main conference Program

Conference Track Key:

 TX – TreatmentREC – Recovery & CommunityML – Military 
RG – Responsible Gambling

PX – Prevention

SP – Safer Sports Betting

WEDNESDAY, July 20, 2022

Time

Session Details

6:00 PM
Welcome Reception

Thursday, July 21, 2022

CE’s

Time

Track

Session Details

N/A
8:30 AM – 8:45 AM
Welcome
ALLWelcome
0.75
8:45 AM – 9:30 AM
Keynote address
ALL

Consider This: 50 Years of Problem Gambling Treatment and Research

Heather Chapman, PhD, ICGC-II, BACC

1
9:30 AM – 10:30 AM
Breakout Session 1
TX

Gambling Disorder and Trauma: Comparing Seeking Safety to CBT

David Ledgerwood, PhD

REC

Hearing the Voices of Gambling Disorder

Marc Lefkowitz, ICGC-II; Members of the Recovery Committee

ML

Gambling Problems Among Veterans: Risks, Reach, and Revolution 

Nathan Smith, PhD; David Yeager

RG

Legislating for the Future: NCLGS Responsible Gambling Resolution

Rep. Paul Tucker; Marlene Warner

1.5
9:30 AM – 11:00 AM
Prevention Showcase
PX

CampusCENTS

James Syphax

Adolescent Problem Gambling Prevention Curriculum in a Learning Management System

Alison Drain

Engaging Prevention Professionals in a Treatment-Focused Fellowship Program

Cory Brown

No Need to Master Every Topic, But Master Collaboration!

Michael Buzzelli

A D.I.Y. (Do It Yourself) Approach to Underage and Problem Gambling Awareness: Engaging Community Organizations through the Use of Toolkit Guides

Heather Eshleman

Gambling and Comorbidities

Mina Hazar; Adela Colhon

0.5
10:30 AM – 11:00 AM
Break & Poster Sessions
ALL

Poster Sessions

Greed in Relation to Problem Gambling: A Self-Determination Theory Perspective

Uibin Lee; Devin Mills, PhD; Kelly M. Chroback, PhD

GA Sponsorship and Psychotherapy Visits by Race/Ethnicity

Abraham Caballero

National Problem Gambling Helpline – Solving the Puzzle of Modernization

Jaime Costello

1
11:00 AM – 12:00 PM
BREAKOUT Session 2
TX

Gambling Among Medicated-Assistant Treatment for Opioid Use Disorder: Are We Ignoring Gambling?

Andrew Schreier, ICGC-I

REC

No Session

ML

The Impact Military Culture has on Problem Gambling Within the Military and Veteran Communities

Jonathan Crandall; David Yeager

RG

Beyond Just “What Good Looks Like”: A U.S. Operators’ Response

Chrissy Thurmond; Julie Hynes

PX

Prevention of Digital Addictions for Children Living with ADHD: A Care Giver’s Experience Unfolded

Alison Drain; Stephanie Diez-Morel, PhD, ICGC-II, BACC

 N/A
12:00 PM – 12:45 PM
Lunch
ALLLunch
0.75
12:45 PM – 1:30 PM
keynote address
ALL

Say It Loud, I’m Black and I’m Proud!! An Unfinished Lifetime Empowering Healing for People Who Gamble and Cultural Communities

Deborah Haskins, PhD, ICGC-II, BACC

1
1:30 PM – 2:30 PM
BREAKOUT Session 3
TX

Weaving Together A Blanket of Hope & Help Engaging Organizations to Integrate Problem Gambling Screening into Existing Paradigm

Kristen Beall, ICGC-I

REC

Harm Reduction – Embracing the Change One Case at a Time

Shirley Hoak, JD, ICGC-II

ML

Impact Problem Gambling has on the Military Family & Loved Ones

David Yeager; Shawna Black; Brianne Doura-Schawohl; Rich Taylor; Amanda Winters

RG

Responsible Gambling Implications & Applications for Lotteries

Marlene Warner; Charles McIntyre; Chris Davis

PX

The Blurred Lines of Gambling and Day Trading

Daniel Trolaro

0.5
2:30 PM – 3:00 PM
Break & Poster Sessions
ALL

Poster Sessions

At-Risk and Problem Gambling Among Veterans with Serious Mental Illness

Joseph Deckro; Kendra Pugh

Problem Gambling and Gaming in the Hierarchical Structure of Psychopathology

Jeremie Richard

National Problem Gambling Helpline – Solving the Puzzle of Modernization

Jaime Costello

1
3:00 PM – 4:00 PM
BREAKOUT Session 4
TX

Better Together: Black Women Speak Out About Casino Gambling

Sandra Adell, PhD; Karen Reddick; Cassandra Belton

REC

Inclusion of Gambling Awareness in Student News Program

Kaitlin Brown, ICGC-II, BACC; Kelly Leppard

ML

Veteran Opportunities for Gambling Treatment – How Can I Connect Them?

Tammy Reiff, ICGC-II

RG

Best RG Practices for Tribal Operators in Internet-Based Gaming

Raquel Buari, JD

PX

Working in Diverse Communities

Maria Garner, ICGC-II; George Hicks; Danny Nam; Octavia Mercado; Abdallah Mobaideen; Ala Shaikhkhalil

1
4:00 PM – 5:00 PM
BREAKOUT Session 5
TX

Massachusetts Technical Assistance Center (M-TAC): Infusing Innovation to Enhance Problem Gambling Treatment Capacity

Debi LaPlante, PhD; Victor Ortiz; Heather M. Gray, PhD; Amanda Ayers

REC

Learning Lessons? The British Experimentation with the Liberalization of Gambling

Heather Wardle, PhD

ML

Creating National Awareness for Military Personnel & Veterans with Gambling Problems: Challenges & Opportunities

Rich Taylor; Kevin Wensing

RG

National Problem Gambling Helpline – Rejuvenating the System to Help Communities

Jaime Costello

PX

Impacts of COVID-19 on Problem Gambling Services: Findings from the 2021 NAADGS National Survey

Jeff Marotta, PhD, ICGC-II; Linda Graves, PsyD, ICGC-II

N/A
6:00 PM – 9:00 PM 
Highlight Event
ALL

Highlight Event at the Boston Tea Party Ships & Museum

Friday, July 22, 2022

CE’s

Time

Track

Session Details

N/A
8:30 AM – 8:45 AM
Welcome
ALLWelcome
0.25
8:45 AM – 9:00 AM
General Session
ALL

Massachusetts Council on Gaming and Health Alumni Introductions

Marlene Warner

0.75
9:00 AM – 9:45 AM
Keynote Address
ALL

Reflections on Risk

Rachel Volberg, PhD

1
9:45 AM – 10:45 AM
BREAKOUT Session 6
TX

Treating Problem Gamblers & Partners Using A Polyvagal Theory (PVT) & Adaptive Information Processing (AIP) Informed Approach

Suzanne Koch Eckenrode, ICGC-II

REC

Culture of Caring: A Tribal Values-Driven Responsible Gaming Program

Jennifer Shatley, PhD; Jacob Coin

SP

Sports Betting Integrity and Today’s Student Athlete

Daniel Trolaro

RG

Collaboration and Partnership: Expanding the Lens of Responsible Gambling

Victor Ortiz; Lorena Lama; Christian Teja

PX

Conducting an Underage and Problem Gambling Prevention Needs Assessment

Heather Eshleman

0.5
10:45 AM – 11:15 AM
Break & Poster Sessions
ALL

Poster Sessions

Eliciting Unique, Individualized Treatment Plans for Sports Bettors in Outpatient Treatment

Daniel Field; David Leong

Reframing Recovery: Realigning the Message to Reach the Right Audience

Vena Schexnayder

National Problem Gambling Helpline – Solving the Puzzle of Modernization

Jaime Costello

1
11:15 AM – 12:15 PM
BREAKOUT Session 7
TX

Beyond Loot Boxes: The Convergence of Gaming & Gambling

Jody Bechtold, ICGC-II, BACC; Stephanie Diez-Morel, PhD, ICGC-II, BACC

REC

Non-Anon: Recovery in the Public Eye

Kitty Martz; Christina Cook

SP

Perspectives on the Impact of Sports Betting on Mind, Body and Brain

Tim Fong, MD

RG

A Baseline Survey of Jackpot Winners at Three MGM Properties: A Study of Sustainability & Risk

Sasha Stark, PhD

PX

Unpacking the Root Causes of Problem Gambling in the Asian Community

Heang Rubin, PhD; Yoyo Yau; Mia Colby; Ben Hires

 N/A
12:15 PM – 1:30 PM
Lunch
ALLNCPG National Awards Lunch
1
1:30 PM – 2:30 PM
BREAKOUT Session 8
TX

