The Journal of Primary Prevention

, Volume 29, Issue 1, pp 37–55 | Cite as

Preventing the Incidence and Harm of Gambling Problems

  • Laurie Dickson-Gillespie
  • Lori Rugle
  • Richard Rosenthal
  • Timothy Fong
Original Paper


An increase in prevalence of problem gambling and gambling-related costs to the individual, family, and community are accompanying the spreading availability of venues in which to gamble. This highlights the need for effective educational programs, media campaigns, consumer protection, and public policy aimed at preventing increased incidence of problematic gambling behavior. This review explores prominent models of prevention including the risk and protective factors model, levels-of-prevention, and the public health perspective and illustrates each model’s power to facilitate efforts toward preventing gambling problems. The current state of problem gambling prevention research and practice is delineated and future directions for policy are made. Editors’ Strategic Implications: Researchers and policymakers will benefit from the review and set of recommendations and also the detailed supplemental online content, in the form of six helpful Appendixes related to gambling prevention resources and materials.


Problem gambling Prevention Research Public policy 

Supplementary material

10935_2008_126_MOESM1_ESM.doc (141 kb)
(DOC 141 kb)


  1. Abbott, M. W., Williams, M., & Volberg, R. A. (2004). A prospective study of problem and regular non-problem gamblers living in the community. Substance Use and Misuse, 39, 855–884.PubMedCrossRefGoogle Scholar
  2. American Gaming Association. (2002). Statutes and regulations in commercial casino states concerning responsible gaming. Available at
  3. American Gaming Association. (2003). Code of conduct for responsible gaming. Retrieved on April 27, 2007 from
  4. American Psychological Association, Public Policy Office. (June, 2004). APA briefing sheet. Retrieved October 02, 2006 from
  5. Arnold, G., Collins, P., Eadington, W. R., Remeers, P., & Ricketts, T. (March, 2003). Towards a strategy for addressing problem gambling in the UK. A Report to the Gambling Industry Charitable Trust. Retrieved April 27, 2007 from
  6. Bellringer, M. E., Perese, L., Rossen, F., Tse, S., Adams, P., Brown, R., & Manaia, W. (2003). Supporting the wellbeing of young people in relation to gambling in New Zealand: Final report and recommendations. Retrieved April 27, 2007 from
  7. Blaszczynski, A. (2001). Harm minimization strategies in gambling: An overview of international initiatives and interventions. Melbourne: Australian Gaming Council.Google Scholar
  8. Bournstein, P. J., Zweig, J. M., & Gardner, S. E. (1999). Understanding substance abuse prevention: Toward the 21st century: A primer on effective programs. Rockville, MD: Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Prevention, Division of Knowledge Development and Evaluation.Google Scholar
  9. Browne, B. A., & Brown, D. J. (1993). Predictors of lottery gambling among American college students. Journal of Social Psychology, 134, 339–347.CrossRefGoogle Scholar
  10. Caplan, G. (1964). Principles of preventive psychiatry. New York, NY: Basic Books.Google Scholar
  11. Consumer Contact. (2003). Testing of harm minimization messages for gambling machines. Report for the department of gaming and racing. Sydney: Author.Google Scholar
  12. Derevensky, J. L., Gupta, R., Dickson, L. & Deguire, A.-E. (2001). Prevention efforts toward reducing gambling problems. White Paper prepared for the Substance Abuse and Mental Health Services Administration.Google Scholar
  13. Derevensky, J., Gupta, R., & Emond, M. (1995, August). Locus of control, video game playing, and gambling behavior in children. Poster presented at the annual meeting of the American Psychological Association, New York, NY.Google Scholar
