Celebrating Responsible Gaming Education Week In Louisiana

The 14thannualResponsible Gaming Education Week(RGEW) was in full swing last week with casinos, manufacturers and other non-profit organizations are implementing creative ideas to educate their employees and patrons about the odds of casino games. To see some of the many activities that the RGEW participants did last week, you can view theAmerican Gaming Association’s (AGA) press release, as well as theirFacebookandTwitterfeeds.

The National Center for Responsible Gaming (NCRG) is partnering with the AGA to help provide resources to many other organizations and continue promoting responsible gaming efforts through this blog, as well as ourFacebookandTwitteraccounts. The NCRG caught up with Reece Middleton, executive director for the Louisiana Association on Compulsive Gambling, to see how he is celebrating RGEW this year. The Louisiana Association on Compulsive Gambling is a non-profit organization dedicated to advocating for and/or providing cost effective quality assistance for all individuals in the State of Louisiana who may be affected by gambling problems.

NCRG:What has been one of the more exciting parts of your RGEW so far?

Middleton:At our open house and news conference on August 2, both Cedric B. Glover, mayor of Shreveport, and Lorenz Walker, mayor of Bossier City, issued a proclamation that this week is officially known as Responsible Gaming Education Week in our area. We were delighted that they could attend, as well as the many media outlets that were there to understand more about the education we hope to provide this week, as a continuation of our efforts to promote responsible gaming.

On August 1, we were excited to be on KSLA TV (CBS affiliate) in Shreveport, La. to talk about responsible gaming programs and how someone in the state could access free help if they were unable to gamble responsibly. We talked about the “Know the Odds” curriculum so that everyone could learn more about the odds of winning and losing when gambling. I’m sure we’ll be on the news more throughout the week talking about responsible gaming.

NCRG:What do you hope that the public will learn during this year’s RGEW?

Middleton:I think that “The House Advantage: A Guide to Understanding the Odds”, this year’s RGEW brochure, is a great tool for everyone to learn the facts and figures about the odds of casino games. Education is an important part of responsible gaming, and we’re including that information in all of our meetings and distributing it to area counselors.

We expect people to learn the many programs and brochures that can use as resources to better understand ways to gamble responsibly. We also want them to know that if a problem develops, as it sometimes does in a small percentage of players, there is help available at no charge. They can receive the information in various ways, whether it is through educational programs from the NCRG and the AGA or from the residential care facilities, intensive outpatient care programs and individual counseling we have available in Louisiana.

For more on RGEW or the many fun activities to help encourage everyone to “know the odds,” you can visit theNCRG’s websiteor theAGA’s RGEW page. Do you know of any great ways that responsible gaming is being promoted in your area? Please let us know in the comments below!

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Register Today For The August NCRG Webinar Session On Adolescent Brain Development And Youth Gambling

Parents of teenagers often question what their children think as they make important life choices and engage in potentially dangerous behaviors. Dr. Ken C. Winters, professor of psychiatry and director of the Center for Adolescent Substance Abuse and Research at the University of Minnesota, is going to explore that parental concern one step further by explaining the latest research on adolescent brain development and why young adults sometimes make decisions to participate in risky behaviors, such as gambling.

Register todayfor the next free session in the NCRG Webinar Series,“Adolescent Brain Development: Implications for Understanding Youth Gambling,”on August 24 from 2:00 – 3:00 p.m. EST. This session is free for all attendees and you can earn one hour of continuing education units.

Dr. Winters is a leader in the field of on the assessment, prevention and treatment of adolescent drug abuse and problem gambling. He is also a member of the NCRG Scientific Advisory Board, the group that plays a vital role in overseeing the NCRG’s grant-making efforts, ensuring grants are awarded only to those research proposals that meet the most rigorous standards for scientific integrity.

This webinar will be an exciting look at the new scientific discoveries about the brain that have put a much different perspective on our understanding of adolescent behavior. Research now suggests that the human brain is still maturing during the adolescent years, with significant changes continuing into the early 20s. The developing brain of the teenage years may help explain why adolescents and young adults sometimes make decisions that seem to be quite risky and may lead to safety or health concerns such as gambling excessively. And it may add insights into unique vulnerabilities and opportunities associated with youth.

