2014 Annual Report by National Center for Responsible Gaming

impact

education

neuroscience 2014 Annual Report

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TABLE OF CONTENTS Translating Research into Practice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2014 NCRG Board of Directors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2014 NCRG Annual Donors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Fundraising Events. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 AGEM-AGA Golf Classic. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 26th Annual Gaming Hall of Fame. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Ensuring the Integrity of NCRG-Funded Research . . . . . . . . . . . . . . . . . . . . 6 Building the Knowledge Base on Gambling Disorder: NCRG Research. . . . . 7 Scientific Advisory Board. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Peer Review Panel Members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 NCRG-funded Publications Released in 2014. . . . . . . . . . . . . . . . . . . . . . 10 Assessment and Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Role of Co-occurring Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Impulsivity and Decision Making . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 The Neurobiology of Gambling Disorder . . . . . . . . . . . . . . . . . . . . . 11 Youth and College Gambling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Education and Outreach. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 NCRG Conference on Gambling and Addiction. . . . . . . . . . . . . . . . . . . . . 13 15th NCRG Conference on Gambling and Addiction Planning Committee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 NCRG Scientific Achievement Awards and Poster Awards . . . . . . . . . . . 14 2014 NCRG Scientific Achievement Award Selection Committee . . . . . . 14 Year-Round Educational Opportunities. . . . . . . . . . . . . . . . . . . . . . . . . . 16 Webinars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Treatment Provider Workshops. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Bringing the Issue to Center Court: College Gambling. . . . . . . . . . . . . . 17 Identifying Disordered Gamblers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 NCRG Participation in Conferences and Hearings. . . . . . . . . . . . . . . . . . 18 NCRG on Social Media. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 NCRG Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Financial Statements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

The National Center for Responsible Gamingâ&#x20AC;&#x2122;s (NCRG) mission is to help individuals and families affected by gambling disorder by supporting the finest peer-reviewed, scientific research on the disorder; encouraging the application of new research findings to improve prevention, diagnostic, intervention and treatment strategies; and advancing public education about gambling disorder and responsible gaming.

TRANSLATING RESEARCH INTO PRACTICE

CONNECTIONS

n 2014, the board of directors of the National Center for Responsible Gaming (NCRG) engaged in a strategic planning process to analyze our mission in an everchanging landscape. Through external surveys, we learned that while the NCRG’s research program is respected worldwide, we still face many challenges to ensuring that credible research on gambling disorder informs clinical practice, public health policies and gaming regulations. NCRG’s renewed commitment to translating research into practice is reflected in this report about the activities of NCRG in 2014. In 2014, the NCRG continued building the knowledge base about gambling disorder by awarding nearly $1 million in research grants to outstanding investigators. These grants are exploring numerous dimensions relevant to the prevention and treatment of gambling disorder. Topics include an online intervention for college students; health risks among Native American youth; the testing of pharmaceuticals in animals; the readiness of disordered gamblers to change behavior; and laying the foundation for treatment strategies tailored for disordered gamblers. Our impact on the field was evident as publications of NCRG-funded research were cited more than 4,000 times in the scientific literature in 2014. However, our mission does not end there. According to the U.S. Department of Health & Human Services, it can take as long as 20 years for original research to be put into routine clinical practice and public health policy. That is why the NCRG has made it a priority to accelerate the process of translating research findings on gambling disorder into real-world applications to prevent and treat the disorder. In 2014, the NCRG made great strides toward this goal by: • Collaborating with the Division on Addiction at Cambridge Health Alliance on National Screening Day in the distribution of the three-question Brief Biosocial Gambling Screen in magnet form to clinicians around

NCRG 2014 ANNUAL REPORT

the nation. Our goal is to increase identification of disordered gamblers already in treatment for other psychiatric and addictive disorders. • Providing educational programs ranging from the annual Conference on Gambling and Addiction to the free webinar series to help healthcare providers, public health professionals, gaming regulators and gaming industry professionals stay up-to-date on the most recent research findings about gambling disorder and responsible gaming. • Engaging more than 500,000 individuals worldwide with NCRG resources through publications, the NCRG website, social media, and educational programs. • Helping college students with the NCRG’s 2014 launch of the new research-based, online intervention, BetOnU, on www.collegegambling.org. • Reaching out to regulatory gaming bodies by testifying before the New York State Gaming Commission and lending staff support to committees of the Massachusetts Gaming Commission. None of these accomplishments would be possible without the NCRG donors, our many partner organizations and the scientists who serve as NCRG-funded investigators, peer reviewers and members of the Scientific Advisory Board. On behalf of the NCRG Board of Directors, we want to thank all who helped us maintain a high quality research program and promote the translation of research findings to practice. Sincerely,

2014 NCRG BOARD OF DIRECTORS OFFICERS CHAIRMAN Alan M. Feldman

Executive Vice President Global Government and Industry Affairs MGM Resorts International

PRESIDENT Phil Satre Chairman IGT

SECRETARY AND TREASURER Christine Reilly

Senior Research Director National Center for Responsible Gaming

BOARD OF DIRECTORS Sue Cox

Founding Executive Director Texas Council on Problem and Compulsive Gambling

Jonathan S. Halkyard Chief Operating Officer Extended Stay America

Mark Lipparelli

Founder Gioco Ventures, LLC

Kevin Mullally

Vice-President of Government Relations & General Counsel Gaming Laboratories International, LLC

