Greater Manchester Communities Addressing Gambling Harms
Evaluation Completed June 2023
European Public Health Association (EUPHA) Conference Presentation: Galvanising innovation in community-based health promotion for gambling harms: a process evaluation of a multi-component Community of Practice
What does the research mean for Local Authorities?
This evaluation will investigate the ‘Communities Addressing Gambling Harms’ project, administrated by the Greater Manchester Combined Authority. The project involves a Community of Practice of diverse community organisations and people with Lived Experience. The evaluation will explore whether and how the project raises awareness and facilitates action on GRH across the Greater Manchester region.
Learning from this evaluation will enrich understanding of the potential of community-based, GRH reduction projects to drive change. It will inform policy and service recommendations for other councils seeking to address GRH, including best practices for supporting and utilising Lived Experience, across multiple, community projects.
What does the evaluation research mean for the Public?
The Communities Addressing Gambling Harms (CAGH) scheme seeks to establish a series of community-led actions to prevent or reduce harm associated with gambling. The CAGH initiative is informed by the best available evidence on the extent and impact of gambling related harms. This project seeks to build on contributions from individuals, families, and communities to further develop evidence-based information for future actions. Some of the immediate positives the project hopes to achieve are:
– Increase awareness and understanding of gambling related harms
– Reduce shame and stigma associated with disclosing gambling disorder
– De-normalise gambling in sport
– Increase number of people accessing specialist treatment and support
– Provide brief interventions in the community to reduce harm.
How are the public involved in the evaluation?
The Communities Addressing Gambling Harms programme was developed with the support of a Lived Experience group. We ran three workshops with the Greater Manchester Combined Authority and two members of the Lived Experience group helped us develop the evaluation during the workshops. We are now expanding the group to create a Public and Patient Involvement and Engagement Advisory panel which will advise us as we carry out the evaluation.
Lay summary of research
What is this evaluation about?
Greater Manchester Combined Authority has brought together diverse community organisations and people with Lived Experience of Gambling-Related Harms (GRH) in a Community of Practice (CoP).
CoPs bring people together who are trying to solve a problem so they can learn from each other. The community organisations will participate in the CoP and deliver individual projects that aim to educate people about GRH and support people experiencing them. The people with Lived Experience of GRH will be actively involved in the CoP and some of the individual projects. The project, as a whole, is aiming to raise awareness of GRH, the risks associated with gambling and available support services, across the Greater Manchester region. The aim of this evaluation is to find out whether this innovative approach works and how.
What do we already know?
Anyone who gambles is at risk of GRH and harms can be experienced by those around them, including family, friends and the wider society. A recent Public Health England report estimated the full cost to be £1.27 billion a year but this amount is likely to be lower than the real cost because of gaps in the data. The government has been slow to respond and there is concern about the role of gambling firms in promoting risky gambling activities. Local authorities and community organisations have a key role to play in addressing GRH as they can find out about local GRH and support people experiencing them. Awareness of GRH among the public and organisations is low, however, with gambling often crowded out of local authority agendas.
What don’t we know?
We do not know whether action on GRH across a region can be driven by a CoP and Lived Experience. CoP are increasingly showing their potential to address problems across the NHS but whether they work in a community setting is unclear. While people with Lived Experience of GRH are increasingly being involved in gambling advocacy and research, whether they can be meaningfully involved at a regional level across multiple community projects is also not known.
Why is an evaluation necessary?
Our evaluation will help us to know whether a CoP of diverse community organisations and Lived Experience is a useful way for raising awareness of the issues and motivating action on GRH. It will help councils in other areas who are trying to address GRH by telling them what to do. For example, it will tell them how to bring together community organisations and people with Lived Experience so they can learn from each other. It will also help them set up and support Lived Experience groups so they can benefit from them.
How will it be carried out?
We will use a mix of methods to explore how the CoP and Lived Experience is working. We will interview people who are internal and external to the project to get their views. Focus groups with the people with Lived Experience of GRH will help us know how they are finding it and what councils can do to benefit from them. We will also observe some of the individual projects delivered by the community organisations and interview some of the people that the individual projects have sought to help or educate. Finally, we will analyse final reports of the community organisations and carry out surveys to find out whether the CoP has achieved what it set out to achieve. A survey will ask people external to the project whether they think it has raised awareness across Greater Manchester.
What will we do with the results?
The findings will describe and explain whether and how a CoP of community organisations and Lived Experience can help address GRH. They will describe what councils in others areas can do to benefit from bringing together community organisations and people with Lived Experience. The findings will be shared with the Greater Manchester Combined Authority and people who have participated in the project. They will also be circulated in academic and briefing papers for the public health sector.
Greater Manchester County Council
PHIRST South Bank Research Team
Dr Thomas Mills (PI), Prof Paula Reavey (PI), Prof Antony Moss, Prof Ian Albery, Dr Cath Jenkins