The first day of the14th annual NCRG Conference on Gambling and Addictionconcluded with a few breakout sessions, including one that took a close look at building partnerships with Native American populations.

Kate Spilde and Dr. Miriam Jorgenson Speak at the NCRG Conference

The session began with a short presentation fromKate Spilde, chair of the Sycuan Institute on Tribal Gaming and associate professor at San Diego State University. Ms. Spilde provided two key resources on building successful research partnerships with tribal communities: the National Congress of American Indians (NCAI) report,“Walk Softly and Listen Carefully,”and the Betty Ford Institute’s “Seme7 (Non-Native) Counselor in a First Nations: A Story of Professional/Personal Growth and Transformation.”

She noted that the tribal gaming industry has brought income and employment benefits to both tribal and non-tribal communities. The economic and social indicators reveal improvements in education attendance and individual/family income, and poverty and unemployment often decreases. However, these good points often mask the long-term problems of tribal gaming and make it more difficult to uncover them.

Ms. Spilde emphasized that research is a key tool of tribal sovereignty, adding that efforts to address longstanding issues, such as health disparities for American Indians and Alaska Natives, have increasingly used research partnerships.

She also noted several tribal community concerns when conducting research in their communities, including:

  • Research needs vary by community.
  • An inability for researchers to identify the pressing needs of community members
  • Recovery needs within tribal communities may not mirror mainstream public policy questions
  • Non-Natives bring intervention frameworks and tools that may not be appropriate or meaningful to tribal members
  • Key qualities to look, listen and learn

While it is important for researchers to look, listen and learn, Ms. Spilde also suggested investigators should keep various challenges in mind:

  • Tribal leaders are community members; many of them also struggle with addiction both personally and within their families.
  • There is strong political pressure to maintain a positive image of the tribe
  • Poor understanding among clinicians and researchers of addiction syndrome in Indian Country; are recovering alcoholics more vulnerable to gambling than active ones?
  • Tribal community-level factors often not included in public health model in Indian Country (i.e. rate of unemployment, presence/absence of community resources/social agencies, lack of recreational outlets)
  • Difficult to capture impacts of the stress of reservation life, including grief from residential/boarding schools.

Following her presentation, Ms. Spilde also introducedMiriam Jorgenson, Ph.D., research director for the Native Nations Institute for Leadership, Management and Policy at the University of Arizona; research director for the Harvard Project on American Indian Economic Development at Harvard University; and a member of the NCRG’s Scientific Advisory Board.

Dr. Jorgenson started by pointing out that there is far too much research “on” and not enough research “with” or “for” tribal communities. She emphasized that relationships matter, and that is why it is important to conduct researchwiththese communities.

To reiterate point, Dr. Jorgenson shared a quote from the NCAI report:

“Trust takes time. You need to prove—as a researcher or as an outsider—that you can actually function as a positive member of that community; and there’s no way to do that without becoming a part of that community. That takes time.”

Finally, Dr. Jorgenson noted that often, both universities and tribal communities have protocols already in place to help establish and continue the partnership, and if those protocols don’t exist, it is important to establish them prior to facilitating the partnership. She also provided some of the tangible elements of a successful research partnership, including money and resources, in-community partnerships, advocacy for the tribe with funders, products for the community and pro-bono work for the community.

Following Dr. Jorgenson, John Iyott, a counselor with theIndian Health Service, shared some key elements for engaging in successful partnerships. First, he noted that as with any other culture, it is understand the historical trauma that the tribal community has endured before entering into a partnership. He also noted that all tribes are different, and it is important to understand their culture when entering into a partnership.

The session concluded with an engaging question and answer session that left participants interested in connecting with each other for future partnerships and endeavors.

NCRG staffConference on Gambling and AddictionNative American PopulationsNCRG Conference on Gambling and Addictionpartnerships

Dr. William Narrow

What behaviors are symptoms of a mental disorder? What behaviors are not? And who decides?

In the United States, the most important decision-makers on this subject arguably are the group of scientists who are responsible for updating the preeminent text on the subject of mental disorders,The Diagnostic and Statistical Manual of Mental Disorders (DSM). The fifth edition of this text (DSM-5) was released earlier this year.

The NCRG was pleased to welcomeWilliam E. Narrow, M.D.,associate director of the division of research at the American Psychiatric Association and research director of theDSM-5 Task Force, Sunday at the14th annual NCRG Conference on Gambling and Addictionto speak about the changes made to gambling disorders in the new publication.