Kathleen M. Scanlan

Executive Director Association of Problem Gambling Service Administrators

Jennifer Shatley

Vice President, Responsible Gaming Policies and Compliance Caesars Entertainment Corporation

Mark Vander Linden

Director of Research and Responsible Gaming Massachusetts Gaming Commission

Andrew Zarnett

Alan Feldman

Chairman of the National Center for Responsible Gaming

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Managing Director Deutsche Bank

2014 NCRG ANNUAL DONORS

ince1996, more than $25 million has been committed to the NCRG, thanks to the generous support of gaming operators and gaming-related manufacturers and businesses. The following companies have made multi-year pledges as a show of their ongoing commitment to advancing the NCRG’s mission to help disordered gamblers and their families through high quality research and education. These contributions are in addition to the contributions made by these companies as sponsors of the Gaming Hall of Fame event, the AGEM-AGA Golf Classic and the NCRG Conference on Gambling and Addiction.

PLATINUM — $300,000+ Las Vegas Sands Corp.

GOLD — $200,000 - 299,000 MGM Resorts International

SILVER — $100,000 - 199,000 Boyd Gaming Corporation Caesars Entertainment Corporation

BRONZE — $50,000 - 99,000 Penn National Gaming, Inc. Wynn Resorts, Limited

SPONSOR — $10,000 - 49,000 Churchill Downs

many thanks

NCRG 2013 ANNUAL REPORT

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FUNDRAISING EVENTS

n addition to the annual contributions from NCRG donors, fundraising events in 2014 netted significant contributions for the organization.

AGEM-AGA GOLF CLASSIC Organized each year by JCM Global in conjunction with the American Gaming Association (AGA) and the Association of Gaming Equipment Manufacturers (AGEM), the AGEM-AGA Golf Classic is an important fundraising event for the NCRG held annually in Las Vegas. Since the AGEM-AGA Golf Classic began in 1999, it has raised $1.4 million for the NCRG. The 2014 sponsors included Ainsworth Game Technology, Bally Technologies, Caesars Entertainment Corporation, CEM Magazine, CPI, G2E/Reed Expositions, GPI, Gaming Laboratories International, HIKAM America, KIC Team, Konami Gaming, Nanoptix, Patriot Gaming and Samsung.

The presentation of the proceeds from the 2014 Golf Classic to the NCRG â&#x20AC;&#x201C; (l-r) Alan Feldman, NCRG chairman and executive vice president of global government and industry affairs of MGM Resorts International; Thomas Jingoli, chief compliance officer/senior vice President of Konami Gaming, Inc.; Tom Nieman, senior vice president of worldwide marketing at JCM Global; and Ron Rosenbaum, chief operating officer of the American Gaming Association.

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26TH ANNUAL GAMING HALL OF FAME CHARITY GALA AND INDUCTION CEREMONY

ndustry leaders from across the globe gathered on September 29 to honor four individuals for their outstanding contributions to the gaming industry at the 26th annual AGA Gaming Hall of Fame event at Hyde Bellagio in Las Vegas. The event raised more than $100,000 for the NCRG. Inductees included Bob Faiss (posthumously), Lionel and Sawyer; Jan Jones Blackhurst, executive vice president of communications, government relations and corporate responsibilities, Caesars Entertainment; Patricia Becker, first female member of the Nevada Gaming Control Board; and Ernest L. Stevens, Jr., chairman, National Indian Gaming Association.

HOST SPONSOR

GOLD SPONSORS

MGM Resorts International

Bally Technologies Fierce Isakowitz & Blalock IGT

MAJOR UNDERWRITER Southern Wine and Spirits of Nevada

PLATINUM SPONSORS Las Vegas Sands Corporation GTECH Boyd Gaming Corporation Caesars Entertainment Corporation MGM Resorts International Station Casinos Wynn Resorts, Limited

SILVER SPONSORS Isle of Capri Casinos, Inc. Dottyâ&#x20AC;&#x2122;s Brownstein Hyatt Farber Scheck, LLP National Indian Gaming Association

BRONZE SPONSORS AGEM Penn National Gaming KlasRobinson Q.E.D., Inc. Whittemore Gaming

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ENSURING THE INTEGRITY OF NCRG-FUNDED RESEARCH Gaming Industry

The NCRG’s funders — mostly gaming companies and suppliers — make contributions to the NCRG.

National Center for Responsible Gaming

The NCRG keeps a portion of the funds for education and outreach initiatives, while the bulk of the funds are distributed to research projects as directed by the independent Scientific Advisory Board (SAB) and peer-review panels.

SAB and Peer-Review Panels

Researchers interested in obtaining funding submit proposals through the NCRG’s competitive grant-making process. This process is overseen by the SAB, an independent committee of some of the field’s leading experts. A peer-review panel is assembled to evaluate the proposals, based on criteria used by the National Institutes of Health. The Scientific Advisory Board makes final funding decisions.

NCRG Centers of Excellence

Using substantial research grants awarded by the NCRG, the NCRG Centers of Excellence in Gambling Research conduct seminal, long-range research on gambling disorder.

NCRG Project Grants

The NCRG also awards grants to researchers from around the world for individual research projects on gambling disorder.

