Bramley Stephanie, Norrie Caroline, Manthorpe Jill
Research Associate, NIHR Health and Social Care Workforce Research Unit, The Policy Institute, King's College London, London, UK.
Research Fellow, NIHR Health and Social Care Workforce Research Unit, The Policy Institute, King's College London, London, UK.
Prim Health Care Res Dev. 2019 Jul 19;20:e115. doi: 10.1017/S1463423619000549.
To explore the views of professionals working within health, care and other agencies about harmful gambling among adults with health and social care needs.
Gambling is increasingly seen as a public health rather than an individual problem. Opportunities to gamble have grown in England in the last decade since the liberalisation of the gambling industry meaning that gambling is widely available, accessible and advertised within society. An estimated two million people in the UK are at risk of developing a gambling problem, some of whom may be adults with health and social care needs.
Twenty-three key informants from primary care, social care services and third sector organisations in England were interviewed about their understanding of the risks to adults with health and social care needs from gambling participation.
Thematic analysis revealed four themes: (1) gambling-related harm as a public health problem; (2) identification of groups of adults with health and social care needs who may be vulnerable to gambling-related harm; (3) factors potentially impeding the identification of gambling-related harm among adults with health and social care needs and subsequent help-seeking behaviour and (4) calls for professional development activities. Informants reported a perceived lack of awareness of gambling-related harm and a lack of a clear pathway or guidance which they could follow when supporting individuals experiencing gambling-related harm. Interviewees called for professional development activities to improve their knowledge and expertise in this area.
探讨卫生、护理及其他机构中专业人员对有健康和社会护理需求的成年人有害赌博问题的看法。
赌博日益被视为一个公共卫生问题而非个人问题。自英国赌博业自由化以来的过去十年里，赌博机会有所增加，这意味着赌博在社会中广泛存在、易于参与且大肆宣传。据估计，英国有200万人有发展成赌博问题的风险，其中一些人可能是有健康和社会护理需求的成年人。
对来自英国初级保健、社会护理服务和第三部门组织的23名关键信息提供者进行了访谈，询问他们对有健康和社会护理需求的成年人参与赌博所面临风险的理解。
主题分析揭示了四个主题：（1）赌博相关危害作为一个公共卫生问题；（2）识别可能易受赌博相关危害影响的有健康和社会护理需求的成年人群体；（3）可能阻碍识别有健康和社会护理需求的成年人中赌博相关危害以及后续求助行为的因素；（4）对专业发展活动的呼吁。信息提供者报告称，他们认为对赌博相关危害缺乏认识，且在支持遭受赌博相关危害的个人时缺乏明确的途径或指导。受访者呼吁开展专业发展活动，以提高他们在这一领域的知识和专业技能。
