Previous studies of problem gamblers portray this group as being almost exclusively male. However, this study demonstrates that females comprised 46% of the population ( n = 1,520) of persons who sought assistance due to concerns about their gambling from the publicly-funded BreakEven counselling services in the state of Victoria, Australia, in one 12-month period. This suggests that the model of service delivery which is community based counselling on a non-residential basis may be better able to attract female clients than treatment centres where males predominate such as veterans centres. A comparative analysis of the social and demographic characteristics of female and male gamblers within the study population was undertaken. As with previous studies, we have found significant differences between males and females who have sought help for problems associated with their gambling. Gender differences revealed in this study include females being far more likely to use electronic gaming machines (91.1% vs. 61.4%), older (39.6 years vs. 36.1 years), more likely to be born in Australia (79.4% vs. 74.7%), to be married (42.8% vs. 30.2%), living with family (78.9% vs. 61.5%) and to have dependent children (48.4% vs. 35.7%), than males who present at these services. Female gamblers (A$7,342) reported average gambling debts of less than half of that owed by males (A$19,091). These gender differences have implications for the development and conduct of problem gambling counselling services as it cannot be assumed that models of service which have demonstrated effectiveness with males will be similarly effective with females.

Previous studies have found significant differences between men and women who have sought help for problems associated with their gambling. While this raises the possibility of differing treatment needs, much of the research into treating problem gamblers is based on all-male samples. This article seeks to remedy this situation by reporting on sex differences in the treatment of 1,520 problem gamblers, almost half of whom are female, who sought help in the state of Victoria, Australia, between July 1996 and June 1997. In contrast to the primarily external concerns such as employment and legal matters reported by males, females attending for problem gambling counseling were more likely to report problems with their physical and intrapersonal functioning and were more likely to report resolution of their problems. Male clients were more likely to have their cases closed and be referred to other agencies for assistance.

A growing number of Americans are managing and monitoring long-distance caregiving for an elderly parent. The authors offer a first-hand experience of caregiving involving an African-American family, which will be useful to both caregivers and practitioners. The challenges that result from long-distance caregiving are discussed. A detailed case study and assessment is followed by suggested strategies for lessening caregiver stress.

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