Post on 21-Feb-2022
SICAD . DOMINGOS DURAN . PORTUGAL
DOMINGOS DURAN
LISBON | OCTOBER | 2019
Online Gambling in Portugal: A New Concern for the Future?
Head of Therapeutic Intervention Division
SICAD . General-Directorate for Intervention on Addictive Behaviours and Dependencies . PORTUGAL
SICAD . DOMINGOS DURAN . PORTUGAL
Summary
� The problem
� Responses
� Challenges
SICAD . DOMINGOS DURAN . PORTUGAL
The Problem
EPIDEMOLOGICAL DATA
SICAD . DOMINGOS DURAN . PORTUGAL
GENERAL POPULATION CONTEXTNacional survey on psychoactive substances use in the general population
2016/17Prevalence of gambling
(do you use to gamble…)
42.6%
48.2%
56.2%
52.3%
44.7%
41.0%
0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0%
65 - 74 Years
55 - 64 Years
45 - 54 Years
35 - 44 Years
25 - 34 Years
15 - 24 Years
45.4%
51.1%
48.1%
42.0% 43.0% 44.0% 45.0% 46.0% 47.0% 48.0% 49.0% 50.0% 51.0% 52.0%
Female
Male
Total
So
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CA
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ULL
ETI
N 2
01
7 .
Ga
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am
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t
SICAD . DOMINGOS DURAN . PORTUGAL
So
urc
e: STA
TISTI
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L B
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ETI
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7 .
Ga
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Comparison 2012 / 2016-17
PATHOLOGICAL GAMBLING (SOGS3) (%)
0.3% 0.2%
0.5%
1.2%
0.9%0.7%
0.3%
0.2%
0.2%
0.6%
0.3%0.5%
0.0%
0.2%
0.4%
0.6%
0.8%
1.0%
1.2%
1.4%
1.6%
1.8%
2.0%
15 - 74 Years 15 - 24 Years 25 - 34 Years 15 - 74 Years 15 - 24 Years 25 - 34 Years
Some problems with Gambling Pathological Gambler
SICAD . DOMINGOS DURAN . PORTUGAL
PATHOLOGICAL GAMBLING (SOGS1)
0.9%
1.5%
1.2%
2.0%
2.9%
2.5%
0.4%
0.8%
0.6%
0.9%
1.5%
1.2%
0.0% 1.0% 2.0% 3.0% 4.0% 5.0%
Female
Male
Total
Female
Male
Total
% G
am
ble
rs%
To
tal
Some problems with gambling Pathological gambler0.9%
0.7%
1.7%
1.6%
0.9%
1.1%
2.1%
1.6%
3.3%
2.9%
1.9%
2.6%
0.3%
0.5%
0.8%
0.6%
0.6%
0.5%
0.6%
1.2%
1.4%
1.1%
1.3%
1.2%
0.0% 1.0% 2.0% 3.0% 4.0% 5.0%
15 - 24 Years
25 - 34 Years
35 - 44 Years
45 - 54 Years
55 - 64 Years
65 - 74 Years
15 - 24 Years
25 - 34 Years
35 - 44 Years
45 - 54 Years
55 - 64 Years
65 - 74 Years
% G
am
ble
rs%
To
tal
1 SOGS- South Oaks Gambling Screen.
So
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TISTI
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L B
ULL
ETI
N 2
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7 .
Ga
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t
SICAD . DOMINGOS DURAN . PORTUGAL
So
urc
e: STA
TISTI
CA
L B
ULL
ETI
N 2
01
7 .
Ga
min
g, g
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INTERNET USE IN GAMING / GAMBLING AND BETTING (%)
2015 / 2016 / 2017
Survey on the young participants of the National Defense Day
15.1 16.2 16.8
53.952.1 53.3
13.9 14.8 14.8
51.2 49.9 50.7
13.5 14.8 15
50.048.3 49.2
0
10
20
30
40
50
60
2015 2016 2017 2015 2016 2017Total Week day Weekend
18 years old
Betting online Gaming/Gambling online
SICAD . DOMINGOS DURAN . PORTUGAL
Responses
� Response till 2012
� After 2012
SICAD . DOMINGOS DURAN . PORTUGAL
1867 – Fully forbidden
1927 – First gambling regulation (incipient, gambling allowed mainly as form of regulating what was already a widespread social reality)
1989 – First fully structured gambling regulation
2011 – Introduction of rules for new areas, like online gaming.
