casinos in pennsylvania

8/8/2019 Casinos in Pennsylvania

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The Dice Have Been

Thrown!- Effects on Law Enforcement

- Whats New and Coming

- Problem Gambling

2010 Ohio Attorney Generals

Law Enforcement Conference

September 14th10:30a.m. 11:45a.m.


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Casinos in Pennsylvania


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Pennsylvania State Police, Gaming ControlBoard Agreement To Protect Integrity of

Gaming

Through background investigations

Aggressive monitoring and enforcement

The State Police will assist the GamingControl Board to ensure that gamingoperations in Pennsylvania comply with

existing laws and regulations and meet thehighest standards of integrity.


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Organization

Captain

Two Lieutenants (one in Eastern other inthe Western half of state)

Sergeant and 16 originally now 10troopers assigned to each casino in state

Have original jurisdiction on all crimes

committed within casino Local Police / Sheriffs Office responsible

for law enforcement on grounds outside.


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Organization

Gaming Control handles conformity with

the regulations All crimes committed and arrests made

are online on Pennsylvania State PoliceUCR webpage by casino

Act 71 of 2004 - Fourteen casino sitesauthorized

First casinos opened in 2006


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Organization

Gaming revenue is split between the

operator (45%) and the Commonwealth ofPennsylvania (55%), Slots use the fundsfor property tax relief, economic

development and tourism, and the horseracing industry.

Revenue from table games goes to thestate's general fund and the localgovernment.


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Problems

Minimal amount of training on games and

how cheats operateOn the job training

Minimal in service trading


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Problems

Increased problem with table games

Totally different demographic than slots Only one case involving cheating with slots

(Meadows still in litigation WashingtonCounty)

Table games have just started (Mid 2010)


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Problems

Casinos within urban areas having walk in

or access to public transportation havealmost double the incidents

Rivers Casino opened August of 2009.


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Problems

Problem with vouchers

If player leaves in the machine and another /next player keeps / uses it theft

They have to investigate every complaint


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Problems

Problem with vouchers

If suspect willing to return funds will notarrest work with casino security staff surveillance and tracking cards


