Peliklinikka Gambling Clinic

Transcription

1 Peliklinikka Gambling Clinic Project Manager Corinne Björkenheim

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3 Agenda Finnish Gambling 2015 Veikkaus the Finnish Gaming Company Gambling Clinic s Services Gambling Clinic: New Projects / Development Work 2018

4 Finnish Gambling Not gambling 20 % Moderate 62 % At-risk 15 % Problem 3 % Youth years old At-risk 11 % Problem gamblers 0,5 % Anne Salonen & Susanna Raisamo. Finnish gambling Gambling, gambling problems, and attitudes and opinions on gambling among Finns aged National Institute for Health and Welfare (THL). Picture: Tapio Jaakkola / EHYT

5 The Most Popular Types of Gambling 2015 Lotto Eurojackpot Instant scratchcards Slot machines Viking Lotto Jokeri 69% 43% 30% Anne Salonen & Susanna Raisamo. Finnish gambling Gambling, gambling problems, and attitudes and opinions on gambling among Finns aged National Institute for Health and Welfare (THL).

6 About Gambling in Finland In Finland, gambling is regulated by the Lotteries Act Gambling expenditure* Highest in Europe 5% spends 50% of the total gambling expenditure 23% of the money comes from the problem gamblers 5.6 million inhabitants * National Institute for Health and Welfare

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8 Gambling was most popular in Finland Denmark 2016 Finland 2015 Island 2011 Norway 2015 Sweden 2015 Fig 2. Past-year gambling prevalence in Nordic countries (%) (Pallesen 2017) Anne H. Salonen 9 Anne Salonen National Institute for Health and Welfare

9 Veikkaus Oy - the Finnish Gaming company

10 Veikkaus Oy the Finnish Gaming Company Veikkaus Oy started its operations at the beginning of 2017, as the Finnish gaming system was reformed and the previous three operators Fintoto, Finland s Slot Machine Association (RAY), and Veikkaus merged into a single gaming company Veikkaus Oy is a company owned entirely by the Finnish State It has the exclusive right to operate all gambling in Finland It generates over one billion euros a year for the common good. The gaming revenue is distributed as grants to science, art, sport and youth work social and welfare organizations, helping the less fortunate and rehabilitation of the war veterans promoting horse breeding and equestrian sports

11 Gambling Clinic

12 Gambling Clinic Service entity specialised in gambling related problems (also services related to digital gaming & excess use of internet related problems) Partnership agreement (1st phase), Partnership Agreement (2nd phase), Partnership Agreement (3rd phase) Cities of Helsinki and Vantaa NGO s the Finnish Blue Ribbon, A-clinic Foundation, Sosped Foundation Socca the Centre of Expertise on Social Welfare in the Helsinki Metropolitan Area National Institute for Health and Welfare Wide range of services (local and nationwide services) All services free of charge Staff: 20 employees

13 Target Groups GAMBLERS (GAMERS) CONCERNED SIGNIFICANT OTHERS (CSOs) PROFESSIONALS COMMUNICATION AND RESEARCH

14 Gambling Clinic - Services Chat (Mon., Wed. & Fri.12-15) Time to Fold -Program Peer Helpline (Mon.- Fri ) Helpline (Mon.-Fri ) Peer Groups at OmaPeluuri portal - Gamblers - (Gamers) - Concerned significant others - Professionals Self-Help and information at peluuri.fi WEEKLY -Open Doors (Mon , Wed ) -Open Peer Support Group (Mon ) -Themed Open Peer Support group (Wed ) -Rehabilitating group activity (Fri ) EVERY OTHER WEEK Family Club TWICE PER SEASON Info evenings/themes vary (Wed ) Outpatient Treatment (individual, couple, family or group) Walk in Services (Thurs ) COMMUNICATION AND RESEARCH

15 Gambling Clinic - Peluuri s Services Helpline (Mon.-Fri ) Chat (Mon., Wed. & Fri ) Time to Fold -Program - Gamblers - (Gamers) - Concerned significant others - Professionals Peer Helpline (Mon.- Fri ) Self-Help and information at peluuri.fi Peer Groups at OmaPeluuri portal COMMUNICATION AND RESEARCH

16 Peluuri Established in 2004, since 2010 Peluuri operates as a part of the Gambling Clinic Counselling and support e-service via phone and Internet The goal is to prevent and reduce gambling related harm All Peluuri services are nationwide, free of charge and anonymous

17 Helpline & Chat

18 Helpline statistics PELUURI Problem gambling, total Gambler Concerned significant other - Professional etc Other calls Calls total

19 Client Profile of the Helpline The main problematic form of gambling are slot machines (72 %) Biggest problem gamblers group: year old males Especially younger women (18-34 years) very rarely have problem, but when they do, the problems tend to be severe, and internet gambling is most common among this group Concerning problematic gambling: about half of the gambling is done on the internet

20 Chat CHAT DIFFERENCE (% ) Gambler % Gamer % CSO % Professional % Journalist, student, Person giving feedback % TOTAL %

21 Time to Fold Program

22 Time to Fold Program Originally developed in Sweden. Started in Finland 2007 Internet based program for problem gamblers Follows the principles of cognitive behavioural therapy and motivational interview Clients Per year Total

