5 14-15 pgs all providers webinar: powerpoint presentation
TRANSCRIPT
ADDICTIONS AND MENTAL HEALTH
Problem Gambling Services
WELCOME
Problem Gambling All Providers
Meeting
Hosted by Problem Gambling Service Staff
May 14, 2015
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presentation.
Agenda Items
• State Updates (15 minutes)
• Update from Oregon Lottery Projects- Thais Rodick and
Shad Barnes (20 minutes)
• Legislative Session Updates- Tom Moore, Executive
Director of Oregon Council on Problem Gambling (10
minutes)
• System Changes for Next Fiscal Year (25 minutes)
• Oregonpgs.org Demonstration- Julie Hynes (15 minutes)
• Questions and Answers (10 minutes)
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Post Webinar
• PowerPoint, accompany documents and
CEU certificates will be emailed to you
next week.
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State PGS General Updates
OHA Reorganization- OHA is currently going through a
reorganization and AMH will structurally appear differently.
Structure should be complete by July 1. Not much
information at this time, however we will keep you posted on
implications to the system.
PGS 5 year Work Plan- Staff and consultant have reviewed
the feedback from interviews and community forums.
Consultant is currently drafting the plan and should be
available for feedback by stakeholders (you) in July.
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State PGS General Updates
Upcoming Training Opportunities:
New training calendar for 2015-16 will be available in June on
the Oregonpgs.org web page.
2015 National Conference on Problem Gambling
– July 8-9: Preconference Workshops
– July 10-11: Main Conference
– Baltimore, Maryland
– Registration and information at: http://www.ncpgambling.org/training-
certification/national-conference/
Basic Problem Gambling Treatment Training
– August 3-4, 2015
– Grants Pass, OR
– Registration coming in early June.
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State Prevention Updates
The Spring Prevention Summit will be held in Canyonville, Seven
Feathers Convention Center on May 19th - 21st. May 19th is for pre-
summit activities, there is a Problem Gambling Prevention break out
on May 19th from 1:00 – 4:00.
The Oregon Prevention Data System (OPDS) will be rolling out over
the next couple of months with a tentative “go live date” of August
for entering plans and beginning to track data. All Problem
Gambling Prevention Coordinators will need to enter their plan for
Problem Gambling Prevention into OPDS.
Annual reports are due to AMH on August 15th. An email will be
sent out in May to discuss end of the year reporting and transition to
the new Oregon Prevention Data System.
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State Treatment Updates
Treatment Specialist Position Update: OHA is currently on a hiring
“pause” until after the reorganization. Anticipate hiring will not occur
until January 2016.
No Dice Workbooks- hardcopies available upon request through
state office. Request through Greta at [email protected].
Electronic version with updates will be available in September 2015.
Problem Gambling Treatment Compliance Checks• Will now be completed by one AMH compliance specialist conducting
an integrated agency review with either addictions and/or mental health.
• Since MH, A/D and PG use the same administrative rule (OAR 309-019-
0100), AMH is moving to a model to have more integrated reviews with
same compliance specialist.
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State Treatment Updates Internet Gaming Policy and Data Collection
• ORS 413.522 states that all moneys in the Problem Gambling
Treatment Fund are to be expended for programs for the prevention and
treatment of gambling addiction and other emotional and behavioral
problems related to gambling and for the administration of the
programs.
• Clients can be seen for internet gaming addition if internet use problems
are related to gambling.
• Use code “23- Gaming Disorder other than gambling” on Block 7: DSM
Diagnostic Impressions on the Gambling Client Enrollment Record
Abstracting form. Code can be used as the primary or secondary
diagnostic impression as long as codes 20 (pathological gambling), 21
(problem gambling), or 22 (for family) were also used.
• No variances for internet gaming addiction will be approved.
• In the meantime, AMH leadership has asked that we collect data to
determine need and options of changing language within ORS 413.522
or develop policy option package for funding during future legislative
sessions.
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State Treatment Updates Oregon Administrative Rule Outpatient Rule 309-019-0100
Rule on the Secretary of State web page is not accurate- under 309-
019-0125- Specific Staff Qualifications and Competencies
Qualifications and Competencies Section
Currently Is- 5) Clinical Supervisors in problem gambling treatment
programs must be a Certified Gambling Addiction Counselor level 2 for
a minimum of two years, an have completed a minimum of 10 hours of
clinical supervision training.
Should be: Clinical Supervisors in problem gambling treatment
programs must meet the requirements for clinical supervisors in either
mental health or substance use disorders treatment programs, and have
completed 10 hours of gambling specific training within two years of
designation as a problem gambling services supervisor.
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State Treatment Updates Oregon Administrative Rule Outpatient Rule 309-019-0100
Refined the rule with some additional definitions and additions of problem gambling
related to peer specialist and peer delivered services
Qualification and Competencies Section:
– Current: (9) Peer support specialists must demonstrate knowledge of
approaches to support others in recovery and resiliency, and demonstrate efforts
at self-directed recovery.
