Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student...

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Integrating Problem Gambling Into Behavioral Health Prevention: The Kansas Prevention Collaborative Midwest Conference on Problem Gambling and Substance Abuse

Transcript of Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student...

Page 1: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Integrating Problem Gambling Into Behavioral Health Prevention:

The Kansas Prevention CollaborativeMidwest Conference on Problem Gambling and

Substance Abuse

Page 2: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Presentation Content• Welcome and Introductions• Overview—Past, Present, and Future • Prevention Theory and Strategy• Influencing Factors and Data • KPC Resources• Community Check Box and

WorkStation• Opportunities• Q & A• Conclusion

Page 3: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Presentation ObjectivesParticipants will learn about the background and roles of the Kansas

Prevention Collaborative as a new statewide approach to behavioral health integration supporting Problem Gambling Task Forces across the stateParticipants will learn effective strategic planning models, science &

approaches to the prevention of substance abuse, problem gambling, & other behavioral health problemsParticipants will learn about the potential benefits and opportunities

of using integrated approaches to the prevention of problem gambling, substance abuse, & suicide

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KDADS Vision for ChangeTwo Primary Goals:

1. Integrate behavioral health prevention efforts

2. Allocate greater resources to local level, community-driven prevention efforts

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KDADS Prevention &

Promotion Services

DCCCA-Coalition Training and Technical Assistance

Greenbush& KU Work Group for Community Health &

Development-Data Collection, Analysis &

Evaluation

Keys for Networking-Advocacy & Education

Headquarters -Suicide Prevention

NAMI—Kansas-Advocacy & Education

WSU Community Engagement Institute

-Communication & Connection

Governor's Public Health Conference

Page 6: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Inaugural Year of the Kansas Prevention Collaborative

Governor's Public Health Conference

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Problem Gambling Program History

1996-First Tribal Casino Opened

1996-Kansas Coalition on Problem Gambling Founded

2007-SB66 Passed-Expansion of Gambling in Kansas

2008-First Problem Gambling Task Force Forms in Southwest Kansas

2009-First State Owned Casino Opens in Southwest Kansas

Since that Time…..

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Funding

2% of net revenues from the four state-owned casinos is transferred to the Problem

Gambling and Addictions Grant Fund (PGAF). This funds problem gambling

prevention programing and no cost treatment for problem gamblers and concerned

others. It also funds other addictions programs.

Page 9: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Funding of Regional Task Forces and a Statewide CoalitionStatewide Coalition

Gambling Market RegionsSouthwestSouth-CentralNortheastSoutheast

Page 10: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information
Page 11: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Core Prevention StrategiesInformation Dissemination

Community Based Processes

Alternative Activities

Prevention Education

Environmental Based Strategies

Problem Identification and Referral

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Continuum of Care

PromotionNational Research Council and Institute of Medicine

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No Out-of-Pocket Cost Treatment and Help LineKansas offers no out-of-pocket cost treatment to problem gamblers and

concerned others

Confidential, no out-of-pocket cost assistance is available by calling the Kansas Problem Gambling Helpline at 1-800-522-4700 (Translation in any language available)

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Risk Factors Associated with Youth Problem Gambling

Exposure of males to gambling at an early age Poor family cohesion Substance use Delinquency Anxiety and depression

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Youth Gambling

Substance Use

DelinquencyDepression

Suicide

Interconnections

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Page 17: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

KCTC Survey Goals

Self-report instrument appropriate for adolescents ranging from 11-18 years old

Provide data on the epidemiology of risk & protective factors among community youth

Help focus prevention efforts on geographic areas or subpopulations experiencing highest levels of risk and lowest levels of protection

Administered in one class setting

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KCTC Survey Administration

Funded by Kansas Department for Aging and Disability Services, Behavioral

Health Services

Available annually free of charge to all districts, public and private

Available for paper & online administration

Target population is students in 6th, 8th, 10th, 12th grades

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http://www.kctcdata.org/

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Page 21: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

In the last 30 days, have you gambled for money or anything of value?

Page 22: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Youth Gambling

Interconnections

Page 23: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Youth Past Year and Past 30-day Gambling

0.0

5.0

10.0

15.0

20.0

25.0

2012 2013 2014 2016 2017

Perc

enta

ge sa

ying

"ye

s"

In the past year, have you gambled for money or anything of value? In the last 30 days, have you gambled for money or anything of value?

Page 24: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Type of Gambling

30.829.8

28.6 27.8

38.3 39.1

0

5

10

15

20

25

30

35

40

45

2012 2013 2014 2016 2017

Perc

enta

ge sa

ying

'yes

"

played the lottery or scratch-off tickets? bet on team sports? played cards for money?

played bingo for money or prizes? bet on games of personal skill? participated in fantasy sports betting

games on your phone or computer to buy creidts, extra lives

Page 25: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Past 30-day Gambling by Grade

4.5

6.8

8.4

11.812.3

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

6th 8th 10th 12th Young Adults

Perc

enta

ge sa

ying

"yes

"

Page 26: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Of those who gambled in the past 30 days, would like to stop gambling but didn’t think they could

0

5

10

15

20

25

6th 8th 10th 12th Young Adults

Perc

enta

ge sa

ying

"yes

"

Page 27: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Youth Gambling

Substance Use

Interconnections

Page 28: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Kansas Youth Past 30 Day Gambling & Reported Substance Use

45.4

16.7

20.3

14.5

18.2

5.26.7

4.4

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

45.0

50.0

Alcohol Cigarettes Marijuana Prescription Drugs

Perc

ent o

f You

th A

lso

Repo

rtin

g U

se

Yes, I have gambled in the past 30 days No, I have not gambled in the past 30 days

