Getting a grip on gambling

"Gambling binding is a terrible slavery, and it harms many people," said Mrs. Claire Gerada, President of Zari Cooperation Medical Research Institute, who launched primary support services in 2019 in 2019.

She adds like this. "As a relatively recent gambling person, I was impressed how sick of them were."

Doctors are increasingly concerned about gambling. This year, the BMA supporter's annual meeting resolved to accept the "incidence caused by harmful gambling, and probably a heavy burden on mortality", and the regulation itself was regarded as "insufficient."

According to Claire, gambling is often regarded as "secret poisoning", unlike drugs and alcohol poisoning.

Gambling is not a problem for the majority of people who use scratch cards or apply for lotteries. "

However, if this is a problem, it is devastating. If you bet, you don't want to bet again to regain your losing. I will leave. " Gamblers think that if they lose five times, they will win the sixth time, but the probability is the same. They don't know simple statistics. It is similar to the fact that an alcoholicist has never thought of the fact that alcoholism has a problem.

This is similar to alcohol poisoning, but worse. An older child must never buy alcohol. If you're pretty high, there is a good chance that you will put money in the slot machine on the fair and turn one eye itself.

Alcohol's slavery is quite trivial, but gamblers hidden in their bedrooms are perfectly hidden. It's a hidden problem, but the treatment is effective. "

Gambling addiction is often delayed. Says Andrew Morodinsky, an Oxford consultant psychiatrist and a national director of the BMA advisory committee. I try to overcome it for years using a credit card or loan, but everything suddenly collapses. "

People usually rely on support because they are declining, and this is something that cannot be denied at some point. Dr. Morojinski

This also affects the family. My husband had a 60, 00 0-pound debt in gambling, and there was a woman who was depressed.

The stigma (branded) and lack of recognition have become a barrier to healing.

In 2008, Henrietta Bauden Jones, who established the first NHS hospital to treat game disorders and became a clinical consultant in the country on the harm of the game, as part of the lon g-term NHS intention to NHS England. We advise on the arrangement of the target hospital.

Only 5 % of those who need treatment go to support. This may be due to the fact that people do not understand the existence of healing, do not prepare for it, do not want to reject their own dependence, and feel shame. I need a lot of data.

Dr. Baude n-Jones is an expert group that develops and improves the medical support of the National University Health Council to heal gambling harm as a director of the England Education Center, which is located in a gambling state hospital. It is thought that he is a c o-author who has participated as a specialized psychiatrist and posted a textbook on the treatment of game disorders.

Bouden-Jones: We need to increase access to the offer

With 10 years of research and improvement of techniques, the service has been expanding as part of NHS's lon g-term intentions in 2019. A new clinic has opened in Southampton and Stoke on Tenti alongside London, Lides, Manchester, Thunderland, children and young people for children and youth. These are expected to cover the whole country, but the number of patients required for treatment varies.

In the stage from April to December 2021, 668 people with more severe issues are oriented for NHS Gamble Clinics, which are actually 2 % higher than 575 in 16 and 2020.

However, according to a study of the illness rate conducted by YUGOV in 2020, it was regarded as a problematic player within a maximum of 2, 7 % or 4 million people in the adult population of England, and research on public news gazards. According to the results, this indicator raises 0 and 2 %. According to the latest British social health service report on gambling, 0, 5 % (about 246. 000 people) of the population (about 246. 000 people) is considered a problematic player and 3, 8 % (2 million) is a risky player. be.

Professor Bouden-Jones believes that you need to take action as soon as possible, as many people have the opportunity to access treatment than suffering from game disorders. : It is actually to cure the service by 10 % "faster".

Reliance on charities

For this purpose, it is necessary to double the healing event every year with the NSZ and charity sector. According to Gambleaware, 90 % of healing is being done outside NHS.

Dr. Morozinski hopes to set up an NHS hospital for gambling addiction in all areas with the Integrated Care Council. The charity is doing a lot of work, but leaving it to others seems to be neglecting the seriousness of the problem. A charity is usually operated by people suffering from gambling addiction. Charity is important, but you don't have to rely on it. You need an appropriate essential service. "

Professor Baude n-Jones agrees that the charity group is "really worried about the player and hires a lot of really dedicated people in the cause." However, she emphasizes the importance of the pathway based on the evidence of healing created by NHS, supported by the "Her Hell Pline that works".

In real time, people are transferred to the no n-state department. There is a great risk, and if you are quite severe, you need to be sent to NHS. " The remedy created by Dr. Baude n-Jones on NHS will limit the access to gambling opportunities and introduce the CBT (cognitive behavioral therapy) instruction principles to form action.

Patients undergo a psychiatric detailed examination, examine other diseases, other addictions, and general health, and create an early stimulus control program. This includes sel f-exclusion from websites and street gambling, restrictions on gamblin g-related content on mobile phones and laptops, and blocks for gamblin g-related purchases at banks.

