Systematic approach in tackling gambling related harm

Development Manager Saini Mustalampi

saini.mustalampi@thl.fi

Background legislation

•The Lotteries Act, section 52: Problems caused by participating in lotteries shall be monitored and researched, prevention and treatment developed.

•Monitoring, research, and prevention of gambling related harm as well as treatment development is the responsibility of the Ministry of Social Affairs and Health

•The Ministry has given the operative task to the National Institute for Health and Welfare (THL from 2009, former Stakes and KTL)

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Competence enhancement: continuous and targeted net based training and support materials for professionals mainly in health and social sector. Seminars, conferences.

Treatment research -Clinical trial (Naltrexone + psycho

social support)-Pilot study 2009

Reasearch on age limits First attitude analysis

2 new treatment service developm. projectsstart

Significant others

Evaluation group for supply risk assessment starts

CBT treatment reasearch starts

3rd Preval. Study(SOGS 12-month, 3+, 3,0%)

Material on youth to educators

4th Prevalence study

Treatment manual + workbook

Service developm.evaluation done

Gambling clinic starts:Various services incl helpline(NGO’s, State, Municipalities together)

Information dissemination begins (www)

Internet based selfhelp: 1st evaluation, programme’s development starts

Report on Finnish treatment system

First youth analysis

Case Finland – some steps by National Institute for Health and Welfare

Coordina- tion starts: focus cooperation,networking

2nd National Preval. Study(SOGS 12-Month, 3+,3,3%)

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Latest research articles…

• This presentation as well as our latest research articles in English:

• http://www.slideshare.net/THLfi/easg-case-finland-mustalampi-38866866

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Articles published in English by the research members of THL Problem Gambling Network

2012-2014

• Castrén S, Pankakoski M, Ladouceur R & Lahti T (2012). Internet-based 8-week Cognitive Therapy for Gambling Problems: Socio-demographic Characteristics of the Participants. Psychiatria Fennica;43:79-96.

• Castrén S, Basnet S, Pankakoski M, Ronkainen J-E, Helakorpi S, Uutela A, Alho H & Lahti T (2013). An analysis of Problem Gambling among the Finnish working-age population: A Population Survey. BMC, Public Health 13, 519.http://www.biomedcentral.com/1471-2458/13/519

• Castrén S. Disordered Gambling in Finland: Epidemiology and a current treatment option. Academic diss. National Institute for Health and Welfare (THL). Research 111. 2013.[http://urn.fi/URN:ISBN:978-952-245-964-0]

• Castren S, Basnet S, Salonen AH, Pankakoski M, Ronkainen JE, Alho H & Lahti T (2013). Factors associated with disordered gambling in Finland. Substance Abuse Treatment, Prevention, and Policy 8:24. http://www.substanceabusepolicy.com/content/8/1/24

• Castrén S, Pankakoski M, Tamminen M, Lipsanen J, Ladouceur R & Lahti T (2013). Internet-based CBT intervention for gamblers in Finland experiences from the field. Scand J Psychol. 2013 Feb 8. http://onlinelibrary.wiley.com/doi/10.1111/sjop.12034/full

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• Castrén S, Salonen AH, Alho H & Lahti T (2014) Challenges in translating DSM-5 criteria for Gambling Disorder into Finnish. Commentary. Nordic Studies on Alcohol and Drugs, April 2014, Vol. 31 (2), 221-224. http://www.degruyter.com/view/j/nsad.2014.31.issue-2/nsad-2014-0017/nsad-2014-0017.xml

• Heinälä P, Lahti T, Sinclair D, Ariniemi K, Lillsunde P, Alho H (2012). Analysis of naltrexone and its metabolite 6-ß-naltrexol in serum with high-performance liquid chromatography. BMC Res Notes. Aug 15;5(1):439. http://www.biomedcentral.com/1756-0500/5/439/abstract

• Järvinen-Tassopoulos, J. Gambling, Policy Issues and the Public Good. The Case of Finland. In Matilda Hellman, Gun Roos & Julius von Wright (ed.) A Welfare Policy Patchwork. Negotiating the Public Good in Times of Transition. Helsinki: NVC. 2012

• Lahti T, Halme J, Pankakoski M, Sinclair D, Alho H (2013). Characteristics of treatment seeking Finnish pathological gamblers: baseline data from a treatment study. International Journal of Mental Health and Addiction, June 2013, Volume 11, Issue 3.http://link.springer.com/article/10.1007%2Fs11469-012-9411-4

• Salonen AH, Castrén S, Alho H & Lahti T (2014) Concerned significant others of people with gambling problems in Finland: a cross-sectional population study. BMC Public Health 14, 398.http://www.biomedcentral.com/1471-2458/14/398

• Tenhola H, Sinclair D, Alho H and Lahti T (2012). Effect of opioid antagonists on sex hormone secretion.J. Endocrinol. Invest. 2012, 35: 227-230. http://www.jendocrinolinvest.it/jei/en/abstract.cfm?articolo_id=8181

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