Setting Limits

Commercial gambling is a recent historical phenomenon. It has developed into a profitable industry that supplies a range of recreational activities to its customers, and is a significant way of collecting money from players to distribute to companies, state budgets, and other beneficiaries. Many of these are civil society organizations, using the money for producing services in sports, culture, social work, and health care. However, gambling can also develop into pathological behaviour. Using a public interest framework, this book discusses the policies that will best serve the public good and minimize individual and collective harms. After describing the historical context of the gambling and the current global burden of the activity, available methods of regulating the industry are evaluated using the available scientific evidence. By analysing the effectiveness of gambling policies and their alignment with the public interest, the epidemiological obstacles to successful regulation are considered in detail. There is good evidence for the effectiveness of restrictions on availability and access, but preventing gambling-related harm is not possible without limiting the overall volume of the activity, and hence the profits for the gambling industry and governments. Taking an international approach, this book delivers a comprehensive review of the epidemiological evidence documenting the harmful effects of gambling on individuals, communities, and societies. Essential reading for policymakers, social and behavioural scientists in gambling research, and public health researchers, Setting Limits examines a global view of an emerging epidemic of gambling problems.

Pekka Sulkunen, PhD, Professor Emeritus and former Director, Centre for Research on Addiction, Control and Governance (CEACG), Department of Social Research, University of Helsinki, Finland
Thomas F. Babor, PhD, MPH, Professor and Chairman, Department of Community Medicine, University of Connecticut School of Medicine Connecticut, United States of America
Thomas F. Babor, PhD, MPH, Professor and Chairman, Department of Community Medicine, University of Connecticut School of Medicine Connecticut, United States of America
Michael Egerer, PhD, Researcher, Centre for Research on Addiction, Control and Governance (CEACG), Department of Social Research, University of Helsinki, Finland
Matilda Hellman, PhD, Adjunct Professor (title of docent), Director, Centre for Research on Addiction, Control and Governance (CEACG); Department of Social Research; University of Helsinki, Finland
Charles Livingstone, PhD, Senior Lecturer, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
Virve Marionneau, PhD, Researcher, Centre for Research on Addiction, Control and Governance (CEACG), Department of Social Research, University of Helsinki, Finland
Janne Nikkinen, Docent in Social Ethics, Researcher, Centre for Research on Addiction, Control and Governance (CEACG), Department of Social Research, University of Helsinki, Finland
Jim Orford, PhD, Professor Emeritus of Clinical and Community Psychology, University of Birmingham, United Kingdom
Robin Room, PhD, Professor, Centre for Social Research on Alcohol and Drugs, Stockholm University, Sweden; Professor, Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
Ingeborg Rossow, PhD, Norwegian Institute of Public Health, Oslo, Norway

1: Introduction
2: History of gambling regulation and the rise of the industry
3: The gambling industry: global structures and modern trends
4: The range and burden of gambling problems
5: Gambling behavior and problem gambling
6: The total volume of gambling and the prevalence of gambling problems
7: The effects of changing availability
8: Industry strategies and their regulation: marketing, game features and venue characteristics
9: Pre-commitment and interventions in risk behavior
10: Gambling control regimes
11: Treatment and early intervention services
12: Summary and conclusions: gambling policy and the public interest