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Addictive Disorders – Treatment and Support

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Addicꢀve Disorders – Treatment and Support

Gambling Addicꢀon Problem Gambling Coalition of Colorado:

http://www.problemgamblingcolorado.org/

1-800-522-4700

The current list provides

informaꢀon on faciliꢀes that offer varieꢀes of addicꢀon

treatment programs for both intensive treatment and

relapse prevenꢀon. Please

call each facility for more

informaꢀon on a specific addicꢀon you are looking for.

•

This website advocates treatment and promote research and education on

problem gambling. The goal is to provide up-to-date Colorado specific information and links to other Resources.

National Council on Problem Gambling:

http://www.ncpgambling.org/

24-hour Confidential National Helpline: 1-800-522-4700

•

Provides directories of certified counselors and inpatient/residential treatment facilities that offer specialized help in problem gambling, plus

state-by-state referral resource listings.

If you noꢀce any changes or

inconsistencies with our resources, please inform

Navigaꢀon to help us stay current.

Colorado Gamblers Anonymous:

hꢁp://www.coloradoga.org/

1-855-222-5542

•

Offers meetings throughout Denver Metro Area:

o

Sunday:

Littleton 7:00 PM (Closed Meeting)

First Presbyterian Church - 1609 W. Liꢁleton Blvd. 80120 Located at the corner of Windemere and Liꢁleton Blvd.

Parker 7:00 PM (Open Meeꢀng)

Providence Presbyterian Church – 18632 Pony Express 80134 3 blocks West of Parker Rd., 2 blocks North of Main Street off Dransfeldt Road.

o

Monday:

Denver 7:00 PM Women's Meeting (Closed Meeting) Cross of Glory Lutheran Church - 1991 South Oneida St. 80224 I-25 to Evans. East past Monoco. Leſt on Oneida, one block.

Denver 7:00 PM Step Meeꢀng (Closed Meeꢀng) Cross of Glory Lutheran Church - 1991 South Oneida St. 80224 I-25 to Evans. East past Monoco. Leſt on Oneida, one block.

oo

Tuesday:

Denver 7:00 PM (Closed Meeting) Cross of Glory Lutheran Church - 1991 South Oneida St. 80224 I-25 to Evans. East past Monoco. Leſt on Oneida, one block.

Wednesday: Denver 7:30 PM (Closed Meeting)

St. Dominic's Parish Center – 2901 Grove St. 80211

1 block west of Federal, on the Northwest corner of 29th & Grove.

***GAMANON MEETING, SAME TIME, SAME BUILDING***

Updated Sept, 2016

Navigation Services
303-432-5130 ● [email protected]

P a g e | 2

oo

Thursday:

Denver 7:30 PM (Open Meeting)

St. Dominic's Parish Center – 2901 Grove St. 80211

1 Block west of Federal, on the Northwest corner of 29th & Grove.

Friday:

Arvada 9:30 AM (Closed Meeting)

Arvada First United Church - 7195 Simms 80003

I-70 to Ward Road (Exit #236). North to 64th Ave. East to Simms Street. North to church.

Westminster 7:00 PM (Closed Meeꢀng)

Westminster United Methodist Church

3585 West 76th Ave. 80030 Corner of 76th and Lowell.

***GAMANON MEETING, SAME TIME, SAME BUILDING***

o

Saturday:

Denver 10:00 AM (Closed Meeting) Cross of Glory Lutheran Church - 1991 South Oneida St. 80224 I-25 to Evans. East past Monoco. Leſt on Oneida, one block.

Sex Addicꢀon Sex Addicts Anonymous:

hꢁps://saa-recovery.org/

1-800-477-8191

••

Offers electronic (telephone/internet) and face-to-face meetings throughout CO.

You can find the list of city at https://saa-

recovery.org/Meetings/UnitedStates/meeting.php?state=CO

Denver Sex Addict:

hꢁp://www.denversexaddict.com/

303-933-5800

•

Offers variety of services:

ooooooo

Sexual Addiction Counseling Sex Addiction Assessment Partners/Spouses of Sex Addicts Counseling Couples Recovery Counseling Men’s Sex Addiction Group Spouses of Sex Addicts Group Pastor’s Struggling with Sex Addiction Counseling

Internet Addicꢀon For lisꢀng of counselors:

hꢁps://therapists.psychologytoday.com/rms/prof_results.php?city=Denver&county=Denver&state=CO &spec=202

Updated Sept, 2016

Navigation Services
303-432-5130 ● [email protected]

P a g e | 3

Video/Internet Games Addicꢀon:

hꢁp://www.video-game-addicꢀon.org/video-game-addicꢀon-treatment.html

866-869-4530

•

Offers summer camp or wilderness program to help children experience reality. Activities designed to instill confidence, develop healthy passions, and foster social skills.

