SlideShare a Scribd company logo
Leigh Falls Holman, Ph.D., LPCS, RPTS, NCC, CSC 
AMHCA Diplomate & CMHS Substance Abuse & Co- 
Occurring Disorders
 Choice: 
◦ How easily it can be used with a client 
◦ The type of info the assessment provides 
◦ Appropriateness for use with a client 
 WASTE-Time Quick Screen: 
◦ Paper and pencil or verbal 
◦ Can be used in a general counseling setting if a client 
endorses behaviors consistent with problem gambling.
 Withdrawal 
◦ “What happens to you when you are unable to engage in _______?” 
 Adverse Consequences 
◦ “What negative consequences resulted from _______?” 
 Inability to Stop 
◦ “Have you attempted to cut back or stop ______ without success?” 
 Tolerance 
◦ “Have you found it necessary to increase the amount or intensity of ______ to 
achieve the same effect?” 
 Escape 
◦ “Do you _____ to escape from negative moods?” 
 Time Spent 
◦ “Do you find yourself spending a lot of time preparing, engaging, and recovering 
from ______?” 
 Time Wasted 
◦ “Have you spent more time and/or resources on _____ than you intended?”
 Screening instrument 
 20 item 
 Self-report 
 Lifetime gambling activity or Last 3 months 
 Score ≥ 5 indicates possible problem & need for further 
assessment 
 http://www.addictionrecov.org/southoak.aspx 
 SOGS-R for Adolescents: 
 http://www.southwestern.org/rc/wp-content/uploads/South-Oaks- Spanish Version 
 http://www.ipgap.indiana.edu/images/documents/SOGS_spanishversion.
 Brief clinical screening instrument 
 5-10 minute survey or interview – self-report 
 14 items (only 7 scored & weighted score) 
 Classifies Adults & Adolescents into 3 categories: 
◦ Non-problem 
◦ In Transition 
◦ Pathological Gamblers 
 MAGS (published by Springer) 
http://link.springer.com/article/10.1007%2FBF02104901#page-2 
 MAGS copy: 
http://www.ncrg.org/sites/default/files/uploads/docs/monographs/mags.p 
df 
 Pathological gambling among adolescents: MAGS (n = 856 suburban 
Boston HS students) http://www.ncbi.nlm.nih.gov/pubmed/24234969 
 Correctly classified 96% of adolescent problem gamblers
 Can be accessed online: 
 http://www.gamblersanonymous.org/ga/content/20 
-questions 
 Score of ≥ 7 indicates problem gambling behavior 
 Don’t know specificity or sensitivity
 2 Question Rule Out Tool: 
http://www.ncpgambling.org/files/NPGAW/Lie_Bet 
_Tool.PDF 
 Self-report
 Screening instrument designed for use by general 
practitioner setting 
 Score ≥ 4 indicates possible problem gambling 
 NIH article: 
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC307 
6109/ 
 PDF version of instrument: 
http://www.bpac.org.nz/BPJ/2010/June/docs/addic 
tion_eight_gambling_screen.pdf

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Screening & assessment for gambling use disorder

  • 1. Leigh Falls Holman, Ph.D., LPCS, RPTS, NCC, CSC AMHCA Diplomate & CMHS Substance Abuse & Co- Occurring Disorders
  • 2.  Choice: ◦ How easily it can be used with a client ◦ The type of info the assessment provides ◦ Appropriateness for use with a client  WASTE-Time Quick Screen: ◦ Paper and pencil or verbal ◦ Can be used in a general counseling setting if a client endorses behaviors consistent with problem gambling.
  • 3.  Withdrawal ◦ “What happens to you when you are unable to engage in _______?”  Adverse Consequences ◦ “What negative consequences resulted from _______?”  Inability to Stop ◦ “Have you attempted to cut back or stop ______ without success?”  Tolerance ◦ “Have you found it necessary to increase the amount or intensity of ______ to achieve the same effect?”  Escape ◦ “Do you _____ to escape from negative moods?”  Time Spent ◦ “Do you find yourself spending a lot of time preparing, engaging, and recovering from ______?”  Time Wasted ◦ “Have you spent more time and/or resources on _____ than you intended?”
  • 4.  Screening instrument  20 item  Self-report  Lifetime gambling activity or Last 3 months  Score ≥ 5 indicates possible problem & need for further assessment  http://www.addictionrecov.org/southoak.aspx  SOGS-R for Adolescents:  http://www.southwestern.org/rc/wp-content/uploads/South-Oaks- Spanish Version  http://www.ipgap.indiana.edu/images/documents/SOGS_spanishversion.
  • 5.  Brief clinical screening instrument  5-10 minute survey or interview – self-report  14 items (only 7 scored & weighted score)  Classifies Adults & Adolescents into 3 categories: ◦ Non-problem ◦ In Transition ◦ Pathological Gamblers  MAGS (published by Springer) http://link.springer.com/article/10.1007%2FBF02104901#page-2  MAGS copy: http://www.ncrg.org/sites/default/files/uploads/docs/monographs/mags.p df  Pathological gambling among adolescents: MAGS (n = 856 suburban Boston HS students) http://www.ncbi.nlm.nih.gov/pubmed/24234969  Correctly classified 96% of adolescent problem gamblers
  • 6.  Can be accessed online:  http://www.gamblersanonymous.org/ga/content/20 -questions  Score of ≥ 7 indicates problem gambling behavior  Don’t know specificity or sensitivity
  • 7.  2 Question Rule Out Tool: http://www.ncpgambling.org/files/NPGAW/Lie_Bet _Tool.PDF  Self-report
  • 8.  Screening instrument designed for use by general practitioner setting  Score ≥ 4 indicates possible problem gambling  NIH article: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC307 6109/  PDF version of instrument: http://www.bpac.org.nz/BPJ/2010/June/docs/addic tion_eight_gambling_screen.pdf

Editor's Notes

  1. Regina