers’ and their concerned significant others’ (CSOs) experiences and views on treatment and help services during this exceptional time and perceptions on how to develop services further after the pandemic. Design: Three online questionnaires to elicit gambler and CSO experiences were conducted during the spring 2020 in Finland. In total, 847 respondents answered and shared experiences on how the situation had impacted their gambling behaviour and service needs, how service closures or the moving of services online had impacted them, and how they thought the prevention and treatment of gambling harms should be organised during and after COVID-19. Results: Changed gambling practices reduced overall service needs. Service closures had negative impacts, but online services were considered positively, as these provided a low-threshold option. Respondents also shared insights into how the service provision for gamblers should further be developed during and after COVID-19.

scholarly journals The extent and type of gambling harms for concerned significant others: A cross-sectional population study in Finland

2016 ◽  
Vol 44 (8) ◽  
pp. 799-804 ◽  
Author(s):  
Anne H. Salonen ◽  
Hannu Alho ◽  
Sari Castrén
Keyword(s):  
Nuclear Family ◽  
Well Being ◽  
Significant Others ◽  
Close Friend ◽  
Problem Gambler ◽  
Gambling Problems ◽  
Cross Sectional ◽  
Type Of Gambling ◽  
Concerned Significant Others ◽  
Gambling Harms

Aims: This study investigates the proportion of concerned significant others (CSOs) of problem gamblers at population level and describes the extent and type of gambling harms for CSOs. Methods: Cross-sectional random sample data ( n = 4515) were collected in 2015. The data were weighted based on age, gender and residence. CSOs were identified using a question including seven options. Gambling harms were inquired using structured questions. Descriptive statistics and Chi-Squared and Fischer’s exact tests were used. Results: Overall, the proportion of CSOs was 19.3%. Males had close friends with gambling problems more often than females, while females had family members with gambling problems more often than males. Of the CSOs, 59.5% had experienced one or more harms. Females experienced more harms than males. Typical harms were worry about health or well-being of close ones, emotional distress and problems in interpersonal relationships. CSOs with a problem gambler in the family, particularly a partner, child/children or mother, experienced harms more often than CSOs with a problem gambler as a close friend. Conclusions: Female gender was associated with a larger extent of harms. The extent of harms was greatest if the problem gambler was a family member; however, a substantial amount of harms were experienced when the problem gambler was a close friend. CSOs and their position in evaluating gambling harms in general should be acknowledged. Persons beyond the nuclear family and the harms they encounter should be better acknowledged in prevention and harm minimisation. Early identification and a clear referral path to tailored support in occupational, social and healthcare settings may be considered.

Shifting the Paradigm in HIV Prevention and Treatment Service Delivery Toward Differentiated Care for Youth

2019 ◽  
Author(s):  
Vincent Guilamo-Ramos ◽  
Marco Thimm-Kaiser ◽  
Adam Benzekri ◽  
Donna Futterman
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
Service Delivery ◽  
The United States ◽  
Hiv Care ◽  
Health Concern ◽  
Service Needs ◽  
Minority Adolescents ◽  
Prevention And Treatment ◽  
Differentiated Care

Despite significant progress in the fight against HIV/AIDS in the United States, HIV prevention and treatment disparities among key populations remain a national public health concern. While new HIV diagnoses are increasing among people under age 30—in particular among racial, ethnic, and sexual minority adolescents and young adults (AYA)—dominant prevention and treatment paradigms too often inadequately consider the unique HIV service needs of AYA. To address this gap, we characterize persistent and largely overlooked AYA disparities across the HIV prevention and treatment continuum, identify AYA-specific limitations in extant resources for improving HIV service delivery in the United States, and propose a novel AYA-centered differentiated care framework adapted to the unique ecological and developmental factors shaping engagement, adherence, and retention in HIV services among AYA. Shifting the paradigm for AYA to differentiated HIV care is a promising approach that warrants implementation and evaluation as part of reinforced national efforts to end the HIV epidemic in the United States by 2030.

scholarly journals Is There a Health Inequality in Gambling Related Harms? A Systematic Review

2020 ◽  
Author(s):  
Jodie Raybould ◽  
Michael Larkin ◽  
Richard Tunney
Keyword(s):  
Systematic Review ◽  
Socioeconomic Status ◽  
Health Inequality ◽  
Human Subjects ◽  
Secondary Outcome ◽  
Gambling Behaviour ◽  
Inclusion Criteria ◽  
General Terms ◽  
Standard Quality ◽  
Gambling Harms

