Focus on the Future panel - Olympia, WA, 4/26/17. Julie Hynes, Cam Adair, Roger Fernandes Conference sponsored by Evergreen Council on Problem Gambling and TOGETHER

1. Julie Hynes,
Roger Fernandes,
Cam Adair
Focus on the
Future 2017

2. These slides you’re
seeing online only
represent a portion of
the panel discussion.
www.preventionlane.org/fof
10:24 AM
Focus on the Future 2017 | Hynes, Adair, Fernandes

3. Focus on the Future 2017 | Hynes, Adair, Fernandes
WE ARE HERE TO PUMP…
YOU UP!

4. Gain at least 3 prevention tools to address
youth addictions in methods consistent with
our current times.
Understand at 3 recent trends that present
strengths and challenges in prevention of youth
addictions
Identify and describe at least 3 signs of
youth problem gaming and gambling
OBJECTIVES:

5. Our Paths & Prevention
Perspectives…
Mine:

6. Introductions.
Focus on the Future 2017 | Hynes, Adair, Fernandes
6

7. http://www.oregonlive.com/trending/2017/04
/oregon_is_8th_most_gambling-ad.html
Oregonian article, 4/25/17:

8. http://www.oregonlive.com/trending/2017/04
/oregon_is_8th_most_gambling-ad.html
Oregonian article, 4/25/17:
STIGMA

9. The New Normal.
ATTENTION

10. THISis now almost all of us.
Focus on the Future 2017 | Hynes, Adair, Fernandes

11. REALLY, IT IS ALMOST ALL OF US.
Source: Pew Research Center (2017, January). Mobile Fact Sheet.
http://www.pewinternet.org/fact-sheet/mobile/ Focus on the Future 2017 | Hynes, Adair, Fernandes

12. World Series of Poker (image
source: cbssports.com)
…AND MORE
OF THIS
GAMBLING IS BECOMING
LESS OF THIS…
E-sports (image source:
www.csgolounge.com)
Focus on the Future 2017 | Hynes, Adair, Fernandes

13. “ADDICTION” is the desired term.

14. “Addiction is not about what you DO, but
what you DON'T DO because of the
replacement of the addictive behavior.”
– Erin Hoffman, Video Game Designer

15. The
PREFRONTAL
CORTEX is the
LAST PART to
develop.
25years old!
The brain
is still
developing
until
15

16. 1. PRIZE:
3 COMMONLY DEFINED
CHARACTERISTICS OF GAMBLING:
2. CHANCE:
3. CONSIDERATION:
Anything of value the sponsor awards in a promotion.
(Example: goods/services with a monetary value or
items of value.)
A process beyond the participant's direct control
determines the outcome. (Example: an instant-win
game at a fast food restaurant.)
Requires money or significant effort.
(Example: attending a sales
presentation.)
Focus on the Future 2017 | Hynes, Adair, Fernandes

17. 1. PRIZE:
BLURRING LINES?
2. CHANCE:
3. CONSIDERATION:
Anything of value the sponsor awards in a promotion.
(Example: goods/services with a monetary value or
items of value.)
A process beyond the participant's direct control
determines the outcome. (Example: an instant-win
game at a fast food restaurant.)
Requires money or significant effort.
(Example: attending a sales
presentation.)
Focus on the Future 2017 | Hynes, Adair, Fernandes

18. Focus on the Future 2017 | Hynes, Adair, Fernandes
Super blurry.

19. “Skin in the Game: Counter-Strike has spawned a wild multibillion-dollar world of online casino
gambling; it's barely regulated and open to any kid who wants in.” ESPN.com, 1/20/17
Focus on the Future 2017 | Hynes, Adair, Fernandes

20. Focus on the Future 2017 | Hynes, Adair, Fernandes
Availability/
Convenience
Speed/
Intensity/
Dopamine
Relationships
Discovery
(always new
stuff)
Competition
SIMILARITIES WITH GAMING &
GAMBLING.
Stakes:
Rewards &
Reinforcements
Anonymity. $!

21. Source: Brain Briefings (2007, October), Society for Neuroscience, Washington, DC
GAMING/GAMBLING & DOPAMINE
Dopamine not released when expecting a loss.
Flooded with dopamine when expecting a win!
It’s NOT about the money!

22. Focus on the Future 2017 | Hynes, Adair, Fernandes
Struggle with
cutting back
Drop in
grades,
performance
Withdrawal/
isolation
Preoccupation
Change in
friends
SIMILARITIES IN SIGNS OF A
PROBLEM.
Unusual amount
of $ or $
problemsUsing it as
an escape $!

23. This is the first
generation of truly
widely available
electronic gaming
& gambling.
We really don’t
know the effects
yet.
Much like the
technology itself,
research is new.
RESEARCH:
THE GREAT
UNKNOWN.
Focus on the Future 2017 | Hynes, Adair, Fernandes

24. Focus on the Future 2017 | Hynes, Adair, Fernandes

25. CAVEAT before I show some
of the research:
We should be very careful not to
pathologize all gaming behavior.

26. YOUTH “PATHOLOGICAL”
VIDEO GAMERS
n=3,034 – grades 3, 4, 7 & 8
9%pathological gaming
●Less empathy
●More impulsivity
Source: Gentile, Choo, Liau, et al. (2011). Pathological video game use
among youth: A two year longitudinal study. Pediatrics, 127, e319-29

27. RESEARCH:
Similarities between those with internet
gaming disorder (IGD) & pathological
gamblers:
• Less loss sensitivity
• More reactivity
to gaming and gambling cues
• More impulsive choices
Fauth-Buler, M., Mann, K. (2015, Nov.) Neurobiological correlates of internet gaming disorder:
Similarities to pathological gambling. Journal of Addictive Behaviors

28. Electronics: about the action. Sound familiar?
THE CONNECTIONS
MAKE SENSE.
“ALMOST
WINNING”:
dopamine is
activated the
same as
ACTUALLY
winning.
Problem
gamblers are
more likely to
see their near
misses as
“NEAR WINS”
People play
LONGER
when
machines
give them
NEAR
MISSES.