Peer-reviewed Scientific Journals

After the research has been completed, investigator submits a report on the project and its findings to independent, peer-reviewed journals. NCRG-funded studies have resulted in the publication of nearly 300 articles in such journals. The NCRG board and its funders learn about the research findings after they have been published.

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BUILDING THE KNOWLEDGE BASE ON GAMBLING DISORDER: NCRG RESEARCH 2014 NCRG GRANT AWARDS

n 2014, the NCRG awarded nearly $1 million in support of research projects designed to understand disordered gambling behavior and test new strategies for prevention and treatment. BetOnU: Evaluation and Implementation of Personalized Normative Feedback for CollegeGambling.org – Clayton Neighbors, Ph.D., University of Houston was awarded $233,570 to test the firstever online screen/brief intervention for gambling among college and university students. The instrument, BetOnU, is available at the NCRG’s website, www. CollegeGambling.org/BetOnU. Biobehavioral Assessment and Validation of Animal Phenotype of Pathological Gambling – Martin Zack, Ph.D., Centre for Addiction and Mental Health (CAMH) in Toronto, was awarded $101,200 to develop an animal model that accurately reflects the brain and behavioral profile of disordered gamblers in order to test medications for the treatment of gambling disorder. Modifying the Automatic Approach Bias toward Gambling Stimuli in Problem Gamblers: A Novel Intervention for Changing Excessive Gambling Behavior – Sherry H. Stewart, Ph.D., Dalhousie University in Nova Scotia, was awarded $172,500 to conduct a study aimed at understanding the implicit thought patterns that could play a role in the development of a gambling disorder, by exploring whether or not disordered gamblers have an “approach bias” (i.e. the automatic tendency to approach or conduct a risky-behavior rather than avoid it).

Personality Traits, Affective Context and Pathological Gambling: An Experience Sampling Approach – Donald R. Lynam, Ph.D., Purdue University, was awarded $172,037 to develop a model to understand the intersecting factors of affect and impulse control traits on the development of a gambling disorder. By learning how these two factors impact gambling disorder development and treatment, this model could allow for tailored interventions for disordered gamblers. Discontinuity and Change among Disordered Gamblers - Michael J.A. Wohl, Ph.D., Carleton University in Ottawa, was awarded $27,772 to conduct a longitudinal study designed to determine what factors influence a person’s readiness to change behavior and receive help for a gambling disorder. Risk and Resilience among Native American Youth in the Pacific Northwest – Debi LaPlante, Ph.D., Harvard Medical School and Cambridge Health Alliance, was awarded $34,447 to partner with the Healing Lodge of Seven Nations and engage tribal youth in a brief risk and resilience assessment during planned community events.

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Assessing Risk-preference and Compulsive Behavior in a Rodent Gambling Task – Jamie Donahey Roitman, Ph.D., University of Illinois at Chicago, was awarded $34,500 to devise an animal model of disordered gambling to understand the extent to which risky decision-making processes are innate or altered by experience; how different patterns of neural activity drive behavior toward risk-seeking or avoidance; and how therapeutic methods can alter neural activity to reduce disordered gambling behavior. On the Usefulness of Training Motor Response Inhibition Under Craving States in Individuals with Gambling Disorder – Damien Brevers, Ph.D., University of Southern California’s Brain and Creativity Institute, was awarded a post-doctoral fellowship of $169,861 to conduct a study that examines the interaction between inhibition control, impulsivity and craving processes in addiction at the behavioral and neurobiological level. Rapid Intermittent Deep Brain Stimulation Biases Behavior in a Financial Decision-making Task – Shaun Patel, Ph.D., Massachusetts General Hospital was awarded a Travel Grant of $1,500 to present a poster at the annual meeting of the Society for Neuroscience on a study of patients undergoing deep brain stimulation while engaged in a financial decision-making task. Effects of Mixed-Function Serotonergic Compounds in a Novel Rodent Cost/ Benefit Decision-Making Task – Amanda Persons, Ph.D., Rush University Medical Center, was awarded a Travel Grant of $1,294 to present a poster at the 2014 annual meeting of the Society for Neuroscience on a study testing the impact of a serotonergic medication on decision making, using a novel rat model of cost/benefit decision making. 8

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SCIENTIFIC ADVISORY BOARD The NCRG’s Scientific Advisory Board is composed of leading scientists in addiction and related fields. The board’s responsibility is to ensure the highest standards in the administration of the NCRG’s competitive research grants program. The Scientific Advisory Board makes all of the final decisions on grants awarded by NCRG.

CHAIRMAN Ken C. Winters, Ph.D.

Professor of Psychiatry Director, Center for Adolescent Substance Abuse Research University of Minnesota Medical School

BOARD MEMBERS Tammy Chung, Ph.D.

Associate Professor of Psychiatry University of Pittsburgh School of Medicine

Linda B. Cottler, Ph.D., M.P.H.

Associate Dean for Research and Planning College of Public Health and Health Professions Dean’s Professor and Chair Department of Epidemiology College of Public Health and Health Professions and College of Medicine University of Florida

David C. Hodgins, Ph.D. Professor of Psychology University of Calgary

Miriam Jorgensen, Ph.D.

Research Director, Native Nations Institute University of Arizona Research Director Harvard Project on American Indian Economic Development

Gloria Miele, Ph.D.

