Oregon's Problem Gambling Services: Public health orientation in a stepped-care approach

2003 ◽  
Author(s):  
Jeffrey J. Marotta
Keyword(s):  
Public Health ◽  
Problem Gambling ◽  
Stepped Care ◽  
Care Approach

Toward a stepped care approach to treating problem drinkers: the predictive utility of within-treatment variables and therapist prognostic ratings

Addiction ◽  
1997 ◽  
Vol 92 (11) ◽  
pp. 1479-1490 ◽  
Author(s):  
F. Curtis Breslin ◽  
Mark B. Sobell ◽  
Linda C. Sobell ◽  
Giao Buchan ◽  
John A. Cunningham
Keyword(s):  
Stepped Care ◽  
Problem Drinkers ◽  
Predictive Utility ◽  
Care Approach

scholarly journals Our Voices Matter: Using Lived Experience to Promote Equity in Problem Gambling Prevention

2021 ◽  
Author(s):  
Victor Ortiz ◽  
Rachael Cain ◽  
Scott W. Formica ◽  
Rebecca Bishop ◽  
Haner Hernández ◽  
...  
Keyword(s):  
Public Health ◽  
Problem Gambling ◽  
Lived Experience ◽  
Culturally Responsive ◽  
Substance Misuse ◽  
Community Voice ◽  
Men Of Color ◽  
History Of ◽  
Planning Processes ◽  
Gambling Prevention

Abstract Purpose of Review The field of problem gambling has been historically disconnected from the community experience of gambling and people of color, leading to a lack of integration of those with lived experience into programming. The aim of this article is to describe community-centered efforts to prevent and mitigate harm from problem gambling in Massachusetts—including a pilot program, the Massachusetts Ambassador Project, which is grounded within public health and lived experience frameworks. Recent Findings To engage Massachusetts communities in problem gambling prevention, planning processes were conducted to develop culturally appropriate prevention strategies. One of the recurrent themes was the desire of men in the substance misuse recovery community to share their knowledge with others, specifically, men of color who experience racism and health disparities. This finding informed the development of the Ambassador Project, a novel, peer-based, community-centered, and culturally responsive approach for men of color who have a history of substance misuse to engage other men of color in problem gambling prevention. Two organizations pilot tested the project and reached 4388 individuals. The pilot led to several findings in the design and implementation of related projects. Lessons are shared in three categories: structure, support, and implementation. Summary This article demonstrates an innovative approach to connect the field of problem gambling prevention to the community experience, using a public health and social justice lens. Others in the field should acknowledge the disconnect between problem gambling and the lived experience of those disproportionately impacted by creating opportunities for community voice to be at the center of programming.

scholarly journals The Dutch Multidisciplinary Occupational Health Guideline to Enhance Work Participation Among Low Back Pain and Lumbosacral Radicular Syndrome Patients

2021 ◽  
Author(s):  
J. W. H. Luites ◽  
P. P. F. M. Kuijer ◽  
C. T. J. Hulshof ◽  
R. Kok ◽  
M. W. Langendam ◽  
...  
Keyword(s):  
Risk Factors ◽  
Low Back Pain ◽  
Prognostic Factors ◽  
Back Pain ◽  
Work Participation ◽  
Stepped Care ◽  
Low Back ◽  
Lumbosacral Radicular Syndrome ◽  
Care Approach ◽  
Radicular Syndrome

AbstractPurpose Based on current scientific evidence and best practice, the first Dutch multidisciplinary practice guideline for occupational health professionals was developed to stimulate prevention and enhance work participation in patients with low back pain (LBP) and lumbosacral radicular syndrome (LRS). Methods A multidisciplinary working group with health care professionals, a patient representative and researchers developed the recommendations after systematic review of evidence about (1) Risk factors, (2) Prevention, (3) Prognostic factors and (4) Interventions. Certainty of the evidence was rated with GRADE and the Evidence to Decision (EtD) framework was used to formulate recommendations. High or moderate certainty resulted in a recommendation “to advise”, low to very low in a recommendation “to consider”, unless other factors in the framework decided differently. Results An inventory of risk factors should be considered and an assessment of prognostic factors is advised. For prevention, physical exercises and education are advised, besides application of the evidence-based practical guidelines “lifting” and “whole body vibration”. The stepped-care approach to enhance work participation starts with the advice to stay active, facilitated by informing the worker, reducing workload, an action plan and a time-contingent increase of work participation for a defined amount of hours and tasks. If work participation has not improved within 6 weeks, additional treatments should be considered based on the present risk and prognostic factors: (1) physiotherapy or exercise therapy; (2) an intensive workplace-oriented program; or (3) cognitive behavioural therapy. After 12 weeks, multi-disciplinary (occupational) rehabilitation therapy need to be considered. Conclusions Based on systematic reviews and expert consensus, the good practice recommendations in this guideline focus on enhancing work participation among workers with LBP and LRS using a stepped-care approach to complement existing guidelines focusing on recovery and daily functioning.

scholarly journals Screening of problem gambling among a homeless population in Warsaw

2019 ◽  
Vol 36 (6) ◽  
pp. 542-555 ◽  
Author(s):  
Łukasz Wieczorek ◽  
Jakub Stokwiszewski ◽  
Justyna I Klingemann
Keyword(s):  
Public Health ◽  
General Population ◽  
Problem Gambling ◽  
Homeless People ◽  
Severity Index ◽  
Homeless Persons ◽  
Health Concern ◽  
Homeless Population ◽  
Addictive Disorders ◽  
Prevention Programmes

Background: While homelessness and problem gambling are both recognised as social and public health concerns and the prevalence of addictive disorders among homeless populations tends to be high. These questions have been studied predominantly independently. Aim: The aim of the study was to explore the co-occurrence of the two phenomena among the homeless population using shelters and night shelters in Warsaw, and, more specifically, to provide information about the forms and frequency of gambling in this homeless population. Method: Homeless persons ( N = 690) were interviewed in rehabilitation-shelters ( n = 17) and night-shelters ( n = 2) in Warsaw from November 2015 until January 2016. The core component of the questionnaire was a screening test (Problem Gambling Severity Index). In addition, data regarding the intensity of gambling and various types of games or settings were collected. Results: The prevalence of problem gambling in this population of homeless people was 11.3%, whereas the prevalence of problem gambling in the general population in Poland is much lower (0.7%). Similarly to the general population, the most prevalent gambling games in the homeless population were lotteries; however, homeless people gambled in lotteries almost three times more often compared to the general population. Conclusions: This is the first study examining the prevalence of problem gambling in the homeless population in Poland. The findings of the study suggest that problem gambling among the homeless is a significant social and public health concern. High rates of problem gambling in the homeless population show the need to identify and monitor this problem in shelters and consequently to provide easier access to gambling treatment or prevention programmes.

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