How Can Gambling Lead To Poverty
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This article is available in: PDFHTMLReflections on Poverty, Homelessness, and Problem Gambling: Discoveries from a World Café
*See Full List On Learn.problemgambling.ca
*How Does Gambling Lead To Poverty? | Yahoo Answers
*Gambling Prevalent In Poor Neighborhoods - LIGTTJournal InformationJournal ID (publisher-id): jgiISSN: 1910-7595Publisher: Centre for Addiction and Mental HealthArticle InformationArticle Categories: Original ResearchPublication date: September 2019Publisher Id: jgi.2019.42.4DOI: 10.4309/jgi.2019.42.4Eden Hamilton WrightPrincess Margaret Cancer Centre, Toronto, ON, CanadaJulia Woodhall-MelnikDepartment of Social Science, University of New Brunswick, St. John, NB, CanadaSarah Hamilton-WrightMAP Centre for Urban Health Solutions, St. Michael’s Hospital, Toronto, ON, CanadaSara J.T. GuilcherLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, CanadaAklilu WendaferewGood Shepherd Ministries, Toronto, ON, CanadaAndrée SchulerMAP Centre for Urban Health Solutions, St. Michael’s Hospital, Toronto, ON, CanadaFlora I. MathesonMAP Centre for Urban Health Solutions, St. Michael’s Hospital, Toronto, ON, Canada
Originally touted as a solution to poverty, these casinos actually raised the mean poverty rate from 25% to 29%. For example, the Siletz tribe in Oregon saw its poverty rate balloon from 21% to 38% after a local casino opened. The Open Door Mission in Omaha has seen firsthand the poverty caused by compulsive gambling. Gambling is undermining financial security. The most obvious is that gambling of any form can damage your finances within a short amount of time. Should avoid getting involved in all forms of gambling But should use the money to gamble as a savings better. How Can Gambling Lead To Poverty, match a poker raise crossword, casino sainte anne guadeloupe, casino nick cave. Effects of Problem Gambling on the Gambler. Problem Gambling can have a serious impact on the physical, emotional, and financial health of individuals who gamble, as well as their families. Why Can’t I Just Stop? How did this happen? I can’t believe all the trouble I’m in. If I stop gambling now, I’ll have to admit I’m a total loser. Gambling does not lead to poverty. Gambling Addiction like all addictions will destroy your life and have severe consequences on your financial status. But if you gamble within reason, like the.Abstract
Problem gambling is a hidden public health concern, especially among people who experience poverty and homelessness, with studies from North America showing a combined prevalence of lifetime problem and pathological gambling ranging from 29.8% to 58.2%. Service providers in the non-addiction sectors (e.g., housing and primary health care) have not traditionally screened their clients for problem gambling behaviours or concerns. In an effort to build multi-sector awareness and stimulate discussion about problem gambling, poverty, and homelessness, we invited practitioners from the social, health, and human services community and people with lived experience to join a knowledge translation and mobilization event in which we used the World Café method. The purpose of this paper is to summarize the knowledge generated about problem gambling, poverty, and homelessness from the perspectives of the World Café participants. We identified themes that align with quality of care espoused by the World Health Organization, Health Quality Ontario, and the Organisation for Economic Co-operation and Development. These themes include delivering care that is highly accessible to clients who are experiencing poverty in a one-stop shop that is timely and efficient, patient centred and equitable with respect to gender and sexual orientation, culturally sensitive, and trauma informed and that provides a therapeutic alliance and safe space to enhance well-being. Participants identified the need for a plain-language, accessible definition of problem gambling and the need to create awareness of the harm associated with problem gambling in targeted messages that engage clients, policy makers, and the general public.
