Action II Campaign Webinar June 8, 2010

1. Action II Campaign WebinarJune 8, 2010 Increase Gambling Admissions A Sure Bet with NIATx

2. Partners Anne Helene Skinstad, Ph.D PATTC Janet Zwick, Lead Coach, PATTC Bob Kersieck, IDPH Mark Vander Linden IDPH

3. Iowa Gambling NIATx • Nine programs providing gambling and substance abuse services • Eight of the nine programs had substance abuse NIATx experience • Helpline

4. Important Iowa NIATx Considerations • Aims and Change Cycles determined by individual programs • Keep It Simple: Keep required program paperwork, state meetings to a minimum • Keep it helpful – coaching calls • Waivers to simplify processes • Programs may use a combined SA/gambling change team • Healthy competition among programs

5. Key Focus of Iowa NIATx • Increasing admissions different than substance abuse treatment program • Many crisis calls do not convert to a screening or admission. • Gambling treatment resources in Iowa currently underutilized • Continuation through early treatment

6. Program Barriers • Too much paperwork up front • Often seemed to be more important to complete paperwork than listen to client • Most programs were doing three distinct gambling screens with each client despite being required to only do one. .

7. Helpline Barriers Initial Issues • Phone not answered • Calls not transferred to programs, gave program phone numbers only • Some programs had gambling counselor on call, others used residential technicians, sometimes voice mail only • Inconsistent role of Helpline

8. State Approach to Programs • Different roles of coach and state employees • Programs may ask for waiver for NIATx projects • Programs may use combined SA/Gambling change team • No paperwork required for this project • Used existing state data programs only had to collect minimal data • Emphasized that it would be simple • No required meetings--maybe learning session at the end • Minimal funding to participate - $5,000/program

9. Walkthrough Results for the State • Walk-through forced state staff to see: • How unreasonable paperwork was • State data tool-three pages-overly detailed • Outcome monitoring tool – two pages – very repetitious of the data tool • State licensure requirements are intensive • State staff made commitments: • Reduce repetition • Reduce requirements

10. Walkthrough Results for Programs • Programs often added to required paperwork • Redundant questions • Multiple mental health/substance abuse screening tools • Multiple problem gambling screening tools • Most programs were taking three-to-four-and-a-half hours to do a gambling intake

11. Walkthrough Results: Crisis Line • 12/15 weekday calls were transferred directly to program, average of less than two rings before picked up • 4/20 evening/weekend calls were transferred directly to a program • Average time on hold 3.5 minutes • Six of the calls were on hold five minutes or longer. • Other significant problems identified. • Some operators doing free-lance crisis instead of referring

12. Walkthrough Results: Crisis Calls to Programs • 15/26 calls were handled by a counselor • 13/26 calls were able to get an appointment • 5/26 went to voice-mail • Other significant problems identified • Programs generally did a much better job of handling crisis calls during weekdays than during evenings/weekends

13. Contacts: Janet Zwick, Lead Coach, Funded by PATTC NIATx Coach 515-270-6509 janetzwick@aol.com Anne Helene Skinstad, Ph.D Program Director, PATTC 319-335-5368 Anne-skinstad@uiowa.edu Bob Kerksieck, LMSW, ACADC Health Facility Surveyor for Gambling Programs Iowa Department of Public Health 515-281-3347  rkerksie@idph.state.ia.us Mark Vander Linden, MSW Executive Officer of the Office of Gambling Treatment and Prevention Iowa Department of Public Health mvanderl@idph.state.ia.us 515.281.8802 1800betsoff.org