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									“Building on Success”
  12th Annual Conference
Anthony Jennens
 Chairman, GamCare
“Building on Success”
  12th Annual Conference
Andrew McIntosh
 President, GamCare
“Building on Success”
  12th Annual Conference
 Andrew Tottenham
Chair, The GREaT Foundation
“Building on Success”
  12th Annual Conference
  Baroness Neuberger DBE
Chair of the Responsible Gambling Strategy Board
 Interim Chair of the Responsible Gambling Fund
“Building on Success”
  12th Annual Conference
Professor Peter Collins
 Director, Centre for the Study of
         Gambling, Salford
Responsible Gambling: What it is,
Why it matters and How to make it
     Presentation by Prof Peter Collins
           University of Salford
          GamCare Conference
               October 2009
• “Responsible Gambling”. A contradiction in terms
  or an unnecessary excuse for paternalism?
• Consumer choice and consumer protection
• “Informed choice,” – the core concept
• Three ideal types: those with actual gambling-
  related problems; those at risk because they
  currently gamble; those who might gamble
• Practical implications
• Latest Developments
  What is “Responsible Gambling?”: A
       Contradiction in terms?
• A contradiction like “responsible prostitution” or “responsible”
  indulgence in any “vice”? For many people “Yes” because
  indulgence in vice is always irresponsible
• No matter what constraints are placed by governments on suppliers
  and consumers of commercial gambling services some people will
  always think that, at best, this is only preferable to complete
  prohibition because prohibition is impracticable even though
  prohibition is what would be the most desirable state of affairs
• The essential fact about gambling, and what makes it exceptionally
  difficult to develop and implement sensible public policy for, is that
  it is widely thought of as a vice – i.e. an activity which typically
  many people enjoy a lot and many people (sometimes the same
  people) consider to be immoral.
 What is “Responsible Gambling?”: An
        Excuse for Paternalism
• Compare “responsible gambling” with
  “responsible golfing” or any other leisure activity
  not considered a “vice” like eating cakes
• A minority over-indulge and do harm to
  themselves and their families
• But that’s not the government’s business
• And we don’t think we need golf and cake
  “awareness days” or national responsible golf and
  cake strategies
       What is Responsible Gambling? A
            Political Compromise
•   In societies where gambling is legal, some people wish it weren’t because they think it immoral or
    dangerous or both; others see no difference between gambling and any other form of
    entertainment which people may choose to spend time and money enjoying; most think it should
    not be wholly forbidden to those who enjoy it but also that it’s not as harmless as playing golf or
    eating cake
•   Therefore we should have some but not too much legal, commercial gambling and what there is
    should be:
    - regulated responsibly
    - supplied responsibly
    - consumed responsibly
•   This makes “responsible gambling” a concept which cannot be precisely, scientifically or otherwise
    objectively defined because what is to be meant by it in any particular context is open to
    negotiation and will express a political compromise or consensus
•   Because of this what counts as “responsible gambling” at any particular time is always unstable and
    never pleases everyone
•   So the main function of responsible gambling policies, programmes and practices, from the point of