Dr. Narrow first discussed changes in the criteria for a gambling disorder in theDSM-5and explained some of the factors theDSM-5Task Force considered when making the changes. In theDSM-IV, individuals had to exhibit five out of 10 symptoms (such as a preoccupation with gambling) of the disorder in a given year to meet the criteria. Perhaps the most controversial change inDSM-5was the deletion of the “has committed illegal acts” criterion, and the subsequent change of cutoff score from five of 10 criteria to four of 9.

Dr. Narrow explained that the illegal acts criterion was found to be very different depending on the region of the country, focus of local law enforcement, and a number of other factors that affect how laws are enforced in the United States and worldwide. This variance in enforcement—and thus in symptom reporting—decreased the reliability and validity of the gambling measure, and several studies found that removing the illegal acts criterion and changing the cut-off score made the diagnoses significantly more accurate.

In addition to this gambling-specific information, Dr. Narrow also outlined some of the changes in the way theDSM-5Task Force defined mental disorders in general, with particular emphasis on two interrelated concepts. The two quotes from theDSM-5below highlight the concepts he discussed (emphasis added by Dr. Narrow on his slides).

‘A mental disorder is a syndrome characterized by clinically significantdisturbance in an individual’s cognition, emotion regulation, or behaviorthat reflects adysfunction in the psychological, biological, or developmental processes underlying mental functioning.’

‘The diagnosis of a mental disorder should have clinical utility: it should help clinicians to determine prognosis, treatment plans, and potential treatment outcomes for their patients. However,the diagnosis of a mental disorder is not equivalent to a need for treatment.’

According to Dr. Narrow,DSM-5mental health disorders must create disturbance and dysfunction in the lives of the individuals that live with them; however, simply having aDSM-5diagnosis does not imply a need for treatment.

One example of this might be caffeine addiction. An individual may experience uncomfortable withdrawal symptoms, but the dysfunction by itself does not imply that the individual needs to “quit” caffeine or seek mental health treatment for their dependence. Allowing for these potentially contradictory points gives theDSM-5more leeway to account for the varied and often complex relationships individuals develop with substances and behaviors.

Did you attend Dr. Narrow’s presentation? Tell us what you found most intriguing about the session.

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Shirley Beckett Mikell

Before the14th annual NCRG Conference on Gambling and Addictionofficially kicked off yesterday, the NCRG held three pre-conference workshops for conference attendees. One workshop featuredShirley Beckett Mikell, NCAC II, CAC II, SAP, director of certification and education, and National Certification Commission for Addiction Professionals (NCC AP) staff liaison forNAADAC, the Association for Addiction Professionals, who spoke about a partnership between the NCRG and her organization to develop a new, evidence-based endorsement for counselors interested in specializing in gambling disorders.

This workshop drew attendees from across the United States—and even from Mexico and Canada—who specialize in many different treatment areas, including mental health, alcohol and drug abuse, family, marriage, substance abuse, addiction and more.

Ms. Mikell began the workshop by providing background on NAADAC and its certification arm, theNCC AP. NCC AP operates as an independent body from all matters involving the association’s alcohol and drug abuse counselor certification and specialty endorsement opportunities at the national and international levels.

After describing NCC AP’s current accreditations and endorsements, Ms. Mikell announced that the organization is partnering with the NCRG to develop a gambling endorsement. Ms. Mikell noted that the gambling endorsement has many benefits, including:

  • Offers the ability to capitalize on specialized training and education obtained in specialty areas
  • Allows one who holds a current nationally recognized credential or license identity in a specialty area
  • Does not cost as much or as long to obtain as a credential
  • Does not have to be renewed as often as a credential
  • Identity as a specialist in a specific area of practice

The gambling endorsement will focus on best practices, highlight current theories and approaches, engage experts in the profession and build an educational and training foundation. It will focus on several domain areas, including definitions, the etiology of gambling disorders, population studies, counseling practices and recovery.

Before concluding the session with a question and answer session, Ms. Mikell stated that the gambling endorsement should be ready in 2014.

Are you interested in learning more about this new gambling endorsement? Stay tuned toGambling Disorders 360°for future updates!

NCRG staffConference on Gambling and AddictionGambling EndorsementNAADACNCRG Conference on Gambling and AddictionPre-Conference Workshop

This weekend, the NCRG team heads to Las Vegas for the14th annual NCRG Conference on Gambling and Addiction. We are excited for this year’s conference— it is packed with informative and intriguingconference sessionsand nationally-known speakers!