If the patient has a slow mental illness or dee p-rooted trauma, it may be switched to collective therapy.

The charity group is doing great activities, but leaving it to other hands seems to neglect the seriousness of the problem.

Dr. Morojinski

Dr. Baude n-Jones admits that there is always a missing road, but emphasizes that sel f-regulation is effective. If you really want to gamble, you will find a way. But most of our patients have stopped gambling.

Some people were upset and thrown a laptop on the floor. If there are invisible obstacles in any pub and you can't buy vodka from your store with your own card, you'll have a big problem with drinking. < SPAN> Dr. Morojinski wants to set up an NHS hospital for gambling addiction in all areas with the integrated care council. The charity is doing a lot of work, but leaving it to others seems to be neglecting the seriousness of the problem. A charity is usually operated by people suffering from gambling addiction. Charity is important, but you don't have to rely on it. You need an appropriate essential service. "

Professor Baude n-Jones agrees that the charity group is "really worried about the player and hires a lot of really dedicated people in the cause." However, she emphasizes the importance of the pathway based on the evidence of healing created by NHS, supported by the "Her Hell Pline that works".

In real time, people are transferred to the no n-state department. There is a great risk, and if you are quite severe, you need to be sent to NHS. " The remedy created by Dr. Baude n-Jones on NHS will limit the access to gambling opportunities and introduce the CBT (cognitive behavioral therapy) instruction principles to form action.

Measuring progress

Patients undergo a psychiatric detailed examination, examine other diseases, other addictions, and general health, and create an early stimulus control program. This includes sel f-exclusion from websites and street gambling, restrictions on gamblin g-related content on mobile phones and laptops, and blocks for gamblin g-related purchases at banks.

If the patient has a slow mental illness or dee p-rooted trauma, it may be switched to collective therapy.

The charity group is doing great activities, but leaving it to other hands seems to neglect the seriousness of the problem.

Dr. Morojinski

Dr. Baude n-Jones admits that there is always a missing road, but emphasizes that sel f-regulation is effective. If you really want to gamble, you will find a way. But most of our patients have stopped gambling.

Some people were upset and thrown a laptop on the floor. If there are invisible obstacles in any pub and you can't buy vodka from your store with your own card, you'll have a big problem with drinking. Dr. Morojinski hopes to set up an NHS hospital for gambling addiction in all areas with the integrated Care Council. The charity is doing a lot of work, but leaving it to others seems to be neglecting the seriousness of the problem. A charity is usually operated by people suffering from gambling addiction. Charity is important, but you don't have to rely on it. You need an appropriate essential service. "

Professor Baude n-Jones agrees that the charity group is "really worried about the player and hires a lot of really dedicated people in the cause." However, she emphasizes the importance of the pathway based on the evidence of healing created by NHS, supported by the "Her Hell Pline that works".

In real time, people are transferred to the no n-state department. There is a great risk, and if you are quite severe, you need to be sent to NHS. " The remedy created by Dr. Baude n-Jones on NHS will limit the access to gambling opportunities and introduce the CBT (cognitive behavioral therapy) instruction principles to form action.

Patients undergo a psychiatric detailed examination, examine other diseases, other addictions, and general health, and create an early stimulus control program. This includes sel f-exclusion from websites and street gambling, restrictions on gamblin g-related content on mobile phones and laptops, and blocks for gamblin g-related purchases at banks.

If the patient has a slow mental illness or dee p-rooted trauma, it may be switched to collective therapy.

The charity group is doing great activities, but leaving it to other hands seems to neglect the seriousness of the problem.

Dr. Morojinski

Dr. Baude n-Jones admits that there is always a missing road, but emphasizes that sel f-regulation is effective. If you really want to gamble, you will find a way. But most of our patients have stopped gambling.

Some people were upset and thrown a laptop on the floor. If there are invisible obstacles in any pub and you can't buy vodka from your store with your own card, you'll have a big problem with drinking. "

There is no doubt that online healing has contributed to the increase in the number of patients who are consulting the clinic. The failure in this way fell from 20 % to 12 %, as the trend was forced to run virtual healing. Dr. Baude n-Jones says: "The players are using rates to gamble. Our patients often work in various tasks to pay debt s-and everyone One day disappeared because it has deb t-and in the closely interests of families who do not want almost all of them.

According to Professor Bouden Jones, 70-75 % of people actually feel "very good" during recovery and basically do not actually gamble. One way to fight gambling is abstinence. Gambling addictions are not likely to return to a healthy relationship with gambling. Be sure to return. In fact, she talks about 20 to 25 % of the collapse, but they are not actually susceptible to a certain dimension. In fact, there is a chance to cure in other space.