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Classification Of Offenses

OffensesKnown

2010 YTD

OffensesKnown

2009 YTD

OffensesKnown

Pct. Change

ActualOffenses

2010 YTD

ActualOffenses

2009 YTD

ActualOffenses

Pct. Change

060-Larceny-Theft 23 28 -17.86 23 28 -17.86

Total Part I 23 28 -17.86 23 28 -17.86

04E-Other Assaults - Not Aggravated 0 1 -100.00 0 1 -100.00

100-Forgery and Counterfeiting 6 0 N/A 6 0 N/A

140-Vandalism 0 1 -100.00 0 1 -100.00

18H-Drug Possession - Other 1 0 N/A 1 0 N/A

260-All Other Offenses (Except Traffic) 4 2 100.00 4 2 100.00

Total Part II 11 4 175.00 11 4 175.00

Total GAMING ENFORCEMENT - MEADOWS PSP 34 32 6.25 34 32 6.25


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OffensesKnown

2010 YTD

OffensesKnown

2009 YTD

OffensesKnownPct. Change

ActualOffenses2010 YTD

ActualOffenses2009 YTD

ActualOffensesPct. Change

060-Larceny-Theft 46 0 N/A 46 0 N/A

Total Part I 46 0 N/A 46 0 N/A

04E-Other Assaults - Not Aggravated 4 0 N/A 4 0 N/A

140-Vandalism 2 0 N/A 2 0 N/A

18E-Drug Possession - Opium - Cocaine 2 0 N/A 2 0 N/A

18F-Drug Possession - Marijuana 1 0 N/A 1 0 N/A

230-Drunkenness 1 0 N/A 1 0 N/A

240-Disorderly Conduct 1 0 N/A 1 0 N/A

260-All Other Offenses (Except Traffic) 1 0 N/A 1 0 N/A

Total Part II 12 0 N/A 12 0 N/A

Total GAMING ENFORCEMENT-GEO RIVERS PSP 58 0 N/A 58 0 N/A


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OffensesKnown

2010 YTD

OffensesKnown

2009 YTD

OffensesKnown

Pct. Change

ActualOffenses

2010 YTD

ActualOffenses

2009 YTD

ActualOffenses

Pct. Change

060-Larceny-Theft 5 10 -50.00 5 8 -37.50

Total Part I 5 10 -50.00 5 8 -37.50

04E-Other Assaults - Not Aggravated 0 1 -100.00 0 1 -100.00

100-Forgery and Counterfeiting 1 3 -66.67 1 3 -66.67

140-Vandalism 2 1 100.00 2 1 100.00

220-Liquor Law 0 1 -100.00 0 1 -100.00

230-Drunkenness 1 0 N/A 1 0 N/A

240-Disorderly Conduct 1 0 N/A 1 0 N/A

260-All Other Offenses (Except Traffic) 1 4 -75.00 1 4 -75.00

Total Part II 6 10 -40.00 6 10 -40.00

Total GAMING ENFORCEMENT - PRESQUE ISLE DOWNS PSP 11 20 -45.00 11 18 -38.89


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State police may cut back on

troopers at casinos HARRISBURG, Pa. (AP) -- State police officials

say they may cut back on the number oftroopers at each slot-machine casino after statebudget negotiators deemed the costs to beexcessive. As a result, troopers could end uppatrolling casino floors for 16 hours a day ratherthan the current 24 hours, officials said.Troopers removed from the casinos would be

reassigned to duties as part of the state's regularforce, state police spokeswoman Cpl. LinetteQuinn said Wednesday.

Pittsburgh Tribune- Review Nov 1, 2007

PA Gaming Control Board Key to


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PA Gaming Control Board Key toUncovering Alleged Slot Machine

Cheating at The Meadows

The diligent observation of an on-sitePennsylvania Gaming Control Boardemployee triggered the start of aninvestigation that led to the arrest of threemen charged with the alleged theft of more

than $420,000 from The MeadowsRacetrack Casino in Washington County

PR Newsletter October 7, 2010


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The Meadows

210 Racetrack Rd

Washington, PA 15301


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The Meadows


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More Legal
http://www.meadowsgaming.com/pdf/Map.pdf


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Meadows

Opened in 2007

Security has no arrest power can detain Have over 1,000 horsemen who use the

track.

Have Gaming Control and PennsylvaniaState Police Station on premise (16

Assigned) Township and Washington County Sheriff

make most arrests on grounds but not incasino


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Meadows

Arrest inside

Intoxication People trying to outwit dealers

Traffic not a problem Call volume has increased

County Prosecution cases Cheating on Slots

Thefts (felony level) from and in casino


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Meadows

Most arrests are misdemeanors

Thefts from vehicles Intoxication

Most cases handled by Municipal courts /magistrates

Have noticed spill over problems in Mall

Unsavory type shop lifting credit card frauds

Robberies close proximity to interstate


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The Rivers Edge

777 Casino Dr

Pittsburgh, PA 15212


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The Rivers Edge


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The Rivers Casino

Opened in August of 2009

In close proximity to Heinz Field home of aprofessional (?) football team

Casino Garage is closer to the Stadiumthan many of the parking lots.

Have reached agreement with Steelers for1,000 parking spaces (Season TicketHolders) 750 for Panthers games.


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The Rivers Casino

3,800 parking spaces

Casino originally charged on game days No longer charge

Reconsidering for Steelers games a charge of$25 will send free parking coupons toselected casino players

Table Games have increased number ofyounger guests.


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The Rivers Casino

Becoming a destination for entertainment

on Friday and Saturday Evenings. Crime has not increase in area

surrounding the casino


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Heinz Field

Heinz Field website lists Casino Parking Lot asone to be used on game days.

There is little the Casino can do - most peopledo not want to pay to park to go to the casino


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Problems

Because of ease of entrance / egress to

the area increased street crimes. Thefts, Vehicle Break ins

Prostitution arrests in area

More incidents because of Transit access to area

Urban area Well policed area especially on game

days


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Challenges

This is first real test with table games

change of demographics Game Days


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Presque Isle

8199 Perry Highway

Erie, PA 16509


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Presque Isle Casino


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Michigan


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Michigan Gaming Control Board

ensures the conduct of fair and honest

gaming to protect the interests of thecitizens of the State of Michigan

1996 Michigan voters approved threelicensed casinos in Detroit.

Wagering Tax of 24% of adjusted gross

receipts (City collects 11.9% - statecollects 12.1%)


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Michigan Gaming Control Board

Gaming Control Board has Offices in all

three casinos. Their primary duty isregulatory. Have armed State Police inCasino for law enforcement duties.

