11

Understanding and Identifying Understanding and Identifying Process AddictionsProcess Addictions

Developed by DATA of Rhode Island Developed by DATA of Rhode Island through a special grant with the RI through a special grant with the RI

Department of Human ServicesDepartment of Human Services

22

Group Discussion Questions: Group Discussion Questions: AddictionAddiction

What is a process addiction?What is a process addiction?Are there different types of addictions?Are there different types of addictions?Who becomes an addict?Who becomes an addict?Is addiction treatable?Is addiction treatable?

Review of Training GoalsReview of Training GoalsTo understand what is a process addictionTo understand what is a process addictionTo identify key signs and symptomsTo identify key signs and symptomsTo learn strategies for identificationTo learn strategies for identificationTo better learn about community resourcesTo better learn about community resources

33

Types of AddictionsTypes of Addictions

Substance AddictionsSubstance Addictions

Legal drugsLegal drugs

Illegal drugsIllegal drugs

Over the counter Over the counter drugsdrugs

TobaccoTobacco

CaffeineCaffeine

FoodFood

Process AddictionsProcess Addictions

GamblingGambling

ExerciseExercise

WorkWork

InternetInternet

PornographyPornography

ShoppingShopping

SexSex

44

What is an Addiction?What is an Addiction?

1.1. ObsessionObsession

2.2. Negative ConsequencesNegative Consequences

3.3. DenialDenial

4.4. Loss of ControlLoss of Control

55

Gambling Quiz Gambling Quiz Instructions: Read each statement and determine if you agree or Instructions: Read each statement and determine if you agree or disagree with it. Mark either an "A" for agree, or a "D" for disagree.disagree with it. Mark either an "A" for agree, or a "D" for disagree.

1.1. Gamblers who lose large amounts of money just don't know how to Gamblers who lose large amounts of money just don't know how to gamble.gamble.

2.2. If you flip a penny and it comes up "heads" four times in a row, the If you flip a penny and it comes up "heads" four times in a row, the next flip will be more likely to come up "tails" than "heads".next flip will be more likely to come up "tails" than "heads".

3.3. About 30% of elders have some level of gambling problem.About 30% of elders have some level of gambling problem.4.4. "Chasing" is gambling to win back money that has previously been "Chasing" is gambling to win back money that has previously been

lost through gambling.lost through gambling.5.5. Buying raffle tickets and betting on school sports events are not Buying raffle tickets and betting on school sports events are not

considered gambling.considered gambling.6.6. It makes sense to spend your paycheck on gambling because you It makes sense to spend your paycheck on gambling because you

might win even more than you earned.might win even more than you earned.7.7. About 90 of American adults have gambled in their lifetime.About 90 of American adults have gambled in their lifetime.8.8. People gamble strictly because it's fun.People gamble strictly because it's fun.9.9. You must be 18 or older to legally gamble.You must be 18 or older to legally gamble.10.10. Some people who gamble have higher than average intelligence.Some people who gamble have higher than average intelligence.

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Gambling Quiz1. Disagree. Skill and knowledge play a small part in some types of gambling, such

as certain card games, but for the most part gambling is a game of chance and the gambler has very little control over the outcome.

2. Disagree. There is no relationship between previous outcomes and the next flip of

the penny. They are unrelated events. The penny is just as likely to come up “heads” as it is to come up “tails”.

3. Disagree. The current data shows us that 10-20% of elders, or 2-4 times that of the

general population, have some level of gambling problem.

4. Agree. Gamblers become desperate to cover their losses and become convinced

that if they keep on betting they’re bound to win, sooner or later.

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Gambling Quiz5. Disagree. Anytime you wager money on an activity or event of uncertain outcome,

you are gambling.

6. Disagree. It is your choice, of course, but the odds of winning a pile of money are stacked against you.

7. Agree. The 2000 data showed that approximately 96% of American adults have

gambled in their lifetimes. As the opportunity for and access to gambling increases, so do these numbers.

8. Disagree. While “entertainment” or “fun” is the number one reason mentioned for gambling, the other two major reasons are: “excitement or challenge” and “to win money.” Other reasons are “escape” and “glamour.”

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Gambling Quiz9. Disagree. Legal gambling age is 18 in RI. In other states it differs, and it differs

from gambling venue to venue. Example: in CT. you must be 21 to gamble in a casino.