  14. Dickson, L., Derevensky, J., & Gupta, R. (2002). The prevention of youth gambling problems: A conceptual model. Journal of Gambling Studies, 18, 97–159.PubMedCrossRefGoogle Scholar
  15. Dickson, L., Derevensky, J., & Gupta, R. (2004). Harm-reduction for the prevention of youth gambling problems and other high-risk behaviors. Journal of Adolescent Research, 19, 88–128.CrossRefGoogle Scholar
  16. Diskin, K. M., & Hodgins, D. C. (1999). Narrowing of attention and dissociation in pathological video lottery gamblers. Journal of Gambling Studies, 15, 17–28.PubMedCrossRefGoogle Scholar
  17. Fisher, S. (1993). Gambling and pathological gambling in adolescents. Journal of Gambling Studies, 9, 277–288.CrossRefGoogle Scholar
  18. GamCare. (2003). GamCare care services report. London: National Association for Gambling Care, Educational Resources and Training.Google Scholar
  19. Griffiths, M. (1995). Adolescent gambling. London: Routledge.Google Scholar
  20. Griffiths, M., Scarfe, A., & Bellringer, P. (1999). The UK national telephone gambling helpline: Results on the first year of operation. Journal of Gambling Studies, 15, 83–90.PubMedCrossRefGoogle Scholar
  21. Gupta, R., & Derevensky, J. (1997). Familial and social influences on juvenile gambling. Journal of Gambling Studies, 13, 179–192.PubMedCrossRefGoogle Scholar
  22. Gupta, R., & Derevensky, J. (1998). Adolescent gambling behavior: A prevalence study and examination of the correlates associated with excessive gambling. Journal of Gambling Studies, 14, 319–345.PubMedCrossRefGoogle Scholar
  23. Hardoon, K., & Derevensky, J. (2002). Child and adolescent gambling behavior: Our current knowledge. Clinical Child Psychology and Psychiatry, 7, 263–281.CrossRefGoogle Scholar
  24. Hardoon, K., Gupta, R., & Derevensky, J. (2004). Psychosocial variables associated with adolescent gambling. Psychology of Addictive Behaviors, 18, 170–179.PubMedCrossRefGoogle Scholar
  25. Hodgins, D. C., & el-Guebaly, N. (2000). Natural and treatment-assisted recovery from gambling problems: A comparison of resolved and active gamblers. Addiction, 95, 777–789.PubMedCrossRefGoogle Scholar
  26. Hodgins, D. C., Wynne, H., & Makarchuk, K. (1999). Pathways to recovery from gambling problems: Follow-up from a general population survey. Journal of Gambling Studies, 15, 93–104.CrossRefGoogle Scholar
  27. Independent Pricing, Regulatory Tribunal. (2004). Gambling: Promoting a culture of responsibility. Sydney: Independent Pricing and Regulatory Tribunal of New South Wales.Google Scholar
  28. Institute of Medicine. (1994). Reducing risks for mental disorders: Frontiers for prevention intervention research. Washington, DC: National Academy Press.Google Scholar
  29. Jackson, A., Thomas, S., & Blaszczynski, A. (2003). Best practice in problem gambling services. Retrieved on April 27, 2007 from
  30. Jackson, A., Thomas, S. A., Thomason, N., & Ho, W. (2002). Longitudinal evaluation of the effectiveness of problem gambling counselling services, community education strategies, and information products. Vol. 3: Community education strategies and information products. Melbourne: Victoria Department of Human Services.Google Scholar
  31. Korn, D., & Shaffer, H. (1999). Gambling and the health of the public: Adopting a public health perspective. Journal of Gambling Studies, 15, 289–365.PubMedCrossRefGoogle Scholar
  32. Korn, D., Gibbins, R., & Azmier, J. (2003). Framing public policy towards a public health paradigm for gambling. Journal of Gambling Studies, 19, 235–256.PubMedCrossRefGoogle Scholar
  33. Ladouceur, R., Jacques, C., Giroux, I, Ferland, F., & Leblond, J. (2000). Analysis of a casino’s self-exclusion program. Journal of Gambling Studies, 16, 453–460.PubMedCrossRefGoogle Scholar
