Responsible Gambling/Harm Minimization (RG/HM) measures have the potential to reduce population level gambling harms. The present study examines Canadian casino electronic gaming machine (EGM) players' (n = 2808) awareness of a selection of the available RG/HM measures, and the impact they believed these measures had on their gambling expenditure and enjoyment. The results showed that Canadian casino EGM players were generally aware of most of the measures, with this awareness being significantly higher among at-risk and problem/pathological gamblers. However, these measures had very little perceived impact on their gambling expenditure or enjoyment. Subsequent multivariate analyzes found that a) increased levels of overall awareness of RG/HM measures were related to male gender, younger age, and higher importance of gambling as a leisure activity; b) that decreased perceived expenditure from RG/HM measures were related to younger age, being an at-risk gambler, and the frequency of limit setting in the context of gambling play; and c) increased perceived enjoyment from RG/HM measures were related to lower household incomes. Messages targeted at Canadian casino EGM players who appear sensitive to the potential and actual harms of gambling, and messages relating to limit setting frequency in the context of gambling play, may impact gambling perceptions.

Casino employees regularly interact with problem and at-risk gamblers and thus have considerable potential to both prevent and reduce gambling-related harm. While harm minimization (HM) and responsible gambling (RG) are routinely espoused by the casino industry, the actual level of employee HM/RG training, knowledge, and behaviour is unknown. The present study investigated this issue in the Canadian context by examining employee surveys collected by the RG Check accreditation program (8,262 surveys from 78 Canadian casinos/racinos collected between 2011 and 2020). These surveys revealed that almost all casino employees receive HM/RG training, but the amount of training tends to be quite limited (one hour) except for supervisors, managers, and security personnel. Basic HM/RG knowledge among all employees appears adequate, although their understanding of probability is incomplete. The most important consideration is whether this training and knowledge translates into meaningful HM/RG behaviour towards patrons. The large majority of employees (83.1%) report engaging in at least one HM/RG interaction with a patron at some point during the course of their employment (median length of 4 to 9 years), with security personnel reporting the highest rates. However, the frequency, nature, and impact of these interactions is unknown.

The current study investigated the impact of the COVID pandemic lockdown on gambling and problem gambling in Canada. The AGRI National Project’s online panel participants (N = 3449) provided baseline gambling data 6 months prior to the pandemic. Re-surveying this sample during the lockdown provided an opportunity to make quantitative comparisons of the changes. Nearly one-third of gamblers reported ceasing gambling altogether during the lockdown. For the continuing gamblers, quantitative data indicated significant decreases in gambling frequency, time spent in gambling sessions, money spent, and the number of game types played. Qualitative perceptions of changes in gambling were examined and the accuracy of these reports were not closely aligned with actual changes in gambling. Gambling platform was the only gambling engagement metric where increases were found with ~ 17% of the gambling sample migrating to online gambling during the lockdown. Although problem gambling within the sample generally declined, consistent with previous literature, it was also found that gambling online—among other biopsychosocial factors—was a significant predictor for classification as a problem gambler during the lockdown. COVID-specific influences on health, employment, leisure time and social isolation were moderately associated with problem gambling scores but were not independent predictors of changes in gambling engagement during lockdown. Future studies are required to assess if the pandemic related changes in gambling evidenced in this study remain stable, or if engagement reverts to pre-pandemic levels when the pandemic response allows for the re-opening of land-based gambling venues.

Individual differences in the risk of developing gambling-related harm play an important role in theoretical models and practical interventions. The present study attempted comprehensive measurement and evaluation of 25 known risk factors for gambling-related harm in order to determine which factors provided large and unique explanatory power. We surveyed 1650 regular gamblers from an online panel, screening in 1174 (466 male) who passed all checks of attention and response consistency. We evaluated each risk factor based on bivariate correlations with harms, then made separate multivariate evaluations of proximal (e.g., gambling motivations) and distal (e.g., religiosity) risk factors. Almost all bivariate correlations were significant, but most distal factors were not significant in multivariate models. Trait impulsivity was the most important risk factor by a large margin. Excessive consumption, less use of safe gambling practices, and more fallacies were key proximal risks of harm. Many well-known correlates of gambling harm (e.g., youth, lower educational attainment) do not show a direct role in the development of gambling harm when controlling for other factors. The results support theoretical models that emphasise early conditioning and biological vulnerability (manifested through impulsivity). Since maladaptive cognitive and behavioural schemas appear to be more important than motivations (e.g., escape, excitement, ego), interventions may benefit by targeting these proximal drivers of harm.

