The Problem Gambling Landscape in Wisconsin

The Problem Gambling Landscape in Wisconsin

Northern Light sat down (virtually) with Rose Blozinski, executive director at the Wisconsin Council on Problem Gambling, to gain some insights about the problem gambling landscape of our eastern neighbor.

Here are some highlights of that conversation.

Q: How is the Wisconsin Council on Problem Gambling funded?

A: We have a grant from Wisconsin’s Department of Social Services for a public awareness campaign and also receive funding from casinos and private donations. Our budget is approximately $475,000.

Q: How does Wisconsin train gambling counselors?

A: We have two types of training. The first is a 60-hour phased program that consists of four phases of 15 hours each. We also have an intro training that’s six hours long. The goal is to provide people with more awareness of gambling disorder and to get them interested in continuing the four-phase program. The training is provided by three certified gambling counselors.

Q: Does Wisconsin have licensure for problem gambling counselors?

A: We do not have a state certification, though we encourage people to get the national or international certification. We have approximately 80 counselors who have gone through the four-phase program and who are listed as referral sources on our helpline. We also have an additional approximately 20 counselors who are nationally/internationally certified. And several more are in process.

Q: Is video gaming addiction incorporated in the state’s training?

A: We have started doing that. One of our trainers has done some research in that area. We are adding that into our programming for teenagers in school.

Q: Within Wisconsin masters counseling programs, how much time is dedicated to teaching about problem gambling specifically vs. addictions in general?

A: This is purely a guess, but I think that any problem gambling education that takes place is through addictions training.

Q: What types of professionals attend training — social workers, addiction counselors, psychologists, etc?

A: We don’t seem to have as many addiction counselors attending as we used to. We see a lot of social workers and other kinds of counselors who take the training as part of their masters programs.

Q: Does the Wisconsin council have any kind of relationship with schools?

A: We have a relationship with several schools and a few technical colleges to provide an alternative class. While one technical college has put that class on their schedule for three years, nobody has taken it because of other classes they are required to take. We are trying to get a jumpstart on that. We do a program with high school classes as requested.

Q: What’s the likelihood of sports betting becoming legal in Wisconsin?

A: At the present time it is not legal, though some people are trying to work on that. I don’t think it’s going to go anywhere too quickly. However, I think if surrounding states legalize sports betting, Wisconsin will look at it more seriously.

Q: How has the pandemic impacted your services?

A: We at the council are working remotely, so the helpline, which we operate, has continued. We’ve seen less calls than we expected as we thought people would be panicking because casinos were closed. Regarding treatment, one counselor told us they weren’t seeing a lot with gambling but were seeing people with other addictions. And a lot of this counseling is taking place by phone, which is different.

Q: Is Wisconsin allowing telecounseling during the pandemic?

A: It seems so. A lot of counselors are doing it, but I’m not sure if they are part of private or state agencies.

Q: Does Wisconsin provide money for treatment?

A: No. In Wisconsin, there are zero dollars set aside for treatment. As you might imagine, this is very difficult because gamblers seeking help usually have no money. We encourage them to go to GA, but there aren’t many GA groups in rural areas so, unfortunately, the cycle tends to continue.

Q: How many casinos are there in Wisconsin?

A: We have 26, with one in Hudson being the closest to Minnesota. All casinos are owned and operated by 11 tribes, but several tribes have several casinos each.

Q: Does Wisconsin have self-exclusion programs for gamblers?

A: The casinos do, but each one is different in how they administer the program.

Q: What are the challenges you see in Wisconsin?

A: The biggest issue is getting people the help they need. We can refer them all over but if the financial resources aren’t there it doesn’t do that much good. Affordable treatment is one of the biggest issues. Another issue from our perspective is the challenge to get a public awareness effort going all over the state. It’s a battle to reach people in an efficient way.

Q: What are some exciting things as you look ahead?

