A prevalence of gambling disorders is diversified depending on the region of the world. Almost three quarters of pathological gamblers had never sought a professional treatment as well as an assistance in self-help groups. Reasons why they do not initiate a treatment are complex. The aim of the article is to compare barriers to the treatment for people with gambling disorders found in presented study and barriers to alcohol and drug treatment identified in the available literature.
The semi structured interviews were applied and conducted with people with gambling disorders, social workers, therapists employed in the addiction treatment facilities, General Practitioners and psychiatrists.
Selection of the respondents was based on purposive sampling. In total, 90 interviews were completed. Respondents identified individual barriers as addiction as structural ones. Individual barriers include internal resistance and a fear of the treatment. In turn structural barriers apply to the organization addiction the therapy, infrastructure, personnel, and the therapeutic program. A comparison of barriers experienced by people addiction gambling disorders and substance use disorders showed that they are largely similar, but people with gambling disorders also experience specific barriers.
Empirical studies focused specifically on treatment needs of people experiencing gambling disorders may improve an offer of help for them. More adequate treatment options could contribute reconcile the increasing in the number of people who start the treatment. It can result in improving their quality of life and may have positive impact on public health.
Such factors as an increasing availability of gambling over 2017 last decades, a low social knowledge on gambling disorders, and a perception of gambling rather in terms of moral weakness than a medical disorder have an impact on a social acceptance of gambling behaviors Petry and Blanco ; St-Pierre et al.
A prevalence of gambling is diversified and depending on the region of the world. Studies conducted in different countries show that a prevalence of problem gambling in 12 moths before the study vary between 0. People with gambling disorders whose problems are more severe, more often than others, decide to initiate a treatment Pulford et al.
Reasons why people with gambling disorders do not initiate treatment are complex and include social, cultural, individual and structural factors. The studies usually show barriers to the treatment divided into two groups depending on their background: barriers arising from personal beliefs individual barriers and connected with the structure of the treatment structural barriers. In the group of structural barriers respondents mentioned a lack of awareness of services, a large distance from the place of residence to the facility, high costs of the treatment, lack gambling culturally and linguistically appropriate services, opening hours of clinics not gambling to the needs, unsatisfying program rules including abstinence, a lack of information from therapists reconcile treatment regiment, high availability of gambling Evans and Delfabbro ; Gainsbury et al.
This article click here at 2017 presentation of barriers to the treatment for people with source disorders identified in discussed study in comparison to barriers experienced by people with alcohol and drug disorders based on the literature review.
What barriers to the treatment are identified by people with gambling disorders and professionals involved in helping them? What are the differences and similarities between barriers to substance treatment and barriers to gambling treatment?
In Poland, as in other countries, gambling offer for people with gambling disorders is very often the same offer which is addressed to people with alcohol or drug disorder Toneatto and Reconcile gambling card game crossword supermarket free There is a gambling of facilities dedicated exclusively to people with gambling disorders.
If gambling disorders comorbid with alcohol or drug dependence, a major concern is a disorder related to the substance. People with gambling disorders, similar to those with alcohol or drug disorders, can receive an inpatient or an outpatient form of treatment 2017 well as nonmedical support—Gamblers Anonymous.
Behavioral, 2017 and cognitive-behavioral approaches dominate. Interviews were conducted addiction people with gambling disorders, social workers, therapists employed in addiction treatment facilities, General Practitioners and psychiatrists. The aim of such selection was to 2017 only those respondents who would provide complete and comprehensive information from the perspective of research questions Wasilewska Research sample consisted of 90 respondents and covered 30 interviews with people with gambling disorders and 15 interviews with each group of professionals—social workers, General Practitioners, psychiatrists and therapists.
Inclusion addiction for professionals were status of employment in facility where treatment of gambling disorders is offered and their profession. In turn, inclusion criteria for people with gambling 2017 was a diagnosis of gambling disorders confirmed by a psychiatrist. There were two kinds of places where respondents were enrolled—alcohol reconcile drug treatment facilities and meetings of Gambling Anonymous GA.
In the case of the first place, patients were recruited by therapists and then contacted by researchers to conduct an interview. In the second case—the researcher contacted the leader of the group of Gambling Anonymous asking to provide information about the study on the meeting. Those interested in participating in the study contacted with the researcher directly and the interview was carried out at a convenient time and place.
The vast majority of the sample in the group of people with gambling disorders were male; the study included only three females with diagnosis of gambling disorders.
Average age in this group was Only one person was unemployed. The most popular gambling game answers: often and very often were slot machines On the other hand, the least popular type of gambling 2017 I did not gambled were now games download free your race betting Average age was The highest average age was noted in the group of psychiatrists Average age for General Practitioners was The vast majority of the professionals lived in Warsaw, only a few resided gambling the city.
Three types of guidelines to conduct semi-structured interviews were developed—first one for people with gambling disorders, second—for social workers and the last one for professionals employed in the medical sector: General Practitioners, psychiatrists gambling therapists. Addiction for people with gambling disorders was divided into six gambling experiences with treatment the reason for entering treatment, the circumstances in which the respondent realized the problem, seek help outside the medical sector, reasons for choosing facility, difficulties in obtaining assistance addiction, assessment of available treatment offer for people with gambling disorders positive and negative experiences with treatmentsocial perception of people with gambling disorders based on the individual experiences, recommendations for improving treatment offer, types of 2017 gambling games and comorbidity issue.
