1. Jeremy Wampler, LCSW, LADC, NCGC-II Program Director DMHAS, Problem Gambling Services jeremy.wampler@ct.gov Fiorigio (Fred) Fetta, LPC, NCGC-II Clinical Director DMHAS, Problem Gambling Services fiorigio.fetta@ct.gov Katie Kirch, LCSW, NCGC-II Therapist-II, Bettor Choice The Connection, Inc. kakirch@theconnectioninc.org Kara Perreault, LMSW, SCPG Adult Outpatient Clinician Wheeler Clinic kperreault@wheelerclinic.org Rayallen Bergman, BS Program Coordinator Southeastern Regional Action Council rayallen.bergman@yahoo.com

3.  Attend Gambling Awareness Regional Team Meetings  25 hours of Gambling Specific Trainings

4.  Statewide Gambling Awareness Prevention Initiative: Moving towards Gambling Informed Prevention, Intervention and Treatment across the continuum of care and across the lifespan in the five Mental Health and Addiction Services Human Service Regions in Connecticut.  Composed of prevention, treatment professional, recovery supports providers and community partners.  Each region has a team that meets quarterly.

5. Special projects supported through this Initiative include:  Gambling Awareness integration in schools and youth programs  Financial Literacy with Older Adults, Women, People in Recovery and Youth  Business community awareness  Program evaluation and regional data collection  Problem Gambling Awareness Month events  Scholarships to attend today’s event  Fantasy Sports Awareness  Upcoming Legislative Events

6. Region 1 (Southwest CT) Communities 4 Action Ingrid Gillespie, Executive Director (203) 588-0457 igillespie@communities4action.org Region 2 (Central CT) South Central CT Substance Abuse Council Marlene F. McGann, Executive Director (203) 303-3391 mawsac@aol.com Region 3 (Southeast CT) South Eastern Regional Action Council Michele Devine, Executive Director (860) 848-2800 serac.ed@sbcglobal.net

7. Region 4 (Northeast CT) East of the River Action for Substance Abuse Elimination Bonnie Weyland Smith, Executive Director (860) 568-4442 bonnie.smith@erasect.org Region 5 (Northwest CT) Central Naugatuck Valley Regional Action Council Jennifer Dewitt, Executive Director (203) 578-4044 cnvrac1@famintervention.com

8.  Attending today’s conference  If you work for a DMHAS Funded Agency (Education and Training Division)  Connecticut Certification Board  Online Trainings  In the community

10.  30 Gambling Specific Training Hours.  Associates Degree in Behavioral Health field or CCB certification in addictions or mental health (i.e. Certified Peer Recovery Specialist, Medication Assisted Treatment Specialist).  2000 hours of addiction / mental health counseling.  100 Problem Gambling specific hours – If you have gambling integrated forms, and talk about gambling with clients in individual and group sessions, this will count towards the 100 hours.  4 hours with a Board Approved Clinical Consultant (BACC).  Apply for the certification (Connecticut Certification Board website - https://www.ctcertboard.org/https://www.ctcertboard.org/  There is also a national equivalence called the National Co- occurring Gambling Specialist Certificate.

11.  Ask more than once!  What do you like to do for fun?  Ever win anything?  Certain times of the year  Superbowl – pools, money on the game, etc.  Big horse races (Kentucky Derby, Belmont, Preakness)  When the lottery prize gets very high  NCAA Basketball Tournament (March Madness)  Fantasy leagues (Especially football)  What impact has gambling had on your recovery?  What impact has gambling had on your relationship/s?  What impact has gambling had on your finances?  How long have you been gambling?  Integrate gambling into substance use questions. Don’t be afraid to talk about money!!!

12. Do you participate in any of the following activities: – Play SportsYes / No – Have HobbiesYes / No – Go to the MoviesYes / No – Read RecreationallyYes / No – Spend Time with FriendsYes / No – Spent Time RelaxingYes / No – Listen to MusicYes / No – Play Fantasy SportsYes / No – GambleYes / No Which activities give you the most joy? Which do you do when you are feeling stressed?

