For individuals with problem gambling who do not meet diagnostic criteria for Gambling Disorder, which level of care is recommended?

• A. Early Intervention (Level 0.5)
• B. Outpatient Level of Care (Levels 1, 2.1, 2.5)
• C. Inpatient Treatment for Co-occurring Disorders
• D. None, since they do not have a gambling disorder

Answer: (B)

When someone has problem gambling but does not meet criteria for Gambling Disorder, the aim is to provide support that is appropriate in intensity while addressing the behavior and any related issues. Outpatient care delivers evidence-based treatments—such as cognitive-behavioral therapy to change gambling patterns, motivational interviewing to strengthen readiness to change, and relapse-prevention strategies—in a flexible setting that allows continued work or school. This level is enough to help reduce gambling urges and build coping skills without the need for inpatient stabilization. Early Intervention targets those not yet seeking help or with only subclinical signs, so it isn’t the best fit for someone who already has a recognized problem and is engaging in treatment. Inpatient care is typically reserved for significant co-occurring mental health or medical needs requiring hospitalization. Therefore, outpatient levels of care are the most appropriate choice.