Instructor of Psychology Columbia University College of Physicians and Surgeons

Wendy Slutske, Ph.D.

Professor of Psychology University of Missouri, Columbia

PEER REVIEW PANEL MEMBERS To ensure the highest possible standards in the grants program, the NCRG recruits distinguished researchers in the addictions field to evaluate grant proposals. The following individuals served on peer-review panels in 2014. Tracie Afifi, Ph.D.

Associate Professor of Community Health Sciences University of Manitoba

James Anthony, Ph.D.

Mary Larimer, Ph.D.

Professor of Psychology University of Washington, Seattle

John Monterosso, Ph.D.

Professor of Epidemiology and Biostatistics Michigan State University

Associate Professor of Psychology Self-control Neuroscience Research Lab University of Southern California

Donald W. Black, M.D.

Craig Nagoshi, Ph.D.

Cheryl Currie, Ph.D.

Lisa Najavits, Ph.D.

Jon E. Grant, J.D., M.D., M.P.H.

Celeste Napier, Ph.D.

Professor of Psychiatry University of Iowa College of Medicine Assistant Professor of Public Health University of Lethbridge Professor of Psychiatry The University of Chicago

David C. Hodgins, Ph.D. Professor of Psychology University of Calgary

Rani Hoff, Ph.D., M.P.H.

Professor of Psychiatry Yale University School of Medicine

Scott Huettel, Ph.D.

Jerry G. and Patricia Crawford Hubbard Professor Departments of Psychology and Neuroscience Duke University

Kent Hutchison, Ph.D.

Professor Department of Psychology and Neuroscience University of Colorado at Boulder

Joseph Kable, Ph.D.

Baird Term Assistant Professor of Psychology University of Pennsylvania

Andrew Kayser, M.D., Ph.D.

Assistant Professor of Neurology University of California, San Francisco

Brian Knutson, Ph.D.

Associate Professor of Psychology and Neuroscience Stanford University

Associate Professor The University of Texas at Arlington Professor of Psychiatry Boston University School of Medicine Professor of Pharmacology Director, Research and Recovery Center for Compulsive Behaviors and Addiction Rush University Medical Center

Sarah E. Nelson, Ph.D.

Randy Stinchfield, Ph.D.

Associate Director Center for Adolescent Substance Abuse Research Department of Psychiatry University of Minnesota Medical School

Scott Tonigan, Ph.D.

Research Professor, Department of Psychology University of New Mexico

Brendan Walker, Ph.D.

Associate Professor of Psychology Laboratory of Alcoholism and Addictions Neuroscience Washington State University

Kevin Wang, Ph.D.

Director, Center for Neuroproteomics and Biomarkers Research Associate Director, Center for Traumatic Brain Injury Studies University of Florida

Assistant Professor of Psychiatry Harvard Medical School Associate Director for Research Division on Addiction, Cambridge Health Alliance

Catharine Winstanley, Ph.D.

John P. Oâ&#x20AC;&#x2122;Doherty, Ph.D.

Katie Witkiewitz, Ph.D.

Marc N. Potenza, M.D., Ph.D.

David Zald, Ph.D.

Professor of Psychology California Institute of Technology Professor of Psychiatry, Child Study Center and Neurobiology Yale University School of Medicine

Associate Professor of Psychology Michael Smith Foundation for Health Research Scholar University of British Columbia Associate Professor of Psychology University of New Mexico Professor of Psychology and Psychiatry Vanderbilt University

Steven Schinke, Ph.D.

Dâ&#x20AC;&#x2122;Elbert and Selma Keenan Professor of Social Work Columbia University

Barry Setlow, Ph.D.

Associate Professor of Psychiatry and Neuroscience University of Florida

Sherry Stewart, Ph.D.

Professor of Psychiatry, Psychology, and Community Health and Epidemiology Dalhousie University

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NCRG-FUNDED PUBLICATIONS RELEASED IN 2014 Publication in influential, competitive journals is the hallmark of scientific excellence. Since 1996, NCRG-funded research has produced nearly 300 articles in peer-reviewed journals. The following publications of NCRG-funded studies were released in 2014.

ASSESSMENT AND TREATMENT Foster, D. W., Neighbors, C., Rodriguez, L. M., Lazorwitz, B., & Gonzales, R. (2014). Self-identification as a moderator of the relationship between gambling-related perceived norms and gambling behavior. Journal of Gambling Studies, 30(1), 125– 140. Grant, J. E., Odlaug, B. L., Chamberlain, S. R., Potenza, M. N., Schreiber, L. R. N., Donahue, C. B., & Kim, S. W. (2014). A randomized, placebo-controlled trial of N-acetylcysteine plus imaginal desensitization for nicotine-dependent pathological gamblers. The Journal of Clinical Psychiatry, 75(1), 39–45. Grant, J. E., Odlaug, B. L., & Schreiber, L. R. N. (2014). Pharmacological treatments in pathological gambling. British Journal of Clinical Pharmacology, 77(2), 375–381. Potenza, M. N. (2014). Non-substance addictive behaviors in the context of DSM-5. Addictive Behaviors, 39(1), 1–2. Yip, S. W., & Potenza, M. N. (2014). Treatment of gambling disorders. Current Treatment Options in Psychiatry, 1(2), 189–203.

