Jody Bechtold, Alyssa Wilson
The Gambling Disorder Treatment Handbook
A Guide for Mental Health Professionals
Jody Bechtold, Alyssa Wilson
The Gambling Disorder Treatment Handbook
A Guide for Mental Health Professionals
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This is a resource-rich book with a diverse range of treatment methods and guidance on how to effectively treat gambling disorder. It is an invaluable resource for any therapist working with clients who have a gambling disorder looking to understand how they can facilitate long-term, intersectional and sustainable healing.
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This is a resource-rich book with a diverse range of treatment methods and guidance on how to effectively treat gambling disorder. It is an invaluable resource for any therapist working with clients who have a gambling disorder looking to understand how they can facilitate long-term, intersectional and sustainable healing.
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Hinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.
Produktdetails
- Produktdetails
- Verlag: Jessica Kingsley Publishers
- Seitenzahl: 224
- Erscheinungstermin: 18. März 2021
- Englisch
- Abmessung: 229mm x 152mm x 18mm
- Gewicht: 340g
- ISBN-13: 9781787755529
- ISBN-10: 1787755525
- Artikelnr.: 60403065
- Herstellerkennzeichnung
- Libri GmbH
- Europaallee 1
- 36244 Bad Hersfeld
- 06621 890
- Verlag: Jessica Kingsley Publishers
- Seitenzahl: 224
- Erscheinungstermin: 18. März 2021
- Englisch
- Abmessung: 229mm x 152mm x 18mm
- Gewicht: 340g
- ISBN-13: 9781787755529
- ISBN-10: 1787755525
- Artikelnr.: 60403065
- Herstellerkennzeichnung
- Libri GmbH
- Europaallee 1
- 36244 Bad Hersfeld
- 06621 890
Jody Bechtold and Alyssa Wilson
CHAPTER 1: GAMBLING IS EVERYWHERE, (and it doesn't appear to be going away
anytime soon) 11
Global Gambling
Market...................................................................................................
12
Gambling Expansion and New
Horizons..........................................................................
14
Online and Internet
Gambling...........................................................................................
15
Social
Gaming....................................................................................................................
17
Sports
Betting.....................................................................................................................
20
Consumer Protections and Harm Minimization to Promote Safe Gambling
Use......... 22
Self-Exclusion....................................................................................................................
23
Game Features and Structural
Characteristics...................................................................
24
Gambling Behavior
Characteristics...................................................................................
26
Setting
Limits.....................................................................................................................
27
Training Employees who Interact with
Gamblers.............................................................. 28
CHAPTER 2: Understanding Gambling Disorder: Pathways towards Etiology,
Prevalence, and Comorbid Determinants of Health 30
Etiological Predictors and Risk Factors for Developing Gambling
Disorder................ 32
Biological/Neurological
Implications................................................................................
34
Psychological
Implications................................................................................................
37
Social-Cultural
Implications..............................................................................................
38
Spiritual
Implications.........................................................................................................
41
Pathways Model of Problem
Gambling.............................................................................
43
Considerations for Special Populations and
Gambling.................................................... 48
Adolescents.........................................................................................................................
48
Older
Adults.......................................................................................................................
49
Diverse
Communities.........................................................................................................
50
Military...............................................................................................................................
51
Trauma and Survivors
Issues.............................................................................................
52
Co-Occurring
Disorders.....................................................................................................
53
CHAPTER 3: Models of
Intervention...................................................................................
55
Transtheoretical
Model.......................................................................................................
56
Treatment Approaches and Stance of
Therapy................................................................ 58
Cognitive
Therapy.............................................................................................................
58
Behavior
Therapy..............................................................................................................
59
Cognitive-Behavior
Therapy.............................................................................................
59
Third-Wave Behavior
Therapy..........................................................................................
61
Motivational
Interviewing.................................................................................................
63
Pharmacological
Therapy..................................................................................................
65
Treatment Considerations: Modality, Duration, and Targeting
Relapse....................... 66
Online
Modalities..............................................................................................................
67
Brief
Treatment..................................................................................................................
68
Relapse
Prevention.............................................................................................................
69
CHAPTER 4: Models of Intervention
Applied.....................................................................
71
Closing the
Doors.................................................................................................................
73
Addressing Gambling
Symptoms.......................................................................................
77
Cognitive
Distortions.........................................................................................................
77
Habituation.........................................................................................................................
78
Chasing Losses and
Wins...................................................................................................
82
Session
Considerations.........................................................................................................
83
Treatment
Selection............................................................................................................
