The Ministry of Health (“The Ministry”) commissioned KPMG in 2011 to complete an Outcomes Framework for Preventing and Minimising Gambling Harm (“Outcomes Framework”). An Advisory Group was established comprising thirteen representatives from across the problem gambling services and the gambling sector to provide expert advice throughout the development of the Report. This represents a significant milestone in the journey towards the overall goal of Government, communities and families / whānau working together to prevent harm caused by problem gambling and reducing health inequalities associated with gambling harm in New Zealand.
PurposeThe purpose of the Outcomes Framework is to identify short, medium and long term outcomes to enable an integrated approach to problem gambling. These outcomes connect with the Ministry’s Preventing and Minimising Gambling Harm: Six year strategic plan 2010/11 – 2015/16 (“Strategic Plan”). This Baseline Report (“Report”) represents the first critical step of the Outcomes Framework by defining the current position. While this Report adds significant value in its own right, the additional value comes from on-going annual reports that will measure progress against this Report. The first annual report is due to be completed by the end of 2013.
MethodologyExisting data was collected from a range of sources, including:
- New Zealand Health Survey
- Client Information Collection (CLIC) database
- Health and Lifestyles survey
- Electronic Gaming Machine (EGM) Electronic Monitoring Systems (EMS)
- The results of audits of service providers
- Venue compliance reports
- Government sector annual reports
- Gambling industry advertising spend
- Problem gambling service provider reporting to the Ministry of Health
- Territorial local authority gambling policies and submissions on these policies
Key ResultsKey findings of the baseline report:
- There has been a reduction in health inequalities related to problem gambling, yet inequalities remain for Māori compared to non-Māori and low income communities compared with higher income communities.
- Support is available for Māori to achieve their maximum health and wellbeing through minimising the negative impacts of gambling. However, it is clear that gambling negatively and inequitably impacts Māori.
- People do participate in decision-making about local activities. However, while participation in decision-making is good at a regional level it is less effective at a local level, outside of submissions to local councils.
- Healthy policy exists at national, regional, and local levels that prevents and minimises gambling harm.
- Government through to communities and individuals generally do understand and acknowledge the range of harms that gambling causes to individuals, family, and communities.
- A skilled workforce has been developed to deliver services that are effective at preventing and minimising gambling harm.
- A full assessment of whether people have the life skills and resiliency to make healthy choices that prevent and minimise gambling harm cannot be made at this time.
- Many of the elements that influence gambling harm are included in the design of gambling environments in New Zealand and are incorporated into legislation.
- Problem gambling services are effectively raising awareness about the range of harms from gambling.
- Interventions are moderately accessible, highly responsive and moderate to highly effective.