The New England 4G framework for the treatment of a common health concerns: a gambling case analysisReport as inadecuate

The New England 4G framework for the treatment of a common health concerns: a gambling case analysis - Download this document for free, or read online. Document in PDF available to download.

Asian Journal of Gambling Issues and Public Health

, 6:10

First Online: 24 October 2016Received: 20 July 2016Accepted: 18 October 2016DOI: 10.1186-s40405-016-0019-7

Cite this article as: Tolchard, B. & Stuhlmiller, C.M. Asian J of Gambling Issues and Public Health 2016 6: 10. doi:10.1186-s40405-016-0019-7


Approaches using self-help have proved successful at treating a range of mental and physical conditions. Guidance by a trained worker enhances the effects of self-help materials, in particular those based on Cognitive-Behavior Therapy. In the United Kingdom, the Improving Access to Psychological Therapies IAPT program was introduced to provide better outcomes for people experiencing mild or moderate anxiety and depression. This stepped care approach included low intensity, guided self-help offered by a newly trained workforce of Psychological Wellbeing Workers. The IAPT program has been extensively evaluated and shown to be cost effective and leads to positive treatment outcomes. This paper describes how the IAPT model has been adapted for use in Australia with gamblers. Two case studies illustrate the application of this guided approach to systematically accessing existing self-help treatments for problem gamblers. Assessment information is gathered, before a plan of action, including a problem statement and achievable goals, is agreed upon by the worker and the person with the gambling problem. The worker then gives the person options based on self-help CBT interventions and, once an option has been chosen, the worker guides the person as they work through various activities. The benefits of this approach are discussed.

KeywordsProblem gambling Rural health Self-help Cognitive behavioral therapy  Download fulltext PDF

Author: Barry Tolchard - Cynthia M. Stuhlmiller



Related documents