Keywords: problem gambling, World Café, knowledge translation, quality of care, health and social services, community engagementRésumé
Le jeu problématique est un problème de santé publique caché, en particulier chez les personnes en situation de pauvreté et d’itinérance, avec une prévalence combinée du jeu problématique et du jeu pathologique au cours de la vie allant de 29,8 à 58,2%, selon des études réalisées en Amérique du Nord. Les fournisseurs de services dans les secteurs non liés à la toxicomanie (p. ex., le logement et les soins de santé primaires) n’ont pas toujours soumis leurs clients à un dépistage de comportements ou de problèmes liés au jeu. Dans le but de sensibiliser les différents secteurs et de stimuler la discussion sur la dépendance au jeu, la pauvreté et l’itinérance, nous avons invité des praticiens de la communauté des services sociaux, de la santé et communautaires et des personnes ayant une vécue cette expérience à se joindre à un événement d’application des connaissances et de mobilisation, en nous fondant sur la méthode « World Café ». Le but de cet article est de résumer les connaissances générées sur le jeu problématique, la pauvreté et l’itinérance, du point de vue des participants au World Café. Nous avons relevé des thèmes correspondant à la qualité des soins préconisés par l’Organisation mondiale de la santé, Qualité des services de santé Ontario et l’Organisation de coopération et de développement économiques. Ces thèmes incluent la fourniture de soins 1) grandement accessibles pour les clients en situation de pauvreté, dans un guichet unique rapide et efficace 2) centrés sur le patient et équitables en ce qui concerne le genre et l’orientation sexuelle; 3) adaptés à la culture; 4) sensibles aux traumatismes; 5) offerts en alliance thérapeutique et 6) prodigués dans un espace sécuritaire pour améliorer le bien-être. Les participants ont relevé la nécessité de formuler une définition de la dépendance au jeu en termes simples et accessibles, ainsi que la nécessité de sensibiliser le public au préjudice associé au jeu problématique dans des messages ciblés qui engagent les clients, les décideurs et le grand public.Introduction
Both problem gambling (Korn, 2000; Korn & Shaffer, 1999) and homelessness (Begin, Casavant, Chenier, & Dupuis, 1999; Echenberg & Jensen, 2008; Hwang, 2001; Rogers, Button, & Hume, 2005) are serious public health concerns. Several studies in the United Kingdom, the United States, and Canada have documented an association between problem gambling and homelessness (Crane et al., 2005; Gattis & Cunningham-Williams, 2011; Holdsworth, Tiyce, & Hing, 2012; Sharman, Dreyer, Clark, & Bowden-Jones, 2016). Research indicates that the combined prevalence of lifetime problem and pathological gambling ranges from 29.8% to 58.2% among people who are experiencing homelessness or using a community service (Lepage, Ladouceur, & Jacques, 2000; Matheson, Devotta, Wendaferew, & Pedersen, 2014; Nower, Eyrich-Garg, Pollio, & North, 2015). Studies also indicate that some subpopulations of those who are experiencing homelessness are at greater risk of developing problem gambling, such as veterans (Edens & Rosenheck, 2012), men (Matheson et al., 2014), and newly homeless adults aged 50 years and older (Crane et al., 2005).
The relationship between problem gambling and homelessness is complex. Studies find that multiple concerns associated with poverty, such as unemployment, bankruptcy, unaffordable rent, and eviction, contribute to the relationship between problem gambling and homelessness (Antonetti & Horn, 2001; Crane et al., 2005; Holdsworth et al., 2012; Williams, Rehm, & Stevens, 2011). Problem gambling is also associated with a variety of psychiatric conditions in persons who experience homelessness. In an analysis of survey data from 275 predominately African American individuals who were experiencing homelessness, Nower et al. (2015) found that problem gambling was associated with an increased risk of meeting diagnostic criteria for psychiatric disorders and substance dependency (see also Ferentzy, Skinner, & Matheson, 2013). The associations between problem gambling, mental health, poverty, and substance abuse illustrate the need to engage with diverse social and health service agencies to design interventions and services that are effective for persons who are experiencing homelessness and problem gambling (Guilcher et al., 2016).
