GRASP in Action: Modernizing Opioid Treatment to Address Gambling Harm

Session Title

Treatment: Comorbidity & Mutual Aid

Presentation Type

Paper Presentation

Start Date

26-5-2026 12:00 AM

Abstract

This presentation highlights the Gambling Resources and Support Program (GRASP), a federally funded initiative designed to strengthen the capacity of Opioid Treatment Programs (OTPs) in Nevada to address co-occurring gambling problems. First-year implementation data reveal substantial unmet need, with 26% of OTP patients scoring in the problem gambling range on the Problem Gambling Severity Index (PGSI) and an additional 15% identified as moderate risk. GRASP demonstrates an innovative, systems-level approach to integrating gambling screening, education, and support within OTP settings. Key components include the use of digital health tools, web-based provider portals, multidisciplinary collaboration, and continuous, data-driven quality improvement. Presenters will share early outcomes, implementation lessons, and practical strategies for embedding gambling-related services into opioid treatment workflows. The GRASP model offers a scalable and replicable framework for improving care and outcomes among individuals experiencing co-occurring gambling and opioid use challenges.

Author Bios

Jeff Marotta has specialized in problem gambling for over 30 years and has authored more than 200 scholarly works. He holds a doctorate in Clinical Psychology from the University of Nevada, Reno, and is an Internationally Certified Gambling Counselor (ICGC-II). He serves as President and Senior Consultant of Problem Gambling Solutions, Inc., Co-Founder of Evive, Provisional Graduate Faculty at Pacific University, and Treasurer of the Oregon Council on Problem Gambling.

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May 26th, 12:00 AM

GRASP in Action: Modernizing Opioid Treatment to Address Gambling Harm

This presentation highlights the Gambling Resources and Support Program (GRASP), a federally funded initiative designed to strengthen the capacity of Opioid Treatment Programs (OTPs) in Nevada to address co-occurring gambling problems. First-year implementation data reveal substantial unmet need, with 26% of OTP patients scoring in the problem gambling range on the Problem Gambling Severity Index (PGSI) and an additional 15% identified as moderate risk. GRASP demonstrates an innovative, systems-level approach to integrating gambling screening, education, and support within OTP settings. Key components include the use of digital health tools, web-based provider portals, multidisciplinary collaboration, and continuous, data-driven quality improvement. Presenters will share early outcomes, implementation lessons, and practical strategies for embedding gambling-related services into opioid treatment workflows. The GRASP model offers a scalable and replicable framework for improving care and outcomes among individuals experiencing co-occurring gambling and opioid use challenges.