By Andy Cartmill. Instructions provided in presentation.

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3. regon Problem Gambling Awareness Week March 6 - 12, 2011 O Spacebar to advance slide

4. regon Problem Gambling Awareness Week March 6 - 12, 2011 O The following slide show addresses gambling, our youth, and the potential risks associated with it. Spacebar to advance slide

5. Oregon’s Gambling Services Program strongly encourages you to include problem gambling when discussing other addiction issues with clients. Here’s why. . . Spacebar to advance slide

6. Clients learn about the characteristics of an addiction to alcohol, drugs and sex, right? Spacebar to advance slide

7. What about gambling? Spacebar to advance slide

8. Is gambling a factor in some of your client’s lives? What about gambling? Spacebar to advance slide

9. Probably What about gambling? Spacebar to advance slide

10. Consider age of onset. Is it possible that gambling has been a component of your client’s risky behavior since childhood? Spacebar to advance slide

11. Oregonians are increasingly being exposed to gambling opportunities - on the Internet, in the community, at home and even at church - so it's no surprise that problems associated with gambling are being seen in youth. Spacebar to advance slide

14. There were 52,635 surveys collected from 35 counties, representing 458 schools in 138 public school districts. Spacebar to advance slide

15. Consider 30-day substance use, depression, and gambling rates, among Oregon youth. Which is most prevalent? Spacebar to advance slide

16. Gambling Alcohol Binge drinking Marijuana Cigarettes Depression Psychological distress Gambling Alcohol Binge drinking Marijuana Cigarettes Depression Psychological distress Gambling Alcohol Binge drinking Marijuana Cigarettes Depression Psychological distress 6 th Grade 8 th Grade 11 th Grade Consider 30-day substance use, depression, and gambling rates, among Oregon youth. Which is most prevalent? Spacebar to advance slide

17. Only three targeted risk behaviors demonstrated an increase in prevalence between 2009 and 2010. The three were gambling, marijuana use, and depression… Spacebar to advance slide

18. Only three targeted risk behaviors demonstrated an increase in prevalence between 2009 and 2010. The three were gambling, marijuana use, and depression… Gambling represented the largest increase Spacebar to advance slide

21. How many are talking to youth about the potential risks of gambling? Not many… Spacebar to advance slide

27. 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 0% Did Not Gamble Gambled Used alcohol in the past 30 days Grade 6 Grade 8 Grade 11 Spacebar to advance slide

28. 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 0% Did Not Gamble Gambled Grade 6 Grade 8 Grade 11 Binge Drank in the past 30 days Spacebar to advance slide

29. 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 0% Did Not Gamble Gambled Grade 6 Grade 8 Grade 11 Used marijuana in the past 30 days Spacebar to advance slide

30. 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 0% Did Not Gamble Gambled Grade 6 Grade 8 Grade 11 Smoked cigarettes in the past 30 days Spacebar to advance slide

31. 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 0% Did Not Gamble Gambled Grade 6 Grade 8 Grade 11 Depression in the past 12 months Spacebar to advance slide

32. 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 0% Did Not Gamble Gambled Grade 6 Grade 8 Grade 11 Skipped school one, or more, days in the past 30 days Spacebar to advance slide

33. Does this mean that youth who gamble also drink, smoke, use drugs, and are delinquents? Spacebar to advance slide

34. NO Spacebar to advance slide

35. It means that those kids that gamble also tend to participate in other high risk behaviors… Spacebar to advance slide

36. It means that youth who gamble are at higher risk for other risky behaviors… Spacebar to advance slide

37. … and those who use drugs, drink, smoke, and are depressed, are at higher risk to develop gambling problems. Spacebar to advance slide

38. It means that when clients are beginning the treatment process, PROBLEM GAMBLING needs to be considered. Spacebar to advance slide

39. So. . .how do we do that? Spacebar to advance slide

40. How would you know if a client has an issue with gambling? Spacebar to advance slide

41. How would you know if a client has an issue with gambling? Ask! Spacebar to advance slide

42. During the intake process consider using the BBGS Spacebar to advance slide

43. The BBGS??? Spacebar to advance slide

44. The “Brief Bio-social Gambling Screen” (BBGS), is a screening tool that consists of only three questions for identifying gambling problems: Source: Gebauer, L., LaBrie, R. A., & Shaffer, H. J. (2010). Optimizing DSM-IV. classification accuracy: A brief bio-social screen for gambling disorders among the general household population. Canadian Journal of Psychiatry, 55 (2), 82-90. Spacebar to advance slide

45. The “Brief Bio-social Gambling Screen” (BBGS), is a screening tool that consists of only three questions for identifying gambling problems: Source: Gebauer, L., LaBrie, R. A., & Shaffer, H. J. (2010). Optimizing DSM-IV. classification accuracy: A brief bio-social screen for gambling disorders among the general household population. Canadian Journal of Psychiatry, 55 (2), 82-90. During the past 12 months, have you become restless, irritable or anxious when trying to stop/cut down on gambling? 1. During the past 12 months, have you tried to keep your family or friends from knowing how much you gambled? 2. During the past 12 months, did you have such financial trouble that you had to get help from family or friends? 3. Spacebar to advance slide

46. Answering ‘Yes’ to one or more questions may indicate a gambling problem. Spacebar to advance slide

47. Incorporating problem gambling into existing education components is easy to do. Spacebar to advance slide

48. Resources are already available to assist you Spacebar to advance slide

49. Resources are already available to assist you For Local Treatment Services in Oregon log onto: www.1877mylimit.org Spacebar to advance slide

50. Resources are already available to assist you For Local Treatment Services in Oregon log onto: www.1877mylimit.org Treatment is Free, Confidential and it Works! Spacebar to advance slide

51. Resources are already available to assist you Other online resources offering access to a wealth of prevention and treatment information concerning problem and pathological gambling: www.1877mylimit.org Spacebar to advance slide

52. Resources are already available to assist you Other online resources offering access to a wealth of prevention and treatment information concerning problem and pathological gambling: www.1877mylimit.org www.problemgamblingprevention.org Spacebar to advance slide

53. Resources are already available to assist you Other online resources offering access to a wealth of prevention and treatment information concerning problem and pathological gambling: www.1877mylimit.org www.problemgamblingprevention.org www.gamblersanonymous.org Spacebar to advance slide

54. regon Problem Gambling Awareness Week March 6 - 12, 2011 O Problem Gambling Awareness Week is a great time to start the conversation! Spacebar to advance slide

55. Thank you! regon Problem Gambling Awareness Week March 6 - 12, 2011 O Spacebar to advance slide