Dr. Irwin Cohen and Jennifer Keim: Voluntary Self-Exclusion: BC Longitudinal Study and Lawsuit Case Studies

Horizons RG
Horizons RGResponsible Gambling Conference at BCLC
Dr. Irwin Cohen and Jennifer Keim: Voluntary Self-Exclusion: BC Longitudinal Study and Lawsuit Case Studies
Dr. Irwin Cohen and Jennifer Keim: Voluntary Self-Exclusion: BC Longitudinal Study and Lawsuit Case Studies
Dr. Irwin M. Cohen and Ms. Jennifer Keim
Senior Researcher, University of the Fraser Valley
General Counsel, BCLC
Experiences with BCLC’s Voluntary
Self-Exclusion Program
Dr. Irwin Cohen
Amanda McCormick, PhD (ABD)
https://www.gaming.gov.bc.ca/reports/docs/rpt-bclc-self-exclusion-program.pdf
Time One Recruitment
472 Consent Forms Received Between June 6, 2013 and
March 24, 2014
19% of VSE Enrollers Consented to Participate in the Study
326 People or 69% of those who Originally Consented
Completed an Interview
Characteristic Study 1 (n = 161) Study 2 (n = 326)
Female 58% 53%
Ethnicity
Caucasian 77% 75%
Asian 8% 10%
Aboriginal 12% 6%
South Asian 1% 5%
Other 3% 5%
Age 46 years (19 - 77) 48 years (19 - 88)
English 96% 88%
Geographical Region
Lower Mainland 41% 45%
Interior 47% 39%
Island 10% 16%
Characteristic Study 1 (n = 161) Study 2 (n = 326)
Marital Status
Single 34% 38%
Married 34% 35%
Common Law 10% 12%
Employed 76% 71%
Income
Less Than $20,000 23% 22%
$20,000 - $49,999 45% 47%
More Than $50,000 25% 25%
Education
At least Some College - 29%
PREVIOUS GAMBLING HISTORY
Past Year Gambling Frequency
1%
10%
50%
14%
17%
3% 5%
Forms of Past Year Gambling
80%
72%
28%
11% 9% 7% 7% 5% 4%
Past Year Gambling
Land-Based Online
Average Range Average Range
# of Different Venues 3 0-15 - -
Amount at Risk $569 $25 - $10,000 $318 $2 - $5,000
Time Spent 250m 30m - 1440m 155m 10m - 660m
Amount Lost $1,569 $30 -$85,000 $1260 $2 - $30,000
Reasons for Gambling
Used to Gamble … %
Because it was Fun / Exciting 89%
Because of Boredom 80%
To Escape Uncomfortable Feelings 58%
Because One Big Win Would Solve Money Problems 58%
For an Opportunity to Socialize 46%
To Escape Family Problems 42%
To Escape Financial Problems 38%
To Escape Work Problems 25%
To Escape Health Problems 21%
Gambling Severity (n = 326)
3% 3%
21%
74%
No Problem Low Level ProblemsModerate Problems Problem Gambling
Previous Attempts to Quit
Form of Support %
Self-Control 75%
Previous VSE 72%
Talk to Friend/Family 54%
PG Counselor 26%
Online Information / Resources 16%
Gambler’s Anonymous 15%
Problem Gambling Helpline 13%
Game Sense Advisor 13%
Other 5%
Gametalk 2%
VSE ENROLLMENT
Gap Between VSE Program Awareness and
Enrollment
15%
20%
65%
Immediately Before Enrolling Between 1m-1y of Enrolling > 1 Year Before Enrolling
Source of VSE Awareness
78%
39%
33%
19% 17%
13% 12% 12% 9% 9% 7% 6%
Length of Enrollment and Satisfaction
with Enrollment Length
31% 29%
7%
33%
92% 89%
100%
84%
6 months 1 year 2 years 3 years
Current Length Satisfaction
Rating of Enrollment Experience
0%
20%
40%
60%
80%
100%
Security Alone Security w/GSA GSA
COUNSELLING
Consent to Counselling
2% 2%
11%
85%
2% 3%
24%
71%
No Problem Low Level ProblemsModerate Problems Problem Gambling
Consent No Consent
Reasons for Accessing Counselling
(n = 96)
90%
65%
55%
15% 13% 9%
Reasons for Avoiding Counselling