With the release of the Ontario Court of Appeal’s decision in Paton Estate, the possibility was left open for a casino to be found to owe a duty of care to patrons who gamble excessively. This article explores the circumstances under which the Anns/Cooper framework could be applied to find that such a duty exists. Specifically, where the gambler is a member of a casino’s customer loyalty program, thereby imputing knowledge of extreme gambling behaviour on the casino, and where the casino has no reason to believe the patron’s losses are sustainable, a duty of care should be imposed. Liability should follow in cases where the casino knowingly contributed to or deliberately ignored these losses.

A Critical Gambling Studies blog entry on money laundering in British Columbia casinos.

Abstract This entry outlines the current global sports‐betting landscape and traces the history of sports‐betting from ancient to modern times. Horse‐racing has long been a popular gambling format, due to the thrill of watching elite equine talent perform and because of technological advancements such as the pari‐mutuel betting system that allows on‐track spectators to view the money bet on each horse and the grand total in the betting pool in real time. The creation of the “point spread,” extensive television coverage, and sports leagues expanding from coast to coast have all spurred an interest in betting on team sports, which has led to a decline in horse‐race wagering. Both legal and illegal sports‐betting are discussed, along with the dearth of legal sports‐betting outlets in North America. Newer sports‐gambling modes such as online betting via offshore Web sites and daily fantasy sports contests are described, and the entry concludes with a discussion on the possibility of changing sports‐betting laws to make the activity more widely available.

This article critically examines the Reno Model responsible gambling undertaking: its evolution, core ideological beliefs and promotion in four internationally influential journal articles, published between 2004 and 2015. This discourse has framed the international RG policy landscape for over a decade; emphasising individualised responsibility for harms and providing governments with justifications for compromised RG regulation. Axioms of the Reno Model are individual responsibility, framed as personal control and autonomy for informed choice and a focus on problem gamblers who manifest clinical symptoms of impaired control. Drawing on corporate political activity (CPA) analysis, regulatory-avoidance framing strategies of the gambling industry include shaping the evidence base, policy substitution (voluntary industry operator codes of conduct and problem gambler treatment programs) and assertions of insufficient evidence for introducing reforms. Barriers to ethical RG standards include deception and exploitation, faulty regulation and grim working conditions in gambling environments, along with Reno Model adherents’ dismissal of contradictory evidence. The critique proposes a shift in the dominant regulatory Model from industry self-regulation under self-monitored codes of practice to RG-Consumer Protection that addresses structural issues of power and vested interests, featuring core principles of public health, consumer protection, operator duty of care, regulatory transparency and independent research.

AIMS:To derive low-risk gambling limits using the method developed by Currie et al. (2006) applied to longitudinal data.DESIGN:Secondary analysis of data from the Quinte Longitudinal Study (n = 3054) and Leisure, Lifestyle and Lifecycle Project (n = 809), two independently conducted cohort studies of the natural progression of gambling in Canadian adults.SETTING:Community-dwelling adults in Southeastern Ontario and Alberta, Canada.PARTICIPANTS:A total of 3863 adults (50% male; median age = 44) who reported gambling in the past year.MEASUREMENTS:Gambling behaviours (typical monthly frequency, total expenditure and percentage of income spent on gambling) and harm (experiencing two or more consequences of gambling in the past 12 months) were assessed with the Canadian Problem Gambling Index.FINDINGS:The dose-response relationship was comparable in both studies for frequency of gambling (days per month), total expenditure and percentage of household income spent on gambling (area under the curve values ranged from 0.66 to 0.74). Based on the optimal sensitivity and specificity values, the low-risk gambling cut-offs were eight times per month, $75CAN total per month and 1.7% of income spent on gambling. Gamblers who exceeded any of these limits at time 1 were approximately four times more likely to report harm at time 2 [95% confidence interval (CI) = 2.9-6.6].CONCLUSIONS:Longitudinal data in Canada suggest low-risk gambling thresholds of eight times per month, $75CAN total per month and 1.7% of income spent on gambling, all of which are higher than previously derived limits from cross-sectional data. Gamblers who exceed any of the three low-risk limits are four times more likely to experience future harm than those who do not.