    view of government and industry, is to sustain the support of public opinion for current policies and
    enable them to rebut publicly voiced criticisms of current or proposed policies
         So What is “Responsible
• “Responsible gambling” can usefully be used to refer to any
  set of policies, programmes and/or practices which maximally
  reduces the likelihood that people will harm themselves or
  others by spending too much time or money gambling, while
  minimally inhibiting the ability of those who wish to gamble
  harmlessly from doing so
• This means that implementing responsible gambling
  measures is a matter of promoting not only consumer
  protection but also consumer choice (Budd, Eadington,
  Forrest, new proposed internet legislation in USA, “consumer
  surplus” and more fun)
       Relating the Two Principles
• Sometimes the principle of consumer choice conflicts with the
  principle of consumer protection and compromises must be
• E.g. How much should we curtail the freedom on non-
  problem gamblers in the hope of protecting problem
  gamblers from themselves? (Issues of availability, limits on
  stakes and prizes, responsible gambling features etc)
• The principle of proportionality and other principles of good
  regulation are needed here (compare: speed limits)
• But sometimes the promotion of consumer choice and
  consumer protection reinforce each other as when people are
  addicted or ignorant of what they are doing
             Problem Gambling and
                Informed Choice
• Gambling is “problematic” in the sense of requiring action by
  governments, by industry and or by treatment and prevention specialists
  - Either the gambler is addicted in the sense that he or she would like to
  stop or cut down but can’t (for whatever reason)
  - Or the gambler would cut down or stop gambling if they knew relevant
  facts about the gambling they are engaging in but which they do not know
• In these cases the consumer is neither able to exercise free choice nor is
  adequately protected by government from exploitation and deception by
• Conversely, gambling is unproblematic when players are exercising
  informed choice, i.e. are genuinely free to choose because not behaving
  compulsively, and know what they are doing
   So who needs protection – and
    liberation? Three Ideal Types
• Those who currently gamble and create problems for
  themselves and others much because they are
  addicted or ignorant of what they are doing
• Those who currently gamble unproblematically but
  might develop problems in the future
• Those who currently don’t gamble but might in the
  future and who, if they do will need to be able to
  avoid gambling problematically
    What responsible gambling measures need to
    be in place for the current problem gambler?
•   Information that there is such a thing as problem gambling (?50%+ of problem
    gamblers don’t. Most GPs and PCTs don’t)
•   Information that free, confidential and expert help is available
•   Information about how to access this easily and with minimum difficulty
•   Facilities for contacting a suitably sympathetic and knowledgeable counsellor –
    preferably immediately, i.e. on impulse
•   Facilities for accessing further free, confidential and expert help with gambling
    problems in one-on-one sessions, in groups, by telephone or internet
•   Facilities for accessing such help with related matters such as
    - comorbidities: other psychological disorders such as substance abuse, depression
    or anxiety disorders
    - employment issues
    - debt and money management
    - family and other personal relationships
  What responsible gambling measures need to be in
    place for the current non-problem gambler?