PORTUGUESE GAMBLING REGULATION ACTS
SICAD . DOMINGOS DURAN . PORTUGAL
SICADThe mission of the General Directorate
for Intervention on Addictive
Behaviours and Dependencies (SICAD)
is to promote the reduction of the use
of psychoactive substances, the
prevention of addictive behaviours
and the decreasing of dependenciesHealth Ministry
SICAD . DOMINGOS DURAN . PORTUGAL
Referral Network / Articulation In The Framework Of The Addictive Behaviours And
Dependencies
Operation Plan For Integrated Responses
Re
sea
rch
An
d I
nfo
rma
tio
n
Tra
inin
g A
nd
Co
mm
un
ica
tio
n
Inte
rna
tio
na
l R
ela
tio
ns
An
d
Co
op
era
tio
n
Qu
alit
y
COORDINATION (Interministerial Plan)
Budget
Evaluation
National Plan for the Reduction of Addictive Behaviours and Dependencies 2013 -2020 ( PNARCAD 2013 -2020)
Demand Field:Demand Field:� Life Cycle
� Contexts
� Types Of Interventions
Supply Field:Supply Field:� Illicit Drugs And New Psychoactive Substances
� Alcohol, Medicines and Anabolisers
� Gambling
Portuguese Alcohol andHealth Forum
SICAD . DOMINGOS DURAN . PORTUGAL
Source: Plano de Ação para a Redução dos Comportamentos Aditivos e das Dependências 2013-2016
Children up to 9 years – Identification of early patterns of maladaptive child behavior predisposing to the development of addictive
behaviors and dependencies;
Youth 10 to 14 years - Early identification of maladaptive behavior patterns predisposing to the development of addictive behaviors
and dependencies, including patterns of use of psychoactive substances such as binge drinking and / or drunkenness, and pathological gambling;
15 - 19 and 20 - 24 years - delay the onset of addictive behaviors and dependencies, early identification of patterns of risk behavior,
including binge drinking and / or drunkenness, poli-drug use, compulsive gambling, driving under the influence of alcohol , unprotected sex, violence in its different manifestations;
Adults over 65 years – identification of the emergence of maladaptive patterns of behavior involving addictive
behaviors and dependencies, or their resurgence.
Adults 25 to 64 years – identification of patterns of risk behavior, including driving under the influence of alcohol, unprotected sex,
violence in its different manifestations well as predisposing to the development of addiction behaviors, such as the poli-drug use, the intravenous drug use, misuse of drugs, compulsive gambling;
Main Objective: To Prevent, dissuade, reduce and minimize the problems associated with theconsumption of psychoactive substances, addictive behaviors and dependencies:
NEW BEHAVIOURAL ADDICTIONS DEMAND REDUCTION FIELDPNARCAD 2013-2020
SICAD . DOMINGOS DURAN . PORTUGAL
22 CRI – Center of Integrated Responses (Treatment, Harm
Reduction, Prevention and Reintegration)
45 - Drug Treatment Teams (and 32 more outpatient units)
3 CT – Therapeutic Communities
4 UD – Detoxification Units
2 CD – Day Centers
3 UA – Alcohol Units
18 CDT – Commissions for the Dissuasion of Drug Addiction
Five Geographic Areas
A National Health Service
Treatment Public NetworkPortugal
SICAD . DOMINGOS DURAN . PORTUGAL
SICAD
Work Group:
Health Regions Representatives:
Northern regionCentral regionLisbon and Tagus ValeyAlentejoAlgarve
Training packages
CRIs
Guidelines For Intervention
Scientific/ Evidenced
based Knowledge
Training for primary health care professionals
(e.g. GP’s)
Knowledge management and translation into practice – The Gambling Work Group :
BEHAVIOURAL ADDICTIONS: DEMAND REDUCTION FIELD
SICAD . DOMINGOS DURAN . PORTUGAL
National patient record
