Change and continuity in a help-seeking problem gambling population: A five-year record*

2005 ◽  
Author(s):  
Alun C. Jackson ◽  
Shane A. Thomas ◽  
Tangerine A. Holt ◽  
Neil Thomason
Keyword(s):  
Problem Gambling ◽  
Help Seeking ◽  
Major Element ◽  
Client Characteristics ◽  
Data Set ◽  
Problem Gamblers ◽  
Counselling Services ◽  
Minimum Data ◽  
Increasing Trend ◽  
Seeking Help

This paper provides an overview of some trends among problem gamblers seeking help through the BreakEven/Gambler's Help problem gambling counselling services in Victoria, Australia, between July 1995 and June 2000. Data presented are drawn from details collected on clients at registration, assessment, and all other client contacts to form a Problem Gambling Services minimum data set (MDS). Analysis of the MDS shows a number of noteworthy trends towards continuity or change. A major element of continuity is the ability of the service to attract women, who constitute around 50% of the clients for the period. Major changes include the increasing trend towards presentation of clients at an earlier stage in their "career" as problem gamblers. Also identified is persistence or change in client characteristics, such as gender differences in gambling activity and problem type and level. In addition, a range of other factors are explored, such as level of debt and its associated characteristics, the characteristics of people committing crimes to finance their gambling, and the differences between people presenting for counselling and problem gamblers in the community.

The Influence of Demographic, Behavioural and Treatment Characteristics on Problem Gambling Counselling Outcomes

2001 ◽  
Vol 7 (2) ◽  
pp. 32 ◽  
Author(s):  
Beth R. Crisp ◽  
Shane A. Thomas ◽  
Alun C. Jackson ◽  
Neil Thomason
Keyword(s):  
Problem Gambling ◽  
Treatment Programs ◽  
Gambling Behaviour ◽  
Publicly Funded ◽  
Client Characteristics ◽  
Data Set ◽  
Problem Gamblers ◽  
Problem Resolution ◽  
Counselling Services ◽  
Problematic Gambling

The paper considers the influence of client characteristics and gambling behaviour as well as treatment modality on the resolution of gambling behaviour for 591 clients who sought help from the publicly-funded BreakEven counselling services in the state of Victoria between 1 July 1996 and 30 June 1997. Statistical data about clients and their consultations was collected in the form of a Minimum Data Set. On their own, client demographics accounting for 12% of the variance were identified as discriminating between problem gamblers who achieved some resolution of their gambling behaviour and those whose behaviour did not change. Variables associated with gambling behaviour accounted for 10% of variance and treatment variables for 12% of variance in treatment outcomes. Collectively, the three types of data could explain 26% of the variance in problem resolution. Importantly, these findings demonstrate that the resolution of problematic gambling behaviour is affected by a complex interplay of client characteristics, their gambling behaviour and the treatment they receive. It is argued that the evaluation of treatment programs for problem gambling, and potentially all counselling programs in the primary health arena, needs to include measures from each of these domains.

scholarly journals Assessment of Problem Gambling in a Chinese Context: The Chinese G-MAP

2009 ◽  
Vol 9 ◽  
pp. 548-556 ◽  
Author(s):  
Daniel T. L. Shek ◽  
Elda M. L. Chan
Keyword(s):  
Problem Gambling ◽  
Psychometric Properties ◽  
Gambling Behavior ◽  
Treatment Center ◽  
Statistical Manual ◽  
Pathological Gamblers ◽  
Problem Gamblers ◽  
Diagnostic And Statistical Manual ◽  
Seeking Help ◽  
Gambling Treatment

There is a severe lack of instruments to assess problem gambling in Chinese people. This study examined the psychometric properties of the Chinese version of the Maroondah Assessment Profile for Problem Gambling (Chinese G-MAP), based on the responses of eight problem gamblers and 125 pathological gamblers seeking help from a problem gambling treatment center. Reliability analyses showed that the G-MAP and its related domains and scales were generally internally consistent. There are also several lines of evidence suggesting that the Chinese G-MAP and the various domains are valid: (a) the various G-MAP domain and scale measures were significantly correlated among themselves, (b) the G-MAP measures were significantly correlated with pathological gambling behavior assessed by the 4thEdition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), and (c) the G-MAP total scale and domain measures were able to discriminate problem gamblers and pathological gamblers. The present study suggests that the Chinese G-MAP possesses acceptable psychometric properties that can be used in research and practice settings.

