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NC Department of Health and Human Services Division of Mental Health, Developmental Disabilities, and Substance Abuse Services

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Problem Gambling Program

The North Carolina Problem Gambling Program was established to provide and support effective problem gambling prevention, education, outreach and treatment programs throughout the state.

2011 NC Youth Risk Behavior Survey Fact Sheet
Training Opportunities
Diagnostic Statistical Criteria for Pathological Gambling-IV - A score of five or more is categorized as pathological gambling, but a score of three or four could indicate a serious concern for the problems gambling is creating in one's life.

Gambling in the News

8/16/11: NC Senate has Votes to expand casino gambling

Military and Veterans

About 2.2 percent of military personnel have indicators of probable problem gambling, compared with 0.77 to 1.6 percent of the general population. Find information about problem gambling in the military.



Currently piloting the 'Stacked Deck' curriculum at ten (10) pilot sites across North Carolina.  These sites include high schools, alternative schools, and after school programs. Program Scope | Facilitator’s Guide


Currently pilot testing on-campus Prevention and Awareness Initiatives at ten (10) colleges/universities/community colleges across North Carolina.  These pilot sites are working locally to raise awareness of problem gambling on their campuses, screening for problem gambling among their student populations, and seeking to improve their on-campus policies as it relates to gambling among students and staff. 3 Tier Approach


  • Established and managed toll-free statewide Problem Gambling Helpline Helpline is answered by masters level therapists  24/7 & 365 days/year
  • Treatment includes outpatient services at no cost for problem gamblers or family members through a network of 40 registered private practice providers across North Carolina who receive referrals and provide support, direct services, and treatment.  The program covers 12 (7+5) Unmanaged Face to Face Sessions with Direct billing, no insurance, no Medicaid, and no sliding scale fees.
  • “Call To Change” Program is a home-based telephone supported intervention program that utilizes a 5 session model completed telephonically by the client and masters level therapist (i.e. language barrier, no provider in the area of need, transportation issues make traveling to primary therapist a barrier).
  • Established local self-help network – GA (Gambler’s Anonymous)
  • **All services are provided free of charge and are completely confidential**
  • Screening / Assessment Tools:




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