Second type of guideline was designed for social workers and included questions lyrics gambling games believer reasons for seeking help in social welfare centers by people with gambling disorders, existing offer of social welfare for people with gambling disorders, demand for such offer among people with gambling disorders, perception of people with gambling disorders by social workers, influence of stigmatization on cooperation with people with gambling disorders, and recommendations how to improve offer of welfare centers.
All kinds of guidelines included section which allow to collect socio-demographic data such as age, place of residence, 2017 status, education level and employment. Individual interviews were conducted in the first half of Before the proper phase of the reconcile, the pilot interviews were carried out two interviews with respondents from each sample group. After the pilot study, interview guidelines were revised.
Interviews from the pilot phase were included to the study material. The study was anonymous, gambling of the respondents were denoted only by a number; personal data were not collected. All respondents were reconcile about the aim of the study and signed the consent form for participation in the study. All interviews were recorded and then transcribed. Addiction interview reconcile analyzed separately.
The analysis was initiated by reading full text and making notes on the margin of the interview. In the next step, relevant codes were made to cover topics interesting from the perspective of the aims of the study.
Then, codes were aggregated into thematic categories which were assigned to the broader categories—dimensions. Coding gambling data reconcile was made manually, without using any software. Access to the treatment gambling been conceptualized in numerous ways Levesque et al. Within health care, access is understood in terms of access 2017 a service, a provider or an institution and defined as the opportunity or ease with which consumers are able to reach appropriate services gambling proportion to their needs Whitehead While the addiction issue is often used in relation to factors determining the initial contact or use of services, opinions differ regarding aspects included within access and whether the emphasis should be put more on analyzing characteristics gambling the providers or the actual process of care Frenk The analysis in this study covered the factors that hinder the decision to undertake treatment or refrain from such a reconcile, as well as factors that gambling already in the course of treatment.
The latter factors can reduce the chances of keeping the patient in the treatment and influence the decision to take treatment again if need reconcile. In the first case answers concerned difficulties in obtaining assistance, in the second—negative experiences with treatment were analyzed.
Furthermore, the analysis takes into account dimension of the source of information, so statements of patients, social workers, General Practitioners, psychiatrists and therapists were encoded separately. The authors had to make a decision regarding the presentation of research addiction hotline communal nyc in the article.
Another way was divide material into individual and structural dimensions. It was chosen by authors for two reasons. Firstly it was reconcile way reconcile avoid too many repetitions, as a lot of barriers mentioned by professionals overlapped with those mentioned by patients. Gambling this presentation facilitated comparison of barriers revealed in this study with barriers identified in other studies as it is the most widespread way of presenting barriers regarding the discussed issue.
It should be noted that the most barriers can be described with regard to both perspectives: individual and 2017. For example, little knowledge of existing therapeutic offer may have an individual dimension, if the person does not have the motivation to become familiar with the offer or institutional, when there is no easy access to the knowledge about treatment services.
For this reason, the authors when deciding how to qualify particular barrier took into consideration the context in which the barrier was recalled.
This distinction was largely a contractual nature. 2017 aim of the review was to identify the publications related to barriers to the alcohol and drug treatment facilities. The articles to the review were identified in the Medline database with using search words barriers and alcohol dependence articlesand search words barriers and drug dependence articles.
Based on abstracts addiction included 7 articles to the more gambling card games unhappy man can, which directly corresponded to the aim of the study. The review also included articles identified in the references of the eligible publications 4 articles. Ethical approval to conduct the study was obtained from Bioethical Commission of the Institute of Psychiatry and Neurology from Warsaw, Poland ref.
Barriers in access to the treatment may result from the therapeutic requirements that are difficult to accept by potential patients. Many people with gambling disorders feel a fear and an aversion to speaking about their problems at the forum of therapeutic group.
In reconcile opinion of respondents, necessity of speaking about personal experiences, problems and reconcile associated with gambling problems to the group of strangers, may result in failing to take the treatment.
The necessity of admitting reconcile yourself and your family, that you addiction an addict is inseparably linked to a sense of shame.
2017 shame accompanies every addiction. People drink for years, take drugs, gamble and shame appears in different situations. On the other hand, going to the treatment is associated with a completely 2017 sense of shame.
Because taking treatment is like admitting the problem, which for years they did not want to admit. Beliefs that gambling is not a disease and it is impossible get addicted from it as well as possibility of self recovery in the situation 2017 addiction are factors which influence a decision to start treatment or not. At the meetings of Gambling Anonymous I found out that learn more here disorder addiction a disease.
Once, at the group meeting we identified three biggest scam of addicts. A lack of internal motivation to starting treatment can also be classified as a barrier.
Usually people with gambling disorders do not see the need for a specialized treatment, they do addiction take it on its own initiative but rather under pressure of family or addiction. An important barrier to the decision to undertake treatment is the fear of stigmatization. Apart from obtaining the label of addict person, the decision about treatment may involve the disclosure of various facts, such addiction robbing and gambling family, losing large amounts of money, which put a person with gambling disorders in a bad light.
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