• Reinforcement of the message that gambling ought to be a form of
  entertainment for which you pay by accepting the House Advantage

• Understanding how games work and generate House Advantage

• Not being exposed to features of games or the environment which mislead
  about the chances of winning or otherwise undermine the ability to
  exercise rational control (e.g. play for play on internet, columns with past
  numbers at roulette, encouragement to get intoxicated etc)

• Access to warning signs about the possible onset of problem gambling

• Access to information about what to do if you think you have a problem
 What responsible gambling measures need to
  be in place for the current non-gamblers?
• Access to a general understanding that
  gambling can be dangerous
• Access to information about what you can do
  to avoid getting into trouble if you do take up
  gambling (budgeting etc)
• Access to information about how to identify
  and help someone else who is in trouble as a
  result of problem gambling
      What else needs to be done?
       Educating Professionals
• Most obviously, the professionals likely to encounter people,
  some or most of whose problems derive from excessive or
  compulsive gambling, need to be informed - as part of their
  continuing professional development - about the nature of
  problem gambling, how to identify it and what to do about it
• The group of professionals at present most scandalously
  lacking in this knowledge is the medical profession
• But social workers, law enforcement personnel, ministers of
  religion, bank managers etc all need to understand this
    What else needs to be done? Developing an
    extensive and trustworthy knowledge base
•   Everyone, everywhere laments the absence of knowledge about how best to prevent and
    treat problem gambling, mainly because of inadequate scientific understanding of the causes,
    character and consequences of this phenomenon
•   This can only be remedied by growing the capacity for good research around the world,
    collating the efforts and findings of researchers and disseminating it to all interested parties
•   This requires centres of excellence in gambling studies which collaborate with each other to
    which scholars working on any aspect of gambling studies, nationally and internationally
    would be affiliated
•   This would mean that
    - all interested parties, including public officials (ministers, civil servants, parliamentarians,
    regulators, local councillors and officers), industry managers, the media, treatment and
    prevention professionals, other professionals and the general public could make inquiries
    about any aspect of gambling studies and
    - be confident of getting an answer which reflected the honest views of the best researchers
    in the area relying on the best available evidence
•   The alternative is to leave the shaping of public opinion to those who are unscrupulous in
    their use of evidence to further ideological, political, commercial or self-glorificatory agendas
         Some New Developments
• Increasing investigation of the distinction between addicted
  and non-addicted problem gamblers
• Increasing recognition of need to address comorbidities in
• Emphasis on Consumer Protection rather than on “Protecting
  the Vulnerable”
• Increasing understanding by industry and government of the
  link between profits (and therefore taxability), public opinion
  and credible responsible gambling strategies
• Increasing awareness of the need for all concerned with
  responsible gambling to collaborate rather than compete
                A Concluding Prediction
•   We have all over the world spent huge quantities of time and money over the past ten years
    trying to minimise the comparatively small amounts of harm caused when recreational
    gamblers for whatever reason lose control and to ensure that recreational gambling is strictly
    regulated so as to be crime-free, fair to players and protective of the vulnerable
•   Meanwhile through ideological naivety, political and commercial short-termism,
    incompetence and a culture of moral cynicism, we have deregulated the financial services
    industries so as to transform them into a giant global internet betting business which is
    neither crime-free, fair to players nor protective of the vulnerable
•   Some informal estimates (which merit proper research) suggest that at least half of all
    traders meet the criteria set out by the American Psychiatric Association for identifying
    probable pathological gamblers – they are obsessed with their “bets”, they sacrifice their
    personal lives to their betting, they spend far too much time betting, they chase their losses,
    they lie about their gambling, they steal in order to sustain their habit, and when it goes
    wrong they contemplate suicide
•   This is where those concerned with responsible gambling will need to focus their energies
    and attention in the future
“Building on Success”
  12th Annual Conference
  Andy McLellan
Chief Executive, GamCare
Gamcare 12th Annual Conference
      “Building on Success”

   Andy McLellan, CEO, GamCare

 1) What are we dealing with?

 2) What have we achieved?

 3) What could we be doing?

What are we dealing with?

 • 68% of adult population gamble
 • Problem gamblers:0.5/0.6% = c 250,000 people
 • Dynamic snapshot
 • Family & friends x4 = 1.25 million
 • Further 1.4% - 660,000 people – at “moderate risk”
 • Cf problem drug users c327,000
 • And how much is spent on drugs?

What are we dealing with?

 But on the plus side:

 •   A clear(er) regulatory framework

 •   An industry that we can work with, and which
     takes its customers seriously

 •   Partners around the country committed to
     working with us

What have we achieved?

  •   No levy

  •   A fundraiser that looks like it will work

  •   An industry increasingly conscious of responsible
      gambling, and increasingly equipped to
      encourage it

  •   A developing and effective infrastructure for

What have we achieved?

 FrontLine Services
 • HelpLine/NetLine calls up 21%
 • NetLine alone up 300%
 • Speaking to 100 callers every day
 • ChatRoom sessions doubled
 • 50% more new posts on Forum
 • 94% of callers rate service Excellent/VG

What have we achieved?

 • Sessions up by 30%
 • Problem gamblers:
     - 88% at start of treatment
     - 15% at end
 • More than 300 people in treatment at any one time
 • 4 new Partner areas
 • 60% of GB population in reach of GamCare

What have we achieved?

 GamCare Trade Services

 •   Trained 520 industry employees at 28 sessions
     since April 2008
 •   Certification
        - 25 remote companies
        - 54 websites
        - 25 terrestrial companies
 •   Income target 2009/10: £150k

What have we achieved?