•

Also offers treatment for teens and adults video/internet game addictions.

Creekside Collaborative Therapy:

Michelle Lefco Or Alyce Duckworth 6093 S Quebec #100

Centennial, Colorado 80111 303-872-0997

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Network of independent clinicians in private practice who specialize in trauma and complex mental health issues.

••

Provide individual, family and group therapy along with medication management. Also have therapists who offer substance abuse and dual diagnosis treatment. In addition we

provide community trainings, therapeutic mentoring and supervision/consultation for other

mental health professionals.

Updated Sept, 2016

Navigation Services
303-432-5130 ● [email protected]

Recommended publications
  • Distorted Expectancy Coding in Problem Gambling: Is the Addictive in the Anticipation? Ruth J

    Distorted Expectancy Coding in Problem Gambling: Is the Addictive in the Anticipation? Ruth J

    Distorted Expectancy Coding in Problem Gambling: Is the Addictive in the Anticipation? Ruth J. van Holst, Dick J. Veltman, Christian Büchel, Wim van den Brink, and Anna E. Goudriaan Background: Pathologic gamblers are known to have abnormal neural responses associated with experiencing monetary wins and losses. However, neural responsiveness during reward and loss expectations in pathologic gamblers has not yet been investigated. Methods: We used a functional magnetic resonance imaging paradigm that allowed us to investigate the dissociable reward- and loss-related expectancies with various probabilities of winning or losing different amounts of money in 15 patients with problem gambling (PRGs) and 16 healthy control subjects (HCs). Results: Compared with HCs, PRGs showed stronger activation in the bilateral ventral striatum to 5 euro than to 1 euro trials. PRGs also showed more activation of the bilateral ventral striatum and left orbitofrontal cortex associated with gain-related expected value than HCs. In addition, regression analyses indicated a highly significant negative correlation between gambling severity scores and right amygdala activation associated with gain-related expected value coding. There were no group differences in brain activation for loss-related expected value. Conclusions: PRGs show higher activity in the reward system during reward expectation than HCs, whereas we observed no difference between PRGs and HC in the loss value system. Furthermore, the negative relation between gambling severity and amygdala activation in gain expected value coding suggests that more severe PRGs are less likely to be risk aversive during gambling. Our study provides evidence that PRGs are characterized by abnormally increased reward expectancy coding, which may render them overoptimistic with regard to gambling outcomes.
  • The Psychology of Gambling

    The Psychology of Gambling

    The Bulletin of the Australian Psychological Society Ltd ABN 23 000 543 788 // Print Post Approved PP 490927/00014 DECEMBER 2010 | Volume 32 Issue 6 SPECIAL REPORT The psychology of gambling INSIDE Meeting the new CPD requirements Assessment of professional competence in Australian psychology The psychological cost of disasters Special report The psychology of gambling Prepared by members of the APS Gambling Working Group* in collaboration with Jill Giese MAPS, APS Executive Officer ambling is an activity that has an impact on most Australians. It is embedded within our society as a part of mainstream culture Gthrough the entertainment, leisure, sport and tourism industries, and is a significant source of revenue to governments and private enterprise. It also causes considerable harm to some Australians due to its negative impact on individuals, families and communities through problem gambling. Consequently, it is essential that gambling and problem gambling are well understood, and that the regulation of gambling – at individual, community, industry and government levels – is well informed. Psychology, as a science and profession, has much to contribute to understanding gambling from the perspectives of theory, research and practice. Recognising the critical role of psychology in addressing this important public issue, in 1997 the APS developed a Position Paper titled Psychological Aspects of Gambling Behaviour. Much has changed in the subsequent decade – opportunities for gambling have expanded and embraced sophisticated new technologies, the scientific understanding of gambling behaviour has grown, and problem gambling has become acknowledged as both a public health and mental health issue. The APS has consequently commissioned a new Review Paper, The Psychology of Gambling, which provides an overview of major developments in understanding gambling from a psychological perspective.
  • Gambling with Sex