Electronic prescription of exams and other diagnostic measures
Electronic prescription of medication
Inpatient
Contracted entities
Prevention
THE MULTIDISCIPLINARY INFORMATION SYSTEM (SIM)UNIVERSALLY USED SYSTEM FOR ALL ADDICTIONS
Already in production
Under development
Health data platformReference
BEHAVIOURAL ADDICTIONS: DEMAND REDUCTION FIELD
SICAD . DOMINGOS DURAN . PORTUGAL
ONE SYSTEM FOR ALL DEPENDENCIES
THERAPEUTIC COMMUNITIES
PRIMARY CARE SERVICES
INPATIENT FACILITIESPHARMACOLOGICAL
PROGRAMMEDICINE
CLINICAL ELETRONIC FILES TRANSFER
OCCUPATIONAL THERAPY
NURSING PsychologySOCIODEMOGRAP
HIC DATA
ELECTRONIC PATIENT RECORDELECTRONIC PATIENT RECORD
NUTRITION PHYSIOTHERAPYSOCIAL
INTERVENTIONPOSTS
AGENDAS (APPOINTMENTS)
DEPENDENCIES WITH OR WITHOUT SUBSTANCE
INPATIENT FACILITIES FOR ALCOHOL
INPATIENT FACILITIES: DETOX UNITS
THE MULTIDISCIPLINARY INFORMATION SYSTEM (SIM)UNIVERSALLY USED SYSTEM FOR ALL ADDICTIONS
BEHAVIOURAL ADDICTIONS: DEMAND REDUCTION FIELD
SICAD . DOMINGOS DURAN . PORTUGAL
PNARCAD 2013-2020
BEHAVIOURAL ADDICTIONS: SUPPLY REDUCTION / REGULATORY FIELD
Objective:
Provide opportunities for legal safe, and not addiction – inductive game, through legislation, regulation and appropriate
supervision
Is intended to:
� Identify the different scenarios where gambling may take place, and collect relevant data that may illustrate the
existing problems
� Foster studies on issues related to the provision of gambling opportunities, and involvement of new partners to
technically and scientifically support the drafting of new regulatory proposals
� Develop measures and strategies that respond to the identified needs, within the scope of addictive behaviors and
depenedncies related with gambling
SICAD . DOMINGOS DURAN . PORTUGAL
official order 64/2015
official order 68/2015
official order 65/2015official order66/2015
official order 67/2015
Set of rules for gamblingSet of rules for bingo
Set of rules for sports gaming
Set of rules for online gambling
Set of rules for horse racing games
PORTUGUESE GAMBLING REGULATION ACTS
SICAD . DOMINGOS DURAN . PORTUGAL
RESPONSIBLE GAMBLING
Conceptual framework document on Responsible gambling
Joint work with major stakeholders:
• Gambling Operators
• Regulatory and inspecting entities
• Researchers
• Universities
• Professional Associations
• Other entities
SICAD . DOMINGOS DURAN . PORTUGAL
� Restructuring of laws and regulations regarding gambling and
gaming;
� Involvement/ articulation with SH: ecological approach to
gambling and gaming;
� Training of CRI’s Specialized Treatment Teams’ members and other
health and social professionals on pathological gambling and
gaming;
� Involvement and support of knowledge – forming and knowledge
dissemination activities.
ONGOING:
SICAD . DOMINGOS DURAN . PORTUGAL
Challenges
SICAD . DOMINGOS DURAN . PORTUGAL
PORTUGUESE POLICY ON DRUGS
SICAD . DOMINGOS DURAN . PORTUGAL
COORDINATION STRUCTURE For Drug Problems, Drug Addictions and the Harmful use of Alcohol
Executive Role
Supplementary Role
InterministeralCouncil
National Council
Subcommittees
Representatives Of Governmental Bodies
And Civil Society
Health Ministry
National Coordinator
Technical Commission*Chaired by the National Coordinator
* Chaired by the Prime Minister
� Empowerment of the National Coordinator with a clear mandates on gambling/gaming
SICAD . DOMINGOS DURAN . PORTUGAL
Thank you ☺!
Domingos Duran
domingos.duran@sicad.min-saude.pt
SICAD - Serviço de Intervenção nos Comportamentos Aditivos e nas Dependências
TELEF: +351 211 119 000 | EMAIL: sicad@sicad.min-saude.pt
www.sicad.pt |