83
Mindfulness in
Session.......................................................................................................
84
Relapse
Prevention.............................................................................................................
85
Terminating Therapeutic
Relationship...............................................................................
88
CHAPTER 5: Where to Start and What to Ask in the
Beginning...................................... 90
Gambling Screens, Assessments, and Diagnostic
Tools.................................................... 90
Lie-Bet
Questionnaire........................................................................................................
91
Brief Biosocial Gambling Screen
(BBGS)........................................................................
91
GBIRT................................................................................................................................
92
Gatekeeper
Question..........................................................................................................
92
Simply Asking Open-Ended Questions (Fun
Assessment)............................................... 94
Diagnostic Statistical Manual-5
(DSM-5).........................................................................
95
International Statistical Classification of Diseases and Related Health
Problems (ICD-10)96
South Oaks Gambling Screen
(SOGS)..............................................................................
97
Problem Gambling Severity Index
(PGSI)........................................................................
97
Gambling Pathways Questionnaire
(GPQ)........................................................................
97
Gambling Functional Assessment II
(GFA-II)..................................................................
98
The Chicken or the Egg: Which Came
First....................................................................
98
Depression and
Anxiety.....................................................................................................
98
Traumatic Brain Injuries
(TBI)..........................................................................................
99
Drugs, Alcohol, Nicotine/Tobacco and
Cannabis............................................................ 100
Suicide Risk
Assessment.................................................................................................
101
Gambling Problem or Gambling
Solution......................................................................
101
Closing the
Doors............................................................................................................
102
It's a Control
Thing..........................................................................................................
103
Creating a Safe
Place.......................................................................................................
103
The First Few
Sessions......................................................................................................
104
Where to Start and What to
Ask......................................................................................
104
Presence of Suicidal
Ideation...........................................................................................
105
Motivation and Consequences of
Gambling....................................................................
105
Games/Gambling.............................................................................................................
106
Development of Gambling
Habits...................................................................................
106
Current Gambling
Problem..............................................................................................
106
DSM-5 Diagnostic Criteria and Other
Assessments........................................................ 106
Finances...........................................................................................................................
107
Current Living
Conditions...............................................................................................
107
Other Compulsive or Addictive
Behaviors......................................................................
107
Prior Mental Health and Health
Problems.......................................................................
108
Personal Strengths and
Resources....................................................................................
109
Steps Taken Prior to Seeking
Treatment..........................................................................
109
Summary of Initial
Recommendations.............................................................................
109
Clinical
Impressions.........................................................................................................
110
Gambling Bio-Psycho-Social-Spiritual
Evaluation......................................................... 112
Chapter 6: Harm Reduction Approaches Across the
Continuum.................................... 123
Harm Reduction to Self-Exclusion: A Shared
Continuum............................................ 124
Using Harm Reduction with
Clients................................................................................
125
10 Rules of Responsible
Gambling...................................................................................
127
Using Harm Reduction with Specific
Populations......................................................... 131
Self-Exclusion as Harm
Reduction...................................................................................
134
Case Examples of Harm Reduction on a
Continuum..................................................... 137
Case 1:
Susan......................................................................................................................
137
Case 2:
Joe..........................................................................................................................
138
Chapter 7: On
Finances........................................................................................................
140
Real Money and Gambling
Money...................................................................................
141
Why Bankruptcy Is Not an
Option..................................................................................
141
Money
Protection...............................................................................................................
143
Financial Inventory for Restitution
Plan.........................................................................
144
Clarifying Debt and
Expenses..........................................................................................
144
Debt Repayment / Financial Restitution
Plan................................................................... 146
Involving Family
Member.................................................................................................
147
Asset Protection Plan for Partner/Spouse and
Children................................................ 148
Case Examples for Implementing Finance
Strategies.................................................... 151
Case 1:
Eva.........................................................................................................................
151
Case 2:
Noah.......................................................................................................................
153
CHAPTER 8: Family
Involvement......................................................................................
155
Family Systems Theory
Review........................................................................................
155
First and Second Order
Change.......................................................................................
156
Provide Education About
Suicide....................................................................................
159
Provide Education About Gambling
Disorder.................................................................
159
Working with the Family : Spouse/Partner and
Gambler............................................. 163
Working With the Family : Family
Only........................................................................
165
Protect Family Member's Financial
Assets.....................................................................
165
Core areas of
conflict.......................................................................................................
166
Enabling as a form of
bailout...........................................................................................
167
Setting limits and
boundaries...........................................................................................
167
Trust, anger/love,
confidence...........................................................................................