  34. Ladouceur, R., Vitaro, F., Cote, M. A., & Dumont, M. (2001). Parents’ attitudes, knowledge, and behavior toward gambling: A five year follow-up. Journal of Gambling Studies, 17, 101–116.PubMedCrossRefGoogle Scholar
  35. Ladouceur, R., Vezina, L., Jacques, C., & Ferland, F. (2000). Does a brochure about pathological gambling provide new information? Journal of Gambling Studies, 16, 103–108.PubMedCrossRefGoogle Scholar
  36. Langhinrichsen-Rohling, J., Rohde, P., Seeley, J., & Rohling, M. (2004). Individual, family, and peer correlates of adolescent gambling. Journal of Gambling Studies, 20, 23–46.PubMedCrossRefGoogle Scholar
  37. Messerlian, C., Derevensky, J., & Gupta, R. (2005). Youth gambling problems: a public health perspective. Health Promotion International, 20, 69–79.PubMedCrossRefGoogle Scholar
  38. Moore, T., Jadlos, T., & Carlson, M. (2000, May). Findings and recommendations for the strategic plan: Identification, prevention, and treatment of disordered gambling in Multnomah County. Portland, OR: Behavioral Health Division, Multnomah County.Google Scholar
  39. Moore, T. L. & Marotta, J. J. (2004). Gambling treatment programs evaluation update, 2003. Report prepared for the State of Oregon Mental Health and Addictions Services Department of Human Services. Retrieved on April 27, 2007 from
  40. Moran-Cooper, M., Kruedelbach, N. & Biller, W. (2003). From helpline inquiry to completed clinical assessment: Proactive strategies to turn callers to clients. Paper presented at the National Conference on Problem Gambling, Louisville, KY.Google Scholar
  41. Mullally, K. (2004). Self-exclusion guidelines: Report of the sel- exclusion committee to the board of the National council on problem gambling. Washington, DC: National Council on Problem Gambling.Google Scholar
  42. Najavits, L. M., Grymala, L. D., & George, B. (2003). Can advertising increase awareness of problem gambling? A statewide survey of impact. Psychology of Addictive Behaviors, 17, 324–327.PubMedCrossRefGoogle Scholar
  43. National Council on Problem Gambling, American Gaming Association, & North American Association of State, Provincial Lotteries. (1999). 1998 national survey of problem gambling programs. Washington, DC: National Council on Problem Gambling.Google Scholar
  44. National Opinion Research Center (NORC). (1999). Gambling impact and behavior study: Report to the National Gambling Impact Study Commission. Chicago, IL: National Opinion Research Center at the University of Chicago.Google Scholar
  45. National Research Council. (1999). Pathological gambling: A critical review. Washington, DC: National Academy Press.Google Scholar
  46. Petry, N., Armentano, C., Kuoch, T., Norinth, T., & Smith, L. (2003). Gambling participation and problems among South East Asian refugees to the United States. Psychiatric Services, 54, 1142–1148.PubMedCrossRefGoogle Scholar
  47. Raylu, N., & Oei, T. (2004). Role of culture in gambling and problem gambling. Clinical Psychology Review, 23, 1087–1114.PubMedCrossRefGoogle Scholar
  48. Shaffer, H. J., & Hall, M. N. (2001). Updating and refining meta-analytic prevalence estimates of disordered gambling behavior in the United States and Canada. Canadian Journal of Public Health, 92, 168–172.Google Scholar
  49. Shaffer, H. J., & Hall, M. N. (2002). The natural history of gambling and drinking problems among casino employees. Journal of Social Psychology, 142, 405–424.PubMedCrossRefGoogle Scholar
  50. Slutske, W. S., Jackson, K. M., & Sher, K. J. (2003). The natural history of problem gambling from age 18 to 29. Journal of Abnormal Psychology, 112, 263–274.PubMedCrossRefGoogle Scholar
  51. South Australian Centre for Economic Studies. (2003, February). Evaluation of self-exclusion programs. Report prepared for the Gambling Research Panel. Victoria, AU: Author.Google Scholar
