Problem Gambler Help-Seeker Types: Barriers to Treatment and Help-Seeking Processes
Understanding of the barriers to seeking help and treatment for gambling problems remains limited. Research has thus far focused on either the barriers or motivators for help-seeking. This interview-based study investigated both barriers to treatment and the help-seeking process. Three help-seekers types were identified: individualistic, multi-problematic and family-centric. Individualistic help-seekers emphasise psychological reasons as the major barriers to treatment but also see themselves as key actors in the help-seeking process. In this group, a rock bottom experience characterises the final stage of converting intention into action in help-seeking. Multi-problematic gamblers have other major problems apart from gambling, and they may feel that gambling, even if problematic, has a positive impact on their lives and hence lack motivation to change. For them, the need for change comes from improvement in their life situation. For family-centric help-seekers, the reasons for not seeking help are linked to individuals or are treatment- or cultural-related. In their help-seeking process, family members play a crucial role. These results indicate that, to offer more effective help, we should recognise dissimilarities in problem gamblers’ experiences of barriers to treatment and in the phases of their help-seeking process.
KeywordsProblem gambling Help-seeking process Barriers to treatment Motivators of change Help-seeker types
Compliance with Ethical Standards
Conflict of interest
Author declares that she has no conflict of interests.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the Helsinki 1964 declaration and its later amendments or comparable ethical standards.
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