From Gambling 101 to Supervision and Fellowship Programs: Ohio’s Approach to Building Treatment Workforce

Michael Buzzelli; Cory Brown

REC

Integrating Telephone Recovery Support into the Voluntary Self Exclusion Process in Massachusetts

Odessa Dwarika; Jodie Nealley

SP

College Student Athletes’ Gambling Behaviors: A Look at Changes in Sports Wagering from 2004-2020

Jeffrey L. Derevensky, PhD

RG

Asian Outreach: Inside the Casino & Outside in the Community

Linh Ho

PX

Agility Grants: Innovation and Amplification in Gambling Prevention

Elizabeth Thielen; Wiley D. Harwell, DMin, ICGC-II; Tom Bartlett; Barbara Rollins

1
2:30 PM – 3:30 PM
BREAKOUT Session 9
TX

Providing Evidence-Based and Current Treatment and Training: The Practice of Letting Go and Beginners Mind

Lori Rugle, PhD, ICGC-II, BACC; Wiley D. Harwell, DMin, ICGC-II

REC

2021 Statewide Assessment of Gambling and Problem Gambling in Illinois

Hannah Carliner, PhD;  Kellie Gage

SP

A Strategic Framework for Sports Wagering

Long Banh; Marlene Warner

RG

Responsible Gaming Features in a Growing Digital Environment

Jade Luchauer; Jesse Saccoccio

PX

NGAGE 2.0 – Public Opinion and Implications for Prevention

Don Feeney

0.5
3:30 PM – 4:00 PM
Break & Poster Session
ALL 

Poster Session

Patterns of Community Gambling on Lottery by Zip-Code in Massachusetts

Kendra Pugh

National Problem Gambling Helpline – Solving the Puzzle of Modernization

Jaime Costello

1
4:00 PM – 5:00 PM
BREAKOUT Session 10
TX

Exploring Differential Profiles of Mindfulness Among Gamblers

Jackie Stanmyre; Devin Mills, PhD; Wen Li Anthony, PhD; Lia Nower, PhD, JD

REC

Earned Media: How to Spotlight Your Program and Reach More Help Seekers

Sheila Moran, ICGC-I

SP

Sports Wagering and the Athletes

Jim Brown; John Parsons, PhD; Caryl Banks; Brianne Doura-Schawohl

RG

Regulators Roundtable on Responsible Gambling

Jamie Hummingbird; Dan Hartman; David L. Rebuck, JD, Becky Harris; Cathy Judd-Stein

PX

Community Engagement: A Practical Guide to Inform Problem Gambling Prevention

Victor Ortiz; Heang Rubin, PhD; Yoyo Yau

0.5
5:00 PM – 5:30 PM 
General Session
ALL

Reflections on Future of the Field

Keith Whyte

N/A
7:10 pm
N/A

Red Sox vs Blue Jays at Fenway Park (Game Ticket Required)

General Session Abstracts

Consider This: 50 Years of Problem Gambling Treatment and Research

Heather Chapman, PhD, ICGC-II, BACC

50 years ago, Dr. Robert Custer and the Cleveland VA Medical Center listened and took a chance. Members of the local Gamblers Anonymous described their concerns. People were struggling. Could there be treatment for problem gambling, as there was for substance use issues? Since this time, the field of gambling treatment has benefited from tremendous efforts from people all over the world.

Learning Objectives: 

  • Learn several historical moments in the field of problem gambling.
  • Learn several scientific advances in the understanding and treatment of gambling.
  • Consider what’s next and their role in year 51 and beyond. 
Say It Loud, I’m Black and I’m Proud!! An Unfinished Lifetime Empowering Healing for People who Gamble and Cultural Communities

Deborah Haskins, PhD, ICGC-II, BACC

Do you remember James Brown’s revolutionary hit song in the 1960s, “Say It Loud, I’m Black and I’m Proud!!!??” This song was written to empower Black persons/communities in response to a world that stripped away their families, injured them systemically, and failed to see them as human beings. This song, while written over 50 years ago, continues to inspire Dr. Haskins and her work to integrate health equity and cultural context through a social justice lens to support people who experience gambling disorder.

Learning Objectives:

  • Share career journey in disordered gambling and mental health of cultural, social justice and health equity empowerment.
  • Challenge participants with a Call to Action to integrate health equity and social justice and community wellness paradigms to expand healing opportunities, including grassroots efforts.
Massachusetts Council on Gaming and Health Alumni Introductions

Marlene Warner

Reflections on Risk

Rachel Volberg, PhD

Dr. Volberg will reflect on the intersections between the risks of gambling and risks that she has taken over a 37-year career studying gambling and gambling harms. She will reflect on her role in helping to establish the academic field of gambling research, working through research and service to heighten awareness of the impacts of gambling and mentoring colleagues. She will touch on the influences of her parents growing up in the Bronx in the 1930s and her childhood experiences living in Africa and Europe, as well as the concept of Tikkun Olam, the Judaic precept to “repair the world.”

Learning Objectives: 

  • Recognize important events in the development of the field of gambling studies. 
  • Assess the links between personal experiences and community actions. 
  • Identify central values to the field of problem gambling. 
Reflections on Future of the Field

Keith Whyte 

Join NCPG Executive Director, Keith Whyte, to review highlights of the conference sessions and reflections on the future of the field. 

Learning Objectives:

  • Review highlights of the conference sessions.
  • Reflect on the future of the gambling addiction field. 
  • Reflect on the future of the responsible gambling field.

Treatment Track Session Abstracts

Gambling Disorder and Trauma: Comparing Seeking Safety to CBT

David Ledgerwood, PhD

Studies show a compelling association between problem gambling and trauma, including high rates of childhood trauma and post-traumatic stress disorder (PTSD) among individuals with gambling disorder (GD). However, there are currently no controlled trials examining interventions for treating GD and PTSD concurrently. Our aims are to: 1) provide an overview of the research literature on GD and trauma/PTSD; and 2) describe the results of a newly completed clinical trial that compares a telehealth-based Seeking Safety (SS), an integrated treatment for PTSD and addiction, to Cognitive-Behavioral Therapy (CBT-PG), which addresses gambling alone.

Learning Objectives:

  • Explore the current state of research literature on the relationship between gambling disorder, trauma, and post-traumatic stress disorder.  
  • Learn about a newly completed clinical trial that compares two evidence-based gambling disorder treatments, including one that addresses gambling alone, and another that addresses co-occurring gambling and trauma. 
  • Discuss the implications of the current research literature on the treatment of co-occurring gambling disorder and trauma/PTSD. 
Gambling Among Medicated-Assistant Treatment for Opioid Use Disorder: Are We Ignoring Gambling?

Andrew Schreier, ICGC-I

The opioid epidemic has devastated the nation for years. Treatment providers have been working on improving their quality of care to include medicated-assisted treatment, online support groups, training in trauma, use of motivational interviewing, and several other evidence-based practices. Where does gambling fit in among a large population of people seeking treatment for opioid use disorder? This presentation will focus on reviewing survey findings from several medicated-assisted treatment clinics on identifying gambling among the population of patients as well as the substance use professionals and their experience and training on gambling. 

Learning Objectives:

  • Explore connections between gambling and substance use disorders to increase awareness of dual diagnosis to advocate for the need to include gambling-informed care among MAT professionals and populations.  
  • Review survey findings about gambling in MAT populations and substance use professionals experience and training with gambling.  
  • Assist medicated-assisted treatment providers and substance use professionals in gambling awareness, screening, and resources to assist those who may show signs of problem gambling or gambling use disorder. 
Weaving Together A Blanket of Hope & Help Engaging Organizations to Integrate Problem Gambling Screening into Existing Paradigm

Kristen Beall, ICGC-I

Research supports the importance of screening for problem gambling/disordered gambling, especially as it relates to possible co-occurring disorders. Each March, there is a dedicated national campaign, National Problem Gambling Screening Day, to encourage all organizations to screen for problem gambling. At the end of Fiscal Year 2021, The Maryland Center of Excellence on Problem Gambling had engaged with over 300 behavioral health providers to integrate problem gambling screening within their organizations. To that end, the Center has developed a screening conversation tool kit that can be presented to and implemented within existing organizational practices.