This paper responds to commentaries from the Reno Model authors and other international researchers who reviewed our earlier paper in this volume. We take a considered view of the Reno Model and find it to be wanting as a responsible gambling (RG) tool because it fails to address the depth and diversity of harms so evident in today’s gambling environment. We propose a new consumer protection paradigm that prioritizes operator duty of care, integrity of operations, and consumer protection, along with independent regulation and research. We discuss the rebuttal of our Reno critique by Shaffer et al. along with the other commentaries. There appears to be general support for our critique and more robust public health approaches to RG. We urge support for engagement in an international process for a WHO instrument referencing the UN Sustainable Development Goals (SDGs). Similar to the WHO Framework Convention on Tobacco, this would re-frame gambling harm prevention and address current deficiencies in regulatory oversight of harmful gambling products and environments, by promoting duty of care, harm prevention, regulatory integrity, and public accountability.

Background: The current study sought to explore the narrative accounts of individuals who underwent changes in their problem gambling severity, and identify subjective factors underlying these transitions. Additionally, respondents' perceived change in their gambling behavior was compared with a validated measure of problem gambling severity.Methods: Participants were recruited from The Leisure, Lifestyle, & Lifecycle Project (LLLP), a prospective cohort study based in Alberta, Canada. In-depth, semi-structured telephone interviews were conducted with a subset of participants identified as showing a significant increase or decrease in problem gambling severity between Wave 4 and 5 of the LLLP (n=41). Principles of phenomenology and grounded theory were used to thematically code interviews.Results: About half of respondents increased in problem gambling severity between Wave 4 and 5 (n=22), while 19 respondents decreased. For those who perceived this change (n=13), the most common factors underlying increases in problem gambling severity were the same factors underlying decreases and included financial, social, and internal reasons. More than half of the sample (n=28) perceived stability in, or a change in their gambling behavior that was incongruent with their problem gambling severity score. These respondents tended to endorse a greater degree of gambling fallacies, dissonant feelings, and mental health issues, compared to those who had accurately perceived their change.Conclusions: The findings suggest that many individuals may not accurately perceive transitions in their gambling. Gambling fallacies and dissonant feelings seem to underlie this discrepancy, highlighting the need for public health initiatives to focus on correcting these erroneous beliefs.

Disordered gambling is best conceptualized as a continuum of severity. Previous research has demonstrated the utility of studying individuals at all points of this spectrum. The sequence of the development of gambling problems and change in gambling involvement along this continuum of severity is not well understood. The present study examined the interplay between cognitive distortions and gambling involvement in a population sample recruited in Alberta, Canada. Data from 1372 participants over 4 assessment waves (5 years) were used to generate a 2-factor latent structure using gambling fallacies and gambling involvement measurements. Structural equation modelling showed that cognitive distortions more strongly predicted future gambling involvement than the reverse relationship, using the comparative fit index (CFI) and the root mean square error of approximation (RMSEA) to assess the models. In addition, cognitive distortions declined over time, whereas gambling involvement remained stable. The results of the study suggest that focusing primarily on cognitive mechanisms in public health initiatives for gambling disorders may be a more effective strategy than focusing on behavioural solutions.

Major depression is among the most common comorbid conditions in problem gambling. However, little is known about the effects of comorbid depression on problem gambling. The present study examined the prevalence of current major depression among problem gamblers (N = 105) identified from a community sample of men and women in Alberta, and examined group differences in gambling severity, escape motivation for gambling, family functioning, childhood trauma, and personality traits across problem gamblers with and without comorbid depression. The prevalence of major depression among the sample of problem gamblers was 32.4%. Compared to problem gamblers without depression (n = 71), problem gamblers with comorbid depression (n = 34) reported more severe gambling problems, greater history of childhood abuse and neglect, poorer family functioning, higher levels of neuroticism, and lower levels of extraversion, agreeableness, and conscientiousness. Furthermore, the problem gamblers with comorbid depression had greater levels of childhood abuse and neglect, worse family functioning, higher neuroticism, and lower agreeableness and conscientiousness than a comparison sample of recreational gamblers with depression (n = 160). These findings underscore the need to address comorbid depression in assessment and treatment of problem gambling and for continued research on how problem gambling is related to frequently co-occurring disorders such as depression.