167
Expectations of new
lifestyle...........................................................................................
168
Working with the Family: Parents and the (Adult)
Gambler........................................ 168
Working with the Family : Parents and (Adolescent)
Gambler.................................... 169
Working with the Family : Final Stage of
therapy.......................................................... 171
CHAPTER 9: Self-Help and Peer
Supports........................................................................
173
Self-Help
Programs............................................................................................................
173
12-Step
Programs...............................................................................................................
174
Gamblers
Anonymous......................................................................................................
174
Celebrate
Recovery............................................................................................................
176
SMART
Recovery...............................................................................................................
177
Peer
Supports......................................................................................................................
177
Having the
Conversation...................................................................................................
179
Understanding the Younger
Generations.........................................................................
180
Other Online
Supports.....................................................................................................
180
CHAPTER 10: Gambling and the
Law...............................................................................
182
Gambler or Criminal
Profile.............................................................................................
183
Legal Involvement: Before &
During...............................................................................
185
The 5 Rs' of Treatment and
Documentation....................................................................
186
Act As If You Are Already in Front of the
Judge............................................................ 188
Clinical Report
Sections.....................................................................................................
189
Legal Involvement:
After...................................................................................................
193
Providing Expert
Testimony..............................................................................................
194
Example Report Evaluation to inform and educate
sentencing.................................... 195
Full Report to an attorney on behalf of your client -
example....................................... 203
REFERENCES 206
anytime soon) 11
Global Gambling
Market...................................................................................................
12
Gambling Expansion and New
Horizons..........................................................................
14
Online and Internet
Gambling...........................................................................................
15
Social
Gaming....................................................................................................................
17
Sports
Betting.....................................................................................................................
20
Consumer Protections and Harm Minimization to Promote Safe Gambling
Use......... 22
Self-Exclusion....................................................................................................................
23
Game Features and Structural
Characteristics...................................................................
24
Gambling Behavior
Characteristics...................................................................................
26
Setting
Limits.....................................................................................................................
27
Training Employees who Interact with
Gamblers.............................................................. 28
CHAPTER 2: Understanding Gambling Disorder: Pathways towards Etiology,
Prevalence, and Comorbid Determinants of Health 30
Etiological Predictors and Risk Factors for Developing Gambling
Disorder................ 32
Biological/Neurological
Implications................................................................................
34
Psychological
Implications................................................................................................
37
Social-Cultural
Implications..............................................................................................
38
Spiritual
Implications.........................................................................................................
41
Pathways Model of Problem
Gambling.............................................................................
43
Considerations for Special Populations and
Gambling.................................................... 48
Adolescents.........................................................................................................................
48
Older
Adults.......................................................................................................................
49
Diverse
Communities.........................................................................................................
50
Military...............................................................................................................................
51
Trauma and Survivors
Issues.............................................................................................
52
Co-Occurring
Disorders.....................................................................................................
53
CHAPTER 3: Models of
Intervention...................................................................................
55
Transtheoretical
Model.......................................................................................................
56
Treatment Approaches and Stance of
Therapy................................................................ 58
Cognitive
Therapy.............................................................................................................
58
Behavior
Therapy..............................................................................................................
59
Cognitive-Behavior
Therapy.............................................................................................
59
Third-Wave Behavior
Therapy..........................................................................................
61
Motivational
Interviewing.................................................................................................
63
Pharmacological
Therapy..................................................................................................
65
Treatment Considerations: Modality, Duration, and Targeting
Relapse....................... 66
Online
Modalities..............................................................................................................
67
Brief
Treatment..................................................................................................................
68
Relapse
Prevention.............................................................................................................
69
CHAPTER 4: Models of Intervention
Applied.....................................................................
71
Closing the
Doors.................................................................................................................
73
Addressing Gambling
Symptoms.......................................................................................
77
Cognitive
Distortions.........................................................................................................
77
Habituation.........................................................................................................................
78
Chasing Losses and
Wins...................................................................................................
82
Session
Considerations.........................................................................................................
83
Treatment
Selection............................................................................................................
83
Mindfulness in
Session.......................................................................................................
84
Relapse
Prevention.............................................................................................................
85
Terminating Therapeutic
Relationship...............................................................................
88
CHAPTER 5: Where to Start and What to Ask in the
Beginning...................................... 90
Gambling Screens, Assessments, and Diagnostic
Tools.................................................... 90
Lie-Bet
Questionnaire........................................................................................................
91
Brief Biosocial Gambling Screen
(BBGS)........................................................................
91
GBIRT................................................................................................................................