Abstract Background: Here we present a systematic review of the existing research into gambling harms, in order to determine whether there are differences in the presentation of these across demographic groups such as age, gender, culture, and socioeconomic status, or gambling behaviour categories such as risk severity and play frequency. Primary and Secondary Outcome Measures: Inclusion criteria were: 1) focus on gambling harms; 2) focus on harms to the gambler rather than affected others; 3) discussion of specific listed harms and not just harms in general terms. Exclusion criteria were: 1) research of non-human subjects; 2) not written in English; 3) not an empirical study; 3) not available as a full article.Methods: We conducted a systematic search using the Web of Science and Scopus databases in August 2020. Assessment of quality took place using Standard Quality Assessment Criteria.Results: A total of 59 studies published between 1994 and 2020 met the inclusion criteria. These were categorised into thematic groups for comparison and discussion. There were replicated differences found in groups defined by age, socioeconomic status, education level, ethnicity and culture, risk severity, and gambling behaviours. Conclusion: Harms appear to be dependent on specific social, demographic and environmental conditions that suggests there is a health inequality in gambling related harms. Further investigation is required to develop standardised measurement tools and to understand confounding variables and co-morbidities. With a robust understanding of harms distribution in the population, Primary Care Workers will be better equipped to identify those who are at risk, or who are showing signs of Gambling Disorder, and to target prevention and intervention programmes appropriately.

UbiSrvInt

2009 ◽  
pp. 135-171
Author(s):  
Soe-Tsyr Yuan ◽  
Fang-Yu Chen
Keyword(s):  
Service Provision ◽  
Ad Hoc ◽  
Fault Tolerant ◽  
Service Needs ◽  
Novel Approach ◽  
Distributed Problem Solving ◽  
Wireless Service ◽  
Wireless Environments ◽  
P2p Applications ◽  
Performance Results

Peer-to-Peer applications harness sharing between free resources (storage, contents, services, human presence, etc.). Most existing wireless P2P applications concern merely the sharing of a variety of contents. For magnifying the sharing extent for wireless service provision in the vicinity (i.e., the wireless P2P environments), this chapter presents a novel approach (briefly named UbiSrvInt) that is an attempt to enable a pure P2P solution that is context aware and fault tolerant for ad-hoc wireless service provision. This approach empowers an autonomous peer to propel distributed problem solving (e.g., in the travel domain) through service sharing and execution in an intelligent P2P way. This approach of ad-hoc wireless service provision is not only highly robust to failure (based on a specific clustering analysis of failure correlation among peers) but also capable of inferring a user’s service needs (through a BDI reasoning mechanism utilizing the surrounding context) in ad-hoc wireless environments. The authors have implemented UbiSrvInt into a system platform with P-JXTA that shows good performance results on fault tolerance and context awareness.

How Do Nursing Organizations Measure Up on Harm Reduction? An Environmental Scan

2020 ◽  
pp. 084456212091442
Author(s):  
Marilou Gagnon ◽  
Emily Hazlehurst
Keyword(s):  
Harm Reduction ◽  
Quality Indicators ◽  
Service Provision ◽  
Rapid Expansion ◽  
Policy Documents ◽  
Environmental Scan ◽  
The Past ◽  
Nursing Organizations ◽  
Low Threshold ◽  
Supervised Injection

Background In the past five years, we have seen a rapid expansion of harm reduction approaches, programs, and policies in Canada. To keep up with the changing policy landscape, a number of Canadian researchers have undertaken projects that seek to analyze policy documents published by provincial and territorial governments. Building on this important body of work, we undertook a similar analysis using documents published by nursing organizations. Purpose To present key findings and propose ways that nursing organizations can strengthen their position on harm reduction. Methods We conducted an environmental scan with a two-part analysis. To complete the first part, we used the 17 quality indicators. To complete the second part, we analyzed the documents for specific harm reduction interventions. Results A total of 39 documents were collected across 76 nursing organizations. The majority of the documents were press or public statements (n = 22), and the most frequently mentioned intervention was supervised injection services (n = 31). On average, documents met 5.6 quality indicators. Documents scored highest on indicator 12 (discuss low-threshold approaches to service provision) and lowest on indicator 3 (acknowledge that not all substance use is problematic). Conclusions Six areas were identified to strengthen nursing organizations’ position on harm reduction.

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