scholarly journals Gambling-Related Employee Embezzlement: A Study of Swedish Newspaper Reports

2017 ◽  
Author(s):  
Per Binde
Keyword(s):  
Problem Gambling ◽  
Help Seeking ◽  
Economic Crime ◽  
Mutual Support ◽  
Severe Problem ◽  
Media Study ◽  
Milieu De Travail ◽  
Problem Gamblers ◽  
True Prevalence ◽  
Bank Managers

It is well-known that severe problem gambling may lead to economic crime. This study explored a particular type of such criminality: embezzlement committed by problem gamblers in the workplace. The aim was to gain knowledge about the extent of such criminality in Sweden and the sums of money involved. The method used was a media study of newspaper reports, complemented with information about help-seeking problem gamblers obtained in interviews with therapists specializing in problem gambling and with peer counsellors in mutual support societies of problem gamblers. The results showed that gambling-related embezzlement occurs in all branches of the economy where employees have access to money. The sums embezzled can be huge and the crimes sustained over several years. However, this varies across professional categories, with bank managers embezzling larger sums of money than others, and for longer, before being detected. Although Swedish newspapers report on average about one case a month of gambling-related employee embezzlement, the true prevalence is likely to be at least 10 times higher. More efforts should be made to prevent embezzlement and other gambling-related harms in the workplace.On sait que le jeu problématique grave peut mener à la criminalité économique. Cette étude porte sur un aspect particulier de ce type de criminalité, soit le détournement commis par des joueurs problématiques dans leur milieu de travail. Elle vise à établir l’étendue de cette criminalité en Suède et les sommes d’argent en cause. À cette fin, on a effectué une analyse média des articles de journaux ainsi que des renseignements sur les joueurs problématiques ayant demandé de l’aide recueillis dans des entrevues avec des thérapeutes spécialisés en jeu problématique et avec des pairs-conseillers de groupes de soutien pour les joueurs problématiques. Il a été constaté que le détournement lié au jeu problématique se produit dans tous les secteurs de l’économie où les employés ont accès à l’argent. Les sommes détournées peuvent être considérables et les crimes, se perpétrer sur plusieurs années. La situation varie toutefois selon la catégorie des professions, les directeurs de banque détournant des sommes plus élevées que les autres, et pendant de plus longues périodes, avant d’être découverts. Bien que les journaux suédois ne rapportent en moyenne qu’un cas de détournement par un employé joueur pathologique par mois, cette étude laisse entendre que la prévalence réelle est probablement dix fois plus élevée. Il est conclu que plus d’efforts doivent être faits pour prévenir le détournement et les autres dommages liés au jeu dans le milieu de travail. 

Help-seeking behaviour of problem gamblers: a narrative review

2018 ◽  
Vol 64 (5-6) ◽  
pp. 259-272 ◽  
Author(s):  
Johanna K. Loy ◽  
Bettina Grüne ◽  
Barbara Braun ◽  
Eva Samuelsson ◽  
Ludwig Kraus
Keyword(s):  
Help Seeking ◽  
Treatment Options ◽  
Structural Barriers ◽  
Treatment Attendance ◽  
Treatment Providers ◽  
Problem Gamblers ◽  
Language Studies ◽  
Help Seeking Behaviour ◽  
Seeking Help ◽  
Treatment Utilisation

Abstract. Background: There is evidence for low rates of help-seeking among problem gamblers. Identifying reasons for and barriers to seeking help is essential for improving help supply and gamblers’ treatment utilisation. The present study examines treatment utilisation of problem or pathological gamblers and reviews the evidence related to motives for and barriers to seeking help. Methods: The databases Medline, PsycInfo, and PubMed were searched for English-, Swedish- and German-language studies published between 2000 and 2017. Furthermore relevant references of included studies were analysed. Results: After exclusion of non-relevant publications 34 journal articles and seven reports covering the prevalence of help-seeking among gamblers or self-reported reasons for/barriers to help-seeking were maintained. The proportion of problem gamblers seeking help was less than 10 % in most studies. Problem severity was found positively associated with treatment attendance. Financial issues, negative emotions and crises were identified as main motives for seeking treatment. Main barriers to seeking treatment were shame, problem denial and lack of treatment availability. The results were similar across the examined studies. Conclusion: Low rates of treatment utilisation by problem gamblers strongly indicate that treatment providers and the society should strive to eliminate structural barriers that hinder gamblers to seek help. To better match problem gamblers´ needs, low-threshold early intervention, increasing knowledge of treatment options and efforts to reduce stigmatisation are important strategies to enhance access to help offers.

