Problem Gambling Treatment; the future arrives!
Presented by Dr Sean Sullivan, ABACUS Counselling Training and Supervision Ltd at the 2012 Cutting Edge Conference, Wellington, New Zealand.
Dr Sally Gainsbury
Post Doctoral Research Fellow, Southern Cross University
Presentation given on 23 May 2011 at "The New Game: Emerging technology and responsible gambling" forum hosted by the Victorian Government's Office of Gaming and Racing as part of Responsible Gambling Awareness Week 2011.
Online Gambling: Internet gambling is, generally a means of using the internet to place bets on casino games, sports games, etc. Bets are usually placed through credit card accounts and wins or losses are paid or collected accordingly
Sample Report: Global Online Gambling and Betting Market 2015yStats.com
Free Report Samples for our publication “Global Online Gambling and Betting Market 2015”.
Find the full updated, Europe only, report available for purchase at: https://ystats.com/shop/europe-online-gambling-market-2019/
Dr Sally Gainsbury
Post Doctoral Research Fellow, Southern Cross University
Presentation given on 23 May 2011 at "The New Game: Emerging technology and responsible gambling" forum hosted by the Victorian Government's Office of Gaming and Racing as part of Responsible Gambling Awareness Week 2011.
Online Gambling: Internet gambling is, generally a means of using the internet to place bets on casino games, sports games, etc. Bets are usually placed through credit card accounts and wins or losses are paid or collected accordingly
Sample Report: Global Online Gambling and Betting Market 2015yStats.com
Free Report Samples for our publication “Global Online Gambling and Betting Market 2015”.
Find the full updated, Europe only, report available for purchase at: https://ystats.com/shop/europe-online-gambling-market-2019/
In this whitepaper we assess the gambling and gaming industry’s KYC and AML compliance challenges. Gambling identity verification processes can be complex, time consuming, and impact the customer experience. With a growing competitive landscape, the chances a customer may go elsewhere are high. This is where a frictionless, seamless, and quick onboarding service can add value – reduce abandonment, increase conversion rates, and accelerate the time-to-revenue. Visit https://evalid.io for more info!
Card fraud is a major issue in the UK with this report showing that one in four adults has been a victim at some point in the past. Find out which cities are card fraud hotspots in our Regional Card Fraud report.
This brief presentation of OSBI Consulting (OSBI stands for "Online Sports Betting Industry") was made in January 2011. By overviewing the French Sports Betting market, we highlight how OSBI can offer value added to its clients throughout the Globe.
Overview of Gaming Laws in Canada that includes relevant legislation, general rules (such as the effects of skill-testing questions and social gaming), and recent updates.
This is from the Atlanta eCommerce Summit June 3-4, 2009 where Markus Kroeger Managing Director of MoneyBookers shared strategies to protect against fraud and payment risk online. Find out more about eCommerce Merchants at http://www.ecmta.org
Peer to peer lending accounts, managed for clients according to their individual needs. Professional investment management from a team of dedicated credit specialists.
Our research found there has been a 17% increase in lost and stolen cards abroad. Do you take suitable precautions to prevent your cards being lost or stolen?. Read more to find out how to avoid being a victim of card fraud abroad.
In this whitepaper we assess the gambling and gaming industry’s KYC and AML compliance challenges. Gambling identity verification processes can be complex, time consuming, and impact the customer experience. With a growing competitive landscape, the chances a customer may go elsewhere are high. This is where a frictionless, seamless, and quick onboarding service can add value – reduce abandonment, increase conversion rates, and accelerate the time-to-revenue. Visit https://evalid.io for more info!
Card fraud is a major issue in the UK with this report showing that one in four adults has been a victim at some point in the past. Find out which cities are card fraud hotspots in our Regional Card Fraud report.
This brief presentation of OSBI Consulting (OSBI stands for "Online Sports Betting Industry") was made in January 2011. By overviewing the French Sports Betting market, we highlight how OSBI can offer value added to its clients throughout the Globe.
