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Am J Addict. 2013 Jan;22(1):33-8. doi: 10.1111/j.1521-0391.2013.00323.x.

Who goes to treatment? Predictors of treatment initiation among gambling help-line callers.

Author information

  • 1Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, Michigan 48201, USA. dledgerw@med.wayne.edu

Abstract

BACKGROUND AND OBJECTIVES:

Although the consequences of problem gambling can be severe, few ever seek treatment for this disorder. Problem gambling help-lines represent a crucial point of entry into the treatment system. Through brief telephone counseling, help-lines have the potential of enhancing callers' motivations to engage in longer-term treatment. We prospectively examined treatment initiation and its predictors among individuals calling a state help-line.

METHODS:

Participants (n = 143) were assessed shortly after their initial call and re-contacted at least two months later.

RESULTS:

Overall 67% of the re-contacted help-line callers had attended at least one treatment session at the time of the follow-up interview (92.7% formal treatment and 28.1% peer-support meetings). Multivariate analysis revealed that gambling-related financial difficulties and past treatment for problem gambling (but not for mental health or substance abuse) predicted treatment initiation.

CONCLUSIONS AND SIGNIFICANCE:

Enhanced counseling focusing on motivational factors may result in better treatment engagement for some problem gamblers.

Copyright © American Academy of Addiction Psychiatry.

PMID:
23398224
[PubMed - indexed for MEDLINE]
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