Early speculation on the direction of the relationship between problem gambling and homelessness indicates bi-directionality (Sharman et al., 2016). An analysis of quantitative data with 72 persons who were experiencing homelessness in the United Kingdom indicates that problem gambling predominantly leads to homelessness. However, the authors note that some gambling behaviours develop after individuals become homeless (Sharman et al., 2016). Exploratory qualitative studies also found that problem gambling contributes to homelessness. For example, in their analysis of qualitative interviews with 18 homelessness service providers and 17 of their clients in Australia, Holdsworth et al. (2012) noted that gambling negatively affects financial security, relationships, and support networks.
Services for problem gambling screening, prevention, and treatment are scarce and prospective clients may be unfamiliar with gambling-focused services and/or dissatisfied with those that are available (Evans & Delfabbro, 2005; Guilcher et al., 2016; Hamilton-Wright et al., 2016; Pulford et al., 2009; Scull & Woolcock, 2005). Crane et al. (2005) identified a prevalence rate of 15% for problem gambling in newly homeless older adults in the United States, England, and Australia; however, the authors noted that few adults accessed support for gambling. A recent qualitative study that explored service access for men who experience problem and pathological gambling called for an expansion of services to address problem gambling. Specifically, researchers argued that there is a need for integrated services that address concurrent social and health needs such as housing, mental health, substance use, and poverty (Guilcher et al., 2016). Nower et al. (2015) recommended that agencies who serve people who are experiencing homelessness screen for problem gambling; however, this requires that agencies be equipped to provide access to population-appropriate services. Persons who experience homelessness are highly stigmatized and less likely to seek help for problem gambling behaviours or for associated financial, relationship, and health problems (Baxter, Salmon, Dufresne, Carasco-Lee, & Matheson, 2016; Holdsworth et al., 2012; Suurvali, Hodgins, Toneatto, & Cunningham, 2012).
This paper presents the findings from a unique community engagement event, the World Café, which gathered human, social, and health sector participants together to generate collective knowledge about problem gambling, poverty, and homelessness.Gambling Services Considerations
Research on service delivery and service needs for problem gambling is scarce, more so for people who are experiencing poverty and homelessness. In a recent qualitative study (Pickering, Spoelma, Dawczyk, Gainsbury, & Blaszczynski, 2019), service users (n = 32) provided their perspectives on recovery. They viewed it as a continuous process, one through which service users can develop insight into the psychological and environmental factors that promote gambling. This insight enhances people’s sense of empowerment to overcome the addiction. The service users perceived that engagement in non-gambling activities, nurturing of social networks, stabilization of finances, and a concentrated focus on overall well-being were important aspects of recovery. An Australian study with clinicians and managers (n = 41) within the mental health service environment in Victoria identified barriers to gambling screening (Rodda, Manning, Dowling, Lee, & Lubman, 2018). These barriers included competing priorities, perceived importance of routine screening, lack of access to screening tools and resources, considerations of patient responsiveness, and the need for workforce training. Richard, Baghurst, Faragher, and Stotts (2017) reviewed the literature on the relation between sociocultural factors (e.g., race, ethnicity, culture) and gambling. They found little research in this area and much of it marked by inconsistent findings. The authors suggest that treatment approaches need to consider differences in net financial worth, cultural belief systems that enable gambling and negate help seeking because of perceptions of stigma, and acculturalization. In a review by Zakiniaeiz and Potenza (2018), the authors noted that the evidence on gender differences in gambling and help seeking is scant from the service delivery perspective. Some potential treatment considerations for gambling and substance misuse include gender differences in motivation to seek help and biological and sociocultural differences.
Priebe et al. (2012) spoke with 154 experts across 14 European countries from a variety of disciplines (physicians, allied health care providers, community service specialists, lawyers, and those with backgrounds in social science/policy). Using semi-structured interviews and case vignettes, the authors identified components of good practice in mental health services among socially marginalized groups, including outreach programs; integration, collaboration, and coordination of services to address the varied needs of these populations; and promotion of service awareness among potential service users and health care practitioners (also see Wieczorek & Dąbrowska, 2018). Aligned with these findings, Lewis, Black, and McMullen (2016) found that community service agencies are not equipped to address problem gambling. Training and improved provider cross-communication is necessary to enhance service coordination.
