Events & Education

Upcoming Events

Webinar

Gamblification: The Rise of Nontraditional Betting Platforms

Date: Thursday – 1/8/26

Time: 12 – 1:30PM ET

Cost: Free webinar

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Addiction as a Disease

Exploring the Cycle of Addiction & Prevention Strategies.
Understanding addiction as a complex brain disease and exploring evidence-based ways to combat relapse.

Date: Monday, January 12th

Time: 12:00 PM – 1:00 PM

Speakers:

Lorne Powell, CSAC: Certified Addiction Counselor.

Carla Taylor, CSAC: Certified Addiction Counselor.

This event is a partnership between:

Virginia Partnership for Gaming & Health

VCPG (Virginia Council on Problem Gambling)

Master Center

Cost:

Free Webinar

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Webinars

ImageWebinar Recording: The Therapeutic Benefit of Horses

Date of Webinar: September 17, 2024

Learn how there is a growing body of evidence and research that demonstrates the healing benefits of animals and nature in addressing relational and behavioral health issues and improving overall well-being.

Assessments and References

While several of the VCPG fact sheets will be geared toward health professionals, below is a list of commonly used standardized assessments for gambling disorders. Some of these have been validated with the DSM-5, but some are still only valid based on the DSM-IV.

Assessments and Descriptions

Assessment: Biosocial Gambling Screen (BBGS)1
Description: A three-item screener for a current gambling disorder, not a lifetime problem.

Assessment: South Oaks Gambling Screen2,3
Description: A 20-item self-report questionnaire that screens for lifetime gambling.

Assessment: Gamblers Anonymous 20 Questions2,4
Description: A 20-item questionnaire that screens for current problem gambling, not a lifetime problem.

Assessment: Massachusetts Gambling Screen2,5
Description: A 14-item self-report measure that screens across the gambling disorder spectrum for both adolescents and adults.

Assessment: Lie/Bet Questionnaire6
Description: Two-item screening questionnaire for pathological gambling.

Assessment: Early Intervention Gambling Health Test2,7
Description: A screener for pathological gambling.

Assessment: Structured Clinical Interview for Pathological Gambling2,8
Description: Tool to use for a differential diagnosis between gambling disorder and a manic episode.

Assessment: Diagnostic Interview for Gambling Schedule2,9
Description: Structured interview that assesses different aspects of gambling disorder to get a better profile of the client.

Assessment: National Opinion Research Center DSM-IV Screen for Gambling Problems2,10
Description: A 17-item interview that screens for gambling disorder across the spectrum.

Assessment: NODS-CLiP11
Description: The NODS is a 17-item screener for gambling disorder, while the CLiP is a three-item questionnaire that identifies almost all pathological gamblers. Together, these tools have good sensitivity and specificity.

Below are some treatment strategies also commonly used to help those on the gambling disorder spectrum.

  • Motivational interviewing16
  • Traditional therapy12
  • Suggesting Gamblers Anonymous12
  • Suggesting proper self-help12
  • Cue Exposure Therapy14
  • Natural recovery15
  • Medication, although pharmacological interventions specific to gambling disorder are lacking12,13

