Oregon Problem Gambling Services

1. Problem Gambling Treatment ProvidersProblem Gambling Treatment ProvidersProblem Gambling Treatment ProvidersProblem Gambling Treatment Providers
Monthly Call/WebinarMonthly Call/WebinarMonthly Call/WebinarMonthly Call/Webinar
Facilitator:
Greta Coe, Problem Gambling Services Manager
April 5, 2017

2. Agenda
Time Topic
3:00pm-3:10pm Introductions/County Roll Call
3:10pm-3:25 pm PGS Update/Announcements
• UpcomingTrainings
• ACCBOTraining Calendar
• Treatment System Cheat Sheet
• Behavioral Health Collaborative
• Working with the Criminal Justice Population
3:25pm – 3:35pm • Presentation: Family Involvement documentation for site reviews.
(Greta)
3:35pm – 3:50pm • Highlights/Trends from the Quality Improvement Reports (Tom
Moore)
3:50pm – 4:00pm • Questions andAnswers
Future agenda items:
• Working with Cultural populations:
o AfricanAmerican
o Latino
o Asian
• MH clinicians not knowing how to refer and screen
• Treating gambling addiction and co-occurring disorders
• Ideas for increasing enrollments

3. State PGS General Updates
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Upcoming Training
Opportunities:
31th National Conference on
Problem Gambling
July 21-22, 2017
Preconference: July 19-20,
2017
DoubleTree by Hilton, Portland,
OR

4. Scholarships Available to National
Conference
• State PGS program will be providing scholarships for the General
Conference (Friday, July 21 and Saturday, July 22) to one treatment
provider from each program and one prevention coordinator from
each county or program.
• Registration process was sent mid-March.
• Stipulation of receiving scholarship is that you will become a
volunteer for the conference
• There are numerous volunteer task and we will ensure that
volunteering will not interfere with conference attendance.
• More information on volunteering will be announced later.
Registration is first step.
• Additionally, subsidy to help cover some of the cost of travel and
lodging will also be available to all providers. Email coming end of
this week.
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5. Family Therapy Learning Session and
Forums
• Dates in 2017: April 27, July 27, and October 26
• Time: 10-11:30 am
• Facilitated and Coordinated by Teresa McDowell, Ed.D., Professor
and Chair, Department of Counseling Psychology; Lewis & Clark
Graduate School of Education and Counseling
• Calls will include pre-meeting readings and structured agendas and
topics.
• Information on login and call in, along with reading assignment
provided via email closer to each call.
• 1 hour of CEUs provided for those that attend.
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6. Advanced Families and Problem
Gambling Treatment Discussions
• Dates in 2017: May 25, Sept 7, Nov 30
• Time: 10-11:30 am
• Information on login and call in provided via email closer to each
call. All levels of clinicians welcome.
• Please mark your calendars if you are interested.
• Information on login and call in provided via email closer to each
call.
• 1 hour of CEUs provided for those that attend.
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7. May Treatment Call
• Wednesday, May 3
• 3:00 – 4:00 pm
• Log in and call instructions and agenda to be sent later this month.
• Future dates in 2017: August 2, October 4, and November 1.
• See training calendar: http://www.oregonpgs.org/wp-
content/uploads/2016/03/2015-17-PGS-Calendar-rev-2-1-17.pdf
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8. Free Webinar Training Announcement
• Using SBIRT for Problem Gambling in the Military
• June 15, 2017
• 12:00- 1:130 pm
• Hosted by the Institute for Research Education and Training in
Addictions
• Register at: http://ireta.org/improve-practice/addiction-
professionals/webinars/
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9. State PGS General Updates
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Next PGS All Provider Webinar/Meeting
June 15 from 9-10:30am.
To register:
https://attendee.gotowebinar.com/register/2024019862819633924
Agenda to be emailed mid May
2017 Training Calendar now available listing out the monthly prevention
and treatment calls and all provider webinars and other upcoming
trainings planned.
Located at: http://www.oregonpgs.org/all-providers/workforce-
development/

