Register Dealing with Problem Gambling Webinar Series Spring 2023

2/9/2023 Best Practices for Tribal Operators in Internet-Based Gaming

As one of the few tribes who have entered into the legalized internet gaming space, still in its early years - I believe it is crucial to talk about how we must handle responsible gaming efforts differently in this space than we do in our brick and mortar operations. Many of the RG efforts for internet gaming will be directed by regulatory requirements, but it is how you implement those requirements and when and how to go above and beyond those requirements that we need to address. There are many variables that make the internet gaming space both more susceptible to gambling addiction while at the same time being seemingly more difficult to recognize gambling addictions in the faceless patrons that the online platforms serve. To add to that, there can be nuances in the fact that tribal operators are licensed by and regulated by, many for the first time - State Regulators, who may have the same or differing regulations related to responsible gaming than the tribe's gaming commission. Also, how do you (or do you not), coordinate your brick and mortar self exclusions with your online self exclusions? There are many questions and many of us are still working our way through the answers, but as this industry grows, we must proactively talk about our best practices to ensure that tribal operators remain at the forefront of responsible gaming practices.

Presenter: Raquel Burai

Learning Objectives:

1. Discuss the landscape of tribal internet gaming and regulation and specifically regarding responsible gaming. Who regulates and what are some of the common regulatory requirements?
2. Discover how you implement the regulatory requirements and put in place measures to "flag" behaviors that may indicate problem gambling, and in some situations are you at the mercy of your platform provider to ensure compliance with your internal controls?
3. Describe how you successfully implement a self-exclusion process for your internet gaming operation and should you, or should you not - coordinate that with your brick and mortar process?

Agenda

12:00-12:05pm – Introductions of presenters and helpline information
12:05-1:45pm – Lecture of material
12:45-1:55pm – Discussion questions, case presentation, interaction (as needed)
12:55-1:00pm – Closing comments

2/24/2023 Introduction to Incorporating ASAM 3rd ed. for Adolescents with Multiply-Occurring Needs Part 1

Providing any type or level of mental and behavioral health care to adolescents can be challenging. It is a unique period of development that cannot be viewed as ‘mature childhood’ or ‘immature adulthood’. Identifying and understanding areas of needs, risks and symptoms can be complicated by the very developmental plasticities that offer so much potential for movement toward healthy changes. Often, this plasticity can mask or cloud a more comprehensive and integrated picture, which may ignore meaningful areas of influence. When areas of influential needs are not identified and included, treatment progress and associated protective changes can be slowed or even halted. Quite often, unidentified areas include alcohol/drug use: as many as 40% of adolescents with identified mental health needs experience co-occurring substance use needs at some level. While an integrated approach to ongoing screening, assessment and treatment can be initially daunting, it is a vital and foundational component of comprehensive care. Adolescents with co-occurring disorders are already in our care – and integrating that care provides the better opportunity for improved life trajectories for youth and their families. This training is presented in three one-hour blocks that will highlight the prevalence of youth with co-occurring mental health and substance use needs, describe an integrated, biopsychosocial approach and promote existing cross-over skills useful for treatment professionals to immediately increase an integrated approach to care. These concepts and skills will then be used to direct an application case study for a separate, third-in-the-series and concluding hour.

Presenter: Micahel Fox

Learning Objectives:

1. Describe and define: co-occurring and multiply-occurring needs; adolescence; biopsychosocial approach to care; integrated care.
2. Review and identify prevalence of adolescents with mental health, substance use, and co-occurring needs. Apply this to an understanding of the expectation for providing care to adolescents with co-occurring needs at any level of service.

Agenda

12:00-12:05pm – Introductions of presenters and helpline information
12:05-1:45pm – Lecture of material
12:45-1:55pm – Discussion questions, case presentation, interaction (as needed)
12:55-1:00pm – Closing comments

3/23/2023 The Practice Process: Using NIATx for data driven practice improvement

The NIATx model of process improvement has helped thousands of providers across the spectrum of behavioral health services to implement rapid changes to improve service quality. This session will describe the foundations and core NIATx principles and tools. Participants will learn how to focus on the care delivery process using tools including walk throughs, flow charts, and nominal group technique brainstorming to create data driven changes that will improve practice outcomes.

Presenter: Matthew Roosa

Learning Objectives:

1. Identify some of the key processes that drive your practice.
2. Select process tools that you can immediately employ.
3. Define indicators that can serve as measures of the success of your improvement efforts. 

