Treating Gambling Problems

by McCown, William G.; Howatt, William A.

• ISBN13: 9780471484844
• ISBN10: 0471484849
• Edition: 1st
• Format: Paperback
• Copyright: 2007-03-30
• Publisher: Wiley

Summary

Full of practical information on assessing, diagnosing, and treating alcohol gambling addiction, this handy manual in the new Wiley Series on Treating Addictions is an invaluable tool for anyone who works with clients experiencing problems with gambling.

Author Biography

William G. McCown, PhD, is a clinical psychologist with over twenty years of addiction experience. He combines appreciation of traditional approaches to treatment with a commitment to evidence-based methods. An international consultant, he pioneered one of the first Internet-based treatments for disordered gambling.?He is the author of several books, including Best Possible Odds: Contemporary Treatment Strategies for Gambling Disorders with Linda Chamberlain (published by Wiley).

William A. Howatt, PhD, EdD, has more than eighteen years' experience as an addiction counselor. He is an internationally certified alcohol and drug addictions specialist, gambling addictions specialist, registered professional counselor, and registered social worker who has also completed post-doctoral work in addiction studies at UCLA School of Medicine. He is a faculty member of Nova Scotia Community College where he teaches in the addiction counselor program for the School of Health and Human Services. He is author of numerous books including The Addiction Counselor's Desk Reference and is coeditor of the Wiley Series on Treating Addictions (both published by Wiley).