92
Gatekeeper
Question..........................................................................................................
92
Simply Asking Open-Ended Questions (Fun
Assessment)............................................... 94
Diagnostic Statistical Manual-5
(DSM-5).........................................................................
95
International Statistical Classification of Diseases and Related Health
Problems (ICD-10)96
South Oaks Gambling Screen
(SOGS)..............................................................................
97
Problem Gambling Severity Index
(PGSI)........................................................................
97
Gambling Pathways Questionnaire
(GPQ)........................................................................
97
Gambling Functional Assessment II
(GFA-II)..................................................................
98
The Chicken or the Egg: Which Came
First....................................................................
98
Depression and
Anxiety.....................................................................................................
98
Traumatic Brain Injuries
(TBI)..........................................................................................
99
Drugs, Alcohol, Nicotine/Tobacco and
Cannabis............................................................ 100
Suicide Risk
Assessment.................................................................................................
101
Gambling Problem or Gambling
Solution......................................................................
101
Closing the
Doors............................................................................................................
102
It's a Control
Thing..........................................................................................................
103
Creating a Safe
Place.......................................................................................................
103
The First Few
Sessions......................................................................................................
104
Where to Start and What to
Ask......................................................................................
104
Presence of Suicidal
Ideation...........................................................................................
105
Motivation and Consequences of
Gambling....................................................................
105
Games/Gambling.............................................................................................................
106
Development of Gambling
Habits...................................................................................
106
Current Gambling
Problem..............................................................................................
106
DSM-5 Diagnostic Criteria and Other
Assessments........................................................ 106
Finances...........................................................................................................................
107
Current Living
Conditions...............................................................................................
107
Other Compulsive or Addictive
Behaviors......................................................................
107
Prior Mental Health and Health
Problems.......................................................................
108
Personal Strengths and
Resources....................................................................................
109
Steps Taken Prior to Seeking
Treatment..........................................................................
109
Summary of Initial
Recommendations.............................................................................
109
Clinical
Impressions.........................................................................................................
110
Gambling Bio-Psycho-Social-Spiritual
Evaluation......................................................... 112
Chapter 6: Harm Reduction Approaches Across the
Continuum.................................... 123
Harm Reduction to Self-Exclusion: A Shared
Continuum............................................ 124
Using Harm Reduction with
Clients................................................................................
125
10 Rules of Responsible
Gambling...................................................................................
127
Using Harm Reduction with Specific
Populations......................................................... 131
Self-Exclusion as Harm
Reduction...................................................................................
134
Case Examples of Harm Reduction on a
Continuum..................................................... 137
Case 1:
Susan......................................................................................................................
137
Case 2:
Joe..........................................................................................................................
138
Chapter 7: On
Finances........................................................................................................
140
Real Money and Gambling
Money...................................................................................
141
Why Bankruptcy Is Not an
Option..................................................................................
141
Money
Protection...............................................................................................................
143
Financial Inventory for Restitution
Plan.........................................................................
144
Clarifying Debt and
Expenses..........................................................................................
144
Debt Repayment / Financial Restitution
Plan................................................................... 146
Involving Family
Member.................................................................................................
147
Asset Protection Plan for Partner/Spouse and
Children................................................ 148
Case Examples for Implementing Finance
Strategies.................................................... 151
Case 1:
Eva.........................................................................................................................
151
Case 2:
Noah.......................................................................................................................
153
CHAPTER 8: Family
Involvement......................................................................................
155
Family Systems Theory
Review........................................................................................
155
First and Second Order
Change.......................................................................................
156
Provide Education About
Suicide....................................................................................
159
Provide Education About Gambling
Disorder.................................................................
159
Working with the Family : Spouse/Partner and
Gambler............................................. 163
Working With the Family : Family
Only........................................................................
165
Protect Family Member's Financial
Assets.....................................................................
165
Core areas of
conflict.......................................................................................................
166
Enabling as a form of
bailout...........................................................................................
167
Setting limits and
boundaries...........................................................................................
167
Trust, anger/love,
confidence...........................................................................................
167
Expectations of new
lifestyle...........................................................................................
168
Working with the Family: Parents and the (Adult)
Gambler........................................ 168
Working with the Family : Parents and (Adolescent)
Gambler.................................... 169
Working with the Family : Final Stage of
therapy.......................................................... 171
CHAPTER 9: Self-Help and Peer
Supports........................................................................
173
Self-Help
Programs............................................................................................................
173
12-Step
Programs...............................................................................................................
174
Gamblers
Anonymous......................................................................................................
