scholarly journals What is the evidence for harm minimisation measures in gambling venues?

Evidence Base ◽  
2014 ◽  
Vol 2014 (2) ◽  
pp. 1-24 ◽  
Keyword(s):  
Harm Minimisation

Responsible gambling:The need for collaborative government, industry, community and consumer involvement

2018 ◽  
Vol 64 (5-6) ◽  
pp. 307-315 ◽  
Author(s):  
Alexander Blaszczynski
Keyword(s):  
Responsible Gambling ◽  
Consumer Involvement ◽  
Harm Minimization ◽  
Harm Minimisation ◽  
Funding Sources ◽  
The Social ◽  
Self Interest ◽  
Gambling Expenditure ◽  
Innovative Products ◽  
Industry Community

Abstract. Background: Tensions exist with various stakeholders facing competing interests in providing legal land-based and online regulated gambling products. Threats to revenue/taxation occur in response to harm minimisation and responsible gambling policies. Setting aside the concept of total prohibition, the objectives of responsible gambling are to encourage and/or restrict an individual’s gambling expenditure in terms of money and time to personally affordable limits. Stakeholder responsibilities: Governments craft the gambling environment through legislation, monitor compliance with regulatory requirements, and receive taxation revenue as a proportion of expenditure. Industry operators on the other hand, compete across market sectors through marketing and advertising, and through the development of commercially innovative products, reaping substantial financial rewards. Concurrently, governments are driven to respond to community pressures to minimize the range of negative gambling-related social, personal and economic harms and costs. Industry operators are exposed to the same pressures but additionally overlaid with the self-interest of avoiding the imposition of more stringent restrictive policies. Cooperation of stakeholders: The resulting tension between taxation revenue and profit making, harm minimization, and social impacts creates a climate of conflict between all involved parties. Data-driven policies become compromised by unsubstantiated claims of, and counter claims against, the nature and extent of gambling-related harms, effectiveness of policy strategies, with allegations of bias and influence associated with researchers supported by industry and government research funding sources. Conclusion: To effectively advance policies, it is argued that it is imperative that all parties collaborate in a cooperative manner to achieve the objectives of responsible gambling and harm minimization. This extends to and includes more transparent funding for researchers from both government and industry. Continued reliance on data collected from analogue populations or volunteers participating in simulated gambling tasks will not provide data capable of valid and reliable extrapolation to real gamblers in real venues risking their own funds. Failure to adhere to principles of corporate responsibility and consumer protection by both governments and industry will challenge the social licence to offer gambling products. Appropriate and transparent safeguards learnt from the tobacco and alcohol field, it is argued, can guide the conduct of gambling research.

Drug Harm Minimisation Education for Police in Australia

2000 ◽  
Author(s):  
Greg Fowler ◽  
Steve Allsop ◽  
David Melville ◽  
Celia Wilkinson
Keyword(s):  
Harm Minimisation

scholarly journals Australian Community Pharmacy Harm-Minimisation Services: Scope for Service Expansion to Improve Healthcare Access

Pharmacy ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 95
Author(s):  
Sara S. McMillan ◽  
Hidy Chan ◽  
Laetitia H. Hattingh
Keyword(s):  
Community Pharmacy ◽  
Healthcare Access ◽  
Further Education ◽  
Community Pharmacies ◽  
Structured Interviews ◽  
Pharmacy Staff ◽  
Harm Minimisation ◽  
Staff Members ◽  
Education Support

Community pharmacies are well positioned to participate in harm-minimisation services to reduce harms caused by both licit and illicit substances. Considering developments in pharmacist practices and the introduction of new professional pharmacy services, we identified a need to explore the contemporary role of community pharmacy in harm minimisation. Semi-structured interviews were undertaken to explore the opinions of stakeholders, pharmacy staff, and clients about the role of community pharmacy in harm minimisation, including provision of current services, experiences, and expectations. Participants (n = 28) included 5 stakeholders, 9 consumers, and 14 staff members from seven community pharmacies. Three over-arching themes were identified across the three participants groups: (i) scope and provision, (ii) complexity, and (iii) importance of person-centred advice and support in relation to community pharmacy harm minimisation services. Community pharmacies are valuable healthcare destinations for delivery of harm minimisation services, with scope for service expansion. Further education, support, and remuneration are needed, as well as linkage to other sector providers, in order to ensure that pharmacists and pharmacy staff are well equipped to provide a range of harm minimisation services.