scholarly journals Gambling-Related Employee Embezzlement: A Study of Swedish Newspaper Reports

2017 ◽  
Author(s):  
Per Binde
Keyword(s):  
Problem Gambling ◽  
Help Seeking ◽  
Economic Crime ◽  
Mutual Support ◽  
Severe Problem ◽  
Media Study ◽  
Milieu De Travail ◽  
Problem Gamblers ◽  
True Prevalence ◽  
Bank Managers

It is well-known that severe problem gambling may lead to economic crime. This study explored a particular type of such criminality: embezzlement committed by problem gamblers in the workplace. The aim was to gain knowledge about the extent of such criminality in Sweden and the sums of money involved. The method used was a media study of newspaper reports, complemented with information about help-seeking problem gamblers obtained in interviews with therapists specializing in problem gambling and with peer counsellors in mutual support societies of problem gamblers. The results showed that gambling-related embezzlement occurs in all branches of the economy where employees have access to money. The sums embezzled can be huge and the crimes sustained over several years. However, this varies across professional categories, with bank managers embezzling larger sums of money than others, and for longer, before being detected. Although Swedish newspapers report on average about one case a month of gambling-related employee embezzlement, the true prevalence is likely to be at least 10 times higher. More efforts should be made to prevent embezzlement and other gambling-related harms in the workplace.On sait que le jeu problématique grave peut mener à la criminalité économique. Cette étude porte sur un aspect particulier de ce type de criminalité, soit le détournement commis par des joueurs problématiques dans leur milieu de travail. Elle vise à établir l’étendue de cette criminalité en Suède et les sommes d’argent en cause. À cette fin, on a effectué une analyse média des articles de journaux ainsi que des renseignements sur les joueurs problématiques ayant demandé de l’aide recueillis dans des entrevues avec des thérapeutes spécialisés en jeu problématique et avec des pairs-conseillers de groupes de soutien pour les joueurs problématiques. Il a été constaté que le détournement lié au jeu problématique se produit dans tous les secteurs de l’économie où les employés ont accès à l’argent. Les sommes détournées peuvent être considérables et les crimes, se perpétrer sur plusieurs années. La situation varie toutefois selon la catégorie des professions, les directeurs de banque détournant des sommes plus élevées que les autres, et pendant de plus longues périodes, avant d’être découverts. Bien que les journaux suédois ne rapportent en moyenne qu’un cas de détournement par un employé joueur pathologique par mois, cette étude laisse entendre que la prévalence réelle est probablement dix fois plus élevée. Il est conclu que plus d’efforts doivent être faits pour prévenir le détournement et les autres dommages liés au jeu dans le milieu de travail. 

State Medical Boards' Perceptions of a Minimum Data Set and Current Practices for Collecting Physician Information

2013 ◽  
Vol 99 (4) ◽  
pp. 40-45 ◽  
Author(s):  
Aaron Young ◽  
Philip Davignon ◽  
Margaret B. Hansen ◽  
Mark A. Eggen
Keyword(s):  
Media Coverage ◽  
The United States ◽  
Minimum Data Set ◽  
Direct Patient Care ◽  
Physician Workforce ◽  
Data Set ◽  
Minimum Data ◽  
State Medical Boards ◽  
The Impact ◽  
Current Practices