Learning Objectives:

  • Learn outreach “Conversations” and techniques developed by the Center.
  • Understand the questions and even the concerns presented by providers and how the Center responds.
  • Review a copy of the Screening Guide developed by the Center and produced in-house.
BETTER TOGETHER: BLACK WOMEN SPEAK OUT ABOUT CASINO GAMBLING

Sandra Adell, PhD; Karen Reddick; Cassandra Belton

The expansion of casino gambling across the US is having a devastating impact on vulnerable communities, particularly the Black community. Among those within the community who are becoming addicted to gambling at an alarming rate are Black women. However, there is very little research into the underlying causes of why Black women are turning to casino gambling as their primary form of leisure activity. In fact, the only published account of gambling addictions among Black women is a 2009 Florida study. Based on calls to the States gambling helpline, it concluded that gambling rates among Black women were 51 percent higher than those of Black men. The main reason that research among Black women is so sparse is because it’s difficult to find Black women who are willing to share their stories of addiction and recovery. This panel, titled Better Together seeks to change that by presenting three Black women whose stories will provide insights into the following questions/problems: What are the emotional and health risks to Black women who become addicted? Why are they not seeking treatment? What are the limitations of current treatment and recovery practices? Specifically, how does the intersection of race, gender, and class affect our decisions about what we reveal about ourselves, both in the presumed safe spaces of treatment programs and support groups, and in public forums where our collective voices may help other Black women who continue to suffer in silence.          

 Learning Objectives:

  • To discover ways to improve cultural competency among clinicians working with Black women problem gamblers.
  • To promote understanding about intersectionality as a framework for research on Black women and problem gambling.
  • To develop a “toolbox” for recovery that meets the needs of Black women.
Massachusetts Technical Assistance Center (M-TAC): Infusing Innovation to Enhance Problem Gambling Treatment Capacity 

Debi LaPlante, PhD; Victor Ortiz; Heather M. Gray, PhD; Amanda Ayers

This workshop will highlight the Massachusetts Technical Assistance Center (M-TAC) development, approach, and initial implementation strategies. The MA Department of Public Health (DPH) Office of Problem Gambling Services has partnered with Health Resources in Action and the Division on Addiction at Cambridge Health Alliance to develop and implement M-TAC. M-TAC provides DPH-funded clinical and community-based substance use treatment programs with tailored training, technical assistance, and resources to build program capacity to address problem gambling and reduce health disparities. This session will describe the innovative work of M-TAC and the comprehensive, evidence-informed approach to increasing capacity around problem gambling treatment services.

Learning Objectives:

  • Describe the rationale for developing M-TAC.
  • Identify assessment strategies for determining baseline capacity-building needs. 
  • Describe evidence-informed comprehensive capacity-building solutions. 
  • Understand the importance of incorporating DEIJ principles into tailored capacity-building strategies. 
Treating Problem Gamblers & Partners Using A Polyvagal Theory (PVT) & Adaptive Information Processing (AIP) Informed Approach

Suzanne Koch Eckenrode, ICGC-II

In her 20-years of working with gamblers and their loved ones, Suzanne Koch Eckenrode has identified several emerging issues: crises, intense or cut off emotions, great financial insecurity, instability, powerful triggers, broken trust, poor coping, loss of connection to the body, intuition, and others. If clients’ nervous systems and defenses prevail, recovery will be hindered. Polyvagal Theory and Adaptive Information Processing are neuro-informed, cutting-edge clinical approaches that emphasize that the nervous system is always working towards health and wellness, survival, and adaptation. This presentation will demonstrate how using an integrative, evidence-based approach can help clients better navigate recovery and healing.

Learning Objectives:

  • Identify specific examples of the toll of gambling on the nervous system of gamblers and loved ones.  
  • Describe the three states of Polyvagal Theory and their application to treatment. 
  • Describe the integration of PVT and AIP within specific clinical tools and techniques.  
Beyond Loot Boxes: The Convergence of Gaming & Gambling

Jody Bechtold, ICGC-II, BACC; Stephanie Diez-Morel, PhD, ICGC-II, BACC

While much of the population can participate in these gambling and gaming activities without developing any issues, there is a small percentage of people who are unable to maintain responsible levels of play. The first step to helping is identifying the areas of convergence between gaming and gambling that go beyond loot boxes. During this workshop, participants will learn about the problems that may be associated with each, how elements of gambling can be found in gaming, how problems may develop and overlap, and what help is available for someone who is suffering from gambling disorder and gaming addiction.

Learning Objectives:

  • Learn about the convergence of gambling in gaming and how it impacts individuals and families. 
  • Review the biopsychosocial issues and beliefs associated with gaming, problematic gaming, and gaming disorder
  • Identify co-occurring mental health issues to screen at intake and provide measures and assessments to help identify problematic behaviors.
From Gambling 101 to Supervision and Fellowship Programs: Ohio’s Approach to Building Treatment Workforce

Michael Buzzelli; Cory Brown

This session will review Ohio’s systematic approach to building the infrastructure for gambling support services. Gambling Helpline operators are trained in problem gambling and suicide prevention on an annual basis to support the nearly 5,000 annual calls to the helpline. A key component of Ohio’s system is engagement with operators and regulators. Industry collaboration can be seen through each of Ohio’s casino and racino venues providing property tours for workforce professionals and industry participation at conferences and other events. PGNO provides ongoing opportunities to not only keep the workforce educated on problem gambling but also to build an engaged workforce.

Learning Objectives:

  • Discuss strategies in building a prepared and skilled workforce in the ever-progressing and evolving field of Gambling Disorder.  
  • Discuss the importance of continuous professional development opportunities to encourage expertise and skill-building.
  • Discuss the impact of quality collaboration across the continuum of care and with operation and regulation. 
Providing Evidence-Based and Current Treatment and Training: The Practice of Letting Go and Beginners Mind

Lori Rugle, PhD, ICGC-II, BACC; Wiley Harwell, ICGC-II

Staying satisfied with what is comfortable and familiar does not help us grow, learn, and change. Practicing letting go of our “oldies but goodies” and viewing our work from a beginner’s mind perspective is key to staying grounded in best practices and the most current knowledge in our field. This workshop will focus on how we can challenge ourselves and each other to release what may be idiosyncratic and/or outdated practices and information and to challenge ourselves to work on the edge of our comfort zones to provide the best practices and most current knowledge to those we serve.

Learning Objectives:

  • Discriminate anecdotal or idiosyncratic practices from evidence-based practices.
  • Learn strategies to practice beginners mind as an approach to incorporating new evidence-based practices into their work. 
  • Participants will be able to utilize strategies to stay current and evidence-based in their work. 
Exploring Differential Profiles of Mindfulness Among Gamblers

Jackie Stanmyre; Devin Mills, PhD; Wen Li Anthony, PhD; Lia Nower, PhD, JD

The present study investigated the five facets of mindfulness and nonattachment in individuals who gamble to identify latent profiles and explore descriptive differences in those profiles relative to etiological precursors to problem gambling. This study extends prior findings by clarifying nuances among specific profiles of mindfulness that could bear on levels of problem gambling severity. Across groups, mindfulness is a promising framework to guide investigations into prevention and intervention with individuals who experience gambling problems.

Learning Objectives:

  • Learn about recent research on differential mindfulness profiles among people who gamble, as well as differences across profiles of etiological precursors to problem gambling including gambling motivations and cognitions. 
  • Explore ways in which these findings may be translated into practice, particularly mindfulness-based interventions for problem gambling.
  • Examine common traits of those in the most maladaptive profile Judgmentally Unaware that are important for consideration in the development of comprehensive treatment efforts. 

Recovery & Community Track Session Abstracts

Hearing the Voices of Gambling Disorder

Marc Lefkowitz, ICGC-II; Members of the Recovery Committee

This workshop will provide sound bites and commentary from individuals with Gambling Disorders and concerned others. It will provide a unique experience of what Gambling Disorder looks and sounds like as it progresses through the stages of problem gambling. It will also illustrate how, with stakeholder involvement, and a myriad of recovery resources, the messages from these voices will evoke hope, rebuilding, and growth. 

Learning Objectives:

  • Through personal perspective sound bites, stakeholders will achieve a greater understanding of the idiosyncrasies of multiple problem gambling patterns.
  • Understand through the sound bites how the behaviors of persons with Gambling Disorder change over time as the problem progresses. 
  • To learn from concerned others how the behaviors of a person with a Gambling Disorder impact their lives. 
Harm Reduction – Embracing the Change One Case at a Time

Shirley Hoak, JD, ICGC-II

Unprecedented growth and expansion of gambling over the last few years, especially in sports gambling. has brought a new population of people seeking help and looking to reduce the harm caused by their gambling. Abstinence remains a necessary and critical path to recovery for some but not all. Harm Reduction requires treatment, recovery, prevention, and all fields in problem gambling to undergo a shift and develop a curiosity about whether reducing harm is a treatment outcome that providers and peer counselors can support and accept.