13. Start with a lead in question:  How much money did you spend on gambling in the past year (for example, lottery, scratch offs, betting on sports, cards, casino, etc.)? $ _________ OR  In the past year, have you participated in gambling (for example, lottery, scratch offs, betting on sports, cards, casino, etc.)? None Less Than Monthly Monthly Weekly Daily

14. Then, the NODS CLIP  Have you ever tried to stop, cut down, or control your gambling?  Have you ever lied to family members, friends or others about how much you gamble or how much money you lost on gambling?  Have there been periods lasting 2 weeks or longer when you spent a lot of time thinking about your gambling experiences, or planning out future gambling ventures or bets? A yes response to any of the three questions may indicate a problem with gambling.

15. Conference Calls  1 st Wednesday of the month at 1:00 pm  3 rd Friday of the month at 9:00 am  Phone number – 1-877-723-2042  Passcode – 4890236#  Calls are for an hour

16. 1) An opportunity to discuss the progress of gambling integration and answer any questions group members have regarding Gambling Disorder. The group is composed of clinical staff members, who treat gamblers and persons affected by gambling and also clinical staff members who are integrating gambling into their mental health and substance use disorder programs. 2) Case discussions – An opportunity for group members to discuss cases. Individuals who present cases either utilize a presentation outline, or discuss a case casually (whichever option works best for the clinician). Group members and the facilitator ask questions about the case and provide suggestions in order to help the clinician work through clinical challenges. 3) Intervention – If time allows, a gambling-related intervention is discussed with the group.

17.  Bachelor’s degree or equivalent in the behavioral health field (i.e. psychology, addictions, clinical social work).  Gambling specific training and education.  Clinical experience treating gamblers and/or family members in an approved setting with a minimum number of sessions with a International Gambling Counselor Board Approved Clinical Consultant (BACC).  Signed statements/ratings from supervisor and BACC  Passing score on Certification Examination for Gambling Counselors

18.  NCGC-I  A minimum of 30 hours of approved gambling specific training  A Bachelor’s degree or equivalent (as assessed by the IGCCB) in a behavioral health field (e.g., license or certificate in psychology, chemical dependency, counseling, social work, peer counseling, etc.) to meet the behavioral education requirement for certification.  NCGC-II  A minimum of 60 hours of approved gambling specific training or education must be completed with appropriate supporting documentation as defined by the IGCCB.  A Bachelor’s Degree or equivalent (as assessed by the IGCCB) in behavioral health field (e.g., license or certificate in psychology, sociology, chemical dependency, counseling, social work, etc.) to meet the behavioral education requirement for certification.

19.  NCGC-I  Minimum of 100 hours as a gambling counselor delivering direct treatment to problem/disordered gamblers and significant others, in a Board approved setting with an IGCCB Approved Clinical Consultant (BACC). This can be fulfilled by 50% or 50 hours volunteer work experience, the balance being paid experience.  NCGC-II  Minimum of 2,000 hours (or one year full time equivalent) as a gambling counselor delivering direct treatment to problem/disordered gamblers and significant others, in a Board approved setting with an IGCCB Approved Clinical Consultant. This can be fulfilled by 50% or 1,000 hours volunteer work experience, the balance being paid experience

20. Direct contact hours provided to disordered gamblers and significant others are defined as: 1. Face to face clock hours with gambling clients. 2. Face to face clock hours with gamblers and/or their families. 3. All hours of documentation for gambling clients or family member to:  Patients chart  E.A.P./employer  Counselor supervisor  Referral agents/other mental health workers court/parole/probation officers 4. Any lengthy telephone interventions (30 min. or more, documented). 5. Assessments of clients for a gambling problem. 6. Preparation of discharge summaries, evaluations and/or aftercare plans for other agencies or care providers. 7. Review of gambling cases to medical or clinical director. 8. Case management services to managed care providers or utilization review for gambling cases. 9. Psycho-educational sessions for gamblers or their family members. 10. Treatment planning sessions with the treatment team.

21. Katie Kirch, LCSW, NCGC-II Therapist-II, Bettor Choice The Connection, Inc. kakirch@theconnectioninc.org Kara Perreault, LMSW, SCPG Adult Outpatient Clinician Wheeler Clinic kperreault@wheelerclinic.org Rayallen Bergman, BS Program Coordinator Southeastern Regional Action Council rayallen.bergman@yahoo.com