We hope you’ll be joining us there, but if you can’t make it, you can still be a part of the conversation and stay updated on everything that’s happening. The NCRG team will be posting updates via Gambling Disorders 360°, Twitter and Facebook. Here’s how you can connect with the NCRG:

  1. Gambling Disorders 360°:Keep up with all the breaking news from the event by subscribing to the NCRG’s blog for daily updates, on-site reporting about the sessions and audio posts from leading researchers and industry representatives.
  2. Twitter:The NCRG’s Twitter account (@theNCRG) will feature conference updates and live-tweeting from events and sessions, including: the conference welcome address, the Scientific Achievement Awards luncheon, “Uncovering the Mystery of the Brain: How Neuroscience Illuminates Addiction and Gambling Disorders,” and “Impact of the Affordable Care Act on the Treatment of Gambling Disorders.” The NCRG’s tweets will include the hashtag #NCRGConference to make it easier for you to find the latest insight from conference sessions. Attendees who would like to tweet what they learn at the NCRG Conference should also use the #NCRGConference hashtag.
  3. Facebook:The NCRG team will also be active on Facebook, posting updates and pictures from the conference. If you are attending the conference and want to share your photos with us, send them to Amy Kugler at akugler@ncrg.org.

Please find us to say hello if you are attending in person. And if you can’t make it, we hope you will join the conversation online!

For more information on the NCRG Conference, visit ourconference page.

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This weekend, the14th annual NCRG Conference on Gambling and Addictionwill kick off at The Sands Expo and Convention Center at the Venetian Las Vegas. The 2013 Conference will offer attendees more than 14 sessions in total and the chance to earn up to 11continuing education (CE) hours.

But did you know that the NCRG is offering three pre-conference workshops and a chance to earn up to two additional CE hours before the conference opens Sunday afternoon? This year, the NCRG is offeringthree pre-conference workshopson Sunday, Sept. 22 from 9:30 – 11:30 a.m., and spots are still available! The NCRG pre-conference workshops include:

Using the DSM-5 in Clinical Practice (2 CE hours)

Leader: Jon Grant, J.D., M.D., M.P.H., The University of Chicago

Are you prepared for the changes in the DSM-5? Revisions in the diagnostic codes for gambling and substance use disordersmean that health care providers specializing in addiction need to consider the implications for their clinical practice. Dr. Grant, co-author of the supplemental guidebook forthe DSM-5, will lead an exploration of the clinical issues posed by these changes.(This pre-conference workshop requires an additional fee.)

New Gambling Credential for Counselors through NAADAC (2 CE hours)

Leader: Shirley Beckett Mikell, NCAC II, CAC II, SAP, NAADAC, the Association for Addiction Professionals

NAADAC, the Association for Addiction Professionals, and the NCRG have partnered to develop a new, evidence-based credential for counselors interested in specializing in gambling disorders. Long-time NAADAC education expert and trainer Ms. Mikell will lead workshop participants in a review of the new credential, including the exam questions as well as educational and supervision requirements.

Trends in Research Methodology: A Workshop for Early Stage Investigators

Leaders: Bethany Bray, Ph.D., Penn State University; Clayton Neighbors, Ph.D., University of Houston

In order to produce the most innovative research, scientists need to draw upon collaborations and suggestions from other researchers in the field. Drs. Bray and Neighbors will examine how to efficiently assess an analytic method’s potential for your research. This session will cover how to evaluate what research questions can be addressed by a specific approach and ways to incorporate innovative methods in your grant proposals. Drs. Bray and Neighbors will specifically examine techniques and research questions that are covered by latent class analysis (LCA), causal analysis and a new methodology for analyzing intensive longitudinal data.

Registrationis required for all of the pre-conference workshops, and you can register on-site for the NAADAC and Research Methodology workshops!

If you can’t attend this year’s NCRG Conference, make sure you subscribe toGambling Disorders 360°for recaps from conferences session and interviews with leading experts. You can also follow the action onTwitter(#NCRGConference) orFacebook!

NCRG staffConference on Gambling and AddictionDSM-5Early Stage InvestigatorsNAADACNCRG ConferencePre-Conference Workshops

In just over a week, stakeholders in the fields of gambling disorders, addiction and responsible gaming will gather at the14th annual NCRG Conference on Gambling and Addictionat The Sands Expo and Convention Center at the Venetian Las Vegas.

The 2013 NCRG Conference will feature national leaders in gambling disorder research and treatment, public health, academia and the gaming industry and will present on key topics that will unite the field of gambling disorders and responsible gaming.

