Betknowmore UK Frankie Graham Founder / CEO
Gambling Support Centre ‘GaM - S North Hub’ In October 2014, Betknowmore UK launched the first UK gambling support hub in Islington. The hub provides dedicated gambling services, including the first accredited outreach mentoring programme for gambling sector: Support / Treatment Education / Information Research / Evidence
Betknowmore UK ACT Programme Support tier 1/2 Client Needs Client referral Assessment 3/4 Counselling and Referrals to Outreach/mentoring Family/Carer Support Counselling Support Post Treatment Support
Current Support Services Don’t Gamble with BKM Support Mental Health Health Network Specialist support service to Rapid support programme Provides services for clients with complex co- to LBO and their customers affected others and family morbidities networks
Evidenced Based Approaches Assessment Interventions Aftercare Referral Mentoring/Outreach Relapse Prevention • • • Initial Assessment Mindfulness Volunteering • • • Comprehensive Assessment Counselling Counselling • • • Problem Gambling Severity Psychotherapy Employment • • • Index Cognitive Therapy Support groups • • GAST G • Motivational Interviewing Aftercare groups • • GAST C • Alternative Therapies Workshops • • Core 10 • Psychoeducational groups • Risk Assessment • Money Management • Care Plan/ACT Plan • Signposting •
Our service strategy focuses on health & wellbeing – not treating addiction in isolation...
I don’t understand..Why do you keep doing this?! Why don’t you just stop !! How did it come to this?!
Services developed by learning from the ‘lived experience’ Themes that impacted on me as a child and teen: Genetic Exposure to gambling Low Household Income Childhood trauma Connectivity
Theme 1 – Genetic Addiction in family My Personality Betknowmore UK Several extended Empathic and non- Quiet and studious judgmental approach family members suffered from addictive behaviour Unlikely to ask for help Person-led support and traits treatment Uncomfortable However, close family Encourage clients to try speaking about whatever works! members do not emotions exhibit classic addictive behaviour BKM Support Network
Theme 2 - Exposure to Gambling School Yard & Attitudes and Family Beliefs Betknowmore UK Gambling culture in Cemented belief Awareness and money could be won the playground education through from gambling workshops and presentations Father took me to Gambling was exciting betting shops and normal Community & Youth focused services Wins were celebrated High motivation to – gambling was gamble – losses were positively viewed Signposts Workshop ignored
Theme 3 - Low Income Household Perception of Money Employment Betknowmore UK Started work as soon as Target areas of high Aware that money deprivation and I could – tried to be limited and a cause vulnerability financially of a lot of conflict independent Rapid support to individuals includes focus Money was Quickly ran into on financial safeguarding problems with money associated with management, asking health – less money, for subs and loans from Address ‘corrupted’ increased impact on employers perceptions and views of mental and emotional money and financial wellbeing management
Theme 4 – Childhood Trauma Exposure to Impact on Self domestic violence Worth & Esteem Betknowmore UK Witness to childhood Massive impact on Case management – domestic violence emotional wellbeing client is likely to present with complex co- Gambling became a morbidities coping mechanism to Disrupted feelings extreme low Signposting and referrals relationships into mood to external agencies adulthood Felt suicidal and In-house counselling desperate – particularly expertise, mental health Lasting impact on after gambling binges and addiction specialist wellbeing
Theme 5 – Loss of Connectivity Excluded Other Betting shops Areas of Life Betknowmore UK Befriending and Mentoring empathic Identified as ‘gambler’ Felt at home approach encourages engagement immediately Time and money dedicated to gambling increased rapidly Support around routine, Felt gambling was a time management and support assets skill, the more I learnt, By 18 was regularly gambling to extinction it increased the chances of big wins Opportunity to re- engage with Self and Extreme behaviour crossed community through over to other areas of life volunteering
Vulnerable Adults ‘at risk’
Who are most vulnerable? Gambling related harm Poor / Impaired Social & Economic Demographic Judgement Unemployed Youth Low educational attainment Low income Older people Low IQ Deprived areas Women Cross addiction Financial debt Ethnic groups Learning disabilities Homeless Affected Others Personality traits Prisoners / Probation High dependency
Clients with high vulnerability: key points Social Network vs Not experienced Regular payments Isolation ’crash ’ Potential for abuse Time vs Routine Supported Housing & Care Money Management skills to Speak to me Learning to live with issue manage personal budget Universal Credit Excitement of activity Issue overwhelming to address – coping tool
Clients with high vulnerability: key points Stigma, Shame May not disclose Impact of medication Reported feelings of shame and Hidden harm Can affect behaviour and guilt at gambling behaviour control around impulsive Gambling beliefs may merge decision-making Spending money allocated for with other thought patterns other items
How do we support vulnerable and ‘at - risk’ clients? Create awareness & Provide training & Engage with client access for support support to orgs & support network GaM-S Hub is focal point Ensure staff have the Network meetings and for accessing services – right knowledge, skills, signposting support on the ground resources Harm minimisation
Don’t Gamble with Health October 2016 – Present Innovation – First Health & Collaboration direct support Wellbeing Focus ABB, Gamble First outreach service New message working directly with promoted in shop Aware betting shops materials – wellbeing Betknowmore UK approach Support materials and collaboration referral system set up Suggests gambling as within betting shops a ‘lifestyle’ behaviour Project designed has potential for harm Includes training and if not managed by Betknowmore workshops with properly UK and proposed operators compliance and shop staff to ABB members
Don’t Gamble with Health Support and Treatment Tiered Treatment Integrating with Rapid Support Pathways Community Clients are met initially Accept referrals from Referred clients are by outreach team and statutory and voluntary contacted within 48 hours. provided with mentoring orgs – ICOPE, GP, Mental Health, Substance Brief Intervention & 100% achievement rate Misuse, Family Support screening provided Connected with over 60 Clients can receive Clients can be referred by orgs In Islington LBO staff, self referred or structured support, through a third party consisting of mentoring, Provision of screening counselling, group and tools, workshops and Must have local contact to peer 2 peer support support resources Islington and be LBO customer
frankie@betknowmoreuk.org Follow us on Twitter @betknowmore Facebook / www.betknowmoreuk.org
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