Christine Reilly, senior research director of the NCRG will moderate this session, as well as explain many of the NCRG’s resources and programs that are geared toward adolescents and young adults.

This session has been approved for one hour of continuing education by:

– NAADAC, the Association for Addiction Professionals (provider #737)

– The California Foundation for Advancement of Addiction Professionals (provider #OS-02-26-1111)

– The California Board of Behavioral Sciences (for MFT and LCSW licensure requirements in California) (Approval #PCE 4619)

– The National Board for Certified Counselors (provider #6474)

– The NCRG is also approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. The NCRG maintains responsibility for this program and its contents.

The sixth volume of theNCRG’s monograph series,Increasing the Odds: A Series Dedicated to Understanding Gambling Disorders, will be also available online at the same time as the webinar. Its title, “Gambling and the Brain: Why Neuroscience Research is Vital to Gambling Research,” is another look into the neurobiological science behind gambling disorders.

We look forward to seeing you on August 24 for this NCRG webinar session! Do you have questions or comments? Please leave them in the comments section below.

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Bridging The Gap Between Research And Clinicians On Treatment Options

How do clinicians determine an appropriate treatment plan for clients with gambling problems? The current dearth of research on treatment outcomes and the lack of a treatment standard make this a challenge for treatment providers. However, Dr. Jon Grant argues that new research will bridge the gap, allowing clinicians to select the most effective treatment options based on cognitive, neuroimaging and genetic data. Dr. Grant, professor of psychiatry at the University of Minnesota and principal investigator of the NCRG Center of Excellence in Gambling Research at the University of Minnesota, delivered a keynote address on this topic at the 8thAnnual Midwest Conference on Problem Gambling and Substance Abuse on July 20 in Kansas City, Mo.

In his address, Dr. Grant focused on a few treatment options that researchers are studying that might be applicable for treatment providers as they assess the best options for their patients. First, researchers are looking at various medications that might best help those with gambling disorders who are driven by cravings and urges to gamble. Studies have shown that Naltrexone, a drug approved for treatment of alcoholism, can help remove the desire to gamble by reducing cravings. Genetic research indicates that the best responders to Naltrexone are individuals with a family history of alcohol use disorders. One clinical study cited by Dr. Grant found that urges were reduced by 40 percent of this population but not fully eliminated. It is apparent, he observed, that by themselves such drugs are not totally effective and that an approach that also includes a behavioral treatment such as cognitive-behavioral therapy is vital.

Dr. Grant mentioned another alternative approach that researchers are beginning to investigate called “imaginal exposure.” Borrowed from the scientific literature on obsessive-compulsive disorder, the objective is to desensitize the individual to gambling cues by exposing the person repeatedly to typical symptoms that triggers their problem gambling behavior. Dr. Grant cited a study in which the combination of Motivational Interviewing therapy and imaginal exposure helped participants abstain from gambling after two years.

Dr. Grant’s talk was one of the various keynote addresses at the Midwest Conference on Problem Gambling and Substance Abuse. Christine Reilly, senior research director for the NCRG, also spoke about college gambling statistics and the NCRG’s newest online resource, CollegeGambling.org. To view her entire presentation,click here. To see the other various keynote addresses, you can visithttp://www.888betsoff.org/links/midwest_conference.shtm.

Questions or comments about the NCRG’s many summer activities? Leave your thoughts in the comments section below! Also make sure to check out our upcoming blog posts on the NCRG Road Tour in Boston, Mass.

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Revolutions In The Study Of Gambling Disorders: Howard Shaffer At The Ncpg Conference, Part 2

Part two of the series recapping Dr. Howard Shaffer’s keynote address at the 25thNational Conference on Problem Gambling in Boston, Mass. To read part one of the Gambling Disorders 360° series,click here.