Wieczorek and Dąbrowska (2018) conducted qualitative interviews with 30 patients and 15 professionals in Poland. One focus of this research was to identify how people choose a gambling treatment facility. Findings indicated that choice was related to perceptions of ease of access (e.g., travel distance), quality and reputation of the clinic, assurances of anonymity, and patient knowledge of the treatment landscape. Factors that appeared to affect treatment included lack of availability of outpatient gambling treatment services, long wait lists, and groups that did not cater specifically to people who were experiencing a gambling disorder.
In an effort to mobilize knowledge from problem gambling research and stimulate discussion about connections between recovery services for problem gambling, poverty, and homelessness, we invited practitioners from the social, health, and human services community to join a World Café. The World Café is a specific type of knowledge translation and mobilization event that provides participants with a welcoming café-style environment (Brown and Isaacs, 2005). Participants engage in facilitated dialogue wherein conversations are constructed and reconstructed in order to move individual knowledge and experience toward collective knowledge and actionable solutions. This method allows participants to provide feedback and contribute their perspectives to research knowledge. The purpose of this paper is to summarize and mobilize the collective knowledge generated about problem gambling, poverty, and homelessness from the perspectives of the participants of the World Café.MethodEthics Statement
This study was part of a broader research grant that received ethics approval from the Research Ethics Board of St. Michael’s Hospital. Participants of the World Café signed an audio and visual consent form as required by the St. Michael’s Hospital Communications Department.The World Café Method
The World Café (Brown et al., 2005) is modelled after appreciative inquiry, which emphasizes strength-based learning and mutual creativity, to move participants and facilitators as a collective group from discussions of questions to solutions that can produce actionable change (Cooperrider, Whitney, & Stavros, 2008; Emlet & Moceri, 2012). The World Café offers participants an informal, safe, and intimate setting for the exchange of ideas with the purpose of blending diverse knowledge and experience into learning. World Cafés are designed to move the conversations from the personal, to the collective and present moment, to the future (Brown et al., 2005).
The World Café aligns with the Knowledge Creation phase of the Knowledge to Action Framework wherein knowledge is tailored to create products, services, and tools that are useful for promoting change in a local context (Crane et al., 2005; Field, Booth, Ilott, & Gerrish, 2014). The World Café gathers participants into small groups seated together at café tables. These groups are invited and encouraged to engage in progressive rounds of conversations that inform larger interconnected conversations (Fouché & Light, 2011). In this way, intimate café table conversations form the stepping stones to thoughts on collective action (Fouché & Light, 2011). As Brown et al. (2005) suggests, the setting and structure of the conversations within the World Café method promote a natural progression in conversation from discussions of individual experience to deeper discussions on the subject matter. The ultimate goal is to move knowledge toward actionable solutions.Participant Recruitment
This research was conducted in partnership with the Good Shepherd Ministries (GSM), a non-profit organization that provides shelter, addiction, and mental health services to men in Toronto, Canada. The research team worked with GSM to compile a list of 50 contacts from community and government agencies within the Greater Toronto and Hamilton areas in Ontario, Canada. An email invitation was sent to each of these participants and 18 persons agreed to participate in the World Café. In total, 14 of the 18 persons attended the café event. In addition, the staff invited participants with lived experience of gambling and precarious housing to participate. Two participants with lived experience attended the World Café, for a total of 16 participants. Ten different organizations represented the housing and shelter sectors, social services, gambling support services, family and community medicine, municipal government, and public health. Two of the organizations had more than one representative in attendance. The other organizations (n = 8) had one representative each. Two days prior to the event, we placed a reminder call to the participants. The participants themselves included service providers, clinicians, clients, and policy makers. Participants received a lunch and a gift bag as a toke