84%
37% 35%
29%
21% 19% 17%
9% 7% 7% 3%
Reasons for No Counselling x PGSI
No Problem Low/Mod Problem
Wanted to Deal with it Myself 60% 86% 83%
Didn’t Think it Could Help 20% 18% 42%
Don’t Think I have a Problem 60% 51% 32%
Didn’t have Time for it 40% 19% 32%
Didn’t Want Others to Know 0% 16% 24%
Too Ashamed to Talk to Anyone 0% 13% 22%
Thought Others Would Make Fun 0% 8% 9%
Didn’t Think They’d Speak My Language 20% 6% 6%
Couldn’t Afford It 0% 10% 6%
Didn’t Know It was Available 0% 2% 3%
Lack of Awareness of Counselling Options
63%
58%
46%
42%
35% 34%
25%
19%
Online Meet at
Location I
Choose
Change
Counsellor
Other
Areas
Meet at
Time I
Choose
Multiple
Forms
Speak
Multiple
Languages
Free
Supports Post VSE
%
Problem Gambling Counselling 15%
Mental Health Treatment 5%
Gambler’s Anonymous 3%
Financial Counselling 3%
Other Counselling 3%
Substance Use Treatment 3%
Other Support Groups 3%
Game Sense Advisors 2%
Marital Counselling 2%
Online Supports 1%
Problem Gambling Helpline 1%
TIME 2 INTERVIEWS
6 Months Later…
83%
Current Enrollment Status
72% Still Under Previous Enrollment Agreement
11% of Those Expired Re-Enrolled by Time 2
Majority of Re-Enrollers Had Already Begun Gambling and Fears
Were Resurfacing
Majority of Non-Re-enrollers Wanted to Gamble Again,
Thought They Had Developed Better Self-Control, and Wanted
to Manage Their Gambling On Their Own
Gambling In Last 6 Months, Since Exclusion (n =
270)
%
No Gambling (Abstinent) 13%
Only Lotto 27%
Any Gambling Except Lotto 60%
Violation Attempts in Past 6 Months
23% 15%
Agreement Violators (n = 40)
On average, attempted to re-enter casino 11 times
Nearly all (97%) reported successfully re-entering on at least one attempt
67% went to different casino
46% were caught in past 6 months
Reasons for Violating
80%
74%
69%
62%
46%
41%
31%
18%
Urge to
Gamble
Bored No
Penalty
No
Detection
Felt Lucky Depressed
/ Anxious
Needed
Money
Under
Influence
Profile of Agreement Violators
Marital Status Differed
• Violators More Likely Single (53% vs 35%) or Common Law
(20% vs 9%)
• Non-Violators More Likely Married (40% vs 20%) or
Divorced (10% vs 5%)
PGSI Scores
• No Difference on PGSI Total at Time 1 (Violators X = 13.4,
Non-Violators X = 11.9)
• Significant Difference on PGSI Total at Time 2 (Violators X
= 9.8, Non-Violators X = 3.1)
Percent of PGSI Group who Violated
(n = 270)
7% 6%
15%
45%
No Problem Low Level Moderate Problem Gambling
Time 2 PGSI Scores Among Violators (n
= 40)
10%
13%
33%
45%
No Problem Low Level Moderate Problem Gambling
Non-Violators
90% 90%
59% 57% 56% 55% 51% 49% 46%
Counselling Access Past 6 Months
Significantly Higher PGSI at Time 1 (16.5 vs 11.3 of those
not accessing)
Non-Significantly Higher PGSI at Time 2 (6.3 versus 3.7)
22.5% of Violators versus 14% Non-Violators
93%
Incorrect Program Assumptions
Purpose of VSE is to Help me Take Time Out
• 14% Disagreed
VSE Purpose is to Completely Stop Me from Gambling
• 44% Agreed
I Will be Paid for Any Jackpots I Win While Excluded
• 8% Agreed
If I Lose in a Casino While Excluded, I Won’t Need to Pay For My Losses
• 5% Agreed
I Can Re-Enroll Post-Exclusion
• 1% Disagreed
Information I Gave During Enrollment is ONLY Shared with That Casino
• 3% Agreed
Going Forward….