The American Psychiatric Association’s evolving recognition of pathological gambling as a behavioral addiction (DSM-III, 1980; DSM-V, 2013) has occasioned increased use of the gambling addiction defence in criminal trials. Reflecting upon our experiences as expert witnesses in criminal and civil liability proceedings where gambling addiction was a significant factor, we a) describe the expert witness role; b) examine the links among frequent and intense EGM play, gambling addiction, and financially-based crimes; c) review how revisions to the Diagnostic and Statistical Manual influenced the Canadian judicial system response to such crime; and d) explore prospects for reducing criminal activity by addicted EGM players. We discuss how and why gambling addiction has become generally accepted as a mitigating factor in Canadian criminal trials. In this commentary we also analyze how the plight of addicted gamblers who resort to criminal behavior might be remediated by a) gambling-specific consumer protection measures; b) tighter regulatory control over the addictive elements of EGM play; c) the implementation of gambling courts; and d) a legislated duty of care owed by gambling providers to EGM players.

Introduction. To report on highlights of a longitudinal study of gamblers, the Alberta Leisure, Lifestyle, Lifecycle Project (LLLP) as well as comparisons with the Ontario Quinte Study. Method. Five LLL cohorts of gamblers (ages 13–15, 18–20, 23–25, 43–45, and 63–65) have been recruited through Random Digit Dialing (RDD) since February 2006. The cohorts are stratified by large and small urban centers and over-sampled for at-risk gamblers. Four data collections have occurred with initial telephone and face-to-face interviews, followed by web-based surveys. The selection of survey instruments reflected a biopsychosocial model of gambling. Results. Recruitment at Time 1: N = 1808 – Feb – Oct ′06; Time 2: N = 1495 – Nov ′07 – Jun ′08; Time 3: N = 1316 – Jul ′09 – Mar ′10; and Time 4: N = 1343 – Feb – Oct ′11. (Overall Retention Rate 75.1% – 20 deceased). In addition, N = 679 blood and saliva samples were collected. For comparison, the Quinte study had N = 4121 and a Retention Rate 90.4% over 5 time intervals. Highlights include. 1. an analysis of patterns of continuity/discontinuity of problem gambling over 5 years; 2. identification of variables best predicting future problem gambling, coordinated with the Quinte study. Conclusion. Longitudinal studies provide unique insights into the trajectory of gambling behaviors.

This commentary examines the major lottery scandals in Ontario and British Columbia that broke in 2006, with particular emphasis on the precipitating conditions, sustaining factors, consequences, lessons learned, and resolutions. The aim of this article is to identify fundamental causes and common threads so that future lottery scandals might be averted. The scandals discussed here resulted from a combustible mix of easy-to-circumvent rules, profit-seeking agendas, and light-touch self-regulation. Although tighter controls were imposed on the two provincial lottery corporations after the scandals, neither organization appears to have markedly altered its pre-scandal culture or business plan. Various gambling regulatory styles are noted in the paper and because the current governmental practice of self-regulation is thought to have contributed to the two Canadian lottery scandals, a system of independent gambling oversight is recommended.

Aims This paper provides a historical review of gambling in Canada and examines the benefits and shortcomings of present-day Canadian gambling policies and practices. This includes a discussion of provincial and federal government roles in gambling regulation and an overview of problem gambling prevention and treatment initiatives. Methods The gambling studies literature was probed for pertinent information on factors such as historical development, legislative changes, economic conditions and cultural influences that have affected gambling participation and social responsibility strategies in Canada. Results Two major Criminal Code of Canada amendments (in 1969 and 1985) were pivotal in Canadian gambling expansion. The first decriminalized lotteries and casinos, while the second allowed electronic gambling devices and authorized provinces to operate and regulate gambling. These changes resulted in a radical gambling expansion which, in addition to raising provincial revenues, created public policy concerns. Varying provincial government interpretations of the ambiguous Criminal Code gambling statutes led to a lack of uniformity in how provinces regulate and operate gambling; when gambling expanded, there were no legislative safeguards in place to deal with the personal and societal effects of problem gambling. Subsequent programs designed to prevent and treat problem gambling have not been overly effective. Conclusions Canadian provinces have a monopoly on gambling within their borders and treat the activity as a profit-driven business enterprise. Problems associated with widespread gambling such as addiction, increased crime, bankruptcy and suicide are seen as minor concerns and not addressed in an aggressive fashion. Given the Canadian federal government's detachment from gambling policy and Canadian provinces' heavy reliance on gambling revenues, little change in the Canadian gambling landscape is anticipated in the near future.