Overview of Gaming Laws in Canada that includes relevant legislation, general rules (such as the effects of skill-testing questions and social gaming), and recent updates.
This is from the Atlanta eCommerce Summit June 3-4, 2009 where Markus Kroeger Managing Director of MoneyBookers shared strategies to protect against fraud and payment risk online. Find out more about eCommerce Merchants at http://www.ecmta.org
Peer to peer lending accounts, managed for clients according to their individual needs. Professional investment management from a team of dedicated credit specialists.
Our research found there has been a 17% increase in lost and stolen cards abroad. Do you take suitable precautions to prevent your cards being lost or stolen?. Read more to find out how to avoid being a victim of card fraud abroad.
Slides for "Problem Gambling: Hidden Addiction" class on 11/17/10 - Julie Hynes. University of Oregon Substance Abuse Prevention Program course on Addictive Behaviors with George Baskerville.
This presentation looks at the negative health impacts of a Casino in Toronto.
Dr. David McKeown, Toronto's Medical Officer of Health
Toronto Public Health
Play Now, Pay Later: Legalized Internet Gambling in British Columbiabss3
Presentation on the rise of internet gambling. Please note, changes in gambling policy may have taken place since the time of this presentation (April, 2010).
An annual review of the factors involving equine veterinary practice management in the areas of business, technology, social media and lifestyle issues.
Problem Gambling & Co-existing Problems (CEP) actsconz
Problem Gambling Forum: Problem Gambling & Co-existing Problems (CEP)
Presented by ABACUS Counselling Training & Supervision Ltd to the Problem Gambling National Provider Forum May 2012
Problem Gambling Forum: Orientation to Problem Gambling: Part 2
Presented by ABACUS Counselling Training & Supervision Ltd to the Problem Gambling National Provider Forum May 2012
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
2. Current challenges for all addictions
• Alcohol abuse and resistance to legislate
• Smoking – risking international sanctions and penalties
because of ‘free trade’ conflicts with public health
• Legal ‘party’ drugs – some initiatives but uncertain
outcomes regarding proof of harm and levels for e.g.
synthetic cannabis
• Internet addiction – what is ‘normal’ use? Longer use
becoming the norm
• Gambling – some controls but technology challenges,
social acceptance, and attractive taxation source –
uncertain growth in problems
3. PG differences to AOD
• A relatively ‘pure’ behavioural addiction (no external
drug influence) – often perception the addiction due
more to choice
• The reinforcer is a general reinforcer (e.g. money,
praise) – it is resistant to satiation
• Solution to problems arising from the behaviour may
include continuation in the behaviour (has a built in
solution i.e. a win!)
• Money is a powerful reinforcer that most people want
(drugs perhaps less so) – gives choice, respect,
safety, peace of mind, hope……….
• PG may be less likely to seek help
4. The old days
• Gambling semi-controlled under Gaming & Lotteries
Act 1977
• Lotto introduced 1987
• Gambling machines existed, but not recognised
under the Act – became ‘legal’ in 1988
• No casinos pre 1994– Committee of Enquiry into
casinos 1988-1989
• First casino opens 1994, by 2003, a total of 6
casinos open
5. Into the new era
• 2003 Gambling Act – no NZ Internet gambling
except Lottery & racing/sports
• Online betting – Racing Board monopoly on racing
and sports betting or Lotto
• Internet gambling – allowed if based overseas
• Technology and accessibility the challenge – can be
accessed 24 hrs a day
7. Mobile gambling growth
• UK – 20% wagers are via online
mobile devices
• Now in NZ: In play betting can
prompt gambling– ‘next
try/yellow card?’