Learning Objectives:

  • Identify two benefits of Harm Reduction approaches in treatment.
  • Name two disadvantages of abstinence-only approaches.
  • Use 2 different self-assessment tools with their clients who may be interested in using the Harm Reduction approach to their gambling 
Inclusion of Gambling Awareness in Student News Program

Kaitlin Brown, ICGC-II, BACC; Kelly Leppard

The CT Council on Problem Gambling has collaborated with the Fox 61 Student News Program to include Gambling as a Co-Occurring issue as a category for student selection for the first time. Through this program, students can utilize information gained to highlight areas of interest including potential risk factors for developing a problem with gambling, educating the public on the warning signs of a problem developing particularly for youth, policies and responsible gambling efforts in our state to reduce harm to consumers, or interviews with people who have lived experience from gambling related problems to share stories of recovery.

Learning Objectives:

  • Discuss a new opportunity for education around gambling risks with students. 
  • Identify areas of concern in problem gambling from the youth perspective. 
  • Experience examples of student-created new reports and the impact they can have on the community. 
Learning Lessons? The British Experimentation with the Liberalization of Gambling

Heather Wardle, PhD

Great Britain has one of the most liberal regimes for gambling in the world, where both online gambling and a variety of land-based forms of gambling are available. This paper will draw out key lessons learned during Britain’s liberalization of gambling, focusing on the practices that drive the industry, the marketing and advertising environment that are a symptom of these models and the impact this has on behavior. By drawing parallels with states and jurisdictions that are just beginning their own process of liberalization, we will seek to learn lessons about what does and doesn’t work for gambling regulation.

Learning Objectives: 

  • Understand the impact of the liberalization of gambling in Britain. 
  • Explore the impact of gambling marketing and advertising on people. 
  • Examine how the gambling industry in Britain makes its profits.
Culture of Caring: A Tribal Values-Driven Responsible Gaming Program

Jennifer Shatley, PhD; Jacob Coin

For 25+ years, UNLV International Gaming Institute has provided research-based solutions, cutting-edge insights, and executive education to the gaming industry. In 2020, a $9M donation from the San Manuel Band of Mission Indians to UNLV was announced as a gift to develop education initiatives in the areas of tribal gaming operations and law. SMBMI partnered with UNLV’s IGI to develop a fully customized and innovative responsible gaming program that incorporates the input of Tribal leadership, executive management, team members, and guests to develop a responsible gaming program that will be the first of its kind in the world.

Learning Objectives:

  • Present the fundamentals/goals of designing and building a responsible gaming program on a 200-year-old foundation of cultural beliefs, values, and the mission of a Tribal nation that cares deeply for all people.
  • Reveal findings from the recently completed research and discovery process and share learnings that can impact other organizations looking to design a values-based prevention program 3. Share the process & plan to utilize the findings to develop the program, and the steps involved in the fundamentals/goals of designing and building a responsible gaming program on a 200-year-old foundation of cultural beliefs, values, and the mission of a Tribal nation that cares deeply for all people 2. Reveal findings from the recently completed research and discovery process and share learnings that can impact other organizations looking to design a values-based prevention program. 
  • Share the process & plan to utilize the findings to develop the program, and the steps involved.
Non-Anon: Recovery in the Public Eye

Kitty Martz; Christina Cook

Upon entering gambling recovery, Christina began producing and hosting “The Broke Girl Society”. This highly popular, woman-focused international podcast quickly became a platform to talk about her own recovery and created agency for other women to do the same. Almost a decade ago, Kitty’s recovery involved interviews with local and national media, participating in a documentary, testifying in front of legislators, and appearing in gambling treatment campaigns. This presentation is the story of two different women who have selected public paths of navigating recovery. They discuss how these choices relate to accountability, stigma, relapse, and their own sense of meaning.

Learning Objectives:

  • Analyze the unique strengths, weaknesses, opportunities, and threats to living a public recovery.  
  • Synthesize how a less traditional recovery path can be effective.
  • Obtain resources to augment recovery in modern times including digital media. 
Integrating Telephone Recovery Support into the Voluntary Self Exclusion Process in Massachusetts

Odessa Dwarika; Jodie Nealley

In 2011 the Massachusetts Expanded Gaming Act allowed for the development of casinos while building protections for people who gamble. These protections included Voluntary Self Exclusion Information Centers staffed by independent GameSense Advisors. GameSense Advisors offer referrals to treatment and self-help to those individuals making the decision to self-exclude. In June of 2019, the MACGH introduced Telephone Recovery Support (TRS). Recoverees are offered support, encouragement, and information about resources that may help them seek or maintain their recovery. MACGH began implementing an evaluation in 2021 to measure if TRS is an effective support for those who VSE for problematic gambling.

Learning Objectives:

  • Learn about TRS as a Recovery Support for Gambling Disorder and how it can be implemented/integrated as part of a VSE program. 
  • Identify the challenges and benefits of offering TRS for problem gambling in the context of VSE. 
  • Discuss the outcomes of 3 TRS participants who engaged in the program.
2021 Statewide Assessment of Gambling and Problem Gambling in Illinois

Hannah Carliner, PhD; Kellie Gage

In 2021, a mixed-methods assessment of gambling and problem gambling, including surveys of residents and frequent gamblers, focus groups, interviews, secondary data analysis, and reviews of best and emerging practices was conducted. This session will discuss how assessment findings can inform comprehensive statewide social determinants of health (SDoH) approach to problem gambling, given the recent expansion in gambling availability. 

Learning Objectives:

  • Describe the differences in the prevalence of problem gambling in different demographic groups, risk factors and correlates of problem gambling, and treatment-seeking behaviors of people with problem gambling.  
  • Consider how to approach problem gambling from social determinants of health perspective and the roles of different stakeholders in developing a comprehensive statewide action plan. 
  • Assess how to make data-informed decisions about public health planning for problem gambling, including initiatives related to prevention, identification and intervention, treatment, and recovery. 
Earned Media: How to Spotlight Your Program and Reach More Help Seekers

Sheila Moran, ICGC-I

Programs that provide problem gambling helpline, prevention, and treatment services must compete with the urgency of other public health issues to disseminate their message through the media. Many in the public still don’t believe gambling addiction is a “real” issue. A solution to this may include a dedicated campaign to generate free stories through earned media. We will talk about how to work with local outlets to generate stories that focus on problem gambling and show the audience that this is a serious disorder while highlighting the services your organization provides.

Learning Objectives:

  • Understand the value of earned media, both in terms of the monetary value and the effect on potential help seekers, those in recovery, and those who have not developed a gambling problem but benefit from the message about responsible gambling and prevention. 
  • Learn strategies for generating free television, radio, and newspaper stories. 
  • Learn the best phrases and language to use to generate stories, encourage those dealing with gambling addiction to seek help, and spread the message of gambling addiction prevention. 

Military Track Session Abstracts

Gambling Problems Among Veterans: Risks, Reach, and Revolution 

Nathan Smith, PhD; David Yeager

In this session, Dr. Smith will summarize the most recent research on gambling harm among US service members including risk and protective factors, prevalence and measurement issues, and a birds-eye view of the research field as it stands today. Dr. Smith will also present information from a new study of responsible gambling on military bases and will conclude by introducing “50x4Vets”, Kindbridge Research Institute’s new program to multiply the research produced on the topic.

Learning Objectives:

  • Understand the risk and protective factors associated with gambling harm for US service members. 
  • Understand the prevalence and measurement issues that impact how gambling disorder and gambling harm are understood in a military context.
  • Understand the implications of the new research presented on responsible gambling on military bases.   
The Impact Military Culture has on Problem Gambling Within the Military and Veteran Communities

Jonathan Crandall; David Yeager

Military culture is rich with tradition, a tradition that includes gambling. Gambling has been a part of today’s military since the civil war. At times, serving in the military can leave an individual struggling to cope. Understanding military culture from its indoctrination through one’s service will assist us in developing policy and education for the prevention of problem gambling behavior. To effectively treat problem gambling behavior among our military service members and veterans, stigma, a trait entrenched with the rich history of military service, must be addressed.

 Learning Objectives: 

  • A basic understanding of military culture.
  • How military culture can exacerbate problem gambling.
  • How to utilize key tenets of the warrior ethos to assist a service member or veteran struggling with problem gambling behavior. 
Impact Problem Gambling has on the Military Family & Loved Ones

David Yeager; Shawna Black; Brianne Doura-Schawohl; Rich Taylor; Amanda Winters

As a capstone to the military track of the 2022 NCPG Annual Conference, join us for an educational overview followed by a guided panel that will provide attendees with a broad understanding of the impact problem gambling has on the military family and loved ones.

