Oregon Problem Gambling Services / Greta Coe, Roxann Jones

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
November 2, 2016

2. Agenda
Time Topic
3:00pm-3:10pm Introductions/County Roll Call
3:10pm-3:20pm PGS Update/Announcements
• National Conference Call for Presentations
• All ProviderWebinar
• FamilyTherapy Quarterly Call
• QIR Reports and Performance Based Contracting
• MediaTracking Form
• Ordering PGS Materials
• 2017 Problem GamblingAwareness Calendar
3:20pm – 3:35pm • Tips on how to better comply with OAR- Making sure you have the proper pg
documentation (i.e.: financial, suicide ideation, telephone counseling)
3:35 pm – 3:50pm • Statewide QIR Report Presentation
3:50pm – 4:00pm PGSTreatment Provider Discussion-Updates from the field/sharing
Future agenda items:
• Working with Cultural populations:
o African American
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. National Conference on Problem
Gambling
3
31th National Conference on
Problem Gambling
July 21-22, 2017
Preconference: July 19-20, 2017
DoubleTree by Hilton, Portland,
OR
National Council will be looking for
volunteers, and state office will be
offering scholarships to assist
providers with attending. More
information to come in early 2017.

4. National Conference on Problem
Gambling
4
Call for Presentations
Due Friday, November 18, 2016
For information on process and
criteria, visit:
http://www.ncpgambling.org/traini
ng-certification/national-
conference/call-for-presentations/

5. PGS General Updates
5
Next PGS All Provider Webinar/Meeting
December 15 from 9-10:30am.
To register:
https://attendee.gotowebinar.com/register/1423239010760193028
Agenda items being determined and will be sent late November.
No Treatment Call next month (December). Next call is Wednesday,
January 4, 2017 from 3-4. Email and agenda to be emailed mid-
December.
2016-17 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/

6. PGS General Updates
• Family Therapy Call: Early next year we will be starting a family therapy
call that will occur quarterly. Still working on setting this up, more
information coming later this month.
• Quality Improvement Reports and Letters: These will be going out to
program managers in mid-November. New format allows you to see
trends of your agency over the last 2 years. Make sure you review,
particularly the number of open cases over 1 year that may require
variances or discharge.
• Media Tracking Form: New form to collect data on large media
campaigns that are occurring in communities in order for us to cross
tabulate with enrollments and helpline calls. Quarterly reporting, first
deadline is January for October – December, 2016. More to come.
• PGS Materials: If you have ordered PGS materials through the web
page in the last month and have not received your order, please
resubmit, as we had a change in staffing last month.
• 2017 PGS Awareness Calendars: Have been published and sent to
your county pg prevention coordinators. Request copies through them.
6

7. Quarterly Media Campaign Reporting
Form
DRAFT - County Quartelry Media Campaign Reporting
Type of Media Date Range Frequency/Reach # of Impressions Market Website Link
File or Hard Copy Sent to
HSD
Example Key
Radio PSA Date Range media is
displayed or aired
Frequency in which the
media will be aired
# of individuals that the
media should reach
What is the geographic area that the
media will cover
Website link if available to link to the
media
Please note if you have
provided HSD an
electronic file or hard copy
of the media
Social Media
(Facebook, Pandora,
etc.)
Television PSA
Movie Theatre Ad
Newspaper
Billboard
Transit
7
This information will be submitted online through survey monkey,
however the above form informs you of the content that will be
collected.

8. Oregon MH/AD Outpatient Rule
• OAR 309-019-0100
• Complete rule can be found at
http://arcweb.sos.state.or.us/pages/rules/oars_300/oar_309/309_01
9.html
• 309-019-0170: Outpatient Problem Gambling Treatment
Services
Telephone counseling
Financial component
Risk assessment for suicide ideation
8

9. OAR 309-019-0170: Outpatient Problem
Gambling Treatment Services
• (3) Telephone counseling: Providers may provide telephone counseling
when person-to-person contact would involve an unwise delay, as follows:
• (a) Individual must be currently enrolled in the problem gambling treatment
program;
• (b) Phone counseling must be provided by a qualified program staff within
their scope of practice;
• (c) Service Notes for phone counseling must follow the same criteria as
face-to-face counseling and identify the session was conducted by phone
and the clinical rationale for the phone session;
• (d) Telephone counseling must meet HIPAA and 42 CFR standards for
privacy; and
• (e) There must be an agreement of informed consent for phone counseling
that is discussed with the individual and documented in the individual’s
service record.
9

10. 309-019-0170: Outpatient Problem
Gambling Treatment Services
• Need “agreement for informed consent” (as the rules state) to be
formalized in some manner.
• Could be a separate informed consent form to provide telephone
counseling for gambling treatment with client signature.
• Could be a few sentences added to your agencies informed consent
regarding telephone counseling for gambling treatment, with
signature for client.
• Informed consent for telephone treatment must specifically discuss
telephone counseling for PGS.
• A statement needs to be somewhere in the service record/note
saying that telephone counseling was discussed.
10

