Evaluation of brief screens for gambling disorder in the substance use treatment setting

Himelhoch, Seth; Miles‐McLean, Haley; Medoff, Deborah R.; Kreyenbuhl, Julie; Rugle, Loreen; Bailey-Kloch, Marie; Potts, Wendy; Welsh, Christopher; Brownley, Julie

doi:10.1111/ajad.12241

Cited by 20 publications

(28 citation statements)

References 25 publications

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“…BUT Acknowledges it is unclear what to do with patients who screen positive for gambling problems. Himelhoch 2015 [ 23 ] USA Brief screening for gambling disorder in the Substance Use Treatment setting. Not reported Comparison of brief screens for gambling disorder Age 46.4 (10.2), African American (71%).…”

Section: Resultsmentioning

confidence: 99%

Should screening for risk of gambling-related harm be undertaken in health, care and support settings? A systematic review of the international evidence

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et al. 2021

Addict Sci Clin Pract

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Background Gambling-related harm is an increasing recognised problem internationally. Recent years have seen an explosion in opportunities to gamble, both in person and online. Health and other care settings have the potential to act as screening sites to identify and support gamblers who may be at high risk of experiencing gambling-related harm. This study aimed to identify interventions to screen for risk of gambling-related harm in the general population which may be delivered in health, care and support settings. Methods Systematic review. Searches of key databases and grey sources since 2012 were undertaken in October 2019. Electronic database searches generated a total of 5826 unique hits. Nine studies published 2013–2019, along with thirteen grey literature documents met our eligibility criteria. The criteria were setting (health, care and support settings), participants (any attendee in help, care and support settings), interventions (screening to identify risk of harm from gambling behaviours) and outcome measures (gambling behaviours, service use). Results Three papers evaluating screening interventions delivered in general practice (repeat visits and written advice), mental health service (the use of screening tools to identify risk of harm), and substance abuse treatment (intensive outpatient treatment for substance use disorders or methadone maintenance) indicated evidence of potential effectiveness. Six papers supported the feasibility and acceptability of delivering interventions in various settings. Grey literature reports described the implementation of interventions such as training materials, and transfer of interventions developed for substance abuse populations by practitioners. Conclusions Health, care and support services offer potentially important contexts in which to identify and offer support to people who are at risk of gambling related harm. Screening interventions appear feasible and acceptable in a range of community and healthcare settings for those at risk of gambling harm. Evaluation of effectiveness and cost-effectiveness of screening in these populations should therefore be prioritised.

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Section: Resultsmentioning

confidence: 99%

Should screening for risk of gambling-related harm be undertaken in health, care and support settings? A systematic review of the international evidence

Blank

Baxter

Woods

et al. 2021

Addict Sci Clin Pract

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“…Some mental health services, however, may require a briefer screening instrument or only wish to detect patients displaying more severe gambling problems. In this study, several shorter brief screening instruments displayed satisfactory sensitivity in detecting both moderate‐risk and problem, but not low‐risk, gambling on the PGSI.…”

Section: Discussionmentioning

confidence: 99%

“…Because clinical settings are associated generally with high base rates of problem gambling and provide opportunities for further assessment, the aim of most clinical settings is to capture as many problem gamblers as possible (high sensitivity), even at the expense of including relatively large numbers of non‐problem gamblers (low positive predictive values) . However, instrument efficiency in the face of the current climate of fiscal restraint present in many community mental health centres, as well as the number of items or duration of administration, may also be important . The primary aim of this study was to compare the classification accuracy of multiple brief instruments (two to five items) across problem gambling severity thresholds in the patients of mental health services.…”

Section: Introductionmentioning

confidence: 99%

Screening for problem gambling within mental health services: a comparison of the classification accuracy of brief instruments

et al. 2018

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The optimal brief screening instrument for mental health services wanting to screen for any level of gambling problem is the five-item Brief Problem Gambling Screen (BPGS). Services wanting to employ a shorter instrument or to screen only for more severe gambling problems (moderate-risk/problem gambling) can employ the NODS-CLiP or the three-item BPGS. Services that are only able to accommodate a very brief instrument can employ the Lie/Bet Questionnaire or the two-item BPGS.

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“…Gambling disorder (American Psychiatric Association, 2013) GD was assessed using an adapted questionnaire that assesses all nine criteria for GD using a yes/no response option. This questionnaire has been validated among substance-use-disordered patients with a history of GD (Himelhoch et al, 2015). This questionnaire was only administered if a VA patient screened positive for problem gambling on the BBGS.…”

Section: Gambling Disorder Screenermentioning

confidence: 99%

Screening for Gambling Disorder in VA Primary Care Behavioral Health: A Pilot Study

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et al. 2020

Issues in Mental Health Nursing

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The current pilot study assessed the prevalence of at-risk/problem gambling using the Brief Biosocial Gambling Screen (BBGS) among a sample of U.S. military veterans seeking mental health treatment services in a primary care medical setting at a Veterans Affairs (VA) hospital in the Northeast. Out of the 260 veterans screened, 85 veterans (32.7%) reported gambling behaviors within the past 12 months. No significant differences were found between gambling and nongambling veterans on demographics, medical, or mental health conditions collected in the study. Among veteran past-year gamblers, five veterans (5.9%) screened positive for at-risk/problem gambling. The estimated prevalence of problem gambling was 1.9% among veterans screened in a primary care behavioral health clinic. Results suggest that self-disclosure of problem gambling among veterans, as well as outreach efforts by VA health care providers, could serve to increase veterans' participation in treatment services for problem gambling. Larger, well-powered studies that examine the utility of the BBGS for detecting problem gambling among military populations are needed.

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Evaluation of brief screens for gambling disorder in the substance use treatment setting

Abstract: Commonly used brief screens for Gambling Disorder appear to be associated with good diagnostic accuracy when used in substance use treatment settings. The choice of which brief screen to use may best be decided by the needs of the clinical setting.

Cited by 20 publications

References 25 publications

Should screening for risk of gambling-related harm be undertaken in health, care and support settings? A systematic review of the international evidence

Should screening for risk of gambling-related harm be undertaken in health, care and support settings? A systematic review of the international evidence

Screening for problem gambling within mental health services: a comparison of the classification accuracy of brief instruments

Screening for Gambling Disorder in VA Primary Care Behavioral Health: A Pilot Study

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