10.Agree. It is true that some gamblers have higher than average intelligence and

some gamblers have lower than average intelligence, just as it is true that some lawyers, or educators, or accountants have higher than average intelligence and some have lower than average intelligence. The point is, intelligence has nothing to do with it — gambling is primarily a matter of chance!

99

DefinitionsDefinitions

Gambling__________________________Gambling__________________________

Social Gambling_____________________Social Gambling_____________________

Problem Gambling___________________Problem Gambling___________________

1010

Lottery and Casino Gambling: Lottery and Casino Gambling: 19731973

Clotfelter & Cook, 1986; Commission on the Review of the Clotfelter & Cook, 1986; Commission on the Review of the National Policy Toward Gambling, 1976.National Policy Toward Gambling, 1976.

1973

Lottery (8)Casino (1)

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Lottery and Casino Gambling: Lottery and Casino Gambling: 1999 (NGISC)1999 (NGISC)

SOURCE: McQueen, 1999.

1999

Lottery only (15)Casino only (inc. tribal) (4)Lottery & casino (10)Lottery & tribal casino (13)

1212

US Leisure ExpendituresUS Leisure Expenditures(NGISC, 1999)(NGISC, 1999)

$12.2$7.6 $7.4 $7.5 $6.2 $6.3

$47.2 $50.9

0

10

20

30

40

50

60

Re

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ed

Mu

sic

Th

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ark

s

Cru

ise

Sh

ips

Vid

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Ga

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Mo

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s

Sp

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ato

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1313

Legal Gambling ExpendituresLegal Gambling Expenditures(NGISC, 1999)(NGISC, 1999)

40.3%

32.6%

13.1%7.5% 6.5%

00.05

0.10.15

0.20.25

0.30.35

0.40.45

Casinos Lotteries TribalGaming

Pari-mutuel

Other

1414

Some Examples of Gambling in RI AREASome Examples of Gambling in RI AREA

Animal fightsAnimal fights

(dogs, roosters)(dogs, roosters)

Charitable gamblingCharitable gambling(raffles, bingo)(raffles, bingo)

SweepstakesSweepstakes$$tock markettock market

Live Greyhound racingLive Greyhound racing Informal gambling Informal gambling

(cards, dice, craps, cee-lo)(cards, dice, craps, cee-lo)

BingoBingo (including High(including High

stakes bingo at Foxwoods)stakes bingo at Foxwoods)Simulcast Wagering Horse & Dog Simulcast Wagering Horse & Dog

Racing (Newport & Lincoln) Racing (Newport & Lincoln)

Tribal casinosTribal casinos

LotteryLottery(VLTs, Daily Number, Powerball, (VLTs, Daily Number, Powerball,

Lotto, Scratch Tickets)Lotto, Scratch Tickets)

Internet & ElectronicInternet & ElectronicGamblingGambling

(On-Line Casinos, Poker)(On-Line Casinos, Poker)

Sports betting

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Types of GamesTypes of Games

Games of SkillGames of Skill Table gamesTable games Pari-mutuelsPari-mutuels Sports wageringSports wagering BilliardsBilliards

Games of ChanceGames of Chance Scratch ticketsScratch tickets Daily NumberDaily Number Power BallPower Ball Video Poker/SlotsVideo Poker/Slots VLTsVLTs

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Why Do People Gamble?Why Do People Gamble?

1.1. ExcitementExcitement

2.2. EntertainmentEntertainment

3.3. Escape Escape (forget (forget about their about their problems for a problems for a while)while)

4.4. EconomicsEconomics (they (they want the money)want the money)

5.5. EgoEgo (the person’s (the person’s pride or reputation pride or reputation is on the line)is on the line)

Challenge (person likes Challenge (person likes the feeling of the feeling of competition involved in competition involved in gambling)gambling)Depression (the person Depression (the person feels better or forget feels better or forget about problems while about problems while gambling)gambling)Boredom (gambling Boredom (gambling gives the person gives the person something to do)something to do)Loneliness ( gambling Loneliness ( gambling fills a void in the fills a void in the person’s life)person’s life)

