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Comedy Central & Implementing CSAP’s Comprehensive
Prevention 6 Strategies into Problem Gambling Prevention
June 2014
Welcome! Bob Kerksieck, LMSW, IAADC Health Facilities Surveyor
Office of Problem Gambling Prevention and Treatment Iowa Department
of Public Health 321 E. 12th Street |Des Moines, IA 50319 |
515.281.3347 [email protected]
We’ll Start With:
An overview of how Iowa has adapted the CSAP 6 comprehensive
prevention strategies to problem gambling prevention
Then we’ll switch
To a Comedy Central Look at the Use of Humor in Prevention
A Goal Almost Everyone Can Agree On!
Dubuque Iowa – Late 80’s
When we did PG “prevention” then – it was geared entirely toward
educating people that treatment was available
To encourage referrals
http://www.idph.state.ia.us/IGTP/http://www.idph.state.ia.us/IGTP/http://www.idph.state.ia.us/IGTP/http://www.idph.state.ia.us/IGTP/http://www.idph.state.ia.us/IGTP/http://www.idph.state.ia.us/mailto:[email protected]
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Through 2008
Almost all Iowa PG prevention was done in the first two
strategies:
1. Information Dissemination
2. Education – almost all of which were single session
presentations
We knew that of the CSAT 6 Comprehensive Prevention Strategies
the 1st two were the least effective*
*Note: There is a huge difference in effectiveness between doing
single education sessions vs. doing multiple sessions
Why?
Why was PG prevention usually done in the first two
strategies?
1. Easier
2. Increases referrals
However “easier” – and increasing referrals – have to little to
do with actually preventing problem gambling
6 Comprehensive Prevention Strategies [Center for Substance
Abuse Prevention (CSAP)]
Information Dissemination
Education
Alternative Activities
Community-Based Process
Environmental Approaches
Problem Identification and Referral
Iowa Definitions of 6 Strategies
The following information is from a draft document that we
expect to have finalized by July. Contact Eric Preuss or Bob
Kerksieck for a link to the document titled:
PROBLEM GAMBLING PREVENTION STRATEGIES
Strategies, Activities and Definitions
Iowa Definitions of 6 Strategies Information dissemination.
Information dissemination provides awareness and knowledge of
the nature and extent of problem and disordered gambling and its
effects on individuals, families, and communities. The strategy is
also intended to increase knowledge and awareness of available
prevention programs and services and not as agency promotion.
Information dissemination is characterized by one-way communication
from the source to the audience, with limited contact between the
two.
Information Dissemination Types of services conducted and
methods used for
implementing this strategy include the following – see full
document for details. Examples:
Materials Development Process: The creation of original
documents and other educational pieces
(Online Conference Call, Meeting, or Webinar: Small
Informational Session: Media Interview: Services intended to
provide information
about problem and disordered gambling prevention through radio
interviews and other media events where the audience is indirectly
receiving substance abuse related information.
Health Fair:
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Information Dissemination, Cont. Additional Examples:
Original Audiovisual Material Developed:
Original Written Material Developed:
Original Curriculum Developed:
Original Periodicals Developed:
Original Public Service Announcement (PSA):
Speaking Engagements: A wide range of prevention activities
intended to impart information about substance abuse issues to
general and/or targeted audiences.
Iowa Definitions of 6 Strategies Education. Problem and
disordered gambling prevention education
involves two-way communication and is distinguished from the
information dissemination strategy by the fact that interaction
between the educator and/or facilitator and the participants is the
basis of its components. Services under this strategy aim to
improve critical life and social skills, including decision-making,
refusal skills, critical analysis, and systematic judgment
abilities.
Recurring education services involve an enrolled group of
people over a fixed period of time with specific criteria for
determining completion.
Education Types of services conducted and methods used for
implementing this strategy include the following: Children of
problem/disordered gambler groups, classroom educational services,
educational services for youth groups, parenting/family management
services, peer leader/helper programs, and small group
sessions.
