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Gambling addiction hotline penance 3

Postby Shaktidal В» 03.08.2019

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A prevalence of gambling disorders is diversified depending on the region of the world. Almost three quarters of pathological gamblers had never sought a professional treatment as well as an assistance in self-help groups.

Reasons why they do not initiate a treatment are complex. The aim of the article is to compare barriers to the treatment for people with gambling disorders found in presented study and barriers to alcohol and drug treatment identified in the available literature. The semi structured interviews were applied and conducted with people with gambling disorders, social workers, therapists employed in the addiction treatment facilities, General Practitioners and psychiatrists.

Selection of the respondents was based on purposive sampling. In total, 90 interviews were completed. Respondents identified individual barriers as well as structural ones. Individual barriers include internal resistance and a fear of the treatment.

In turn structural barriers apply to the organization of the therapy, infrastructure, personnel, and the therapeutic program. A comparison of barriers experienced by people with gambling disorders and substance use disorders showed that they are largely similar, but people with gambling disorders also experience specific barriers.

Empirical studies focused specifically on treatment needs of people experiencing gambling disorders may improve an offer of help for them. More adequate treatment options could contribute to the increasing in the number of people who start the treatment. It can result in improving their quality of life and may have positive impact on public health.

Such factors as an increasing availability of gambling over the last decades, a low social knowledge on gambling disorders, and a perception of gambling rather in terms of moral weakness than a medical disorder have an impact on a social acceptance of gambling behaviors Petry and Blanco ; St-Pierre et al. A prevalence of gambling is diversified and depending on the region of the world.

Studies conducted in different countries show that a prevalence of problem gambling in 12 moths before the study vary between 0. People with gambling disorders whose problems are more severe, more often than others, decide to initiate a treatment Pulford et al. Reasons why people with gambling disorders do not initiate treatment are complex and include social, cultural, individual and structural factors.

The studies usually show barriers to the treatment divided into two groups depending on their background: barriers arising from personal beliefs individual barriers and connected with the structure of the treatment structural barriers. In the group of structural barriers respondents mentioned a lack of awareness of services, a large distance from the place of residence to the facility, high costs of the treatment, lack of culturally and linguistically appropriate services, opening hours of clinics not relevant to the needs, unsatisfying program rules including abstinence, a lack of information from therapists about treatment regiment, high availability of gambling Evans and Delfabbro ; Gainsbury et al.

This article aimed at the presentation of barriers to the treatment for people with gambling disorders identified in discussed study in comparison to barriers experienced by people with alcohol and drug disorders based on the literature review.

What barriers to the treatment are identified by people with gambling disorders and professionals involved in helping them? What are the differences and similarities between barriers to substance treatment and barriers to gambling treatment? In Poland, as in other countries, therapeutic offer for people with gambling disorders is very often the same offer which is addressed to people with alcohol or drug disorder Toneatto and Brennan There is a lack of facilities dedicated exclusively to people with gambling disorders.

If gambling disorders comorbid with alcohol or drug dependence, a major concern is a disorder related to the substance. People with gambling disorders, similar to those with alcohol or drug disorders, can receive an inpatient or an outpatient form of treatment as well as nonmedical support—Gamblers Anonymous. Behavioral, cognitive and cognitive-behavioral approaches dominate. Interviews were conducted with people with gambling disorders, social workers, therapists employed in addiction treatment facilities, General Practitioners and psychiatrists.

The aim of such selection was to choose only those respondents who would provide complete and comprehensive information from the perspective of research questions Wasilewska Research sample consisted of 90 respondents and covered 30 interviews with people with gambling disorders and 15 interviews with each group of professionals—social workers, General Practitioners, psychiatrists and therapists.

Inclusion criteria for professionals were status of employment in facility where treatment of gambling disorders is offered and their profession. In turn, inclusion criteria for people with gambling disorders was a diagnosis of gambling disorders confirmed by a psychiatrist.

There were two kinds of places where respondents were enrolled—alcohol and drug treatment facilities and meetings of Gambling Anonymous GA. In the case of the first place, patients were recruited by therapists and then contacted by researchers to conduct an interview. In the second case—the researcher contacted the leader of the group of Gambling Anonymous asking to provide information about the study on the meeting.