 • GamCare Salford

 • Online counselling

 • Gambling & Debt

 • Gambling in prisons

What have we achieved?


 • Gambling in the Chinese community

 • Counselling for clients with hearing impairments

 • Training/certification for all GamCare staff

What have we achieved?

 GamCare International

 • GamCare Ireland

 • Training in Malta

 • Consultancy/training in Antigua

What could we be doing?

 •   Improving and extending FrontLine Services to
     meet demand

 •   Extending counselling to the rest of GB

 •   Evaluating and accrediting our services

 •   Expanding online counselling

What could we be doing?
 •   Developing and piloting prevention work with
     young people - with partners old and new
 •   Working with communities with special needs
       - Turkish community
       - Prisons
       - Students
 •   Developing coherent partnerships with Partners,
     NHS, Money Advice Trust etc etc across the

All this is possible

•   Now

•   Within funding proposed to be raised

•   By prioritising action

•   By working together

“When you first suggested there was a reason
for my gambling, I thought that was a mad
idea. Now I’ve learnt there was a reason – I
gambled to escape feeling sad and afraid. The
choice was gambling or suicide. Now I’ve
learned how to face my feelings I don’t need to
escape. Thank you. GamCare has saved my

“Building on Success”
  12th Annual Conference
   Clive Hawkswood
Chief Executive, Remote Gambling
• http://www.morris-
  Industry Responsible
Gambling Awareness Day
            What is it?
       Why is it being held?
      What does it involve?
    The industry’s role in social
What is it?
•Who’s involved
Why is it being held?
    •To raise the profile of responsible
                 gambling .
• Part of ongoing industry commitment to
  promoting responsible gambling and to
  the wider cause of social responsibility
 •Supplement all of the work being done
   within the industry and by key service
        providers such as GamCare.
  •Avoid the issue becoming background
            noise for consumer
What does it involve?
    •Gambling premises
•Within gambling companies
The industry’s role in social
  •Track record of industry support
           •Industry codes
      •Working with regulators
 •Working with treatment providers
•Support for RIGT/GREaT Foundation
Final thoughts…………
“Building on Success”
  12th Annual Conference
  Jim Fearnley
Head of Research & Policy,
   Money Advice Trust
      Debt advice and
gambling counselling services
     working together
             Jim Fearnley
       Head of Research & Policy
          Money Advice Trust
Where we are now

 •Debt advisers do not routinely ask about gambling
 •Sensitivity of subject matter makes this a difficult
 area to discuss
 •The level of debt caused by problem gambling is an
 unknown quantity
 •There is a need to understand the problem better
What is to be done? (i)
•Debt advice agencies should visit gambling support organisations
and vice versa to better understand each others’ ethics and mode
of operation.
•Advice agencies need to be made more aware of the nature and
extent of gambling-related debt, eg, by contacting GamCare to
support staff training, and expanding MAT wiseradviser training
•The display of GamCare posters and leaflets in public areas of
advice centres may help encourage client disclosure.
•Awareness raising might include liaising with other organisations
such as Gamblers Anonymous and GamAnon.*
*These recommendations are in part based on independent research
commissioned by MAT and GamCare
What is to be done? (ii)
 •Process of referral for people with gambling and debt problems to
 gambling support services and advice agencies should be reciprocal
 so that both debt and gambling problems are treated simultaneously
 (breaking the cycle).
 •A short screen (standard set of questions) to diagnose gambling and
 debt problems in non-specialist settings is key. MAT and GamCare
 have agreed to liaise in order to pilot such a screen.
 •Alerting family members to the need to control problem gamblers’
 access to money/credit could improve outcomes medium-term.
 •Managed bank accounts, (eg, by Credit Unions or POCA), could be a
 practical longer-term solution.
“Building on Success”
  12th Annual Conference
Henrietta Bowden-Jones
             Lead Clinician,
CNWL NHS National Problem Gambling Clinic