After laying the foundation for his presentation by outlining the theoretical revolutions that have defined our understanding of gambling disorders, Dr. Howard Shaffer then proposed that the next revolution in understanding gambling disorders will come from the way online gambling behavior can now be studied. Until recently, information about people’s gambling behavior has come almost exclusively from self-report (asking a person questions about their past gambling behaviors). Self-report is considered to be acceptably accurate by the scientific community, but it relies on recollections of individuals that may be influenced by a variety of factors such as desire to please interviewers or to downplay losses. For years these problems with self-reported data have presented a challenge to researchers studying gambling disorders. However, Dr. Shaffer suggested that new innovations in research methods will decrease the role of self-report and allow researchers to look directly at the gambling behavior of online gamblers.

To examine gambling behavior directly, researchers need to have access to all of the games played, bets made, wins and losses and other behaviors of those who gamble. In the online environment, those actions and more are being automatically stored by the online casino operator, as was the case in Dr. Shaffer’s study. Dr. Shaffer and his colleagues at the Division on Addictions partnered with European online casino operatorbwin(owned by bwin.party digital entertainment plc)and were given access to a record of the actual gambling activities of more than 40,000 people over a six-year period. (We have discussed this partnership in more detail in previous blog posts, including theSeptember 2010 edition of Issues & Insights).

This partnership has allowed the researchers to focus their efforts on groups that they would not otherwise be able to study, such as people who have closed their accounts because they have said they personally feel that they have “gambling problems”. This group consists of only 215 people out of the 47,000 who used the website during this period (LaBrie & H. J. Shaffer, 2011). The ability see the actual behaviors of this desired population (even when they make up only 1 out of every 218 users, as in this case) is, according to Dr. Shaffer, a revolution in gambling disorder research.

Dr. Shaffer suggested that access to data on the actual behaviors of gamblers creates the opportunity for several potential breakthroughs. For example, it may someday be possible for online casinos to use betting patterns to identify gamblers who are at risk for developing gambling problems before the problems manifest. (We discussed this possibilityin an interviewwith Division on Addictions researcher Dr. Sarah Nelson last year.)

It may also be possible to give firm answers to long standing questions, like “Are people who play certain games more likely to develop problems than others?” by examining the actual betting behavior of groups of gamblers. Only time will tell whether the research being done by groups like the Division on Addictions will be the next great leap forward in gambling disorder research, or just another small step towards some future revolution that is not yet kown.

What do you think the next revolution in gambling disorder research will be? Let us know in the comments section below!

References

LaBrie, R., & Shaffer, H. J. (2011). Identifying behavioral markers of disordered Internet sports gambling.Addiction Research & Theory,19(1), 56 – 65.

Shaffer, H. (2011, July 1).Scientific Revolutions: Understanding Gambling Disorders. Presented at the National Conference on Problem Gambling, Park Plaza Hotel, Boston MA.

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Revolutions In The Study Of Gambling Disorders: Howard Shaffer At The Ncpg Conference

As we have mentioned on Gambling Disorders 360˚, the NCRG staff has been attending and speaking at various conferences and meetings this summer. The first one of the summer was the National Conference on Problem Gambling on July 1-2.

This is the first post in a two-part series about the July 1 keynote address by Dr. Howard Shaffer. Dr. Shaffer, whosepublicationsandresearch reviewswe have featured previously on Gambling Disorders 360˚, is an associate professor of psychiatry at Harvard Medical School and director of the Division on Addictions at The Cambridge Health Alliance, a Harvard Medical School teaching affiliate. His talk was entitled “Scientific Revolutions: Understanding Gambling Disorders” in the spirit of the conference theme, “Celebrating 25 Years: Revolutionary Changes and Emerging Innovations” (Shaffer, 2011).

Dr. Shaffer began his remarks with a quotation by Thomas Paine that started, “Perhaps the sentiments contained in the following pages, are not YET sufficiently fashionable to procure them general favour…” With this opening line from the pamphletCommon Sense, Dr. Shaffer highlighted the appropriateness of the theme of revolutions at a conference scheduled for the July Fourth holiday weekend in Boston, Mass., a city rich with revolutionary history. Dr. Shaffer suggested that some of the founding principles of America, such as freedom of thought and freedom of speech, are also important scientific principles.