Those interested in participating in the study contacted with the researcher directly and the interview was carried out at a convenient time and place. The vast majority of the sample in the group of people with gambling disorders were male; the study included only three females with diagnosis of gambling disorders.

Average age in this group was Only one person was unemployed. The most popular gambling game answers: often and very often were slot machines On the other hand, the least popular type of gambling answer: I did not gambled were horse race betting Average age was The highest average age was noted in the group of psychiatrists Average age for General Practitioners was The vast majority of the professionals lived in Warsaw, only a few resided outside the city.

Three types of guidelines to conduct semi-structured interviews were developed—first one for people with gambling disorders, second—for social workers and the last one for professionals employed in the medical sector: General Practitioners, psychiatrists and therapists. Interview for people with gambling disorders was divided into six sections: experiences with treatment the reason for entering treatment, the circumstances in which the respondent realized the problem, seek help outside the medical sector, reasons for choosing facility, difficulties in obtaining assistance , assessment of available treatment offer for people with gambling disorders positive and negative experiences with treatment , social perception of people with gambling disorders based on the individual experiences, recommendations for improving treatment offer, types of preferred gambling games and comorbidity issue.

Second type of guideline was designed for social workers and included questions on reasons for seeking help in social welfare centers by people with gambling disorders, existing offer of social welfare for people with gambling disorders, demand for such offer among people with gambling disorders, perception of people with gambling disorders by social workers, influence of stigmatization on cooperation with people with gambling disorders, and recommendations how to improve offer of welfare centers.

All kinds of guidelines included section which allow to collect socio-demographic data such as age, place of residence, marital status, education level and employment. Individual interviews were conducted in the first half of Before the proper phase of the study, the pilot interviews were carried out two interviews with respondents from each sample group.

After the pilot study, interview guidelines were revised. Interviews from the pilot phase were included to the study material. The study was anonymous, opinion of the respondents were denoted only by a number; personal data were not collected. All respondents were informed about the aim of the study and signed the consent form for participation in the study. All interviews were recorded and then transcribed. Each interview was analyzed separately.

The analysis was initiated by reading full text and making notes on the margin of the interview. In the next step, relevant codes were made to cover topics interesting from the perspective of the aims of the study. Then, codes were aggregated into thematic categories which were assigned to the broader categories—dimensions. Coding and data analysis was made manually, without using any software.

Access to the treatment has been conceptualized in numerous ways Levesque et al. Within health care, access is understood in terms of access to a service, a provider or an institution and defined as the opportunity or ease with which consumers are able to reach appropriate services in proportion to their needs Whitehead While the access issue is often used in relation to factors determining the initial contact or use of services, opinions differ regarding aspects included within access and whether the emphasis should be put more on analyzing characteristics of the providers or the actual process of care Frenk The analysis in this study covered the factors that hinder the decision to undertake treatment or refrain from such a decision, as well as factors that appear already in the course of treatment.

The latter factors can reduce the chances of keeping the patient in the treatment and influence the decision to take treatment again if need arises. In the first case answers concerned difficulties in obtaining assistance, in the second—negative experiences with treatment were analyzed.

Furthermore, the analysis takes into account dimension of the source of information, so statements of patients, social workers, General Practitioners, psychiatrists and therapists were encoded separately. The authors had to make a decision regarding the presentation of research material in the article. Another way was divide material into individual and structural dimensions. It was chosen by authors for two reasons.

Firstly it was the way to avoid too many repetitions, as a lot of barriers mentioned by professionals overlapped with those mentioned by patients. Secondly this presentation facilitated comparison of barriers revealed in this study with barriers identified in other studies as it is the most widespread way of presenting barriers regarding the discussed issue.

It should be noted that the most barriers can be described with regard to both perspectives: individual and institutional. For example, little knowledge of existing therapeutic offer may have an individual dimension, if the person does not have the motivation to become familiar with the offer or institutional, when there is no easy access to the knowledge about treatment services.

For this reason, the authors when deciding how to qualify particular barrier took into consideration the context in which the barrier was recalled. This distinction was largely a contractual nature. The aim of the review was to identify the publications related to barriers to the alcohol and drug treatment facilities. The articles to the review were identified in the Medline database with using search words barriers and alcohol dependence articles , and search words barriers and drug dependence articles.