scholarly journals Hey Big Spender: An Ecological Momentary Assessment of Sports and Race Betting Expenditure by Gambler Characteristics

2019 ◽  
Vol 42 ◽  
Author(s):  
Nerilee Hing ◽  
Alex MT Russell ◽  
Anna Thomas ◽  
Rebecca Jenkinson
Keyword(s):  
Problem Gambling ◽  
Ecological Momentary Assessment ◽  
Baseline Survey ◽  
Gambling Problems ◽  
Moderate Risk ◽  
Harm Minimisation ◽  
Expenditure Data ◽  
Gambling Severity ◽  
Ecological Momentary ◽  
Momentary Assessment

A major obstacle to understanding how expenditure varies amongst people who gamble is the difficulty of obtaining accurate expenditure data from individual gamblers. To overcome the shortcomings of retrospective self-reports, this study used a prospective ecological momentary assessment (EMA) design to capture these data every 24/48 hours. It aimed to examine 1) demographic, psychological, behavioural and contextual characteristics of high-spending sports and race bettors, and 2) the relationship between betting outlay and problem gambling severity. A baseline survey was completed by 320 regular sports bettors and 402 regular race bettors, followed by 15 EMA surveys over three non-consecutive weeks. Higher spending bettors were more likely to: be male, place more of their bets online, have higher disposable incomes, have commenced betting at a younger age, have more accounts with betting operators, and bet when affected by alcohol. The analyses confirmed the strong link between problem gambling severity and financial outlay on betting. Regular sports bettors experiencing gambling problems spent four times more, and those at moderate-risk spent three times more, than their non-problem gambling counterparts. Regular race bettors experiencing gambling problems spent three times more, and those at moderate-risk spent twice as much, as the non-problem gambling race bettors. These results suggest that regulatory and other initiatives that help bettors to limit or reduce their financial outlay on betting should be central to harm minimisation efforts, in order to reduce the growing number of bettors experiencing gambling problems and harm. Résumé Un des principaux obstacles à la compréhension de la variation des dépenses entre les joueurs est la difficulté d’obtenir des données précises sur les dépenses de la part de joueurs individuels. Pour pallier les faiblesses d’auto-évaluations rétrospectives, cette étude visait à utiliser un modèle d’évaluation écologique momentanée (EMA) prospective pour saisir ces données toutes les 24 à 48 heures, afin d’examiner 1) les caractéristiques démographiques, psychologiques, comportementales et contextuelles de gros parieurs de course et de paris sportifs et 2) la relation entre les dépenses de paris et la gravité du jeu problématique. Une enquête initiale a été réalisée auprès de 320 parieurs sportifs et de 402 parieurs de course réguliers, suivie de 15 sondages EMA sur trois semaines non consécutives. Les plus gros parieurs étaient plus susceptibles de: placer davantage de paris en ligne, d’avoir un revenu disponible plus élevé, d’avoir commencé à parier à un plus jeune âge, d’avoir davantage de comptes auprès d’opérateurs de paris et de parier sous l’influence de l’alcool. Les analyses ont confirmé le lien étroit qui existe entre la gravité du jeu problématique et les dépenses financières consacrées aux paris. Les parieurs sportifs réguliers aux prises avec des problèmes de jeu dépensaient quatre fois plus et ceux à risque modéré, trois fois plus, que leurs homologues sans problème de jeu. Les parieurs de course réguliers aux prises avec des problèmes de jeu dépensaient trois fois plus et ceux à risque modéré, deux fois plus, que leurs homologues sans problème de jeu. Ces résultats laissent entrevoir que les initiatives réglementaires et autres initiatives qui aident les parieurs à limiter ou à réduire leurs dépenses en paris devraient être au cœur des efforts de minimisation des préjudices, afin de réduire le nombre croissant de parieurs ayant des problèmes de jeu et de préjudices.

