
Youssef Allami is Assistant Professor in the School of Psychology at Université Laval in Quebec, Canada. In this month’s Member Spotlight interview he discusses his career in gambling studies, the regulation of gambling in Canada, treatment seeking and the importance of understanding the broader context of mental health and addiction when looking at gambling harms and problem gambling.
Like many of the people interviewed for the AFSG Member Spotlight, Youssef did not start out determined to pursue a career in gambling studies. His main intention was to become a clinical psychologist, and it was only when his supervisor revealed he was beginning a research project on gambling that Youssef decided to switch from the Psy.D. programme with its focus on clinical practice to a PhD which combined clinical practice with an expanded programme of research. After completing his residency at Montreal’s largest publicly funded addiction and rehabilitation centre, Youssef spent five years working there as a clinician and doing some part-time research work. He subsequently went on to a postdoctoral position at the Alberta Gambling Research Institute (AGRI) before joining Université Laval.
As a clinical psychologist and researcher, one of Youssef’s interests is how gambling harms are measured and understood. Harms can be felt across many domains, including financial, emotional/psychological and relationships among others. People who experience harm from their gambling may experience that harm across several domains or in just one or two of them. Some people, he says, will suffer harm because of their gambling but will not necessarily meet the criteria for a formal psychiatric diagnosis of gambling disorder. Youssef thinks this distinction between gambling harms and gambling disorder is poorly understood among researchers, policymakers and others. He argues that by disregarding gambling harms and instead focusing solely on formally diagnosed cases of gambling disorder, some politicians and the gambling industry have been able to downplay the negative impacts of gambling in Canada.
In some ways, the Canadian context and approach to regulation have aided this process. While gambling was legalised by the federal government, the right to manage and regulate it is devolved to the individual provinces. Most provinces manage gambling through state-owned monopolies, but some, such as Ontario, have opened up to private operators. This has led to a situation in which neighbouring provinces may adopt very different regulatory approaches, but given pervasive marketing and the accessibility of online gambling it is increasingly difficult for provincial governments to fully regulate gambling marketing and participation in their own provinces. The move to welcome private operators by some provinces, meanwhile, has opened the doors for industry lobbyists to talk up the economic benefits of gambling, while downplaying the socio-economic harms. Youssef and other researchers in Canada have argued for a pan-Canadian approach to issues such as marketing, but as a small community of academics with limited resources they haven’t been able to score many successes in this regard.
To better understand the Canadian context, Youssef is currently working on a project that examines how gambling has evolved in recent years across the Canadian provinces and how it may develop in the future, particularly in relation to differing provincial regulatory frameworks. Some of these findings could, perhaps, inform a future pan-Canadian strategy.
As well as these larger trends and patterns, however, Youssef is very much interested in individual experiences of gambling, gambling harm and treatment seeking behaviours. In his recent research, he has examined treatment seeking behaviours among Canadians experiencing gambling harms. That research shows an average time lag of four years between people first becoming aware of their problem gambling and subsequently seeking treatment for it. He and his research team asked participants what first made them realise they had a problem and what then led them to seeking treatment. In both cases, financial problems emerged as the primary reason. According to Youssef, the reason for the four-year lag between problem awareness and treatment seeking may be explained by the fact that individuals often try to recoup their losses before seeking assistance.
Another aspect of treatment that Youssef researches is addiction substitution and co-morbid conditions. His research suggests that in some cases, people who are actively trying to reduce their gambling may substitute another addictive substance or behaviour in its place, such as alcohol or drugs. People with co-morbid mental health conditions may be most likely to follow this pathway and it may be this group that requires the most attention from a clinical perspective.
Indeed, according to Youssef’s research, some people who had previously sought treatment for mental health conditions actually began experiencing gambling problems while they were undergoing treatment for their mental health condition(s). This highlights a challenge for treatment providers who must balance the need to provide a wide package of care for various mental health conditions with a specific knowledge of the factors underlying gambling harms and gambling disorder. This combination of the general and the specific can be hard to achieve, although Youssef points to New Brunswick’s model which mixes general mental health and addiction services with regional gambling champions who have deeper experience of gambling than other mental health and addiction professionals.
As both a researcher and clinical psychologist, Youssef’s work extends beyond gambling into substance use disorders and mental health. Given the relationships between gambling harms, substance use and mental health, he believes it’s important for researchers to have a broad understanding of the wider issues that can impact people who suffer harm from their gambling. This, he argues, is important as it allows researchers to spot commonalities as well as differences across addictions and compulsive behaviours.
As our conversation comes to an end, I ask Youssef what he, his colleagues and students are currently working on. While he is working on a project to better understand attachment styles and addictive behaviours, he’s keen to highlight a couple of projects his students are leading. The first is examining how newly arrived immigrants may be at greater risk of gambling harms while simultaneously being less likely to seek help, and a second is looking at how women who have experienced addiction are treated by the judicial system. Taken together, these projects highlight an interest in and awareness of the fact that behind the statistics on gambling are real people who experience and try to deal with harms in myriad ways , and that society also has a role to play in reducing the harms experienced by individuals facing addiction-related problems.











