1. The CPGTSP: Yesterday and Today Michael D. Campos, PhD UCLA Gambling Studies Program OPG Summit March 8, 2011

2. Introduction

3. CPGTSP Collaborators OPG – Administrative Oversight, Program Publicity, Legislative Advocacy OPG – Administrative Oversight, Program Publicity, Legislative Advocacy UGSP – Service Program Administration, Training, Program Quality Assurance, Treatment Research UGSP – Service Program Administration, Training, Program Quality Assurance, Treatment Research Service Providers – Brief Interventions, Outpatient, Intensive Outpatient, Residential Services Service Providers – Brief Interventions, Outpatient, Intensive Outpatient, Residential Services

4. Basics of the CPGTSP Training – increase gambling-problem related knowledge and treatment skills; provide information on the CPGTSP system Training – increase gambling-problem related knowledge and treatment skills; provide information on the CPGTSP system Services – multi-modal, stepped-care treatment network that encompasses a continuum of integrated services, including harm reduction and abstinence based alternatives that will deliver a broad spectrum of evidence-based treatments to California residents Services – multi-modal, stepped-care treatment network that encompasses a continuum of integrated services, including harm reduction and abstinence based alternatives that will deliver a broad spectrum of evidence-based treatments to California residents Research – develop and evaluate treatment approaches for gambling problems; improve evidence-base for gambling- problem treatment Research – develop and evaluate treatment approaches for gambling problems; improve evidence-base for gambling- problem treatment

5. CPGTSP Network Helpline Outreach Websites Health Care Professionals Other CPGTSP Telephone Intervention Outpatient Treatment Intensive Outpatient Treatment Residential Treatment Clinical Innovations

6. The CPGTSP Yesterday Training, Services, Research

7. Training 4-day gambling-problem specific training program delivered by leaders in the field 4-day gambling-problem specific training program delivered by leaders in the field Training program delivered at no cost to participants Training program delivered at no cost to participants Delivered at multiple locations throughout major regions of California Delivered at multiple locations throughout major regions of California Designed to provide a basic foundation for treatment providers Designed to provide a basic foundation for treatment providers

8. Training Over 300 individuals from around the State of California have been trained to date. Over 300 individuals from around the State of California have been trained to date. Degrees represented among those trained Degrees represented among those trained PsyD/ PhD 40 PsyD/ PhD 40 MFT 179 MFT 179 LCSW 40 LCSW 40 Languages: 33 spoken including English Languages: 33 spoken including English

9. Training Trainings included an evaluation component Trainings included an evaluation component Data on first seven trainings is available Data on first seven trainings is available Los Angeles (10/21/09 to 10/24/09) Los Angeles (10/21/09 to 10/24/09) San Francisco (11/18/09 to 11/21/09) San Francisco (11/18/09 to 11/21/09) Sacramento (12/16/09 to 12/19/09) Sacramento (12/16/09 to 12/19/09) San Diego (1/20/10 to 1/23/09) San Diego (1/20/10 to 1/23/09) Long Beach (04/21/10 to 04/24/10) Long Beach (04/21/10 to 04/24/10) Riverside (05/19/10 to 05/22/10 Riverside (05/19/10 to 05/22/10 San Francisco (06/23/10 to 06/26/10) San Francisco (06/23/10 to 06/26/10)

10. Number of Participants by Training Event

11. Ratings of Training Events by City

12. Services Brief Interventions: BDA and NICOS, telephone- based, using “Freedom from Problem Gambling” Workbook Brief Interventions: BDA and NICOS, telephone- based, using “Freedom from Problem Gambling” Workbook Outpatient: Diverse pool of community providers trained, First outpatient providers became active in February of 2011. Outpatient: Diverse pool of community providers trained, First outpatient providers became active in February of 2011. Intensive Outpatient: Located at Beit T’Shuvah, in operation Intensive Outpatient: Located at Beit T’Shuvah, in operation Residential: Located at Beit T’Shuvah, in operation Residential: Located at Beit T’Shuvah, in operation

13. IOP Programming Individual Therapy – Individualized treatment plan. Individual Therapy – Individualized treatment plan. GR group – RP (triggers, urges & cravings, lapse vs. relapse, etc.), stress management, emotions management, some process work. GR group – RP (triggers, urges & cravings, lapse vs. relapse, etc.), stress management, emotions management, some process work. Activity Group – psycho-education, gambling and the family, financial planning, creating a relapse prevention plan, etc. Activity Group – psycho-education, gambling and the family, financial planning, creating a relapse prevention plan, etc.

