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The CPGTSP: The CPGTSP: Yesterday and Yesterday and
Today Today Michael D. Campos, PhDMichael D. Campos, PhD
UCLA Gambling Studies ProgramUCLA Gambling Studies ProgramOPG Summit OPG Summit March 8, 2011March 8, 2011
IntroductionIntroduction
CPGTSP CollaboratorsCPGTSP Collaborators
OPGOPG – Administrative Oversight, Program – Administrative Oversight, Program Publicity, Legislative AdvocacyPublicity, Legislative Advocacy
UGSPUGSP – Service Program Administration, – Service Program Administration, Training, Program Quality Assurance, Training, Program Quality Assurance, Treatment ResearchTreatment Research
Service ProvidersService Providers – Brief Interventions, – Brief Interventions, Outpatient, Intensive Outpatient, Outpatient, Intensive Outpatient, Residential ServicesResidential Services
Basics of the CPGTSPBasics of the CPGTSP TrainingTraining – increase gambling-problem related – increase gambling-problem related
knowledge and treatment skills; provide information knowledge and treatment skills; provide information on the CPGTSP system on the CPGTSP system
ServicesServices – multi-modal, stepped-care treatment – multi-modal, stepped-care treatment network that encompasses a continuum of integrated network that encompasses a continuum of integrated services, including harm reduction and abstinence services, including harm reduction and abstinence based alternatives that will deliver a broad spectrum based alternatives that will deliver a broad spectrum of evidence-based treatments to California residentsof evidence-based treatments to California residents
ResearchResearch – develop and evaluate treatment – develop and evaluate treatment approaches for gambling problems; improve approaches for gambling problems; improve evidence-base for gambling-problem treatmentevidence-base for gambling-problem treatment
CPGTSP NetworkCPGTSP Network
HelplineOutreach
WebsitesHealth CareProfessionals
Other
CPGTSP
TelephoneIntervention Outpatient
Treatment IntensiveOutpatientTreatment
ResidentialTreatment
ClinicalInnovations
The CPGTSP The CPGTSP YesterdayYesterday
Training, Services, Training, Services, ResearchResearch
TrainingTraining 4-day gambling-problem specific training 4-day gambling-problem specific training
program delivered by leaders in the fieldprogram delivered by leaders in the field
Training program delivered at no cost to Training program delivered at no cost to participantsparticipants
Delivered at multiple locations throughout Delivered at multiple locations throughout major regions of Californiamajor regions of California
Designed to provide a basic foundation for Designed to provide a basic foundation for treatment providerstreatment providers
TrainingTraining Over 300 individuals from around the Over 300 individuals from around the
State of California have been trained to State of California have been trained to date.date.
Degrees represented among those trainedDegrees represented among those trained PsyD/ PhD PsyD/ PhD 40 40 MFT MFT 179179 LCSW LCSW 40 40
Languages: 33 spoken including EnglishLanguages: 33 spoken including English
TrainingTraining Trainings included an evaluation Trainings included an evaluation
componentcomponent
Data on first seven trainings is availableData on first seven trainings is available Los Angeles (10/21/09 to 10/24/09)Los Angeles (10/21/09 to 10/24/09) San Francisco (11/18/09 to 11/21/09)San Francisco (11/18/09 to 11/21/09) Sacramento (12/16/09 to 12/19/09)Sacramento (12/16/09 to 12/19/09) San Diego (1/20/10 to 1/23/09)San Diego (1/20/10 to 1/23/09) Long Beach (04/21/10 to 04/24/10)Long Beach (04/21/10 to 04/24/10) Riverside (05/19/10 to 05/22/10Riverside (05/19/10 to 05/22/10 San Francisco (06/23/10 to 06/26/10)San Francisco (06/23/10 to 06/26/10)
Number of Participants by Number of Participants by Training EventTraining Event
6
40
15
54
4541
37
0
10
20
30
40
50
60
Ratings of Training Events Ratings of Training Events by Cityby City
3.8
4
4.2
4.4
4.6
4.8
5
L.A. S.F. Sac. S.D. L.B. Riv. S.F.
Curriculum Topics Speakers
ServicesServices Brief InterventionsBrief Interventions: BDA and NICOS, : BDA and NICOS,
telephone-based, using “Freedom from telephone-based, using “Freedom from Problem Gambling” WorkbookProblem Gambling” Workbook
OutpatientOutpatient: Diverse pool of community : Diverse pool of community providers trained, First outpatient providers trained, First outpatient providers became active in February of providers became active in February of 2011. 2011.
Intensive OutpatientIntensive Outpatient: Located at Beit : Located at Beit T’Shuvah, in operationT’Shuvah, in operation
ResidentialResidential: Located at Beit T’Shuvah, in : Located at Beit T’Shuvah, in operationoperation
IOP ProgrammingIOP Programming
Individual Therapy – Individualized Individual Therapy – Individualized treatment plan.treatment plan.
GR group – RP (triggers, urges & cravings, GR group – RP (triggers, urges & cravings, lapse vs. relapse, etc.), stress management, lapse vs. relapse, etc.), stress management, emotions management, some process work.emotions management, some process work.
Activity Group – psycho-education, Activity Group – psycho-education, gambling and the family, financial planning, gambling and the family, financial planning, creating a relapse prevention plan, etc.creating a relapse prevention plan, etc.
Residential Residential ProgrammingProgramming
Individual Therapy – Individualized Individual Therapy – Individualized treatment plan. treatment plan.
