Problem Gambling Treatment Plan

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Is problem gambling a treatable addiction?

  1. Problem Gambling Treatment Plan Template
  2. Problem Gambling Treatment Plan Options
  3. Problem Gambling Treatment Plan Goals And Objectives
  4. Problem Gambling Treatment Plan Definition

Problem gambling is a treatable disease. Like any other addiction, steps can be taken to break the hold gambling has over a person and the lives of their family. The first step is realizing that there is a problem and taking the step to access treatment. This is followed by sticking to the treatment plan and following through with action. The last step is developing a maintenance plan for success. Problem gamblers need to surround themselves with healthy support systems and develop healthy coping mechanisms that can assist them during times of great stress or turmoil.

What help is available for problem gamblers and families?

The NCPGP helpline, texting and chatting online options connect a caller, self-identified gambler or concerned family member to a trained and licensed clinician.

Gambling addiction treatment program options include other therapeutic methods as well. Psychotherapy, or the practice of dealing with gambling triggers through individual and group counseling sessions, can lead to many of the same results as cognitive behavioral therapy, including isolating causes and reversing misperceptions. The most effective addiction treatment is the 12-step plan developed by the AA program. This treatment plan is used by various groups including gambling anonymous with slight variations to eliminate gambling addiction. South Dakota Problem Gambling Resources in South Dakota. If gambling is causing a problem in your life we encourage you to ask questions, gather information and conduct research on the type of help that is most appropriate for your situation. Treating gambling disorder Gambling disorder is best described as being a syndrome, and from this perspective, the most efficient treatment reflects a multimodal approach, which bases itself upon a personalized and complex treatment plan. Compulsive gambling is a serious addiction that can cause severe consequences. A person who is a compulsive gambler can recover with treatment, but it’s hard sometimes for a person struggling with compulsive gambling to realize they need help.

The clinician will perform a screening and provide options on all free counseling services. NCPGP has more than 80 trained providers throughout the state of North Carolina available to provide face-to-face counseling for up to sessions at no cost.

If someone is not able to see a counselor face-to-face due to barriers such as transportation, the program offers a phone counseling program called Call 2 Change.

  • North Carolina Problem Gambling Helpline
    • Text morethanagamenc to 53342
  • Find help and support for friends and families of problem gamblers
  • Contact the NCPG Program Administrator at
    amanda.winters@dhhs.nc.gov

What do families need to know?

Gambling Disorder is considered a “hidden addiction” and may not be apparent at first. There is help and families are eligible for support, counseling and education.

Research supports that family members of individuals diagnosed with gambling disorder are likely to report mental health problems, emotional disturbances, physical health problems, high-risk drinking, decreased social support and impaired social life. The children of individuals with gambling disorder are also likely to report depression and gambling problems; it's important that families reach out for help for themselves and their children.

Financial counseling is important in order for families to take charge of finances during treatment.

Families should also be aware that there is a high rate of suicide attempts and suicidal thoughts among individuals diagnosed with gambling disorder. Click Here to Access the Suicide Prevention Helpline.

What do parents need to know?

Parents need to be aware that their children are gambling formally and informally with their friends and family on games of chance and skill. It is estimated that 93 percent of youth have access to the internet and 700,000 young adults gamble online monthly on more than 3,000 gambling websites. Even more importantly, the highest rates of problem gamblers are in their teens and 20s.

If the parent chooses to gamble, healthy social gambling behaviors need to be modeled. The best step a parent can take is to be actively involved in the child’s life. Make sure the child understands that gambling can become an addictive behavior by finding teachable moments to share information about problem gambling.

Click Here to Access Fact Sheet on Teens and College-Age Students.

Why get financial counseling?

While clinicians can help address the mental and psychological challenges from gambling addiction, financial counselors and other experts offer additional support for money management.

Financial counselors can help with debt consolidation, assist in obtaining lower interest rates, debt settlement, aid family members whose money may have been stolen, protect spouses by offering separate accounts, create budgets or engage a Power of Attorney (POA) to help a gambler control the disbursement of funds.

Ideally, financial counseling, when necessary, takes place at the same time as treatment for gambling addiction.

What is voluntary self-exclusion?

Self-exclusion (or self-banning) is a voluntary process where a person with a gambling problem excludes themselves from areas of specific gambling venues.

