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Gambling addiction hotline proficient online

Postby Shazilkree В» 18.09.2019

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While the past decades have seen a dramatic increase in the number of women who gamble and develop consequent problems, treatment services are being underutilized in Ontario. This pilot study explores the feasibility of using web- and phone-based group interventions to expand services available for women who might not otherwise seek or be able to access treatment. The study involved a clinician-facilitated group that used teleconferencing and webinar technology Adobe Connect for support and discussion, and a Tutorial Workbook TW developed specifically to address the issues and treatment needs of women who gamble at a problematic level.

Participants reported that the program helped them to understand their gambling triggers, to improve their awareness, to feel better about themselves, to modify their mood and anxiety levels, to feel less isolated, to address their relationships, and to feel more hopeful for the future. The Tutorial Workbook, which was used to supplement the educational component of the group interaction, was highly rated.

Previous research indicates that women face a number of barriers to on-site outpatient treatment for problem gambling, including many practical concerns such as time constraints work and caretaking demands , need for childcare, financial limitations, and travel obstacles Boughton and Brewster ; Gainsbury et al.

Especially applicable in small communities, barriers also include psychological issues such as social stigma and a fear of recognition, judgment or exposure. Mental health issues such as depression and anxiety prevent women some from seeking help. And key among the findings of Boughton and Brewster was considerable ambivalence, a fear that treatment would demand total abstinence, and a belief on the part of the women gamblers that they should be able to make changes on their own.

Suurvali et al. This statement captures the focus of the pilot study reported in this paper. This treatment intervention follows on the findings of an earlier study by Boughton and Brewster Our study was a pragmatic clinical trial Tse et al. Women took part in a clinician-facilitated group treatment using teleconferencing in conjunction with webinar technology Adobe Connect and a Tutorial Workbook designed by the first author. Research suggests that treatment is commonly tailored to the needs and interests of male gamblers Crisp et al.

Treatment needs and appropriate approaches for women are, however, different Albanese et al. The women support the men. Women learn to value themselves and other women. They understand and share similar experiences.

Piquette-Tomei et al. This process of normalizing, sharing and supporting one another are critical therapeutic factors in change Yalom Another finding from Boughton and Brewster was that women endorsed telephone counselling as a helpful treatment option, recommending flexible hours of service, including evening hours and weekends. The experiences of Helplines confirm the importance of phone support in reducing treatment barriers; telephone contact is almost always the first mode of intervention for those seeking help Tse et al.

Limited research exists, however, into the effectiveness of phone counselling as an independent treatment option for gamblers, and no studies to date examine the value of phone counselling specific to women gamblers. However, a recent study by Tse et al. Researchers claim preliminary evidence that both forms of counselling are effective: No significant differences were found between the pre and post intervention measures in comparing the groups.

Other treatment methods involving phone counselling individually and in groups Telehealth, Telecoaching have been studied in the field of mental health research Brenes et al. While its effectiveness has yet to be compared to face to face group counselling personal communication Jan. There are advantages and disadvantages to phone counselling. Easy access is the most cited advantage Tse et al. It saves time and travel costs, affords flexibility of participation with minimal disruption and offers immediacy of contact.

Anonymity is another advantage, often having special appeal to those clients experiencing shame and fear of identification. Phone counseling seems to help people express their views and feelings more easily, and equalize the power relationship Brenes et al. In addition to observing that telephone counselling is cost effective, Brenes et al. The challenges to conducting psychotherapy by telephone include issues of confidentiality and privacy, ethics and legality in some parts of the world Brenes et al.

The management of crisis situations such as suicidal behaviours or worsening symptoms are considerations. Brenes et al. The resistance stems from the perception that psychotherapy is more difficult because of the lack of nonauditory cues, distraction, the risk of the session becoming more social than therapeutic and concerns about therapeutic alliance see also Tse et al. Phone counselling requires a highly developed clinical ear for communications including an awareness of broadcast through tone, speed of speech, timbre, intensity, breathing, silence and language Coman et al.

At the same time, based on the clinical experience of the first author, advantages to phone counselling exist. The absence of visual distractions enables focused attention solely on the subtleties of the content and presentation: what is said, what is not said, and how it is said.

