One Decade of Self Exclusion: Missouri Casino Self-Excluders Four to Ten Years after Enrollment |
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Authors: | Sarah E Nelson John H Kleschinsky Richard A LaBrie Sara Kaplan Howard J Shaffer |
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Institution: | (1) Division on Addictions, Cambridge Health Alliance, 101 Station Landing, Medford, MA 02155, USA;(2) Harvard Medical School, Boston, MA, USA;(3) Columbia University, New York, NY, USA |
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Abstract: | For more than a decade, casinos around the world have offered self-exclusion programs (SEPs) to gamblers seeking help with
their gambling behavior. Despite the proliferation of SEPs, little is known about the long-term outcomes for gamblers who
utilize these programs. The current study assessed the experiences of a sample (N = 113) of Missouri self-excluders (SEs) for as long as 10 years after their initial enrollment in the Missouri Voluntary
Exclusion Program (MVEP). Most SEs had positive experiences with MVEP and reduced their gambling and gambling problems after
enrollment. However, 50% of SEs who attempted to trespass at Missouri casinos after enrollment were able to, indicating that
the benefit of MVEP was attributable more to the act of enrollment than enforcement. SEs who engaged in complementary treatment
or self-help groups had more positive outcomes than those who did not, suggesting that SEPs ought to encourage and provide
information about additional support and treatment options to participants. |
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