scholarly journals RESPONSIBLE MARKETING AND ADVERTISING IN GAMBLING: A CRITICAL REVIEW

2015 ◽  
Vol 8 (3) ◽  
pp. 21-35 ◽  
Author(s):  
Adrian Parke ◽  
Andrew Harris ◽  
Jonathan Parke ◽  
Jane Rigbye ◽  
Alex Blaszczynski
Keyword(s):  
Online Community ◽  
Social Activity ◽  
Informed Choice ◽  
Responsible Gambling ◽  
Gambling Behaviour ◽  
Harm Minimisation ◽  
Positive Attitudes ◽  
Media Platform ◽  
Potential Risks ◽  
The Impact

Marketing and advertising play a significant role in the adoption of attitudes and societal norms, which have been shown to have a direct impact on behavioural intentions, ultimately leading to behavioural execution. Concurrent with other attempts to inform policy strategy with respect to harm minimisation in gambling there is a paucity of evidence pertaining to the impact that gambling advertising has on gambling behaviour, gambling-related harm, and the efficacy of advertising regulations to minimise harm. There appears to be an overwhelming portrayal of gambling as a normative, legitimate social activity, at the expense of highlighting the potential risks involved. Furthermore, new marketing techniques utilising the social media platform are able to instil emotive and positive attitudes towards gambling brands and products, as well as enabling consumers to widely share and recommend gambling products across their online community, sometimes exposing under-age and vulnerable populations to gambling. The following paper critically reviews existing research investigating the impact of current gambling advertising and marketing campaigns on both vulnerable (i.e. adolescents and problem gamblers) and normal adult populations, looking specifically at the impact of exposure, the positive framing of gambling, and the transparency of marketing techniques. It is concluded that marketing and advertising in gambling needs to facilitate more informed choice for consumers, and a more balanced approach in the framing of gambling. It is suggested that risk information is presented asynchronously to gambling promotions, as opposed to being delivered as peripheral information, and moreover future strategies need to be based on robust empirical evidence demonstrating the impact of responsible gambling advertising and marketing on behaviour.

Parent voices guide smoking intervention development

2015 ◽  
Vol 115 (5) ◽  
pp. 455-469
Author(s):  
Robyn Johnston ◽  
Lydia Hearn ◽  
Donna Cross ◽  
Laura T. Thomas ◽  
Sharon Bell
Keyword(s):  
Role Models ◽  
Parenting Practices ◽  
Intervention Development ◽  
Smoking Behaviour ◽  
Harm Minimisation ◽  
Content Type ◽  
Smoking Intervention ◽  
Effective Interventions ◽  
Quitting Smoking ◽  
Primary School Age

Purpose – While parents’ influence on their children’s smoking behaviour is widely recognised, little is known about parents of four to eight year olds’ attitudes and beliefs around smoking cessation and how they communicate with their children about smoking. The purpose of this paper is to explore parents’ perceptions of quitting smoking and their beliefs and actions related to the use of parenting practices to discourage smoking by their children. Design/methodology/approach – Four focus groups and 17 interviews were conducted with parents (n=46) of four to eight year old children in Perth, Western Australia. Findings – Many parents indicated their children strongly influenced their quitting behaviours, however, some resented being made to feel guilty about their smoking because of their children. Parents were divided in their beliefs about the amount of influence they had on their children’s future smoking. Feelings of hypocrisy appear to influence the extent to which parents who smoked talked with their child about smoking. Parents recommended a variety of resource options to support quitting and talking with their child about smoking. Practical implications – Interventions aimed at parents who smoke and have young children should: reinforce parents’ importance as role models; highlight the importance of talking to children about smoking when they are young and provide strategies for maintaining ongoing communication; be supportive and avoid making parents feel guilty; and emphasise that quitting smoking is the best option for their child’s health (and their own), while also providing effective harm minimisation options for parents who have not yet quit. Originality/value – Parents of children of lower primary school age can be highly influential on their children’s later smoking behaviours, thus, effective interventions that address the current beliefs and practices of these parents may be particularly advantageous.

scholarly journals Harm minimisation after repeated self-harm: development of a trust handbook