Problem Gambling Treatment Plan Template

The North Carolina Education Lottery provides self-exclusion for lottery purchases at the pump or online. Contact Teri Riddle at 919-301-3304 or Teri.Riddle@lotterync.net for more information, or visit the links provided.

At Harrah’s Cherokee Casino Resort and Harrah’s Cherokee Valley River Casino and Hotel in western North Carolina, a problem gambler can make a request online to be self-excluded from the casino for periods of 1 year or 5 years. Problem gamblers may also self-exclude themselves permanently. The self-exclusion phone number is 1-800-694-9960 or email njsupport@HarrahsCasino.com for additional information. Also, please visit the link below:
www.harrahscasino.com/policies/responsiblegamingselfexclusion/

  • What Is an Addiction Intervention?

When gambling has progressed from purely social to problem gambling and on to pathological or compulsive gambling, there’s only one thing certain: the individual has a gambling addiction and needs help in order to overcome it. Addiction to gambling is similar in many respects to any other type of addiction – to alcohol, illicit drugs or prescription drugs used for nonmedical purposes for multiple co-occurring addictions – the addict continues with the addictive behavior despite all the negative physical, psychological, social and financial consequences. At the extreme, he or she gets to a point where they cannot stop gambling, they need to gamble, and they will risk everything in order to continue gambling. This process occurs over and over again until the addicted gambler ends up in jail, insane, or dead.

But there is hope for the compulsive gambler. The process is called gambling intervention.

Definition

What Is Gambling Intervention?

Similar to intervention for alcohol or drug addiction, gambling intervention is a process that brings together a professional interventionist and a “team” of family, friends and co-workers with the express purpose of confronting an individual about their compulsive gambling behavior and convincing him or her to seek treatment immediately. The intervention is conducted in a controlled and logical way, focusing attention on changing the addict’s behavior.

Gambling interventions work best when a professional interventionist facilitates the process, as the intervention itself can get very intense. Violent or explosive reactions on the part of the gambling addict may result, and are very difficult, if not impossible, for those present to handle on their own. That’s where the interventionist’s skills and expertise really come into play. He or she works to defuse the intense emotions and bring the situation back into control.

With the ultimate goal of getting the gambler to agree to go into treatment, all the arrangements for the treatment must be made prior to the actual day of the intervention. The reason for this is that a successful intervention concludes with the addict going off immediately into treatment – not the next day or next week, but that day. Once the gambler admits to having a problem and agrees to seek treatment, that’s the time to put the pre-planned admission into a gambling treatment program into action.

Expert interventionists know that you cannot convene an intervention and then not deliver on the promise to give hope to the problem gambler through a treatment program. Without a plan already set up, there’s nothing to prevent the addict from going right back to gambling.

What Happens In A Gambling Intervention?

Again, gambling intervention takes a page from interventions for drug and alcohol abuse. Since the premise behind the intervention is to make the addict aware of how much damage his or her actions have had on the various relationships – family, friends and co-workers – each individual participating in the intervention makes it clear how he or she has been personally affected by the gambler’s behavior. This often takes the form of reading from a letter the thoughts that the person has put together and practiced in a rehearsal the day before the actual intervention. Yes, there is a pre-intervention meeting of all the participants with the professional interventionist. During that meeting, the interventionist goes over the format and protocol for the intervention and each participant reads from his or her prepared letter in order to be prepared for the following day.

Besides explaining how the gambler’s behavior has affected them, each participant may also list specific incidents that highlight why the gambler needs treatment such as arrests, loss of a job, accidents, or family relationship breakdown. Often the family member, friend or workplace supervisor issue an ultimatum to the gambler. A boss may make returning to work conditional on the gambler’s receiving treatment. Family members or friends may make any future contact contingent on the gambler successfully completing treatment.

Make no mistake about it. Interventions are not easy to do. They’re emotionally exhausting, often eliciting very strong emotions on the part of the gambler and the participants. Team members must be prepared to convey their thoughts and any ultimatums in the kindest manner possible. Despite all the exhortations, screaming, denial and promises to quit from the gambler, the team members have to keep to their resolve. If the individual team members feel unable to deliver their ultimatum, the interventionist may deliver it for them.