Local Police handle misdemeanor arrestsoutside of the casinos but have onoccasion made arrests in casino.

Have same voucher problem asPennsylvania.


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MGM Grand Detroit

177 Third Street

Detroit, MI 48226


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MGM Grand Detroit


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Whats Coming!!

Backers withdraw petitions for fall


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Backers withdraw petitions for fall

slots vote A challenge to racetrack slot machines was

pulled from November's ballot on Monday, and

Gov. Ted Strickland moved swiftly toward gettingthe budget-saving gambling devices up andrunning.

Strickland promised to seek a declaratoryjudgment asking the courts to settle anoutstanding legal question about the devices: Are video slots banned under anti-gambling

constitutional language, or allowed as an extension ofthe state lottery?

Vid L tt T i l


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Video Lottery Terminals

Controlled by the Ohio Lottery

On site control by operators Finite number of winners

Similar to flare in break open tickets

Set percentage of payout

Set percentage of profit

Stand alones / linked in series

Ohi R T k


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Ohio Race Tracks

Beulah Park(Thoroughbred / Quarter horse -- located in Grove City)

Lebanon Raceway(Harness -- located in Lebanon) Northfield Park

(Harness -- located in Northfield)

Raceway Park(Harness -- located in Toledo)

River Downs(Thoroughbred/quarter horse -- located in Cincinnati)

Scioto Downs(Harness -- located in Columbus)

Thistledown(Thoroughbred -- located in Cleveland)

Wh t N t


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Whats Next

Liquor Permit premises

Restaurants not having liquor permits Convenient Stores

Rules / Regulation Number per location

Hours of Operation

Pay Out Percentage


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The More Legal the MoreIllegal

Area gas stations tr hand at slots


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Area gas stations try hand at slots

Reel Vegas Slots, theFlanders, N.J., companybehind the games,converted real slotmachines taken fromAtlantic City. But unliketrue slots that rely on acomputer chip to decidewhen someone wins,players must manuallystop three spinning reelson the prize line to win.

Thus, the skill aspect ofthe game.Akron Beacon Journal By Rick Armon Staff writerJan 29, 2010

Gambling Machines seized in


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g

Washington County, PABy The Tribune-Review, Thursday, January 28, 2010 Pennsylvania liquor control officers say criminal

complaints are pending after a series of raids onbars and clubs throughout Washington Countythe past year netted 169 gambling devices that

were confiscated.

The state police bureau of liquor enforcement

said 45 licensed liquor establishments weresearched during the investigation. Police saidseveral thousand dollars in gambling proceeds

were confiscated during the multiple raids

Creates more Illegal


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Creates more Illegal

Forty-five bars, restaurants and clubs inWashington County were raided

Wednesday by law enforcement officials inan illegal video gambling investigation..

Officers seized 169 video gamblingmachines and more than $50,000.

Raids target Washington Co. bars - by Linda Metz, Staff writer1/29/2010

Gaming Control Board puts three


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g p

men on exclusion list The state Gaming Control Board has put three men

charged with gambling-related crimes at theMeadows Racetrack & Casino on an "involuntarycasino exclusion list," which prohibits them fromentering or gambling at any casino in Pennsylvania.

The three, were charged in October in connectionwith an alleged theft scheme at the WashingtonCounty casino, the board said.

"They are accused of compromising a slot machineat the Meadows to fraudulently claim over $400,000in winnings over a two-month period last year," the

board said in a statement.Monday, February 01, 2010 - Pittsburgh Post-Gazette

Public servants are big fish in


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g

gambling blacklist net WELLSVILLE, MO

For years, the crimes that barred gamblers from Missouri

casinos read like Mafia movie plots.

Men with ties to Kansas City's notorious La Cosa Nostra

ran illegal betting rings, threatened witnesses andskimmed money from Las Vegas casinos, accordingto FBI testimony. And the state, seeking a Mob-freegambling industry, banned each from Missouri's

riverboats.

ST. LOUIS POST-DISPATCH BY DAVID HUNN Sunday, Mar. 07 2010



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gambling blacklist net But that was more than 10 years ago. Theblacklist is dealing from a new deck, and

blackballing a different kind of professional: thepublic servant.