2008 ◽  
Vol 32 (2) ◽  
pp. 60-63 ◽  
Author(s):  
Nicky Pengelly ◽  
Barry Ford ◽  
Paul Blenkiron ◽  
Steve Reilly
Keyword(s):  
The Self ◽  
Service Users ◽  
Harm Minimisation ◽  
Suicidal Intent ◽  
Self Help ◽  
Self Injury ◽  
Safe Limits ◽  
Self Harm ◽  
Voluntary Organisations ◽  
Effective Treatments

Repeated self-harm without suicidal intent occurs in approximately 2% of adults (Meltzer et al, 2002). Service users report that professionals can respond to self-harm with unhelpful attitudes and ineffective care. Although evidence for effective treatments is poor (Hawton et al, 1999), this therapeutic pessimism is not found in the self-help approaches promoted by voluntary organisations such as Mind: ‘If you feel the need to self-harm, focus on staying within safe limits' (Harrison & Sharman, 2005). User websites frequently offer advice on harm minimisation: ‘Support the person in beginning to take steps to keep herself safe and to reduce her self-injury – if she wishes to. Examples of very valuable steps might be: taking fewer risks (e.g. washing implements used to cut, avoiding drinking if she thinks she is likely to self-injure)’ (Bristol Crisis Service for Women, 1997).

Institutional conflict of interest: attempting to crack the deferiprone mystery

2020 ◽  
pp. medethics-2019-105498
Author(s):  
Arthur Schafer
Keyword(s):  
Conflict Of Interest ◽  
Ethical Issues ◽  
Mission Statement ◽  
Historical Context ◽  
First Line ◽  
Harm Minimisation ◽  
Safety And Efficacy ◽  
Explanatory Hypothesis ◽  
Large Numbers ◽  
Institutional Conflict

A recent study by Olivieri et al, published in PLOS ONE, reports that between 2009 and 2015 a third of patients with thalassaemia in Canada’s largest hospital were switched from first-line licensed drugs to regimens of deferiprone, an unlicensed drug of unproven safety and efficacy. Based on retrospective data from patient records, the PLOS Study reports that patients treated with deferiprone, either as monotherapy or in combination with first-line drugs, suffered serious (and often irreversible) adverse effects. The data reported by Olivieri et al give rise to a number of ethical issues. These ethical issues are identified, placed in historical context and analysed. For purposes of this analysis, reliance is placed on two core principles of research ethics, harm minimisation and informed consent, and also on the hospital’s mission statement. Then a mystery is explored: How and why did it happen that Toronto’s University Health Network treated large numbers of patients with an unlicensed drug over a period of many years? ‘Institutional conflict of interest’ is considered as a possible explanatory hypothesis.

scholarly journals Risk and responding to self injury: is harm minimisation a step too far?

2019 ◽  
Vol 14 (1) ◽  
pp. 1-11
Author(s):  
Patrick Joseph Sullivan
Keyword(s):  
Health Professionals ◽  
Design Methodology ◽  
Legal Obligation ◽  
Clinical Environment ◽  
Harm Minimisation ◽  
Content Type ◽  
Self Injury ◽  
Legal Literature ◽  
Legal Implications ◽  
The Law

Purpose The purpose of this paper is to consider some of the legal implications of adopting a harm minimisation approach in supporting people who self-injure within inpatient mental health units. It is argued that a focus on risk and the increasing influence of the law and legal styles of thinking often associated with the allocation of blame have produced a more risk adverse clinical environment. As a result health professionals are more likely to err on the side of caution rather than engage in practices that although potentially therapeutic are not without their risks. Design/methodology/approach The analysis draws on the clinical, philosophical and legal literature to help understand how harm minimisation may support people who self-injure. It considers some of the complex medico-legal issues that arise in a clinical environment dominated by risk. Findings A focus on risk and accountability has produced an environment where the law and legal styles of thinking have come to influence practice. This is often associated with blame in the minds of the health professional. Given the legal obligation to prevent suicide, health professionals may take a conservative approach when working with people who self-injure. This makes the adoption of harm minimisation difficult. Originality/value This paper provides a legally informed analysis of some of the challenges associated with using harm minimisation techniques with people who self-injure. It adds to the literature regarding this area of clinical practice.

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