Note: A one-time presentation should be counted as a speaking
engagement.
See full document for details – Examples:
Children of Problem/Disordered Gambler Groups: Classroom
Educational Services:
Education Additional Examples:
Classroom Educational Services: Educational Services for Youth
Groups: Parenting/Family Management Services: Peer Leader/Helper
Programs: Small Group Sessions: Provision of
educational services to youth or adults in groups of not more
than 16 members.
Iowa Definitions of 6 Strategies Alternatives.
Alternatives provide for the participation of target populations
in activities that exclude problem and disordered gambling. The
assumption is that constructive and healthy activities offset the
attraction to or otherwise meet the needs usually filled by
gambling related activities and would therefore minimize or remove
the need to gamble.
Alternatives Iowa funds the direct service of technical
assistance to
get alternative activities accepted in communities and to assist
in planning for the activity. Iowa no longer funds direct service
hours for participation at the activity (e.g., chaperones), serving
in the role of running a program, or coordinating the activity –
see full document for details. Examples:
Alternatives Technical Assistance: Technical assistance to
community groups/agencies who wish to provide: Gambling free school
or community events Teen or senior citizen community center
activities After school and/or tutoring programs Mentoring programs
Youth groups involved in policy or environmental
change
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Iowa Definitions of 6 Strategies Community-based process.
Community-based process strategies aim to enhance the ability
of the community to more effectively provide problem and
disordered gambling prevention and treatment through the
establishment of collaborative groups.
Note: In Iowa direct service hours are not to be used for
services performed on behalf of a coalition.
This strategy includes organizing, planning, and enhancing
the
efficiency and effectiveness of services implementation,
interagency, collaboration, coalition building, and networking.
Individuals involved in these strategies are either members of
coalitions (formal or informal) that represent various groups
within the community or else are working on providing support to
such collaborative groups.
Note: Meetings involve a planned agenda with date, location, and
time.
Community-Based Process Technical assistance can be
offered/provided for
implementing this strategy include the following: Accessing
services and funding, assessing community needs,
community/volunteer services, community teams, community team
activities, and training or technical assistance services to the
coalition members.
Technical Assistance: Provided by professional
prevention staff intended to provide technical guidance to
prevention programs, community organizations, and individuals to
conduct, strengthen, or enhance activities to promote prevention.
Services provided should be viable technical assistance that will
lead to a final product.
Community-Based Process, Cont. Examples – see full document for
details: Technical Assistance: Provided by professional prevention
staff
intended to provide technical guidance to prevention programs,
community organizations, and individuals to conduct, strengthen, or
enhance activities to promote prevention. Services provided should
be viable technical assistance that will lead to a final
product.
Examples: Guide the development of action plans/capacity
building with
coalitions Develop a plan to address cultural diversity Guide
the creation of a coalition Recruit new members and new community
sector
representation on the coalition Assist the group to assess needs
and resources
Community-Based Process, Cont. Again
Additional Examples – see full document for details: Assist the
group to assess needs and resources Train coalitions in skills to
enhance their effectiveness Encourage/involve youth participation
in coalitions Conduct community/neighborhood prevention needs
assessment Community mobilization services Assist in state
prevention planning processes Multi-agency coordination and
collaboration Provide other professional expertise Technical
Assistance (Online Conference call, Meeting, or
Webinar): Provided by professional prevention staff via the
Internet/telephone that are intended to provide technical guidance
to prevention programs, community organizations, and individuals to
conduct, strengthen, or enhance activities to promote
prevention.
Iowa Definitions of 6 Strategies Environmental Approaches.
The environmental strategy establishes or changes written and
unwritten community standards, codes, and attitudes, thereby
influencing the incidence and prevalence of the problem and
disordered gambling by the general population. This strategy is
divided into two subcategories to permit distinction between
activities that center on legal and regulatory initiatives and
those that relate to service- and action-oriented initiatives.