Dr. Shaffer then presented the audience with a history of the revolutionary researchers and ideas that have shaped our understanding of gambling disorders over the past 40 years:

– The pioneering work of Monsignor Joseph Dunne in the 1960s and 1970s that led to recognizing harmful gambling activities as a disordered behavior, similar to alcohol abuse and other addictive disordersrather than a moral failure.

– The work of Drs. Robert Custer, Henry Lesieur and Richard Rosenthal to quantify and validate gambling disorders, ultimately winning their inclusion in the Diagnostic and Statistical Manual of Mental Disorders in 1980 (American Psychiatric Association, 1980).

– The development of the South Oaks Gambling Screen (SOGS) by Drs. Henry Lesieur and Sheila Blume, the first widely used diagnostic instrument that appeared in many of the early prevalence studies (Lesieur & Blume, 1987).

– The national epidemiological studies conducted by Dr. Maureen Kallick-Kaufmann and colleagues in the 1970s that established a baseline understanding of gambling behavior in the United States and brought the tools of epidemiology to gambling disorders.

– The work of Dr. David Korn to frame gambling and gambling disorders as a public health issue.

Dr. Shaffer followed this tour of gambling research history with an explanation of how scientific revolutions occur, referencing the classic bookThe Structure of Scientific Revolutionsby Thomas Kuhn (Kuhn, 1962). The pattern of science begins, he said, in a pre-paradigm period with several paradigms being suggested and tested for validity. This gives way to an accepted paradigm (“normal science”) that becomes generally prevalent and forms the basis for research and theory. Over time the accepted paradigm is challenged by new research. If the new research supports the paradigm, then the paradigm is confirmed and expanded. However, some studies will not support the paradigm. If these dissenting studies are few, then they will be rejected as outliers – those that do not add to the current body of knowledge on the subject. But, if there are enough studies that challenge normal science, then there will be a scientific revolution, and new paradigms will be proposed to account for the findings of the previous paradigm and the new findings.

Dr. Shaffer described this pattern of paradigm, revolution, and paradigm shift as one of the fundamental ways that scientific theory progresses. He went on to present his thoughts about recent revolutions and paradigm shifts in the research of disordered gambling, ideas that we will discuss in the second part of this post.

What do you think of the ideas Dr. Shaffer presented? We welcome your thoughts and questions in the comments section below.

References

American Psychiatric Association. (1980).Diagnostic and Statistical Manual of Mental Disorders (DSM-III). Washington, DC: American Psychiatric Association.

Kuhn, T. (1962).The Structure of Scientific Revolutions(1st ed.). Chicago, IL: University of Chicago Press.

Lesieur, H. R., & Blume, S. B. (1987). The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers.American Journal of Psychiatry,144(9), 1184-8.

Shaffer, H. (2011, July 1).Scientific Revolutions: Understanding Gambling Disorders. Presented at the National Conference on Problem Gambling, Park Plaza Hotel, Boston MA.

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Follow The NCRG’s Road Tour In Boston

The NCRG will be pulling into Boston, Mass. later today to begin the fifth annual Road Tour. Each year, the NCRG Road Tour travels to a new city to share information about the latest research on gambling disorders and make key stakeholders aware of the science-based programs and resources the NCRG has to offer. These meetings are great opportunities to form new partnerships and educate others on the most up-to-date information about gambling disorders and responsible gaming. Make sure you follow the NCRG onTwitterandFacebookfor the latest update on Road Tour activities! We are also posting articles here on Gambling Disorders 360˚ later in the week to recap the meetings and workshops.

We are honored to have four distinguished guests joining us for the NCRG Road Tour this year:

– AlanFeldman,NCRG board member and senior vice president of public affairs for MGM Resorts International

– Dr. Lisa Najavits, Ph.D.,professor of psychiatry at Boston University School of Medicine

– Christine Reilly,senior research director for the NCRG

– Ken Winters, Ph.D.,director of the Center for Adolescent Substance Abuse and Research, University of Minnesota and member of the NCRG Scientific Advisory Board

They will be speaking at these various events:

– Treatment Provider Workshop:The NCRG and the Massachusetts Council on Compulsive Gambling will co-host a workshop for treatment providers entitled, “Post-traumatic Stress Disorder and Problem Gambling,” led by Lisa Najavits, Ph.D., professor of psychiatry at Boston University School of Medicine. Dr. Najavits will present information on her program “Seeking Safety,” an evidence-based treatment for Post-traumatic Stress Disorder (PTSD) and substance use disorders, and her research on problem gambling in PTSD populations.

