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Treatment provision for gambling disorder in Britain: call for an integrated addictions treatment and commissioning model

  • Sanju George (a1) and Henrietta Bowden-Jones (a2)
Summary

Treatment provision for individuals with gambling problems in Britain is at best inadequate. Here we call for gambling treatment provision to be integrated into mainstream drug and alcohol services, and for its commissioning responsibilities to fall under local public health departments.

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Copyright
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to Sanju George (sanju.george@bsmhft.nhs.uk)
Footnotes
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Declaration of interest

S.G. was a member of the Responsible Gambling Strategy Board until October 2014. H.B.-J. is the founder and director of the National Problem Gambling Clinic in London and a member of the Responsible Gambling Strategy Board.

Footnotes
References
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1 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (5th edn) (DSM–5). APA, 2013.
2 Petry, N. Pathological gambling and the DSM IV. Int Gamb Stud 2011; 10: 113–5.
3 George, S, Copello, A. Treatment provision for Britain's problem gamblers: present gaps and future opportunities. Adv Psychiatr Treat 2011; 17: 318–22.
4 Wardle, H, Moody, A, Spence, S, Orford, J, Volberg, R, Griffiths, M, et al. British Gambling Prevalence Survey 2010. Gambling Commission, 2011.
5 Hodgins, DC, Currie, SR, el-Guebaly, N. Motivational enhancement and self-help treatments for problem gambling. J Consult Clin Psychol 2001; 69: 50–7.
6 Dickerson, M, Hinchy, J, England, SL. Minimal treatments and problem gamblers: a preliminary investigation. J Gambl Stud 1990; 6: 87102.
7 Petry, NM, Stinson, FS, Grant, BF. Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry 2005; 66: 564–74.
8 Morasco, BJ, Pietrzak, RH, Blanco, C, Grant, BF, Hasin, D, Petry, NM. Health problems and medical utilization associated with gambling disorders: results from the National Epidemiologic Survey on alcohol and related conditions. Psychosomatics 2006; 68: 976–84.
9 Lobsinger, C, Beckett, L. Odds on the Break Even: A Practical Approach to Gambling Awareness. Relationships Australia, 1996.
10 Mulleman, RL, Denotter, T, Wadman, MC, Tran, TP, Anderson, J. Problem gambling in the partner of emergency department patient as a risk factor for intimate partner violence. J Emerg Med 2002; 23: 307–12.
11 Jacobs, DF, Marston, AR, Singer, RD. Children of problem gamblers. J Gambl Behav 1989; 5: 261–7.
12 George, S, Bowden-Jones, H. Gambling: The Hidden Addiction (FR/AP/01). Future Trends in Addictions – Discussion Paper 1. Royal College of Psychiatrists, 2014.
13 Gambling Commission. Industry Statistics: April 2008 to March 2013. Gambling Commission, 2013.
14 House of Commons Culture, Media and Sport Committee. The Gambling Act 2005: A Bet Worth Taking? First Report of Session 2012–13. Volume 1. TSO (The Stationery Office), 2012.
15 Ofcom. Trends in Advertising Activity – Gambling. Ofcom, 2013.
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BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
  • URL: /core/journals/bjpsych-bulletin
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Treatment provision for gambling disorder in Britain: call for an integrated addictions treatment and commissioning model

  • Sanju George (a1) and Henrietta Bowden-Jones (a2)
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