11. 309-019-0170: Outpatient Problem
Gambling Treatment Services
Financial Component
Assessment: financial component of the assessment process does
not have to be completed by using a separate financial assessment.
It can be incorporated into the larger assessment through a few
additional questions.
Potential question to ask and document:
– Do you currently have any gambling debts?
– What is the amount of your gambling debts?
– How much do you gamble daily, weekly, monthly?
– Could you tell me the financial consequences of your gambling?
– Have you ever declared a personal bankruptcy?
11

12. 309-019-0170: Outpatient Problem
Gambling Treatment Services
Financial component
Service plan: PGS clients should have a goal within their treatment
plan addressing their finances.
– Examples:
• Initiate a financial plan, learn budget management and develop a payment
plan
Service notes: Service notes needs to address that the finances of
the client were discussed at sessions and should be discussed
during the majority of sessions.
– Examples:
• Could be as simple as asking “How much money did you spent gambling
this week?”
• Explain what barriers client is going to put into place to reduce gambling for
the next week.
12

13. 309-019-0170: Outpatient Problem
Gambling Treatment Services
• Suicide Risk Assessment
• Potential question to ask and collect:
– Are you feeling hopeless about the present or future?
– Have you had thoughts about taking your life or hurt yourself?
– When did you have these thoughts and do you have a plan?
– Have you ever had a suicide attempt?
• If potential to harm self is identified, refer for appropriate crisis
services, and document referral within the assessment/ service note.
• If client has harmed themselves in then past, even if they are not
currently at risk, clinician should address suicide risk at each
individual session and document within service notes.
13

14. 309-019-0170: Outpatient Problem
Gambling Treatment Services
Other general things to consider
• Using “canned statements” and cutting and pasting information raise
red flags for reviewers
• Other suggestions/learnings from those providers that have had site
reviews?
14

15. Questions

16. Statewide Outcomes fromStatewide Outcomes fromStatewide Outcomes fromStatewide Outcomes from
Quality Improvement ReportsQuality Improvement ReportsQuality Improvement ReportsQuality Improvement Reports
PresentationPresentationPresentationPresentation

17. Access Wait TimeAccess Wait TimeAccess Wait TimeAccess Wait Time
0
10
20
30
40
50
60
70
80
90
100
FY 12-13 FY 13-14 FY 14-15 FY 15-16
Actual
Minimum
Linear (Actual)
Linear (Minimum)

18. RetentionRetentionRetentionRetention
0
10
20
30
40
50
60
70
80
90
100
FY 12-13 FY 13-14 FY 14-15 FY 15-16
Actual
Minimum
Linear (Actual)
Linear (Minimum)

19. Successful CompletionSuccessful CompletionSuccessful CompletionSuccessful Completion
0
10
20
30
40
50
60
70
80
90
100
FY 12-13 FY 13-14 FY 14-15 FY 15-16
Actual
Minimum
Linear (Actual)
Linear (Minimum)

20. Reporting TimelinesReporting TimelinesReporting TimelinesReporting Timelines
0
10
20
30
40
50
60
70
80
90
100
FY 12-13 FY 13-14 FY 14-15 FY 15-16
Admits
Discharge
Encounter
Minimum
Linear (Admits)
Linear (Discharge)
Linear (Encounter)
Linear (Minimum)

21. PenetrationPenetrationPenetrationPenetration
0
10
20
30
40
50
60
70
80
90
100
FY 12-13 FY 13-14 FY 14-15 FY 15-16
Actual
Target
Linear (Actual)
Linear (Target)

22. Cases Open 1 Year Without WaiverCases Open 1 Year Without WaiverCases Open 1 Year Without WaiverCases Open 1 Year Without Waiver
0
10
20
30
40
50
60
70
80
90
100
FY 12-13 FY 13-14 FY 14-15 FY 15-16
Actual
Target
Linear (Actual)
Linear (Target)

23. Client AuthorizationsClient AuthorizationsClient AuthorizationsClient Authorizations
0
10
20
30
40
50
60
70
80
90
100
FY 12-13 FY 13-14 FY 14-15 FY 15-16
Actual
Minimum
Linear (Actual)
Linear (Minimum)

24. Enrollment SurveysEnrollment SurveysEnrollment SurveysEnrollment Surveys
0
10
20
30
40
50
60
70
80
90
100
FY 12-13 FY 13-14 FY 14-15 FY 15-16
Actual
Minimum
Linear (Actual)
Linear (Minimum)

25. Client SatisfactionClient SatisfactionClient SatisfactionClient Satisfaction
0
10
20
30
40
50
60
70
80
90
100
FY 12-13 FY 13-14 FY 14-15 FY 15-16
Actual
Minimum
Linear (Actual)
Linear (Minimum)

26. PGSTreatment Provider
Discussion-Updates from the
field

27. Questions

28. Future Agenda Items
• November Call- Tips on how to better comply with
OAR- Making sure you have the proper pg
documentation.
• 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

29. 29