Free and Confidential Treatment

Oregon offers several levels of treatment, depending upon the nature of the gambling problem:

1. GEAR
Oregon’s Gambling Evaluation and Reduction Program (PDF), GEAR, is designed to meet the needs of less severe problem gamblers. GEAR is a structured program that offers home-based change tools such as self-change guides, telephone counseling, Internet support groups, and educational videos.

2. Outpatient Treatment
Outpatient problem gambling treatment involves assessment, individual treatment planning, one-to-one counseling, group counseling, treatment for concerned others if appropriate, case management, and aftercare planning. Oregon operates approximately 29 problem gambling outpatient treatment programs throughout the state. Included are specialized culturally competent programs targeting an African American community and two Hispanic communities.

3. Residential Care
Oregon operates one statewide inpatient gambling treatment program and three regional centers that offer crisis-respite services. Individuals utilizing this level of care are referred from an outpatient gambling treatment program.

4. Maintenance
Part of treatment planning includes aftercare, relapse prevention, and ongoing support through the recovery process. Alumni groups offered within treatment programs and client involvement with Gamblers Anonymous are two examples of this level of care.