174
Celebrate
Recovery............................................................................................................
176
SMART
Recovery...............................................................................................................
177
Peer
Supports......................................................................................................................
177
Having the
Conversation...................................................................................................
179
Understanding the Younger
Generations.........................................................................
180
Other Online
Supports.....................................................................................................
180
CHAPTER 10: Gambling and the
Law...............................................................................
182
Gambler or Criminal
Profile.............................................................................................
183
Legal Involvement: Before &
During...............................................................................
185
The 5 Rs' of Treatment and
Documentation....................................................................
186
Act As If You Are Already in Front of the
Judge............................................................ 188
Clinical Report
Sections.....................................................................................................
189
Legal Involvement:
After...................................................................................................
193
Providing Expert
Testimony..............................................................................................
194
Example Report Evaluation to inform and educate
sentencing.................................... 195
Full Report to an attorney on behalf of your client -
example....................................... 203
REFERENCES 206
CHAPTER 1: GAMBLING IS EVERYWHERE, (and it doesn't appear to be going away
anytime soon) 11
Global Gambling
Market...................................................................................................
12
Gambling Expansion and New
Horizons..........................................................................
14
Online and Internet
Gambling...........................................................................................
15
Social
Gaming....................................................................................................................
17
Sports
Betting.....................................................................................................................
20
Consumer Protections and Harm Minimization to Promote Safe Gambling
Use......... 22
Self-Exclusion....................................................................................................................
23
Game Features and Structural
Characteristics...................................................................
24
Gambling Behavior
Characteristics...................................................................................
26
Setting
Limits.....................................................................................................................
27
Training Employees who Interact with
Gamblers.............................................................. 28
CHAPTER 2: Understanding Gambling Disorder: Pathways towards Etiology,
Prevalence, and Comorbid Determinants of Health 30
Etiological Predictors and Risk Factors for Developing Gambling
Disorder................ 32
Biological/Neurological
Implications................................................................................
34
Psychological
Implications................................................................................................
37
Social-Cultural
Implications..............................................................................................
38
Spiritual
Implications.........................................................................................................
41
Pathways Model of Problem
Gambling.............................................................................
43
Considerations for Special Populations and
Gambling.................................................... 48
Adolescents.........................................................................................................................
48
Older
Adults.......................................................................................................................
49
Diverse
Communities.........................................................................................................
50
Military...............................................................................................................................
51
Trauma and Survivors
Issues.............................................................................................
52
Co-Occurring
Disorders.....................................................................................................
53
CHAPTER 3: Models of
Intervention...................................................................................
55
Transtheoretical
Model.......................................................................................................
56
Treatment Approaches and Stance of
Therapy................................................................ 58
Cognitive
Therapy.............................................................................................................
58
Behavior
Therapy..............................................................................................................
59
Cognitive-Behavior
Therapy.............................................................................................
59
Third-Wave Behavior
Therapy..........................................................................................
61
Motivational
Interviewing.................................................................................................
63
Pharmacological
Therapy..................................................................................................
65
Treatment Considerations: Modality, Duration, and Targeting
Relapse....................... 66
Online
Modalities..............................................................................................................
67
Brief
Treatment..................................................................................................................
68
Relapse
Prevention.............................................................................................................
69
CHAPTER 4: Models of Intervention
Applied.....................................................................
71
Closing the
Doors.................................................................................................................
73
Addressing Gambling
Symptoms.......................................................................................
77
Cognitive
Distortions.........................................................................................................
77
Habituation.........................................................................................................................
78
Chasing Losses and
Wins...................................................................................................
82
Session
Considerations.........................................................................................................
83
Treatment
Selection............................................................................................................
83
Mindfulness in
Session.......................................................................................................
84
Relapse
Prevention.............................................................................................................
85
Terminating Therapeutic
Relationship...............................................................................
88
CHAPTER 5: Where to Start and What to Ask in the
Beginning...................................... 90
Gambling Screens, Assessments, and Diagnostic
Tools.................................................... 90
Lie-Bet
Questionnaire........................................................................................................
91
Brief Biosocial Gambling Screen
(BBGS)........................................................................
91
GBIRT................................................................................................................................
92
Gatekeeper
Question..........................................................................................................
92
Simply Asking Open-Ended Questions (Fun
Assessment)............................................... 94
Diagnostic Statistical Manual-5
(DSM-5).........................................................................
95
International Statistical Classification of Diseases and Related Health
Problems (ICD-10)96
South Oaks Gambling Screen
(SOGS)..............................................................................
97
Problem Gambling Severity Index
(PGSI)........................................................................