Phone counselling may not be optimal for all clients, for example, if motivation is low, such as with mandated clients Brenes et al.

Reese et al. It is unknown, however, if these same clients would have achieved more improvement in a face to face encounter. The counselling agency used in their study typically referred callers with more severe or chronic mental health issues to local mental health services so as to avoid becoming a crisis line. To address this concern, Reese et al. On site crisis management such as taking the client to the emergency department if decompensating may be an advantage of face to face counselling.

With phone counselling Brenes et al. This includes a clear explanation of the limits to confidentiality and an informed consent to treatment. It is argued that phone interventions have a valuable therapeutic role in both providing direct treatment services and enhancing web based services.

Pragmatic realities may require the softening of the current bias for face to face counselling Brenes et al. Phone counselling appears to have a legitimate place in the continuum of care. Another option to improving the accessibility of treatment services is web-based counselling. Research into the strengths and appeal of on-line web support is relevant, especially for women. Helplines typically accessed through toll free phone lines now have a larger presence on the web, with added features of on-line email contact and real time chat options instant messaging.

In an expansion of services, some web sites offer forums and chat rooms for gambling clients e. Griffiths argues that the acceptance of web-based services is imperative in this day and age. Online therapy, he notes, needs to be incorporated within the overall framework of clinical assistance as it may be the only way some people either can or will get help.

One benefit of the internet as a medium for help is the disinhibiting effect on users and a reduction in efforts to create social desirability i. This may lead to increased levels of honesty and, therefore, higher validity in the case of self-disclosure p. In like vein, Rochlen et al. As with phone intervention, the internet is perceived by many users to be anonymous and non-threatening. The internet option appears to be especially appealing to women. Griffiths similarly observes that the on-line GamAid service in the UK may be appealing more to women than comparable services.

As with phone interactions, there is evidence that internet interventions for mental health and addiction can be as effective as face to face therapies Cunningham et al. Gainsbury and Blaszczynski promote online self-help programs as an alternative means to access treatment for gamblers reluctant to pursue traditional options. In addition, according to Cooper and Doucet most of material available to problem gamblers seeking treatment services through the internet is merely information dissemination as opposed to being clinically relevant.

Cooper , a , b notes the value of informal peer support via web chat forums. Many gamblers, unable to confide in significant others for fear of consequences, feel isolated, shamed and stigmatized. The anonymity of the web offers a mantle of safety. Many eventually begin to contribute, and some find their way into treatment or Gamblers Anonymous. Cooper and Wood note the high proportion of women who participate and their tendency to self-disclose more freely than men. Significantly more females than males suggested that the forums helped them to cope better with their gambling problems.

Consistent with the identified appeal to women of on-line services, Albanese et al. This pilot aimed to realize that recommendation. As noted, Suurvali et al. With this statement they capture the essence of the pilot study reported in this paper. This project is part two of a two-part pilot. The first part Boughton et al. The results indicated that the workbook was well received by the clients and helped with making changes to gambling, but quantitative measures of its impact failed to reach significance.

A drawback to individual phone counselling and self-help workbooks is that they do not provide women the invaluable network of support offered by a group experience. Sharing with peers has transformative power—the normalizing process serves to reduce shame and isolation and assists in the development of mindful self-compassion.

In the second part of the pilot, this current study, group counselling, using telephone and web-based services facilitated by a clinician, offered clients clinical support and education. The workbook was used to augment the treatment. Our study aimed to pilot test an online treatment intervention heretofore not offered to women who gamble. The method chosen was to run the study as a pragmatic clinical trial see Tse et al. Pragmatic clinical trials investigate how effective an intervention is in everyday practice MacPherson We had three hypotheses: 1 that women in the program would make positive progress on their stated gambling goals when comparing their pre-program scores to their post-program scores; 2 that participants would report positive experiences of personal growth and learning in their quantitative feedback to the program; and 3 participants would report positive experience of personal growth and learning in their qualitative feedback to the program.

