Nfhk2011 jenni kämppi_parallel4

Peer support and

gambling related harms The Finnish Blue Ribbon, Tiltti

Jenni Kämppi, Project Manager

NFHK 24-26 Aug 2011, Turku, Finland

Tiltti – information and support

point project

started on April 2010, three employees at the moment

funded by RAY (The Finnish Slot Machine Association) (first phase 4/2010-12/2011, option until 12/2014)

one of the development projects of The Finnish Blue Ribbon


The Finnish Blue Ribbon www.sininauhaliitto.fi

one of the key actors since 1993 in the Finnish field of gambling related harms: producing material and increasing know-how

non-governmental central organization for 86 different Christian

member organizations in Finland member organizations do welfare work with alcohol and drug

abusers – walk-in & low threshold support centers – residential treatment facilities and rehabilitation services – substance abuse prevention programs – most workers are volunteers and recovering service users,

only 1/3 are paid employees


http://www.sininauhaliitto.fi/

Context: Gambling in Finland STM/Toy 2007 Latest population survey,

The Finnish yearbook of gambling 2009, Huotari 2009

games are everywhere: – almost 17 000 slot machines at about 9000 locations – Lotto & draw games can be played at about 3200 locations – Internet gambling opportunities are increasing fast

gambling is popular and widespread:

– annually 3,1 million Finns take part in gambling activities – during the last 12 months 87% of respondents over 15 years of age had engaged in

gambling activities – most common among the 25-34 and 35-49–year-olds

prevalence estimates:

– about 130 000 (3 % of the population) persons in Finland have had gambling problems during the last 12 months

– a third of them (42 000, 1% of the population) are pathological gamblers – capital city area: appr. 29 000 and 9600 → public health problem

service system is scattered:

– services are hard to find, unevenly distributed and they vary locally – outpatient treatment and counseling is provided within substance use, mental health,

health and social services – specialized and integrative services are needed (→ Gambling Clinic started 2010)


Rahapeliasiakkaat Oulun päihdepalvelut 65 + 9 clients

Järvenpään sosiaalisairaala / Hietalinna yhteisö 6 clients

Jyränkölä, Heinola 13 clients

• Possibility for specialized in gambling problem • Service that has a trained in GP worker • Inpatient treatment (red line)

Varkauden A-klinikka (5 municipalities) 12 clients

Tuustaipaleen kuntoutumiskeskus 3 clients

Sosteri (Itä-Savon sairaanhoitopiiri) Savonlinnan A-klinikkatoimi (6municipalities) 11 clients

Pelissä -hankkeen asiakastyö 39 + 5 clients Laukaan terveysasema, Jämsän A-klinikka, Joutsan terveysasema, Keuruun päihdeklinikka. 16 clients

Gambling Clinic (Helsinki, Vantaa, Kauniainen) Gambling clients: Outpatient: 68 Monipel: 18 Groups: 13

Tiltti: 56 clients

Peli poikki – Time to fold internet manual: 114 clients

Peluuri Helpline: 1 120 calls Pelivoimapiiri: 168 clients

Kuopion kriisikeskus (8municipalities) 27 clients

Turun nuorisoasema (15-24 v) (20 municipalities) 16 clients

Tyynelän riippuvuusklinikka 7-10 clients

Gambling clients in 2010

National service

Mikkelin A-klinikka 21 clients

Adminstration and research

Outpatient treatment

Peli poikki On-line self help manual and therapy

Peluuri Helpline eCounselling On-line peer groups

Pelivoimapiiri

SMS support messages

Clients Booking Referral

Referral

Medical treatment study (THL)

Data collection Evaluation Feedback

Information and support point

Gambling Clinic

Referral

Peer groups

Booking

Tiltti is an essential part of the

Gambling Clinic service entity

we provide low treshold information and support point services

we develop forms of peer support and co-operative forms of treatment and peer support


The foundations of our work

Deaconic values: every individual is valuable and worth helping

Peer support is important and needed

Service users, peers and volunteers working beside professionals

Service users = experts by expertice Project employees = experts by knowledge

We help people to help themselves


This is what we do Forms of individual support:

– Counselling, assistance

– Treatment referrals

– ”Open doors” walk-in afternoons

– Debt counselling

Forms of group/peer support:

– Coffee for gamblers

– Information evenings

– (Tues)day group


Monday Tuesday Wednesday Thursday Friday

9-10.00 Morning yoga & relaxation

10-

11.00

11-

12.00

12-

13.00

(Tues)Day group

13-

14.00

Afternoon for professionals

(1/month) 14-

15.00

15-

16.00

Open doors 15-18

Open doors Open doors 15-18

Open doors 15-18

Open doors 15-18

16-

17.00

Debt counselling (1/month) 17- Coffee break

Treatment and peer support in co-

operation: Why we started the…

This is not our patient

No one can help me to quit gambling

Out patient social

therapy

Community rehab.

Tuesday group

...Tuesday group?

We (Gambling Clinic & Tiltti) had challenging people who

– had several previous treatment & service contacs – were not engaging/ could not engage therapy services of

Gambling Clinic – had an obvious need for (professional and peer) support – were at risk to be drop outs & left without proper assistance – wanted to quit gambling and had abstinence as a goal

For them it was hard or not an option to start a therapy process and it

was even harder to become a group member − but they did it anyway!


Who were they?

Group members had • A long history of problem gambling • Many failed attempts to quit gambling • Several comorbidity problems • Difficult and dissatisfying but tolerable life situations

• 2 women, 4 men • Average age 57 years (33-75) • Average PGSI score 16,8 (9-23)

– if scored 8 or more → problem gambling with negative consequences and a possible loss of control; support and treatment needed


And what happened?

Small streams create big rivers…


After 20 weekly sessions: What was learned and achieved?


I now know how to

control my finances.

I don’t gamble as much

as I used to. I’ve understood that

even I need normal

human contancs

I’ve tried to think

other ways to spend

my time.

I no longer believe

that I CAN beat the

slots. You never win

in the long run.

My thougths

are not

always on

gambling.

Abstinence as a goal?

Festina lente – make haste slowly!


Thank you! Comments, contancts: [email protected]


Special thanks to:

Tapio Jaakkola, Gambling Clinic information Sanni Nuutinen, Drawings References: (The) Finnish yearbook of Gambling 2009. Suomalaisen

rahapelaamisen vuosikirja 2009. http://www.thl.fi/thl-client/pdfs/8ee529be-8bff-417c-bc17-f538a83f1392.

Huotari, Kari (2009): Sattumanvaraisuudesta koordinointiin. Ongelmapelaajien tuki- ja hoitopalvelut sekä hoitopalvelujärjestelmän kehittäminen. Terveyden ja hyvinvoinnin laitos, Raportti 21/2009. Helsinki. http://www.thl.fi/thl-client/pdfs/e31cd22a-74a6-4cff-a009-b9ac297b1466.

STM/Toy 2007, latest population survey (english summary): http://info.stakes.fi/NR/rdonlyres/64AD16F8-814F-4C60-BB2C-F4ABB007B078/0/FinnishGamblingproblemsurvey2007Englishversion.pdf


http://www.thl.fi/thl-client/pdfs/8ee529be-8bff-417c-bc17-f538a83f1392











http://www.thl.fi/thl-client/pdfs/e31cd22a-74a6-4cff-a009-b9ac297b1466











http://info.stakes.fi/NR/rdonlyres/64AD16F8-814F-4C60-BB2C-F4ABB007B078/0/FinnishGamblingproblemsurvey2007Englishversion.pdf










Nfhk2011 jenni kämppi_parallel4

Health & Medicine

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