https://diarynote.indered.space
This article is available in: PDFHTMLReflections on Poverty, Homelessness, and Problem Gambling: Discoveries from a World Café
*See Full List On Learn.problemgambling.ca
*How Does Gambling Lead To Poverty? | Yahoo Answers
*Gambling Prevalent In Poor Neighborhoods - LIGTTJournal InformationJournal ID (publisher-id): jgiISSN: 1910-7595Publisher: Centre for Addiction and Mental HealthArticle InformationArticle Categories: Original ResearchPublication date: September 2019Publisher Id: jgi.2019.42.4DOI: 10.4309/jgi.2019.42.4Eden Hamilton WrightPrincess Margaret Cancer Centre, Toronto, ON, CanadaJulia Woodhall-MelnikDepartment of Social Science, University of New Brunswick, St. John, NB, CanadaSarah Hamilton-WrightMAP Centre for Urban Health Solutions, St. Michael’s Hospital, Toronto, ON, CanadaSara J.T. GuilcherLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, CanadaAklilu WendaferewGood Shepherd Ministries, Toronto, ON, CanadaAndrée SchulerMAP Centre for Urban Health Solutions, St. Michael’s Hospital, Toronto, ON, CanadaFlora I. MathesonMAP Centre for Urban Health Solutions, St. Michael’s Hospital, Toronto, ON, Canada
Originally touted as a solution to poverty, these casinos actually raised the mean poverty rate from 25% to 29%. For example, the Siletz tribe in Oregon saw its poverty rate balloon from 21% to 38% after a local casino opened. The Open Door Mission in Omaha has seen firsthand the poverty caused by compulsive gambling. Gambling is undermining financial security. The most obvious is that gambling of any form can damage your finances within a short amount of time. Should avoid getting involved in all forms of gambling But should use the money to gamble as a savings better. How Can Gambling Lead To Poverty, match a poker raise crossword, casino sainte anne guadeloupe, casino nick cave. Effects of Problem Gambling on the Gambler. Problem Gambling can have a serious impact on the physical, emotional, and financial health of individuals who gamble, as well as their families. Why Can’t I Just Stop? How did this happen? I can’t believe all the trouble I’m in. If I stop gambling now, I’ll have to admit I’m a total loser. Gambling does not lead to poverty. Gambling Addiction like all addictions will destroy your life and have severe consequences on your financial status. But if you gamble within reason, like the.Abstract
Problem gambling is a hidden public health concern, especially among people who experience poverty and homelessness, with studies from North America showing a combined prevalence of lifetime problem and pathological gambling ranging from 29.8% to 58.2%. Service providers in the non-addiction sectors (e.g., housing and primary health care) have not traditionally screened their clients for problem gambling behaviours or concerns. In an effort to build multi-sector awareness and stimulate discussion about problem gambling, poverty, and homelessness, we invited practitioners from the social, health, and human services community and people with lived experience to join a knowledge translation and mobilization event in which we used the World Café method. The purpose of this paper is to summarize the knowledge generated about problem gambling, poverty, and homelessness from the perspectives of the World Café participants. We identified themes that align with quality of care espoused by the World Health Organization, Health Quality Ontario, and the Organisation for Economic Co-operation and Development. These themes include delivering care that is highly accessible to clients who are experiencing poverty in a one-stop shop that is timely and efficient, patient centred and equitable with respect to gender and sexual orientation, culturally sensitive, and trauma informed and that provides a therapeutic alliance and safe space to enhance well-being. Participants identified the need for a plain-language, accessible definition of problem gambling and the need to create awareness of the harm associated with problem gambling in targeted messages that engage clients, policy makers, and the general public.