Learning Objectives: 

  • A broad understanding of the current problem gambling situation within the military and veteran communities. 
  • Learn how the military family is impacted by a servicemember’s or veteran’s problem gambling behavior and be given resources that are available. 
  • Raise awareness of Operation Responsible Gambling website and the efforts of the Military Committee. 
Veteran Opportunities for Gambling Treatment – How Can I Connect Them?

Tammy Reiff, ICGC-II

Military Veterans suffer from problem gambling up to two times that of the civilian population. Additionally, Veterans with gambling issues have a higher rate of suicide than the civilian population. The VA is a complex healthcare system that can be overwhelming and intimidating at times. This presentation will help you learn how to identify problem gambling within this special population. You will learn how to assist your Veteran in navigating this complex system. Understanding the branches of the VA and “learning the lingo” can be very useful when assisting a Veteran to engage in treatment at the VA.

Learning Objectives:

  • Learn how to identify Veterans with problem gambling behaviors.
  • Learn how to help a Military Veteran client connect to their local VA System, understanding the difference between the branches of VA Care. 
  • Learn what gambling-related services are available for eligible Veterans. 
Creating National Awareness for Military Personnel & Veterans with Gambling Problems: Challenges & Opportunities

Rich Taylor; Kevin Wensing

Statistics about gambling addiction among military personnel and veterans are stark yet there is still not enough national attention to ensure that those who serve/served receive the resources they deserve to prevent and treat gambling addiction. NCPG Military Committee Chair Rich Taylor will interview retired US Navy Captain Kevin Wensing about his experience working with the Gary Sinise Foundation and USO to address Veterans’ health issues and the opportunities and challenges to raise the profile of problem gambling.

Learning Objectives:

  • Learn statistics about gambling addiction among military personnel and Veterans. 
  • Discuss the current state of resources for those who serve or have served to prevent and treat gambling addiction.  
  • Learn about successful strategies to increase awareness of Veterans’ health issues and the opportunities and challenges to raise the profile of problem gambling.

Responsible Gambling Track Session Abstracts

Legislating for the Future: NCLGS Responsible Gambling Resolution

Rep. Paul Tucker; Marlene Warner

The National Coalition of Legislators from Gaming States (NCLGS) is developing a resolution to help states develop their own robust responsible gambling guidelines. The resolution developed by the NCLGS Responsible Gambling Committee is designed to offer enough guidance for policymakers for legislation and regulation with enough space so that as technology and the field evolve this is still an appropriate and useful document.

Learning Objectives:

  • Review the responsible gambling resolution from the National Coalition of Legislators from Gaming States.
  • Discuss how the resolution will help states develop their own robust responsible gambling guidelines.  
  • Offer guidance to policymakers for responsible gambling legislation and regulation.
Beyond Just “What Good Looks Like”: A U.S. Operators’ Response

Chrissy Thurmond; Julie Hynes

In the responsible gaming space, what good looks like has tended to be viewed from the lens of following overseas operators, who often have seasoned and well-funded programs, bolstered with increasingly strict regulatory requirements. U.S. operators, however, are adjusting to new markets and jurisdictional distinctions that are unique to the U.S. landscape. In this workshop, we will discuss current opportunities and challenges in U.S. responsible gaming among online commercial operators, foundations of a systems-based program in this space, up-to-date examples and metrics of evidence-based programming in practice, and potential for cross-sector partnerships across various stakeholder groups.

Learning Objectives:

  • Identify at least three current and unique jurisdictional factors that distinguish United States responsible gaming programs from overseas operators. Describe a systems-based approach to online commercial gaming responsible gaming programming. 
  • Identify at least three evidence-based strategies currently being implemented among some U.S. operators.
  • Name at least two specific opportunities for partnership between industry and other sectors. 
Responsible Gambling Implications & Applications for Lotteries

Marlene Warner; Charles McIntyre; Chris Davis

Lotteries are still by far the form of gambling with the highest participation, making them a key stakeholder in responsible gambling. The New England region includes the oldest lottery as well as the lottery with the highest per capita sales. These very different lotteries face an array of challenges in social responsibility as they add online gambling and sports betting to traditional games but have developed innovative responses on a number of responsible gambling issues.    

Learning Objectives:

  • Learn the unique characteristics of New England lotteries.
  • Discuss social responsibility challenges presented by online gambling, sports betting and other developments.
  • Learn about the innovative responsible gambling programs these lotteries have put into place.
Best RG Practices for Tribal Operators in Internet-Based Gaming

Raquel Buari, JD

There are many variables that make the internet gaming space more susceptible to gambling addiction while at the same time being seemingly more difficult to recognize gambling addictions in the faceless patrons that the online platforms serve. To add to that, there can be nuances in the fact that tribal operators are licensed by and regulated by many for the first time – State Regulators, who may have the same or differing regulations. As this industry grows, we must proactively talk about our best practices to ensure that tribal operators remain at the forefront of responsible gaming practices.

Learning Objectives:

  • Discuss the landscape of tribal internet gaming and regulation and specifically regarding responsible gaming. Who regulates and what are some of the common regulatory requirements?  
  • How to implement the regulatory requirements and put in place measures to “flag” behaviors that may indicate problem gambling, and in some situations are you at the mercy of your platform provider to ensure compliance with your internal controls.
  • How to successfully implement a self-exclusion process for your internet gaming operation and should you, or should you not – coordinate that with your brick-and-mortar process.
Collaboration and Partnership: Expanding the Lens of Responsible Gambling

Victor Ortiz; Lorena Lama; Christian Teja 

Since 2016, the MA Department of Public Health Office of Problem Gambling Services (OPGS) has led a public health response to mitigate harm associated with gambling. An important element of these efforts is working in partnership and collaboration with multiple sectors. OPGS has established a formal collaboration with the Mass. State Lottery Commission to expand the lens of Responsible Gambling to include public health strategies to ensure reach and effectiveness. This workshop will provide a conceptional framework, goals, and initial outcomes of collaborative efforts including the annual holiday campaign, training for lottery staff, and promotion of state helpline services. 

Learning Objectives:

  • Identify key strategies for establishing collaboration and partnerships with the lottery industry sector. 
  • Identify key challenges and barriers. 
  • Identify resources. 
Asian Outreach: Inside the Casino & Outside in the Community

Linh Ho

Linh Ho, fluent in Vietnamese, leads the GameSense team’s outreach efforts to the Asian Community. He provides presentations to community organizations, attends events that are designed to appeal to the Asian community, tables and provides information at Asian retail centers, and even occasionally rides the bus back and forth between Chinatown and Encore Boston Harbor Casino. He leads efforts to develop and implement educational activities around Asian holidays and special events. Through these efforts, he has built extensive relationships with the Asian community. This has led to an enhanced understanding of healthy gambling behavior, as well as more voluntary self-exclusion.

Learning Objectives:

  • Learn about why Asian outreach around problem gambling and responsible gambling is important; how GameSense develops relationships with key staff inside of the casinos and community leaders outside of the casinos; and how they deliver RG and PG content in a way that is relevant, interesting, and understandable.
A Baseline Survey of Jackpot Winners at Three MGM Properties: A Study of Sustainability & Risk

Sasha Stark, PhD

Our understanding of jackpot winners is limited. This project focuses on identifying how jackpot winners are impacted by winning and by responsible gambling messaging. A key piece of this work involves developing and testing approaches to support players to use their wins in a sustainable way by maximizing the benefits and reducing the risks. We also seek to identify the impacts of winning over time. This presentation will review results from a review on winnersfocused research and a baseline survey completed by jackpot winners at 3 MGM properties. It will consider winners’ demographics, jackpot details, and gambling beliefs and behaviors.

 Learning Objectives 

  • Identify the gaps in existing research on winners. 
  • Appreciate the need and opportunity for responsible gambling messages with this audience. 
  • Understand who winners are, what their specific jackpot experiences are, and what their wider gambling behaviors and beliefs look like.
Responsible Gaming Features in a Growing Digital Environment

Jade Luchauer; Jesse Saccoccio

This session will explore responsible gaming in the age of digital from a technology supplier’s standpoint. IGT’s Director of Play Command will walk through the responsible gaming features available in iLottery from both the player and operator perspectives. Along with the Sr. Manager Global Sustainability, they will discuss the opportunities and challenges supplier’s face in delivering operator and player desires while remaining true to IGT’s commitment to responsible gaming. This includes changing corporate culture and building infrastructure to support informed and responsible play.