10. Problem Gambling Message Impact
Focus Groups
• Dates: May 2, 3, and 4 2017
• Location: Portland Area
• Looking for gamblers who are in treatment or have completed
treatment to review and provide input on the advertisement for the
helpline services.
• Looking for significant others of a gambler to provide input.
• Looking for Spanish speaking gamblers to provide input.
• Each population will have a separate session.
• Email was sent with specifics and reminder coming next week.
• The state is looking to providers for help with recruitment and
success with this focus group.
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11. Online Trainings
Problem Gambling Treatment Training for Clinicians &
Supervisors
• 8 Online modules available from January 2017-January 2018
• Register at:
https://graduate.lclark.edu/programs/continuing_education/counselor
s_and_therapists/problem-gambling-treatment-online/
– Problem Gambling Treatment in Oregon: The Big Picture
– Overview of Problem Gambling
– Problem Gambling Assessment and Treatment Planning
– Diversity, Social Equity and Problem Gambling
– Problem Gambling and Money
– Family Treatment for Problem Gambling
– Problem Gambling Treatment: Supervision Part I
– Problem Gambling Treatment: Supervision Part II
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12. ACCBO Launches New Statewide
Interactive Education Calendar
• Using new cutting edge software, educators can now post, edit
and manage their course offerings for free. The new website
will also allow individuals to search for classes by geographical
area and course category.
Please visit accbo.com/education to view the new ACCBO
Statewide Education Calendar.
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13. Treatment Cheat Sheet
• All presentations over the last few months during the treatment calls
on how to achieving successful site review and encountering related
to problem gambling have been combined into one document.
• Contains information we have learned from those that have had
integrated site reviews the last two year and questions we have
received on encountering.
• It will be located on the oregonpgs.org web page and send out with
treatment call presentation follow-up email.
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14. Behavioral Health Collaborative
• Over the last year, OHA has been reviewing documents and holding
meetings with 50 diverse stakeholders that represent the behavioral
health system.
• From this work, a report has been drafted with recommendations on
how to improve the behavioral health system. No wrong door.
• Report can be found at:
http://www.oregon.gov/oha/amh/BHCMeetingDocs/BHC%20recom
mendations%20Final-exec%20summaryV01%20FINAL.pdf
• From this report workgroups are being developed and
implementation plans drafted.
What we currently need to do:
• State office will be sitting on the Governance and Finance
workgroup and the Workforce Development.
• At a local level- important be at the table for local
governance/community partner alliances when this work begins. If
not you, ensure your agency will represent problem gambling.
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15. Working with the Criminal Justice
System
• Multnomah County Specific Workgroup is working with local judge
for movement on Therapeutic Court (gambling court) in their county.
• State is working with connection at Criminal Justice System to get
linked to different components of the Criminal Justice System/DOC
and Community Corrections to determine statewide partnerships
that can rolldown and be helpful at local level
• Action plan and timelines have been developed
• State currently developing fact sheets specific for criminal justice
system professionals related to problem gambling and collecting
and summary research on criminality, problem gambling and
substance abuse.
• Meetings with future partners scheduled to begin in May.
• Stay tuned……..
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16. Family Involvement documentation
for site reviews
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17. OAR 309-019-0170(4)- Family Counseling
• 4) Family Counseling: Family counseling includes face-to-face or
non face-to-face service sessions between a program staff member
delivering the service and a family member whose life has been
negatively impacted by gambling.
• (a) Service sessions must address the problems of the family
member as they relate directly or indirectly to the problem gambling
behavior; and
• (b) Services to the family must be offered even if the individual
identified as a problem gambler is unwilling, or unavailable to accept
services.
Recommendation: Within the assessment, document that the client
has been informed of and offered family treatment and has accepted,
declined or will consider. If a client declines family involvement,
document within assessment that client will be approached again
regarding family involvement in future sessions.
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18. Highlights/Trends from the Quality
Improvement Reports
Presented by Tom Moore, PhD
Herbert and Louis, LLC
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19. The QIR Criteria
• Access Wait Time: Goal – minimum of 90% within five business
days from initial call to first available appointment:
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Rock Stars:
Deschutes BestCare
Yamhill County
Josephine OSO
Lewis & Clark College
Polk County
Overall 58.3% Met Criteria

20. The QIR Criteria
• Retention: Goal – minimum of 40% remain in treatment for at least
10 sessions:
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Rock Stars:
Overall 41.7% Met Criteria
Adapt Douglas
Emergence
Lewis & Clark College
Cascadia Clackamas
Linn County

21. The QIR Criteria
• Reporting: Goal – minimum 90% enrollment abstracting forms within
14 days; discharge forms within 90 days of last visit; and encounter
within 30 days of the end of the service month.
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Stars:
Overall 20.8% Met Criteria
Bridgeway Recovery OP
LifeWorks NW
Adapt Douglas
ARC
Yamhill

22. The QIR Criteria
• Penetration: Goal – 2.0% (seeking treatment) of 2.7% (probable
prevalence of those who could benefit from intervention) adult
population in the program catchment area.
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Rock Stars:
Overall 0.0% Met Criteria

23. The QIR Criteria
• Open Cases Without Waivers: Goal – 0.0%
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Rock Stars:
Overall 41.7% Met Criteria*
Too numerous to list
* 20.8 % with only one case
Only two agencies with recurring issues

24. The QIR Criteria
• Client Authorizations for Follow-Up: Goal – minimum of 80.0%
providing authorization and contact information to enable six and
twelve month follow-up.
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Rock Stars (& Honorable Mention):
Overall 33.3% Met Criteria
Lincoln County
Josephine OSO
All Heart Counseling
Mid-Columbia CFL

25. The QIR Criteria
• Enrollment Surveys: Goal – minimum of 95.0% of enrollment
surveys completed by gambler and family clients.
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Rock Stars:
Overall 25.0% Met Criteria
Josephine OSO
ARC
LifeWorks NW
Lincoln County
Tillamook County
Yamhill County

26. The QIR Criteria
• Willingness to Recommend: Goal – minimum of 85.0% of active
clients will respond “always” or “often” to the Semi-Annual
Satisfaction Surveys.
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Rock Stars:
Overall 41.7% Met Criteria
(54.2% No Submission)
Bridgeway Recovery OP
Cascadia Clackamas
Cascadia Portland
Josephine OSO
Lincoln County
Yamhill County

27. The Semi-Annual Survey (Benefits of)
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Plus written comments on most helpful, least
helpful, and suggestions for improvement.

28. The QIR Super Stars
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Josephine OSO
Yamhill County
Cascadia Clackamas
Lincoln County
Adapt Douglas
Bridgeway Recovery OP

29. Questions

30. Future Agenda Items
• Working with Cultural populations:
• AfricanAmerican- Michael Braxton
• Latinos- LatinoAdvisory Committee members
• AsianAmericans-AsianAdvisory Committee members
MH clinicians not knowing how to refer and screen
Treating gambling addiction and co-occurring disorders
Ideas for increasing enrollments

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