Keywords: problem gambling, World Café, knowledge translation, quality of care, health and social services, community engagementRésumé
Le jeu problématique est un problème de santé publique caché, en particulier chez les personnes en situation de pauvreté et d’itinérance, avec une prévalence combinée du jeu problématique et du jeu pathologique au cours de la vie allant de 29,8 à 58,2%, selon des études réalisées en Amérique du Nord. Les fournisseurs de services dans les secteurs non liés à la toxicomanie (p. ex., le logement et les soins de santé primaires) n’ont pas toujours soumis leurs clients à un dépistage de comportements ou de problèmes liés au jeu. Dans le but de sensibiliser les différents secteurs et de stimuler la discussion sur la dépendance au jeu, la pauvreté et l’itinérance, nous avons invité des praticiens de la communauté des services sociaux, de la santé et communautaires et des personnes ayant une vécue cette expérience à se joindre à un événement d’application des connaissances et de mobilisation, en nous fondant sur la méthode « World Café ». Le but de cet article est de résumer les connaissances générées sur le jeu problématique, la pauvreté et l’itinérance, du point de vue des participants au World Café. Nous avons relevé des thèmes correspondant à la qualité des soins préconisés par l’Organisation mondiale de la santé, Qualité des services de santé Ontario et l’Organisation de coopération et de développement économiques. Ces thèmes incluent la fourniture de soins 1) grandement accessibles pour les clients en situation de pauvreté, dans un guichet unique rapide et efficace 2) centrés sur le patient et équitables en ce qui concerne le genre et l’orientation sexuelle; 3) adaptés à la culture; 4) sensibles aux traumatismes; 5) offerts en alliance thérapeutique et 6) prodigués dans un espace sécuritaire pour améliorer le bien-être. Les participants ont relevé la nécessité de formuler une définition de la dépendance au jeu en termes simples et accessibles, ainsi que la nécessité de sensibiliser le public au préjudice associé au jeu problématique dans des messages ciblés qui engagent les clients, les décideurs et le grand public.Introduction
Both problem gambling (Korn, 2000; Korn & Shaffer, 1999) and homelessness (Begin, Casavant, Chenier, & Dupuis, 1999; Echenberg & Jensen, 2008; Hwang, 2001; Rogers, Button, & Hume, 2005) are serious public health concerns. Several studies in the United Kingdom, the United States, and Canada have documented an association between problem gambling and homelessness (Crane et al., 2005; Gattis & Cunningham-Williams, 2011; Holdsworth, Tiyce, & Hing, 2012; Sharman, Dreyer, Clark, & Bowden-Jones, 2016). Research indicates that the combined prevalence of lifetime problem and pathological gambling ranges from 29.8% to 58.2% among people who are experiencing homelessness or using a community service (Lepage, Ladouceur, & Jacques, 2000; Matheson, Devotta, Wendaferew, & Pedersen, 2014; Nower, Eyrich-Garg, Pollio, & North, 2015). Studies also indicate that some subpopulations of those who are experiencing homelessness are at greater risk of developing problem gambling, such as veterans (Edens & Rosenheck, 2012), men (Matheson et al., 2014), and newly homeless adults aged 50 years and older (Crane et al., 2005).
The relationship between problem gambling and homelessness is complex. Studies find that multiple concerns associated with poverty, such as unemployment, bankruptcy, unaffordable rent, and eviction, contribute to the relationship between problem gambling and homelessness (Antonetti & Horn, 2001; Crane et al., 2005; Holdsworth et al., 2012; Williams, Rehm, & Stevens, 2011). Problem gambling is also associated with a variety of psychiatric conditions in persons who experience homelessness. In an analysis of survey data from 275 predominately African American individuals who were experiencing homelessness, Nower et al. (2015) found that problem gambling was associated with an increased risk of meeting diagnostic criteria for psychiatric disorders and substance dependency (see also Ferentzy, Skinner, & Matheson, 2013). The associations between problem gambling, mental health, poverty, and substance abuse illustrate the need to engage with diverse social and health service agencies to design interventions and services that are effective for persons who are experiencing homelessness and problem gambling (Guilcher et al., 2016).