Agenda

12:00-12:05pm – Introductions of presenters and helpline information
12:05-1:45pm – Lecture of material
12:45-1:55pm – Discussion questions, case presentation, interaction (as needed)
12:55-1:00pm – Closing comments

4/6/2023 Partner, Audit and Research

- Introduction to disordered gambling and its comorbidities.

- Why the concept of the ‘problem gambler’ is being replaced by a wider understanding of gambling-related harms.

- Gambling-related harms and their inter-relationship with other physical and psychological concerns.

- Why those close to a gambler may suffer as much - if not more - harm than the gambler themselves.

- The links between gambling addiction and Intimate Partner Violence.

- An overview of current efforts in Europe to reduce the stigma associated with gambling addiction.

Presenter: Malcolm Bruce 

Learning Objectives:

1. Assess why gambling addiction is a complex, often hidden behavioral disorder.
2. Determine the seven main harms associated with gambling.
3. Categorize the impact of gambling on ‘affected others’.
4. Analyze the importance of tackling the stigma around gambling addiction. 

Agenda

12:00-12:05pm – Introductions of presenters and helpline information
12:05-1:45pm – Lecture of material
12:45-1:55pm – Discussion questions, case presentation, interaction (as needed)
12:55-1:00pm – Closing comments

4/21/2023 Introduction to Incorporating ASAM 3rd ed. for Adolescents with Multiply-Occurring Needs Part 2

Providing any type or level of mental and behavioral health care to adolescents can be challenging. It is a unique period of development that cannot be viewed as ‘mature childhood’ or ‘immature adulthood’. Identifying and understanding areas of needs, risks and symptoms can be complicated by the very developmental plasticities that offer so much potential for movement toward healthy changes. Often, this plasticity can mask or cloud a more comprehensive and integrated picture, which may ignore meaningful areas of influence. When areas of influential needs are not identified and included, treatment progress and associated protective changes can be slowed or even halted. Quite often, unidentified areas include alcohol/drug use: as many as 40% of adolescents with identified mental health needs experience co-occurring substance use needs at some level. While an integrated approach to ongoing screening, assessment and treatment can be initially daunting, it is a vital and foundational component of comprehensive care. Adolescents with co-occurring disorders are already in our care – and integrating that care provides the better opportunity for improved life trajectories for youth and their families. This training is presented in three one-hour blocks that will highlight the prevalence of youth with co-occurring mental health and substance use needs, describe an integrated, biopsychosocial approach and promote existing cross-over skills useful for treatment professionals to immediately increase an integrated approach to care. These concepts and skills will then be used to direct an application case study for a separate, third-in-the-series and concluding hour.

Presenter: Michael Fox

Learning Objectives:

1. Outline an integrated approach to care and the advantages of this approach; describe methods for increasing an integrated approach and identify resources for supporting this approach
2. Identify ‘cross-over skillsets’ for increasing integrated care capacity

Agenda

12:00-12:05pm – Introductions of presenters and helpline information
12:05-1:45pm – Lecture of material
12:45-1:55pm – Discussion questions, case presentation, interaction (as needed)
12:55-1:00pm – Closing comments

5/9/2023 Introduction to Incorporating ASAM 3rd ed. for Adolescents with Multiply-Occurring Needs Part 3

Providing any type or level of mental and behavioral health care to adolescents can be challenging. It is a unique period of development that cannot be viewed as ‘mature childhood’ or ‘immature adulthood’. Identifying and understanding areas of needs, risks and symptoms can be complicated by the very developmental plasticities that offer so much potential for movement toward healthy changes. Often, this plasticity can mask or cloud a more comprehensive and integrated picture, which may ignore meaningful areas of influence. When areas of influential needs are not identified and included, treatment progress and associated protective changes can be slowed or even halted. Quite often, unidentified areas include alcohol/drug use: as many as 40% of adolescents with identified mental health needs experience co-occurring substance use needs at some level. While an integrated approach to ongoing screening, assessment and treatment can be initially daunting, it is a vital and foundational component of comprehensive care. Adolescents with co-occurring disorders are already in our care – and integrating that care provides the better opportunity for improved life trajectories for youth and their families. This training is presented in three one-hour blocks that will highlight the prevalence of youth with co-occurring mental health and substance use needs, describe an integrated, biopsychosocial approach and promote existing cross-over skills useful for treatment professionals to immediately increase an integrated approach to care. These concepts and skills will then be used to direct an application case study for a separate, third-in-the-series and concluding hour.