– College Gambling Roundtable:The NCRG and the Massachusetts Council on Compulsive Gambling will co-host a discussion with representatives from area colleges and universities to share resources and best practices to address gambling and gambling-related harms on college campuses. Alan Feldman, Christine Reilly, senior research director for the NCRG, and Jim Wuelfing, CPP-R, NRPP, prevention director for the Massachusetts Council, will lead the discussion, which will include an overview of the NCRG’s new CollegeGambling.org website.

– Stakeholder Breakfast on Building Partnerships to Promote Responsible Gaming:The NCRG will host a breakfast for legislative, industry, health care and non-profit stakeholders to learn about the work of the NCRG and receive an in-depth briefing on how communities can effectively work together to address gambling disorders and encourage responsible gaming. Alan Feldman, Christine Reilly and Dr. Ken Winters will discuss the important role of research in developing effective programs.

– Grants Workshop:The NCRG will host a luncheon workshop for research investigators to learn more about the NCRG’s research funding opportunities. Christine Reilly and Dr. Lisa Najavits will discuss the NCRG’s grant-review process, the key ingredients of a proposal competitive for funding by the NCRG and opportunities to receive NCRG funding for research on gambling disorders.

Make sure you follow the NCRG on Twitter, Facebook and Gambling Disorders 360 to hear all of the updates from Boston, Mass. For members of the media, please contact Amy Martin at 202-552-2689 oramartin@ncrg.orgto schedule interviews with participants. Questions or comments? Please leave them in the comments section below.

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NCRG Road Tour: College Consortium Meeting Is Coming Up On July 26

As a part of this year’sNCRG Road Tourto Boston, Mass., we want to bring together university administrators, campus mental health professionals, student leaders and those who work with college students on a daily basis for a consortium to discuss what national and local organizations are doing to address gambling and gambling-related harms on college campuses. Join us on July 26 from 1:30 to 2:30 p.m. at the Massachusetts Council on Compulsive Gambling offices at 190 High Street, Suite 5, in Boston, Mass. You can RSVP by July 19 to Amy Martin atamartin@ncrg.orgor 202-552-2689.

For the past three years, theNCRGand theMassachusetts Council on Compulsive Gamblinghave placed a larger emphasis on college gambling through collaborative trainings and new online resources. In 2008, the NCRG partnered with colleges and universities to form the Task Force on College Gambling Policies, which developedA Call to Action – Addressing College Gambling: Recommendations for Science-based Policies and Programs.In March 2011, the NCRG built on those recommendations when it launched CollegeGambling.org – a comprehensive online resource for students, campus administrators, campus health professionals and parents that brings together the latest research and best practices in responsible gaming and the field of addiction awareness and prevention.

The Massachusetts Council has worked with more than 20 colleges and universities throughout Massachusetts by offering training and technical assistance in campus gambling policies and developing prevention programs. The Council has created resources and training curriculum for university resident assistants and campus mental health professionals.

Representatives from the NCRG and Massachusetts Council on Compulsive Gambling for this meeting will include:

– Alan Feldman, NCRG board member and senior vice president of public affairs for MGM Resorts International

– Christine Reilly, senior research director for the NCRG

– Ken C. Winters, Ph.D.,member of the NCRG Scientific Advisory Board and director of the Center for Adolescent Substance Abuse and Research, University of Minnesota

– Marlene Warner, MA,executive director for the Massachusetts Council on Compulsive Gambling

– Jim Wuelfing, CPP-R, NRPP,prevention director for the Massachusetts Council on Compulsive Gambling

We hope you can join us! Please feel free to share this invitation and RSVP by July 19 to Amy Martin atamartin@ncrg.organd (202) 552-2689.