         Dr H. Bowden-Jones MD, MRCPsych, BA (Hons) DOccMed.
     Consultant Psychiatrist, Addictions Directorate,Central North West London NHS Foundation Trust
                                             Lead Clinician, National Problem Gambling Clinic, London
                                     Royal College of Psychiatrists Spokesperson on Problem Gambling
                Honorary Senior Lecturer, Imperial College, Dept of Neurosciences and Mental Health
• This is the 3rd year of working together
  towards the shared goal of bringing a high
  quality, evidence-based treatment to problem
  gamblers across the UK.
• NPGC began treating patients in Sept 2008 but
  the collaboration with Gamcare started well
  before that.
• Together we devised the first National
  Certification course for professionals working
  with PGs. All of Gamcare staff have been
  through the course.
• The next course will see NHS professionals and
  others attending.
• Together we have spoken in shared workshops
  and seminars across the US and UK putting
  forward our shared vision of a Tier 3/ Tier 2
• We see the NHS as providing PSYCHIATRIC and
  PSYCHOLOGICAL input for specific patient
  groups with complex and severe
• This equates to a small number of patients
  with severe pathological gambling and/or co-
  morbid disorders such as depression, anxiety,
  alcohol or drug problems.
             FUTURE VISION
• Our hope is to see successful collaborative
  work in other parts of the UK between
  Gamcare partners and NHS units.
• Together we are stronger, PARTNERSHIP is the
  way forward for the wellbeing of problem
  gamblers in this country.
“Building on Success”
  12th Annual Conference
Annette Dale-Perera
 Addictions & Offender Care,
 CNWL NHS Foundation Trust
         Treatment for problem gambling:
              working with the NHS

                              Annette Dale-Perera
             Strategic Director of Addiction and
                        Offender Care

Effective treatment, changing lives
            Gambling and the NHS

 Some Trusts interested (eg CNWL)
 Some NHS professional groups interested eg psychologists
 No central ownership of problem gambling as one the state
  is responsible for
 Problem Gambling a health/social issue or a lifestyle choice
 What is the impact (positive and negative)
 Which Government department has lead responsibility
 If cross government issue – who plays ringmaster
        In policy terms, how does Gambling
            compare to other addictions?
Drug Treatment                        Alcohol Treatment
 National Strategy: political will    National strategy: political will
 Evidence treatment cost effective    PSA and target focus with on
                                        brief intervention NOT treatment
 Public Service Agreement PSA +
  Vital Signs (NHS) target             National funding of BI pilots
 Ring-fenced Budget                   DH give local commissioners
                                        guidance to invest in treatment
 National Framework (Models of         but funding local choice
  Care for Drug Misusers)
                                       National framework (MOCAM)
 Evidence-based guidance (NICE)
                                       NICE guidance forthcoming
 Robust performance management
  framework                            Very patchy implementation
 Rapid consistent expansion of
  treatment over past 7 yrs
           Building a critical mass: ideal
         components of a treatment system
 Acknowledgement of (cost of ) a problem and of the role of the State
 The Political “will” and prioritisation of the issue         Took years to
                                                                 get this re
 An national strategy: government department ownership          drugs and
                                                                longer still
 Agreed need (nationally & Local)                              with alcohol

 Agreed evidence-based
 National Service Framework and/or national standards
                                                             Addiction client
 National “Clinical Guidelines”                          groups often seen as
 Clear local commissioning with jointly owned plans      Historically national
                                                           funding only given
 Resources and/or targets                                  when to combat
                                                           negative impact on
 National monitoring system                                     others

 Performance management system and inspection framework
         NHS and Gambling: context and
 NHS financially compromised – facing cuts of 20%+ in next 3 years
 General election + change in Govt: unlikely to get change now
 NHS via DH is non-directive – localism rules – priority issues are
  outlined in Vital Signs for commissioners to purchase against local need
 Local budgets will shrink over next 3 years
 Garner political support for incoming government
 Addiction treatment need to show it saves money on public services

