Problem Gambling Treatment Providers

Monthly Call/Webinar

Facilitator: Greta Coe, Problem Gambling Services

Manager

February 1, 2017

AgendaTime Topic3:00pm-3:10pm Introductions/County Roll Call3:10pm-3:20m PGS Update/Announcements

Family Therapy Quarterly Call UpdateMedia Tracking FormAll Provider Webinar- MarchNational Conference UpdatesOnline PGS Supervision TrainingUpcoming trainings Opportunities

3:20pm – 3:40pm Presentation and Sharing: Quick tips on how to encounter for engagement with clients and improve QIR metric results (Greta and Participants)

3:40pm – 4:00pm Gambling Treatment Program Capability Index- New Program Design (GTPCI) (Presented by Jeff Marotta)

  Future agenda items: Working with Cultural populations:

o African Americano Latinoo Asian

MH clinicians not knowing how to refer and screenTreating gambling addiction and co-occurring disordersIdeas for increasing enrollments

   

Family Therapy Learning Session and Forums• Dates in 2017: January 26, April 27, July 27, and October 26 • Time: 10-11:30 am• Facilitated and Coordinated by Teresa McDowell, Ed.D., Professor

and Chair, Department of Counseling Psychology; Lewis & Clark Graduate School of Education and Counseling

• Calls will include pre-meeting readings and structured agendas and topics.

• Information on login and call in, along with reading assignment provided via email closer to each call.

• 1 hour of CEUs provided for those that attend.

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Advanced Families and Problem Gambling Treatment Discussions

• Dates in 2017: Feb 23, May 25, Sept 7, Nov 30• Time: 10-11:30 am• Information on login and call in provided via email closer to each

call. All levels of clinicians welcome.• Please mark your calendars if you are interested.• Information on login and call in provided via email closer to each

call.

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National Conference on Problem Gambling

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31th National Conference on Problem Gambling July 21-22, 2017 Preconference: July 19-20, 2017 DoubleTree by Hilton, Portland, OR Information on scholarship and

volunteer opportunities will come via email mid February.

Registration open March 1. Please save the date on your

calendars and start seeking approval from management.

PGS General Updates

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Next PGS All Provider Webinar/MeetingMarch 16 from 9-10:30am. To register: https://attendee.gotowebinar.com/register/2052305896895172098 Agenda items being determined and will be sent mid February.

No PGS Treatment Call in March due to PGS All Provider Webinar Next call- First Wednesday of the Month- April 5 from 3-4:00 pm Log in: https://global.gotomeeting.com/join/763601565 Join the conference call: 1-877-336-1828 Participation Code= 907760

2016-17 Training Calendar now available listing out the monthly prevention and treatment calls and all provider webinars and other upcoming trainings planned. Located at: http://www.oregonpgs.org/all-providers/workforce-development/

Media Tracking Form• New form to collect data on large media campaigns that are

occurring in communities in order for us to cross tabulate with enrollments and helpline calls.

• Reported Quarterly • First Quarter is October – December, 2016. • Please go to the below link and complete the reporting form.

https://www.surveymonkey.com/r/RX5ZG9G• Submit by February 15, 2017• You will also receive an email regarding this reporting form. • If you do not connect with state via email that you have no reports

for the quarter or go to reporting form and input 0, you may be contacted if you have encountered for outreach codes/treatment advertising code.

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Upcoming TrainingsScreening for Disordered Gambling•March 3, 2017 in Springfield OR; 9-5 pm•Presented by Janese Olalde•7 CEUS, Cost: $120•For more information, contact Janese at 541-870-6706 or janesejaneseolalde@yahoo.org

Compulsive Gambling - HS 151 CRN 54985•Chemeketa Community College, Salem OR•Friday, February 10 - 5:00 pm to 7:50 pm•Saturday, February 11 - 9:00 am to 4:50 pm•Register as a student in order to register for the class: http://www.chemeketa.edu/earncertdegree/gueststudent/

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Upcoming TrainingsGambling Counselor Pre-Certification II

– February 25: Case Conceptualization in the Treatment of Problem Gambling– February 26: Family Work with Problem Gamblers and Significant Others– March 11: Understanding Money and its Role in Problem Gambling and

Recovery – March 12: Diversity and Equity in Problem Gambling Treatment

•Participants must attend all four sessions. •9:00am - 5:30pm•Lewis and Clark College, Portland OR•30 CEUs; Cost: $195•To register: https://graduate.lclark.edu/live/events/187711-gambling-counselor-pre-certification-ii

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Online Trainings

Problem Gambling Treatment Training for Clinicians & Supervisors•8 Online modules available from January 2017-January 2018•Register at: https://graduate.lclark.edu/programs/continuing_education/counselors_and_therapists/problem-gambling-treatment-online/

– Problem Gambling Treatment in Oregon: The Big Picture– Overview of Problem Gambling– Problem Gambling Assessment and Treatment Planning– Diversity, Social Equity and Problem Gambling– Problem Gambling and Money– Family Treatment for Problem Gambling– Problem Gambling Treatment: Supervision Part I– Problem Gambling Treatment: Supervision Part II

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Questions

Quick tips on how to encounter for engagement with clients and improve QIR

metric results

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Behavioral Health Screening

• Scenario: Potential client calls the clinician prior to being enrolled into treatment to inquire about treatment. Clinician speaks with the potential client and determines appropriateness for treatment. Potential Client is hesitant to come in so Clinician engages with Client, starts to develop relationship and explains benefits of treatment. Client makes an appointment and comes in for intake and enrollment of treatment.