Environmental Approaches
Environmental process is providing technical
assistance/consultation services to groups and/or individuals that
lead to or work toward a specific environmental change. Types
technical assistance that can be provided and methods used for
implementing this strategy include the following – see full
document for details: :
Preventing Underage Gambling Activity and Lottery Sales:
Establishing Gambling Free Policies:
Changing Environmental Codes, Ordinances, Regulations and
Legislation:
Public Policy Efforts: Activities intended to reflect efforts to
change public policy about problem and disordered gambling.
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Iowa Definitions of 6 Strategies Problem identification and
referral.
Problem identification and referral aims to classify those who
have indulged in illegal or age- inappropriate gambling and to
assess whether their behavior can be reversed through education. It
should be noted, however, that this strategy does not include any
function designed to determine whether a person is in need of
treatment.
Problem Identification and Referral
Types of services conducted and methods used for implementing
this strategy include the following – see full document for
details:
Employee Assistance Program:
Student Assistance Program:
PREVENTION DOMAINS Individual
Peer
Family
School/work
Community
Society/environmental
MULTIPLE STRATEGIES OVER MULTIPLE DOMAINS
Prevention Domains
6 Strategies Individual Peer Family School- Work Community
Society- Environmental Other
1
Information Dissemination
2 Education
3
Alternative Activities
4
Community- Based Process
5
Environmental Approaches
6
Problem Identification & Referral
What are Evidence-Based Strategies?
1) Included on Federal lists or registries of
evidence-based interventions
2) Reported (with positive effects) in peer-reviewed journals,
or
3) Documented evidence of effectiveness based on guidelines
developed by SAMHSA/CSAP
Effective* Innovative
and/or Unproven Conditionally
Effective* Promising* Of
Interest* Insufficient Current
Support*
SAMHSA’s Emerging Evidence-Based Continuum
* SAMHSA/NREPP effectiveness levels
Little-to-No
Evidence of Effectiveness
Evidence of Effectiveness
Based on Rigorous Evaluation
New
NREPP 2005+
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What is NREPP?
Do any PG prevention programs get the NREPP seal of
approval?
Remember Dr. Westley Clark’s slides on PG prevention from the
2013 Midwest Conference?
http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=235
Some Examples are Just Silly: Bike Theft Prevention
Theft Prevention
Shoplifting Prevention
http://www.google.com/url?sa=i&source=images&cd=&cad=rja&docid=GFnxM1eoZDHb8M&tbnid=B-z91ZmPO85ZeM:&ved=0CAgQjRwwAA&url=http://www.nintendofanforum.com/showthread.php?t%3D6559&ei=jDBhUuOPHeKbygGp5ICoBg&psig=AFQjCNGt8jgNep4b3ZOraneOHj2V9PBJ_w&ust=1382187532526686http://www.google.com/url?sa=i&source=images&cd=&cad=rja&docid=KZT6J3fI6dNMqM&tbnid=Z1JQRe_EpnV_pM:&ved=0CAgQjRwwAA&url=http://www.foundshit.com/bike-lock-theft-prevention/&ei=DjFhUtXZOqmEygHPp4GoBg&psig=AFQjCNH2Vmve5EbVcnwPPT9BGHIAx4Rfhw&ust=1382187663011134
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Venereal Disease prevention Unwanted Pregnancy Prevention
Crime Prevention Car Theft Prevention?
