Part 1: Integrating Problem Gambling into Your Prevention Work -- when you can't fit one more thing on your plate! KYCPG Educational & Awareness Conference Julie Hynes - January 29, 2015

1. integrating
problem
gambling
in Prevention
Julie Hynes, MA, CPS
18th Annual KYCPG Educational & Awareness Conference
January 29-30, 2015

2. Please…Not one
more thing!

3. Image source: http://i.dailymail.co.uk/i/pix/2012/01/09/article-2084033-0F61EA6100000578-972_468x311.jpg

4. Goals
• Understand why problem gambling is so
important to address in prevention work
• Give you some time tested prevention
tools so you can use them where you work
• Save you from reinventing the wheel!

6. (Desired Outcomes:)
• Understand why problem gambling is
a bigger issue than ever.
• Identify similarities in risk and
protective factors for prevention
• Understand why it is essential and
efficient to integrate
• Identify and compare various
methods of integration
• Gain practical tools to bring back
for use with target population(s)

7. Part I – This Afternoon
• Current prevention in Kentucky: discussion –
strengths and challenges
• Why problem gambling fits in and should be part
of prevention efforts
• Risk and protective factor framework
• Data to help you justify prevention
• Getting ready to move into practical strategies

8. Part 2 - Tomorrow
Practical Strategies for Integration!
• Going step by step through the CSAP strategies
with various techniques to integrate prevention
• Resources you can take and use in your
region(s)
• Q&A, trouble-shooting

9. www.preventionlane.org/
kentucky
First Things First:

10. Let’s be real.

11. What are
some of the
Key Challenges
in your
work?

12. Some of mine…
Time (lack)
Funding (lack)
Perception
Stigma/shame
Industry
Proving results
Whac-A-Mole!

13. prevention.

15. And yet…

16. Problem Behaviors

17. Problem Behaviors

18. We’re starting to see what
doesn’t work.
Image source: Office of National Drug
Control Policy (ONDCP) listserv

19. • Tobacco, alcohol, and
other drug use and
abuse
• Delinquency and crime
• Premature or unsafe
sex
• Depression and
suicidality
• School failure, dropout
We’re starting to get research that shows
what is effective to prevent:
Click here to get this
book online - free!

20. So why should I care about
gambling?

21. “Theearlierpeoplebegin
gambling,themorelikelythey
aretoexperienceproblemsfrom
gambling.”
-National Academyof Sciences

22. AVAILABILITY.

23. Acceptability.

24. Advertising.

25. age.

26. Amygdala
active
Risk-taking &
impulsive
behaviors
Source: Ramoski, S., Nystrom, R. (2007). Image source: simpsons.wikia.org
age…
Prefrontal
Cortex.

27. 2012 Oregon Student Wellness Survey, Lane County (“ESD”) and Oregon; available
at http://oregon.pridesurveys.com/esds.php?year=2012
Awareness (low).

28. ATTITUDES.

29. ATTITUDES
Oregon parent/youth focus groups revealed:
All parents in their focus groups said their
kids didn’t gamble
All of their kids, who were in their own focus
groups, said they did gamble
Neither sees gambling as risky

30. And we know that adult
problem gambling affects
children.

31. Getting more proof
in the numbers.

32. RPC directors:
Tell me about this--please!
Source: KIP 2012
30 Day Gambling Frequency

33. So, let’s leverage other data:
COMBINED
Behaviors. (cross-tabs!)

34. Used alcohol in the past month
3.1%
14.6%
29.5%
14.9%
30.9%
46.9%
Grade 6 Grade 8 Grade 11
Did not gamble Gambled
Source: 2012 Oregon Student Wellness Survey (2014 data pending – 1/29/15)

35. Binge drank in the last 30 days
0.5%
5.6%
16.4%
4.3%
12.7%
28.7%
Grade 6 Grade 8 Grade 11
Did not gamble Gambled
Source: 2012 Oregon Student Wellness Survey (2014 data pending – 1/29/15)