97
Gambling Pathways Questionnaire
(GPQ)........................................................................
97
Gambling Functional Assessment II
(GFA-II)..................................................................
98
The Chicken or the Egg: Which Came
First....................................................................
98
Depression and
Anxiety.....................................................................................................
98
Traumatic Brain Injuries
(TBI)..........................................................................................
99
Drugs, Alcohol, Nicotine/Tobacco and
Cannabis............................................................ 100
Suicide Risk
Assessment.................................................................................................
101
Gambling Problem or Gambling
Solution......................................................................
101
Closing the
Doors............................................................................................................
102
It's a Control
Thing..........................................................................................................
103
Creating a Safe
Place.......................................................................................................
103
The First Few
Sessions......................................................................................................
104
Where to Start and What to
Ask......................................................................................
104
Presence of Suicidal
Ideation...........................................................................................
105
Motivation and Consequences of
Gambling....................................................................
105
Games/Gambling.............................................................................................................
106
Development of Gambling
Habits...................................................................................
106
Current Gambling
Problem..............................................................................................
106
DSM-5 Diagnostic Criteria and Other
Assessments........................................................ 106
Finances...........................................................................................................................
107
Current Living
Conditions...............................................................................................
107
Other Compulsive or Addictive
Behaviors......................................................................
107
Prior Mental Health and Health
Problems.......................................................................
108
Personal Strengths and
Resources....................................................................................
109
Steps Taken Prior to Seeking
Treatment..........................................................................
109
Summary of Initial
Recommendations.............................................................................
109
Clinical
Impressions.........................................................................................................
110
Gambling Bio-Psycho-Social-Spiritual
Evaluation......................................................... 112
Chapter 6: Harm Reduction Approaches Across the
Continuum.................................... 123
Harm Reduction to Self-Exclusion: A Shared
Continuum............................................ 124
Using Harm Reduction with
Clients................................................................................
125
10 Rules of Responsible
Gambling...................................................................................
127
Using Harm Reduction with Specific
Populations......................................................... 131
Self-Exclusion as Harm
Reduction...................................................................................
134
Case Examples of Harm Reduction on a
Continuum..................................................... 137
Case 1:
Susan......................................................................................................................
137
Case 2:
Joe..........................................................................................................................
138
Chapter 7: On
Finances........................................................................................................
140
Real Money and Gambling
Money...................................................................................
141
Why Bankruptcy Is Not an
Option..................................................................................
141
Money
Protection...............................................................................................................
143
Financial Inventory for Restitution
Plan.........................................................................
144
Clarifying Debt and
Expenses..........................................................................................
144
Debt Repayment / Financial Restitution
Plan................................................................... 146
Involving Family
Member.................................................................................................
147
Asset Protection Plan for Partner/Spouse and
Children................................................ 148
Case Examples for Implementing Finance
Strategies.................................................... 151
Case 1:
Eva.........................................................................................................................
151
Case 2:
Noah.......................................................................................................................
153
CHAPTER 8: Family
Involvement......................................................................................
155
Family Systems Theory
Review........................................................................................
155
First and Second Order
Change.......................................................................................
156
Provide Education About
Suicide....................................................................................
159
Provide Education About Gambling
Disorder.................................................................
159
Working with the Family : Spouse/Partner and
Gambler............................................. 163
Working With the Family : Family
Only........................................................................
165
Protect Family Member's Financial
Assets.....................................................................
165
Core areas of
conflict.......................................................................................................
166
Enabling as a form of
bailout...........................................................................................
167
Setting limits and
boundaries...........................................................................................
167
Trust, anger/love,
confidence...........................................................................................
167
Expectations of new
lifestyle...........................................................................................
168
Working with the Family: Parents and the (Adult)
Gambler........................................ 168
Working with the Family : Parents and (Adolescent)
Gambler.................................... 169
Working with the Family : Final Stage of
therapy.......................................................... 171
CHAPTER 9: Self-Help and Peer
Supports........................................................................
173
Self-Help
Programs............................................................................................................
173
12-Step
Programs...............................................................................................................
174
Gamblers
Anonymous......................................................................................................
174
Celebrate
Recovery............................................................................................................
176
SMART
Recovery...............................................................................................................
177
Peer
Supports......................................................................................................................
177
Having the
Conversation...................................................................................................
179
Understanding the Younger
Generations.........................................................................
180
Other Online
Supports.....................................................................................................
180
CHAPTER 10: Gambling and the
Law...............................................................................
182
Gambler or Criminal
Profile.............................................................................................
