Examining the odds: A multilevel analysis of outpatient gambling treatment programs. What really matters?

Session Title

Session 1-3-A: Treatment Programs: Outcomes

Presentation Type

Event

Location

Caesars Palace, Las Vegas, Nevada

Start Date

28-5-2019 1:45 PM

End Date

28-5-2019 3:10 PM

Disciplines

Social and Behavioral Sciences

Abstract

Intervention approaches established in the past few decades can help control gambling behaviors. However, understanding what influences treatment outcomes is challenging when treatment is provided by outpatient programs with different treatment approaches to patients with a wide variety of needs.

This study uses data from a free, outpatient, state-sponsored gambling treatment program collected from January 1, 2015 to December 31, 2017. A total of 766 patients across the state were enrolled in the treatment programs. At the time of analysis, 639 patients had been discharged from treatment, and 130 patients of the initial 766 participated in a 6-month follow-up study from the time of their discharge.

Final models use multilevel analysis nested within patients using treatment provided as repeated measures in varying occasions. These models examine the association of treatments received and patients’ characteristics to treatment outcomes such as retention with a measure of gambling disorders 6 months after discharge from treatment. The findings suggest that some treatment services such as Recovery Support Services (RSS) and tele-health have a moderate positive effect in retention. The RSS has a mixed effect in the outcome after 6-month follow up assessment. Implications for treatment delivery and assessment of services are discussed.

Keywords

Treatment Outcome, retention, gambling disorder, recovery support services

Author Bios

Eric M. Preuss, M.A., IAADC, CCS, LICDC is the Program Manager for the Iowa Gambling Treatment Program (Iowa Department of Public Health/Division of Behavioral Health) and has been with the Department since 2010. Eric provides daily functional oversight of all statewide problem gambling activities (prevention, treatment, and recovery support services) as well as coordination of evaluation and research, helpline and website, health promotion, and quality assurance/data integrity activities).

Ki Park, Ph.D, is a senior research scientist at the Center for Social and Behavioral Research. Ki worked with the Iowa Gambling Treatment Outcome for more than 10 years and collaborated closely with the state gambling treatment programs with the goal of improving the services with research.

Funding Sources

The study has been partially funded by the Iowa Gambling Treatment Program (Iowa Department of Public Health/Division of Behavioral Health) as part of their evaluation.

Competing Interests

None.

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May 28th, 1:45 PM May 28th, 3:10 PM

Examining the odds: A multilevel analysis of outpatient gambling treatment programs. What really matters?

Caesars Palace, Las Vegas, Nevada

Intervention approaches established in the past few decades can help control gambling behaviors. However, understanding what influences treatment outcomes is challenging when treatment is provided by outpatient programs with different treatment approaches to patients with a wide variety of needs.

This study uses data from a free, outpatient, state-sponsored gambling treatment program collected from January 1, 2015 to December 31, 2017. A total of 766 patients across the state were enrolled in the treatment programs. At the time of analysis, 639 patients had been discharged from treatment, and 130 patients of the initial 766 participated in a 6-month follow-up study from the time of their discharge.

Final models use multilevel analysis nested within patients using treatment provided as repeated measures in varying occasions. These models examine the association of treatments received and patients’ characteristics to treatment outcomes such as retention with a measure of gambling disorders 6 months after discharge from treatment. The findings suggest that some treatment services such as Recovery Support Services (RSS) and tele-health have a moderate positive effect in retention. The RSS has a mixed effect in the outcome after 6-month follow up assessment. Implications for treatment delivery and assessment of services are discussed.