Conclude All Time 3 Interviews
Analyze Qualitative Interviews with Sub-Sample of Violators
Obtain An Overall Profile of VSE Enrollers over Time 1 Recruitment Period
Conduct a survey with Non-VSE Casino Patrons
Provide Recommendations for Program Enhancement
Centre for Public Safety and Criminal Justice Research
To provide session feedback:
• Open New Horizons app
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Dr. Irwin Cohen and Jennifer Keim: Voluntary Self-Exclusion: BC Longitudinal Study and Lawsuit Case Studies

  • 3. Dr. Irwin M. Cohen and Ms. Jennifer Keim Senior Researcher, University of the Fraser Valley General Counsel, BCLC
  • 4. Experiences with BCLC’s Voluntary Self-Exclusion Program Dr. Irwin Cohen Amanda McCormick, PhD (ABD)
  • 6. Time One Recruitment 472 Consent Forms Received Between June 6, 2013 and March 24, 2014 19% of VSE Enrollers Consented to Participate in the Study 326 People or 69% of those who Originally Consented Completed an Interview
  • 7. Characteristic Study 1 (n = 161) Study 2 (n = 326) Female 58% 53% Ethnicity Caucasian 77% 75% Asian 8% 10% Aboriginal 12% 6% South Asian 1% 5% Other 3% 5% Age 46 years (19 - 77) 48 years (19 - 88) English 96% 88% Geographical Region Lower Mainland 41% 45% Interior 47% 39% Island 10% 16%
  • 8. Characteristic Study 1 (n = 161) Study 2 (n = 326) Marital Status Single 34% 38% Married 34% 35% Common Law 10% 12% Employed 76% 71% Income Less Than $20,000 23% 22% $20,000 - $49,999 45% 47% More Than $50,000 25% 25% Education At least Some College - 29%
  • 10. Past Year Gambling Frequency 1% 10% 50% 14% 17% 3% 5%
  • 11. Forms of Past Year Gambling 80% 72% 28% 11% 9% 7% 7% 5% 4%
  • 12. Past Year Gambling Land-Based Online Average Range Average Range # of Different Venues 3 0-15 - - Amount at Risk $569 $25 - $10,000 $318 $2 - $5,000 Time Spent 250m 30m - 1440m 155m 10m - 660m Amount Lost $1,569 $30 -$85,000 $1260 $2 - $30,000
  • 13. Reasons for Gambling Used to Gamble … % Because it was Fun / Exciting 89% Because of Boredom 80% To Escape Uncomfortable Feelings 58% Because One Big Win Would Solve Money Problems 58% For an Opportunity to Socialize 46% To Escape Family Problems 42% To Escape Financial Problems 38% To Escape Work Problems 25% To Escape Health Problems 21%
  • 14. Gambling Severity (n = 326) 3% 3% 21% 74% No Problem Low Level ProblemsModerate Problems Problem Gambling
  • 15. Previous Attempts to Quit Form of Support % Self-Control 75% Previous VSE 72% Talk to Friend/Family 54% PG Counselor 26% Online Information / Resources 16% Gambler’s Anonymous 15% Problem Gambling Helpline 13% Game Sense Advisor 13% Other 5% Gametalk 2%
  • 17. Gap Between VSE Program Awareness and Enrollment 15% 20% 65% Immediately Before Enrolling Between 1m-1y of Enrolling > 1 Year Before Enrolling
  • 18. Source of VSE Awareness 78% 39% 33% 19% 17% 13% 12% 12% 9% 9% 7% 6%
  • 19. Length of Enrollment and Satisfaction with Enrollment Length 31% 29% 7% 33% 92% 89% 100% 84% 6 months 1 year 2 years 3 years Current Length Satisfaction
  • 20. Rating of Enrollment Experience 0% 20% 40% 60% 80% 100% Security Alone Security w/GSA GSA
  • 22. Consent to Counselling 2% 2% 11% 85% 2% 3% 24% 71% No Problem Low Level ProblemsModerate Problems Problem Gambling Consent No Consent
  • 23. Reasons for Accessing Counselling (n = 96) 90% 65% 55% 15% 13% 9%
  • 24. Reasons for Avoiding Counselling 84% 37% 35% 29% 21% 19% 17% 9% 7% 7% 3%