    Gambling with Sex

    Gambling With Sex While many are still debating the “Yes” or “No” results of the gambling referendum, a greater gambling issue remains on which we must act—sexual gambling. The number of gambling addicts and problem gamblers in The Bahamas is not really known; however, it is evident that there are more who are addicted to sex than to gambling. As I conjectured last week, based on the gambling ratio in other countries, there might be about 3,500 to 10,000 addicted and problem gamblers in our country. But based on the number of illegitimate births, abortions, divorces due to adultery, rape, shacking up, and other sexual indiscretions, it is clear to me that sexual addicts and sexual abusers far out-number problem gamblers and gambling addicts. Perhaps some are wondering what I mean by “gambling with sex.” Here it is: Whenever someone has sex with someone who is not a spouse, there is a 50/50 percent chance that one can become infected with a sexually transmitted disease, become pregnant or get someone pregnant. That’s very serious. Here is another frightening way of putting it. When someone has casual sex with multiple partners, there is also a 50/50 percent chance that these persons are having sex with other multiple partners; therefore, this behavior seriously increases one’s risk of getting a life-threatening, sexually transmitted infection. What is sexual addiction? Psychologist Michael Herkov in his article, “What is Sexual Addiction” states: “Sexual addiction is best described as a progressive intimacy disorder characterized by compulsive sexual thoughts and acts.
  • Study Finds Compulsive Gambling More Prevalent Than Alcoholism - Thursday, April 14, 2

    Study Finds Compulsive Gambling More Prevalent Than Alcoholism - Thursday, April 14, 2

    Study finds compulsive gambling more prevalent than alcoholism - Thursday, April 14, 2... Page 1 of 3 Study finds compulsive gambling more prevalent than alcoholism Some treatment experts skeptical of findings For decades, researchers have said that alcoholism is more common in the U.S. adult population than compulsive gambling. But last month the University of Buffalo’s Research Institute on Addictions published a surprising report concluding just the opposite. After age 21, gambling problems are more common than booze dependence, the institute found in analyzing data from two national studies. The study included all forms of gambling, such as lotteries, office pools, charity bingo, Internet gambling and raffles. The results have drawn skepticism from some treatment experts in light of long accepted research that drinking problems are at least twice as common as gambling problems. Even the institute’s chief investigator, John Welte, was surprised by the results. “I didn’t expect problem gambling to be more common than alcohol dependence for such a wide age range,” he said. What might otherwise be an academic debate could have bigger consequences for the gaming industry, which has long fought criticism that gambling creates social ills that go unaccounted for in official statistics. Casinos are subject to high “sin” taxes in states where they are granted monopolies, with some tax money diverted to help problem gamblers. There’s still relatively little money for problem gambling treatment in the United States, in part because it has been viewed by academics and industry officials as rare. Welte’s research found that the prevalence of alcohol problems peaks at a younger age and drops off significantly after age 21, a similar trend found elsewhere and possibly explained by the fact that young people tend to engage in risky behavior more than adults.
  • Review of Problem Gambling and Comorbid Disorders and Behaviours: Final Report

