Jody Bechtold, Alyssa Wilson

The Gambling Disorder Treatment Handbook (eBook, ePUB)

A Guide for Mental Health Professionals

• Format: ePub

Produktbeschreibung

This handbook provides mental health professionals with a thorough understanding of the biopsychosocial nature of disordered gambling and shares current evidence-based theories, interventions and strategies to use in clinical practice.

It provides guidance for working with individuals of any age and covers different gambling modes, activities and subtypes, including new forms of gambling through online and virtual platforms. Drawing on the authors' substantial experience working with and researching gambling addiction, it considers how treatment can be specialized for particular client groups, including trauma survivors, military, older adults, adolescents and diverse communities. It provides detailed diagnostic and screening resources and includes important information on the financial and legal aspects.

This is essential reading for any therapist treating clients with gambling disorder.

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Produktdetails

• Verlag: Jessica Kingsley Publishers
• Erscheinungstermin: 18. März 2021
• Englisch
• ISBN-13: 9781787755536
• Artikelnr.: 70519071

Autorenporträt

Jody Bechtold has been treating individuals with gambling disorder since 2006. She is a clinical social worker, counselor, professional coach and CEO of The Better Institute. Her public speaking, conference presentations, training and journal publications are focused on gambling addiction. She is an International Gambling Counselor Certification Board Member and sits on the Membership Committee of the National Council on Problem Gambling. She is based in Pittsburgh, PA, USA.

Alyssa N. Wilson is Associate Professor and Department Chair of the Applied Behavior Analysis Program at The Chicago School of Professional Psychology in Los Angeles. She is a Board Certified Behavior Analyst Doctoral (BCBA-D), and a Licensed Behavior Analyst in the state of Missouri. Dr. Wilson's research focuses on biopsychosocial aspects of problem gambling, including assessment and treatment provision. She is based in Los Angeles, CA, USA.

Inhaltsangabe

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