Definition:

A set of values that indicate the frequency the client engages in selected gambling activities, in the 12 months prior to initiation of treatment at the agency providing problem gambling services.

Guide for Use:

The Gambling Data Form should be completed as close as possible to the initiation of treatment services for problem gambling issues. This data element is a key part of the Gambling Data Form used by treatment staff in agencies designated to provide problem gambling treatment. A permissible response is required for each of the listed gambling activities when "did not gamble in the last 12 months" is not selected.

Format:

Permissible ValueDefinition
List of Gambling Activities:
(1). Played Cards for money
(2). Played Mahjong for money
(3). Played "live" KENO for money
(4). Played roulette for money
(5). Bets on horses, dogs or other animals


(6). Bets on sports(e.g., Sports Select, with a bookie)

(7). Bets on dice games(e.g., craps)


(8). Bought lottery tickets(e.g., Pick 3, 6/49)
(9). Bought scratch tickets
(10). Bought tear-open tickets(e.g., Nevada)
(11). Played Bingo for money
(12). Played the stock options and/or commodities market
(13). Played VLTs
(14). Played slots or other non-VLT machines
(15). Internet Gambling
(16). Played pool, golf or some other game of skill for money
(17). Participated in Sports Pools
(18). Betting spontaneously on random events/Informal bets


Frequency Values:
0 Did not gamble
Less than once a month
1-3 times a month
1-2 times weekly
3-6 times weekly
Daily
Unknown

Context:

Is used in conjunction with gambling form data elements to:

  • determine the severity and identify complexity, patterns and forms of the gambling problem and the types of treatment required. 
  • construct a profile, describing the complexity, patterns and forms of gambling issues from the population seeking problem gambling treatment.

Used to develop client typologies / profiles for service planning and delivery.

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