In the last year, four Missourians were barred fromcasinos for crimes of "moral turpitude," bringing thelist to 17. Three were civil servants. Authorities saythey fed gambling habits with embezzled tax dollars.

A St. Louis County school superintendent funneleddistrict money to his personal life insurance fund,while often gambling 20 days or more a month.



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gambling blacklist net A Kansas City-area elected administrator

siphoned at least $118,000 from disabledclients' Social Security accounts, then used it,authorities said, as "frequent customer of the

area's casinos."

And a grandmother here in Wellsville stole

from her community's only public school.


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State cuts gambling addiction programs

By Brent Walth, The OregonianSaturday, March 27, 2010 11:10 AM PDT
http://rds.yahoo.com/_ylt=A0WTb_k6sThM6nsAJoCjzbkF/SIG=139hob05b/EXP=1278870202/**http%3a//www.cs.duke.edu/courses/fall06/cps004games/assign/06_whackamole/whackamole.jpg


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http://rds.yahoo.com/_ylt=A0WTb_k6sThM6nsAJoCjzbkF/SIG=139hob05b/EXP=1278870202/**http%3a//www.cs.duke.edu/courses/fall06/cps004games/assign/06_whackamole/whackamole.jpghttp://rds.yahoo.com/_ylt=A0WTb_xxuzhM3iIA_pqjzbkF/SIG=124g4irh3/EXP=1278872817/**http%3a//randolfe.typepad.com/img/whack-a-mole.jpg


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http://rds.yahoo.com/_ylt=A0WTb_xxuzhM3iIA_pqjzbkF/SIG=124g4irh3/EXP=1278872817/**http%3a//randolfe.typepad.com/img/whack-a-mole.jpg


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Sweepstakes Machines

Sales of Internet Time or

Phone Cards


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Summit County looks at


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regulating gambling parlors Under the proposal, the businesses would be

required to obtain an annual $2,000 license from

the county's Office of Consumer Affairs, submitdetailed paperwork identifying the owner and allworkers, and pay a monthly fee of $200 per

gambling machine. They also would be prohibited from operating

later than 11 p.m. and could open no earlier than

10 a.m. No one under the age of 18 would be permitted

inside.By Rick Armon Akron Beacon Journal Apr 03, 2010

Summit County looks at


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regulating gambling parlors The legislation would affect any business with

four or more machines.

The legislation would bar people convicted of''gambling or other crime of moral turpitudewithin five years preceding the application'' from

receiving a license Seventy-five percent of the revenue generated

would be set aside for the townships. Theremainder would go to the consumer affairsoffice, which would be responsible forenforcement.

By Rick Armon Akron Beacon Journal Apr 03, 2010

Sides of Issue - Con


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Sides of Issue Con

Chad Hills of Focus on the Family says: "Thesemachines have been shown to be extremely

addictive. That's a huge concern, primarily forkids, because it's hard to keep them away." Well, I certainly agree kids shouldn't gamble,

and some people do wreck their lives. But whycan't adults be left to do what we want to do? Hills and Sen. Jon Kyl, R-Ariz., both eager to

ban gambling, talk about "addiction" leading tobankruptcy, crime and suicide.

People are responsible for the consequences oftheir bad habits.

Sides of Issue - Pro


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Sides of Issue Pro

Anyone who wants to gamble illegally has notrouble doing it. And let's not forget the official

corruption that black markets encourage.Prevent Law-enforcement from taking bribes tolook the other way.

The 1999 National Gambling Impact Studyconcluded that 15 million Americans areproblem and pathological gamblers. "Ninety-ninepercent of the American public has no problem

with gambling," "They should have the freedomto gamble if they want to gamble online. There isno casino that is being forced into people'shomes."

Sides of Issue - Pro


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Sides of Issue Pro

For self-responsible adults, gambling can be funand harmless. A free country is supposed to

treats adults as though we are self-responsible.Government should let us learn from ourmistakes rather than treat us like children.

While states outlaw private gambling (at leastthat which competes with the well-connected

casino interests), it runs its own gamblingoperations: state lotteries. State lotteries take 50

percent of each bet.


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Saturation

How Much Is Enough!

MTR Gaming posts $517,000


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quarterly loss MTR Gaming Group Inc. reported a second-quarter loss of $517,000 Monday, blaming high

unemployment and a weak economy, as well asgrowing competition for gamblers.

