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Gambling Decisions: An Early Intervention Program for Problem Gamblers

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Abstract

An implementation and one-year follow-up of the Gambling Decisions program attempted to answer several important questions. First, is controlled gambling a viable treatment option for some gamblers? Can earlier stage problem gamblers be separated for treatment from those with more severe problems? Finally, would problem gamblers utilize a community health agency for treatment of their excessive gambling? A pretest/posttest design was chosen where the efficacy of the program was assessed using repeated measures ANOVA analysis. Results showed that an average loss of $608 over a 4-week period was reduced to $113 immediately after the 6-week program and to a loss of $73 at 12 months. The average number of hours spent gambling per 4 weeks was significantly reduced from 23.5 at pretest to 6.5 at the 12 month posttest. Significant decreases were also observed in the number of days per week that clients gambled, and clients reported significant reductions in everyday life problems related to gambling after completing the program.

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REFERENCES

  • Annis, H. M. (1986). A relapse prevention model for the treatment of alcoholics. In W. R. Miller & N. Heather (Eds.), Treating addictive behaviours: Processes of change (pp. 407–435). New York: Pergamon Press.

    Google Scholar 

  • Bandura, A. (1977). Social learning theory. Englewood Cliffs, NJ: Prentice Hall.

    Google Scholar 

  • Bien, T. H., Miller, W. R., & Tonigan, J. S. (1993). Brief interventions for alcohol problems: A review. Addiction, 88, 315–336.

    Google Scholar 

  • Blaszczynski, A., McConaghy, N., & Frankova, A. (1991). Control versus abstinence in the treatment of pathological gambling: A two to nine year follow-up. British Journal of Addiction, 86,299–306.

    Google Scholar 

  • Castellani, B. (2000). Pathological gambling: The making of a medical problem. Albany, NY: State University of New York Press.

    Google Scholar 

  • Dickerson, M. G., & Baron, E. (2000). Contemporary issues and future directions for research into pathological gambling. Addiction, 95(8), 1145–1160.

    Google Scholar 

  • Dickerson, M., Hinchy, J., & England, S. L. (1990). Minimal treatments and problem gamblers: A preliminary investigation. Journal of Gambling Studies, 6(1), 87–101.

    Google Scholar 

  • Dickerson, M., & Weeks, D. (1979). Controlled gambling as a therapeutic technique for compulsive gamblers. Journal of Behavior Therapy and Experimental Psychiatry, 10,139–141.

    Google Scholar 

  • Federal Census Data. (1996). Individual total income for the Capital Health Region for 1995 was compiled using Pcensus Software, Software and Federal Census data obtained from Tetrad Computer Applications Inc., Vancouver, BC.

  • Lamberton, A., & Oei, T. (1997). Problem gambling in adults: An overview. Clinical Psychology and Psychotherapy, 4(2), 84–104.

    Google Scholar 

  • Marlatt, A. G., Larimer, M. E., Baer, J. S., & Quigly, L. A. (1993). Harm reduction for alcohol problems: Moving beyond the controlled drinking controversy. Behaviour Therapy, 24,461–504.

    Google Scholar 

  • Marshall, K. (2000). Update on gambling perspectives (Catalogue _75-001-XPE). Ottawa, ON: Statistics Canada.

    Google Scholar 

  • McGurrin, M. (1992). Pathological gambling: Conceptual, diagnostic and treatment issues. Sarasota, FL: Professional Resources Press.

    Google Scholar 

  • Miller, W. R., & Hester, R. K. (1995). Treatment for alcohol problems: Toward an informed eclecticism. In R. K. Hester & W. R. Miller (Eds.), Handbook of alcoholism treatment approaches, effective alternatives (2nd ed., pp. 1–11). Boston, MA: Allyn & Bacon.

    Google Scholar 

  • Miller, W. R., & Rollnick, S. (1991). Motivational interviewing preparing people to change addictive behaviour. New York: Guilford Press.

    Google Scholar 

  • National Research Council (1999). Committee on the Social and Economic Impact of Pathological Gambling, Committee on Law and Justice, Behavioural, and Social Sciences and Education. National Academy Press, Washington, D.C.

  • Prochaska, J. O., & DiClemente, C. C. (1986). Toward a comprehensive model of change. In W. R. Miller & N. Heather (Eds.), Treating addictive behaviours: Processes of change (pp. 3–27). New York, NY: Plenum Press.

    Google Scholar 

  • Prochaska, J. O., Norcross, J. C., & DiClemente, C. C. (1994). Changing for good: the revolutionary program that explains the six stages of change and teaches you how to free yourself from bad habits (1st ed.). New York: W. Morrow.

    Google Scholar 

  • Productivity Commission. (1999). Australia's Gambling Industries, Report No. 10. AusInfo, Canberra, Australia.

  • Rankin, H. (1982). Case histories and shorter communications: Control rather than abstinence as a goal in the treatment of excessive gambling. Behaviour Research Therapy, 20,185–187.

    Google Scholar 

  • Rosecrance, J. (1988). Gambling without guilt: The legitimization of an American pastime. Pacific Grove, CA: Cole Publishing.

    Google Scholar 

  • Rosecrance, J. (1989). Controlled gambling: A promising future. In H. J. Shaffer, S. A. Stein, B. Gambino, & T. N. Cummings (Eds.), Compulsive gambling, theory, research and practice (pp. 147–160). Lexington, MA: Lexington Books.

    Google Scholar 

  • Sharpe I., & Tarrier, N. (1992). A cognitive behavioural treatment approach for problem gambling. Journal of Cognitive Psychotherapy: An International Quarterly, 6(3), 193–203.

    Google Scholar 

  • Sobell, L. C., & Sobell, M. B. (1992). Timeline follow-back: A technique for assessing self-reported ethanol consumption. In J. Allen & R. Z. Litten (Eds.), Measuring alcohol consumption: Psychosocial and biological methods (pp. 41–72). Totowa, NJ: Humana Press.

    Google Scholar 

  • Sobell, M. B., & Sobell, L. C. (1993). Problem drinkers: Guided self-change treatment. New York: Guilford Press.

    Google Scholar 

  • Statistics Canada. (1994). Family Expenditure in Canada, 1992. Ottawa, ON: Household Surveys Division, Ministry of Industry, Science, and Technology, Statistics Canada.

    Google Scholar 

  • Taber, J. I., McCormick, R. A., Russo, A. M., Adkins, B. J., & Ramirez, L. F. (1987). Follow-up of pathological gamblers after treatment. American Journal of Psychiatry, 144, 757–761.

    Google Scholar 

  • ]Take a detailed look at VLT profits. (1998, June 19). Edmonton Journal, p. A16.

  • Toneatto, T., & Sobell, L. C. (1990). Pathological gambling treated with cognitive behaviour therapy: A case study. Addictive Behaviours, 15, 497–501.

    Google Scholar 

  • Walker, M. B. (1992). The psychology of gambling. New York: Pergamon Press.

    Google Scholar 

  • Wynne Resources. (1994). Gambling and problem gambling in Alberta. Edmonton, Alberta: Alberta Lotteries and Gaming.

    Google Scholar 

  • Wynne Resources. (1998). Adult gambling and problem gambling in Alberta. Edmonton, Alberta: Alberta Alcohol & Drug Abuse Commission.

    Google Scholar 

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Correspondence to Ellie Robson.

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Robson, E., Edwards, J., Smith, G. et al. Gambling Decisions: An Early Intervention Program for Problem Gamblers. J Gambl Stud 18, 235–255 (2002). https://doi.org/10.1023/A:1016888705033

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