Episode Transcript
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Isabel Byon (00:00):
The New York State
Office of Addiction Services and
Supports, or OASAS, providesthis podcast as a public service
.
Thoughts and opinions expresseddo not necessarily represent or
reflect those of the agency orstate.
This is Addiction (00:12):
The Next
Step.
Jerry Gretzinger (00:18):
Hello, out
there everybody.
Jerry Gretzinger, your host forAddiction the Next Step, and we
appreciate you checking us outfor this episode.
Today we're going to actuallytake a deeper dive into
something that we talk about allthe time and no doubt if you've
listened to us once, you'veprobably heard us say it a
million times.
We talk about our hope line877-8-HOPE-NY.
(00:39):
That's the hope line we've hadfor years here at New York State
OASAS, and what that's therefor is to provide help to people
when they need it, wheneverthey need it.
Right, it is literally 24-7.
You can pick up the phone, dial877-8-HOPE-NY and someone is
there to talk you throughwhatever you need to discuss,
and I think you know a lot oftimes people wonder okay, well,
(00:59):
who's on the other end of thephone?
How does this work?
What happens when I make thephone call and what can I really
call about?
I think a lot of peopleimmediately assume we want
people to call if they have asubstance use disorder concern
or something like that, but itgoes beyond that.
So these are all the questionswe're going to work to answer
today, and we've got two peoplewho know what they're talking
about to help us answer thosequestions.
(01:20):
They are Rebecca Cooper.
You've seen her before.
She's from our Problem GamblingBureau.
She's the director of that.
Also, Ivory Golden is here.
She's the program manager withthe specialized services for the
New York State HOPEline.
Thank you, ladies both, forjoining us today.
Rebecca Cooper (01:35):
Thanks for
having me.
Yes, thank you.
Jerry Gretzinger (01:37):
And so I'm
going to start with the first
question.
You know the HOPEline.
I mentioned, Rebecca, thatpeople may think, oh okay,
Office of Addiction Services andSupports.
If someone is having a concernabout substance use, I can call
that number.
But we want to point out wealso do a lot of work, obviously
, helping people with problemgambling, and the hope line is
there for them as well.
Rebecca Cooper (01:57):
Correct.
Yeah, and Ivory will talk alittle bit more about the
specifics, but the HOPEline isfor anyone that's affected by
substance use and or gamblingchallenges, and not just for
someone that may be experiencingthem that to themselves, but
for a family member or communitymember or anybody that needs
more information, more supportand, on the problem gambling
(02:20):
piece of it, you know, one ofthe things that we also offer
through Vibrant BehavioralHealth, who runs the HOPEline
for us, is they also are offereda warm transfer, after they
talk to a clinician at the HopeLine, to one of our problem
gambling resource centers tohelp continue to facilitate
access to care in theircommunity.
(02:40):
So it's a really great servicefrom beginning to end.
Jerry Gretzinger (02:44):
And you know
we've said this a couple of
different times when we sit downto speak to people on the
podcast and we talk about, startthe conversation right.
If you have questions, ifyou're not sure what to do about
something, whether it's youyourself experiencing it or
you're witnessing a loved one ora friend start a conversation,
because that's how you startmoving towards getting some
information and answers.
And this is one of those waysyou can start that conversation
(03:07):
and it's you know.
You pick up a phone whereveryou're at.
You know there's absolutely nojudgment at all.
You don't lose anything.
It's free, it's confidential.
It's a great way to get theconversation started.
So now, Ivory, I'm going toswitch over to you.
So you know people are saying,okay, well, this is a great
service.
I'm going to give the numberagain 877-8-HOPE-NY, and that's
(03:28):
how you can reach the HOPEline.
But they pick up the phone,they dial the number, somebody
answers.
Talk to us now about what'shappening, who the people are on
the other end of the line.
Ivory Golden (03:39):
Sure.
So the other people on the linethat are answering the Hope
Line are our crisis counselorsand they are there to kind of
collect the information, get anassessment of what's going on
with the problem gamblingconcern, offer up any additional
support, any additionalpsychoeducation surrounding
problem gambling and the effectsof it.
(03:59):
And then the primary goal is toget that caller informed that
texts are connected to a PGRCwhere they can get additional
supports outpatient treatment,maybe some financial counseling,
things like that.
Jerry Gretzinger (04:12):
Okay, and I
just just so everybody knows you
said PGRC, so I want to makesure you break that down for
people it stands for.
Ivory Golden (04:17):
PGRC is a problem
gambling resource center.