MTR owns Mountaineer Casino, Racetrack &Resort in Chester, Presque Isle Downs & Casinonear Erie, Pa., and Scioto Downs in Columbus.

Net revenues were off 8 percent overall for thequarter, down from $121 million this time lastyear to about $112 million, the company said.

Associated Press August 10, 2010


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Follow the Money!!!

Off Casino Facility Proper

Gambling Related(Street Robberies)

Show me the Money


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y

Gunmen with assault rifles get $11,000

from Cleveland (Ohio) poker gameWednesday, October 28, 2009.

Gunmen burst into the lunchroom at

Allied Lighting Services, where $70,000in poker stakes awaited them. (SOLON,

Ohio) Tuesday August 10, 2010

Show me the Money!!


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y

In urban areas

Casino player takes cash with them($100 and up) Steak in front of hungrydog scenario.

Prostitution in public area notcontrolled by casino


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Problem Gambling

Embezzlement


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Embezzler deeplysorry for gambling

$2.5 million

Former deputy

treasurer admitstaking Stark money.He faces 15 years in

prison for fraud andconspiracy

By Kathy Antoniotti, Akron Beacon Journal staff writer, Published on Saturday, Jun 26, 2010

Embezzlement


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Vincent J. Frustaci, 38,was served with a two-

count bill of informationFriday charging him withfalsifying bank statements

and internal records tocover up the thefts. Headmitted he supplied thealtered records to county

and state auditors.

Theft


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NY cop gets up to 3 years for evidence roomthefts Greenwichtime.com January 22, 2010

HERKIMER, N.Y. (AP) A former upstateNew York village police investigator has

been sentenced to from one to three years inprison for stealing thousands of dollars from

a police department evidence room tosupport his gambling habit.

Robert Risi, an 18-year-veteran

Theft / Embezzlement


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SanduskyRegister.com Sunday, January 24, 2010Police say officer's wife stole thousands from Bellevue supermarket By CORY FROLIKBELLEVUE

The wife of a Sandusky police officer says agambling addiction led to allegations thatshe stole thousands of dollars from Bassett's

Market.Jodi Gilliam, 52, Castalia, was fired from her

job at the Bellevue business, where sheworked part-time for three years, andcharged with theft earlier this week, officials

said.

Extortion to Pay For Gambling


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David Reilly is accused of using theInternet to extort money from a Wallingfordwoman in order to pay gambling debts.

According to an arrest warrant affidavit,

Reilly threatened to send humiliatinginformation about the woman's sex life to

her employer and parents.

Detective blames crime on


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gambling addiction A New Haven detectivewho has admitted

planting drug evidenceand stealing money froma crime scene says his

actions were motivatedby a gambling addictionand the outrage ofwatching drug dealers

avoid prosecution.

Boston. Com May 21, 2008

VLTs - Problem Gambling in Women


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CBC NewsWednesday, January 20, 2010

Researchers at the University of Manitobapublished a study this week in the CanadianJournal of Psychiatry, they reviewed thegambling habits of Canadian women 15years of age and older. Playing VLTs in

bars and restaurants was associated withthe highest odds of problem gamblingamong women, according to researchers.

Demographics - Sex
http://www.cbc.ca/news/credit.htmlhttp://www.cbc.ca/news/credit.html


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Female gambling addicts are generallydrawn to slot machines. They like therepetitive nature of interacting with themachine

Women tend to be escape gamblers,using their addiction to get away from

stress, depression and loneliness.

Demographics - Sex


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Male gambling addicts are drawn to thrillseeking in card games and roulette.

Men are considered action gamblers,getting a rush from risking winning and

losing a large amount of money.

Demographics


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Studies have found high rates ofalcoholism, depression, anti-socialpersonality disorder, mood disorder, andother conditions in pathological gamblers.

Demographics - Employment


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The "Profile of the American CasinoGambler" survey found that 46 percent ofcasino gamblers are white-collar workers,26 percent are blue-collar workers and 26

percent are otherwise employed, such asmilitary personnel and homemakers.

Thirteen percent are retired. The statisticsclosely resemble those for the U.S. workforce.

Demographics Education


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Harrah's survey also found that 45 percentof casino gamblers have no college

experience, 28 percent have some collegeexperience, 17 percent are collegegraduates and 8 percent have

postgraduate experience. The statisticsclosely match those for the education levelof the U.S. population.