    Review of Problem Gambling and Comorbid Disorders and Behaviours: Final Report

    Review of problem gambling and comorbid disorders and behaviours: Final Report Nigel E. Turner, Ph.D. Peter Ferentzy, Ph.D. Address for correspondence: Nigel Turner, Ph.D. Social, Prevention and Health Policy Research Department The Centre for Addiction and Mental Health 33 Russell St. Toronto, Ontario, Canada M5S 2S1 Tel: (416) 535-8501 ext 6063; Fax:(416) 595-6899 E-mail: [email protected] Table of Contents Abstract Executive Summary Acknowledgements Introduction Method Literature Reviewed Summary of the papers reviewed Results Part 1: Substance abuse Part 2: Comorbid psychiatric disorders Part 3: Smoking Part 4: Suicide Key informants research Method Part 5: Comorbidity survey of counsellors Appendix 1: Substance abuse – details Appendix 2: Psychiatric comorbidities – details Appendix 3: Smoking – details Appendix 4: Suicide – details Conclusions References Tables Table 1: Type of disorder by type of study Table 2: Means and standard deviations for percentage of problem gamblers who are smokers. Table 3: Summary of Suicidal thoughts and Suicide attempts by the type of study. Table 4: Approach to assessing comorbid disorders (percent). Table 5: Percentage of respondents that scan for various disorders. Table 6: Percentage of agencies that endorse different approaches. Table 7: Treatment approaches and techniques used by each agency. List of appendices Appendix 1: Substance abuse – details Appendix 2: Psychiatric comorbidities – details Appendix 3: Smoking – details Appendix 4: Suicide – details Acknowledgements This report was funded by a grant from the Ontario Problem Gambling Research Centre. In addition, support to Centre for Addiction and Mental Health (CAMH) for salary of scientists and infrastructure has been provided by the Ontario Ministry of Health and Long Term Care (OMHLTC).
  • Pathological Gambling and Alcohol Use Disorder

    Pathological Gambling and Alcohol Use Disorder

    Pathological Gambling and Alcohol Use Disorder Jon E. Grant, M.D., Matt G. Kushner, Ph.D., and Suck Won Kim, M.D. Problematic gambling is more common among people with alcohol use disorders (AUDs) (i.e., either alcohol abuse or dependence) compared with those without AUDs. This association holds true for people in the general population and is even more pronounced among people receiving treatment. No broadly accepted explanation for the link between problematic gambling and AUD currently exists. The available literature suggests that common factors may increase the risk for both conditions. For example, a defect of functioning in a particular brain system may underlie both conditions. This hypothesis should be further developed using brain imaging and psychopharmacological studies. Effective treatment and prevention will require additional research into relevant associations on both the event level (e.g., the effects of drinking on gambling behavior and vice versa) and the syndrome level (e.g., the relative onset and course of each condition among those who have either one or both disorders). A prudent interpretation of the available data suggests careful screening and treatment when necessary for problematic gambling among people with alcohol abuse and for alcohol abuse among people with gambling problems. KEY WORDS: pathological gambling; AODD (alcohol and other drug dependence); comorbidity; etiology; diagnostic criteria; disinhibition; impulsive behavior; ventral tegmental area; encephalopathy; naltrexone; genetic linkage; causal path analysis; treatment outcome athological gambling (PG) is both community and clinical samples. problem compared with PG. Rather, characterized by a persistent mal­ The article then reviews the processes this term is used to distinguish between Padaptive pattern of gambling and mechanisms that might account problem gambling formally shown to behavior.
  • An Exploratory Examination of Marijuana Use, Problem-Gambling Severity, and Health Correlates Among Adolescents

    An Exploratory Examination of Marijuana Use, Problem-Gambling Severity, and Health Correlates Among Adolescents

    FULL-LENGTH REPORT Journal of Behavioral Addictions 3(2), pp. 90–101 (2014) DOI: 10.1556/JBA.3.2014.009 First published online April 5, 2014 An exploratory examination of marijuana use, problem-gambling severity, and health correlates among adolescents CHRISTOPHER J. HAMMOND1,2, COREY E. PILVER3, LOREEN RUGLE4, MARVIN A. STEINBERG5, LINDA C. MAYES1, ROBERT T. MALISON2, SUCHITRA KRISHNAN-SARIN2, RANI A. HOFF2,6 and MARC N. POTENZA1,2,7* 1Child Study Center, Yale University School of Medicine, New Haven, CT, USA 2Department of Psychiatry, Yale University School of Medicine, Connecticut Mental Health Center, New Haven, CT, USA 3Department of Biostatistics, Yale University School of Public Health, New Haven, CT, USA 4Problem Gambling Services, Middletown, CT, USA 5Connecticut Council on Problem Gambling, Clinton, CT, USA 6Department of Epidemiology, Yale University School of Medicine, New Haven, CT, USA 7Department of Neurobiology, Yale University School of Medicine, New Haven, CT, USA (Received: October 1, 2013; revised manuscript received: January 14, 2014; accepted: January 15, 2014) Background and aims: Gambling is common in adolescents and at-risk and problem/pathological gambling (ARPG) is associated with adverse measures of health and functioning in this population. Although ARPG commonly co-oc- curs with marijuana use, little is known how marijuana use influences the relationship between problem-gambling severity and health- and gambling-related measures. Methods: Survey data from 2,252 Connecticut high school stu- dents were analyzed using chi-square and logistic regression analyses. Results: ARPG was found more frequently in adolescents with lifetime marijuana use than in adolescents denying marijuana use. Marijuana use was associated with more severe and a higher frequency of gambling-related behaviors and different motivations for gambling.
  • Gambling, Opioid and Stimulant Use Disorders

