Magazine article Addiction Professional

A Losing Game for Some Older Adults

Magazine article Addiction Professional

A Losing Game for Some Older Adults

Article excerpt

Medical science has given us greater longevity, but for many seniors that also means facing extended years combating loneliness, uncertain finances and age-related infirmities. For today's growing population of Baby Boom generation seniors, the recreational options to cope with these challenges extend well beyond the benign shuffleboard, checkers and dance classes of an earlier era. Now there's gambling.

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Veteran gambling counselor Lori Rugle, PhD, has seen gambling's dynamics change dramatically over the past three decades. "One of the best attended activities at senior centers now is junkets to casinos," observes Rugle, director of problem gambling services at the Connecticut Department of Mental Health and Addiction Services.

"It's always open, even on holidays, and for seniors, especially older women, a casino is one place where you can go and you are not invisible and you can have fun in a safe environment," says Rugle.

Rugle says gambling's attraction for seniors manifests differently for each person, "but inevitably there is some kind of hope, an expectation of providing social interaction, a means to get out of the house, and maybe win something to be life changing." The odds of the latter are not in their favor, of course.

Defining the effects

Of course, only a small percentage of elderly individuals who gamble develop a gambling problem. Further complicating the picture is some research evidence that elderly people who do gamble live longer and healthier lives, indicates Mark Dixon, PhD, professor at the Rehabilitation Institute at Southern Illinois University and director of a gambling intervention program.

In a study entitled "The Effect of Gambling Activities on Happiness Level of Nursing Home Residents," published in the Journal of Applied Behavior Analysis in 2010, Dixon and colleagues learned how seniors in nursing homes benefited from gaming. "Part of the magic is in sustaining social relationships, feeling better, and not letting the inevitable end of your life come to everyday existence," Dixon says. But for some seniors, this hope transcends the casual outing, and problems develop.

Inside their unconventional research domain that replicates a colorful, activity-filled casino environment, Dixon and his team investigate the effects of the "magic," using sophisticated neurobiological technologies. "We were shocked that the entire brain activity in gambling excitement is identical to that of substance abuse and drugs," he says. "Your brain operates as a dopaminergic system, and when you see a jackpot on the slots' computer screen, parts of the brain 'light up, just as if we gave you cocaine." This indicates that therapies for problem gambling could develop in the same manner as those for substance abuse.

"Problem gambling is where substance abuse was 20 years ago," says Keith Whyte, executive director of the National Council on Problem Gambling. While most of today's seniors grew up in a non-legalized gambling environment, today only two states prohibit gambling. Whyte says it is the combination of Internet gambling's emergence, an explosion of new casinos driven by states desperate for new revenue streams, and an evolution in the games that is designed to increase time spent on the machine "that has transformed gambling from an illegal vice to recreation."

Whyte says there are few outward signs of problem gambling, and therefore in seniors it is often recognized too late, which "has a direct effect on recovery. …

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