ROLE OF CO-OCCURRING DISORDERS Gendreau, K. E., & Potenza, M. N. (2014). Detecting associations between behavioral addictions and dopamine agonists in the Food & Drug Administration’s Adverse Event database. Journal of Behavioral Addictions, 3(1), 21-26. Grant, J. E., & Chamberlain, S. R. (2014). Impulsive action and impulsive choice across substance and behavioral addictions: Cause or consequence? Addictive Behaviors, 39(11), 1632–1639. Grant, J. E., Derbyshire, K., Leppink, E., & Chamberlain, S. R. (2014). Suicidality in nontreatment seeking young adults with subsyndromal gambling disorder. Psychiatric Quarterly, 85(4), 513–522. Leppink, E., Derbyshire, K., Chamberlain, S. R., & Grant, J. E. (2014). A preliminary comparison of cannabis use in subsyndromal gamblers: Select neurocognitive and behavioral differences based on use. Journal of Addiction Medicine, 8(6), 443–449. Potenza, M. N. (2014). Biased behaviors: Towards understanding vulnerability and resilience factors in addictions. Biological Psychiatry, 75(2), 94–95. Xian, H., Giddens, J. L., Scherrer, J. F., Eisen, S. A., & Potenza, M. N. (2014). Environmental factors selectively impact co-occurrence of problem/pathological gambling with specific drug-use disorders in male twins. Addiction, 109(4), 635–644.

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IMPULSIVITY AND DECISION MAKING MacKillop, J., Miller, J. D., Fortune, E., Maples, J., Lance, C. E., Keith, W., & Goodie, A. S. (2014). Multidimensional examination of impulsivity in relation to disordered gambling. Experimental and Clinical Psychopharmacology, 22(2), 176–185. Mitchell, M. R., & Potenza, M. N. (2014). Addictions and personality traits: Impulsivity and related constructs. Current Behavioral Neuroscience Reports, 1, 1–12. Wilke, A., Scheibehenne, B., Gaissmaier, W., McCanney, P., & Barrett, H. C. (2014). Illusionary pattern detection in habitual gamblers. Evolution and Human Behavior, 35(4), 291–297.

THE NEUROBIOLOGY OF GAMBLING DISORDER Dixon, M. R., Wilson, A., & Habib, R. (2014). Neurological correlates of slot machine win size in pathological gamblers. Behavioural Processes, 104, 108–113. Grant, J. E., & Kim, S. W. (2014). Brain circuitry of compulsivity and impulsivity. CNS Spectrums, 19(1), 21–27. Potenza, M. N. (2014). The neural bases of cognitive processes in gambling disorder. Trends in Cognitive Sciences, 18(8), 429–438. Rahman, A. S., Xu, J., & Potenza, M. N. (2014). Hippocampal and amygdalar volumetric differences in pathological gambling: A preliminary study of the associations with the behavioral inhibition system. Neuropsychopharmacology, 39(3), 738–745. Tedford, S. E., Holtz, N. A., Persons, A. L., & Napier, T. C. (2014). A new approach to assess gambling-like behavior in laboratory rats: Using intracranial selfstimulation as a positive reinforcer. Frontiers in Behavioral Neuroscience, 8, 215. Worhunsky, P. D., Malison, R. T., Rogers, R. D., & Potenza, M. N. (2014). Altered neural correlates of reward and loss processing during simulated slot-machine fMRI in pathological gambling and cocaine dependence. Drug and Alcohol Dependence, 145, 77–86.

YOUTH AND COLLEGE GAMBLING Grant, J. E., Derbyshire, K., Leppink, E., & Chamberlain, S. R. (2014). One-year follow-up of subsyndromal gambling disorder in non-treatment-seeking young adults. Annals of Clinical Psychiatry, 26(3), 199–205. Hammond, C. J., Mayes, L. C., & Potenza, M. N. (2014). Neurobiology of adolescent substance use and addictive behaviors: treatment implications. Adolescent Medicine: State of the Art Reviews, 25(1), 15–32. Hammond, C. J., Pilver, C. E., Rugle, L., Steinberg, M. A., Mayes, L. C., Malison, R. T., & Potenza, M. N. (2014). An exploratory examination of marijuana use, problemgambling severity, and health correlates among adolescents. Journal of Behavioral Addictions, 3(2), 90–101. Harvanko, A. M., Derbyshire, K. L., Schreiber, L. R. N., & Grant, J. E. (2014). Sleepiness and cognition in young adults who gamble and use alcohol. Journal of Behavioral Addictions,3(3), 166–172.