• Estimated world-wide growth of
gambling via mobile devices will
increase from the $20B in 2011
to $100B in 2017
Juniper Research (May 2012)
8. An important income resource for
governments
• Because gambling is a substantial
source of duty/tax, a large employer,
and is part-owned by the state (Lotto),
conflict of interest may be perceived
when gambling expansion/reduction
• NZ Gambling Act – no ‘for profit’
gambling permitted other than casinos
• Monopoly on Internet gambling in NZ
given to Lottery Commission and
Racing Board
• In Australia, 11% (average) of all State
income is raised from gambling
9. But is problem gambling reducing?
Some suggest problem gamblers ‘adapt’ &
reduce their harm
10. The case for PG reducing
‘While far from certain, problem gambling
prevalence rates appear to have fallen
somewhat. It is unclear how much this reflects
natural adaptation or the impact of government
policy, though both are likely to have
contributed’
Productivity Commission 2009
11. But…..
The Productivity Commission also comments:
‘Given (the wide influences on PG)
reductions are unlikely to continue
without environmental changes’
12. From exposure to adaptation
contagion disease model applies?
LaPlante & Shaffer, 2008
13. The adaptation model
• The assumption that people adapt to novel forms of
gambling, much like a contagion disease model
reacts to an epidemic, may not apply to an addiction
• If people adapted to gambling machines, one would
expect at least this to occur within a decade.
Between 1988 – 2008 in NZ, no such adaptation
occurred demonstrated by reduced gambling
machine spending (for same number of machines)
14. What would we expect if
adaptation true?
Less spent on gambling
But assumes due to gambling reducing:
• The larger proportion (non-problem gamblers) may
be more likely to reduce discretionary spending
especially in a recession
• Problem gamblers increase their
problems/gambling when under stress (DSM)
• Reduction in amount spent may mask increased
problem gambling spending – especially if those
financially disadvantaged increase and this group
are known to be at higher risk for PG (e.g. during a
recession)
15. Less spending not necessarily
reduced PGs hypothetical example
120
100
Total $ spent
80 Problem
gamblers
60
Non-problem
40 gamblers
20
0
2010 2011
16. Is gambling participation reducing?
Perhaps…
• Abbott et al (1991) – 90% gambled in last 6 months
• Abbott et al (2000) – 87% gambled in last 6 months
• NZ Health Survey 2006/7 – 65% gambled in last 12
months
• Spending in NZ on gambling has remained relatively
constant at $2B from 2004-2008
• Is spending per capita increasing (if participation is
reducing) or people’s perception of their gambling, or
not, flawed?
17. Hard to measure means uncertainty
• But gambling losses over time is a blunt tool
• Productivity Commission (Australia) estimates 40%
total losses on gambling machines and 20% from
moderate problem/at risk gamblers
• May mask the possibility that ‘controlled’ or non-
problem gamblers do reduce their gambling during a
recession while problem gamblers may increase
their gambling as stress increases (a recognised
influence)
18. Losses constant during recession
(excluding Internet gambling)
Gambling losses p/a ($M)
2500
2000
1500
1000
500
0
07
02
03
04
05
06
08
09
10
11
20
20
20
20
20
20
20
20
20
20
EGM loss ($M) All gambling loss ($M)
19. Adaptation – do PGs adapt?
The Victorian Gambling Study 2011
• N=5003
• Surveyed in 2008 and again 2009 (repeat) using a
gambling screen that identified levels of PG:
– NT=not a gambler
– NPG= a gambler but not a problem gambler
– LR=low risk for problem gambling
– MR=moderate risk for problem gambling
– PG=problem gambler
• Findings:
– 5.6% of gamblers increased their risk for PG
– 4.3% decreased their risk
– PGs were, with Non-PGs, the most stable categories
20. The Victorian Gambling Study 2011
(excluding Internet gambling)
Transitions between PGSI groups Wave One to Wave Two (n=5003)
22. If data is suspect, can we rely on
prevalence rates or ‘adaptation’?