Early speculation on the direction of the relationship between problem gambling and homelessness indicates bi-directionality (Sharman et al., 2016). An analysis of quantitative data with 72 persons who were experiencing homelessness in the United Kingdom indicates that problem gambling predominantly leads to homelessness. However, the authors note that some gambling behaviours develop after individuals become homeless (Sharman et al., 2016). Exploratory qualitative studies also found that problem gambling contributes to homelessness. For example, in their analysis of qualitative interviews with 18 homelessness service providers and 17 of their clients in Australia, Holdsworth et al. (2012) noted that gambling negatively affects financial security, relationships, and support networks.
Services for problem gambling screening, prevention, and treatment are scarce and prospective clients may be unfamiliar with gambling-focused services and/or dissatisfied with those that are available (Evans & Delfabbro, 2005; Guilcher et al., 2016; Hamilton-Wright et al., 2016; Pulford et al., 2009; Scull & Woolcock, 2005). Crane et al. (2005) identified a prevalence rate of 15% for problem gambling in newly homeless older adults in the United States, England, and Australia; however, the authors noted that few adults accessed support for gambling. A recent qualitative study that explored service access for men who experience problem and pathological gambling called for an expansion of services to address problem gambling. Specifically, researchers argued that there is a need for integrated services that address concurrent social and health needs such as housing, mental health, substance use, and poverty (Guilcher et al., 2016). Nower et al. (2015) recommended that agencies who serve people who are experiencing homelessness screen for problem gambling; however, this requires that agencies be equipped to provide access to population-appropriate services. Persons who experience homelessness are highly stigmatized and less likely to seek help for problem gambling behaviours or for associated financial, relationship, and health problems (Baxter, Salmon, Dufresne, Carasco-Lee, & Matheson, 2016; Holdsworth et al., 2012; Suurvali, Hodgins, Toneatto, & Cunningham, 2012).
This paper presents the findings from a unique community engagement event, the World Café, which gathered human, social, and health sector participants together to generate collective knowledge about problem gambling, poverty, and homelessness.Gambling Services Considerations
Research on service delivery and service needs for problem gambling is scarce, more so for people who are experiencing poverty and homelessness. In a recent qualitative study (Pickering, Spoelma, Dawczyk, Gainsbury, & Blaszczynski, 2019), service users (n = 32) provided their perspectives on recovery. They viewed it as a continuous process, one through which service users can develop insight into the psychological and environmental factors that promote gambling. This insight enhances people’s sense of empowerment to overcome the addiction. The service users perceived that engagement in non-gambling activities, nurturing of social networks, stabilization of finances, and a concentrated focus on overall well-being were important aspects of recovery. An Australian study with clinicians and managers (n = 41) within the mental health service environment in Victoria identified barriers to gambling screening (Rodda, Manning, Dowling, Lee, & Lubman, 2018). These barriers included competing priorities, perceived importance of routine screening, lack of access to screening tools and resources, considerations of patient responsiveness, and the need for workforce training. Richard, Baghurst, Faragher, and Stotts (2017) reviewed the literature on the relation between sociocultural factors (e.g., race, ethnicity, culture) and gambling. They found little research in this area and much of it marked by inconsistent findings. The authors suggest that treatment approaches need to consider differences in net financial worth, cultural belief systems that enable gambling and negate help seeking because of perceptions of stigma, and acculturalization. In a review by Zakiniaeiz and Potenza (2018), the authors noted that the evidence on gender differences in gambling and help seeking is scant from the service delivery perspective. Some potential treatment considerations for gambling and substance misuse include gender differences in motivation to seek help and biological and sociocultural differences.
Priebe et al. (2012) spoke with 154 experts across 14 European countries from a variety of disciplines (physicians, allied health care providers, community service specialists, lawyers, and those with backgrounds in social science/policy). Using semi-structured interviews and case vignettes, the authors identified components of good practice in mental health services among socially marginalized groups, including outreach programs; integration, collaboration, and coordination of services to address the varied needs of these populations; and promotion of service awareness among potential service users and health care practitioners (also see Wieczorek & Dąbrowska, 2018). Aligned with these findings, Lewis, Black, and McMullen (2016) found that community service agencies are not equipped to address problem gambling. Training and improved provider cross-communication is necessary to enhance service coordination.