A: In the short term, we’re hoping that our state conference that’s been rescheduled to August will happen. Beyond that, we have more webinars and more trainings online. We’ve also talked to technical colleges that could do an intro course online. And, of course, we continue to find ways to reach out to people with gambling problems.

COVID-19 Spurs Increase in Telehealth Counseling

COVID-19 Spurs Increase in Telehealth Counseling

The COVID-19 pandemic has affected virtually all aspects of life. Gambling counseling is no exception.

Given the drastic reduction in social contact, we asked several gambling counselors about the state of gambling therapy and the changes they’ve observed.

Lisa Vig, Gamblers Choice
More of our clients are keeping appointments than we anticipated. It tells me that staying connected to recovery support is very important at this time. They have also been initiating and requesting additional individual support as well.

 

We use a variety of platforms, including Teams, Zoom and the phone. One accommodation we’ve had to make using these platforms is reducing the size of groups. It’s more difficult to manage attention spans, allowances for everyone to talk and receive the attention they need with eight or nine in one group. We’ve adapted by offering shorter groups, more often, with fewer attendees.

 

As a counselor, I find that takes a different level of energy to conduct telehealth counseling. When you’re not in the same room sharing the same space, you have to pay more attention to their voice, inflections, participation and engagement since the ability to watch body language or other expressions is compromised. The clients we have worked with have expressed gratitude at every opportunity to stay connected.

 

I think telehealth counseling has a very valuable place, especially in this part of the country where we are dealing with rural living and limited availability of counselors. At least 50 percent of our clients would benefit from the option of telecounseling. Being able to utilize a combination of in person and telecounseling to customize delivery of treatment services would be ideal.

 

Craig Johnson, Club Recovery
Once all of my clients became used to the change and requirements of the stay-at-home orders, my group attendance has been good. Most clients are participating and “showing” up for group.

 

Except for rare occasions, we are completely virtual. We use phone or a Telehealth platform to conduct interactions with all clients at every level of service we provide.

 

While counseling is not a “one size fits all” process, I think that at some level and some circumstances all clients can benefit from using a Telehealth platform. We need to adapt and move forward with as many innovations in reaching out to clients that we can. Since the beginning of the COVID-19 crisis, the treatment community has been advocating vigorously for the use of Telehealth platforms and CMS and DHS recently approved that all services we provide can be done with Telehealth. Telehealth is a capability that we must keep as an option to use when a client may not be able to access services via traditional means.

 

There is a great need for gambling disorder providers outside of the Twin Cities, Duluth and near Fargo. Without Telehealth, potential clients in those areas would not be able to get services. As a community of providers we must promote this capability wherever and whenever possible to reach all those who need help. This will be the main topic of discussion at the next meeting of the DHS Advisory Committee on Gambling Disorder on May 14.

 

Paul Mladnick, Solo Practice/Bridges & Pathways
I don’t think Telehealth counseling is ideal but I don’t think that much is lost. About half of my clients prefer to cancel appointments until we have the all clear. I’d say about 30 percent are coming to my office while about 20 percent are receiving counseling over the phone.

 

From a practical perspective, I am keeping my office sanitized prior to each session and I do practice social distancing in my office. I have noticed that the number of referrals is down since March 17, so I have considerable availability for those with a gambling problem or those concerned for family and friends.

Online Gambling Increases During Virus Crisis

Online Gambling Increases During Virus Crisis

As of April 9, less than four weeks after most casinos suspended operations amid COVID-19 concerns, online gambling appears to be on the rise both in the U.S. and around the world. According to Global Poker, an online social poker room, use of online poker sites increased by 43 percent in the U.S. since social distancing and lockdowns took effect. Notably, there was a 255 percent increase in first-time poker players, suggesting that gamblers unable to participate in their preferred ways, such as sports betting and those who frequent casinos, may be switching over.

A similar trend has been noted in Australia, where a study showed there was a 67 percent increase in online gambling the week following the shutdown of all non-essential services due to COVID-19. In fact, the Australian study revealed that the online gambling industry was a major benefactor of the shutdown, along with food delivery and online retail and subscription services.