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RI Gambling TrendsRI Gambling TrendsLincoln Park 2501 VLTs + pari-mutuels Lincoln Park 2501 VLTs + pari-mutuels (60% tax)(60% tax)Newport Grand 1020 VLTs + pari-mutuels Newport Grand 1020 VLTs + pari-mutuels (62% tax)(62% tax)2003-4, gross, 2003-4, gross, $1.1 B$1.1 B wagered in RI; VLTs wagered in RI; VLTs (75% Lottery revenue)(75% Lottery revenue)State gambling revenues have increased State gambling revenues have increased 1000%1000% in in 1010 years yearsRI has highest per capita lottery sales in RI has highest per capita lottery sales in USA (USA ($1K$1K per man, woman and child) per man, woman and child)33rdrd leading source of income 2003-4 to RI, leading source of income 2003-4 to RI, net of $net of $281 M281 M to General Treasury to General Treasury$150K for gambling treatment, $10K train $150K for gambling treatment, $10K train counselors & $15K prevention = total of counselors & $15K prevention = total of $175K is .013% of total gambling revenue$175K is .013% of total gambling revenue

1818

Continuum of GamblingContinuum of Gambling

A B C D E

Total abstinence

from gambling

Experimental

Gambling

Social Gambling Problem

Gambling

Compulsive or

Pathological

Gambling

1919

What exactly is gambling anyway?What exactly is gambling anyway?

Every time you Every time you risk risk moneymoney or an or an object of object of value value on a game with the hope of winning on a game with the hope of winning more, you are gambling.more, you are gambling.

2020

Definitions

Gambler’s Anonymous definition of gambling: “Any betting or wagering for self or others, whether for money or not, no matter how slight or insignificant, where the outcome is uncertain or depends upon chance or “skill”, constitutes gambling.” (Gambler’s Anonymous, March 1994, Handbook)

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DefinitionsSocial Gambling: people who gamble in social settings & have no ill effects from gambling. There is a continuum in this category:

people who gamble occasionally, with the emphasis on the social context vs. the gambling & who can take or leave the gambling experience, to others who gamble more heavily, with more of an emphasis on the gambling than the social interactions.

(MCCG Fact Sheet & AADAC)

2222

Definitions

Problem Gambling: is the term used to cover the entire range of harmful gambling involvement. That is, gambling that results in some kind of negative impact on the person’s life or on the lives of the gambler’s family, friends, and/or co-workers. It can be an occasional impact or an ongoing and serious situation.

(AADAC)

2323

Definitions

DSM-IV Definition of pathological gambling: “Persistent and recurrent maladaptive gambling behavior that disrupts personal, family or vocational pursuits”.

2424

DSM-IV Criteria

A. Persistent and recurrent maladaptive gambling behavior as indicated by 5 or more:

1. preoccupied with gambling

2. needs to gamble with increasing amounts of money to achieve desired excitement

3. repeated unsuccessful efforts to control gambling

4. restless or irritable when trying to cut down or stop

5. gambles as a way of escaping from problems or of relieving a dysphoric

2525

DSM-IV Criteria6. after losing, often returns another day to get

even

7. lies to others to conceal extent of involvement with gambling

8. has committed illegal acts to finance gambling

9. has jeopardized or lost significant relationship, job, educational or career opportunity due to gambling

10.relies on others to provide money to relieve a desperate financial situation caused by gambling

B. The gambling behavior is not better accounted for by a Manic Episode.

2626

ScreeningScreeningFirst Rule…ASKFirst Rule…ASK““Do you gamble?”Do you gamble?”

““How often do you gamble?”How often do you gamble?”

2727

Why Ask?Why Ask?

We ask questions about gambling We ask questions about gambling because it is:because it is: LegalLegal Socially acceptableSocially acceptable Readily accessibleReadily accessible CommonCommon SensitiveSensitive Related to a continuum of riskRelated to a continuum of risk

2828

Defining “At-Risk” GamblingDefining “At-Risk” GamblingDiffers by ageDiffers by ageDiffers by genderDiffers by genderDiffers by mental health statusDiffers by mental health statusDiffers by health/medication statusDiffers by health/medication statusDiffers by family history of gamblingDiffers by family history of gambling