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Online Registration For The NCRG Conference Is Open

Are you excited to learn from leading experts on gambling disorders and responsible gaming and discuss how technology plays a role in gambling behavior? Online registration is now open for the 12thannual NCRG Conference on Gambling and Addiction. Participants can register by September 12 for the early bird registration rate of $295, now available to all attendees. To register,click hereor visit the NCRG Conference website atwww.ncrg.org/conference.

The NCRG Conference on Gambling and Addiction is packed with informational plenary session topics, ranging from discussions about how the latest technology alters the way our minds develop to best practices in implementing effective responsible gaming programs in the online gaming environment. To download the full conference brochure with the agenda, registration form and continuing education information,click here. Top speakers include:

– Dr. Robert Ladouceur, Connie Jones and Dr. Lia Nower will take the mystery out of slot machines by explaining the research that addresses whether electronic gaming machines are inherently “addictive.”

– Dr. Gary Small will discuss his newest book,iBrain, and how technology continues to change the way young minds develop, function and interpret information – and what strategies and tools are needed to enhance our technological, social and empathic abilities.

– Dr. Sara Kiesler will discuss her research on how health information available on the Internet is affecting people’s well-being.

– Dr. Kathleen M. Carroll will report on studies analyzing the effectiveness of computer-assisted versions of cognitive-behavioral therapy with drug dependent individuals.

Register today to take advantage of these exciting sessions and more. Also make sure to check back to the growing list of continuing education providers who will be distributing up to 13 credit hours for the NCRG Conference on Gambling and Addiction. You can view the full list here.

What NCRG Conference session are you most looking forward to attending? Let us know in the comments below!

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Register Today For The Boston-area Treatment Providers Workshop

There are still a few spots available for the upcoming workshop for treatment providers titled “Post-traumatic Stress Disorder and Problem Gambling.” Lisa Najavits, Ph.D., professor of psychiatry at Boston University School of Medicine, will lead this training on July 26 from 10 a.m. to noon at the Back Bay Hotel, Joyce Room, in Boston, Mass. All clinicians and researchers in the area are encouraged to attend this free event that has been approved for 1.5 hours of continuing education units. The National Center for Responsible Gaming (NCRG) and the Massachusetts Council on Compulsive Gambling are co-sponsoring this event.

Dr. Najavits is nationally known for her program ‘Seeking Safety,’ an evidence-based treatment for Post-traumatic Stress Disorder (PTSD) and substance use disorders, and for her research on problem gambling in PTSD populations. During the event she will discuss her research findings, as well as the “Seeking Safety” treatment approach. This model, which has been used with problem gamblers as well as substance use disorder clients, is a present-focused CBT approach offering psychoeducation and coping skills to help patients attain greater safety in their lives.

This session has been approved for 1.5 hours of continuing education by:

– NAADAC, the Association for Addiction Professionals

– The California Foundation for Advancement of Addiction Professionals

– The California Board of Behavioral Sciences (for MFT and LCSW licensure requirements in California)

– The National Board for Certified Counselors

– The NCRG also is approved by the American Psychological Association to sponsor continuing education for psychologists. The NCRG maintains responsibility for this program and its content.

To register, please contact Amy Martin, communications and outreach manager for the NCRG, atamartin@ncrg.orgor 202.552.2689.

Questions? Please leave them in the comments section below!

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Two New Certifications Added To The NCRG Conference

The NCRG is excited to add two new certifications to theNCRG Conference on Gambling and Addiction’s growing list of certifying agencies for continuing education credits! The American Academy of Health Care Providers in the Addictive Disorders (Academy) has approved continuing education credit for Certified Addiction Specialists (CAS) (Approval No. 11-1466). Also the State of Nevada Board of Examiners for Social Workers (approval # A-511-11) approved the NCRG Conference’s 13 credit hours. We are happy to have them on board. These associations join the seven other accrediting organizations to provide NCRG Conference attendees with continuing education credits.

To view the entire list of continuing education opportunities, visit ourNCRG Conference CEU webpage. You can also download the entireNCRG Conference brochureto see the exciting list of speakers and pre-conference workshops.

Questions or comments? Please let us know in the comments below!

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