– Addition: (10) Recovering Staff: Program staff, contractors, volunteers and
interns recovering from a substance use or gambling disorder must provide
written verification or attestation of their sustained recovery and long-term
management of addictive behaviors under independent living conditions or
recovery housing for the immediate past two years.
– Addition: (11) Individuals providing peer support services must disclose to their
clinical supervisor the use of alcohol, tobacco, other drugs, and gambling
activities. Supervisors shall determine if staff behavior compromises their ability
to perform their duties and responsibilities and at their discretion may suspend or
revoke duties.
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State Treatment Updates Oregon Administrative Rule Outpatient Rule 309-019-0100
Personnel Documentation, Training and Supervision Section
Addition: (e) Clinical supervisors must document specific corrective
activities that are taken in cases when problematic behaviors by
program staff, contractors, volunteers and interns have the potential to
jeopardize client health, safety or welfare. Clinical supervisors must
document decisions and follow-up activities in cases of suspected
impairment by program staff, contractors, volunteers and interns,
including (but not limited to) returned addictive behavior by those who
are in recovery from addictive disorders.
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State Treatment Updates Oregon Administrative Rule Outpatient Rule 309-019-0100
Outpatient Problem Gambling Treatment Services
Addition: (8) A risk assessment for suicidal ideation must be included
in the entry process and documented in the assessment, as well as
appropriate referrals made; and
Addition: (9) The service plan must address suicidal risks if
determined within the assessment process.
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Oregon Lottery Project Updates
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Presented by:
Thais Rodick and Shad Barnes, Oregon Lottery
PROBLEM GAMBLING CLICKS TO WEBSITE
Week
2015 Year to Date Google SEM Facebook Total
29-Dec-14 3,042 4,241 7,283
5-Jan-15 7,071 6,607 13,678
12-Jan-15 6,000 3,002 9,002
19-Jan-15 4,033 2,016 6,049
26-Jan-15 3,953 2,885 6,838
2-Feb-15 5,660 6,068 11,728
9-Feb-15 5,131 5,818 10,949
16-Feb-15 5,503 6,343 11,846
23-Feb-15 5,638 6,494 12,132
2-Mar-15 5,794 7,097 12,891
9-Mar-15 5,321 7,393 12,714
16-Mar-15 4,945 7,250 12,195
23-Mar-15 5,871 7,164 13,035
30-Mar-15 6,895 9,231 16,126
6-Apr-15 7,277 8,560 15,837
13-Apr-15 7,585 8,484 16,069
20-Apr-15 9,079 8,160 17,239
27-Apr-15 7,284 9,256 16,540
Total 106,082 116,069 222,151
Month Google SEM Facebook Total
July 10,045 9,860 19,905
August 12,669 12,953 25,622
September 10,891 11,278 22,169
October 9,825 1,743 11,568
November 7,596 4,819 12,415
December 18,105 21,013 39,118
January 20,505 15,516 36,021
February 21,576 24,431 46,007
March 24,590 32,100 56,690
April 33,062 36,008 69,070
Total 168,864 169,721 338,585
Collateral materials• We’re re-printing the
posters• Brochures are still
available• We would be willing to
send these materials to you directly, just let us know the need.
• We will be producing these materials in Spanish as well.
• How are they being received in the field?
Recent results
April 201534,654 hits to the web page16 chats, 6 SMS417 calls96 referrals to treatment
March 201532,624 hits to the web page12 chats, 3 SMS343 calls83 referrals to treatment
New resource available for problem gamblers What is GamTalk?
GamTalk is a service for anyone who gambles (or used to gamble) and their family and friends. The key
purpose of GamTalk is to provide community based support and information for dealing with a gambling
issue. Typically, visitors to GamTalk read the stories posted in the forums by other members and, when they
are ready, begin to discuss their own situation. Visitors can join GamTalk to start posting messages, or can
chat straight away as a guest in our chat room. One of the benefits that visitors frequently report is that it
helps them to feel less alone. This is particularly helpful for someone who may be experiencing gambling
problems and who hasn’t yet talked to anyone about it. It takes a lot of courage to start talking to family,
friends, or even professionals about gambling problems. Talking on GamTalk is easy because it is completely
anonymous, simple to access, free, and there are other people there who have gone through the same
experiences. This means that people are more likely to talk on GamTalk sooner, and this can help prevent a
smaller issue becoming a major problem. Also, it is a good way to ask questions and find out what other
support/treatment options are available both locally and nationally.