Table of Contents

Acknowledgments	p. xvii
Series Preface	p. xix
Preface	p. xxi
About the Authors	p. xxiv
Conceptual Foundations of Gambling Disorders
Introduction to Gambling	p. 1
Definitions of Problem and Pathological Gambling	p. 5
Definitional Distinctions	p. 5
An Introduction to the Three Cs of Problem and Pathological Gambling	p. 7
Myths versus Facts about Problem and Pathological Gambling	p. 9
Transient versus Chronic Problems	p. 11
Spontaneous Remission and Maturing Out	p. 13
Clinical versus Nonclinical Populations: Why Some Gamblers Do Not Mature Out	p. 14
Risk Factors for Gambling Disorders	p. 16
Exposure, History, Attitudes, and Expectancies	p. 16
Personality Variables	p. 17
Blaszczynski's Types	p. 17
Specific Contradictory Personality Variables	p. 18
Comorbid Psychiatric Disorders	p. 20
Biology and Genetic Factors	p. 20
Coexisting Addictive Disorders	p. 22
Epidemiology of At-Risk Populations	p. 22
Gender Differences	p. 24
Gambling, the Family, and Multicultural Considerations	p. 25
What the Future Holds for the Treatment of This Disorder	p. 26
Where the Field Is Going	p. 26
Summing Up	p. 28
Key Terms	p. 29
Recommended Reading	p. 30
Recognizing Gambling Disorders: Signs and Symptoms
Developmental Stages in the Progression of Problem and Pathological Gambling Behavior's	p. 33
The Gambling Continuum	p. 34
Recognizing Gambling Disorders	p. 36
The Signs and Symptoms of Pathological Gambling	p. 38
Client Information	p. 39
Coexisting Addictive Disorder Screening	p. 42
Other Client Signs	p. 47
What Spouses or Others May Report	p. 49
Employers and Supervisors	p. 50
Traditional Psychological Assessment	p. 51
Complicating Diagnostic Issues	p. 56
Healthy versus Problematic Attitudes and Behaviors	p. 59
Social Settings	p. 60
Professional Collaboration, Accountability, and Responsibility in the Screening-Intake Process	p. 60
Summing Up	p. 62
Key Terms	p. 63
Recommended Reading	p. 64
Utilizing Optimal Professional Resources
Referral Benefits and Disadvantages	p. 68
Screening Reports, Documentation, and Responsibility	p. 71
How to Develop a Professional Referral Network	p. 72
State and National Councils on Compulsive and Pathological Gambling	p. 73
Gambling Hotlines	p. 74
Liaison with Gamblers Anonymous	p. 75
GamAnon	p. 78
Psychiatrists and Emergency Facilities	p. 78
Matching Clients with the Best Professional Options	p. 79
Referrals to Counselors under Contract in the Private Sector	p. 80
Referral Do's and Don'ts	p. 81
Motivation Strategies and Techniques for Getting a Person to Professionals	p. 83
Ambivalence	p. 84
Using Motivational Interviewing	p. 85
Avoiding Anger and Shame: The Rapid Demotivators	p. 87
Procrastination	p. 88
Overcoming Client Obstacles	p. 88
Common Practical Obstacles	p. 89
The "Controlled Gambling Experiment"	p. 90
Preventing and Dealing with Crisis Situations	p. 91
Family and Concerned Others Involvement	p. 93
Risk Management Strategies and Techniques to Protect Clients and Families	p. 94
Suicide and Suicidal Ideation	p. 94
Six Step Model	p. 96
Define the Problem	p. 96
Ensure the Person's Safety	p. 96
Provide Support	p. 96
Explore Options and Alternatives	p. 97
Make a Plan	p. 97
Get a Commitment	p. 97
Risk Management Strategies and Techniques to Protect Counselors	p. 101
Duty to Warn for Property Damage	p. 101
Referral Follow-Up and Cautionary Notes	p. 103
Summing Up	p. 103
Key Terms	p. 104
Recommended Reading	p. 104
Developing an Effective Treatment Plan
Therapeutic Benefits of Treatment	p. 108
Initial Attrition	p. 110
Telephone Contact and Crisis Intervention	p. 112
Client Intake	p. 113
The Counselor's Tasks During the Intake	p. 115
Questions That You Might Need to Ask Yourself	p. 117
Helpful Information Before the Intake	p. 117
Informed Consent and Limits of Confidentiality	p. 118
HIPAA, Intake, and Client Records	p. 123
Intake Do's and Don'ts	p. 124
Formal Assessment Processes	p. 125
Assessment Measures and Instruments Commonly Used and Why They Are Useful	p. 127
Diagnostic Processes and Determinations	p. 128
Treatment Planning	p. 129
Fees and Insurance Coverage	p. 130
Managed Care	p. 131
Filing for Insurance: The Practice of Responsible Client Billing	p. 131
Ethics of Insurance: Modeling Financial Responsibility for the Pathological Gambler	p. 132
Family and Concerned Others Involvement	p. 132
Recovery Contracts	p. 134
Action Plans	p. 135
Summing Up	p. 138
Key Terms	p. 138
Recommended Reading	p. 139
Resource for General Paperwork	p. 139
HIPAA	p. 139
Dual-Diagnoses Clients	p. 140