2929

CAGE

1. Have you ever attempted to Cut down on your gambling?

2. Has anyone ever Annoyed you or gotten on your nerves by telling you to cut down or stop gambling?

3. Have you ever felt Guilty about your gambling?

4. Have you ever felt the need to gamble when your Eyes opened?

Adapted for Gambling

3030

CT 4 Question ScreenCT 4 Question Screen

3131

CT 4 Question ScreenCT 4 Question Screen

3232

Problem Gambling ScreeningProblem Gambling ScreeningWhen gambling stops being fun. There’s hope, there’s help. Please When gambling stops being fun. There’s hope, there’s help. Please read further to see some of the symptoms of problem gambling and read further to see some of the symptoms of problem gambling and answer our questions to help determine if gambling has become a answer our questions to help determine if gambling has become a problem for you or someone you know. problem for you or someone you know. Do you know someone who displays these problem gambling Do you know someone who displays these problem gambling symptoms?symptoms?

1.1. Preoccupied with gambling. Preoccupied with gambling. 2.2. Unable to stop gambling. Unable to stop gambling. 3.3. Brags and boasts about gambling & exaggerates wins. Brags and boasts about gambling & exaggerates wins. 4.4. Minimizes losses. Minimizes losses. 5.5. Increases the size of bets. Increases the size of bets. 6.6. Has unexplained financial difficulties. Has unexplained financial difficulties. 7.7. Is restless or irritable with severe mood swings when not gambling. Is restless or irritable with severe mood swings when not gambling. 8.8. Gambles to "feel better". Gambles to "feel better".

3333

Problem Gambling ScreeningProblem Gambling ScreeningFamily or Significant OtherFamily or Significant Other

Whether it’s a spouse, a friend, a member of your family, or even you, the answers to Whether it’s a spouse, a friend, a member of your family, or even you, the answers to these questions can help you realize if gambling has become a problem.these questions can help you realize if gambling has become a problem.

1.1. Is gambling making your home life unhappy? Is gambling making your home life unhappy? 2.2. Are you reluctant to use "gambling money" for normal expenditures? Are you reluctant to use "gambling money" for normal expenditures? 3.3. Do you ever feel remorse after gambling? Do you ever feel remorse after gambling? 4.4. After losing, do you feel you must return as soon as possible and win back your After losing, do you feel you must return as soon as possible and win back your

losses? losses? 5.5. Do you gamble to escape worries and troubles? Do you gamble to escape worries and troubles? 6.6. Does gambling keep you from sleeping? Does gambling keep you from sleeping? 7.7. Do arguments, disappointments or frustration create an urge to gamble? Do arguments, disappointments or frustration create an urge to gamble? 8.8. Does gambling make you careless about your welfare or that of your family? Does gambling make you careless about your welfare or that of your family? 9.9. Do you gamble longer than you had planned? Do you gamble longer than you had planned? 10.10. Do you gamble until your last dollar is gone? Do you gamble until your last dollar is gone? 11.11. Do you gamble to get money with which to pay debts or otherwise solve financial Do you gamble to get money with which to pay debts or otherwise solve financial

difficulties? difficulties? 12.12. Do you borrow to finance your gambling? Do you borrow to finance your gambling?

If you or someone you know shows these symptoms, there is hope. Problem If you or someone you know shows these symptoms, there is hope. Problem gambling is a treatable illness. With proper treatment, a problem gambler can begin gambling is a treatable illness. With proper treatment, a problem gambler can begin the recovery process and regain control of his/her life. the recovery process and regain control of his/her life.

3434

Steps for Gambling Screening & Brief Intervention

Step I - Ask about gambling

•Gambling Preference•Frequency (wagers per week and per occasion)•Most wagered in a 24 hour period•Any big wins•Borrowing to gamble•CAGE

•Men & women: Score 1 or more on CAGE

Step II - Assess for gambling problems (is gambling impacting?)