Presenter: Michael Fox

Learning Objectives:

1. Using a case vignette that describes areas of strengths and needs for an adolescent, guide a discussion of primary areas of considerations, with the anchoring point of viewing with an adolescent developmental lens.
2. Building from this initial, guided consideration, explore ideas for comprehensive assessment-facilitated understanding and integrated, family-involved treatment and support matches by way of elicited participant involvement.

Agenda

12:00-12:05pm – Introductions of presenters and helpline information
12:05-1:45pm – Lecture of material
12:45-1:55pm – Discussion questions, case presentation, interaction (as needed)
12:55-1:00pm – Closing comments

6/8/2023 The Rise and Rise of Female Sports Bettors

The session will look at the shift in women’s sport and discuss how and why the Women’s World Cup could be the biggest global betting event in history. Discussion points will include:

• The numbers behind the growth in women’s sport
• Women’s soccer as the fastest growing sport on the planet
• The numbers behind the growth in female sports bettors
• Women’s sport as a platform for gender equality
• The new win, the new sports-bettor and the new risks
• The first step to being a problem gambler is the first bet
• Action and awareness

Presenter: Christina Thalor-Rankin

Learning Objectives:

1. Discuss how and why the Women’s World Cup 2023 will be bigger than the Superbowl.

Agenda

12:00-12:05pm – Introductions of presenters and helpline information
12:05-1:45pm – Lecture of material
12:45-1:55pm – Discussion questions, case presentation, interaction (as needed)
12:55-1:00pm – Closing comments

Problem Gambling Webinar Series Continuing Education

The University of North Carolina at Chapel Hill School of Social Work has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6642.  Programs that do not qualify for NBCC credit are clearly identified.  The University of North Carolina at Chapel Hill School of Social Work is solely responsible for all aspects of the programs.  Each successfully completed webinar qualifies for 1 contact hour.

This course is pending approval from the North Carolina Addiction Specialist Professional Practice Board for 1 SS contact hours. 

An IGCCB Preferred Provider

Dr. Stephanie L Diez-Morel
Dr. Stephanie Diez-Morel (pronouns are she/her) is an assistant professor of graduate social work at Edinboro University of Pennsylvania. Dr. Diez-Morel is an invited member of the American Psychiatric Associations (APA) task force for Internet Gaming Disorder to discuss the public health implications of gaming and inclusion of Gaming disorder in the DSM-5- TR. She has authored numerous scientific presentations and journal articles, as well as appeared in the media on a variety of radio, podcasts, and news outlets to discuss the topic of addictions, gaming disorder and other technology-based addictions.

In 2013, Dr. Diez-Morel founded Reboot & Recover, a nonprofit organization dedicated to providing education, prevention, treatment, and research on gaming disorder and other technology-based addictions. Dr. Diez-Morel earned her Ph.D. from Florida International University where she was awarded a student scholar in Health Disparities Research Fellowship offered through the Center for Research on US Latino HIV/AIDS and Drug Abuse (CRUSADA) funded by the National Institutes of Health (NIH). As a C-SALUD Student Scholar in Health Disparities Research Fellow, Dr. DiezMorel’s research contributed to the reduction and prevention of health disparities affecting the Latinx populations in the United States.

As a Licensed Clinical Social Worker (LCSW), Dr. Diez-Morel has worked within nonprofit community organizations and in community hospitals providing direct clinical services to children, families, and adults experiencing addiction. In addition, she has provided education and consultation to address addictions among various communities including medical professionals, educators, caregivers, and school aged children. Dr. Diez-Morel is the recipient of the 2019 Most Next Award for Innovation awarded by the AICP Foundation in recognition of her problematic gaming prevention work with Reboot & Recover. In 2020 she was granted the New York University NIH Visiting Mentor Development Award for Addiction Research. Dr. Diez-Morel utilizes her expertise in behavioral health and addictions to serve in her role as a board member of the International Gambling Counselor Certification Board (IGCCB) and as a gaming expert consultant with the telehealth company Kindbridge. Dr. Diez-Morel continues her clinical practice as she is dually licensed in the states of Florida and Pennsylvania. Her clinical practice areas include: addictions, behavioral addictions, behavioral health, co-occurring disorders, and mental health. Her research interests include: Cyberpsychology; gaming disorder; behavioral addictions; substance use/misuse and substance use disorders; co-occurring disorders; and intersections of trauma and health. Dr. Diez-Morel’s research can be accessed via her ResearchGate Profile and GoogleScholar Profile.

David Yeagar

Dave Yeager is an 11-Year veteran of the United States Army who struggled with a gambling addiction while on active duty and after active duty. Dave is currently in active recovery for his addiction. Dave serves on the National Council on Problem Gambling’s military committee, and hosts a podcast, Fall In, The Problem Gambling Podcast for Military Service Members and Veterans, as part of an ongoing effort to raise awareness about problem gambling as it relates to service members and veterans.