Recovery Theories, Programs, and Tools
An Overview: What We Know from Other Addictions	p. 143
Levels of Traditional Gambling Treatment	p. 145
Applying ASA Levels of Care To Gambling Treatment	p. 146
Recovery Theories and Models	p. 147
The Disease Model	p. 148
The Alternative Model	p. 149
Motivational Therapies	p. 155
Social Interventions	p. 156
Medical Treatments	p. 157
Responsible Gambling	p. 158
Teaching How Video Gambling Works	p. 159
Family Therapy	p. 160
Psychosocial Therapies	p. 162
Insight and Psychodynamic Therapies	p. 163
Grief Counseling	p. 164
Behavioral Therapies	p. 164
Cognitive and Cognitive-Behavioral Models	p. 164
Existential and Spiritual Interventions	p. 166
Holistic and Alternative Treatments	p. 167
Financial Counseling	p. 167
Support Groups	p. 167
Internet Treatment	p. 171
Formal Treatments	p. 172
Very Minimal Treatment	p. 172
Develop a Gambling Intervention Tool Box	p. 172
Workbook and Journaling Programs	p. 173
Cultural Pathways of Recovery	p. 175
Summing Up	p. 176
Key Terms	p. 176
Recommended Reading	p. 177
Continuing Care: When and How Should Clients Be Discharged
Recovery-What Are the Goals?	p. 181
Criteria for Exiting Clients from Supervised Treatment	p. 183
Discharge Criteria For Different Problem Intensities	p. 184
Gambling Problems and Mastery-Based Discharge: Using Cognitive Corrections	p. 185
Gambler Discharge or Step-Down Criteria	p. 185
Discharge Criteria and Concerns during Various Stages of Recovery	p. 186
Discharge and the Developmental Recovery Processes	p. 188
Continuing Care Plan Procedures and Guidelines	p. 189
Legal, Moral and Ethical Issues	p. 192
Proper and Improper Methods of Termination	p. 193
Abandonment	p. 194
Assessing Community Resources	p. 195
Organizing Recovery Supports Where Lacking	p. 196
Styles of Recovery: Methods of Disease Management	p. 197
Spheres of Recovery	p. 199
Family and Concerned Others Involvement and Spheres of Recovery	p. 200
Rates of Recovery and Failure	p. 201
Summing Up	p. 203
Key Terms	p. 204
Recommended Reading	p. 204
Posttreatment Recovery Management: Models and Protocols of Relapse Prevention
Relapse Prevention	p. 208
Models of Relapse Prevention	p. 208
Behavioral Models of Relapse Prevention	p. 209
Cognitive Models of Relapse Prevention	p. 210
Cognitive-Behavioral Models	p. 210
Belief that relapses are inevitable	p. 211
Belief that relapses are impossible	p. 211
Belief that God intervenes to allow chance to favor people in need	p. 211
Belief that all problems (finance, stress, etc.) need immediate solutions	p. 212
Belief that "What did not work in the past will suddenly start to work."	p. 212
An Integrated Model of Relapse Prevention	p. 212
Baumeister's Model of Self-Regulation	p. 212
Proactive Strategies for Preventing and Dealing with "Triggers" for Relapse	p. 213
Cognitive Triggers	p. 213
Triggers in Cognitive Behavioral Therapy	p. 215
Developing Relapse Prevention Plans	p. 216
Common Themes in Relapse Prevention	p. 219
Emergence of Sadness and Subclinical Depression	p. 219
Sleep	p. 220
Modification of Social Networks	p. 220
Reduction in Other Addictive Substances	p. 221
Exercise	p. 221
Monitoring and Negotiating Follow Up in Recovery	p. 223
Emergency Plans	p. 224
Obstacles in Relapse Prevention: Emerging Difficulties	p. 225
Emergence of Psychiatric Disorders	p. 225
Emergence of Physical Problems	p. 226
Emergence of Couples and Family Problems	p. 227
Community Linkage as Relapse Reversion Prevention	p. 228
Community-Based Vocational Counseling	p. 228
Academic Counseling	p. 228
Financial Counseling	p. 229
Pastoral Counseling	p. 230
Leisure Counseling	p. 230
Health Counseling	p. 230
Telephone and Internet Follow Up	p. 231
Family and Concerned Others Involvement during Posttreatment Recovery	p. 232
Preventing Chronic Relapses	p. 233
Mindfulness	p. 233
Summing Up	p. 235
Key Terms	p. 236
Recommended Reading	p. 236
New Beginnings: Moving Beyond the Addiction
Moving Beyond	p. 240
Recovery in Psychological and Mental Health Domains	p. 241
Personality Changes	p. 242
Psychotherapies	p. 244
Psychodynamic Therapy	p. 244
Narrative Psychotherapy	p. 245
Humanistic Psychotherapies	p. 246
Increasing Positive Emotions and Happiness	p. 248
Moral Development	p. 250
Beyond Selfhood	p. 251
Family Recovery	p. 253
Vocational Recovery	p. 255
Physical Health and Spirituality	p. 257
Summing Up	p. 258
Key Terms	p. 259
Recommended Reading	p. 259
References	p. 261
Index	p. 271
Table of Contents provided by Ingram. All Rights Reserved.