•Psychological Functioning•Educational /Vocational /Financial•Legal History•Social History•Physical History

3535

Steps for Gambling Screening & Brief Intervention

Step III- Advise Appropriate Action

Step IV- Monitor and Assist

Problem Gambling•Assess readiness to change•Provide options•Encourage abstinence

Gambling Problems or at Risk for Developing Problems•Assess readiness to change•Advise to cut down•Provide options

3636

Comparing Problem Gambling Comparing Problem Gambling to Substance Abuseto Substance Abuse

SimilaritiesSimilarities

1.1. Loss of ControlLoss of Control2.2. PreoccupationPreoccupation3.3. Negative impact on major Negative impact on major

life areaslife areas4.4. ToleranceTolerance5.5. Withdrawal SymptomsWithdrawal Symptoms6.6. Self-help groupsSelf-help groups7.7. Bio/psycho/social/Bio/psycho/social/

spiritual disordersspiritual disorders8.8. Family involvementFamily involvement

DifferencesDifferences

1.1. Gambling is not self-Gambling is not self-limitinglimiting

2.2. Behavior not attributable Behavior not attributable to intoxicationto intoxication

3.3. More intense sense of More intense sense of shame and guiltshame and guilt

4.4. Greater denial and Greater denial and stronger defensesstronger defenses

5.5. Unpredictable outcomeUnpredictable outcome6.6. Fantasies of successFantasies of success7.7. No biological testNo biological test8.8. Easier to hideEasier to hide9.9. Greater financial problemsGreater financial problems10.10. Intensity of family angerIntensity of family anger11.11. Less public awareness and Less public awareness and

acceptanceacceptance

3737

Case Study #1A 20 year old Caucasian man, a senior in college, owes his roommate $1000 that he borrowed to bet on the last Super Bowl. After several months, he finally has the money to repay the debt. He just learned about a betting pool for the NCAA Basketball Championship Tournament. It makes no sense to him to use the $1000 to repay his roommate; if he bets the money he can not only get rid of his debt but can also make some extra cash for himself. He swears he won’t bet again after this. He’s tired of being in debt to his friends. It makes him feel like a loser. This way he can bet and he’ll walk away a winner.

What is going on for this young man - what behaviors do you notice?

What, if any, consequences has he or is he experiencing?

3838

Case Study #2

“The only reason I keep gambling is so I can pay off my debt. It’s not like I’ve lost my home or my car, like some of those losers in GA. As soon as I’m out of debt, I’ll stop. I don’t need meetings.”

What is going on for this person - what behaviors do you notice?

What, if any, consequences are being experienced?

3939

Case Study #3A 45 year old married Caucasian woman had been secretly gambling on the internet for the past year. She lost all of the family retirement money and then some. Her husband recently discovered this when the bank called about late payments on their mortgage. He threatened to leave her and take the children unless she stopped gambling and went into treatment. She did, and hasn’t gambled in six months, but her relationship with her husband and children continues to be strained. He just wants results. No discussion. She is fraught with guilt for what she has done and often thinks about suicide.

What is going on for this woman - what behaviors do you notice?

What, if any, consequences has she or is she experiencing?

4040

Case Study #4

“If you want to know why I gamble I’ll tell you about last weekend. I borrowed $500 from a friend. I went to a casino and came home with $5000! Where else can you get that kind of return? Yeah, I’m still about $100 in debt, but not to worry! Wait till my next trip!”

What is going on for this person - what behaviors do you notice?

What, if any, consequences are being experienced?

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Case Study #5

A 50 year old African American man works in a factory but at a solitary task requiring little if no interaction with others. The only time he is with his co-workers is during break time and lunch, where the talk is about the office betting pool. How could he be a part of the group if he didn’t bet a dollar or two? What would he talk about? So, he bets a couple of dollars on each pool that comes up, and feels like he’s part of the group.

What is going on for this man - what behaviors do you notice?

What, if any, consequences has he or is he experiencing?

4242

Self HelpSelf HelpGamblers AnonymousGamblers Anonymous

Founded in 1957Founded in 1957

12 Step Program12 Step Program

Only requirement for membership is a desire Only requirement for membership is a desire to stop gamblingto stop gambling

““GAMBLERS ANONYMOUS is a fellowship of GAMBLERS ANONYMOUS is a fellowship of men and women who share their experience, men and women who share their experience, strength and hope with each other that they strength and hope with each other that they may solve their common problem and help may solve their common problem and help others to recover from a gambling problem." others to recover from a gambling problem."

