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Spokesperson Lisa Brecher said their mostly low-income population is at high risk for gambling addiction, since many are unemployed and coping with poverty and violence. "They turn to a way to alleviate that," Brecher said. “The same way some folks use substances, we’re afraid the same population will start to misuse this recreational activity.” Brecher said the center expects more patients to develop gambling addiction, but not necessarily tell their providers about it — which is partly why the clinic has trained many of its existing counselors in gambling treatment, but not hired anyone new. “Based on supply and demand, we’re pretty confident we have enough people in place right now," Brecher said. "What we are talking about and preparing for, if we do start to see a lot of these things identified during the intake process, is: Will we have to increase capacity?” The tricky part, health leaders say, is making sure supply keeps up with the demand. Warner said the Massachusetts Council on Compulsive Gambling — under contract with the state — has ramped up its trainings, mostly among clinicians who already treat substance abuse and mental illness. “We also get a lot of requests from community-based organizations, certainly from senior centers,” she said. According to the council, about 150 practitioners across Massachusetts are certified to treat gambling addiction, including both private practice and employees of larger mental-health organizations. “I'd say that there's a lot more groups that still need to be trained, and a lot more groups that need some information,” Warner said. The Massachusetts Department of Public Health is charged with making sure there are enough gambling addiction services and that every licensed outpatient clinic has at least one trained counselor.

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