ABSTRACT Recent media coverage has focused on the supply of physicians in the United States, especially with the impact of a growing physician shortage and the Affordable Care Act. State medical boards and other entities maintain data on physician licensure and discipline, as well as some biographical data describing their physician populations. However, there are gaps of workforce information in these sources. The Federation of State Medical Boards' (FSMB) Census of Licensed Physicians and the AMA Masterfile, for example, offer valuable information, but they provide a limited picture of the physician workforce. Furthermore, they are unable to shed light on some of the nuances in physician availability, such as how much time physicians spend providing direct patient care. In response to these gaps, policymakers and regulators have in recent years discussed the creation of a physician minimum data set (MDS), which would be gathered periodically and would provide key physician workforce information. While proponents of an MDS believe it would provide benefits to a variety of stakeholders, an effort has not been attempted to determine whether state medical boards think it is important to collect physician workforce data and if they currently collect workforce information from licensed physicians. To learn more, the FSMB sent surveys to the executive directors at state medical boards to determine their perceptions of collecting workforce data and current practices regarding their collection of such data. The purpose of this article is to convey results from this effort. Survey findings indicate that the vast majority of boards view physician workforce information as valuable in the determination of health care needs within their state, and that various boards are already collecting some data elements. Analysis of the data confirms the potential benefits of a physician minimum data set (MDS) and why state medical boards are in a unique position to collect MDS information from physicians.

Only problem gamblers spend less money when loot boxes are removed from a game: A before and after study of Heroes of the Storm

2019 ◽  
Author(s):  
David Zendle
Keyword(s):  
Video Games ◽  
Problem Gambling ◽  
Video Game ◽  
Real World ◽  
Complex Pattern ◽  
Problem Gamblers ◽  
Before And After ◽  
Gambling Severity ◽  
Reliable Correlation ◽  
Before And After Study

Loot boxes are items in video games that may be paid for with real-world money, but which contain randomised contents. There is a reliable correlation between loot box spending and problem gambling severity: The more money gamers spend on loot boxes, the more severe their problem gambling tends to be. However, it is unclear whether this link represents a case in which loot box spending causes problem gambling; a case in which the gambling-like nature of loot boxes cause problem gamblers to spend more money; or whether it simply represents a case in which there is a general dysregulation in in-game spending amongst problem gamblers, nonspecific to loot boxes.The multiplayer video game Heroes of the Storm recently removed loot boxes. In order to better understand links between loot boxes and problem gambling, we conducted an analysis of players of Heroes of the Storm (n=112) both before and after the removal of loot boxes.There were a complex pattern of results. In general, when loot boxes were removed from Heroes of the Storm, problem gamblers appeared to spend significantly less money in-game in contrast to other groups. These results suggest that the presence of loot boxes in a game may lead to problem gamblers spending more money in-game. It therefore seems possible that links between loot box spending and problem gambling are not due to a general dysregulation in in-game spending amongst problem gamblers, but rather are to do with specific features of loot boxes themselves.

Minimum Data Set for Incontinence-Associated Dermatitis (MDS-IAD) in adults: Design and pilot study in nursing home residents

2018 ◽  
Vol 27 (4) ◽  
pp. 191-198
Author(s):  
Karen Van den Bussche ◽  
Sofie Verhaeghe ◽  
Ann Van Hecke ◽  
Dimitri Beeckman
Keyword(s):  
Nursing Home ◽  
Pilot Study ◽  
Nursing Home Residents ◽  
Minimum Data Set ◽  
Data Set ◽  
Minimum Data

scholarly journals A Grounded Theory Study: How Non-Treatment-Seeking Substance Users Make Sense of Their Behaviour “I Want To Be Me but I Don’t Know Who Me Is”

2021 ◽  
Author(s):  
Sarah Lawson ◽  
Helen Griffiths
Keyword(s):  
Grounded Theory ◽  
Service Provision ◽  
Help Seeking ◽  
Constructivist Grounded Theory ◽  
Treatment Seeking ◽  
Theory Approach ◽  
Specialist Service ◽  
Substance Users ◽  
Seeking Help ◽  
Grounded Theory Approach

AbstractDespite the global impact of substance misuse, there are inadequate levels of specialist service provision and continued difficulties with treatment engagement. Within policy and research, there is substantial consideration of the importance of these factors. However, there is little empirical evidence of the views of non-treatment-seeking substance users, who make up the majority of the substance using population. The aim of this study was to understand how these individuals make sense of their behaviour and their reasons for not accessing treatment. A constructivist grounded theory approach was used to interview eight individuals who were currently using substances and not seeking help to stop. The analysis highlighted the importance of attachment to an identity associated with substance use, and relational variables such as connectedness to others, for treatment decisions for individuals who use substances. Understanding these influences, through trauma- and attachment-informed service provision, may reduce barriers to help-seeking and improve treatment uptake.

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