This study explored the viability and effectiveness of a clinician-facilitated group using teleconferencing and visual access through Adobe Connect. A total of twenty-five women participated in five webinar groups. Recruitment ads were placed in small local newspapers around Ontario, as well as on various web sites related to information on problem gambling, including the Ontario Gambling Helpline.

Participants were screened by phone-intake interview. Inclusion criterion included women identifying gambling concerns but not currently in formal gambling-specific treatment; proficiency in English reading, writing and verbal ; ability to fully commit to time demands of weekly participation; interest in the pilot treatment; access to internet and telephone including use of e-mail to send materials.

Exclusion criteria included mental health concerns of sufficient severity to compromise weekly involvement in group i. Women not eligible were offered information on appropriate services when possible.

The group webinar consisted of 12 webinar sessions over a three-month period. Five group webinars were conducted between late November of and November of The known reasons included scheduling difficulties, work conflicts, health problems and computer problems.

On a scale of 1—10 women ranked how satisfied they are with their current situation or relationship.

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Postby Gamuro В» 18.09.2019

The narratives of women were read and coded with no preconceptions and upon reading participant responses. Decreased Isolation Positive changes were strongly linked with feeling supported by other women hoyline the group process. Positive Psychological Impact The psychological impact of the webinars was related to sub-themes of self-esteem, hope regarding the future, new coping strategies, social support from the group and program perseverance.

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Postby Dourisar В» 18.09.2019

Article source the strain of gambling too much? Many gamblers, unable to confide in significant others for fear of consequences, feel isolated, shamed and stigmatized. Once enough women were potentially gathered to form a group 8 members participants were emailed information about the dates and the process of logging in to the Webinar. The program also offers specialized training for treatment providers, and has a Speakers Bureau to aid in educating communities about problem gambling.

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Postby Maubei В» 18.09.2019

Get started. Related to this positive experience, some women recommended more time for the webinar series and the possibility of an extended group. One call, text or chat will aediction you to problem gambling help anywhere in the U.

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Postby Mezinos В» 18.09.2019

The Perceived Stress Scale Cohen et al. Please see more our privacy policy. Keywords: Women and gambling, Problem gambling treatment, Self-help work book, Teleconference, Remote treatment. The challenges to conducting psychotherapy by telephone include issues of confidentiality and privacy, ethics and legality in some parts of the world Brenes et al. There are advantages and disadvantages to phone counselling.

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Postby Sacage В» 18.09.2019

Women conceived that participation was related to changes that extended across four primary dimensions: 1 dealing with gambling, 2 improved coping 3 positive psychological impact, 4 decreased isolation. The first, reported by Boughton et al. Please review our privacy policy. Sydney: Psychology Foundation;

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Postby Mot В» 18.09.2019

This pilot aimed to realize that recommendation. Why not join today? Participants reported that the program helped them to understand their gambling triggers, to improve their awareness, to feel better about themselves, to modify their mood and anxiety levels, to source less isolated, to address proficieng relationships, and to feel more hopeful for the future.

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Postby Tojalar В» 18.09.2019

Venue staff are trained to assist individuals who may be experiencing problem gambling issues to minimise gambling harm. Both quantitative and qualitative data were gathered with the pre-study addictioj. This may be a result of redirecting the money and focus to gambling. Many eventually begin to contribute, and some find their click at this page into treatment or Gamblers Anonymous. The counselling agency used in their study typically referred callers with more severe or chronic mental health issues to local mental health services so as to avoid becoming a crisis line.

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Postby Nikotilar В» 18.09.2019

The third author Turner addicion that he has two separate projects where he is working with prooficient Social Responsibility department of Http://castdraw.site/gambling-cowboy/gambling-cowboy-weatherby.php Lottery and Gambling to provide independent evaluation online some of their harm reduction initiatives. Some shared that program participation had been challenging at times and, despite hotline quitting the program, they felt proud of their commitment to the program as they were now beginning to experience the benefits:. Many gamblers, unable to confide in significant others for proficient of consequences, feel isolated, shamed and stigmatized. Please review our privacy policy. Benefits and challenges addiction conducting psychotherapy by telephone.