  52. Thomas, S. A., & Jackson, A. C. (2001). Longitudinal evaluation of the effectiveness of problem gambling counselling services, community education strategies and information products. Vol. 6. Project discussion paper. Melbourne: Victorian Department of Human Services. Retrieved April 27, 2007 from
  53. Tremblay, R. E., Masse, L. C., Vitaro, F., & Dobkin, P. L. (1995). The impact of friend’s delinquent behavior on early onset delinquency: Longitudinal data from 6 to 13 years of age. Development and Psychopathology, 7, 649–667.Google Scholar
  54. Victoria Department of Human Services. (2001). Strike against problem gambling. Retrieved July 27, 2007 from
  55. Victoria Department of Human Services. (2003). Annual report, 2002–2003. Retrieved April 27, 2007 from
  56. Vitaro, F., Brendgen, M., Ladouceur, R., & Tremblay, R. (2001). Gambling, delinquency, and drug use during adolescence: Mutual influences and common risk factors. Journal of Gambling Studies, 17, 171–190.PubMedCrossRefGoogle Scholar
  57. Vitaro, F., Ferland, F., Jacques, C., & Ladouceur, R. (1998). Gambling, substance use, and impulsivity during adolescence. Psychology of Addictive Behaviors, 12, 185–194.CrossRefGoogle Scholar
  58. Volberg, R. A. (1994). The prevalence and demographics of pathological gamblers: Implications for public health. American Journal of Public Health, 84, 237–241.PubMedCrossRefGoogle Scholar
  59. Volberg, R. A. (2003). Paying the piper: Gambling and problem gambling in America. In G. Reith. (Ed.), Gambling: Who wins? Who loses? (pp. 221–238). Amherst, NY: Prometheus Books.Google Scholar
  60. Wallisch, L. S. (1998). Problem gambling helplines nationwide. Austin, TX: Texas Commission on Alcohol and Drug Abuse.Google Scholar
  61. Wear Simmons, C. (2006). Gambling in the golden state 1998 forward. Sacramento, CA: California Research Bureau.Google Scholar
  62. Wiebe, J., Cox, B., & Falkowski-Ham, A. (2003). Psychological and social factors associated with problem gambling in Ontario: A one-year follow-up study. Retrieved April 27, 2007 from
  63. Winters, K. C., Bengston, P. L., & Stinchfield, R. D. (1996). Findings from a follow-up study of callers to the Minnesota problem gambling hotline. Minneapolis, MN: University of Minnesota.Google Scholar
  64. Winters, K. C., Stinchfield, R. D., & Fulkerson, J. (1993). Patterns and characteristics of adolescent gambling. Journal of Gambling Studies, 9, 371–386.CrossRefGoogle Scholar
  65. Wood, R., & Griffths, M. (1998). The acquisition, development and maintenance of lottery and scratchcard gambling in adolescence. Journal of Adolescence, 21, 265–272.PubMedCrossRefGoogle Scholar
  66. Wood, R. T. A., & Griffiths, M. D. (2001). Adolescent gambling on The National Lottery: Attitude formation and related psychosocial factors. Social Psychology Review, 3, 48–56.Google Scholar
  67. Wynne, H. J., Smith, G. J., & Jacobs, D. F. (1996). Adolescent gambling and problem gambling in Alberta. Edmonton, AB: Alberta Alcohol and Drug Abuse Commission.Google Scholar
  68. Wynne, H. J., Smith, G. J., & Volberg, R. A. (1994). Gambling and problem gambling in Alberta report prepared for Alberta lotteries and gaming. Edmonton, Alberta: Authors.Google Scholar
  69. Zimmerman, M. A., Meeland, T., & Krug, S. E. (1985). Measurement and structure of pathological gambling behavior. Journal of Personality Assessment, 49, 76–81.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Laurie Dickson-Gillespie
    • 1
  • Lori Rugle
    • 2
  • Richard Rosenthal
    • 1
  • Timothy Fong
    • 1
  1. 1.University of CaliforniaLos AngelesUSA
  2. 2.Cleveland Department of Veterans Affairs Medical CenterClevelandUSA

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