References

  1. Gebauer Lm, LaBrie R, Shaffer HG. Optimizing DSM-IV-TR classification accuracy: A brief biosocial screen for detecting current gambling disorders among gamblers in the general household population
  2. Grant JE, Odlaug BL. Diagnosis and treatment of gambling disorder. Chapter 3. Pages 35-59. In Behavioral Addictions: Criteria, Evidence, and Treatment.
  3. Lesieur HR, Blume SB. The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers. Am J Psychiat. 1987;144:1184–1188.
  4. Toneatto T. Reliability and validity of the Gamblers Anonymous Twenty Questions. J Psychopath Beh Assess.2008;30:71–78.
  5. Shaffer HJ, LaBrie R, Scanlan KM, Cummings TN. Pathological gambling among adolescents: Massachusetts gambling screen (MAGS). J Gambl Stud. 1994;10:339–362.
  6. Johnson EE, Hamer RM. The lie/bet questionnaire for screening pathological gamblers: A follow-up study. Psych Report. 1998;83:1219-1224.
  7. Sullivan S. Development of the “EIGHT” problem gambling screen. Unpublished doctoral thesis. Auckland, New Zealand: Auckland University (Philson Ref W4 S952–1999);1999.
  8. Grant JE, Steinberg MA, Kim SW, Rounsaville BJ, Potenza MN. Pre­liminary validity and reliability testing of a structured clinical interview for pathological gambling. Psychiat Res. 2004;128:79–88.
  9. Winters KC, Specker S, Stinchfield R. Measuring pathological gambling with the Diagnostic Interview for Gambling Severity (DIGS). In JJ Marotta, JA Cornelius, WR Eadington (Eds.), The downside: Problem and pathological gambling (pp. 143–148). Reno, NV: University of Nevada. (Reno);2002.
  10. National Opinion Research Center. Gambling Impact and Behavior Study: Report to the National Gambling Impact Study Commission. Chicago, IL: National Opinion Research Cen­ter at the University of Chicago;1999. Available at http://www.norc.uchicago.edu/new/g amb-fin.htm.
  11. Toce-Gerstein M, Gerstein DR, Volberg RA. The NODS-CLiP: A rapid screen for adult pathological and problem gambling. J Gambl Stud. 2009;25:541-555.
  12. National Center for Responsible Gambling. Gambling and Health in the Workplace. Available at XXX. 20XX.
  13. Raposo-Lima C, Castro L, Sousa N, Morgado P. SCRATCH THAT! Two case reports of scratch-card gambling disorder. Addic Beh. 2015;45:30-33.
  14. Park C-B, Park SM, Gwak AH, et al. The effect of repeated exposure to virtual gambling cues on the urge to gamble. Addic Beh. 2015;41:61-64.
  15. Slutske WS. Natural recovery and treatment-seeking in pathological gambling: Results of two U.S. national surveys. Am J Psychitry. 2006;163:297-302.
  16. Yakovenko I, Quigley L, Hemmelgarn BR, Hodgins DC, Ronksley P. The efficacy of motivational interviewing for disordered gambling: Systematic review and meta-analysis. Addic Beh. 2015;43:72-82.

FAQs

What is Problem Gambling?

Problem gambling–or gambling addiction–includes all gambling behavior patterns that compromise, disrupt or damage personal, family or vocational pursuits. The symptoms include increasing preoccupation with gambling, a need to bet more money more frequently, restlessness or irritability when attempting to stop, “chasing” losses, and loss of control manifested by continuation of the gambling behavior in spite of mounting, serious, negative consequences. In extreme cases, problem gambling can result in financial ruin, legal problems, loss of career and family, or even suicide. For more information on the American Psychiatric Association’s criteria for gambling addiction, please see the DSM 5 at www.psych.org.

Isn’t Problem Gambling just a financial problem?

No. Problem gambling is an emotional problem that has financial consequences. If you pay all the debts of a person affected by problem gambling, the person still has a gambling problem or gambling disorder. The real issue is that they have an uncontrollable obsession with gambling.

Isn’t Problem Gambling really the result of irresponsible or poor choices?

No. Many people who develop problems have been viewed as responsible and strong by those who care about them. Precipitating factors often lead to a change in behavior, such as retirement or job related stress.

Who is at risk for Problem Gambling?

Anyone who gambles can develop problems. This is why it is important to be aware of the risks and to gamble in a responsible way, if you choose to gamble. When gambling behavior interferes with finances, relationships and the workplace, a serious problem already exists.

What types of gambling cause the most Problem Gambling?