Demographics - Age


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The median age for casino goers is 47,while the U.S. median age is 45, accordingto the survey. About 54 percent of casinopatrons are women.

Demographics - Income


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the average casino gambler has a medianincome of $53,204 -- 16 percent higherthan the national average of $45,781.

Demographics - Race


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In Illinois minorities make up 10 percent ofcasino gamblers but account for 66percent to 80 percent of bets placed. NationalCoalition Against Legalized Gambling

Demographics - Sex


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a face-to-face survey of 100,000 adultsconducted in 2002 found that 81 percentof women visiting casinos play the slotmachines, compared with 67 percent of

men, and that 78 percent of gamblersolder than 65 play the slots.

Demographics - Sex


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"Men gravitate more toward games of skilland women have a tendency to gravitate

towards games of chance," said LizabethC. White, deputy director of marketing forthe West Virginia Lottery.

Victoria, Gamblers Anonymous reportsthat now 7 out of 10 callers are women,

90% of whom are addicted to electronicgaming machines

Demographics - Sex


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The average slot-machine gambler is amiddle-aged, middle-class woman seeking

to trade disposable income for escapistentertainment, according to gamblingindustry surveys and officials.

Gamblers Anonymous meetings oftenoutnumber the men. Over 95% of the

women treated at Charter Hospital in LasVegas play only video poker.


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Problem Gambling

Here are some signs that you or a loved onemay have a gambling problem:


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increased preoccupation with gambling

needing to bet more money, or bet more frequently

withdrawal symptoms of restlessness or irritability whentrying to stop

trying to win back losses

relies on others to relieve financial problems created by

gambling

cant control or stop gambling



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gambles to escape problems or relieve negative mood

lies to conceal the extent of gambling

commits illegal acts to finance gambling

jeopardized or lost a significant relationship or job due togambling

spending money for gambling that is needed for other

expenses

has overdue bills, bill collectors calling, itemsrepossessed



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numerous unexplained cash advances or loans

misses work, long lunches or breaks, gambling calls orcomputer gambling at work

fails to finish projects

disappearance of cash

high risk investing

household or personal items sold or pawned

Here are some signs that parentsshould know:


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unexplained absences from school

dropping grades

increased family conflicts

family suspects alcohol or other drug use

asking/taking/stealing money from family, friends orstrangers

has large amounts of money



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gambling language and gambling topics an importantconversational topic

shows off money, clothes and other possessions

unusual amounts of time on the computer (out of parentssight), closing down programs when adults enter room,reading sports pages and stats or reading about onlinepoker sites

selling personal belongings

bragging about winning



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lying, cheating, stealing in school

exhaustion from lack of sleep

plays sports but doesnt perform to normal abilities(shaving points)

overt interest in how other school teams or certainathletes are performing

Pathological Gambling


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Pathological gambling became an ICD-9disease code 312.31 (in 1980) in the United

States, No death certificate has listed gambling as the

underlying cause of death.

A search of the Compressed Mortality dataset,which is maintained by the Centers for DiseaseControl on their CDC Wonder site, found 0

deaths for 312.3, the ICD-9 code for impulse-control disorder, which includes pathologicalgambling (312.31)



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However, there have been many attemptsto establish gambling as an indirect causeof death (linking gambling to suicide).

The difficulties associated with co-

morbidity often evident amongpathological gamblers has contributed to

these assessments of causality.

312 Disturbance of conduct, notelsewhere classified


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312.3 Disorders of impulse control, notelsewhere classified:

312.30 Impulse control disorder,unspecified

312.31 Pathological gambling

312.32 Kleptomania

312.33 Pyromania

Diagnosis: PATHOLOGICALGAMBLING - ICD-9: 312.31


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Treatment:

MEDICAL/PSYCHOTHERAPY

CPT (Current Procedural Terminology):

90801-90807, 90810-90813, 90846-90862, 90882, 90887, 96101, 99051,

99060,99201-99215, 99241-99255

Diagnosis: PATHOLOGICALGAMBLING - ICD-9: 312.31


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Treatment:

MEDICAL/PSYCHOTHERAPY

HCPCS (Healthcare Common Procedure CodingSystem): G0176, G0177, H0002, H0004, H0017,

H0018, H0019, H0031, H0032, H0033, H0034,H0036, H0037,H0038, H0039, H0045,H2011,H2013, H2014, H2021, H2022, H2023,H2027,

H2032, S5151, S9125, S9484, T1005, T1013,T1016, T1023

ICD -10 Codes


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F63 Habit and impulse disorders:

F63.0 Pathological gambling

F63.1 Pathological fire-setting [pyromania]

F63.2 Pathological stealing [kleptomania]

F63.3 Trichotillomania F63.8 Other habit and impulse disorders

F63.9 Habit and impulse disorder,unspecified



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Pathological gambling was recognized asa psychiatric disorder in the DSM-III, butthe criteria were significantly reworkedbased on large-scale studies and

statistical methods for the DSM-IV. Asdefined by American PsychiatricAssociation, pathological gambling is animpulse control disorder that is a chronicand progressive mental illness.

Pathological Gambling Defined

A di t DSM IV P th l i l bli i d fi d


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According to DSM-IV, Pathological gambling is now definedas separate from a manic episode. Only when thegambling occurs independent of other impulsive, mood,

or thought disorders is it considered its own diagnosis. Inorder to be diagnosed, an indiviudal must have at least 5(or more) of the following symptoms:

Preoccupation. The subject has frequent thoughts about

gambling experiences, whether past, future, or fantasy. Tolerance. As with drug tolerance, the subject requires

larger or more frequent wagers to experience the same"rush".

Withdrawal. Restlessness or irritability associated withattempts to cease or reduce gambling.

Escape. The subject gambles to improve mood or

escape problems.



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Chasing. The subject tries to win back gambling losseswith more gambling.

Lying. The subject tries to hide the extent of his or hergambling by lying to family, friends, or therapists.

Loss of control. The person has unsuccessfullyattempted to reduce gambling.

Illegal acts. The person has broken the law in order toobtain gambling money or recover gambling losses. This

may include acts of theft, embezzlement, fraud, or

forgery.



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Risked significant relationship. The person gambles

despite risking or losing a relationship, job, or othersignificant opportunity.

Bailout. The person turns to family, friends, or another

third party for financial assistance as a result of

gambling.

Effects

As debts build up people turn to other sources of money


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As debts build up people turn to other sources of moneysuch as theft, or the sale of drugs. A lot of this pressurecomes from bookies or loan sharks that people rely on

for capital to gamble with. Also, a gambler who does notreceive treatment for pathological gambling when in hisor her desperation phase may contemplate suicide.

Compulsive gambling is often very detrimental topersonal relationships.

Abuse is also common in homes where pathologicalgambling is present.

Growing up in such a situation leads to improperemotional development and increased risk of fallingprey to problem gambling behavior.

Tests for

S th O k G bli S (SOGS)


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South Oaks Gambling Screen (SOGS)developed by Lesieur and Blume (1987) at

the South Oaks Hospital in New York City. DSM-IV diagnostic criteria focuses on the

psychological motivations underpinningproblem gambling and was developed bythe American Psychiatric Association.

National Opinion Research Center DSMScreen for Gambling Problems (NODS).

Diagnostic and Statistical Manual of Mental Disorders (DSM)

Canadians

Th C di P bl G bli


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The Canadian Problem GamblingInventory (CPGI) is another newer

assessment measure.

The Problem Gambling Severity Index

(PGSI) is composed of nine items from thelonger CPGI. The PGSI focuses on the

harms and consequences associated withproblem gambling.

Drugs that May Cause

Mirapex which is used to


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Mirapex, which is used totreat Parkinsons Diseaseand restless leg

syndrome, has beenassociated withcompulsive behavior,

including gamblingaddiction.

The victims of Mirapexside effects had no prior

history of obsessive orcompulsive behaviors.

Medical Treatment

Naltrexone, a drugfrequently used in the
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gfrequently used in thetreatment of alcohol anddrug dependence, was

found to help control theurge to gamble in nearly40% of pathologicalgamblers receiving the

treatment. Gamblers were able to

abstain from all gambling fora period of at least one

month. Those receiving aplacebo had an abstentionrate of 10.5%.

Medical Treatment

The study randomly
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The study randomlyassigned a daily dose ofnaltrexone to 58 men and

women aged between 14and 59 and a placebo toanother 19participants for a period

of 18 weeks. The study found that notonly were gambling urgessignificantly decreased

but that lower doses ofthe drug were equally aseffective.

Questions???
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William A. [email protected]

(216) 813-6189 (Weeksdays)

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