Learning Objectives:

  • Identify and understand limit setting and self-exclusion capabilities within iLottery.
  • Discuss the challenges and opportunities for informed play within the digital environment.
  • Understand how advancements in digital gaming have impacted IGT’s approach to responsible gaming.
Regulators Roundtable on Responsible Gambling

Jamie Hummingbird; Dan Hartman; David L. Rebuck, JD, Becky Harris; Cathy Judd-Stein

Learn from leading casino regulators how they are addressing the surge in sports betting advertising and how they balance revenue and responsibility. They will discuss the role of the regulation in responsible gambling as well as the opportunities and obligations regulators have regarding the data operators collect on players and how it may be used for responsible gambling. 

Learning Objectives:

  • Learn from leading casino regulators how they are addressing the surge in sports betting advertising and how they balance revenue and responsibility.
  • Discuss the role of the regulation in responsible gambling.
  • Learn about the opportunities and obligations regulators have regarding the data operators collect on players, and how it may be used for responsible gambling.
National Problem Gambling Helpline – Rejuvenating the System to Help Communities

Jaime Costello

Helplines are the core of addiction and mental health support services. They connect individuals with care, distribute resources, and educate callers. While the role of helplines hasn’t changed much in the last 30 years, the environment we’re working in is vastly different. Join NCPG in this session to explore the growth of the National Problem Gambling Helpline, the challenges faced by this and other helplines across the country, and what the future of helpline services looks like for problem gambling and other mental health conditions.

Learning Objectives:  

  • Describe the history of the National Problem Gambling Helpline.
  • Name two challenges faced by national helplines functioning
    in the current environment.
  • List two benefits of the National Problem Gambling Helpline
    Modernization Project.

Prevention Track Session Abstracts

CampusCents

James Syphax

CampusCENTS is an online, self-directed course developed by Prevention Action Alliance (formerly Drug-Free Action Alliance), funded by the Ohio Department of Mental Health and Addiction Services (OhioMHAS) with development overseen by Ohio’s collaborative, Ohio for Responsible Gambling made up of the Ohio Lottery, the Casino Control Commission, and the Ohio Racing Commission. The objective of the project is to promote responsible gambling by offering financial information, resources, support, and guidance to 18 25-year-olds.

Learning Objectives:

  • Share prevention resources with others focusing on the 18 – 25-year-old population.
  • Promote the prevention of problem gambling through financial literacy and education.  
  • Collaborate with others on the collection of data and review to establish CampusCENTS as a promising practice.
Adolescent Problem Gambling Prevention Curriculum in a Learning Management System

Alison Drain

The North Carolina Problem Gambling Program has been delivering Stacked Deck, a problem gambling prevention curriculum, to over 40 middle schools and high schools for years. However, 2019 also brought the pandemic and school closings. The prevention coordinator worked with a team to record all of the current Stacked Deck lessons and release them online. 240 students successfully completed the entire online program.

Learning Objectives:

  • Understand the steps and partnerships it takes to record and launch a prevention curriculum in a learning management system. 
  • Identify the impact a learning management system can have on the evaluation of problem gambling prevention curriculum.
  • Describe the importance of working with researchers to develop evaluation tools for problem gambling prevention curriculum. 
Engaging Prevention Professionals in a Treatment-Focused Fellowship Program

Cory Brown

Ohio has been at the forefront of gambling treatment workforce development innovation since 2016 when the Ohio Disordered Gambling Treatment Supervision Fellowship Program was created. The program’s original function was to build capacity around gambling treatment supervision in the state, but with few gambling counselors, the focus shifted to improving existing gambling treatment services, providing professional development for Fellows, and strengthening Ohio’s gambling treatment workforce. From 2016 to 2020, the Fellowship Program graduated 28 treatment professionals from
across Ohio.

Learning Objectives:

  • Learn the importance of problem gambling prevention in treatment-focused community health agencies.
  • Learn how problem gambling prevention professionals can improve problem identification, referral to treatment, and modalities at community health agencies.
  • Learn how to work with problem gambling treatment providers to improve the overall scope of services at community health agencies. 
No Need to Master Every Topic, But Master Collaboration!

Michael Buzzelli

As gambling and gaming continue to merge, we find ourselves with a growing need to collaborate with professionals who have expertise in special content areas and in niche fields. Collaboration is defined as “working with someone to produce or create something.” But is it really that simple? In this short presentation, the facilitator will use an example of NCPG Ohio and PA affiliates collaborating with a university, its faculty, and Esports researchers to deliver a robust and impactful program on gambling, gaming, and how to support a peer who may be struggling.

Learning Objectives:

  • Share strategies on increasing cross-sector and cross-affiliate collaboration.
  • Discuss the importance of collaborating with workforce professionals who hold certain specializations and expertise.
  • Highlight an example of a recent successful collaboration between NCPG Affiliates, Universities, and Esports Researchers to provide an addiction and mental health program to an academic Esports minor program. 
A D.I.Y. (Do It Yourself) Approach to Underage and Problem Gambling Awareness: Engaging Community Organizations through the Use of Toolkit Guides

Heather Eshleman

The Maryland Center of Excellence on Problem Gambling promotes monthly public health awareness campaigns. The Center maximizes outreach of underage and problem gambling awareness messaging for these campaigns by engaging with organizations to create and promote their own awareness messaging. The Center develops detailed  awareness toolkit guides which provide ready-made strategies and messages, and widely distributes these toolkits to organizations.

Learning Objectives:

  • Understand what monthly public health awareness campaigns can be connected to underage and problem gambling prevention and examples of these linkages. 
  • Learn about awareness strategies and messaging that can be included in a toolkit guide and review the importance of framing awareness messaging in a positive way by using a wellness perspective.  
  • Review Toolkit Guides developed by the Center for December, March, and May awareness campaigns and discuss tips on how to develop guides for engagement within your state. 
Gambling and Comorbidities

Mina Hazar; Adela Colhon

Co-Morbidity in disordered gambling is common and individuals who seek mental health or substance-use treatment often have a co-occurring gambling problem. Outcomes may be improved when separate treatment modalities for these disorders are offered in combination. It is increasingly important for prevention and education specialists to increase awareness about the matter so treatment providers and mental health practitioners screen individuals presenting with gambling problems for mental illnesses and substance use disorders. This presentation increases the awareness of the link between problem gambling and other related conditions (e.g., mental illness, substance use disorder) among service providers working with vulnerable populations.

Learning Objectives:

  • Increased awareness of the link between problem gambling and other related conditions. 
  • Increased integrated services for problem gambling treatment as opposed to separate treatment modalities.
  • Treatment providers and mental health practitioners screening individuals presenting with gambling problems for mental illnesses and substance use disorders and individuals with mental illness and substance use disorders screened for a range of nonsubstance problematic behaviors, including problem gambling, internet overuse, and excessive video game playing.
Prevention of Digital Addictions for Children Living with ADHD: A Care Giver’s Experience Unfolded

Alison Drain; Stephanie Diez-Morel, PhD, ICGC-II, BACC

Problematic Interactive Media Use (PIMU) includes problematic use of gaming, social media, pornography, and information seeking on the internet. A co-occurring disorder that presents with PIMU is attention deficit hyperactivity disorder (ADHD). Research indicates that children with Gaming Disorder (GD) consistently show symptoms associated with a diagnosis of ADHD. The presentation will include an understanding of how impulsivity and emotional dysregulation affect those living with ADHD and how these symptoms of ADHD are also risk factors for developing a behavioral addiction in the form of PIMU, Gaming Disorder, or Gambling Disorder.

Learning Objectives: 

  • Discuss some of the research that has been conducted on the effects that gaming, gambling, and digital platforms have on those living with ADHD.
  • Identify ADHD as a risk factor for PIMU, gaming disorder, and gambling disorder. 
  • Describe how caretakers must be engaged to reduce the risk factors associated with PIMU, gaming disorder, and gambling disorder utilizing prevention methods designed for those living with ADHD. 
The Blurred Lines of Gambling and Day Trading

Daniel Trolaro

Gambling traditionally involves three elements: prize, chance, and consideration. And while certain activities can be debated as to whether or not they constitute gambling, it is always important to address the mechanics, behaviors, and potential for harm. One such activity that has seen explosive growth is in the world of day trading. This workshop will provide a basic walkthrough into the world of investments and types of trading, explore the connection between day trading and gambling, and identify the warning signs and potential for harm.