Dave has a BS in Human Services and is working toward a Masters in Social Work. Dave works part-time, as a supervised addictions therapist in a drug and alcohol facility and offers additional care for patients struggling with co-occurring gambling disorder.

Dave is married, with 3 grown children and 2 grandchildren.

Michael Fox
Michael is a consultant and trainer with the Center for Innovative Practices (CIP) at the Begun Center for Violence Prevention Research and Education, part of the Jack, Joseph, and Morton Mandel School of Applied Social Sciences at Case Western Reserve University. CIP is a Coordinating Center of Excellence for children’s behavioral health for the Ohio Department of Mental Health and Addiction Service and is a collaborative partner with the National Technical Assistance Network for Children’s Behavioral Health (TA Network), providing content expertise on Intensive Home-Based Behavioral Treatment and integrated treatment approaches for youth experiencing co-occurring mental health and substance use disorders.

Michael provides program consultation, technical assistance and clinical trainings to providers in Ohio and around the country regarding youth with co-occurring mental health and substance use disorders, intensive home-based approaches to treatment and intentionally integrated treatment. He started in the adult addictions field when substance use and mental health treatments were deeply siloed – and has been moving intentionally toward integrated and systemic approaches ever since.

Raquel Buari

Raquel holds a Bachelor of Science in Legal Studies with a minor in Political Science from Ball State University. Raquel holds her Juris Doctor from Valparaiso University School of Law and is licensed to practice law in the state of Michigan. Raquel is the Vice President of Compliance - the chief compliance and ethics position for Four Winds Casinos, a tribal gaming operator operating 4 locations in Michigan and Indiana as well as internet-based gaming platform in Michigan. Raquel has been in legal affairs/compliance for Four Winds for fourteen (14) years and has spearheaded their responsible gaming program and efforts for eight (8) years. Raquel is on the Board of Directors for the National Council on Problem Gambling, the Indiana Council on Problem Gambling and the Michigan Association on Problem Gambling. Raquel is a lifetime resident of South Bend, IN and currently resides in the area with her husband and four (4) children.

Matthew Roosa

Mathew Roosa, LCSW-R is a consultant who provides training, coaching, technical assistance and planning support to universities, research studies, governments and health and human service provider organizations. Focusing on behavioral health, Mr. Roosa’s experience also includes psychotherapy for mental health and substance use in agencies and private practice, teaching at the undergraduate and graduate levels in Human Services and Social Work, agency administration, and governmental planning. Current areas of focus include evidence based practice implementation, process/ quality improvement (founding member of NIATx), staff and team development, and a wide array of training topics (Coaching, Mentoring, Contingency Management, Stimulants, CLAS, Wellness, MI systems implementation, and the NIATx Change Leader Academy).

Christina Thalor-Rankin

Christina has 30 years’ experience working in the betting and gambling industry with a career spanning all aspects of gaming operations, regulatory compliance and money laundering across both land and online. Previously holding senior roles with some of world’s leading brands such as William Hill and Virgin managing multiple teams and functions across a range of channels and products she is currently Principal Consultant at 1710 Gaming Ltd working with start-ups, investors, established operators, regulators, law enforcement and industry groups and associations across the world, advising on all aspects of betting, gaming and gambling. She is a practicing Regulatory Compliance, Safer Gambling and Money Laundering Reporting Officer. She is a committee member of the National Council on Problem Gambling, advisor to the All India Gaming Federation, Co-Chair of Gameshield and Co-Founder of the All-In Diversity Project as well as contributing to industry publications and events. (B.A. Hons, M.A. PGCert).

Malcolm Bruce 

Malcolm Bruce has had various roles in the gambling world over the past 20 years: He was a director of Betfair, a sports betting exchange; was the first CEO of 'GambleAware',the UK's body responsible for funding all research,education and treatment concerned with gambling disorder; and for the past ten years has ran a consultancy that provides audits, training and advice to companies regulators and trade bodies in the US, Europe and Australia on gambling consumer protection.

Malcolm secured the funding for the first gambling addiction clinic run by the UK's National Health service and is himself a qualified counsellor with postgraduate qualifications in psychological therapies, and a Master's degree in philosophy and ethics. Despite his Scottish roots, Malcolm is a licensed lay preacher and churchwarden of a beautiful twelfth century Anglican church in Winchester England. He is married, with three adult children and one cat.