Be Very, Very Careful What may sound funny to some, may be
highly
offensive to others, especially if not handled with
sensitivity
Suicide Prevention
http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=b4ytoG2MlnE40M&tbnid=Uq1Ru9e-wzsWkM:&ved=0CAUQjRw&url=http://www.popularwealth.com/index.php/vintage-ads-10-funny-reminders-of-how-times-change&ei=iDFhUrWwGpPwyAGb7YGADA&bvm=bv.54176721,d.aWc&psig=AFQjCNE88TSTHFQn8KlTfuu8waa3QWhTIA&ust=1382187766223460http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=9fw3HYmWTtkErM&tbnid=rAdLGqH93sSZJM:&ved=0CAUQjRw&url=http://imprezzme.blogspot.com/2011/12/funny-car-theft-prevention.html&ei=UzJhUtrYGaTYyQHB8oGACA&bvm=bv.54176721,d.aWc&psig=AFQjCNE88TSTHFQn8KlTfuu8waa3QWhTIA&ust=1382187766223460http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&docid=aWhivE5ccM80RM&tbnid=Utj_xWLaNgH4xM:&ved=0CAUQjRw&url=http://www.flickr.com/photos/tobysaville/3124266446/&ei=YzNhUuHgAoebygGLgoGQAQ&psig=AFQjCNEdYwmXGEeEpIt6moenYu4zaC6Z5Q&ust=1382188169549872
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Suicide Prevention – Fail – Perhaps an Important Lesson in
Making Certain Your Equipment Works
Now for a SERIOUS Look at Humor
In prevention
Not Surprisingly (to me!) There is Research: on the
Effectiveness of Humor as a Prevention Tool
One example:
Non Castigat Ridendo Mores: Evaluating the Effectiveness of
Humor Appeal in Printed Advertisements for HIV/AIDS Prevention in
Italy.
Isabella Soscia, Alex Turrini, Emilio Tanzi
a Marketing Department , SKEMA Business School , Sophia
Antipolis , France.
Journal of Health Communication (Impact Factor: 1.61). 06/2012;
17(9):1011-27. DOI:10.1080/10810730.2012.665416 Source: PubMed
WFMJ.com: Ohio ads use humor to address problem gambling
WFMJ.com: Ohio ads use humor to address problem gambling Posted:
Jan 20, 2014 6:46 PM CST Updated: Jan 29, 2014 10:25 AM CST
COLUMBUS, Ohio (AP) - The Ohio Lottery Commission is trying to draw
attention to serious messages about problem gambling by depicting
outcomes of some humorous bets. The characters in the "I Lost a
Bet" media campaign include a bearded man dancing atop a table with
rhythmic gymnastics ribbons and another guy wearing a dog costume
and crouching in a crowded elevator. The billboard and TV ads refer
to the campaign website, where funny scenes precede serious
messages about damaging effects of problem gambling. The lottery's
marketing director describes it as "the applesauce with the
medicine." The Columbus Dispatch reports the ads target young
adults, especially men, statistically shown to be most at risk for
gambling addiction. The $1.5 million campaign is funded by taxes
paid by horse-racing tracks that have slots-like video
machines.
Ohio spends $2 million on 'I lost a bet' campaign that targets
young men Details at:
http://www.usatoday.com/story/money/business/2014/02/04/gambling-ad-campaign-humor/5199109/
Video at: http://www.ilostabet.org/
Spiders on Drugs
BTW #1, Chloral Hydrate’s street names are “knockout drops”
or
“Mickey Finn”
BTW #2, pay no attention to the double espresso I had for
breakfast…