  Investment in addiction treatment only has come when
    impact on society is seen as large and political will is
    strong enough to cope with potential public backlash
“Building on Success”
  12th Annual Conference
          Jane Rigbye
Head of Education Development, GamCare
                    Jane Rigbye
International Gaming Research Unit
       Nottingham Trent University

 Prevalence of gambling and problem gambling
 Attitudes to gambling

 Internet gambling

 Education and prevention

 The role of GamCare
Adolescent Gambling: A Brief Overview
 Prevalence
    Past year gambling – 60% - 80%
    Past week gambling – 21% (Ipsos Mori/NLC 2009)

 Participation
    Mainly slot machines (9%) and private betting (7%)
    Increase in participation in ‘money free gambling’
    Decrease in participation since previous study (26% in
Problem Gambling
 Problem Gambling Prevalence
    3% - 8% problem gamblers, 10% - 15% ‘at risk’ (Derevensky
     and Gupta, 2007)
    2% problem gamblers (Ipsos Mori/NLC 2009)
    Measured using the DSM-IV-MR-J
 Measurement issues
    Canadian Adolescent Gambling Index (CAGI)
 Higher than adult problem gambling rate
 Lower than in many other jurisdictions
 Fallen since previous study (3.5% in 2005-6)
Attitudes to Gambling
 Survey, n=2583, 10-22 year olds
 Types of gambling activity: awareness of gambling activities
  generally in line with the participation levels: slot/fruit machines (65%)
  and private betting (44%) being the most common responses.
 Indicators of problem gambling in a friend:
    Money problems, 34%; frequency of activity, 33%; asking to borrow
      money, 23%.
 Problems that may arise:
    Money problems/debt, 43%; addiction, 24%; emotional and social
 What would they do to help: distraction, 29%; speak to someone
  else, 13%; impose financial control, 11% .
Internet Gambling amongst Children
and Adolescents
Past Year Internet Gambling     Past Year Internet Gambling
                                Prevalence Rate Among Adolescents =
Prevalence Rate Among Adolescents =
4% (Meerkamper, 2006)           2% (Welte et al, 2009)
                                Past Year Internet Gambling
Past Year Internet Gambling
                                Prevalence Rate Among Adolescents =
Prevalence Rate Among Adolescents =
4% (Poulin and Elliot, 2007)    4% (Byrne, 2004)
                                Lifetime Internet Gambling
Past Year Internet Gambling
                                Prevalence Rate Among Adolescents =
Prevalence Rate Among Adolescents =
8% (Gendron et al, 2009)        20-24% (Olasson, 2009)
                                Past WEEK Internet Gambling
Past Year Internet Gambling     Prevalence Rate Among Adolescents =
Prevalence Rate Among Adolescents =
                                1% (Ipsos Mori, 2009)
9% (Derevensky and Gupta, 2008)
    Internet Gambling:
    Some Preliminary Observations
•     Adolescent Internet gamblers were significantly more likely to be
      problem gamblers (e.g. Gendron et al, 2009; Olason 2009)
     • Not straightforward and no evidence of causal relationship

•     Friends and family play significant role in youth’s experience
     • 2% of adolescents play alone (Brunelle et al., 2009)
     • 59% of adults play alone (Valentine and Hughes, 2008)

•     Challenges for parents preventing underage internet gambling:
     • Appropriate attitudes, awareness and intentions to prevention
     • Educating and enabling parents should be a key priority
    Internet Gambling:
    Some Preliminary Observations
•     Money free gambling is pervasive among adolescents
     • 1 in 3 have tried (Byrne, 2004, Gendron et al, 2009);
     • 28% played in the last week (Ipsos Mori/NLC, 2009)

•     Money free gambling: link to PG is complex and unclear
     • Strong predictor - problem gambling (Forrest, McHale & Parke, 2009)
     • ‘Social networking mode’ versus ‘demo’ mode – quite different

