Leigh Falls Holman, Ph.D., LPCS, RPTS, NCC, CSCAMHCA Diplomate & CMHS Substance Abuse & Co-

Occurring Disorders

Choice: ◦ How easily it can be used with a client◦ The type of info the assessment provides◦ Appropriateness for use with a client

WASTE-Time Quick Screen:◦ Paper and pencil or verbal◦ Can be used in a general counseling setting if a client

endorses behaviors consistent with problem gambling.

Withdrawal◦ “What happens to you when you are unable to engage in _______?”

Adverse Consequences◦ “What negative consequences resulted from _______?”

Inability to Stop◦ “Have you attempted to cut back or stop ______ without success?”

Tolerance◦ “Have you found it necessary to increase the amount or intensity of ______ to

achieve the same effect?” Escape◦ “Do you _____ to escape from negative moods?”

Time Spent◦ “Do you find yourself spending a lot of time preparing, engaging, and recovering

from ______?” Time Wasted◦ “Have you spent more time and/or resources on _____ than you intended?”

Screening instrument 20 item Self-report Lifetime gambling activity or Last 3 months Score ≥ 5 indicates possible problem & need for further

assessment http://www.addictionrecov.org/southoak.aspx SOGS-R for Adolescents: http://www.southwestern.org/rc/wp-content/uploads/South-Oaks-Gambling-Screen-and-Score-Sheet-Adolescent.pdf

Spanish Version http://www.ipgap.indiana.edu/images/documents/SOGS_spanishversion.pdf

Brief clinical screening instrument 5-10 minute survey or interview – self-report 14 items (only 7 scored & weighted score) Classifies Adults & Adolescents into 3 categories:◦ Non-problem◦ In Transition◦ Pathological Gamblers

MAGS (published by Springer) http://link.springer.com/article/10.1007%2FBF02104901#page-2

MAGS copy: http://www.ncrg.org/sites/default/files/uploads/docs/monographs/mags.pdf

Pathological gambling among adolescents: MAGS (n = 856 suburban Boston HS students) http://www.ncbi.nlm.nih.gov/pubmed/24234969

Correctly classified 96% of adolescent problem gamblers

Can be accessed online: http://www.gamblersanonymous.org/ga/content/20

-questions Score of ≥ 7 indicates problem gambling behavior Don’t know specificity or sensitivity

2 Question Rule Out Tool: http://www.ncpgambling.org/files/NPGAW/Lie_Bet_Tool.PDF

Self-report

Screening instrument designed for use by general practitioner setting

Score ≥ 4 indicates possible problem gambling NIH article:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3076109/

PDF version of instrument: http://www.bpac.org.nz/BPJ/2010/June/docs/addiction_eight_gambling_screen.pdf