Again, the cause of a gambling problem is the individual’s inability to control the gambling. Therefore, any type of gambling can become problematic, just as someone with an alcohol problem can get drunk on any type of alcohol. But some types of gambling have different characteristics that may exacerbate gambling problems. While these factors are still poorly understood, anecdotal reports indicate that one risk factor may be a fast speed of play. In other words, the faster the wager to response time with a game, the more likely players may be to develop problems with a particular game.

What is the responsibility of the gaming industry?

Everyone who provides gambling opportunities has a responsibility to develop policies and programs to address underage and problem gambling issues.

Can you have a gambling problem if you don’t gamble every day?

The frequency of a person’s gambling does not determine whether or not they have a gambling problem. Even though a person may only go on periodic gambling binges, the emotional and financial consequences will still be evident in the individual’s life, including the effects on the family.

How much money do you have to lose before gambling becomes a problem?

The amount of money lost or won does not determine when gambling becomes problematic. Gambling becomes a problem when it causes a negative impact on any area of the person’s life.

How can a person be addicted to something that isn’t a substance?

Although no substance is ingested, someone with a gambling problem gets the same effect from gambling as one might get from taking a drug or drinking alcohol. But just as tolerance develops to drugs or alcohol, a person with gambling problems finds that it takes more and more of the gambling experience to achieve the same emotional effect as before. This creates an increased urge for the activity and the person finds they have less and less ability to resist as the craving grows in intensity and frequency.

Are individuals with gambling problems usually addicted to other things too?

It is generally accepted that people with one addiction are more at risk to develop another. Some individuals with gambling issues also find they have a problem with alcohol or drugs. This does not, however, mean that if you have a gambling problem you are guaranteed to become addicted to other things. Some people with gambling problems never experience any other addiction because no other substance or activity gives them the same feeling as the gambling does. There also appears to be evidence of family patterns regarding dependency as many people experiencing problems with gambling report one or both parents had a drinking and or gambling problem.

How widespread is Problem Gambling in the U.S.?

2 million U.S. adults (1%) are estimated to meet the criteria for severe gambling problems in a given year. Another 4-6 million (2-3%) would be considered to have mild or moderate gambling problems; that is, they do not meet the full diagnostic criteria for gambling addiction but meet one or more of the criteria and are experiencing problems due to their gambling behavior. Research also indicates that most adults who choose to gamble are able to do it responsibly.

What is the national social cost of Problem Gambling?

NCPG estimates the annual national social cost of problem gambling is $7 billion. These costs include gambling-related criminal justice and healthcare spending as well as job loss, bankruptcy and other consequences. This estimate was based on research from the 1999 National Gambling Impact Study Commission updated to account for inflation and current rates of problem gambling.

Can children or teenagers develop gambling issues?

A number of states allow children under 18 to gamble, and youth also participate in illegal forms of gambling, such as gambling on the internet or betting on sports in states where it is not legal. Therefore, it is not surprising that research shows that a vast majority of kids have gambled before their 18th birthday, and that children may be more likely to develop issues related to gambling than adults. While debate continues on this issue, there appears to be a number of factors influencing this finding. Parental attitudes and behavior play a role. Age of exposure plays a part–research shows that adults who seek treatment for problem gambling report having started gambling at an early age.

Tips For gambling Responsibly:

  • Set a time limit (before you go or log on) and stick to it
  • Set a money limit and stick to it
  • Gamble only for fun (not a way to make money)
  • Accept losing as a part of the game (you are paying to play a game)
  • Don’t borrow money to gamble – not even from yourself 
  • Don’t let gambling interfere with family, friends, or work (stop if it is causing problems)
  • Don’t gamble to win back losses (you expect to lose, when it is gone, it is gone)
  • Don’t gamble to get money (it is not a source of income, it is an expense for fun)
  • Don’t gamble to cope with emotional or physical pain 
  • Don’t let gambling interfere with family, friends, work, or school (stop if it is causing problems)

Recovery is possible and we are here to help.

Hear from gamblers in recovery, speak with an expert about concerns, learn more about our wellness calls/GA meetings, or find general information.