1. The Prevalence of Problem Gambling in a Secure Treatment Facility for Psychiatrically Disordered Offenders
Liam E. Marshall 1 2
Michelle Wallace 2
&
Brian Kerr 2 1 Rockwood Psychological Services 2 Royal Ottawa Health Care Group –
Secure Treatment Unit

2. Introduction
The STU
Current Study on prevalence of pathological gambling in STU residents
Implications for treatment and future research

3. Transinsitutionalization
Per in the US
Harcourt BE. From the asylum to the prison: rethinking the incarceration revolution. Texas Law Review 2000; 84:

5. Pathological Gambling in Psychiatrically Disordered Offenders at the Secure Treatment Unit
M Age = 34.54, SD = 11.60, Range 18-79
All serving sentence s of <2 years (Mean = days)
Number of diagnosis of Pathological Gambling prior to study: 0

6. Results Measure N Mean SD Range Alpha South Oaks 88 3.73 5.62 0-17 .95
CPGI 82
3.37
4.86
0-20
.92
Gamblers Anonymous 76
3.74
5.53
0-18
Only CPGI evidenced a discernable factor structure with one factor accounting for 61% of variance observed

7. Prevalence - South Oaks
Degree of Problem N
Percent
No Problem 54
61.4
Some Problem 6
6.8
Probable Pathological Gambler 28
31.8

8. Prevalence - CPGI Degree of Problem N Percent No Problem 40 48.8
Some Problems 12
14.6
Moderate Problems 14
17.1
Pathological 16
19.5

9. Prevalence – Gamblers Anonymous Screen
Degree of Problem N
Percent
No Problems or Low Severity 58
76.3%
Probable Pathological 18
23.7%

10. Results cont.
MEASURE
South Oaks
CPGI
-.19 NS GA
.08
-.13

11. Agreement between measures
KAPPA
Sig
South Oaks
CPGI
.14 NS GA
.05
.15

12. Summary
Somewhere between 1/5 and 1/3 of patients at the STU have a severe enough gambling problem to warrant intervention
Further research needed on gambling problems in mentally ill prisoners – in particular, further psychometric examination of measures
Need for a brief intervention for gambling problems

13. The Prevalence of Problem Gambling in a Secure Treatment Facility for Psychiatrically Disordered Offenders
Liam E. Marshall 1 2
Michelle Wallace 2
&
Brian Kerr 2 1 Rockwood Psychological Services 2 Royal Ottawa Health Care Group –
Secure Treatment Unit