Learning Objectives:

  • Identify the similarities and differences between gambling, speculation, and investment.
  • Learn about the shortening reward schedule among various types of activities.
  • Identify the various types of trading strategies and behaviors associated with each one.
Working in Diverse Communities

Maria Garner, ICGC-II; George Hicks; Danny Nam; Octavia Mercado; Abdallah Mobaideen; Ala Shaikhkhalil

Gambling issues are expressed differently in each culture. This session will take a team approach in addressing the need to build alliances in different communities in order to gain a better understanding of each to serve them more effectively. We will examine the concept of Culture humility, building on existing programs, and avoiding cultural arrogance. Finally, we will share the process and results from a joint effort between the Asian American Community Services, Maryhaven Gambling Intervention Program, Representative from Ohio in Arabic, and a representative from Mercardo inc. Panel format with Questions and Answer section included.

Learning Objectives:

  • Demonstrate that cultural humility is the key to serving diverse populations.
  • How to overcome barriers to cross-cultural work – NAMWM .
  • Report out of the diverse work examples: African American, Latinx, Asian American, and Middle Eastern Asian Communities. 
Impacts of COVID-19 on Problem Gambling Services: Findings from the 2021 NAADGS National Survey

Jeff Marotta, PhD, ICGC-II; Linda Graves, ICGC-II

Every three to five years the National Association of Administrators for Disordered Gambling Services (NAADGS) gathers information about problem gambling services in the United States. This surveillance effort takes the form of a state-by-state review of reports, government documents, and most importantly enlisting the help of key informants to provide detailed information. This presentation will describe what was discovered about problem gambling services in the U.S. in 2021, how the COVID-19 pandemic affected problem gambling services, with findings compared to previous survey years.

Learning Objectives:  

  • Understand how problem gambling services differ from state to state. 
  • Describe how COVID-19 impacted state-funded problem gambling services by understanding differences and similarities across states. 
  • Understand how state-funded problem gambling services in the U.S. has changed over the past 10 years. 
Conducting an Underage and Problem Gambling Prevention Needs Assessment

Heather Eshleman

Starting in 2019, the Maryland Center of Excellence on Problem Gambling Prevention Office developed a plan to conduct a prevention needs assessment. Focus groups and key interviews of target populations were conducted to assess the “why” of the public health problem of underage and problem gambling. This workshop will provide an overview of the process and tools needed to conduct an underage and problem gambling prevention needs assessment in a local jurisdiction or state. Preliminary results of the Maryland needs assessment will be presented as well as successes and challenges of conducting an underage and problem gambling prevention needs assessment.

Learning Objectives:

  • Learn to identify sources of gambling data in their state to compile a quantitative needs assessment. 
  • Understand data collection on key community contributing factors to underage and problem gambling by conducting focus groups and key interviews.
  • Identify the successes and challenges of conducting an underage and problem gambling prevention needs assessment in Maryland during COVID-19 and beyond. 
Unpacking the Root Causes of Problem Gambling in the Asian Community

Heang Rubin, PhD; Yoyo Yau; Mia Colby; Ben Hires

There are many causes of problem gambling in the Asian community, including poverty, social, and cultural loss due to immigration, and unhealthy stress relief. The current study sought to understand how problem gambling manifests in the Asian community and to understand whether existing programs, services, and interventions are adequately serving this immigrant community. This report provides an in-depth look at gambling’s negative impacts on family and community as it pertains specifically to the Asian community. This report also looks at the role of the casinos in exacerbating gambling in the Asian community and whether this community is being adequately served.

Learning Objectives:

  • Learn the root causes and unhealthy, pre-existing systemic conditions that can lead to this espoused form of entertainment turning into an addiction that hurts individuals, families, and the broader community. 
  • Explore the innovative and actionable key recommendations that inform decision-makers to act on these findings.
  • Gain knowledge on the importance of community research which is led by community organizations. 
Agility Grants: Innovation and Amplification in Gambling Prevention

Elizabeth Thielen; Wiley D. Harwell, DMin, ICGC-II; Tom Bartlett; Barbara Rollins

A strategic NCPG initiative funded by the National Football League Foundation, Agility Grants offer funding to nonprofit organizations across the country for problem gambling prevention programs. The goal of these grants is to fill in gaps for areas that currently have no such services, as well as bolster promising efforts in existing programs. Funding will support prevention programming innovation and amplification. Learn more about the Round 1 grantees and their programs. 

Learning Objectives: 

  • Learn about the Agility Grant program criteria and application process.
  • Discuss the scope and goal of the program to fill in gaps for areas that currently have no such services.
  • Meet the Round one grantees and learn about their problem gambling prevention programs. 
NGAGE 2.0 – Public Opinion and Implications for Prevention

Don Feeney

The National Survey of Gambling Attitudes and Gambling Experience – NGAGE 2.0 – examined public perceptions of gambling over the past 3 years as sports betting expanded nationwide. Join NGAGE Principal Researcher Don Feeney as he reviews the key findings of the NGAGE 2.0 survey, the current status of public opinion and implications for prevention.

Community Engagement: A Practical Guide to Inform Problem Gambling Prevention

Victor Ortiz; Heang Rubin, PhD; Yoyo Yau

Problem gambling is governed by a complex set of interrelating factors, causes, and determinants ranging from biology and family history to social norms and existing statutes. Research indicates that gambling is interrelated with various health issues and disproportionately impacts individuals with mental health disorders, substance misuse disorders and communities of color. Since 2016, the Office of Problem Gambling Services (OPGS) has implemented a social-ecological method to carry out a public health response to problem gambling. This workshop will feature the results of CommunityLevel Health Project-Everett: a comprehensive community engagement and empowerment effort to promote health and well-being.

Learning Objectives:

  • Identify key strategies for the implementation of community engagement to inform programs and services.
  • Identify strategies in building and promoting health equity.  
  • Identify resources to carry out a public health response to problem gambling.

Safer Sports Betting Track Session Abstracts

Sports Betting Integrity and Today’s Student Athlete

Daniel Trolaro

As sports wagering continues to expand across the country, it is important that education and prevention remain at the forefront of this rapid growth.  This workshop will explore the work that EPIC Risk Management is doing with the NCAA to educate and inform the student athlete around the risks of developing a gambling related problem while preserving the integrity of the game.​

Learning Objectives: 

  • Explain student athlete vulnerability to gambling.
  • Explore youth gambling exposure to gambling through randomized reward mechanisms (RRMs).
  • Discuss the successes and challenges of education programs to reduce student athlete risk.
Perspectives on the Impact of Sports Betting on Mind, Body and Brain

Tim Fong, MD

As sports betting expands rapidly throughout the United States, there are essential questions about how this impacts psychological, physical and social health. This workshop will explore and discuss how gambling advertising impacts gambling behavior, what impact sports betting may have on mental and physical well-being and the implications of a society embedded with instant and constant access to sports betting. Of particular interest is exploring how sports betting impacts individual mental and physical health as compared to other forms of gambling such as electronic gaming machines, table games or the lottery.

Learning Objectives:

  • List three ways that sports betting can impact individual physical or mental health.
  • Identify three ways that increased access to sports betting will impact public health.
  • Develop a prevention roadmap for minimizing increases in the prevalence of sports bettors with gambling disorders.
College Student Athletes’ Gambling Behaviors: A Look at Changes in Sports Wagering from 2004-2020

Jeffrey L. Derevensky, PhD

The National Collegiate Athletic Association has been collecting information on college student-athletes every four years, beginning in 2004. With the growing number of states permitting and regulating sports wagering there has been a general concern about youth problem gambling. In particular, a number of researchers have raised concerns about athletes’ sports wagering. This presentation will examine gambling behaviors and trends among college student-athletes. The most recent data from the 2020 cohort will be discussed along with specific recommendations for prevention and treatment. 

Learning Objectives:

  • Examine trends in college student gambling behaviors over the past 16 years.
  • Identify changes in sports wagering among college student-athletes.
  • Identify prevention and harm minimization strategies for college student-athletes. 
A Strategic Framework for Sports Wagering

Long Banh; Marlene Warner

The legalization of casinos and lotteries in the United States has boomed over the past 30 years. Now, with sports betting legalized in 30 states and many more poised to follow suit, a new wave of expansion is here. Presenters in this session will make the case that slim but convincing evidence necessitates a continued focus on public health strategies to minimize harm. However, these strategies need to be adaptable, span physical and digital space and require the cooperation of industry, regulators, and public health stakeholders. Specific responsible gaming strategies and research underpinnings will be shared.