23 Time to Fold Program The program consists of eight online courses/modules The program has three elements Regular weekly phone conversations with a therapist Self help weekly tasks and materials Online discussion board / peer support forum

24 Modules of the Time to Fold Program Module 1 Module 2 Module 3 Module 4 Module 5 Description of gambling addiction; Goals in life; Description of gambling at present; Positive and negative consequences of gambling; Reasons for gambling Description of latest gambling situations: feelings and thoughts Economical consequences of gambling: the actual loss of money due to gambling Request for help concerned significant others: how gambling has affected concerned significant others; Positive and negative consequences of gambling: when gambling continued or ended Acceptance: the past and today Information and advice of stress, sleep, mindfullness, incitements Changing gambling behaviour (ending gambling, ending gambling specific games, restricting gambling) Meaning and expectation of wins Time usage (reasonable activity); Misconceptions regarding gambling; Beliefs of coincidence Module 6 Risky situations: identifying, avoiding, encountering, successes; Prevention: new routines / enduring difficult feelings; being able to ask help, exercise; Three means to overcome gambling lust Module 7 Planning economy and payment of loans Module 8 Instructions; advice of keeping agreement

25 Development of Time to Fold Program / spring 2018 To improve the program s technical features and usability Problems to be solved: mobile friendly design simplifying the program (overlaping content) usage of the peer support forum is difficult

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27 Tiltti

28 Gambling Clinic - Services - Gamblers - (Gamers) - Concerned significant others - Professionals WEEKLY -Open Doors (Mon , Wed ) -Open Peer Support Group (Mon ) -Themed Open Peer Support group (Wed ) -Rehabilitating group activity (Fri ) EVERY OTHER WEEK Family Club TWICE PER SEASON Info evenings/themes vary (Wed ) COMMUNICATION AND RESEARCH

29 Tiltti Information and support for gambling (and gaming) related harms For problem gamblers (and gamers) and their concerned significant others Walk-in, low threshold services Employees (social workers) offer counceling and treatment guidance. Service users offer peer support In visits, 133 first-timers (64% male, 35% female, 1% families)

30 Outpatient Treatment & Walk in Services Services Provided by Helsinki and Vantaa Municipalities

31 Gambling Clinic - Services - Gamblers - (Gamers) - Concerned significant others - Professionals Outpatient Treatment (individual, couple, family or group) Walk in Services (Thurs ) COMMUNICATION AND RESEARCH

32 Outpatient Treatment

33 Outpatient Treatment 3 full-time therapists: a clinical psychologist and two social workers Employed by the municipalities of Helsinki and Vantaa PROFSSIONALS Treatment provided for adults living in Helsinki or Vantaa outpatient unit treats also co-morbidities connected to gambling problems OUTPATIENT TREATMENT VISITS Outpatient Treatment Visits Visits Per year 560*

34 Outpatient Treatment / Client Profile some observations* More men Three out of four service users are men. Biggest age group: years. Serious gambling problems Service users have very severe gambling problems (men: average PGSI points 18.3). A long lasting problem PROFSSIONALS Have suffered a long time from gambling problems in an average 7-9 years, before seeking help. No contact to other service providers One third of service users have no contact to any other service provider. Gambling debts are common Four out of five have gambling debts. *Data

35 Walk in Services

36 Walk in Services Started as a pilot December 2016 Service meant for all gamblers, gamers and concerned significant others Adults living in Helsinki or Vantaa One-time service without appointment Support, information and service councelling Thursdays from 15-17

37 Gambling Clinic: New Projects / Development Work 2018

38 New Projects / Development Work 2018 Development of a Brief-intervention model Development of a Brief-intervention model in co-operation with the National Institute for Health and Welfare. Toolkit consists of: a concise instruction booklet videos based on the booklet A self-help manual for problem gamblers. Becoming a Winner-Defeating Problem Gambling. (Hodgins, Makarchuk) Pilots fall 2018 City of Helsinki, social services and health care Western psychiatric and substance abuse centre Vanaja prison / Criminal Sanctions Agency

39 New Projects / Development Work 2018 Development of Time to Fold Program Spring 2018 Time to Fold Program tailored to digital gamers Funding application made spring 2018 Gambling Participation and Gambling Related Harms in Finland Gambling Harms Survey 2017 Spring 2018 Gambling Harms Survey 2016 presentation can be found:

40 Research and coordination of the Gambling Clinic s different functions Total: 2 employees (one researcher and a project manager) granted to Socca - The Centre of Excellence on Social Welfare in the Helsinki Metropolitan Area by the National Institute for Health and Welfare 2018: Councelling and support services (available via internet or phone) Total. 10 employees (out of which 1 communication / 50%) Funding: Gaming Company 2018: 1 million PERSONNEL OF THE GAMBLING PELIKLINIKAN CLINIC TOIMINTOJEN & RAHOITUS FUNDING YEAR 2018 Peer Group/Support Functions +communication Total 6 employees (out of which 1 communication / 50%) Funding: Funding Centre for Social Welfare and Health Organisations (STEA) 2018: Outpatient Treatment Services (individual, couple, family or group) & Walk in services Total: 3 employees Funding: Helsinki and Vantaa municipalities 2018: approx. Helsinki Vantaa:

41 Siltasaarenkatu 12 A, 6th floor Tel Thank you!