It is currently illegal to bet online in Minnesota. Those who bet online are using offshore, unregulated venues.

If you or someone you know has moved to online gambling and would benefit from using a self-exclusion tool, NPGA is offering a free one-year subscription to Gamban, an app that will block tens of thousands of world gambling sites on all devices. If interested, please email sst [at] northstarpg.org.

Counselor Roundtable: What keeps Minnesotans from Seeking Treatment

Counselor Roundtable: What keeps Minnesotans from Seeking Treatment

We asked some of Minnesota’s certified problem gambling counselors for their thoughts on the barriers for Minnesotans receiving problem gambling treatment. Here is what they said:

Cheryl Minx, Director, Freedom Center, Inc.
I think people may not realize help is free to those who need it. Many people think if they’re broke and in trouble financially that there is no way to pay for help. I also think that the helplines are not very visible so that people don’t know how to find help.

 

Christina Pristash, MS, LMFT
There can be many contributing factors that interfere with a person reaching out for help or accessing treatment for problem gambling. I know that personal fears get in the way as well as individuals/families not knowing what resources are available and/or what makes a person qualify for help. We are fortunate to have an inpatient option in our state as well as outpatient treatment options, but many people aren’t aware of these resources or the differences between the two. Continued education and information sharing will continue to create fewer barriers for people, but choosing change is still always going to be hard.

 

Dawn Cronin, LSW NCGC Gamblers Choice, Lutheran Social Services of ND
I think a significant barrier is the nonpayment to phone counseling providers. While most providers recognize phone sessions are not the preferred method for counseling, they are necessary at times. I believe the many rural areas of Minnesota and the frequent poor winter driving conditions are putting severe limitations and interruptions in treatment participation for clients. I have three clients over the age of 62 traveling over 50 miles one way for treatment who have had to interrupt treatment because of travel conditions. We also have limited numbers of Gamblers Anonymous meetings in these rural areas so we are unable to encourage participation at these meetings for the same reasons.

 

Craig Johnson, LADC, Club Recovery
One of the greatest barriers is the lack of understanding by insurance companies, or just plain recognition, that gambling disorder is the exact same as any other psychological disorder as described in the DSM 5. I also think that clients are often told that gambling disorder is not covered and so they stop right there.

 

I have heard that a large hospital program discourages clients who do not have private pay insurance from seeking services because the reimbursement rate from the state gambling fund is significantly lower than what a given provider might pay.

 

There is a distinct lack of providers in outstate Minnesota, where access to treatment can be a challenge. We need to push telehealth as a way to reach individuals who either don’t have the means or the access to a provider near their home. I think that prevention programs need to include education on gambling disorder.

 

Programs aimed at young adults mention the opioid crisis, the vaping crisis, legalizing marijuana and so on, but often do not even mention gambling.

 

Lisa Vig, LAC, NCGC, Gamblers Choice
I’m concerned about those who live in rural Minnesota who may not have access to a trained counselor, access to a GA meeting and may not have reliable transportation or funds to travel the necessary distance to receive treatment and support. We need to explore other options to reach these individuals, such as phone counseling, telehealth treatment and/or online resources. The challenge to find appropriate, reputable financial management services for this population in conjunction with treatment is also a concern.

 

Paul Mladnick, LADC, NCGC, LMFT, Bridges and Pathways Counseling Services
One barrier that I see is a lack of awareness of gambling treatment services and that financial help is available for Minnesota residents, so I think we need to do more to advertise gambling treatment resources.

 

Also, there is still much ignorance over problem gambling and many people still think this is more of a moral problem or a lack of common sense. An educational campaign to alert people that this, too, is an addiction that can happen to anyone would be helpful.

Do you have a thought on barriers to treatment that you’d like to share? If so, please send your comment to sstucker@mnapg.org.

Translate »