183
Legal Involvement: Before &
During...............................................................................
185
The 5 Rs' of Treatment and
Documentation....................................................................
186
Act As If You Are Already in Front of the
Judge............................................................ 188
Clinical Report
Sections.....................................................................................................
189
Legal Involvement:
After...................................................................................................
193
Providing Expert
Testimony..............................................................................................
194
Example Report Evaluation to inform and educate
sentencing.................................... 195
Full Report to an attorney on behalf of your client -
example....................................... 203
REFERENCES 206
anytime soon) 11
Global Gambling
Market...................................................................................................
12
Gambling Expansion and New
Horizons..........................................................................
14
Online and Internet
Gambling...........................................................................................
15
Social
Gaming....................................................................................................................
17
Sports
Betting.....................................................................................................................
20
Consumer Protections and Harm Minimization to Promote Safe Gambling
Use......... 22
Self-Exclusion....................................................................................................................
23
Game Features and Structural
Characteristics...................................................................
24
Gambling Behavior
Characteristics...................................................................................
26
Setting
Limits.....................................................................................................................
27
Training Employees who Interact with
Gamblers.............................................................. 28
CHAPTER 2: Understanding Gambling Disorder: Pathways towards Etiology,
Prevalence, and Comorbid Determinants of Health 30
Etiological Predictors and Risk Factors for Developing Gambling
Disorder................ 32
Biological/Neurological
Implications................................................................................
34
Psychological
Implications................................................................................................
37
Social-Cultural
Implications..............................................................................................
38
Spiritual
Implications.........................................................................................................
41
Pathways Model of Problem
Gambling.............................................................................
43
Considerations for Special Populations and
Gambling.................................................... 48
Adolescents.........................................................................................................................
48
Older
Adults.......................................................................................................................
49
Diverse
Communities.........................................................................................................
50
Military...............................................................................................................................
51
Trauma and Survivors
Issues.............................................................................................
52
Co-Occurring
Disorders.....................................................................................................
53
CHAPTER 3: Models of
Intervention...................................................................................
55
Transtheoretical
Model.......................................................................................................
56
Treatment Approaches and Stance of
Therapy................................................................ 58
Cognitive
Therapy.............................................................................................................
58
Behavior
Therapy..............................................................................................................
59
Cognitive-Behavior
Therapy.............................................................................................
59
Third-Wave Behavior
Therapy..........................................................................................
61
Motivational
Interviewing.................................................................................................
63
Pharmacological
Therapy..................................................................................................
65
Treatment Considerations: Modality, Duration, and Targeting
Relapse....................... 66
Online
Modalities..............................................................................................................
67
Brief
Treatment..................................................................................................................
68
Relapse
Prevention.............................................................................................................
69
CHAPTER 4: Models of Intervention
Applied.....................................................................
71
Closing the
Doors.................................................................................................................
73
Addressing Gambling
Symptoms.......................................................................................
77
Cognitive
Distortions.........................................................................................................
77
Habituation.........................................................................................................................
78
Chasing Losses and
Wins...................................................................................................
82
Session
Considerations.........................................................................................................
83
Treatment
Selection............................................................................................................
83
Mindfulness in
Session.......................................................................................................
84
Relapse
Prevention.............................................................................................................
85
Terminating Therapeutic
Relationship...............................................................................
88
CHAPTER 5: Where to Start and What to Ask in the
Beginning...................................... 90
Gambling Screens, Assessments, and Diagnostic
Tools.................................................... 90
Lie-Bet
Questionnaire........................................................................................................
91
Brief Biosocial Gambling Screen
(BBGS)........................................................................
91
GBIRT................................................................................................................................
92
Gatekeeper
Question..........................................................................................................
92
Simply Asking Open-Ended Questions (Fun
Assessment)............................................... 94
Diagnostic Statistical Manual-5
(DSM-5).........................................................................
95
International Statistical Classification of Diseases and Related Health
Problems (ICD-10)96
South Oaks Gambling Screen
(SOGS)..............................................................................
97
Problem Gambling Severity Index
(PGSI)........................................................................
97
Gambling Pathways Questionnaire
(GPQ)........................................................................
97
Gambling Functional Assessment II
(GFA-II)..................................................................
98
The Chicken or the Egg: Which Came
First....................................................................
98
Depression and
Anxiety.....................................................................................................
98
Traumatic Brain Injuries
(TBI)..........................................................................................
99
Drugs, Alcohol, Nicotine/Tobacco and
Cannabis............................................................ 100
Suicide Risk
Assessment.................................................................................................