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Postby Gagul В» 18.09.2019

Many had been involved in other forms of gambling treatment, but had not been successful because of the insistence of abstinence. Qualitative Data A purposive data analysis technique with the coding scheme described earlier was used to provide a qualitative analysis: dealing with gambling, improved coping, positive psychological impact, and decreased isolation. The Michigan Problem Gambling Helpline The Michigan Problem Gambling Helpline is a toll-free, confidential, one-on-one helpline that can give you the help and support you need proficientt overcome a gambling addiction.

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Postby Tojakora В» 18.09.2019

In this context, women were provided additional support and could ask questions, grapple with the material and fully think about how to implement the material in their lives. I felt more comfortable chatting to someone online, rather than on the phone. Phone counselling appears to have a legitimate place in the continuum please click for source care. The group webinar consisted of 12 webinar sessions over a three-month period. Visit Gambling Help.

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Postby Fenrikus В» 18.09.2019

Researchers claim preliminary evidence that both forms of counselling are click here No significant differences were found between the pre and post intervention measures in comparing the groups. Nigel E. Phone Access to Counselling Another finding from Boughton and Brewster was that women endorsed telephone counselling as a helpful treatment option, recommending flexible hours of service, including evening hours and weekends.

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Postby Mumuro В» 18.09.2019

Some functions of this site are disabled for browsers blocking jQuery. Easy gamblijg is the most cited advantage Tse et al. As noted, Suurvali et al.

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Postby Yolabar В» 18.09.2019

Journal of Abnormal Psychology. This included monitoring changes in urges, and in types of gambling, frequency and amounts gambled over the course of the zddiction. Yalom I.

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Postby Doulabar В» 18.09.2019

You can learn more about the organization and its credentials on the site. Demographic information was collected, including family history, personal history of ganbling or alcohol use, struggles with other behaviours i. Gambling Help Online acknowledges the traditional custodians of the land upon which our health service is built, the Wurundjeri people, and pays our respects to their elders past and present. Use calculator. Michigan Disassociated Persons List If you have a gambling problem, you can request that the Michigan Gaming Control Board permanently bar you from licensed Detroit casinos.

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Postby Nizragore В» 18.09.2019

This project is part two of a two-part pilot. I am now taking time to rest, taking hot baths to relax. The first few explore whether gambling is a problem, establish gambling-related goals, and address relapse prevention strategies.

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Postby Gardajas В» 18.09.2019

As noted, Suurvali et al. Thematic analysis. The remaining modules shift to a focus on issues often lurking below the surface of the gambling urges. I felt more comfortable chatting to someone online, rather than on the phone. Article source counseling seems to help people express their views and feelings more easily, and profkcient the power relationship Brenes et al.

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Postby Neshicage В» 18.09.2019

I have more tools of awareness and choices as a result of what I have learned. This process of normalizing, sharing and supporting one another are critical therapeutic factors in change Yalom This study explored the viability and effectiveness of a clinician-facilitated group using teleconferencing and visual access through Adobe Connect. Following each session, participants were asked to provide feedback ratings on different aspects on the module, report on any gambling activity, and indicate their gambling treatment goals.

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Postby Golticage В» 18.09.2019

This statement highlights the importance of on-going peer support to the participants. Women and alcoholism: how a male-as-norm bias affects research, assessment and treatment. The Perceived Stress Scale Cohen et al.

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Postby Barisar В» 18.09.2019

Women and alcoholism: how a male-as-norm bias affects research, assessment and treatment. In: Murray R, editor. NT obtained the funding for the study, put the project through the ethics review, helped just click for source some of statistical analyses and tables, and edited the manuscript. If you have recently made a change adduction your gamblingand you have found you have more time, you could take up a new hobby.

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It was around week 9 or 10 I think that I felt a shift and started online focus more on what I want in my life and actually started to believe that Forceful gambling movies can have it. The post study scores show an average of On a scale of 1—10 women ranked how satisfied they are with their current situation or relationship. Hotline Cooper H, gambling. Online therapy, he addiction, needs to be proficient within the overall framework of clinical assistance as it may be the only way some people either can or adddiction get help.

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This pilot aimed to realize that aediction. They felt safe. If you experience relapse, it's important to remember to be kind to yourself and seek support.

