Prevalence of Gambling Disorder Among Prisoners: A Systematic Review

This article presents the first systematic review of studies on the prevalence of gambling disorder among prisoners across international jurisdictions. Only original studies that were published in English and employed reliable and valid screening tools are included in this analysis. The review finds that rates of problem or pathological gambling in prison populations are highly variable, ranging from 5.9% to 73% of male and female inmates surveyed. Nevertheless, recorded rates of problem and pathological gambling among inmates are consistently and significantly higher than rates of problem and pathological gambling recorded among the general population. The review indicates that the institution of problem gambling treatment programmes in carceral settings is necessary, to aid community re-entry and reduce the likelihood of re-offending. Moreover, it is suggested that the screening of inmates should become standard practice across penal institutions and other criminal justice organisations, with a view to better addressing the needs of offenders.

Gambling motives and symptoms of problem gambling in frequent slots players

Motives for gambling were examined among patrons of slots venues who reported playing electronic gaming machines at least weekly (N=849). According to scores on the Problem Gambling Severity Index (PGSI), there were 331 (39.0%) participants at low risk, 330 (38.9%) at moderate risk, and 188 (22.1%) at high risk of Pathological Gambling. Scores on the Coping and Enhancement scales of the Gambling Motives Questionnaire (GMQ) had independent effects on PGSI scores. Cluster analysis of Coping and Enhancement scores identified Low Emotion Regulation (LER; n=189), Primarily Enhancement (PE; n=338), and Coping and Enhancement (CE; n=322) subtypes. More CE gamblers (80.1%) had PGSI scores that suggested problem or Pathological Gambling than the PE (56.8%) or LE (36.0%) subtypes. Gamblers who frequently play slot machines are at elevated risk of Pathological Gambling if they play slots as a means of self-regulating their negative emotional states.

The association of at-risk, problem, and pathological gambling with substance use, depression, and arrest history

We examined at-risk, problem, or pathological gambling co-occurrence with frequency of past-year alcohol, tobacco, and marijuana use; depressive symptoms; and arrest history. Data included the responses of over 3,000 individuals who participated in a 2006 telephone survey designed to understand the extent of at-risk, problem, and pathological gambling; comorbidity levels with substance use; mental health; and social problems among Southwestern U.S. residents. Data were analyzed with multinomial and bivariate logistic regression. Respondents at risk for problem gambling were more likely to use alcohol, tobacco, and marijuana than those respondents not at risk. Pathological gamblers were no more or less likely to consume alcohol or tobacco than were non-gamblers or those not at risk. A dose-response relationship existed between degree of gambling problems and depressive symptoms and arrest history. Interventions for at-risk or problem gamblers need to include substance use treatment, and the phenomenon of low levels of substance use among pathological gamblers needs further exploration.

Impacting attitudes towards gambling: A prison gambling awareness and prevention program

Research indicates that approximately one third of prison inmates meet the criteria for problem or pathological gambling (Williams, Royston, & Hagen, 2005). However, despite this rate being among the highest of all gambling populations (Walters, 1997; Shaffer & Hall, 2001), there appears to be a lack of prison gambling awareness and prevention programs. This study sought to develop, implement, and evaluate one such program at the Lethbridge Correctional Facility in Alberta, Canada. Forty-nine inmates completed a six-session program over 18 months. Gambling screen results revealed a significant increase in cognitive error recognition, and attitudes towards gambling became significantly more negative. The program did not render any significant differences in math skill score, Canadian Problem Gambling Index (CPGI) score, or past-year South Oaks Gambling Screen (SOGS) score. Changes in the past-year frequency score approached significance. This study suggests that programs of this kind can be effective for inmate populations, particularly in changing attitudes towards gambling.

Gambling and Problem Gambling Within Forensic Populations

A review of problem gambling in forensic populations suggests that one third of criminal offenders meet criteria for problem or pathological gambling. This is the highest rate yet found in any population. Approximately 50% of crime by incarcerated problem and pathological gamblers is reportedly committed to support gambling. The prevalence of gambling within correctional facilities (40%) appears lower than in the general population. However, inmates who do gamble tend to do so regularly, and problem and pathological gamblers are disproportionately represented among this group. Inmate screening for problem gambling and provision of specialized treatment are currently lacking in most correctional facilities. In addition to more screening and treatment, there needs to be greater vigilance in detecting gambling and enforcing its prohibition.

"Double trouble": The lived experience of problem and pathological gambling in later life

Objective: The objective of this phenomenological qualitative study was to explore the lived experience of older adults who engage in problem or pathological gambling. Method and sample: Older adults who gambled were recruited and were administered two gambling screens to ensure that they met the criteria for problem or pathological gambling. Eleven problem-pathological gamblers were identified and contributed their narratives via in-depth interviews about their experiences of problem or pathological gambling. Results: Several themes arising from the interviews were similar to patterns identified with younger gamblers, yet distinct patterns emerged. Some older gamblers gamble as an opportunity to break away and escape from traditional roles and go to extreme measures to continue their gambling while hiding it from significant others. Conclusion: Despite research suggesting few seniors encounter problems with gambling, this qualitative study suggests that gambling can have devastating consequences. Older adults may have lessened ability and time to recover from these consequences or from hitting bottom. Key words: gambling, narrative, older adults, problem-pathological gambling, phenomenology, aged