They are the experts, theyspecialize in problem gambling
and the support surroundingproblem gambling and its effects
, and that's where we want toget that call over to.
So we're supporting getting thatinformation and then passing
them on to the problem gamblingresource center
Jerry Gretzinger (04:36):
And Ivory.
You just mentioned somethingtoo every every episode, I am by
saying you can call the newyork state hope line
877-8-HOPE-NY.
But you also mentioned and I'vebeen trying to say it more
often you can also text thatline.
Ivory Golden (04:47):
yeah, and we think
that's a great option.
as you mentioned, people want tofeel comfortable whenever they
reach out for support, so thatis an avenue, a pathway where
they feel connected andconfidential piece is a big
piece about texting.
Jerry Gretzinger (04:59):
And the same
type of people with the same
type of training.
On the other end of that text,as with the call.
Ivory Golden (05:04):
Yes, same thing,
whatever happens or crisis
council is managed.
Phone and text and chats yeah.
Jerry Gretzinger (05:10):
That's great.
So obviously that hasn't alwaysbeen a part of what the hope
line was.
How long has it been?
I mean, if you don't have theexact number of years, that's
fine, but how long has the textbeen part of that option?
Ivory Golden (05:23):
The text option
has been around for quite some
time, I think around the sametime as when we launched that
problem gambling piece but thehope line, so I would say 2018,
2019.
Jerry Gretzinger (05:33):
Okay, all
right, great, great.
I know the hope line has beenaround for so long.
It's so nice that it's kind ofgrown and matured to include
text now, which is such apreferred messaging option for
lots of people.
All right so.
So somebody calls the line,they, they get one of these
people on the other end of theline.
And, Rebecca, you referred tosomething as a warm handoff
right.
And I know and again insideOASAS we know what that means.
(05:54):
But so somebody out therelistening now says, okay, I make
a phone call.
How long before they're tellingme to call somebody else?
I mean, what's the averagelength of a call to the HOPEline
before they say, all right,there's somebody else that we
want to have you speak with?
Rebecca Cooper (06:07):
Well, I think
the most important thing about
the HOPEline, as we've talkedabout, it's usually the first
point of contact for a lot ofpeople when they're reaching out
for help, and so, like Ivorysaid, they gather some basic
demographic information, findout where they're at.
That can take a couple ofminutes and then they will offer
three support referrals whilethey're on the line with them so
(06:28):
that they have somethingimmediate in their hands where
they can, you know, make a callor make a connection to a local
community-based service.
In addition to that, they alsoare offered the option for the
HOPEline operator to do a warmtransfer to a problem-gambling
resource center.
And the reason that we addedthat is because a lot of times,
(06:53):
people are calling in some typeof financial crisis or something
like that, and we want them tobe able to immediately connect
into their community.
And so once they're given thosethree referrals, they offer
them what we call a warmtransfer to a problem gambling
resource center.
The counselor stays on the linewith them.
They offer it.
The caller says, yes, I'minterested.
They warm transfer them tolet's just say they're calling
(07:13):
from Buffalo to the WesternProblem Gambling Resource Center
.
They stay on the line with them, they pick up the phone on the
other end and then they take itfrom there and then they would
start to talk to them a littlebit more about the three
referrals that they were givenfrom the HOPEline and say, okay,
let's talk a little bit moreabout this.
How can we help you?
So they're a little bit more ofa more community focused in the
(07:34):
callers area.
So that's what we mean by awarm transfer to keep people
connected.
Jerry Gretzinger (07:40):
And so you
know, I know we've sort of
talked around this a little bit,but I think sometimes people
know that there's a line likethis that's available.
It doesn't necessarily have tojust be for the person who's
experiencing the problemgambling issue or the substance
use disorder issue, as the casemay be.
It can be someone, a loved one,a friend, who's looking to find
out.
(08:01):
Okay, how can I approach thissubject?
What can I do to help them?
Rebecca Cooper (08:04):
Yeah, and it's
often usually the first point of
contact for anyone right and asyou said for OASAS, that's our
go-to number, that we put oneverything, and I think it's
also important to understandthat you don't have to be in
crisis to call the HOPElineeither.
Right and definitely t hecounselors are trained in
dealing with crisis andimmediate and you know Ivory can
(08:24):
talk more about that.
But we also want people to callthat are curious or have some
questions or might thinksomebody I work with might have
a problem or are concerned aboutmy son more from a preventative
standpoint, so that they canmake that call and start that
dialogue.