4343

RI Gamblers Anonymous MeetingsRI Gamblers Anonymous MeetingsRhode Island Hotline Number: (401) 886-6850Rhode Island Hotline Number: (401) 886-6850MONDAYMONDAY

Pawtucket G.A.Pawtucket G.A.7:00 PM7:00 PMSt. Matthew Trinity Church (Basement)St. Matthew Trinity Church (Basement)690 Newport Avenue690 Newport AvenuePawtucket, RIPawtucket, RINon-SmokingNon-SmokingProvidence G.A.Providence G.A.New Beginnings Red Book StudyNew Beginnings Red Book Study6:30 - 7:30 PM6:30 - 7:30 PMButler Hospital (Ray Conference Center)Butler Hospital (Ray Conference Center)345 Butler Avenue345 Butler AvenueProvidence, RIProvidence, RI

TUESDAYTUESDAYProvidence G.A.Providence G.A.7:00 - 8:30 PM7:00 - 8:30 PMSt. Anthony's Parish CenterSt. Anthony's Parish CenterMineral Spring Avenue NorthMineral Spring Avenue NorthProvidence, RIProvidence, RIRumford G.A.Rumford G.A.7:00 PM 7:00 PM St. Michael & Grace ChurchSt. Michael & Grace ChurchPawtucket Avenue Pawtucket Avenue Rumford, RIRumford, RINon-SmokingNon-Smoking

WEDNESDAYWEDNESDAYCumberland G.A.Cumberland G.A.7:00 PM7:00 PMSt. Joseph's Parish CenterSt. Joseph's Parish Center1303 Mendon Road1303 Mendon RoadCumberland, RICumberland, RINon-SmokingNon-Smoking

THURSDAYTHURSDAYProvidence G.A.Providence G.A.11:30 AM -12:30 PM11:30 AM -12:30 PMSt. Raymond ChurchSt. Raymond Church1240 North Main St.1240 North Main St.Providence, RIProvidence, RI

THURSDAYTHURSDAYWarwick G.A.Warwick G.A.7:30 PM7:30 PMSt. Paul's Lutheran ChurchSt. Paul's Lutheran Church389 Greenwich Avenue (Near Apex)389 Greenwich Avenue (Near Apex)Warwick, RIWarwick, RIGam-Anon MeetingGam-Anon MeetingGam-anon; Non-SmokingGam-anon; Non-Smoking

FRIDAYFRIDAYWarwick G.A.Warwick G.A.7:30 PM7:30 PMKent House (Basement)Kent House (Basement)2020 Elmwood Avenue2020 Elmwood AvenueWarwick, RIWarwick, RINon-SmokingNon-Smoking

SATURDAY SATURDAY Warwick G.A.Warwick G.A.9:30 - 11:30 AM9:30 - 11:30 AMCare New England Wellness CenterCare New England Wellness Center2191 Post Road, Room B2191 Post Road, Room B(Behind Chellos)(Behind Chellos)Warwick, RIWarwick, RINon-Smoking Non-Smoking

SUNDAYSUNDAYWomen in RecoveryWomen in RecoveryEast Greenwich G.A.East Greenwich G.A.6:00 - 8:00 PM 6:00 - 8:00 PM St. Luke's ChurchSt. Luke's Church(Pierce & Church Street)  (Pierce & Church Street)  East Greenwich, RIEast Greenwich, RIWomen Preferred Women Preferred

4444

Resources12 Step Support Groups

Bettors Anonymous – for those with a gambling problem

978-988-1777 ; 781-662-5199

Gam-Anon - for family members and friends of problem gamblers

888-644-8482

4545

Problem Gambling Resources

RI Treatment Resources

The RI Department of MHRH, Division of Behavioral Healthcare offers gambling treatment programs – outpatient counseling for people experiencing gambling problems &/or their families.

Currently RI Hospital is the only state-funded program for uninsured problem gamblers & their families

4646

Rhode Island Gambling Rhode Island Gambling Treatment Program,Treatment Program,

Rhode Island Hospital, Rhode Island Hospital, Dept of PsychiatryDept of Psychiatry

Bayside Medical Center, 235 Plain Bayside Medical Center, 235 Plain St., Suite 501, Prov., RI 02905St., Suite 501, Prov., RI 02905

Bob Breen, PhD [277.0707]Bob Breen, PhD [277.0707]

Henry R. Lesieur, Psy.D., Ph.D. Henry R. Lesieur, Psy.D., Ph.D. [277.0721][277.0721]

http//www:gamblingtreatment.orghttp//www:gamblingtreatment.org

4747

ResourcesNational Treatment & Education

Resources The National Council on Problem Gambling

216 G Street NE, Suite 200Washington, D.C. 20002

1-202-547-9204 - Fax 1-202-547-9206

E-mail: ncpg@ncpgambling.org

4848

4949

Questions?Questions?