    Gambling, Opioid and Stimulant Use Disorders

    Gambling, Opioid and Stimulant Use • Loreen Rugle, PhD, ICGC-II/BACC Disorders: • Special Projects Consultant • Maryland Center of Excellence on Intersections and Problem Gambling Integration • University of Maryland Acknowledgements and Disclosures • The Maryland Center of Excellence on Problem Gambling is funded through the Maryland Department of Health, Behavior Health Administration Disclosures • Relevant to the content of this educational activity, I do not have any relevant financial conflicts with commercial interest companies to disclose. • Problem Gambling SBIRT Research Project in which I have been involved is supported by a grant from the National Center on Responsible Gaming which receives funding from the American Gaming Association. Objectives 1 2 3 Review research and Describe evidence based Present recommendations for evidence based rationale brief problem gambling best clinical practices for for problem gambling screens and their effective screening and screening effectiveness in actual initiating conversation around clinical settings the impact of gambling on recovery DSM-IV to DSM 5 DSM IV Impulse Control Disorder Kleptomania Pyromania Intermittent Trichotillomania Pathological Impulse Explosive Gambling Control Disorder Disorder - NOS TO • DSM 5 • Substance-Related and Addictive Disorders • Renamed: Gambling Disorder • So far only Non-Substance-Related Disorder included Gambling: the act of risking something of value, including money and property, on an activity that has an uncertain outcome Gambling Disorder: Current
  • The Genetics of Problem and Pathological Gambling: a Systematic Review

    The Genetics of Problem and Pathological Gambling: a Systematic Review

    Send Orders for Reprints to [email protected] Current Pharmaceutical Design, 2014, 20, 3993-3999 3993 The Genetics of Problem and Pathological Gambling: A Systematic Review Ágoston Gyollai1, Mark D. Griffiths2, Csaba Barta3, Andrea Vereczkei3, Róbert Urbán1, Bernadette Kun1, Gyöngyi Kökönyei1, Anna Székely1, Mária Sasvári-Székely3, Kenneth Blum4,5,6 and Zsolt Demetrovics1,* 1Institute of Psychology, Eötvös Loránd University, Budapest, Hungary; 2Psychology Division, Nottingham Trent University, Not- tingham, United Kingdom; 3Institute of Medical Chemistry, Molecular Biology and Pathobiochemistry, Semmelweis University, Bu- dapest, Hungary; 4Department of Psychiatry, University of Florida College of Medicine, Gainseville, Florida, USA; 5Global Inte- grated Services Unit University of Vermont Center for Clinical & Translational Science, College of Medicine, Burlington, Vermont, USA; 6Dominion Diagnostics, LLC, North Kingstown, Rhode Island, USA Abstract: Background and aims: The primary aim of the present review was to summarize the findings of genetic studies conducted on problem and pathological gambling. Method: Literature searches were conducted using PubMed, Medline and the HuGE Navigator da- tabases using the keywords ‘gambling’ and ‘genetic*’. Results: The literature searches identified 21 empirical studies that had analyzed data from eight independent samples. Empirical research utilizing twin data accounted for eight of the studies, while gene association data were presented in 13 studies (including one genome wide-association study [GWAS] study). Twin studies emphasized the signifi- cant role of genetic and individual environmental factors in problem and pathological gambling. Gene association studies primarily re- ported the involvement of the dopaminergic and serotonergic systems. Discussion: Despite the relatively low number of genetic studies, the data clearly indicated the genetic vulnerability of problem and pathological gambling.
  • Gambling Addiction: an Introduction for Behavioral Health Providers