14. Residential Programming Individual Therapy – Individualized treatment plan. Individual Therapy – Individualized treatment plan. Group Work (7 days a week) Group Work (7 days a week) Process Groups Process Groups Budgeting and Money Budgeting and Money Activities Activities Brain Relationships Brain Relationships Gambling Recovery Gambling Recovery Relapse Prevention Relapse Prevention Criminal/Gang Members Criminal/Gang Members 12-Step Facilitation 12-Step Facilitation Family Dynamics/Meditation/Mindfulness Family Dynamics/Meditation/Mindfulness Recreational Activities Recreational Activities

15. Services Universal Reporting Forms Universal Reporting Forms The UGSP developed a set of forms for use in the CPGTSP across all levels of service The UGSP developed a set of forms for use in the CPGTSP across all levels of service Forms cover a wide range of domains due to the complex impacts of gambling problems Forms cover a wide range of domains due to the complex impacts of gambling problems Forms provide some uniformity of data collection across sites and timeframes, making quality assurance efforts possible Forms provide some uniformity of data collection across sites and timeframes, making quality assurance efforts possible Data Management System Data Management System

16. Research UGSP Clinical Innovations Program UGSP Clinical Innovations Program Goals Goals Evidence-Based Treatments Evidence-Based Treatments Dissemination of Effective Therapies for Gambling Problems Dissemination of Effective Therapies for Gambling Problems Current Active Protocols Current Active Protocols Establishing Best Treatment Practices for Pathological Gambling Establishing Best Treatment Practices for Pathological Gambling

17. Research Examining the effectiveness of a 6-session, manualized, CBT-based intervention for PG Examining the effectiveness of a 6-session, manualized, CBT-based intervention for PG Two groups: (a) manualized treatment; (b) TAU Two groups: (a) manualized treatment; (b) TAU Treatments delivered by licensed Clinical Psychologists Treatments delivered by licensed Clinical Psychologists Participants recruited from the community Participants recruited from the community Baseline, in treatment, end of treatment, long-term follow-up. Baseline, in treatment, end of treatment, long-term follow-up.

18. Research EBTP Progress EBTP Progress 44 participants enrolled 44 participants enrolled Mean Age = 43.7 years Mean Age = 43.7 years Gender = 60.4% Male; 31.3% Female Gender = 60.4% Male; 31.3% Female API = 19%; Black = 16.7%; Hispanic = 10.4%; White = 39.6%; Other = 6.3% API = 19%; Black = 16.7%; Hispanic = 10.4%; White = 39.6%; Other = 6.3% Mean Years Education = 15.0 Mean Years Education = 15.0 Median Income = 25K to 36K Median Income = 25K to 36K

19. CPGTSP Network Helpline Outreach Websites Health Care Professionals Other CPGTSP Telephone Intervention Outpatient Treatment Intensive Outpatient Treatment Residential Treatment Clinical Innovations

20. The CPGTSP Today Training, Services, Research

21. Training Ongoing trainings Ongoing trainings CPGTSP Supervision Network: Serves as a clinical resource for authorized CPGTSP treatment providers CPGTSP Supervision Network: Serves as a clinical resource for authorized CPGTSP treatment providers Development of web-based video content: Video interview segments with leading researchers and clinicians providing information on pathological gambling etiology, diagnosis, and treatment Development of web-based video content: Video interview segments with leading researchers and clinicians providing information on pathological gambling etiology, diagnosis, and treatment

22. Services Outpatient Treatment Service System Outpatient Treatment Service System CPGTSP Data Management System CPGTSP Data Management System Accessed via the web Accessed via the web Uploads client data to OPG administered database Uploads client data to OPG administered database Will provide data for evaluation and research purposes Will provide data for evaluation and research purposes

23. Services Quality assurance Quality assurance Focus groups Focus groups Treatment providers, program participants Treatment providers, program participants Conducted in four regions of the state Conducted in four regions of the state Key informant interviews Key informant interviews OPG Staff OPG Staff UGSP Staff UGSP Staff Treatment providers Treatment providers CPGTSP DMS CPGTSP DMS Provides program wide information for quality assurance and research Provides program wide information for quality assurance and research

24. Research Evaluating Best Treatment Practices for Pathological Gambling Evaluating Best Treatment Practices for Pathological Gambling Targeted recruitment is 120 persons (60 in each arm) Targeted recruitment is 120 persons (60 in each arm) Conduct follow-up interviews Conduct follow-up interviews Preliminary data analysis Preliminary data analysis Examine range of outcomes for participants Examine range of outcomes for participants

25. Research Manual for Treatment for Significant Others (SO) Manual for Treatment for Significant Others (SO) Development of a treatment manual for counselors working with SO Development of a treatment manual for counselors working with SO Content based on empirically supported interventions and suggestions from focus groups Content based on empirically supported interventions and suggestions from focus groups Examples of module content includes Stress Management, Differentiation of the Self, Boundaries, Finances, Conflict Resolution, Trust & Forgiveness Examples of module content includes Stress Management, Differentiation of the Self, Boundaries, Finances, Conflict Resolution, Trust & Forgiveness Online video “webisodes” that accompany modules to enhance learning, psycho-education Online video “webisodes” that accompany modules to enhance learning, psycho-education Currently being tested for efficacy in a clinical trial with significant others at UCLA Currently being tested for efficacy in a clinical trial with significant others at UCLA

26. Contact Information Michael Campos, Ph.D. Phone: 310.825.6427 E-mail: mdcampos@mednet.ucla.edu