Hesitation to Seek Gambling-related Treatment Among Ontario Problem Gamblers

Suurvali, Helen; Hodgins, David C.; Toneatto, Tony; Cunningham, John A.

doi:10.1097/adm.0b013e3182307dbb

Cited by 33 publications

(32 citation statements)

References 20 publications

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“…The other reason is, as was identified in studies from the field of alcohol disorders (Dąbrowska et al, 2016;Wieczorek, 2015), that people with gambling disorder choose facilities which are located some distance from their place of residence primarily because of a fear of stigmatisation. Despite so many structural barriers, individual barriers are the most salient and the most difficult to overcome (Gainsbury et al, 2014;Hodgins & elGuebaly, 2000;Suurvali et al, 2012b).…”

Section: Discussionmentioning

confidence: 99%

“…Psychological barriers include the following: lack of awareness or acceptance that gambling may become a disorder, lack of awareness of services, disregarding the problem of gambling, believing that problems can be resolved without professional assistance, the shame and embarrassment of having such a problem, reluctance to disclose it to others, wariness and lack of understanding of treatment, a perceived lack of effectiveness of treatment, and negative previous experiences with such treatment (Dąbrowska, Moskalewicz, & Wieczorek, 2016;Evans & Delfabbro, 2005;Gainsbury et al, 2014;Pulford et al, 2009;Rockloff & Schofield, 2004;Suurvali et al, 2009;Tavares et al, 2002). Structural barriers refer to hours of treatment which do not fit in with the daily schedule, time commitments, geographical location, and information about available help services (Dąbrowska et al, 2016;Hing & Nuske, 2011;Pulford et al, 2009;Suurvali et al, 2009;Suurvali, Hodgins, Toneatto, & Cunningham, 2012b). In countries where treatment has to be paid for, costs are perceived as a barrier.…”

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confidence: 99%

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What makes people with gambling disorder undergo treatment? Patient and professional perspectives

Wieczorek

Dąbrowska

2018

Nordic Studies on Alcohol and Drugs

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Aims: The aim of the article is to identify factors which bring people with gambling disorder to undergo treatment. We are interested in exploring motives that trigger change; identifying factors determining choice of facility; recognising barriers and facilitators appearing during treatment. Design: Semi-structured interviews were conducted in Poland with people with gambling disorder, as well as with social workers, therapists, General Practitioners (GP) and psychiatrists. Purposive sampling was applied in selecting respondents. In total, 90 interviews were completed. Results: Internal and external motives that trigger change were identified. Among the internal motives were individuals' own reflections often combined with a sense of guilt, and among the external motives, pressure from significant others, financial problems, law problems and somatic and mental problems. The choice of facility was made by those suffering from gambling disorder or by close family members. Factors which influenced the choice of clinics were availability (distance to the facility, sessions schedule), quality of infrastructure, assured anonymity, opinions on provided assistance, the renown of such a facility, apparent experience in treatment of gambling disorder, and the context behind the problems experienced. Individual (related to emotions and convictions,) and structural barriers (related to the treatment offer, infrastructure, personnel, and

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

What makes people with gambling disorder undergo treatment? Patient and professional perspectives

Wieczorek

Dąbrowska

2018

Nordic Studies on Alcohol and Drugs

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“…Items were scored on a 4-point scale and summated to identify no problems (0-7), hazardous or harmful drinking (8)(9)(10)(11)(12)(13)(14)(15) and dependence over the past year. Drug use problems were measured in relation to 8 substances (cannabis, amphetamines, crack, cocaine, ecstasy, tranquillizers, opiates and volatile substances).…”

Section: Methodsmentioning

confidence: 99%

“…They also focus on vulnerable individuals, through brief interventions with gamblers at early stages of risk or intensive treatments for severe disorders [7] . Other initiatives address low rates of treatment seeking for gambling problems [8] and include programmes of screening or case-finding in health-care settings. The latter are consistent with recommendations of the British Medical Association, which called for vigilance for gambling problems in health services and training for general practitioners (GPs) in diagnosis, treatment and referral [9] .…”

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confidence: 99%

Problem Gambling in the UK: Implications for Health, Psychosocial Adjustment and Health Care Utilization

Cowlishaw

Keßler

2015

Eur Addict Res

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Background/Aims: Research indicates that rates of gambling problems are increasing in the UK, but has provided limited consideration of possible implications for individuals, families and communities. This study examines the associations involving problem gambling and indicators of mental and physical health, as well as psychosocial adjustment and health care usage, in a representative sample from England. Methods: Data were derived from the 2007 Adult Psychiatric Morbidity Survey, which is a representative study of adults (n = 7,403). Regression models evaluated the correlates of problem gambling. Results: There were associations with problem gambling and mental health (anxiety, neurotic symptoms and substance use problems) and psychosocial maladjustment (suicidality, financial difficulties and social support). There were limited influences on physical health that were beyond socioeconomic factors and substance use problems. Notwithstanding, the results demonstrated over-representation of gambling problems in certain health-care settings. Conclusions: Findings support recognition of problem gambling as a public health concern in the UK, and initiatives for intervening in health-care services where conditions are over-represented.

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“…Despite the significant personal costs associated with Gambling Disorder, research indicates that only a small proportion of the individuals who are suffering from Gambling Disorder seek formal treatment (Slutske et al, 2009;Suurvali, Hodgins, Toneatto, & Cunningham, 2011). In fact, Suurvali and colleagues (2008) found that less than 6% of problem gamblers actually seek formal treatment.…”

Section: Treatment Optionsmentioning

confidence: 95%