Experts in interventions caution that young children should generally not be permitted to attend the session unless their contribution or presence is considered to be helpful to the gambling addict. This also applies to teenagers. As a practical matter, parents should be very careful about allowing any children to attend an intervention.

What Type Of Treatment Should Be Arranged?

This depends upon individual circumstances. The goal, remember, is to get the compulsive gambler into treatment. There are various treatment programs and help available to the gambling addict, including residential treatment, outpatient treatment, Gamblers Anonymous (GA), different therapy modalities or counseling or any combination of these.

Of all the treatment options, the one that works best is to remove the gambler from his or her environment, free of all the distractions and temptations and opportunity to gamble, and take them to a treatment center that specializes in treating compulsive gambling. Ideally this requires a facility that can provide a one-on-one approach that allows the gambler to dig deep into the root causes of his or her compulsion and to work toward learning new behaviors to overcome the addiction.

Since gambling affects many people beyond just the gambler, often the goal of the intervention is to get help for the family and concerned others as well. This may take the form of education, attendance at self-help groups, individual and/or group therapy or some other form of treatment that’s appropriate. Gam-Anon is one such group that offers support for family members and friends of compulsive gamblers.

After The Intervention

Once the compulsive gambler has gone off to treatment, participants in the intervention often feel an immense sense of relief. No, there’s no guarantee that the gambler will stay in treatment, or even fully commit to treatment, but there is one certainty: everyone’s addressed their concerns with the addict. There’s no more need for lies and deception. Now, everything’s out in the open relative to the individual’s addiction. Ultimatums may have been given that have some meaning to the addict.

  • “If you don’t go into treatment, I will no longer have any contact with you.”
  • “Either you accept treatment, or you no longer have a job.”
  • “Although you’re my friend and I’d do anything for you, I won’t bail you out anymore. I’m not going to take your calls or see you if you don’t seek treatment.”

Family, friends and co-workers need to make plans for when the gambling addict returns from treatment. Just as an alcoholic cannot return to an environment where drinking occurs, or a drug addict can’t be around others who use drugs, the compulsive gambler can’t be exposed to gambling of any kind. This means no lotto, bingo, card playing – even for no wager – casinos, Internet gambling, sports or track betting.

Problem Gambling Treatment Plan Options

Expect some difficult times, especially during periods of high stress or when something unexpected throws the recovering compulsive gambler for a loop. These may be financial, rejection by friends, family problems, physical or mental problems. The recovering compulsive gambler will continue to need your support during these situations. Encourage him or her to attend and participate in Gamblers Anonymous meetings. Make sure that you attend Gam-Anon or other support meetings yourself in order to better prepare you for how to deal with any crisis that occurs.

If Intervention Fails

It’s important to recognize that not everyone will be ready and able to accept that they need help. The compulsive gambler may not yet have hit bottom to the extent that he or she can even admit that they have a problem and need help. They may still be deluding themselves that they have everything under control, despite all the evidence to the contrary.

There isn’t much that you can do at this point. The compulsive gambler will sooner or later reach that lowest rung of hopelessness. Perhaps then they will accept an offer of help. Until that time, all anyone can do is to be ready to get the addict into treatment if and when the individual says yes.

Problem gambling treatment plan definition

How To Find A Gambling Treatment Facility

Resources are available to help you locate a treatment facility that can provide treatment for gambling addiction. One is the National Council on Problem Gambling, which also operates a 24-hour confidential hotline at 1-800-522-4700. In the state of California, there’s the California Council on Problem Gaming, and the California Department of Alcohol and Drug Programs, with information and links relative to problem gambling.

Gambling

Get a referral to treatment facilities and then contact them to inquire about their gambling treatment programs. Many times, gambling addiction is a specialized track in the facility’s substance abuse treatment program. Make sure that the facility has nationally certified gambling counselors on its staff. If you are attempting to arrange a gambling intervention, be sure that the interventionist has expertise in conducting such interventions.

Problem Gambling Treatment Plan Goals And Objectives

Above all, do gather as much information and educate yourself about all aspects of gambling addiction. This will prepare you for the hard work ahead, for the compulsive gambler and all those affected. The most important point to remember is that gambling addiction is treatable. You and your loved ones can be free of the negative consequences of compulsive gambling. There is hope – as long as the gambling addict seeks treatment.

Problem Gambling Treatment Plan Definition