• As only 29% of problem gamblers reported in
the 1999 Australian Productivity Commission
report stated they would tell the truth about their
gambling, surveys specifically on gambling
probably strongly under-estimate, and may vary
over time
24. Some considerations
• Productivity Commission also states:
‘the share of spending accounted for by PGs appears to be
very high – with no apparent downward trend’
• Higher risks with those with little disposable income –
many within this population spending all their non-
disposable income may not result in increases in total
gambling losses
25. The future?
• Problem gambling in its most severe form is both chronic
and persistent
• Many factors suggest increased, rather than reduced,
gambling problems in the future
– New generation gambling machines,
– ‘improvement’ in internet gambling sites,
– greater competition between modes of gambling (e.g.
Lotto more often, larger prizes), and
– greater accessibility due to electronic advances
26. But gambling technology improves
too so difficult to compare years
The total amount lost per poker machine (in
Australia) has risen fivefold from $19,600 in
1992-93 to $101,100 in 2008-09.
The Age, July 2012
27. A hidden, difficult to measure, but
resilient addiction
• Prevalence measures used vary (and no gold
standard)
• Problem gambling is ‘persistent and recurrent’
and almost all prevalence studies for PG are
snapshots rather than longitudinal assessments
• Stigma high, visual symptoms low or ambiguous,
may mean under-identified
28. PG prevalence in NZ: stable?
14000
12000
10000
clients
8000
6000
4000
2000
0
11
0
/7
6
8
9
/1
5/
7/
8/
06
0
09
0
0
0
/2
20
20
20
20
20
10
20
F to F intensive F to F all clients Gambling Helpline
29. PGs are reluctant help-seekers
2011/2012
7000
6000
5000
New clients
4000
3000
2000
1000
0
Brief intervention Received both Full intervention
31. Internet gambling
• Online gambling sites typically see revenues of
$300 per paying user per month
• Asia-Pacific online gambling expected to grow
from $(US)34.4B to $(US)79.3B in the next few
years
PriceWaterhouseCooper
32. Exposure to technology
– Internet Gambling
• Although internet gambling has been available for at
least a decade, few problem gamblers present to
services with this problem mode
• 2011 Gambling Helpline n=21 clients with Internet
gambling problems;
• NZ face to face doesn’t code by Internet until mid
2012
33. Reasons for low Internet PG
presentation
• Internet gambling not conducted in a public venue – little
harm minimisation controls enforced, less overview
(hidden)
• Most clients present under some pressure
– PG identified by gambling venue and excluded – access to
services a requirement for re-admission to venue
– Others note the excessive gambling and motivate PG to access
treatment
• Remember: few PGs seek help and may be influenced
by hope of winning their way out of financial problems
34. Reasons for low Internet PG
In past gambling may have been hampered by:
– Low Internet speed and/or insufficient computer power (slow,
low level graphics)
– Uncertainty around honesty or reliability of process
– Fear of complexity of the Internet
Now:
– High speed and computer power widely available
– Familiarity with Internet (especially youth)
– New ‘gaming’ without money widely accessible and introduces
new Internet gamblers to the process
– Cross-over opportunities between gaming & gambling
36. Internet gambling here
• Health Sponsorship Council 2011: 8.7% of New
Zealanders had gambled online in last 12 months
(2% overseas sites balance Lotto-Racing-Sports NZ
sites)
Press Release
“Proposals to increase internet speed and capacity, patterns of
online gambling in overseas jurisdictions and increasing use of
online payment methods all combine to suggest that NZ might
be approaching a tipping point”
“How do you stop people, in the privacy of their own home,
accessing gaming sites?”