Jerry Gretzinger (08:42):
Yeah, Ivory,
she was just getting into this.
That was going to be my nextquestion for you.
I would imagine.
Not everyone, but some peoplemight call at a point where you
know they're like standing atthe precipice, right, and
they're thinking okay, I'mconsidering opening up another
card to get more money, tocontinue my gambling or to do
something that's going to makethe situation potentially worse,
(09:05):
and they need to talk tosomebody at that moment to
figure out what to do right.
Ivory Golden (09:08):
Yeah, yeah.
Jerry Gretzinger (09:09):
So those types
of calls come in.
Ivory Golden (09:10):
Those types of
calls come in, we're 24-7, so we
can manage those calls at anytime.
And if anyone just needsin-the-moment support because
that's what that sounds likekind of stuck in that decision-
where where do I want to go withthis?
I need someone to maybe talk to.
They can do that and thecounselor can provide brief
emotional support.
So, Rebecca's point, as far ascrisis goes, or if someone is at
(09:32):
high risk, they can call, getsupport and then we're going to
provide that crisis interventionand connection to ongoing care
or the highest level ofintervention, which would be 911
, if that person necessarilyneeds that.
Jerry Gretzinger (09:46):
Right, and I
think you both mentioned, you
know, the training that some ofthe folks who are answering
these calls have so that theycan respond to any situation
that maybe they're presentedwith.
Ivory Golden (09:55):
And all of our
counselors.
We have about 20 or 30counselors that do manage the
whole plan.
They're all BA level counselors, but I do want to note that all
of our master's level andlicensed counselors are also
trained on the HOPEline andmight manage those calls as well
.
Training consists of anyonethat comes through the HOPEline
is trained in the same manner.
(10:15):
It doesn't matter what skillset you have.
So that includes interventions,crisis intervention.
That includes database training, supports as far as APS, CPS,
those other protocols that we doif someone is at high risk.
Jerry Gretzinger (10:32):
Yeah, that's
great and I you know, we always
say this and we've said it a lotrecently in podcast episodes,
but you know, we just we want toencourage people to start the
conversation and this is this isthe easiest route to do that.
Pick up the phone,877-8-HOPE-NY, and there's
somebody there ready to talk toyou you know who's going to be
understanding, supportive andhelpful, so we can't ask for
(10:53):
more than that on the other endof the line.
Rebecca Cooper (10:54):
Yeah, and you
know one of the things I'll add
to what Ivory said, which isthat we have a great partnership
with the HOPE line and you knowwe communicate very regularly
with them and one of the thingsthat we do is get feedback from
them and feedback from thecounselors that are answering
the line and as things haveevolved, like during the opioid
crisis or the increase inexpansion of gambling
(11:16):
opportunities, we actually willfind out what more information
do they need, what more trainingwould be helpful for them, and
then either we OASAS staff or acommunity community-based
provider will have themparticipate in one of their
training online trainings andactually give them additional
resources or additionalinformation related to, you know
(11:37):
, the topic that they're hearinga trend on or something like
that.
So it's a very important sortof fluid partnership and always
making sure that the staff thatare answering the lines are
well-versed in you know, sort ofwhat we're seeing on a state
level.
Jerry Gretzinger (11:51):
Right, the
latest information, the best way
they can find to help people.
Ivory Golden (11:54):
I was going to say
that, Jerry, ongoing trainings,
refreshers, collaboration withOASAS to make sure that
counselors are up to speed andup to date mental health field.
Any changes in problem gambling.
Jerry Gretzinger (12:06):
All right.
So people who are calling arein good hands and it helps them
get started on their journey.
So that's what we want peopleto do Pick up that phone and get
it started, because there's alot of people on the other end
waiting to help you.
Rebecca Cooper, Ivory Goldenthank you both for sitting down
with us today to talk about this.
I think you know we've talkedabout the HOPEline for so long
(12:26):
it's nice to take theopportunity to explain what it
is and what it can do so Iappreciate it.
Rebecca Cooper (12:26):
Thank you so
much.
Jerry Gretzinger (12:27):
All right, and
again, I'll give it one more
time, because you know why not877-8-HOPE-NY, and you know if
you also want to hop online, youcan go to our website oasas.
ny.
gov, O-A-S-A-S, dot N-Y, dotG-O-V.
Lots of information there thatcan be very, very helpful.
We just want you to start theconversation, so there's a few
ways to do it.
I'm Jerry Gretzinger, your hostfor Addiction: The Next Step.
(12:49):
Until we see you next time, bewell.