This year, the NCRG is excited to feature the following speakers:

Dr. William E. Narrow

William E. Narrow, M.D., M.P.H.,is an associate director of the Division of Research at the American Psychiatric Association and research director of the DSM-5 Task Force

Anne M. Fletcher

Anne M. Fletcher, M.S., R.D.,is an award-winning health and medical writer, speaker and consultant on the topics of weight management and Iifestyle change, as well as treatment and recovery from addiction

Dr. Kafui Dzirasa

Kafui Dzirasa, M.D., Ph.D.,is an assistant professor of psychiatry and behavioral sciences in the division of geriatric psychiatry at the Duke University School of Medicine

Shirley Beckett Mikell

Shirley Beckett Mikell, NCAC II, CAC II, SAP,is the director of certification and education and National Certification Commission staff liaison at NAADAC, the Association for Addiction Professionals

Dr. Jon E. Grant

Jon E. Grant, J.D., M.D., M.P.H.,is a professor in the department of psychiatry and behavioral neuroscience at The University of Chicago (UC) and the principal investigator of the NCRG Center of Excellence in Gambling Research at UC

In total, the NCRG is excited to welcome more than 20 leading experts as presenters at the NCRG Conference this year, and we hope you’ll join us to hear their exciting and informative presentations.

If you haven’t already done so,click here to register.

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Don’t miss your chance to gain access to the latest information about gambling disorders and responsible gaming at the14th annual NCRG Conference on Gambling and Addiction, taking place September 22-24, 2013 at the Sands Expo and Convention Center in Las Vegas.

For more than a decade, the NCRG Conference has provided a unique forum where all stakeholders in the field of gambling disorders and responsible gaming come together to discuss the latest research, share best practices and explore real-world applications for new scientific findings.

This three-day conference is designed to enhance your professional development—whether you’re in the health care sector, the gaming industry, government or academia—by providing the following benefits:

  • Network with more than 300 conference attendees and industry leaders
  • Talk with the world’s leading addictions experts
  • Earn up to 13 hours of continuing education credit
  • Gain a critical perspective to develop and evaluate policies that address gambling disorders
  • See the latest research at the annual poster session
  • Attend interactive pre-conference workshops
  • And more!

Click herefor more information and to register for the 14th annual NCRG Conference on Gambling and Addiction!

NCRG staffConference on Gambling and AddictionEarly Bird RegistrationNCRG Conference on Gambling and Addiction

The16thannual Responsible Gaming Education Week(RGEW) comes to a close today, but that doesn’t mean that promoting responsible gaming best practices will stop there. Join us next month at the14thannual NCRG Conference on Gambling and Addictionfrom September 22-24, where we will continue the conversation during several conference sessions that give insights for effective responsible gaming programs.

Sunday, September 22, 2013; 4 – 5 p.m.

The Intersection of Science and Policy: A Town Hall Meeting

Panel: Peter Cohen, The Agenda Group; Linda B. Cottler, Ph.D., M.P.H., University of Florida; Ken C. Winters, Ph.D., University of Minnesota

Gaming regulators worldwide often are tasked to develop and monitor responsible gaming practices and policies, including programs such as self-exclusion. However, the research on these types of efforts has lagged behind, leaving regulators wondering how to proceed in an effective way. This town hall meeting will provide policy makers and other gaming stakeholders the opportunity to meet face-to-face with scientists and discuss responsible gaming best practices. This session also is intended to foster a discussion about where research is needed to better inform programs and policies.

Monday, September 23, 2013; 10:15 – 11:15 a.m.

Evaluating Responsible Gaming Strategies: What Regulators Need to Know

Speaker: Debi LaPlante, Ph.D., Cambridge Health Alliance, Harvard Medical School

Responsible gaming policies and practices like self-exclusion and employee education have multiplied worldwide in recent years. But how do we judge the safety and effectiveness of these programs? Dr. LaPlante will discuss the importance of using a scientific approach to evaluate responsible gaming programs, drawing on studies conducted by the Division on Addiction at Cambridge Health Alliance, which have focused on both Internet and bricks-and-mortar gambling environments.

Tuesday, September 24, 2013; 9:15 – 10:15 a.m.(NCRG at G2E)

Behind the Screen: Characteristics of Internet Gamblers Who Trigger Responsible Gambling Interventions

Speaker: Heather Gray, Ph.D., Cambridge Health Alliance

As the conversation about Internet gambling grows, discussions continue about the impact that new technology can have on gambling disorders and responsible gaming. Dr. Gray will report on a study looking at what responsible gaming interventions can tell us about those who gamble online and may have potential gambling problems. The study provides additional confirmation that a set of monetary and nonmonetary behaviors distinguishes individuals who might be experiencing gambling problems from other Internet gamblers who are not experiencing such problems: namely, frequency and time spent gambling.

