Treatment

GambleAware aims to help gamblers who develop problems to get prompt access to effective support to meet their needs.

GambleAware commissions a national treatment service for problem gambling. This provides a range of interventions across England, Scotland and Wales, free at the point of delivery. Telephone support is available via the National Gambling Helpline which is also able to direct people to local services provided by GamCare and its partner network, by Gordon Moody Association and by Central and North West London NHS Foundation Trust. Services provide a mix of one-to-one and group work, and include counselling and more intensive interventions. Where individuals are identified as needing treatment for other conditions, such as poor mental health, they are referred to appropriate statutory services.

Outcome monitoring is undertaken to measure the effectiveness of services in supporting clients to achieve behavioural change. GambleAware is working to triple the number of problem gamblers accessing appropriate services, with a target of 25,000 by 2021.

National network of treatment services

GambleAware currently funds three main treatment services for those affected by problem gambling, and a range of harm-minimisation pilot projects. Treatment provision includes brief intervention, counselling, psychotherapy including CBT, psychiatric care and residential rehabilitation. The largest of the funded providers is GamCare, which operates the National Gambling Helpline and a partner network of 15 treatment organisations across Great Britain providing counselling. The CNWL Problem Gambling Clinic, based within the Addictions Service at Central North West London NHS Trust, offers CBT and psychiatric care. The Gordon Moody Association offers 12 week residential care at centres in Dudley, West Midlands, and Beckenham, Kent. Overall, GambleAware-funded treatment supports around 7,500 clients per year.

NHS Northern Gambling Clinic

GambleAware is establishing a new NHS clinic in Leeds. The partnership between Leeds and York Partnership NHS Foundation Trust and the GamCare network will provide treatment for people from across the north of England where thousands are recognised as being at risk from gambling addiction. This will be the second NHS-hosted clinic funded by GambleAware.

The new service will provide prompt treatment for local residents with gambling problems including those whose case is severe or complex. Close integration of teams from the NHS and third sector organisations will provide a joined-up service, and City Council staff will be helping to signpost people to the help that they need. The Leeds base is expected to go live in April 2019 and once it is fully established the NHS Northern Gambling Clinic will extend its reach across the north of England via a hub-and-spoke model.

GamCare is developing a Problem Gambling Support team in Leeds which will work across the area to identify, screen, and support anyone affected by problem gambling. Training, support and integrated treatment pathways will be delivered, with the intention that people with gambling problems will get help earlier and in greater numbers. This includes groups currently under-represented in treatment, such as BME communities, women and those in the criminal justice system. Read more here.

Treatment provider 'wait-times'

GambleAware will publish quarterly updates on 'wait-times' for assessment and treatment at GambleAware-funded services:

Treatment Provider 'wait-times' - January 2018

Data Reporting Framework

All treatment services funded as part of GambleAware's developing National Problem Gambling Service implement GambleAware's pioneering Data Reporting Framework (DRF). This ensures that data is compiled on the nature and outcomes of the treatment they provide to a nationally agreed standard. This data will allow GambleAware to rigorously evaluate these outcomes on the basis of robust and comparable evidence. GambleAware is actively encouraging other non-GambleAware funded problem gambling treatment services to use the DRF to help build what is anticipated to be a world-leading dataset, and to inform the development of best practice and outstanding care in Great Britain. 

The full Data Reporting Framework Guidance and Specification is available to download and each section can be downloaded individually below:
Data Reporting Framework Specification.
Data Reporting Framework User Guidance.
Data Reporting Framework User Guidance Appendix 1.

Headlines from the Data Reporting Framework can be downloaded here:
2016/17
2015/16

Specification for treatment services

In May 2016, GambleAware initiated a commissioning process, negotiating with its existing preferred suppliers – GamCare and its national network of partners; Central NorthWest London NHS Trust, which runs the National Problem Gambling Clinic; and the Gordon Moody Association. GambleAware trustees carefully considered the relative merits of an open tender against the closed process which is being adopted, and believed that the benefits of continuity justified building on existing supplier relationships, providing that suppliers can satisfy trustees that they will deliver as efficiently and effectively as might otherwise be achieved through a competitive process. GambleAware intend to conclude procurement against this specification during 2017.

The specification for treatment services is here.