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Kong, G., Tsai, J., Krishnan-Sarin, S., Cavallo, D. A., Hoff, R. A., Steinberg, M. A., & Potenza, M. N. (2014). A latent class analysis of pathological-gambling criteria amongst high-school students: Associations with gambling, risk and health/ functioning characteristics. Journal of Addiction Medicine, 8(6), 421–430. Leeman, R. F., Hoff, R. A., Krishnan-Sarin, S., Patock-Peckham, J. A., & Potenza, M. N. (2014). Impulsivity, sensation-seeking, and part-time job status in relation to substance use and gambling in adolescents. Journal of Adolescent Health, 54(4), 460–466. Leeman, R. F., Patock-Peckham, J. A., Hoff, R. A., Krishnan-Sarin, S., Steinberg, M. A., Rugle, L. J., & Potenza, M. N. (2014). Perceived parental permissiveness toward gambling and risky behaviors in adolescents. Journal of Behavioral Addictions, 3(2), 115–123. Meisel, M. K., & Goodie, A. S. (2014). Descriptive and injunctive social norms’ interactive role in gambling behavior. Psychology of Addictive Behaviors, 28(2), 592–598. Rahman, A. S., Balodis, I. M., Pilver, C. E., Leeman, R. F., Hoff, R. A., Steinberg, M. A., & Potenza, M. N. (2014). Adolescent alcohol-drinking frequency and problemgambling severity: Adolescent perceptions regarding problem-gambling prevention and parental/adult behaviors and attitudes. Substance Abuse, 35(4), 426–434. Yau, Y. H. C., Pilver, C. E., Steinberg, M. A., Rugle, L. J., Hoff, R. A., Krishnan-Sarin, S., & Potenza, M. N. (2014). Relationships between problematic Internet use and problem-gambling severity: Findings from a high-school survey. Addictive Behaviors, 39(1), 13–21.

2014 NCRG-FUNDED PUBLICATIONS

Role of Co-occurring Disorders

Youth and College

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Neurobiology of Gambling Disorder

Assessment and Treatment

Impulsivity and Decision Making

EDUCATION & OUTREACH NCRG CONFERENCE ON GAMBLING AND ADDICTION

he NCRG celebrated the 15th anniversary of the NCRG Conference on Gambling and Addiction with a roster of all-star speakers. The 2014 conference received the best reviews ever in its 15 years, with an overwhelming majority of attendees rating the program as superior to or better than average when compared with other conferences on the same topic. Patrick Kennedy, former congressman, brought the attendees to their feet with his rousing talk on how we need to eradicate the stigma of addiction that prevents sound public health policy. Patrick Kennedy

Dr. Steven Hayes, co-developer of Acceptance Commitment Therapy, delivered one of the keynotes at the 2014 conference.

Conference attendees participated in various sessions.

The NCRG is grateful to the generous sponsors of the 15th annual NCRG Conference on Gambling and Addiction. Special thanks to our host sponsor, Las Vegas Sands Corporation. Platinum:

Gold: Silver:

IGT sponsored the distribution of USB drives containing all of NCRGâ&#x20AC;&#x2122;s publications to conference attendees.

Bronze:

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15th NCRG Conference on Gambling and Addiction Planning Committee Thanks to the following individuals for committing their time and expertise to the development of content for the 15th annual NCRG Conference on Gambling and Addiction. Conference programming also is developed with the guidance of the NCRG Scientific Advisory Board. Bethany Bray, Ph.D.

Connie Jones

Peter Cohen

Renee Kirnberger

Research Associate, The Methodology Center Penn State University

Director, Regulatory Affairs The Agenda Group

Joseph J. Coyne, Ph.D., LCADC Emeritus Professor of Psychology St Thomas Aquinas College

Jon E. Grant, J.D., M.D., M.P.H.

Professor, Department of Psychiatry and Behavioral Neuroscience The University of Chicago

Raymond F Hanbury, Ph.D., ABPP Clinical and Police Psychologist

Dean Hestermann

Director of Responsible Gaming Association of Gaming Equipment Manufacturers Public Affairs Manager Potawatomi Hotel & Casino

Amy Kugler

Director of Communications and Outreach National Center for Responsible Gaming

Linda Marx, L.M.F.T.

Marriage and Family Therapist

Reece Middleton

Former Executive Director Louisiana Association on Compulsive Gambling

Corporate Director, Public Affairs Caesars Entertainment Corporation

NCRG SCIENTIFIC ACHIEVEMENT AWARDS AND POSTER AWARDS

he NCRG honored two exceptional scientists with the 2014 Scientific Achievement Awards during the 15th annual conference. Recognized internationally as an expert in the study of impulsivity and gambling-related decision-making, Catharine Winstanley, Ph.D., pioneered the use of laboratory animals to model gambling behavior. Dr. Winstanley, associate professor of psychology at the University of British Columbia, developed a rat gambling task demonstrating that decisionmaking could be modulated by neurobiological factors. Her findings, published in many highimpact journals, have been cited over 75 times in other publications. The rat gambling task is now

14 NCRG 2014 ANNUAL REPORT

Marc N. Potenza, M.D., Ph.D.

Professor of Psychiatry, Child Study and Neurobiology Founding Director, Problem Gambling Clinic Yale University School of Medicine

Christine Reilly

Senior Research Director National Center for Responsible Gaming

Katherine Spilde, Ph.D., M.B.A. Associate Professor, School of Hospitality and Tourism Management Chair, Sycuan Institute on Tribal Gaming San Diego State University

Mark Vander Linden, M.S.W.

Director of Research and Responsible Gaming Massachusetts Gaming Commission

2014 NCRG Scientific Achievement Award Selection Committee Jon E. Grant, J.D., M.D., M.P.H.

Professor of Psychiatry and Behavioral Neuroscience The University of Chicago

Robert Ladouceur, Ph.D.

Professor Emeritus, School of Psychology Laval University

Debi A. LaPlante, Ph.D.