Group Work (7 days a week)Group Work (7 days a week) Process GroupsProcess Groups Budgeting and MoneyBudgeting and Money ActivitiesActivities Brain Relationships Brain Relationships Gambling RecoveryGambling Recovery Relapse PreventionRelapse Prevention Criminal/Gang MembersCriminal/Gang Members 12-Step Facilitation12-Step Facilitation Family Dynamics/Meditation/Mindfulness Family Dynamics/Meditation/Mindfulness Recreational ActivitiesRecreational Activities
ServicesServices
Universal Reporting FormsUniversal Reporting Forms The UGSP developed a set of forms for use The UGSP developed a set of forms for use
in the CPGTSP across all levels of servicein the CPGTSP across all levels of service Forms cover a wide range of domains due to Forms cover a wide range of domains due to
the complex impacts of gambling problemsthe complex impacts of gambling problems Forms provide some uniformity of data Forms provide some uniformity of data
collection across sites and timeframes, collection across sites and timeframes, making quality assurance efforts possiblemaking quality assurance efforts possible
Data Management SystemData Management System
ResearchResearch UGSP Clinical Innovations ProgramUGSP Clinical Innovations Program
GoalsGoals Evidence-Based TreatmentsEvidence-Based Treatments Dissemination of Effective Therapies for Dissemination of Effective Therapies for
Gambling ProblemsGambling Problems
Current Active ProtocolsCurrent Active Protocols Establishing Best Treatment Practices for Establishing Best Treatment Practices for
Pathological GamblingPathological Gambling
ResearchResearch
Establishing Best Treatment PracticesEstablishing Best Treatment Practicesfor Pathological Gamblingfor Pathological Gambling Examining the effectiveness of a 6-session, Examining the effectiveness of a 6-session,
manualized, CBT-based intervention for PGmanualized, CBT-based intervention for PG Two groups: (a) manualized treatment; (b) Two groups: (a) manualized treatment; (b)
TAUTAU Treatments delivered by licensed Clinical Treatments delivered by licensed Clinical
PsychologistsPsychologists Participants recruited from the communityParticipants recruited from the community Baseline, in treatment, end of treatment, Baseline, in treatment, end of treatment,
long-term follow-up.long-term follow-up.
ResearchResearch
EBTP ProgressEBTP Progress 44 participants enrolled44 participants enrolled Mean Age = 43.7 yearsMean Age = 43.7 years Gender = 60.4% Male; 31.3% FemaleGender = 60.4% Male; 31.3% Female API = 19%; Black = 16.7%; Hispanic = API = 19%; Black = 16.7%; Hispanic =
10.4%; White = 39.6%; Other = 6.3%10.4%; White = 39.6%; Other = 6.3% Mean Years Education = 15.0Mean Years Education = 15.0 Median Income = 25K to 36KMedian Income = 25K to 36K
CPGTSP NetworkCPGTSP Network
HelplineOutreach
WebsitesHealth CareProfessionals
Other
CPGTSP
TelephoneIntervention Outpatient
Treatment IntensiveOutpatientTreatment
ResidentialTreatment
ClinicalInnovations
The CPGTSP The CPGTSP TodayToday
Training, Services, Training, Services, ResearchResearch
TrainingTraining
Ongoing trainingsOngoing trainings
CPGTSP Supervision Network: Serves as a CPGTSP Supervision Network: Serves as a clinical resource for authorized CPGTSP clinical resource for authorized CPGTSP treatment providerstreatment providers
Development of web-based video content: Development of web-based video content: Video interview segments with leading Video interview segments with leading researchers and clinicians providing researchers and clinicians providing information on pathological gambling etiology, information on pathological gambling etiology, diagnosis, and treatmentdiagnosis, and treatment
ServicesServices
Outpatient Treatment Service Outpatient Treatment Service SystemSystem
CPGTSP Data Management SystemCPGTSP Data Management System Accessed via the webAccessed via the web Uploads client data to OPG Uploads client data to OPG
administered databaseadministered database Will provide data for evaluation and Will provide data for evaluation and
research purposesresearch purposes
ServicesServices
Quality assuranceQuality assurance Focus groupsFocus groups
Treatment providers, program participantsTreatment providers, program participants Conducted in four regions of the stateConducted in four regions of the state
Key informant interviewsKey informant interviews OPG StaffOPG Staff UGSP StaffUGSP Staff Treatment providersTreatment providers
CPGTSP DMSCPGTSP DMS Provides program wide information for quality Provides program wide information for quality
assurance and researchassurance and research
ResearchResearch
Evaluating Best Treatment Practices Evaluating Best Treatment Practices for Pathological Gamblingfor Pathological Gambling Targeted recruitment is 120 persons Targeted recruitment is 120 persons
(60 in each arm)(60 in each arm) Conduct follow-up interviewsConduct follow-up interviews Preliminary data analysisPreliminary data analysis Examine range of outcomes for Examine range of outcomes for
participantsparticipants
ResearchResearch Manual for Treatment for Significant Others Manual for Treatment for Significant Others
(SO)(SO) Development of a treatment manual for Development of a treatment manual for counselorscounselors
working with SOworking with SO Content based on empirically supported Content based on empirically supported
interventions and suggestions from focus groupsinterventions and suggestions from focus groups Examples of module content includes Stress Examples of module content includes Stress
Management, Differentiation of the Self, Management, Differentiation of the Self, Boundaries, Finances, Conflict Resolution, Trust & Boundaries, Finances, Conflict Resolution, Trust & ForgivenessForgiveness
Online video “webisodes” that accompany modules Online video “webisodes” that accompany modules to enhance learning, psycho-educationto enhance learning, psycho-education
Currently being tested for efficacy in a clinical trial Currently being tested for efficacy in a clinical trial with significant others at UCLAwith significant others at UCLA
