Inside an academic building at the University of Memphis, there’s a suite with a bank of slot machines and distinct casino carpeting. To the uninitiated, it seems every bit like a casino. But upon closer exam, it’s actually a gambling “lab,” a place where gambling behavior is studied and analyzed.
The lab is one of several ways that the Tennessee Institute for Gambling Education and Research (TIGER) conducts a wide range of gambling research. Along with other research approaches, such as community surveys and crowdsourcing (through the internet, social media and smartphone apps), TIGER research covers a wide range of topics, including:
• Addictive disorders
• Examining and mitigating health disparities in urban and rural communities
• Assessment, prevention and treatment
• Psychotherapy process and outcome research
• Validation of assessment tools
• Understanding the relations between gambling, substance use and other comorbid conditions
The research emphasizes real-world application. “We believe in reciprocity between the experimental approach and the clinical approach,” says James Whelan, Ph.D., professor and executive director of TIGER, which consists of two arms: a gambling clinic that provides treatment to people with gambling problems and a gambling lab where research takes place. “What we learn in the lab setting informs what we do in the clinical space. And many of our research questions originate from experiences with people.”
The clinic keeps a database of the approximately 1,800 people they’ve treated and can ask questions of the database that include factors such as a client’s risk factors and demographics. “It always comes back to our experiences learning from people with lived experiences,” says Dr. Whelan. “Our goal is to generate knowledge that we can apply to improve outcomes.”
TIGER was established in 1999 after Dr. Whelan had a client whose depression was caused by gambling. “I realized that nobody really knew how to approach treatment for someone with a gambling problem and that this was likely to be an increasing need in the community as casinos were built,” says Dr. Whelan. From that initial experience, TIGER has grown to become a national and international leader in addressing gambling disorders and in contributing to literature for prevention and assessment and treatment.
After 25 years of gambling research, what findings have been the most surprising? Dr. Whelan mentions two areas. One involves the effect of substance use on gambling. “We figured the effect of alcohol would mean taking greater risks and stupid gambling,” he says. “But we actually found that it’s the gambling experience itself that creates risky drinking behavior. It’s as much a psychological issue as it is a physiological one. Until someone has a blood alcohol level of close to .09 and over, it doesn’t seem to have any effect on risk-taking decisions.”
Another finding that Dr. Whelan found interesting was the impact of cognitive-based interventions coupled with at least one visit to Gamblers Anonymous (GA). “Our research demonstrated that those going to a single GA meeting along with cognitive treatment had better outcomes than those who didn’t attend any meetings.” Dr. Whelan surmises that the importance of seeing others who have the same issue — even just once — plays a key role.
As gambling addiction research continues to spread in various directions — a period that Dr. Whelan refers to as “the wild west” — there is much to be excited about at TIGER. Some areas under study include how to maximize the impact of peer recovery specialists and how responsible gambling messages should be tailored to individual demographics, including those engaging in ever-growing sports betting.
“One of our studies focuses on younger men and the type of messaging that’s appropriate for them,” says Dr. Whelan. “We’re finding that they won’t use the terms “therapy” or “help” but they might ask for a “class” they can attend to help with a gambling problem.”
Another study on young men focuses on the relationship between gambling and college success. TIGER research finds that the more they gamble, the more likely they are to drop classes, which threatens to jeopardize the money they’ve invested in college.
Looking ahead, Dr. Whelan says that the gambling field is at an interesting juncture with great opportunity. “There needs to be cooperation and shared responsibilities between gambling operators and regulators that’s guided by research,” he says. “And there has to be a healthy respect for individual responsibility.”
The Tennessee Institute for Gambling Education and Research (TIGER) is funded by the Tennessee Department of Mental Health and Substance Abuse Services. For more information, visit https://www.memphis.edu/gamblingclinic/.