Wieczorek and Dąbrowska (2018) conducted qualitative interviews with 30 patients and 15 professionals in Poland. One focus of this research was to identify how people choose a gambling treatment facility. Findings indicated that choice was related to perceptions of ease of access (e.g., travel distance), quality and reputation of the clinic, assurances of anonymity, and patient knowledge of the treatment landscape. Factors that appeared to affect treatment included lack of availability of outpatient gambling treatment services, long wait lists, and groups that did not cater specifically to people who were experiencing a gambling disorder.
In an effort to mobilize knowledge from problem gambling research and stimulate discussion about connections between recovery services for problem gambling, poverty, and homelessness, we invited practitioners from the social, health, and human services community to join a World Café. The World Café is a specific type of knowledge translation and mobilization event that provides participants with a welcoming café-style environment (Brown and Isaacs, 2005). Participants engage in facilitated dialogue wherein conversations are constructed and reconstructed in order to move individual knowledge and experience toward collective knowledge and actionable solutions. This method allows participants to provide feedback and contribute their perspectives to research knowledge. The purpose of this paper is to summarize and mobilize the collective knowledge generated about problem gambling, poverty, and homelessness from the perspectives of the participants of the World Café.MethodEthics Statement
This study was part of a broader research grant that received ethics approval from the Research Ethics Board of St. Michael’s Hospital. Participants of the World Café signed an audio and visual consent form as required by the St. Michael’s Hospital Communications Department.The World Café Method
The World Café (Brown et al., 2005) is modelled after appreciative inquiry, which emphasizes strength-based learning and mutual creativity, to move participants and facilitators as a collective group from discussions of questions to solutions that can produce actionable change (Cooperrider, Whitney, & Stavros, 2008; Emlet & Moceri, 2012). The World Café offers participants an informal, safe, and intimate setting for the exchange of ideas with the purpose of blending diverse knowledge and experience into learning. World Cafés are designed to move the conversations from the personal, to the collective and present moment, to the future (Brown et al., 2005).
The World Café aligns with the Knowledge Creation phase of the Knowledge to Action Framework wherein knowledge is tailored to create products, services, and tools that are useful for promoting change in a local context (Crane et al., 2005; Field, Booth, Ilott, & Gerrish, 2014). The World Café gathers participants into small groups seated together at café tables. These groups are invited and encouraged to engage in progressive rounds of conversations that inform larger interconnected conversations (Fouché & Light, 2011). In this way, intimate café table conversations form the stepping stones to thoughts on collective action (Fouché & Light, 2011). As Brown et al. (2005) suggests, the setting and structure of the conversations within the World Café method promote a natural progression in conversation from discussions of individual experience to deeper discussions on the subject matter. The ultimate goal is to move knowledge toward actionable solutions.Participant Recruitment
This research was conducted in partnership with the Good Shepherd Ministries (GSM), a non-profit organization that provides shelter, addiction, and mental health services to men in Toronto, Canada. The research team worked with GSM to compile a list of 50 contacts from community and government agencies within the Greater Toronto and Hamilton areas in Ontario, Canada. An email invitation was sent to each of these participants and 18 persons agreed to participate in the World Café. In total, 14 of the 18 persons attended the café event. In addition, the staff invited participants with lived experience of gambling and precarious housing to participate. Two participants with lived experience attended the World Café, for a total of 16 participants. Ten different organizations represented the housing and shelter sectors, social services, gambling support services, family and community medicine, municipal government, and public health. Two of the organizations had more than one representative in attendance. The other organizations (n = 8) had one representative each. Two days prior to the event, we placed a reminder call to the participants. The participants themselves included service providers, clinicians, clients, and policy makers. Participants received a lunch and a gift bag as a toke
https://diarynote.indered.space
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