Gambling And Problem Gambling In Massachusetts

This report summarizes findings from a large baseline population survey of Massachusetts to assess gambling behavior and problem gambling before any of the state's new casinos become operational. This survey was mandated by the Expanded Gaming Act and funded by the Massachusetts Gaming Commission.

"Responsible gambling" refers to a range of strategies, initiatives, and activities introduced by gambling regulators, policymakers, and industry operators to reduce gambling-related harms. There is an absence of agreement about the definition of responsible gambling among these parties, and stakeholders' experiences reflect varied and often conflicting positions about the development, implementation, and maintenance of existing responsible gambling programs. Complicating these issues further, there is little empirical evidence supporting the current crop of responsible gambling activities. Consequently, there is a pressing need to bring together key similarities and differences associated with disparate stakeholder groups. Responsible Gambling: Primary Stakeholder Perspectives will inform and better ground both current and future debates focused on the topic of responsible gambling and its intended outcomes. Chapters address responsible gambling from the perspective of five groups of complementary stakeholders: scientists/researchers; clinicians; gambling operators; public policy makers/regulators; and recovering gamblers. Contributors address responsible gambling through the lens of the Reno Model, an approach that emphasizes the importance of stakeholders working together and using evidence-based methods to reduce gambling-related harms. Building upon and expanding the Reno Model and addressing conflicts and ethical compromises so that these programs can achieve their intended objectives (reducing the worldwide rate of gambling-related harms), Responsible Gambling will be of value to scientists, clinicians, policy makers, regulators, and industry operators interested in responsible gambling strategies and activities.

The impacts of the introduction of casino gambling in Plainville, MA and surrounding communities are of interest in developing informed policy. Problem gambling is a public health issue as associated harms include physical and mental illness, impaired relationships with one's close social network, impacts on school or work, financial difficulties and illegal behavior. The results of surveys prior to and after the introduction of the casino were used to evaluate potential differences in the prevalence of at-risk and problem gambling, associations amongst health and gambling behavior covariates with at-risk and problem gambling status by year, and changes of covariate relationships with at-risk and problem gambling between years (2014 Total n = 1,090; 2016 Total n = 999; Total N = 2,089). No change in prevalence of at-risk and problem gambling was observed. A borderline significant higher rate in casino gambling between survey years was observed for at-risk and problem gamblers. Future research should aim to explore the influence of gambling availability on vulnerable subgroups of the population to create fully informed policy.