How to identify a client’s gambling issues
In health, financial, legal and counselling settings, issues relating to gambling may be masked, especially if a client seeks support to get them through a crisis, such as accommodation, mental health, financial hardship, family and domestic violence or addiction. However, gambling may exist with other issues. Screening clients for gambling problems or gambling may help you start the conversation on bigger issues.
Why routine screening is a smart thing to do
Gambling may be masked by other major concerns – like substance abuse – so it can be difficult to identify gambling harm until significant damage is done. We recommend that you routinely screen clients in crisis for gambling and gambling harm, no matter if you work in a mental health, justice, housing, child protection and community service setting.
How you can screen for gambling issues and make a difference
You are in a position to identify clients who may be experiencing gambling harm, provide psychoeducation, support their efforts to change and connect them to gambling support services.
You can ask people about gambling :
- In lifestyle assessments
- When discussing stressors
- As part of a mental health assessment
- When the patient or client presents with problems associated with:
- Financial distress or pressure
- Poor self-care
- Intimate partner conflict
- Dopamine agonist medication (rare adverse effect)
Here are some of the screening tools available to you.
Problem Gambling Severity Index (PGSI)
The PGSI is a tool commonly used in gambling treatment and research. It helps to identify people at risk of gambling harm.
Your client can fill out the PGSI online. The higher their score, the more likely it is that their gambling is a problem.
Ways to support clients
You can provide psychoeducation
Providing information and advice about topics such as the potential harm associated with gambling, and ways to reduce the risks, can be important when working with a person who is experiencing gambling harm.
Let clients know that:
- Gambling related concerns are common.
- Gambling can start to become a concern when a person spends more time and money than intended.
- Gambling can lead to issues relating to finances, mental health (e.g., anxiety and depression symptoms), relationships, physical health, and work.
- There are a variety of effective, confidential, and free support services available that can help people to reduce or stop gambling.
G 8 – Online Screening Tool
The G 8 – Online Screen tool is an 8-question screening tool that your client can complete online.
Lie/Bet Questionnaire
The Lie/Bet Questionnaire is a short two question screening tool selected from DSM-IV. It is useful in determining if a longer screening tool or further assessment is appropriate.
- Have you ever bet more than you intended to?
- Have you lied to others to conceal the extent of your gambling?
What and how to ask?
When raising the topic of gambling with a client, you should:
- anticipate reluctance
- avoid statements such as “Do you have a problem with gambling?”
- introduce gambling screening routinely
- use an opening statement such as “A lot of people like to gamble. What about you?”
- ask about recreational activities: “What do you do for fun?”
- ask permission when you raise the issue of money:
“Would it be OK if I asked you how much money you might spend on gambling?”
We should avoid using stigmatising language
When communicating with clients, you should avoid using stigmatising terms like "problem gambler”, “problem gambling” or "gambling addict".
Whilst these may be appropriate in scholarly research and in clinical definitions (e.g. PGSI), these terms can be stigmatising and may be confronting for some people. When dealing with clients we should replace stigmatising language with terms such as:
- Is gambling affecting you negatively?
- Is your gambling getting out of hand?
- Are you experiencing gambling harm?
- A person who has issues with gambling.
