betknowmore uk frankie graham founder / [email protected] follow us on twitter...
TRANSCRIPT
Betknowmore UK
Frankie Graham Founder / CEO
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
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
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
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
Our service strategy focuses on
health & wellbeing – not treating
addiction in isolation...
I don’t understand..Why
do you keep doing this?!
Why don’t you just stop!!
How did it come to this?!
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
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
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
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
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
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
Vulnerable Adults ‘at risk’
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
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
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
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
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
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
[email protected] Follow us on Twitter @betknowmore
Facebook / www.betknowmoreuk.org