Oregon Legislative Session and
Gambling Behavioral Studies Updates
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Presented by Tom Moore, Executive Director
Oregon Council on Problem Gambling
1. HB 2201 (Greenlick) a) Establishes Gaming Council to study gaming policies and activitiesb) Human Services & Housing ref to Joint Committee On Ways and Meansc) Not scheduled
2. HB 2548 (Greenlick)a) Permits social games and poker tournamentsb) House Committee On Business and Laborc) Public hearing; Nothing further scheduled
3. HB 2726 (Clem)a) Permits credit union to conduct savings promotion raffleb) House Committee on Business and Laborc) Not scheduled
4. HB 2893 (Davis, Read, Keny-Guyer)a) Permits financial institutions to conduct savings promotion rafflesb) Business & Labor; Passed House ref Senate Business & Transportationc) Awaiting 3rd reading (5/12/15)
Legislation Tracked
5. HB 3316 (Taylor)a) Retailor is a casino if 50% or > of net income from lottery salesb) Human Services & Housingc) Public hearing; nothing scheduled
6. HB 3317 a (Taylor)a) OSL & OLCC to report biennially distribution & concentrationb) Human Services & Housing; passed House to Senate Business & Transportationc) Nothing scheduled
7. HB 3318 (Taylor)a) Established OSL Responsible Gambling Code of Practiceb) Human Services & Housing; ref Senate Business & Transportationc) Nothing scheduled
8. SB 5526 (Oregon Department of Administrative Services)a) Funds OHA including Problem Gambling Servicesb) Ways & Means Subcommittee on Human Servicesc) ± 16 Public Hearings Held; nothing currently scheduled
Gambling Behaviors Studies
A. Adult study replicating 2006 studyi. Targeting completion of report December 2015ii. Funded by OHA, OSL, SMCF, ORLA, PGS, Inc., H&L
B. Adolescent study replicating 2008 studyi. Targeting completion of report March 2016ii. Funded by OHA/PGS
C. Changing technologyi. Land lines, cell phones, internet
D. Research Team:i. Thomas Moore, PhD; OCPGii. Rachael Volberg, PhD; Gemini-Researchiii. Debi Elliott, PhD; Portland State University
PGS System Changes for Next Fiscal
Year
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• Service Element Language
– Moving back to service elements and PGS funds are being removed
from what AMH called Flex Funds, (MH 37)
– Removal of settlement for counties and direct contracts for SE 81
(treatment)
– Accountability will be based on performance based contracting for
treatment
– Prevention service element know stipulates that general public
awareness activities need to include all populations across the lifespan.
• Billing Rates and Reimbursement Updates
– Reviewing and updating reimbursement levels to be similar to current
MH Medicaid rates.
– Addition of additional peer delivered services codes
– Bring back an assessment code
PGS System Changes for Next Fiscal
Year
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2015-16 Treatment Performance Based Contracting and
Payments
Moving to a Performance Based Contracting Model starting July 1,
2015
Contractors (Direct and Counties) will be eligible for a 5%
performance payment each year if metrics are met.
There will be five metrics and each represents 1 percent.
Data will be reviewed in mid-March 2016 for the reporting period of
July 1, 2015 through December 31, 2015.
Performance payments must be used for problem gambling.
PGS System Changes for Next Fiscal
Year
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• Performance Based Contracting Metrics
1. 95% completion of enrollment surveys
2. 90% of clients seen within 5 business days
(access/wait time)
3. 90% of reporting submitted within contractual
requirement timeframe (3 data points- enrollment,
discharge and encounter data)
4. 50% penetration rate reach for counties
5. 50% or greater of yearly allocation spent on gambling
treatment services
www.oregonpgs.org Demonstration
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Presented by Julie Hynes,
Lane County Health and Human Services,
Problem Gambling Prevention Program
www.oregonpgs.org
(Enter) DEPARTMENT (ALL CAPS)
(Enter) Division or Office (Mixed Case)
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Oregonpgs.org Demonstration
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Content:
• New content for treatment providers
• New order form-- order materials directly from the website
• Embedded presentations in the site; access what you need faster
• More in-page content (rather than just links to documents)
• Older content is now archived toward the bottom of each page, so
you can continue to access older material
Oregonpgs.org Demonstration
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Design:
• Responsive design (new best practice standard; best for mobile
devices)
• “Breadcrumbs” – know where you are on the site, for easier
navigation around the site
• Page tags – so you can find similar content throughout the site
• Site speed is faster
Oregonpgs.org Demonstration
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Other:
• The current website is basically a launching point for more content.
We need YOUR content!
• Please provide us your feedback on design and any technical
problems to: [email protected] .
• Provide content for the web page to:
• Treatment related resources: [email protected]
• Prevention related resources: [email protected]
Questions
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Contacts
• Greta Coe, Problem Gambling Services Manager
– [email protected]; 503-945-6187
• Roxann Jones, Problem Gambling Prevention Specialist
[email protected]; 503-947-5548
• Patricia Alderson, Problem Gambling Administrative Support
– [email protected]; 503-945-9710
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Final Notes:
• PowerPoint, accompany documents
and CEU certificates will be emailed
to you next week.
Thanks for your participation in this
webinar, and for the work that you do
every day!
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