Director of Research & Academic Affairs, Division on Addiction Cambridge Health Alliance Assistant Professor Harvard Medical School

NCRG Chairman Alan Feldman presents the 2014 Scientific Achievement Award to Dr. Linda Cottler.

being used by multiple groups throughout the world to probe the biological basis of gambling-related decision-making. Linda B. Cottler, Ph.D., M.P.H., has been a pivotal figure in the development of this field since 1981. Dr. Cottler is Dean’s Professor and chair, department of epidemiology in the Colleges of Public Health and Health Professions & Medicine, and associate dean for research, College of Public Health and Health Professions, at the University of Florida, Gainesville. She served as the lead investigator of the 1981 Epidemiologic Catchment Area Study of mental disorders, one of the first studies to provide substantial evidence for the high rate of co-occurring psychiatric disorders with gambling disorder. Dr. Cottler was a member of the committee of the National Research Council and National Academy of Sciences that wrote the seminal review of the state of the field and has been a member of NCRG’s Scientific Advisory Board since 1998, serving as chair from 2009-2013. She has also been a mentor to numerous young investigators interested in gambling research.

OUTSTANDING POSTER AWARD

very year, the NCRG Conference on Gambling and Addiction showcases new research on gambling problems and disorder at the poster session. The 2014 Outstanding Poster Award was given to Katherine Nautiyal, Ph.D., and her co-authors, for “A mouse model of pathological gambling using inducible and tissue-specific knockdown of the serotonin 1B receptor.” Dr. Nautiyal, Columbia University, conducted this research with an NCRG Early Stage Investigator Grant. Lead authors Kyle Siler, Ph.D.; David Kearns, Ph.D.; and Eric Leppink were also recognized with honorable mention for their poster presentations.

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EDUCATION AND OUTREACH

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YEAR-ROUND EDUCATIONAL OPPORTUNITIES

ore than 1,000 healthcare providers, public health professionals and others participated in the NCRG Webinar Series and workshops for treatment providers. Thanks to the instructors and cosponsors that made the following programs possible:

WEBINARS The Neurobiological Cocktail of Addiction, Gambling Disorder and Mood Disorders – Kafui Dzirasa,M.D., Ph.D.; Stephen Mague, Ph.D.; and Gretchen Sprow, Ph.D., Duke University

Special thanks to Global Gaming Expo for hosting the NCRG’s Webinar series!

Preventing Disordered Gambling Among College Students – Clayton Neighbors, Ph.D., the University of Houston Navigating Changes in the DSM-5 A Year Later: Training for Addiction Specialists – Donald W. Black, M.D., co-author of the DSM-5 Guidebook, University of Iowa Lost in the Shuffle: How Health and Disability Laws Hurt Disordered Gamblers – Stacey Tovino, Ph.D., J.D., William S. Boyd School of Law at UNLV. Cosponsored by the Association of Problem Gambling Service Providers NAADAC Webinar: Gambling Disorder: Assessment and Treatment Strategies – Christine Reilly, NCRG

TREATMENT PROVIDER WORKSHOPS • Waiting is the Hardest Part: Impulsivity, Addiction and the Brain — Andrew Kayser, Ph.D., University of California-San Francisco. April 10-11, 2014, Reno, Nev. Cosponsor: Nevada Council on Problem Gambling

Thanks to NCRG’s 2014 Treatment Provider Workshop Cosponsors: Division on Addiction, Cambridge Health Alliance; Sandia Resort and Casino; and the Nevada Council on Problem Gambling.

• Addiction Medicine: A Case-based Approach to the Integrated Treatment of Addictive Disorders and Other Mental and Medical Conditions — Featured speakers included Howard Shaffer, Ph.D., Harvard Medical School; Debi LaPlante, Ph.D., Harvard Medical School; Marc Potenza, M.D., Ph.D., Yale University; and Michael Botticelli, Director of National Drug Control Policy. Oct. 10-11, 2014, Boston. Cosponsor: Division on Addiction, Cambridge Health Alliance • Learning with Leaders Workshop: Screening and Diagnostic Strategies for Gambling Disorder — Sarah E. Nelson, Ph.D., Harvard Medical School. Oct. 20, 2014, Albuquerque, N.M. Cosponsor: Sandia Resort and Casino

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BRINGING THE ISSUE TO CENTER COURT: COLLEGE GAMBLING

uring March Madness, the NCRG unveiled BetOnU, the only confidential, online intervention tailored for college students who are concerned about their gambling. BetOnU is designed to help college students better understand how their gambling behavior compares with their peers. Dr. Clayton Neighbors, University of Houston, developed and tested this intervention with an earlier NCRG grant and reported good outcomes in terms of reduced gambling by the project participants. By housing BetOnU on CollegeGambling.org, Dr. Neighbors will be able to continue his work by gathering data on a nationwide basis. The NCRG encouraged student health services at colleges and universities around the nation to link to this intervention. In 2014, the NCRG also introduced a new animated video, “The Facts about College Gambling,” garnering more than 1,000 views during the 15 days of the launch on both CollegeGambling.org and the NCRG’s YouTube channel. Finally, the NCRG teamed up with the NorthStar Lottery, a subsidiary of GTECH, and The University of Chicago (UC) to develop the WINternship program. This program enabled UC students to use the research and resources on CollegeGambling.org to help increase awareness of gambling and gambling-related problems on college campuses.