http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=vKCUlyRRSDhFXM&tbnid=Ia5V53ueVHVaoM:&ved=0CAUQjRw&url=http://www.zoklet.net/bbs/showthread.php?t%3D161010&ei=ojNhUqjXMMG4yQGC8ICABA&psig=AFQjCNFR8LY99G27vPybgFr1gp7GUqPAWg&ust=1382188315073875http://www.researchgate.net/researcher/76443726_Isabella_Sosciahttp://www.researchgate.net/researcher/76443726_Isabella_Sosciahttp://www.researchgate.net/researcher/79378785_Alex_Turrinihttp://www.researchgate.net/researcher/79378785_Alex_Turrinihttp://www.researchgate.net/researcher/76443825_Emilio_Tanzihttp://www.researchgate.net/researcher/76443825_Emilio_Tanzihttp://www.researchgate.net/journal/1087-0415_Journal_of_Health_Communicationhttp://www.ncbi.nlm.nih.gov/pubmed/22694065http://www.usatoday.com/story/money/business/2014/02/04/gambling-ad-campaign-humor/5199109/http://www.usatoday.com/story/money/business/2014/02/04/gambling-ad-campaign-humor/5199109/http://www.usatoday.com/story/money/business/2014/02/04/gambling-ad-campaign-humor/5199109/http://www.usatoday.com/story/money/business/2014/02/04/gambling-ad-campaign-humor/5199109/http://www.usatoday.com/story/money/business/2014/02/04/gambling-ad-campaign-humor/5199109/http://www.usatoday.com/story/money/business/2014/02/04/gambling-ad-campaign-humor/5199109/http://www.usatoday.com/story/money/business/2014/02/04/gambling-ad-campaign-humor/5199109/http://www.usatoday.com/story/money/business/2014/02/04/gambling-ad-campaign-humor/5199109/
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Videos: Spiders on Drugs Spiders on Drugs – QI – with
Stephen
Fry: http://www.youtube.com/watch?v=TqehRP1sZx8
Spiders on drugs – funny – Film Board of Canada:
http://www.youtube.com/watch?v=pT1XwFAdtAE
Of Winning A LOTTERY?
How Many of You Think A $1 Lottery or Powerball Ticket is a good
investment?
What Are Your Odds of Winning?
Powerball grand prize
$200,000 Powerball prize
Mega Millions grand prize
What Are Your Odds of Winning?
Powerball grand prize from Wiki: 5 numbers plus PB - about one
in 175 million
Mega Millions grand prize from Wiki: 5 numbers and the Mega Ball
- 1 in 258,890,850
What Does That Mean?
What could you use to give an audience a clear picture of a
million?
One in a million?
Here is one way to do this:
http://www.youtube.com/watch?v=TqehRP1sZx8http://www.youtube.com/watch?v=pT1XwFAdtAE
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You Need a Few Items And Some M & M’s
How Many M & M’s on a 3 x 5 Card?
Looks Like 99 Will do it – Let’s Round to 100
Warning Math Ahead! How Many 3 x 5 Cards on a Sheet of
Newsprint?
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How Many Sheets of Newsprint on a Gym Floor? About One Million M
& M’s Will Cover a Basketball Court
What Are Your Odds of Winning?
$200,000 Powerball prize: about one in 5 million
Like picking your M & M out of the five million covering
five basketball courts
And the Powerball Grand Prize? 175 million M & M’s would
cover 175 basketball courts –
still trying to put 175 courts on one slide!
34% of Canadians counting on Lottery wins for retirement From:
February 5, 2014
BUSINESS BREAKING NEWS
The Canadian Press - ONLINE EDITION
Majority are counting on CPP for retirement; others will rely on
lottery: poll
By: Linda Nguyen, The Canadian Press
Thursday, Jan. 30, 2014 at 8:01 AM |
How Many of You Still Think A $1 Lottery or Powerball Ticket is
a good investment?
http://www.brandonsun.com/business/breaking-news
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“The Odds for Other Games are variable…”
Questions?
For More Information Contact Bob Kerksieck: Bob Kerksieck, LMSW,
IAADC Health Facilities Surveyor Office of Problem Gambling
Prevention and Treatment Division of Behavioral Health Iowa
Department of Public Health 321 E. 12th Street |Des Moines, IA
50319 | 515.281.3347 [email protected]
http://www.idph.state.ia.us/IGTP/http://www.idph.state.ia.us/IGTP/http://www.idph.state.ia.us/IGTP/http://www.idph.state.ia.us/IGTP/http://www.idph.state.ia.us/bh/default.asphttp://www.idph.state.ia.us/http://www.idph.state.ia.us/mailto:[email protected]