In Claire women's primary medical support services, the indicators of the results determined by the patient themselves were created under the title of cyclops for psychological wells. Abstinence is an important indicator of Splash, but this is a very difficult scale, and there is another, "She explains that if she speaks, she explains that she will reduce gambling and present to children. Overcome these as a use of money or related illnesses, drugs and alcohol.

‘Make it easy’

You can't gradually talk about rudimentary things. Is the acting end or not? And because relevant diseases are often seen, "as the gambling history improves, the degree of smoking may increase."

Southampton's psychiatrist physician, Sam Chembaren, a psychiatric psychiatric psychiatric psychiatric psychiatric Trust, is considered a director of the fresh southern clinic of gambling.

He published research on gambling addiction and obsessiv e-compulsive disorders, and led NHS clinical services specializing in other behavioral addiction and obsessiv e-compulsive disorder. I was waiting for NHS on NHS. In order to cure gambling, responsible funding was attracting attention. In fact, we thought it would not happen.

Chamber line: Research is related to gamblin g-related conditions

In his clinic, CBT is also used, but according to his text, the use of medical care based on evidence says, "Some patients can have a real advantage." It is done.

Some people may not respond to certain treatments, may not be available in their area, or may prefer a particular treatment.

"Professor Chamberlain said: "We still don't understand much about gaming disorder, especially in the UK.

There are evidence-based treatments, but we need more large-scale clinical trials with CBT and drugs to develop treatment recommendations. There are exciting opportunities to develop new treatments and early interventions based on comprehensive biopsychosocial understanding, informed by the latest neuronal and psychological data.

Stronger regulation needed

I was waiting for my career when NSZ came on the scene in gambling treatment.

Dr. Chamberlain

He is actively working with charities that support people struggling with debt and homeless shelters. However, this is different to working with charities that are directly funded by gambling companies," he explains, but adds: People should have a choice.

Professor Chamberlain explains that gambling addiction has probably existed since the emergence of humankind. Ancient texts contain records of people who were overlooked because of gambling. However, it was only relatively recently, in the 1980s, that it became widely recognised as a mental disorder. The need for treatment has always been there, but until now it was not recognised and no attempt was made to develop clinical services.

Now, with the advent of the internet and applications, more and more people are playing not only at casinos and bookmakers, but on their mobile phones, which are in their hands 24/7. And this can create a strong addiction.

Professor Chamberlain explains that gambling addiction leads to other negative consequences, such as homelessness, anxiety, depression, abuse of psychoactive substances and crime.

Providing evidence-based treatments that reduce gambling addiction can also reduce other negative consequences.

In fact, Claire Woman reported on schizophrenia, bipolar disorder, alcohol / drug dependence, and homeless, out of 150 to 180 patients healed by primary gambling support services It was within it. " This is basically indicating that the system is eating weak people. " Gambling is part of a difficult system caused by gambling or caused by overlapping gambling. We need to start understanding this

Make the industry pay

She also believes that NHS is obliged to regulate gambling disorders to be subject to "as if it is easy", and to enhance the awareness of the injured symptoms. As an indictment of these theater, guilt, secretism, they are wasted time and money rather than any chance to allow themselves.

Lady Claire has benefited from personal skills engaged in general care services for drug addiction. We are talking and speaking that "and she explained that the service was created for this purpose to remove the burden on medical workers," between 3-Sector and experts. Example of work ".

Gelada: "Gambling industry needs to be more accountable

This service requires only the minimum information among medical professionals, observes independent occupations, and provides services to patients who want anonymous. The role of a doctor in joint medical care is to support the victim, direction, and support the victims. In order for a therapist to overcome such a difficult job, it must urgently demand everything.

As Lady Claire speaks, gambling is actually in the "background" and it is not easy to discover, but he calls to a joint practitioner to ask the main questions about gambling. 。 Ask about gambling when teaching smoking and alcohol.

For example, you ask a general question, "Have you ever felt guilty of yourself spending or betting or betting?" Ask about depression, domestic violence, and debt. If there is a person who tried to commit suicide (especially men), ask about gambling.

One of the characteristics of the arm phrase is to have a crow witness gambling like suicide. Claire-The woman agrees with the data. If you smoke and die of smoking disease, there is a chance for a prosecutor to show it. There are quite a few completed suicide, which is a condition for gambling, but do not confirm that way. And we do not make this, but it remains hidden.

Dr. Morozinski believes that the prosecutors will support this change. If they start to consolidate cases of suicide, they can measure and monitor them to show the scope of difficulties, and to put pressure on gambling companies.

Professor Bowden-Jones believes it is his duty to force gambling companies to increase their contributions. She calls for a 1% tax on GGY (gross gambling receipts), i. e. profits, instead of voluntary contributions from the gambling sector. The proposal received the support of the Lords Gambling Committee but failed to pass the House of Commons. According to some reports, the issue is not on the new Prime Minister's priority list.