Tuesday, September 24, 2013; 11:45 a.m. – 12:45 p.m.(NCRG at G2E)

Cause Marketing: Lessons for the Effective Promotion of Responsible Gaming

Panel: Jim Gentleman, SK+G; Ed Chansky, Greenberg Traurig LLP

The casino industry has produced numerous responsible gaming products that encourage customers to “keep it fun.” But do guests always absorb the message of responsible gaming? During this session, learn how other causes and industries have approached the communication of their public interest messaging. Success, obstacles and implications for the gaming industry will be discussed.

Have you registered for the NCRG Conference yet?Register by August 30 to receive the Early Bird Discount!For more information,click here.

NCRG staffResponsible GamingNCRG Conference on Gambling and Addictionresponsible gamingRGEW

Talking with Children about Gambling

How do you say “responsible gaming?” The NCRG is making it a bit easier to do so by translating various resources into other languages, including Spanish, French, Korean, Vietnamese and Chinese. During this year’s Responsible Gaming Education Week (RGEW), the NCRG is excited to share that its “Talking with Children about Gambling Brochure” is now available in these languages. And we aren’t stopping there! We are also excited to give a preview of additional resources that will be translated later this year.

RGEW is a time where many of the resources from theAmerican Gaming Association (AGA)and the NCRG are put on display, but this year’s events particularly highlight how responsible gaming needs to reach a broader, more diverse audience. The NCRG developed “Talking with Children about Gambling” in 2009 in partnership with the Division on Addiction, Cambridge Health Alliance, a teaching affiliate of Harvard Medical School. The research-based guide is designed to help parents, as well as others who work with youth, deter children from gambling and recognize possible warning signs of problem gambling and other risky behaviors.

“Talking with Children about Gambling” is not the only NCRG publication in six languages. In the coming weeks, the NCRG will release various resources to help reach a global population. These materials include the College Gambling brochure and the Brief Biosocial Gambling Screen, and they will be put online as a free download on theNCRG website.

A key component of gambling responsibly is to understand the odds of games and know that the odds of winning are with the house. To help educate the public about responsible gaming, the AGA also translated its more widely used responsible gaming brochures into these same languages.“The House Advantage: A Guide to Understanding the Odds”gives a breakdown of the odds of different casino games.“Taking the Mystery out of the Machine”explains how slot machines work, and“Keeping it Fun: A Guide to Responsible Gaming”discusses ways to gamble responsibly and set personal limits to determine whether, when and how much to gamble.

Make sure to check out all of these resources online on the NCRG and AGA websites. Are there other languages that the NCRG and AGA should include when translating materials? Leave your thoughts in the comments section below.

NCRG staffResponsible Gamingresponsible gamingRGEWTalking with Children about GamblingTranslated Resources

Today marks the first day of the16th annual Responsible Gaming Education Week (RGEW), a joint initiative by the National Center for Responsible Gaming (NCRG) and the American Gaming Association (AGA) to promote responsible gaming. This year’s theme, “How Do You Say Responsible Gaming?” promotes the message that no matter what language gaming employees and customers speak, it is important that they all understand responsible gaming.

RGEW was developed in 1998 as part of the Responsible Gaming National Education Campaign, a long-term, comprehensive program spearheaded by the AGA. RGEW is designed to heighten awareness of responsible gaming and gambling disorders among employees, customers and the general public.

In anticipation of this year’s RGEW, the AGA and the NCRG released new responsible gaming videos. The NCRG’s video is titled“What is a Gambling Disorder?”and explains in simple language the science that informs our understanding of gambling disorders. The AGA’s“What Are the Odds?”video illustrates the house advantage inherent in all casino games and demonstrates how America’s favorite game – the slot machine – actually works.

For this year’s RGEW, the NCRG and AGA are making several of our most popular responsible gaming brochures available for the first time in French, Korean, traditional Chinese and Vietnamese—in addition to English and Spanish. (We’ll tell you more about these brochures in blog post later this week!)

The NCRG will be sharing several of its responsible gaming resources throughout the week – so stay tuned! In the meantime, you canread more about RGEW 2013 here.

Please join us this week—and every week—to encourage responsible gaming!

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