5050

Closing ExerciseClosing Exercise

1.1. Something I liked?Something I liked?

2.2. Something I’ll use?Something I’ll use?

3.3. This training will help me?This training will help me?

4.4. Something more I wanted more of?Something more I wanted more of?

5151

Suggested Articles or ReadingsSuggested Articles or ReadingsBerman, L & Siegel, M. (1998). Berman, L & Siegel, M. (1998). Behind the Eight BallBehind the Eight Ball. New York City, NY: Simon & . New York City, NY: Simon & Schuster.Schuster.

Custer, R. & Milt, H. (1985). Custer, R. & Milt, H. (1985). When Luck Runs Out: Help for Compulsive Gamblers & Their When Luck Runs Out: Help for Compulsive Gamblers & Their FamiliesFamilies. New York: Facts-on-File Publications. [A CLASSIC]. New York: Facts-on-File Publications. [A CLASSIC]

Ciarrocchi, J. (2002). Counseling Problem Gamblers. San Diego, CA: Academic PressCiarrocchi, J. (2002). Counseling Problem Gamblers. San Diego, CA: Academic Press

Federman, E., Drebing, C., & Krebs, C. (2000) Federman, E., Drebing, C., & Krebs, C. (2000) Don’t Leave it to Chance: A Guide for Don’t Leave it to Chance: A Guide for Families of Problem GamblersFamilies of Problem Gamblers. Oakland, CA: New Harbinger Press.. Oakland, CA: New Harbinger Press.

Gamblers Anonymous. (1994). Gamblers Anonymous. (1994). Sharing Recovery Through Gamblers AnonymousSharing Recovery Through Gamblers Anonymous. Los . Los Angeles, CA: Gamblers Anonymous.Angeles, CA: Gamblers Anonymous.

Heineman, M. (1992). Heineman, M. (1992). Losing Your Shirt: Recovery for Compulsive Gamblers & Their Losing Your Shirt: Recovery for Compulsive Gamblers & Their FamiliesFamilies. Center City, MN: Hazelden.. Center City, MN: Hazelden.

King, Alexandra. (1999). King, Alexandra. (1999). Diary of a Powerful AddictionDiary of a Powerful Addiction. Tyndall, Manitoba: Crown . Tyndall, Manitoba: Crown Publishing.Publishing.

Lesieur, H. (1984). Lesieur, H. (1984). The Chase: The Compulsive GamblerThe Chase: The Compulsive Gambler. Cambridge, MA: Schenkman . Cambridge, MA: Schenkman Publishing. [A CLASSIC]Publishing. [A CLASSIC]

McCown, W. & Chamberlain, L. (2000). McCown, W. & Chamberlain, L. (2000). Best Possible Odds; Contemporary Treatment Best Possible Odds; Contemporary Treatment Strategies for Gambling DisordersStrategies for Gambling Disorders. New York: John Wiley & Sons.. New York: John Wiley & Sons.

National Research Council. (1999). National Research Council. (1999). Pathological Gambling: A Critical ReviewPathological Gambling: A Critical Review. Washington, . Washington, DC: National Academy Press.DC: National Academy Press.

Taber, J. (2000). In the Shadow of Chance: The Pathological Gambler. Taber, J. (2000). In the Shadow of Chance: The Pathological Gambler. Bluffton, SC: Ex-Bluffton, SC: Ex-Gambler Services.Gambler Services.

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Suggested WebsitesSuggested Websiteshttp://www.problemgambling.com/http://www.problemgambling.com/

http://www.gamblingproblem.net/http://www.gamblingproblem.net/

http://www.responsiblegambling.org/http://www.responsiblegambling.org/

http://www.masscompulsivegambling.org/http://www.masscompulsivegambling.org/

http://www.ccpg.org/http://www.ccpg.org/

http://www.gamblersanonymous.org/http://www.gamblersanonymous.org/

http://www.gam-anon.org/http://www.gam-anon.org/

http://www.800gambler.org/http://www.800gambler.org/

http://www.ricpg.net/http://www.ricpg.net/