Integrating Problem Gambling Into Behavioral Health Prevention · 2019. 1. 24. · OASIS Student...
Transcript of 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 CollaborativeMidwest Conference on Problem Gambling and
Substance Abuse
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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
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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
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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.
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Funding of Regional Task Forces and a Statewide CoalitionStatewide Coalition
Gambling Market RegionsSouthwestSouth-CentralNortheastSoutheast
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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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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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In the last 30 days, have you gambled for money or anything of value?
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Youth Gambling
Interconnections
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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?
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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
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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
"
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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
"
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Youth Gambling
Substance Use
Interconnections
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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
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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
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Youth Gambling
Substance Use
Substance Use
DepressionSuicide
Interconnections
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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?
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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
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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
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Suicidal Thoughts & Plans What We Know About Kansas Youth
Suicidal Thoughts
Family history of antisocial behaviorFavorable attitudes toward drug use
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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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It Matters
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Messaging
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Problem Gambling Print Materials
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Community Checkbox Evaluation System Documenting and Understanding the Activities and Accomplishments
of Your Coalition and Community - www. myctb.org
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Problem Gambling
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Supports Grant Deliverable and Communication Efforts
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Supports Evaluation and Reporting Efforts
Your coalition name here.
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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
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How Data is Documented
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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
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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
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KU Work Group Evaluation Team
Dr. Jomella Watson-Thompson –Associate Director for Community Research
Priya VanchyGraduate Research Student
Monthly Report Feedback
Dola GabrielSr. Research Assistant
Training & Technical Assistance
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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
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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
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Connecting with the Regional Problem Gambling Task Forces/Coalitions
• Visit the Kansas Prevention Collaborative website under the coalitions tab at www.kansaspreventioncollaborative.org
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Questions & Answers
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Contact Us
Sarah Fischer: [email protected] Baez: [email protected]
Chrissy Mayer: [email protected]
Lisa Chaney: [email protected]
Dola Gabriel: [email protected]
Chad Childs: [email protected]