Casino Self- and Forced Excluders’ Gambling Behavior Before and After Exclusion

Casino exclusion programs are intended to prevent or limit gambling-related harm. Although previous research showed that self-exclusion is associated with reduced gambling, it remains unknown whether self- and forced excluded subjects show different patterns of gambling behavior and if exclusion from casino gambling affects all gambling activities. The present study retrospectively investigated (1) the role of voluntariness of exclusion for the first time, and (2) general gambling behavior of excluded individuals before and after exclusion. A total of N = 215 casino excluders (self-excluders: n = 187, forced excluders: n = 28) completed an online survey or a face-to-face interview up to 8 years after enrollment. Self- and forced excluders showed similar rates of abstinence (self-excluders: 19.3%, forced excluders: 28.6%) and reduction (self-excluders: 67.4%, forced excluders: 60.7%), even though forced excluders reported a significantly greater initial gambling intensity compared to self-excluders (e.g., pre-exclusion gambling time; self-excluders: 3.2 days/week, forced excluders: 4.3 days/week). Overall, results indicated that 20.5% of excluders stopped all gambling activities and another 66.5% reduced their gambling. Those who continued gambling significantly reduced this behavior in every segment, except for gambling halls. Findings indicate that self- and forced exclusion are associated with similarly reduced gambling behavior, even in non-excluded segments. However, unchanged gambling in gambling halls emphasizes the importance to implement consistent exclusion programs over all gambling segments.     

Agility,hierarchy and lessons for the future. John Kotter on the legacy and future of Change Management

Gruppe. Interaktion. Organisation. Zeitschrift für Angewandte Organisationspsychologie (GIO) - John Paul Kotter is the Konosuke Matsushita Professor of Leadership, Emeritus, at the Harvard...     

短期收益的重要价值

在领导重大变革行动时,小事物或许更为重要在任何重大变革行动中,改进短期绩效至关重要。它们表明变革可以产生积极成果,并有助于克服时常伴随变革而来的恐惧与不安。为做到卓有成效,绩效改进必须做到: 清晰可见短期收益不会从天而降。首先,你必须进行必要的准备工作, 然后加以细心规划与监控。事实上,在广受认可的变革模型中,需要有五个步骤方可创造短期收益。一旦奠定基础后,你就必须集     

Gambling problems seldom come alone: prevalence and temporal relationships of mental health problems in casino excluders

ABSTRACT

To estimate the effectiveness of gambling exclusion programmes, previous research focused on changes in gambling behaviour post-exclusion. Although other mental health problems, especially co-morbid mental disorders, may be crucial for relapse and recovery of gambling-related problems, these factors have rarely been studied in excluders. Therefore, this study aimed to assess a comprehensive mental health status of excluders using well-validated diagnostic instruments. Fifty-eight casino excluders participated in face-to-face diagnostic interviews and completed several validated questionnaires (e.g. Stinchfield Questionnaire, Brief Symptom Inventory). Retrospective temporal sequences of diagnosed mental disorders, help-seeking behaviour and exclusion were examined. The majority of excluders reported impairments in mental health aspects. About three-quarters met criteria of lifetime gambling disorder, more than half in the last 12 months whereby screening and diagnostic measures correlated moderately. Other mental disorders were frequent, especially affective and substance-related disorders and typically preceded the onset of gambling disorder. Six years passed between self-awareness of gambling problems and help-seeking. Two more years passed until exclusion. Frequent mental health problems suggest the need for individually tailored support beyond exclusion programmes (e.g. psychotherapy, pharmacotherapy, counselling services). Late help-seeking and exclusion entry claim for improved early detection and intervention concepts that consider underlying mental disorders.     

建立真正的紧迫感

艰难时期正在制造虚假的紧迫感,而不是真正的紧迫感在2002年出版了《变革之心》和2006年出版了《冰山在融化》之后,我在越来越多的场合里被人们问到这样的问题:在大规模的变革过程