理解赌博场所的商业与关怀悖论：对赌客、场地工作人员和顾问观点的定性研究。

Understanding the business versus care paradox in gambling venues: a qualitative study of the perspectives from gamblers, venue staff and counsellors.

机构信息

Department of Health Sciences, Flinders University, Adelaide, South Australia, Australia.

Flinders Medical Centre, Block E2, The Flats, Flinders Drive, Bedford Park, South Australia, 5042, Australia.

出版信息

Harm Reduct J. 2018 Sep 24;15(1):49. doi: 10.1186/s12954-018-0256-4.

DOI:10.1186/s12954-018-0256-4

PMID:30249255

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6154431/

Abstract

BACKGROUND

In recent years, greater emphasis has been placed on gambling venues to identify potential problem gamblers, respond appropriately and refer to treatment. In seeking the perspectives of problem gamblers, venue staff and treatment providers, this qualitative study investigates how problem gamblers experience being identified and referred for treatment by venue staff.

METHODS

A semi-structured interview guide focusing on experiences and perceptions of problem gambling identification and referral for treatment in gaming venues was used to conduct 4 focus groups and 9 semi-structured in-depth interviews. Participants comprised 22 problem gamblers, 10 gambling venue staff and 8 problem gambling counsellors. Audio recordings were transcribed verbatim, and an interpretive phenomenological analysis was conducted.

RESULTS

'Role conflict' was identified as a considerable source of stress for venue staff who described conflicting priorities in responding to problem gamblers whilst maintaining employer profit margins. Problem gamblers described offers of help from venue staff as hypocritical and disingenuous. Venue staff also described reluctance to make moral judgements through the identification of and engagement with problem gamblers, and gamblers described resentment in being singled out and targeted as a problem gambler. Being approached and offered referral to a counselling service was a rare occurrence among problem gamblers. This corresponded with reports by gambling counsellors.

CONCLUSIONS

Role conflict experienced by gambling venue staff and patrons alike inhibits effective referral of potential problem gamblers into treatment. Reducing the need for gambling venue staff to make a perceived moral judgement about the gambling behaviours of specific patrons may improve the reception of responsible gambling information and promote help-seeking.

摘要

背景

近年来，越来越重视赌博场所识别潜在问题赌客，做出适当回应并转介治疗。本定性研究旨在从问题赌客、场所工作人员和治疗提供者的角度出发，调查问题赌客在被场所工作人员识别并转介接受治疗时的体验。

方法

采用聚焦于在博彩场所识别和转介治疗问题赌博经历和看法的半结构式访谈指南，进行了 4 个焦点小组和 9 个半结构化深入访谈。参与者包括 22 名问题赌客、10 名博彩场所工作人员和 8 名问题赌博顾问。对音频记录进行逐字转录，并进行解释性现象学分析。

结果

“角色冲突”被确定为场所工作人员的一个相当大的压力源，他们描述了在回应问题赌客的同时维持雇主利润率的优先级冲突。问题赌客将场所工作人员提供的帮助描述为虚伪和不真诚的。场所工作人员还描述了不愿意通过识别和接触问题赌客做出道德判断，而赌客则描述了被挑出来并被视为问题赌客的怨恨。问题赌客很少会被场所工作人员接洽并提供转介咨询服务。这与赌博顾问的报告相符。