Treatment for Disordered Gambling: Current Evidence and Recommendations (open access article)

Littman-Sharp, N. (2017). Gambling Research Exchange Ontario. Retrieved from http://www.greo.ca/Modules/EvidenceCentre/files/Littman-Sharp_(2017)_Treatment_for_Disordered_Gambling.pdf

Introduction
Disordered gambling treatment programming has developed rapidly in the last 20-25 years in response to the need engendered by the proliferation of legal casinos. Research on treatment effectiveness has also expanded. One of the most important elements of good clinical practice is an up to date understanding of evidence-based practices. Research can inform practitioners of new modalities, and of refinements on current modalities. It can indicate training needs, and identify cost-effective methods of treatment that make best use of available resources. Treatment research also acts as an important reminder of the need to measure clients’ progress and outcomes, and to adjust services to maximize their success.

The disordered gambling field benefits greatly from a robust exchange between clinical work and research. This paper will provide an overview of the current state of knowledge on disordered gambling treatment, and identify its gaps and limitations, particularly from the point of view of treatment providers. Researchers have evaluated a number of approaches to disordered gambling treatment. These include cognitive behavioural therapy, motivational interviewing, brief interventions, self-help, mindfulness meditation, family interventions, pharmacotherapy, online interventions, treatments specialized for women, and mutual aid. There are also studies comparing modalities, or combining them – an approach that is perhaps closer to what occurs in the real world. Access full article

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Latest Developments in Treatment for Disordered Gambling: Review and Critical Evaluation of Outcome Studies – Open Access

Yakovenko, I., & Hodgins, D. C.

Purpose of review: Over the last decade, treatments for disordered gambling have developed rapidly. The goal of this paper is to review and to critically evaluate the literature published on the treatment of disordered gambling in the past 3 years. Important findings are emphasized and accompanied by the authors’ personal observations on controversial results or hypotheses of interest. Recent findings: Cognitive-behavioral interventions have been evaluated in treatment of Hong Kong Chinese individuals as well as in combination with mindfulness-based approaches. Personalized-feedback interventions have received increased attention, with brief treatments demonstrating overall efficacy. Pharmacological treatments continue to receive only limited support. On the other hand, web-based treatments appear to show promise. Summary: Cognitive-behavioral and brief treatments remain the most empirically supported approaches, but new inventive combinations of treatments such as web-based therapies are emerging. Future research could benefit from diversification of types of treatments evaluated as well as an examination of what is considered “evidence-based.”

Yakovenko, I., & Hodgins, D. C. (2016). Latest Developments in Treatment for Disordered Gambling: Review and Critical Evaluation of Outcome Studies. Current Addiction Reports, 1–8. http://doi.org/10.1007/s40429-016-0110-2