     Money free gambling needs to be better understood before
      regulatory measures are put in place
Education and Prevention:
Some Observations
 Significant amount of investment worldwide into
  education and prevention of problem gambling in
  young people
 Too often, initiatives have been quickly introduced in
  response to policy changes without thorough research,
  theory development, testing and evaluation
 Wider issue of acceptance of problem gambling as ‘a
 In the UK we must learn from others experiences
GamCare’s Approach to
Education and Prevention:
What should we ensure we get right?
 Research
 Evidence
 Evaluation
 Working in partnership, both with young people and
  their carers/educators and with problem gambling
  experts in both design and delivery
    Accessible teaching tools that fit into the curriculum
    Delivering prevention programmes in partnership

70%               Figure 1. Money-free gambling in
                  the last 7 days (n=8,598)
                  (adapted from Ipsos MORI 2009)

10%                                        6%
                                                        3%         3%         2%        2%
      Yes , Any    Beb o   Faceb o o k   Any o ther    Online      Online    Online    Online     No
                   Games     Po ker       mo ney-     Blackjack    Po ker    Bing o   Ro ulette
                                            free                  (o ther)
                                         g amb ling
“Building on Success”
  12th Annual Conference
 Cath Groves
  Services Director,
CIC (GamCare Partner)
Young People: Extending
    the Partnership
                      Catherine Groves
 Director for Addictions and Homelessness Services, CIC
       Partnership Working
• Background in substance misuse services
• Context
• Explore and develop ideas on how the
  provider/Gamcare partnership might be
• Building on existing partnerships and
• What skills are there already and what
The Context of Services for People
   with Dependency Problems
• Existing addictions marketplace
• Well developed systems of working and
• Wholesale not piecemeal
• Integrating with primary care
• Integrating with YP services – schools
  YOT and Connexions
   What do we have already?
• Mainly adults
• Paid per session delivered or DNA’d
• Paid admin attendance to prevent lone
• Paid contribution towards clinical
• Vulnerable
        What are the gaps?
• Corporate and clinical governance
  – Line management supervision
  – Organisational systems
  – Young Person-specific
• Contribution to non-staff costs such as
  accommodation and travel
• Networking and development
• Non-counselling interventions
• Non-client-contact time
   How might Provider/Gamcare
   Partnerships be developed?
• Consider an alternative model to share the
  costs/risks of development
  – Substantive workers with a remit to develop
    and network as well as provide client contact
  – Release opportunities for extending the reach
    of services and finding harder to help clients
  – Integration of teams and streamlined ways of
      Existing Partnerships and
• Funders such as PCT’s, DAAT’s, CSP’s,
  Police, NOMS, local authorities
• Partner agencies providing wraparound
  services – housing, CAB, parenting and
  family support, debt support and advice
• Service users and the community
  What skills are there already and
            what works?
• Skilled and experienced staff in multi-disciplinary
• Written protocols
• Co-location and outreach
• Joint working and case conferences
• Peer supervision
• Evidence-based alternative therapies such as
  Black Box treatment
• Key working
               Next Steps
• Whole systems-based thinking
• Specific consideration to serving young people
  and deliberately developing services
• Capacity building
• Piggyback on longer established provision
• Partnership in risk and governance
• Focus on hard-to-reach
• Communities and service users in education and
                 In Summary
• Complex political environment
• Demand for services
• Good start
• Alignment with and piggy-backing on
  mainstream longer established systems
• Infiltrate systems of treatment, criminal justice
  and education
• Pioneer education and prevention
“Building on Success”
  12th Annual Conference
Clive Hawkswood, Remote Gambling Association
      Cherry Hosking, Bingo Association
Andy Lyman, Association of British Bookmakers
   Viv Ross, National Casino Industry Forum
             Sue Rossiter, BACTA
“Building on Success”
  12th Annual Conference

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