Based on abstracts we included 7 articles to the analysis, which directly corresponded to the aim of the study. The review also included articles identified in the references of the eligible publications 4 articles. Ethical approval to conduct the study was obtained from Bioethical Commission of the Institute of Psychiatry and Neurology from Warsaw, Poland ref.

Barriers in access to the treatment may result from the therapeutic requirements that are difficult to accept by potential patients. Many people with gambling disorders feel a fear and an aversion to speaking about their problems at the forum of therapeutic group. In the opinion of respondents, necessity of speaking about personal experiences, problems and feelings associated with gambling problems to the group of strangers, may result in failing to take the treatment.

The necessity of admitting to yourself and your family, that you are an addict is inseparably linked to a sense of shame. A shame accompanies every addiction. People drink for years, take drugs, gamble and shame appears in different situations. On the other hand, going to the treatment is associated with a completely different sense of shame.

Because taking treatment is like admitting the problem, which for years they did not want to admit. Beliefs that gambling is not a disease and it is impossible get addicted from it as well as possibility of self recovery in the situation of addiction are factors which influence a decision to start treatment or not.

At the meetings of Gambling Anonymous I found out that this disorder is a disease. Once, at the group meeting we identified three biggest scam of addicts. A lack of internal motivation to starting treatment can also be classified as a barrier. Usually people with gambling disorders do not see the need for a specialized treatment, they do not take it on its own initiative but rather under pressure of family or partner.

An important barrier to the decision to undertake treatment is the fear of stigmatization. Apart from obtaining the label of addict person, the decision about treatment may involve the disclosure of various facts, such as robbing and cheating family, losing large amounts of money, which put a person with gambling disorders in a bad light.

Understanding Joy: The Devastation of a Gambling Addiction, time: 56:47
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Re: gambling addiction hotline penance 3

Postby Gozilkree В» 03.08.2019

The concepts and principles of equity and health. I think the key to dealing with a "wayward" child, is to first of all protect yourself, stop trying to change him or her and pray that God will bring them addictiln, through the right people, to the right road. Continue Privacy policy.

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I'm going to try to answer gambling near forthwith. Hotline not the "dirty" secret it once was and it no longer holds power over us. A second gambling recovery pathway describes penanc whose recovery was motivated by the desire to achieve personal ambitions that had been inhibited by gambling penance. Recovery Assistance Program Gambling addiction harm often has a significant impact on the financial stability of the person gambling and their families. We have been to addicttion and back with suicide attempts, depressionand a million other things that come with being a CG.

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Postby Faegrel В» 03.08.2019

Journal of Clinical Psychopharmacology, 25— Interviews from the pilot phase were included to the study material. Good to hear from you.

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Nobody is perfect in the groups. Our Advisers work to a gamhling code of practice, which includes strict confidentiality within the team. Archives of Neurology, 63— It runs the National Gambling Helpline and also offers face-to-face counselling. In particular, go here identification of and education about these cognitive patterns could prevent the onset of problematic gambling behaviours Ladouceur et al.

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Postby Vudobei В» 03.08.2019

Educational materials are tailored mainly to the requirements of therapy of alcohol or drug disorders. Pasche et al. Alleviating an immediate financial crisis can be an important step in allowing your client to address their underlying gambling behaviour.

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I think there should be different addictoon tools for people with alcohol dependence and gambling disorders, for example those brochures which we get are mainly for people with alcohol dependence. Roncero, C. Once you begin to try and put your side the addiction has something to get its teeth into. LaBrie, R.

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Postby Yogor В» 03.08.2019

Social, psychological and physical consequences of pathological gambling in Sweden. Jimenez-Murcia et al. Journal of Gambling Studies, 17— Petry reported that it is possible that one third of the sample recovers naturally see also Slutske, We have been to hell and back with suicide attempts, depressionand a million other things link come with being a CG.

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A prevalence of gambling is diversified and go here on the region of the world. Thanks for your supportive posts, Cathy. A comparison of young, middle-aged, and older adult treatment-seeking pathological gamblers. Porchet, R. Same age as your son.

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Additionally, a prospective methodology would better examine the long-term effectiveness of recovery approaches and examine the cycles of recovery and relapse. Not be judgmental and offer my help and support, but i am going into the unknown. I heard you guys loud and addictiom and felt the love across the ocean!

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