Learning Objectives:

  • Understand the evolving landscape of gambling opportunities in the United States as it pertains to sports wagering.  
  • Connect evidence to a range of strategies.
  • Explore a rnge of strategies is necessary for an effective public health response. 
Sports Wagering and the Athletes

Jim Brown; John Parsons, PhD; Caryl Banks; Brianne Doura-Schawohl

Experts look at the impact of sports wagering on athletes. Athletes today face unprecedented stress and scrutiny related to gambling. Issues include athletic performance and mental health, social media, integrity, and gambling problems. 

 Learning Objectives:

  • Examine the impact of sports wagering on athletes.
  • Review impacts on athletes of stress, social media, and scrutiny related to gambling.
  • Discuss how gambling-related concerns may impact athletic performance and mental health, integrity, and gambling problems. 

Poster Session Abstracts

Greed in Relation to Problem Gambling: A Self-Determination Theory Perspective

Uibin Lee; Devin Mills, PhD; Kelly M. Chroback, PhD

Research on the psychology of greed (i.e., a strong materialistic desire) offers a novel construct that has not yet been explored in relation to problem gambling. The present study tested a conceptual model in which dispositional greed explains the association between controlled orientation and problem gambling severity. Participants were recruited via Amazon’s Mechanical Turk to complete an online survey. Consistent with the hypotheses, dispositional greed partially mediated the association between controlled orientation and problem gambling. These are the first findings to show a positive association between greed and problem gambling. Implications of these findings and future directions are discussed.

Learning Objectives:

  • Learn about the framework of self-determination theory.
  • Learn about the psychological conceptualization of greed.  
  • Learn about the implications for treating a greedy disposition within the context of problem gambling. 
GA Sponsorship and Psychotherapy Visits by Race/Ethnicity

Abraham Caballero

Gamblers Anonymous (GA) is a 12-step-based self-help program for individuals with gambling problems. When used in conjunction with psychotherapy, GA may help increase abstinence rates up to fourteen months after discharge from treatment. Relative to non-Latino Caucasians, psychotherapy utilization rates are lower for minority groups, particularly Latinos, and anecdotal reports suggest GA is also used less frequently. The current study explored the impact of GA engagement, defined as having a GA sponsor at intake or acquired during treatment, on participation in a state-funded gambling psychotherapy treatment program by race/ethnicity. Specifically, the study examined if GA engagement or race/ethnic group membership were related to the number of psychotherapy sessions attended. We then explored how the number of sessions attended correlated with treatment outcomes. The data for these analyses were from clients entering treatment between July 1st, 2017, and April 2nd, 2022, and included surveys from three-time points: intake, in-treatment, and end-of-treatment. A total of 2,776 records were included, of which 46% of clients were non-Latino Caucasian, 9% were African-American, 14% were Latino, 18% were API, and 13% were in the Other race/ethnicity category. Results indicated that most clients did not have a sponsor, but of those that did, non-Latino Whites had a higher percentage than the other race/ethnic groups. Having a GA sponsor during treatment was associated with an increase in the average number of sessions attended. Session attendance is important because it was associated with treatment outcomes such as reductions in depression and craving, as well as increased quality of life.

At-Risk and Problem Gambling Among Veterans with Serious Mental Illness

Joseph Deckro; Kendra Pugh

U.S. Veterans diagnosed with serious mental illness (SMI) are vulnerable to comorbid substance use disorders. Research suggests this group is susceptible to comorbid gambling problems, however, no data exists on the pervasiveness of gambling among Veterans with SMI. This study sought to identify prevalence data for problem gambling (PG) among Veterans with SMI and obtain information regarding gambling behaviors by Veterans with SMI. This study suggests that while estimated rates of gambling among Veterans with SMI are similar to Veterans receiving behavioral health services at Bedford VAMC, the consequences of gambling are more severe for Veterans with SMI.

Learning Objectives:

  • Identify prevalence data for the existence of at-risk and problem gambling among Veterans with serious mental illness (SMI) at a VA medical center.
  • Obtain information regarding the type and frequency of gambling behaviors by Veterans with SMI at a VA medical center.
  • Describe the sample of Veterans with SMI that exhibit at-risk and/or problem gambling behavior.
Problem Gambling and Gaming in the Hierarchical Structure of Psychopathology

Jeremie Richard

Research suggests that certain major mental disorders are likely to co-occur among adolescents. Confirmatory factor analysis was used to model how symptoms of disordered gambling and disordered gaming fit into the higher-order structure of psychopathology. Survey responses were collected from 6,580 high-school students. Measures included frequency of gambling, disordered gambling, frequency of video gaming, disordered gaming, depressive symptoms, anxious symptoms, aggressive symptoms, delinquency, and various substance use behaviors. Findings suggest that during adolescence, gambling problems are best classified and conceptualized in the realm of externalizing disorders, whereas gaming problems may share overlap with both externalizing and internalizing problems.

Learning Objectives:  

  • Understanding the overarching structure of psychopathology and how it applies to behavioral addictions.  
  • Understanding the classification of mental disorders and how this informs prevention and treatment.
  • Understanding the differences between problem gambling and problem gaming within the overarching structure of psychopathology. 
Eliciting Unique, Individualized Treatment Plans for Sports Bettors in Outpatient Treatment

Daniel Field; David Leong

Utilizing qualitative interviews with five young male problem sports bettors who meet at least five of nine diagnostic criteria for Gambling Disorder (DSM-V), this study looks at the crucial question of effective counseling techniques that result in a substantial reduction of problematic gambling behaviors in individuals who have received at least one-month outpatient treatment. The study will examine the implementation of individualized treatment planning in outpatient settings and how a “one-size fits all” approach to treatment is not generally as effective as a unique individualized approach that adjusts treatment goals to clients’ stated objectives.

Learning Objectives:

  • Demonstrate a more thorough understanding of which therapeutic factors and approaches facilitate successful outcomes for problem sports bettors in outpatient settings.
  • Delineate from problem sports bettors which adjunct interventions (notably GA Involvement, Conjoint Family Sessions) contribute to successful outcomes for problem sports bettors in outpatient settings. 
  • Examine and contrast various examples of individualized treatment planning for sports bettors who receive at least one month of outpatient treatment in California Gambling Education and Treatment Services Program. 
Reframing Recovery: Realigning the Message to Reach the Right Audience

Vena Schexnayder

The recovery community is constantly evolving and requires strategic communications and updated resources. Mental health agencies and government organizations must understand the power of social media and various strategies to connect to the recovery community properly. This presentation aims to understand how to reframe the messaging of responsible play and gaming. First, a case study is presented, followed by a review of the strategy and analysis of the ARPG Council organization’s social media to reach the evolving recovery community. The case study results reveal the different techniques that help build and maintain strategic relationships with community stakeholders.

Learning Objectives:

  • Setting Strategic Goals: Learn how to design the steps to create positive communications and resources for the recovery community. 
  • Define the Audience: Learn how to identify the changing needs of your audience to make marketing materials that speak directly to the recovery community.
  • Reaching out to Resources: Learn how to identify out-of-the-box community partners to help strengthen resources. 
Patterns of Community Gambling on Lottery by Zip-Code in Massachusetts

Kendra Pugh

Problem gambling (PG) can have devastating impacts on the gambler and the community. Evidence shows that those that live close to gambling venues, and/or in areas with a high concentration of gambling availability are at greater risk of developing a gambling problem. This presentation will explore the relationship between lottery gambling in Massachusetts and the zip-code where gambling occurs. Knowledge of where the at-risk locations for PG are concentrated and the general status of their circumstances is important to identify where public health resources and interventions are needed.

Learning Objectives: 

  • Critically evaluate factors and conditions related to matters of problem gambling and responsible gambling. 
  • Gain knowledge on problem gambling from a public health perspective on prevention, community, and resources for treatment. 
  • Discover methods and information that will help to improve community health and wellness by identifying and targeting at-risk communities with problem gambling treatment and prevention funding. 
National Problem Gambling Helpline – Solving the Puzzle of Modernization

Jaime Costello

As the National Council on Problem Gambling launches its modernization of the National Problem Gambling Helpline, many questions come to the surface. What exactly does “modernization” mean? Why is the project happening? What does this project mean for state affiliates and call centers? Visit our poster session during the National Conference on Gambling Addiction & Responsible Gambling 2022 to see an illustration of the full Modernization Project process. Staff will be on hand during each poster session timeslot to shed light on everything related to the National Problem Gambling Helpline Modernization Project.

Learning Objectives:

  • Discuss the need for modernization of the National Problem Gambling Helpline
  • Recall the overarching goals of the National Problem Gambling Helpline Modernization Project
  • Articulate the foundational pieces of the National Problem Gambling Helpline Modernization Project