• Code: T1023- Behavioral Health Screening. This code can be used for all contacts up to 30 days prior to client enrolling in treatment.

• If you are not opening a file yet on the client, keep documentation of contact with client to include in service record once opened.

What if the client does not enroll into treatment and What about the time I spent?

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Client Finding Outreach

• Scenario: Potential client calls the clinician prior to being enrolled into treatment to inquire about treatment. Clinician speaks with the potential Client and determines appropriateness for treatment. Potential Client is hesitant to come in so Clinician engages with Client, starts to develop relationship and explains benefits of treatment. Client makes an appointment, however does not show up.

• Code: 50D- Presentation to Target High Risk Client. This code is not tied to Client ID and can be used for contact with Clients that Clinician has spent significant time with and Client did not engage.

• Make sure you document your client finding outreach activities within a spreadsheet or through EHR, as these codes and activities may be reviewed at technical assistance reviews.

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Gambling Assessment

• H0001- Gambling Assessment.• Encounter amount is for up to 1 hour of service• What if the gambling assessment takes longer than 1 hour?• Encounter the first hour with H0001 and the remaining time can be

encountered as H0004 (Individual session)

Many of these types are included in the PGS Rates and Procedure Code document, which can be found at:

http://www.oregonpgs.org/treatment/billing-codes-and-rates/

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Client Authorization (Locator Form)• Client Locator Form/Consent for Follow-up – Not a contractual

requirement.• Target is 80% of gamblers and family will consent for follow-up• Participation and feedback is of great importance to the quality

improvement efforts of our system. • Typically this document and consent is discussed and request during early

appointments/intake. • Ask after the client has engaged. Possibly a few sessions in their

treatment process, ask again.• At discharge, if client has not authorized, asked one last time. • Client authorization form can be completed and turned in at any point

of treatment process. • Other ideas or successes from providers on the call?

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Client Authorization (Locator Form)• Locator is easier to complete than it looks.• At minimum, the following must be completed:

– Case #– Participants Name– Participants Mailing Address– Participants Home Phone– Emergency Contact

• However, the more information the better!

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Enrollment (Client) Survey• Currently not a contractual requirement, however will be starting July 1,

2017. • Target is 95% of gamblers and family enrollments will complete survey.• Information collected within survey is essential for yearly system

evaluation report and data presented to legislature and other stakeholders regarding outcomes of treatment and client demographics.

• Needs to be completed within the first 30 day of treatment or client data could change to much.

• This could something the client takes home and returns, part of large intake packet for client to complete or could complete in waiting room.

• Consider other options than having client complete on their first visit with other paperwork for better success rate.

• Other ideas or successes from providers on the call?

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Tips from Participants

• Access/Wait Time

• Retention

• Successful Completion

• Reporting

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CONCEPT IN DRAFT

Gambling Treatment Program Capability Index (GTPCI)Program Elements, Dimensions, & Benchmarks

Presented by Jeff Marotta

Introduction:

The Gambling Treatment Program Capability Index (GTPCI)

As a new service to gambling treatment providers, OHA will be providing technical assistance visits utilizing the Gambling Treatment Program Capability Index (GTPCI).

The GTPCI will assist providers evolve their gambling treatment programs by objectively measuring their programs.

The GTPCI evaluates 19 program elements that are subdivided into 6 dimensions.

The GTPCI establishes benchmarks for providing treatment services to people with gambling disorders. The indexes ask questions about six dimensions

The Six Program Dimensions

The Gambling Treatment Program Capability Index

Benchmarks

Criteria & Metrics

Organizational Commitment

How does your agency demonstrate its commitment to providing problem gambling services?

Staffing

Are staff members adequately trained, resourced, and supported for the assessment and treatment of individuals with gambling disorders?

Community Engagement

How does your program engage the community to reduce gambling related harm and promote gambling treatment?

Program StructureDoes your overall program structure and policies help or inhibit providing services for individuals with gambling disorders?

Clinical ProcessHow do your clinical assessment and treatment procedures and protocols rate in relation to gambling disorder assessment and treatment?

Continuity of Care

How does your program facilitate ongoing recovery and wellness, handle continuing care, and monitor individuals with gambling disorders?

Project Components

&

Next Steps

Questions

Future Agenda Items• Working with Cultural populations:

• African American- Michael Braxton• Latinos- Latino Advisory Committee

members• Asian Americans- Asian Advisory

Committee members MH clinicians not knowing how to refer and

screen Treating gambling addiction and co-occurring

disorders Ideas for increasing enrollments

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