  • 25. Reasons for No Counselling x PGSI No Problem Low/Mod Problem Wanted to Deal with it Myself 60% 86% 83% Didn’t Think it Could Help 20% 18% 42% Don’t Think I have a Problem 60% 51% 32% Didn’t have Time for it 40% 19% 32% Didn’t Want Others to Know 0% 16% 24% Too Ashamed to Talk to Anyone 0% 13% 22% Thought Others Would Make Fun 0% 8% 9% Didn’t Think They’d Speak My Language 20% 6% 6% Couldn’t Afford It 0% 10% 6% Didn’t Know It was Available 0% 2% 3%
  • 26. Lack of Awareness of Counselling Options 63% 58% 46% 42% 35% 34% 25% 19% Online Meet at Location I Choose Change Counsellor Other Areas Meet at Time I Choose Multiple Forms Speak Multiple Languages Free
  • 27. Supports Post VSE % Problem Gambling Counselling 15% Mental Health Treatment 5% Gambler’s Anonymous 3% Financial Counselling 3% Other Counselling 3% Substance Use Treatment 3% Other Support Groups 3% Game Sense Advisors 2% Marital Counselling 2% Online Supports 1% Problem Gambling Helpline 1%
  • 28. TIME 2 INTERVIEWS 6 Months Later…
  • 29. 83%
  • 30. Current Enrollment Status 72% Still Under Previous Enrollment Agreement 11% of Those Expired Re-Enrolled by Time 2 Majority of Re-Enrollers Had Already Begun Gambling and Fears Were Resurfacing Majority of Non-Re-enrollers Wanted to Gamble Again, Thought They Had Developed Better Self-Control, and Wanted to Manage Their Gambling On Their Own
  • 31. Gambling In Last 6 Months, Since Exclusion (n = 270) % No Gambling (Abstinent) 13% Only Lotto 27% Any Gambling Except Lotto 60%
  • 32. Violation Attempts in Past 6 Months 23% 15%
  • 33. Agreement Violators (n = 40) On average, attempted to re-enter casino 11 times Nearly all (97%) reported successfully re-entering on at least one attempt 67% went to different casino 46% were caught in past 6 months
  • 34. Reasons for Violating 80% 74% 69% 62% 46% 41% 31% 18% Urge to Gamble Bored No Penalty No Detection Felt Lucky Depressed / Anxious Needed Money Under Influence
  • 35. Profile of Agreement Violators Marital Status Differed • Violators More Likely Single (53% vs 35%) or Common Law (20% vs 9%) • Non-Violators More Likely Married (40% vs 20%) or Divorced (10% vs 5%) PGSI Scores • No Difference on PGSI Total at Time 1 (Violators X = 13.4, Non-Violators X = 11.9) • Significant Difference on PGSI Total at Time 2 (Violators X = 9.8, Non-Violators X = 3.1)
  • 36. Percent of PGSI Group who Violated (n = 270) 7% 6% 15% 45% No Problem Low Level Moderate Problem Gambling
  • 37. Time 2 PGSI Scores Among Violators (n = 40) 10% 13% 33% 45% No Problem Low Level Moderate Problem Gambling
  • 38. Non-Violators 90% 90% 59% 57% 56% 55% 51% 49% 46%
  • 39. Counselling Access Past 6 Months Significantly Higher PGSI at Time 1 (16.5 vs 11.3 of those not accessing) Non-Significantly Higher PGSI at Time 2 (6.3 versus 3.7) 22.5% of Violators versus 14% Non-Violators
  • 40. 93%
  • 41. Incorrect Program Assumptions Purpose of VSE is to Help me Take Time Out • 14% Disagreed VSE Purpose is to Completely Stop Me from Gambling • 44% Agreed I Will be Paid for Any Jackpots I Win While Excluded • 8% Agreed If I Lose in a Casino While Excluded, I Won’t Need to Pay For My Losses • 5% Agreed I Can Re-Enroll Post-Exclusion • 1% Disagreed Information I Gave During Enrollment is ONLY Shared with That Casino • 3% Agreed
  • 42. Going Forward…. Conclude All Time 3 Interviews Analyze Qualitative Interviews with Sub-Sample of Violators Obtain An Overall Profile of VSE Enrollers over Time 1 Recruitment Period Conduct a survey with Non-VSE Casino Patrons Provide Recommendations for Program Enhancement
  • 43. Centre for Public Safety and Criminal Justice Research
  • 44. To provide session feedback: • Open New Horizons app • Select Agenda tile • Select this session • Select Take Survey at bottom of screen If you are unable to download app, please raise your hand for a paper version