36. Smoked cigarettes in the past month
1.1%
6.2%
12.5%
5.1%
10.8%
18.7%
Grade 6 Grade 8 Grade 11
Did not gamble Gambled
Source: 2012 Oregon Student Wellness Survey (2014 data pending – 1/29/15)

37. Used Marijuana in the Past Month
0.7%
8.3%
19.3%
4.3%
15.8%
28.4%
Grade 6 Grade 8 Grade 11
Did not gamble Gambled
Available at: www.preventionlane.org/sws.htm

38. Skipped School One or More Days
in the Past Month
5.7%
12.8%
22.5%
15.4%
23.0%
35.4%
Grade 6 Grade 8 Grade 11
Did not gamble Gambled
Available at: www.preventionlane.org/sws.htm

39. 7.2%
5.0%
11.3%
9.0%
Grade 8 Grade 11
Did not gamble Gambled
Attempted Suicide in the Past Year
Source: 2012 Oregon Student Wellness Survey (2014 data pending – 1/29/15)

40. 10.1%
8.0%
21.0%
18.6%
Grade 8 Grade 11
Did not bet/gamble more than wanted to
Bet/gambled more than wanted to
Attempted Suicide in the Past Year

41. Delinquency
(physical Fight in Past Month)
41.80%
22.40%
Physical fight
Gambled Did not gamble

42. Conclusion?
Teens who gamble are
smoked up, toked up,
drunken delinquents.

43. Teens who gamble are
smoked up, toked up,
drunk emo delinquents.
Conclusion?

44. What do the data tell us
about risk & youth
gambling? How would you
interpret the data?

45. delinquency
sexual
behavior
depression
substance
use
gambling
Problem
Behaviors
Conclusion: Problem Gambling
is one component of
Problem Behaviors

46. TAKING THAT…
And Using PREVENTION science

48. Much of what we know, and
do, is based upon the
Risk and Protective
Factor Framework.

50. Risk Factors for Adolescent
Problem Behavior
Click here to view full size!

51. Recognized Problem Behaviors
• Substance abuse
• Violence
• Delinquency
• Teenage pregnancy
• School dropout
• Depression & Anxiety
 Problem gambling??
– Apparently similar risk factors
– Very high co-occurrence between problem gambling & other
problem behaviors, especially alcohol/substance abuse

55. )

56.  Being male, older teen
 Single-parent household
 Gambling on cards/sports
 Lower household income
 Competitive
 Having lost more than $50
in a single month
Started gambling before
8th grade
Parents who are
alcohol/substance abusers
 Parents who gamble*
Source: Volberg, et al (2008; bid).
Examples: risk factors for
YOUTH:
* Youth are TWICE as
likely to be at-risk
gamblers & FOUR TIMES
as likely to be PROBLEM
GAMBLERS.

57. Protective Factors
• Protective factor: a characteristic
associated with a lower
likelihood of problem outcomes
or that reduces the negative
impact of a risk f actor on
problem outcomes

58. Protective Factors:
Characteristics
• Individual Characteristics:
– Gender
– Resilient Temperament
– Positive Social Orientation
– Intelligence
• Protective Processes:
– Opportunities for involvement
– Social and cognitive skills
– Recognition
Dickson, Derevensky & Gupta, 2002

59. 60.60%
29%
65.90%
21.80%
Strong Positive Youth development Depression
Gambled Did not gamble
Protective Factors &
Gambling

60. 43.80%
32.90%
53.70%
23.20%
Likes school absenteeism
Gambled Did not gamble
Protective Factors &
Gambling

61. 60.60%
29%
65.90%
21.80%
Strong Positive Youth development Depression
Gambled Did not gamble
Protective Factors &
Gambling

62. 43.80%
32.90%
53.70%
23.20%
Likes school absenteeism
Gambled Did not gamble
Protective Factors &
Gambling

63. NEXT:
PREVENTION in action
Stay Tuned for Part 2!