1. HEALTHRIGHT 360 Residential Problem Gambling Treatment Program

2. History  Walden House (1969)  Therapeutic Community  Substance Abuse Treatment  Haight Ashbury Free Clinics (1967)  First free medical clinic in the country  2011 - Walden House and HAFC merge  2012 - Became HealthRIGHT 360  2013 – Merger with Asian American Recovery Services(1985)

3. Current Locations  Programs in:  San Francisco Bay Area  San Jose  Los Angeles

4. HealthRIGHT 360 Services  Primary Medical Care  Two clinics in San Francisco  Clinic opening in Los Angeles  Mental Health Treatment  Out Patient and Residential  Addiction Treatment  Out Patient and Residential

5. HealthRIGHT 360 Services  Residential & OP Treatment Programs  Specialized programs for women & women with children  Specialized program for severe dual diagnosis  Trauma informed and gender responsive treatment throughout facilities  Mental Health services throughout facilities  Integration of primary care clinics  Modified Therapeutic Community  Addiction Treatment  Substance Abuse  Problem Gambling

6. Our Problem Gambling Program  San Francisco Only – We’d love to expand!  Residential Gambling Treatment Beds  815 Facility: Co-Ed, Dual Diagnosis Program  890 Facility: Men’s Program

7. Treatment  Modified Therapeutic Community  Groups & Individual Sessions  Community Meetings  Big Brother/Big Sister  Job Functions at Facility  Modified Harm Reduction Model  Individualized treatment plans  Based on Assessments

8. Assessments  Addiction Severity Index (ASI)  Skills Streaming Assessment  San Diego Quick Assessment of Reading  TCU PSY Short Form  Anxiety & Depression  TCU MOT Short Form  Desire for Help & Treatment Readiness  PCL-PTSD Checklist  Re-Experiencing & Trauma Presentation

9. Treatment Tools  Individual Counseling Sessions  Process Groups  Therapy  UCLA Patient Workbook  Gamblers Anonymous (GA) Meetings  Dialectical Behavioral Therapy (DBT)

10. Treatment Tools  Motivational Interviewing  Coping with Stress Triggers  Relapse Prevention  Skills Streaming - FASD  Seeking Safety  Resource Center

11. Connections for Clients  Substance Abuse Treatment  Mental Health Treatment  Resource Center Services  Education  Employment  Housing  Money Management

12. Major Areas of Work  Distorted Thoughts  Debt Issues  Self Esteem Issues  Triggers  Warning Signs for Relapse  Gambling Histories and Patterns  Impact to Self, Family and Community  Home Life & Consequences

13. Challenges  Limited funding for treatment – 60 days  Very low self-esteem & self loathing, shame  Rebuilding relationships  Co-occurring homelessness & drug addiction  Complex legal issues – fraud, massive debt, criminal history  Coordinating out of county continuation

14. Successes  High rate of treatment completion  Some clients wish to stay in residential treatment and are transferred into other treatment funding when gambling treatment funding ends  Building tools for wellness  Connection to GA support/sponsors  Realization of family impact – involvement of family in treatment  Connection to additional resources

15. Questions??