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Postby Zulujora В» 18.09.2019

Demographic information was collected, including family history, personal history of drug or alcohol use, struggles with other behaviours i. External link. Griffiths argues that the acceptance of web-based services is imperative in this day and age.

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Postby Fekinos В» 18.09.2019

Related to this positive experience, some women recommended more time for the webinar series and the possibility of an extended group. The regular practice of mindfulness and the stress reduction strategies were reported as especially beneficial by some of the women. Participants expressed that they were attempting to regularly incorporate meditation into their lives hotlins this was particularly pertinent when experiencing low mood. The see more data was again examined using Nvivo10 software to ensure the robustness of the analytical process and to confirm that all data were indeed reflected in the coding.

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Postby Teramar В» 18.09.2019

This process of normalizing, sharing and supporting one another are critical therapeutic factors in change Yalom The preliminary data presented here is a positive first step towards filling a treatment read more for female problem gamblers. The results indicated that the workbook was well received by the clients and helped with making changes to gambling, but quantitative measures of its impact failed to reach ardiction. Suurvali et al.

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Postby Daik В» 18.09.2019

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The first few explore whether gambling is a problem, establish gambling-related goals, and address games download window prevention strategies. DoctoralUniversity of Toronto. The psychological impact of the webinars was related to sub-themes of self-esteem, hope regarding the future, new coping strategies, social support from the group and program perseverance.

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Perspectives proficient to gambling behaviours and triggers, emotions, moods and relationship issues were identified and click here into additcion issues, themes and sub-themes. This pilot study explores the feasibility of using web- and phone-based group interventions to expand read article available for women who might not otherwise seek or be able to access treatment. The aim was to test the effectiveness of hotline treatment protocol that combined teleconferencing with a webinar in a group format. Gambling Help Online acknowledges the traditional custodians of the land upon gambling our health service is built, the Wurundjeri people, and pays our respects to their elders past and addiction. Gambling Help Online is an online support service.

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In this context, women were provided additional support and could ask questions, grapple with the peoficient and fully think about how to implement the material in their lives. Try our gambling calculator. Research suggests that treatment is commonly tailored to the needs and interests of male gamblers Crisp et al. There are several limitations to this treatment project. Cooper, G.

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Go here differences in pathological gambling. The workbook was used to augment the treatment. Sharing with peers htline transformative power—the normalizing process serves to reduce shame and isolation and assists in the development of mindful self-compassion. I have more tools of awareness and choices as a result of what I have learned.

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Inclusion criterion proficient women identifying gambling concerns but not currently in formal profickent treatment; proficiency in English reading, writing and verbal ; ability hotline fully commit to time demands of proficient participation; interest in online pilot treatment; online to internet and telephone including use of e-mail to send materials. For the first time, many were addiction life in the absence of gambling. Recruitment ads were placed in small local newspapers around Ontario, addiction well as on various web sites related to information on problem gambling, including the Ontario Read more Helpline. One participant shared that she was grieving the end of the proficien as she had benefitted so much from addictiion group interaction. After the final session, additional feedback forms asked for comments on their experiences and overall impressions of the Tutorial Workbook; and to note whether participation in the study impacted beliefs and attitudes hotline gambling and gambling behaviours, and if and how the gambling was helpful.

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Get Help Addixtion people find gambling fun and entertaining. Group meeting days and hours were negotiated with potential group members to optimize access. Gambling Help Online is an inclusive support service.

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Nigel E. Online assistance for problem gamblers: An examination of participant characteristics and the role of stigma. How we can learn to let go of past mistakes We all make mistakes. In contrast they found the exposure to a harm reduction philosophy in this treatment empowering. The women also spoke of the empowerment offered by a harm reduction perspective, reporting increased self-esteem, greater hope, less emotion dysregulation, and reduced isolation.

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I am incorporating websites, mindfulness, stress and relaxation and protective methods, not carrying money etc. The group social support and sharing was crucial to enhancing a sense of wellness. Zahlan, N. The resistance stems from the perception that psychotherapy is more difficult because of the lack of nonauditory cues, distraction, the risk of the session becoming more social than therapeutic and concerns about therapeutic alliance see also Tse et al.

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