Page 29: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Youth Gambling

Substance Use

Delinquency

Interconnections

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Kansas Youth Past 30 Day Gambling & Reported Delinquency

14.6

13.3

9.7

4.2

8.9

16.9

2.6

5.9

2.7

1.50.6

2.5

4.5

0.4

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

Suspended Carried Handgun Sold Drugs Stole Motor Vehicle Arrested Drunk or High at School Taken Gun to School

Perc

ent o

f You

th A

lso

Repo

rtin

g De

linqu

ency

Yes, I have gambled in the past year No, I have not gambled in the past year

Page 31: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Youth Gambling

Substance Use

Substance Use

DepressionSuicide

Interconnections

Page 32: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

KCTC Youth Depression & Suicide Questions

During the past 12 months, did you ever feel so sad or hopeless almost every day for two weeks or more in a row that you stopped doing some usual activities?

Have you ever seriously thought about killing yourself?

Have you ever made a plan about how you would kill yourself?

Have you ever tried to kill yourself?

Page 33: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Youth Gambling and Reported Depression & Suicide

29.2

8.26.3

3.5

25.0

6.1

3.71.6

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

Depression Suicide Thoughts Suicide Plan Suicide Attempt

Perc

ent o

f You

th A

lso

Repo

rtin

g De

pres

sion

Kansas Youth Past 30 Day Gambling & Reported Depression

Yes, I have gambled in the past 30 days No, I have not gambled in the past 30 days

Page 34: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Depression What We Know About Kansas YouthYouth reporting past year depression

Family conflict 62% vs, 30%)Bullied in past year (51% vs. 23%)Fewer opportunities for involvement (38% vs. 68%)Fewer family rewards (37% vs. 65%)Higher reported substance use (all substances)

Largest differences found for alcohol (31% vs 15%) and marijuana use (13% vs 4%)

More cumulative risk factors Fewer cumulative protective factorsHigh availability of drugs

Page 35: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Suicidal Thoughts & Plans What We Know About Kansas Youth

Suicidal Thoughts

Family history of antisocial behaviorFavorable attitudes toward drug use

Page 36: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Suicide Attempts What We Know About Kansas YouthCommunity disorganization Availability of drugsPoor family managementLow commitment to schoolEarly initiation of drug useEarly initiation of antisocial behavior Peers who use drugsRewards for antisocial behaviorFew community rewards for positive behavior

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Youth Gambling

Substance Use

DelinquencyDepression

Suicide

Interconnections

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Messaging

Page 43: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Community Checkbox Evaluation System Documenting and Understanding the Activities and Accomplishments

of Your Coalition and Community - www. myctb.org

Page 44: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Problem Gambling

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Supports Grant Deliverable and Communication Efforts

Page 46: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Supports Evaluation and Reporting Efforts

Your coalition name here.

Page 47: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Importance of Documenting the Story Inform decision-making regarding the

processes, activities, and results of efforts: What is workingWhat needs improvement

Create a record of your storyProcessesHighlights successesEngage community/coalition

members

Maintain accountability Identify contributorsAction plansSustainability

Page 48: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

How Data is Documented

Page 49: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

What Information is DocumentedTell your story of how the

coalition/group is supporting & implementing the:

SPF processFunded strategies

Document the coalition process of implementing the SPF phases and milestones

Document when you provide and/or deliver activities in the community or to the target group/population

PreventionPromotionEducationAdvocacy

Measures how much

Page 50: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Evaluation Results based on Documentation Efforts• 3/1/16 - Etienna Mertel conducted an information table (booth) in the

OASIS Student Center at Friends University during the school's Wellness Week.

– Seventy (70) information bags were given out with problem gambling information and giveaway items with the Helpline phone number

• 12/9/16 - Juan Baez, PG Specialists made a bilingual presentation to 12 people at La Familia Senior and Community Center.

– First bilingual presentation at this organization. – Handed out pamphlets and brochures on problem gambling in Spanish, as well as

giveaway items with the problem gambling helpline number

• 10/16/15 - The Tallgrass Film in Wichita, KS. SCTF provided educational pamphlets and giveaway items with Helpline number to the attendees.

– First time that the Task Force has partnered with the Tallgrass Film Festival to disseminate information.

– The Task Force was named as a Cinephile Sponsor for this 13th Annual Film Festival. – The Task Force plans to participate in next year's Tallgrass Film Festival also

Page 51: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

KU Work Group Evaluation Team

Dr. Jomella Watson-Thompson –Associate Director for Community Research

Priya VanchyGraduate Research Student

Monthly Report Feedback

[email protected]

Dola GabrielSr. Research Assistant

Training & Technical Assistance

[email protected]

Page 52: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Occur Quarterly Throughout the Year

Designed to Bring Prevention Stakeholders from Across the State Together

Topics of Discussion Include Problem Gambling, Substance Use, and Suicide

Page 53: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Occur Monthly on a Webinar Format During the Lunch Hour

Designed to Bring Education of Behavioral Health Issues by Interaction Between

Peers Across the State

Have discussed issues like Problem Gambling Awareness Month, Suicide, and

Substance Use

Page 54: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Connecting with the Regional Problem Gambling Task Forces/Coalitions

• Visit the Kansas Prevention Collaborative website under the coalitions tab at www.kansaspreventioncollaborative.org

Page 55: Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student Center at Friends University during the school's Wellness Week. – Seventy (70) information

Questions & Answers