1. National Providers Forum April 2009 Venue Exclusions Making it Work- The Mainland View

2. Use of the Exclusion Process around the World Many Countries have rules for self-exclusion from Gambling Venues Intended for self protection against problem gambling Pre commitment not to gamble Intended to be enforceable Typically include: –Forfeiture of chips, –Removal from mailing lists –Removal from the venue

3. Self Banning Procedure in NZ Identify as a problem gambler and request an exclusion order Can be done by sending a letter to the venue We include a photo The venue sends out an exclusion order and sometimes a trespass order Use Self-banning Procedure in New Zealand

4. N=35 Gender- Male 21 Female 14 Ages 18 - 73years (one client deceased) Months Gamble Free 2 - 23 months Months to First Gamble Minimum 5 months Number of venues banned from 1- 45 Motivation to Self Ban- Family, Frustration, Feeling powerless Not mentioned as motivation- Court, Employer Head Injury 3AOD 10Sig Mental Health Dis 7 Some Info

5. No Gambling between self ban and Follow-up 29 clients Gambling less than 5 times since self ban 4 clients Regular Gambling 2 clients Common ReactionRelief- Improved quality of life Less common A few gambles and long periods of abstinence Dramatically improved quality of life UncommonGambling unchanged or worse Some More Info

6. In June 2007 a Problem Gambler in CHCH identified herself to all venues in the area Only 80 (46%) of venues responded Most venues that did respond did not respond correctly In a similar case in Northland in 08 Only 50% of venues responded However there were no incorrect responses Some More Info

7. Te Kahui Hauora o Ngati Koata Trust and PGF Using the Exclusion Process Effectively Te Kahui Hauora O Ngati Koata Trust Mathew McMillanDr Phillip Townshend

8. Exclusion Orders designed to Support Problem Gambler’s decision to Stop Gambling. PGer’s often have a history of coping in positive ways Important to respond quickly and provide information and a choice of treatment options. Treatment usually involves couples/whanau and may consist of:  Information giving  Problem solving  Planning on how to deal with triggers for gambling  Desensitization  Medication  Self exclusion Exclusion – Where it fits

9. Certain PG Venues = “Venue Visits” Venues didn’t understand Exclusion process/ resistant 2 year maximum exclusion Initially

10. Exclusions in Wakatu/ Wairua Approximately 80 since 2003 (Mainstream and Maori Services) Most Exclusion Orders supported through PG Services Basic Process Client aware of exclusion option and asks to be excluded Counsellor discusses process, gambling law and venues to be excluded from. Letter signed and photo taken. Follow-up appointment made.

11. Relationship with Venues/DIA – regular contact (venue/trust initiated exclusions). 6month exclusion and colour photo Follow-up with Excluded Person Making It Work

12. Clients and Venues On-board? Pokie players are “normal” just like us

13. Self-ban can be an effective tool Working towards a more effective system Maintaining link between Venues and PG Advice Maintaining focus on Problem Gambler Summary - The Future?