Rotary meeting 2

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Rotary meeting 2

  1. 1. Expanding Gaming Opportunities inNew Hampshire: What Social ScienceDoes (and Doesn’t) Have to Say Heather Gray, Ph.D. Harvard Medical School Division on Addictions, Cambridge Health Alliance
  2. 2. “Gambling has a long past…
  3. 3. Expanded Gambling: Considerations Potential to generate state revenues and jobs Public safety considerations Potential social costs
  4. 4. Expanded Gambling: Considerations Potential to generate state revenues and jobs Public safety considerations Potential social costs
  5. 5. Expanded Gambling: Considerations Potential to generate state revenues and jobs Public safety considerations Potential social costs 1. Are any groups of people particularly vulnerable to disordered gambling? 2. Are certain types of games more “addictive”? 3. How does access to gambling opportunities impact rates of disordered gambling?
  6. 6. What is Disordered Gambling?1. Preoccupation2. Tolerance3. Withdrawal4. Escape5. Chasing6. Lying7. Loss of control8. Illegal acts9. Risked significant relationship10. Bailout
  7. 7. Expanded Gambling: Considerations Potential to generate state revenues and jobs Public safety considerations Potential social costs 1. Are any groups of people particularly vulnerable to disordered gambling? 2. Are certain types of games more “addictive”? 3. How does access to gambling opportunities impact rates of disordered gambling?
  8. 8. Who’s More Vulnerable? People with certain brain abnormalities Young people People who are impulsive and make risky decisions Same time People who have a mental-health disorder Disordered gambling first Mental health disorder first
  9. 9. Who’s More Vulnerable? People experiencing other addictions  73% have had an alcohol use disorder  38% have had a drug use disorder  60% have had nicotine dependence Why? Shared risk factors  Mental health disorders  Impulsivity, risky decision making  Shared social experiences
  10. 10. Expanded Gambling: Considerations Potential to generate state revenues and jobs Public safety considerations Potential social costs 1. Are any groups of people particularly vulnerable to disordered gambling? 2. Are certain types of games more “addictive”? 3. How does access to gambling opportunities impact rates of disordered gambling?
  11. 11. Expanded Gambling: Considerations Potential to generate state revenues and jobs Public safety considerations Potential social costs 1. Are any groups of people particularly vulnerable to disordered gambling? 2. Are certain types of games more “addictive”? 3. How does access to gambling opportunities impact rates of disordered gambling?
  12. 12. Different Games: VLTs “….in view of the especially addictive aspects of VLT/slot machines, this Commission finds that the state should consider regulating – through licensing standards and enforcement – methods and technologies that have been identified as exacerbating addictive behaviors in the use of VLT machines.” -New Hampshire Gaming Study Commission, May 2010
  13. 13. Different Games: VLTs “….in view of the especially addictive aspects of VLT/slot machines, this Commission finds that the state should consider regulating – through licensing standards and enforcement – methods and technologies that have been identified as exacerbating addictive behaviors in the use of VLT machines.” -New Hampshire Gaming Study Commission, May 2010
  14. 14. Different Games: VLTs Rapid playing speed Rapid payout intervals Credited wins “Near-miss technology” Simulated control Audiovisual features
  15. 15. Different Games: VLTs Time to progress from recreational gambling to disordered gambling  Differences in players?  Retrospective reports National surveys of US adults  18-29: Casino gambling & cards  30+: Casino, lottery, gambling machines not in a casino
  16. 16. Expanded Gambling: Considerations Potential to generate state revenues and jobs Public safety considerations Potential social costs 1. Are any groups of people particularly vulnerable to disordered gambling? 2. Are certain types of games more “addictive”? 3. How does access to gambling opportunities impact rates of disordered gambling?
  17. 17. Expanded Gambling: Considerations Potential to generate state revenues and jobs Public safety considerations Potential social costs 1. Are any groups of people particularly vulnerable to disordered gambling? 2. Are certain types of games more “addictive”? 3. How does access to gambling opportunities impact rates of disordered gambling?
  18. 18. Access to Gambling Opportunities Proximity to a casino
  19. 19. Expanded Gambling: Considerations Potential to generate state revenues and jobs Public safety considerations Potential social costs 1. Are any groups of people particularly vulnerable to disordered gambling? 2. Are certain types of games more “addictive”? 3. How does access to gambling opportunities impact rates of disordered gambling?
  20. 20. Identifying Disordered Gambling During the past 12 months, have you become restless, irritable, or anxious when trying to stop and (or) cut down on gambling? Yes: Potential PG No During the past 12 months, have you tried to keep your family or friends from knowing how much you gambled? Yes: Potential PG No During the past 12 months, did you have such financial trouble as a result of gambling that you had to get help with living expenses from family, friends, or welfare? Yes: Potential PG No: Not a PG
  21. 21. What is Disordered Gambling?1. Preoccupation2. Tolerance3. Withdrawal4. Escape5. Chasing6. Lying7. Loss of control8. Illegal acts9. Risked significant relationship10. Bailout

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