Understanding and addressing problem gambling

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Understanding and addressing problem gambling

• Plenary Session I People-Sector Initiatives to
  Address Problem Gambling

5-6 July 2007 Samson Tse
Acknowledgement
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Welcome to New Zealand
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People
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Primary prevention
People, the community
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Secondary prevention

• Limit harm, Early detection and Brief
  intervention
• Eg partnership with schools, social welfare
  agencies, GPs, mental health addiction,
  probation services, education

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Example 1 Ordinary people

• MIST (multi-item screening tool)? CHAT
  (Case-finding and Help Assessment Tool)
  (Department of General Practice, University of
  Auckland)
• sensitivity, specificity acceptability
• Goodyear-Smith, Arroll, Kerse, Sullivan, Coupe,
  Tse, Shephred, Rossen Perese, 2006
• Goodyear-Smith et al., 2005 2004

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CHAT (Case-finding and Help Assessment Tool)

• Do you ever feel the need to cut down on your
  smoking?
• Have you sometimes felt unhappy or worried after
  a session of gambling?
• Together 11 questions

• Responses (3)
• Wanting help- yes today or later (14) yes but
  not today (8) yes today (6)
• Objected to being asked (0.6)

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Example 2 People who gamble, host responsibility

• A Safe PRODUCT
• B Responsible MARKETING
• C Safe ACCESS
• D Informing PATRONS responsibly
• E Responsible VENUE DESIGN
• F Responsible DELIVERY
• G Supporting COMMUNITY

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Within the venue

• People Technology
• People-people interaction
• Human
• People Environment
• What works?

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Tertiary prevention

• Reduce harm when it occurs and prevent relapses
• Treat the long term effects of PG
• Relapses prevention (McCown Howatt, 2007
  Petry, 2005)
• Triggers
• Support changes
• Support systems
• Eg specialised interventions, peer-support
  groups, internet/ communication, technology-based
  interventions (eg texting, 3-G phones)

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Asian peoples in NZ Initiatives experiences
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Contd
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Key points

• Intervene at population/community level
• Ethnic/ race based groups
• Gambling modes
• Advocate for policy development and
  implementation (industry regulation, workforce
  research)
• Bottom up approach
• Service users family/ significant others