IDENTIFYING DISORDERED GAMBLERS

tudies estimate that only about 15 percent of disordered gamblers seek help for their gambling problems. However, roughly 50 percent of people struggling with a gambling addiction are in treatment for other psychiatric and addictive disorders. That is why expanding screening for gambling disorder is so vital. The NCRG is proud to have funded the research that developed the Brief Biosocial Gambling Screen, the only evidence-based brief screen for gambling problems. So proud, in fact, that we printed up thousands of the three-question screen on magnets suitable for posting on clinicians’ file cabinets. On March 11, 2014, the NCRG joined with the Division on Addiction, Cambridge Health Alliance, and other national organizations to promote screening of gambling disorder among healthcare providers. Thanks to National Screening Day and participation at a variety of conferences across the country, the NCRG distributed nearly 1,000 magnets nationwide.

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EDUCATION AND OUTREACH

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NCRG PARTICIPATION IN CONFERENCES AND HEARINGS

n 2014, NCRG staff and NCRG-funded researchers presented at or exhibited at a variety of meetings including the Society for Neuroscience; NASPA, Student Affairs Administrators in Higher Education; iGaming North America; Nevada Council on Problem Gambling’s State Conference; and the North American Gaming Regulators Association. In addition, Christine Reilly, senior research director of the NCRG, testified before the New York State Gaming Commission on April 9, 2014.

I urge the Commission to ground your decisions about responsible gaming regulations in sound, peer-reviewed science. If there is no scientific research on a particular program or policy, we caution you to “First, do no harm.” We can help you in this effort through our science-based resources. Part of our mission is to translate the research findings into practical applications that can help the entire community. – Christine Reilly, testimony before the New York State Gaming Commission, April 9, 2014

NCRG ON SOCIAL MEDIA

he NCRG’s website traffic increased 12 percent to 28,300 visits and 65,800 page views in 2014. Additionally, the viewership of the NCRG’s blog Gambling Disorders 360˚ increased to include almost 8,000 visits and 10,300 page views annually. The NCRG also experienced significant increases in followership of the NCRG’s Twitter and Facebook accounts.

NCRG RESOURCES

he NCRG has produced 14 publications designed to translate research findings for public audiences. In 2014, regional and national partners have distributed more than 5,000 resources on behalf of the NCRG at various community and public health programs and events. In addition, the seven publications available on the digital platform ISSUU.com have garnered almost 10,000 visits in the past year. To ensure the accessibility of NCRG resources to a worldwide audience, the NCRG translated the following resources in 2014: • Talking with Children about Gambling - Chinese, French, Japanese, Korean, Spanish and Vietnamese • College Gambling brochure: French and Spanish • Brief Biosocial Gambling Screen magnet: Chinese, French, Korean, Spanish and Vietnamese

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FINANCIAL STATEMENTS

he following Summary of Financial Position and Statements of Activities are from the 2014 audit.

STATEMENTS OF FINANCIAL POSITION DECEMBER 31 2014 2013 ASSETS Cash and cash equivalents $ 2,727,396 $ 3,686,640 Investments 693,287 663,595 Accounts receivable 176,906 99,000 Grants receivable 1,114,524 2,052,875 Other assets 10,220 12,176 Total Assets $ 4,722,333 $ 6,514,286 LIABILITIES AND NET ASSETS Liabilities Accounts payable and accrued expenses Grants payable Total Liabilities Net Assets Unrestricted Temporarily restricted Total Net Assets Total Liabilities and Net Assets

196,338 1,612,349 1,808,687

90,880 2,262,719 2,353,599

1,799,122 2,107,812 1,114,524 2,052,875 2,913,646 4,160,687 $ 4,722,333 $ 6,514,286

NCRG 2014 ANNUAL REPORT

STATEMENT OF ACTIVITIES YEAR ENDED DECEMBER 31 UNRESTRICTED ACTIVITIES REVENUE AND SUPPORT Hall of Fame Conference Contributions Golf tournament Investment income Other income Net assets released from restriction Total unrestricted revenue and support EXPENSE Program Services Research grants program Communications Conference Education and outreach Total Program Services

2014

2013

$ 232,289 198,070 181,572 131,000 27,331 1,738 772,000 982,000 1,754,000

$ 308,289 238,699 84,795 129,000 17,548 2,568 780,899 1,729,500 2,510,399

767,294 276,986 162,974 142,863 1,350,117

2,172,331 355,851 132,270 167,660 2,828,112

Supporting Services Administrative 332,800 222,322 Fund raising 125,744 133,281 Total Supporting Services 458,544 355,603 Total Expense 1,808,661 3,183,715 Change in unrestricted net assets from operations (54,661) (673,316) Net gain on investments 2,971 76,910 Bad debt expense â&#x20AC;&#x201A; (257,000) (21,177) Change in unrestricted net assets (308,690) (617,583) TEMPORARILY RESTRICTED ACTIVITIES Contributions - 1,140,000 Change in discount 43,649 30,184 Net assets released from restriction (982,000) (1,729,500) Change in temporarily restricted net assets (938,351) (559,316) CHANGE IN NET ASSETS Net Assets, Beginning of Year Net Assets, End of Year

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(1,247,041) 4,160,687 $ 2,913,646

(1,176,899) 5,337,586 $ 4,160,687

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