Assoc Minister of Health 11th August 2012
37. Growing concern
“There is a huge flood of new gamblers (2%
population currently addicted)…some 100,000 more
Swedes become addicted to gambling each year…
women most likely to be addicted, with slot machines
and online games being the most common”
Swedish National Institute of Public Health August 2012
38. But this could only be the beginning –
growth areas for gambling are online
a) Mobile gambling
b) Social gambling sites
39. Growth in online gambling – Australia
• “Betting on Australia’s two largest football codes
is set to double over the next 5 years driven by
strong growth in online gambling on sports”
Deloites
• “Mobile gambling is the biggest shift in online
gambling, greater than offline to online. Tabcorp
says 20% of their online revenue is through
mobile…Sportsbet revenue is up 241% in the last
year and 40% use their mobile to place bets”
Dr Sally Gainsbury, Centre for Gambling Education Research,
Southern Cross University
40. Growth in online gambling
• Paddy Power is launching social media gambling and
mobile casino products following a record year (up
47% in Australia, 79% Eire, online up 36%)
• New online forms of online gambling payment
solutions enable confidential bank to casino transfers
(UseMyFunds) in addition to many other such as
Visa and Mastercard
41. Social gaming sites targeted
• “Convergence of casino gaming and social
media will be ‘the next big thing’ in our
industry”
Chairman MGM Resorts
• Will ellipse all land-based casinos in USA
• 800 million users (20 times Las Vegas
tourists)
42. Earning Power of Zynga Poker
• In July 2012, Zynga announced that it will be
providing real-money gaming outside of United
States in 2013
• In July 2012 Zynga's games had over 306 million
monthly active users
• Listed on the American Stock Exchange Zynga has
quarterly revenue earnings in excess of US$300
million and is experiencing annual growth of 19
percent annually
• The mobile version of the game is available in 18
languages
43. 7 of top 20 Facebook earners Gambling Apps
“Play and challenge your friends to fun and addicting games...”
Ranking $ Game Players
1 Zynga Texas HoldEm Poker 33 million
4 DoubleDown Casino 4.8 million
7 Slotmania 6.2 million
11 Games by GSN 4.3 million
13 Zynga Slingo 12 million
17 Best Casino 1.6 million
19 Zynga Bingo 5.5 million
49. Lets not be reactive or do nothing
But we can do something:
• May be hard to control access to the Internet
But can:
• Increase education of gambling risk (very little public
education currently)
• Can increase research into risk areas
• Can provide interventions online
• Can consider novel online approaches to therapy
50. Using technology in treatment
• Stage 1: phone counselling, manuals for self-directed
programmes
• Stage 2: text counselling, email counselling
• Stage 3: counselling with Skype & others, smart
phones/tablets, - mobile counselling
• Stage 4: virtual world/avatar programmes, more self-
directed on-line programmes, stepped programmes,
increased mobile counselling
51. PGs may prefer self-directed help
• N=106 affected by PG and/or PTSD (commonly
coexists with treatment seeking PGs -12.5%-29%)
were recruited from the community and asked their
treatment preferences
• Treatment preferences for (only) PG identified that
the preferred therapy was self-help, while (only)
PTSD preferred psychotherapies – coexisting also
preferred psychotherapies
G
52. Internet may be both
problem & solution!
Internet-based treatment may better meet the
needs of some PG clients because:
• May increase uptake & retention
• Enquiries can be less stressful
• CBT & MI easily adapted
• Cost effective
• Accessibility, especially when geographical/time
restraints
Gainsbury & Blaszczynski (2011a)
53. Some support for this
• Small numbers of PGs seek formal treatment
• Review of 24 randomised Internet health/mental health
programmes identified these have equal to or greater
effectiveness than face-to-face therapy
• Some therapist interaction in online programmes
indicated some greater effectiveness but mixed
• Younger PGs may relate better to online therapy
• Concluded: online PG programmes an alternative rather
than a replacement for face to face therapy and an
adjunct for those waiting for or exiting treatment
Gainsbury & Blaszyznski (2011b)
57. The future
• More than any other addiction (with the possible
exception of pornography addiction), problem gambling
is, and will be even moreso in the future, be impacted by
technology
• Even if there is an underlying common substrate for
addictions, and only objects may differ (such as alcohol,
other drugs, pornography, compulsive buying, and
problem gambling), treatment is often driven by these
differences
• Adaptation, if alive and well, may provide an answer in
the long term but still require a focus on minimising harm
during the short-term duration of problem gambling
Editor's Notes
LaPlante & Shaffer, in press, American Journal of Orthopsychiatry