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Betknowmore UK Frankie Graham Founder / CEO

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Page 1: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

Betknowmore UK

Frankie Graham Founder / CEO

Page 2: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

Gambling Support Centre

‘GaM-S North Hub’

In October 2014, Betknowmore UK launched the first UK gambling support hub in Islington. The hub provides dedicated gambling services, including the first accredited outreach mentoring programme for gambling sector:

Support / Treatment

Education / Information

Research / Evidence

Page 3: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017
Page 4: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

Betknowmore UK ACT Programme

Client referral Client Needs Assessment

Support tier 1/2

3/4

Outreach/mentoring Referrals to

Counselling Support Counselling and

Family/Carer Support

Post Treatment Support

Page 5: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

Current Support Services

Don’t Gamble with

Health Rapid support programme

to LBO and their customers

Mental Health

Specialist support service to

clients with complex co-

morbidities

BKM Support

Network Provides services for

affected others and family

networks

Page 6: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

Evidenced Based Approaches

Assessment

• Referral

• Initial Assessment

• Comprehensive Assessment

• Problem Gambling Severity Index

• GAST G

• GAST C

• Core 10

• Risk Assessment

• Care Plan/ACT Plan

Interventions

• Mentoring/Outreach

• Mindfulness

• Counselling

• Psychotherapy

• Cognitive Therapy

• Motivational Interviewing

• Alternative Therapies

• Psychoeducational groups

• Money Management

• Signposting

Aftercare

• Relapse Prevention

• Volunteering

• Counselling

• Employment

• Support groups

• Aftercare groups

• Workshops

Page 7: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

Our service strategy focuses on

health & wellbeing – not treating

addiction in isolation...

Page 8: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

I don’t understand..Why

do you keep doing this?!

Why don’t you just stop!!

How did it come to this?!

Page 9: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

Services developed by learning from the

‘lived experience’

Themes that impacted on me as a child and teen:

Genetic

Exposure to gambling

Low Household Income

Childhood trauma

Connectivity

Page 10: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

Theme 1 – Genetic

Addiction in family

Several extended family members suffered from addictive behaviour traits

However, close family members do not exhibit classic addictive behaviour

My Personality

Quiet and studious

Unlikely to ask for help

Uncomfortable

speaking about

emotions

Betknowmore UK

Empathic and non-judgmental approach

Person-led support and treatment

Encourage clients to try whatever works!

BKM Support Network

Page 11: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

Theme 2 - Exposure to Gambling

School Yard &

Family

Gambling culture in the playground

Father took me to betting shops

Wins were celebrated – gambling was positively viewed

Attitudes and

Beliefs

Cemented belief money could be won from gambling

Gambling was exciting and normal

High motivation to gamble – losses were ignored

Betknowmore UK

Awareness and education through workshops and presentations

Community & Youth focused services

Signposts Workshop

Page 12: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

Theme 3 - Low Income Household

Perception of

Money

Aware that money limited and a cause of a lot of conflict

Money was associated with health – less money, increased impact on mental and emotional wellbeing

Employment

Started work as soon as I could – tried to be financially independent

Quickly ran into problems with money management, asking for subs and loans from employers

Betknowmore UK

Target areas of high deprivation and vulnerability

Rapid support to individuals includes focus on financial safeguarding

Address ‘corrupted’ perceptions and views of money and financial management

Page 13: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

Theme 4 – Childhood Trauma

Exposure to

domestic violence

Witness to childhood domestic violence

Disrupted relationships into adulthood

Lasting impact on wellbeing

Impact on Self

Worth & Esteem

Massive impact on

emotional wellbeing

Gambling became a

coping mechanism to

feelings extreme low

mood

Felt suicidal and

desperate – particularly

after gambling binges

Betknowmore UK

Case management –

client is likely to present

with complex co-

morbidities

Signposting and referrals

to external agencies

In-house counselling

expertise, mental health

and addiction specialist

Page 14: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

Theme 5 – Loss of Connectivity

Betting shops

Felt at home immediately

Felt gambling was a skill, the more I learnt,

it increased the

chances of big wins

Excluded Other

Areas of Life

Identified as ‘gambler’

Time and money dedicated to gambling increased rapidly

By 18 was regularly gambling to extinction

Extreme behaviour crossed over to other areas of life

Betknowmore UK

Befriending and Mentoring empathic approach encourages engagement

Support around routine, time management and support assets

Opportunity to re-engage with Self and community through volunteering

Page 15: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

Vulnerable Adults ‘at risk’

Page 16: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

Who are most vulnerable?

Gambling related harm

Social & Economic

Unemployed

Low income

Deprived areas

Financial debt

Homeless

Prisoners / Probation

Demographic

Youth

Older people

Women

Ethnic groups

Affected Others

Poor / Impaired

Judgement

Low educational

attainment

Low IQ

Cross addiction

Learning disabilities

Personality traits

High dependency

Page 17: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

Clients with high vulnerability: key points

Regular payments

Potential for abuse

Money Management skills to manage personal budget

Universal Credit

Social Network vs

Isolation Time vs Routine

Speak to me

Excitement of activity

Not experienced ’crash’ Supported Housing & Care

Learning to live with issue

Issue overwhelming to

address – coping tool

Page 18: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

Clients with high vulnerability: key points

Stigma, Shame

Reported feelings of shame and guilt at gambling behaviour

Spending money allocated for other items

May not disclose

Hidden harm

Gambling beliefs may merge

with other thought patterns

Impact of medication

Can affect behaviour and

control around impulsive

decision-making

Page 19: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

How do we support vulnerable

and ‘at-risk’ clients?

Create awareness &

access for support

GaM-S Hub is focal point

for accessing services –

support on the ground

Provide training &

support to orgs

Ensure staff have the

right knowledge, skills,

resources

Engage with client

& support network

Network meetings and

signposting

Harm minimisation

Page 20: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

Don’t Gamble with Health

October 2016 – Present

Collaboration

ABB, Gamble

Aware

Betknowmore UK

collaboration

Project designed

by Betknowmore

UK and proposed

to ABB members

Innovation – First

direct support

First outreach service

working directly with betting shops

Support materials and

referral system set up

within betting shops

Includes training and

workshops with

operators compliance and shop staff

Health &

Wellbeing Focus

New message

promoted in shop materials – wellbeing

approach

Suggests gambling as

a ‘lifestyle’ behaviour

has potential for harm

if not managed

properly

Page 21: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

Don’t Gamble with Health

Support and Treatment

Rapid Support

Referred clients are contacted within 48 hours.

100% achievement rate

Clients can be referred by LBO staff, self referred or through a third party

Must have local contact to Islington and be LBO customer

Tiered Treatment

Pathways

Clients are met initially

by outreach team and

provided with mentoring

Brief Intervention &

screening provided

Clients can receive

structured support,

consisting of mentoring,

counselling, group and

peer 2 peer support

Integrating with Community

Accept referrals from

statutory and voluntary

orgs – ICOPE, GP, Mental

Health, Substance

Misuse, Family Support

Connected with over 60

orgs In Islington

Provision of screening

tools, workshops and

support resources

Page 22: Betknowmore UK Frankie Graham Founder / CEOfrankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / Title PowerPoint Presentation Author Frankie Graham Created Date 10/20/2017

[email protected] Follow us on Twitter @betknowmore

Facebook / www.betknowmoreuk.org