    Gambling Addiction: an Introduction for Behavioral Health Providers

    ADVISORY Behavioral Health Is Essential To Health • Prevention Works • Treatment Is Effective • People Recover Gambling Problems: An Introduction for Behavioral Health Services Providers Gambling problems can co-occur with other behavioral condition. Furthermore, a variety of other problems health conditions, such as substance use disorders can be related to gambling, including victimization (SUDs). Behavioral health treatment providers need to and criminalization; social problems; and health be aware that some of their clients may have gambling issues, including higher risk for contracting sexually problems in addition to the problems for which they transmitted diseases and HIV/AIDS.7 are seeking treatment. This Advisory provides a brief Gambling problems are associated with poor health,8 introduction to pathological gambling, gambling several medical disorders, and increased medical disorder, and problem gambling. The Resources section utilization—perhaps adding to the country’s healthcare lists sources for additional information. costs.9 People with pathological gambling tend to have Gambling is defined as risking something of value, lower self-appraisal of physical and mental health usually money, on the outcome of an event decided at functioning than those who gamble little or not at least partially by chance.1 Lottery tickets, bingo games, all; people with gambling problems are significantly blackjack at a casino, the Friday night poker game, the more likely than low-risk individuals to rate their office sports pool, gambling Web sites, horse and dog health as poor. People with gambling problems are racing, animal fights, and slot machines—there are also more likely to have received expensive medical now more opportunities to gamble than ever before.
  • Problem Gambling Treatment Program

    Problem Gambling Treatment Program

    New York State Office of the State Comptroller Thomas P. DiNapoli Division of State Government Accountability Problem Gambling Treatment Program Office of Alcoholism and Substance Abuse Services Report 2018-S-39 February 2019 2018-S-39 Executive Summary Purpose To determine whether the Office of Alcoholism and Substance Abuse Services (OASAS) has sufficient treatment programs for problem gamblers. Our audit covered the period January 1, 2017 through September 12, 2018. Background OASAS oversees one of the nation’s largest addiction services systems, with approximately 1,600 prevention, treatment, and recovery programs, including, as of 2005, problem gambling treatment. OASAS offers services through 20 problem gambling-only outpatient programs, six inpatient Addiction Treatment Centers, and the Queens Center for Excellence, which provides education, awareness, and treatment services at 13 private providers throughout Queens County. OASAS also has a toll-free HOPEline, which provides callers with information and referrals. As of September 2018, individuals who call the HOPEline for problem gambling treatment are referred to the nearest OASAS outpatient program and to Gamblers Anonymous. Key Findings • OASAS has not conducted a comprehensive needs assessment or social impact study to identify the number or location of individuals in need of problem gambling treatment services since 2006, even though four commercial casinos opened in New York State in 2013. Therefore, we could not determine whether OASAS has sufficient treatment programs available for those in need. • Of the State’s 62 counties, 40 do not have an OASAS problem gambling treatment program; for some areas, the nearest OASAS treatment program is more than one county away – and the distance may prohibit access to treatment.
  • Myths and Facts About Problem Gambling

    Myths and Facts About Problem Gambling

    MYTHS AND FACTS ABOUT PROBLEM GAMBLING Myth: You have to gamble everyday to be a problem gambler. Fact: A problem gambler may gamble frequently or infrequently. If a person’s gambling is causing psychological, financial, emotional, marital, legal or other difficulties for themselves and the people around them, then they have a gambling problem. Myth: Problem gamblers gamble at any opportunity on any form of gambling. Fact: Most problem gamblers have a favorite form of gambling that causes them problems. Some gamblers also engage in secondary forms of gambling, but these are not usually as problematic. Myth: Problem gambling is not really a problem if the gambler can afford it. Fact: Problems caused by excessive gambling are not just financial. If a person’s gambling is interfering with their ability to act in accordance with their values, then there is a problem. For example, too much time spent on gambling means less time to spend with family, friends and others. It can lead to relationship breakdown and loss of important friendships. Myth: Problem gamblers are irresponsible people. Fact: Many problem gamblers hold, or have held, responsible community positions. In addition, even people with a long history of responsible behavior are vulnerable to developing a gambling problem. When a person is having a problem gambling episode, that person is unable to control their gambling and in this compromised state their actions look like irresponsible behavior. Myth: Children are not affected by problem gambling. Fact: Surveys show that about 10% to 15% of American and Canadian youth have experienced gambling-related problems and 1% to 6% of these individuals may satisfy diagnostic criteria for pathological gambling.