101
Gambling Problem or Gambling
Solution......................................................................
101
Closing the
Doors............................................................................................................
102
It's a Control
Thing..........................................................................................................
103
Creating a Safe
Place.......................................................................................................
103
The First Few
Sessions......................................................................................................
104
Where to Start and What to
Ask......................................................................................
104
Presence of Suicidal
Ideation...........................................................................................
105
Motivation and Consequences of
Gambling....................................................................
105
Games/Gambling.............................................................................................................
106
Development of Gambling
Habits...................................................................................
106
Current Gambling
Problem..............................................................................................
106
DSM-5 Diagnostic Criteria and Other
Assessments........................................................ 106
Finances...........................................................................................................................
107
Current Living
Conditions...............................................................................................
107
Other Compulsive or Addictive
Behaviors......................................................................
107
Prior Mental Health and Health
Problems.......................................................................
108
Personal Strengths and
Resources....................................................................................
109
Steps Taken Prior to Seeking
Treatment..........................................................................
109
Summary of Initial
Recommendations.............................................................................
109
Clinical
Impressions.........................................................................................................
110
Gambling Bio-Psycho-Social-Spiritual
Evaluation......................................................... 112
Chapter 6: Harm Reduction Approaches Across the
Continuum.................................... 123
Harm Reduction to Self-Exclusion: A Shared
Continuum............................................ 124
Using Harm Reduction with
Clients................................................................................
125
10 Rules of Responsible
Gambling...................................................................................
127
Using Harm Reduction with Specific
Populations......................................................... 131
Self-Exclusion as Harm
Reduction...................................................................................
134
Case Examples of Harm Reduction on a
Continuum..................................................... 137
Case 1:
Susan......................................................................................................................
137
Case 2:
Joe..........................................................................................................................
138
Chapter 7: On
Finances........................................................................................................
140
Real Money and Gambling
Money...................................................................................
141
Why Bankruptcy Is Not an
Option..................................................................................
141
Money
Protection...............................................................................................................
143
Financial Inventory for Restitution
Plan.........................................................................
144
Clarifying Debt and
Expenses..........................................................................................
144
Debt Repayment / Financial Restitution
Plan................................................................... 146
Involving Family
Member.................................................................................................
147
Asset Protection Plan for Partner/Spouse and
Children................................................ 148
Case Examples for Implementing Finance
Strategies.................................................... 151
Case 1:
Eva.........................................................................................................................
151
Case 2:
Noah.......................................................................................................................
153
CHAPTER 8: Family
Involvement......................................................................................
155
Family Systems Theory
Review........................................................................................
155
First and Second Order
Change.......................................................................................
156
Provide Education About
Suicide....................................................................................
159
Provide Education About Gambling
Disorder.................................................................
159
Working with the Family : Spouse/Partner and
Gambler............................................. 163
Working With the Family : Family
Only........................................................................
165
Protect Family Member's Financial
Assets.....................................................................
165
Core areas of
conflict.......................................................................................................
166
Enabling as a form of
bailout...........................................................................................
167
Setting limits and
boundaries...........................................................................................
167
Trust, anger/love,
confidence...........................................................................................
167
Expectations of new
lifestyle...........................................................................................
168
Working with the Family: Parents and the (Adult)
Gambler........................................ 168
Working with the Family : Parents and (Adolescent)
Gambler.................................... 169
Working with the Family : Final Stage of
therapy.......................................................... 171
CHAPTER 9: Self-Help and Peer
Supports........................................................................
173
Self-Help
Programs............................................................................................................
173
12-Step
Programs...............................................................................................................
174
Gamblers
Anonymous......................................................................................................
174
Celebrate
Recovery............................................................................................................
176
SMART
Recovery...............................................................................................................
177
Peer
Supports......................................................................................................................
177
Having the
Conversation...................................................................................................
179
Understanding the Younger
Generations.........................................................................
180
Other Online
Supports.....................................................................................................
180
CHAPTER 10: Gambling and the
Law...............................................................................
182
Gambler or Criminal
Profile.............................................................................................
183
Legal Involvement: Before &
During...............................................................................
185
The 5 Rs' of Treatment and
Documentation....................................................................
186
Act As If You Are Already in Front of the
Judge............................................................ 188
Clinical Report
Sections.....................................................................................................
189
Legal Involvement:
After...................................................................................................
193
Providing Expert
Testimony..............................................................................................
194
Example Report Evaluation to inform and educate
sentencing.................................... 195
Full Report to an attorney on behalf of your client -
example....................................... 203
REFERENCES 206