29. What is almost ALWAYS a KEYTRAUMA.

30. (Hodgins et al. 2010; Kraus et al. 2003; Najavits et al. 2010; Petry and Steinberg 2005;
Taber et al. 1987)
Exposure to early childhood trauma
has consistently been associated
with disordered gambling.

31. ACES – ADVERSE CHILDHOOD
EXPERIENCES
Growing up (prior to age 18) in a household
with:
• Physical abuse
• Emotional abuse
• Sexual abuse
• Emotional or physical neglect
• Loss of parent due to divorce,
abandonment, or death
• Substance use
• Mental illness
• Incarcerated household member
ACE points are
attributed for
exposure to each
type of adverse
event (0 to 10).
Centers for Disease Control and Prevention: http://www.cdc.gov

32. How we need to view “neglect”
could be changing.

33. Centers for Disease Control and Prevention: http://www.cdc.gov
Generational
Transmission
of ACEs

34. GAMBLING & ACEs
Adverse childhood experiences 
Emotional dysregulation 
Mediated many times by substance use, eating
disorders, etc. 
Associated w/ ADHD, personality disorders &…
Disordered gambling
Poole, J.C., Kim, H.S., Dobson, K.S., & Hodgins, D.C.(2017, March). Adverse childhood
experiences and disordered gambling: Assessing the mediating role of emotion
dysregulation. Journal of Gambling Studies, DOI 10.1007/s10899-017-9680-8

35. ACES OFTEN LAST A LIFETIME…
BUT THEY DON’T HAVE TO
• Healing can occur
• The cycle can be
broken
• Safe, stable, nurturing
relationships heal
both parent and child
Centers for Disease Control and Prevention: http://www.cdc.gov

36. OK, THEN.
SO WHAT
DO WE
DO?

37. PREVENTION & TREATMENT:
Ensure your systems and
agencies are including fantasy
sports & eSports in your
conversations about potential
addictions.
Awareness & Education.
Focus on the Future 2017 | Hynes, Adair, Fernandes

38. PREVENTION
NCPG Prevention Committee:
Has a new “Emerging Trends”
task group. Info:
www.ncpgprevention.org
Coalition building.
Focus on the Future 2017 | Hynes, Adair, Fernandes

39. Have the Conversation.
Ready-to-go resources:
www.preventionlane.org/gambling
www.ncpgambling.org/pgam
Awareness & Education.
PROVIDERS & COMMUNITY:
Focus on the Future 2017 | Hynes, Adair, Fernandes

40. PREVENTION
• Include gambling
in conversations
about alcohol &
other drugs, AND
technology.
Awareness & Education: parents & kids
Download free fact sheet:
http://www.preventionlane.org/maine
Focus on the Future 2017 | Hynes, Adair, Fernandes

41. FOR THOSE WHO CAN:
Engage community members to
advocate on any laws involving
online gambling / fantasy sports
(can use NCPG guidelines as a tool).
44
POLICY & ADVOCACY.
Focus on the Future 2017 | Hynes, Adair, Fernandes

42. COMMUNICATE
expectations.
USE TECH
to your
advantage.
Remember about when you
need to shut the game off.
☺ love u
Jordan. Off. Now.
It’s LoL, mom.
K
Mom
9:46PM
9:31PM
45
9:13 PM
9:45 PM
9:45 PM
9:46 PM

43. Focus on the Future 2017 | Hynes, Adair, Fernandes

44. 47
MONITORING

45. WHEN TO ACT.
● Pay attention to clues: restless,
withdrawal, lack of interest, different
friends, signs you know from problem
gambling
● INTERVENE if you see warning
signs. (Get intervention tips:
www.drugfree.org/intervene)
Focus on the Future 2017 | Hynes, Adair, Fernandes

46. FOR PEOPLE IN
RECOVERY:
• Friends
• Sponsors
• Etc
Hey man, you’ve been holed up
for 8 hours. Let’s go eat.
Cu in 5
You told me to text
you…remember your deal.
Shutup give me a few
OK OK
Jordan
6:49PM
5:11PM
49
Counselors: Be mindful
of your HIPAA laws!

47. ●SET MOBILE CONTROLS: set them (your
mobile carriers’, not just the device!)
●WATCH YOUR CREDIT CARD: don’t link it to--
or unlink it from--your phone!!
●MONITOR BEHAVIOR: Keep computer use in
open area – if you can (desktop computer).
Use monitoring apps to monitor apps!
Other tips for those in
recovery & in general
Focus on the Future 2017 | Hynes, Adair, Fernandes

48. FOR ADDICTED GAMERS:
● GAME QUITTERS:
www.gamequitters.com
● “How to Quit Playing
Video Games”
kingpinlifestyle.com/how-
to-quit-playing-video-
games/
(look at the comments)
Some helpful resources.

49. Websites: www.cgaa.info
Focus on the Future 2017 | Hynes, Adair, Fernandes52

50. 53
https://netaddictionrecovery.com/
video-game-addiction.html

51. Focus on the Future 2017 | Hynes, Adair, Fernandes
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www.olganon.org