The prevention of harms from gambling includes reducing the intensity of any harms that do occur. The field of harms reduction is broad and complex, and cannot be neatly separated from research and treatment. In practice, address to gambling harms generally involves cross-sector working for policy formation and implementation of actions.
For the sake of (gross) simplicity, the following topics suggest some of the area and approaches involved with harms prevention.
1. Education, both formal (for instance in schools) and informal (for instance work in youth settings, and public health education). There is an opinion piece which discusses education here.
2.Individual actions such as self-exclusion from betting resources, and blocking gambling advertisements etc. on digital devices. Some banks will support individuals who request the blocking of gambling transactions. Digital resources include the apps gamstop and gamban.
3. Screening for potential harms in gambling. Ongoing training and awareness-raising for frontline health, social care and financial workers can ‘bring to light’ any gambling behaviours that otherwise may go unnoticed. GPs in particular should be aware of the scale of gambling issues, and have the skills to direct patients to support while dealing with arising concurrent medical issues arising from gambling. There is a need for continual development of training and awareness-raising among frontline workers.
4. Local dissemination of awareness-raising materials and directions to support. At present, certainly in Glasgow, there seems to be little if any commitment to the need to raise awareness of gambling harms and the support available. This could be achieved by the professional design and distribution of print materials such as posters, leaflets and booklets to be displayed in public spaces such as libraries, community centres, health centres and so on. There also needs address here to specific segments of the population where gambling harms and necessary support are refracted by cultural determinants.
5. There must be continual and sustained effort to influence local and national government and professional bodies (e.g. in medical education) with a view to achieving commitment to informed policies and strategies supported by financial and human resources.
6. Online presence. It is surprising given that as many as one in twelve people (including affected others) suffer gambling harms there seems to be little evidence of implementing online website(s) and sustained social media presence in parallel with the print resources outlined in (4) above.
7. Anti-stigma work needs to challenge the negative social and individually internalised attitudes to those who encounter gambling harms. Internalised stigma prevents many from seeking support.
8. Working with substance harms movements. Many who suffer gambling harms concurrently suffer substance harms (and often mental health conditions). The recovery communities in Glasgow such as North West Recovery Communities include gambling in their work, and partnerships like this should be strengthened. More widely, an organisation such as Alcohol Change provides a useful paradigm of a movement which, while willing to engage with industry does so with evidence based research that challenges aspects of industry’s responsibility for harms, and its influence on policy making. Alcohol Change is independently able to make such challenges by not being directly or indirectly funded by industry.
9. Ongoing, sustained cross-sectoral networking. This includes focused commitment to raising awareness and, where appropriate, training across all sectors including housing, debt management, the judiciary system, health care, social care, and the full range of third sector organisations. Activities relating to gambling harms prevention undertaken by organisation in any sector should receive support from agencies whose specific sole remit is to address gambling harms.
10. Community work. There should be structured approaches to involvement with local communities. In practice this could include small events which raise awareness, elicit discussion and provide pathways to support. Community venues should receive materials as outlined in (4). Community members should be invited to events such as in (11). In particular, community organisations which have demonstrated active work in the area of gambling harms prevention (such as Greater Govanhill CIC) should be encouraged to wider involvement, and sereve as exemplars for other community organisations which may seek direction.
11. Events. These include large events such as the Glasgow Gambling Summit, and round table events such as provided by Scotland Reducing Gambling Harm. Others have included the annual conferences of the Scottish Gambling Education Hub from Fast Forward. Where possible strands relating to gambling harms could find inclusion in general third sector events such as the annual conference of the Alliance for Health and Social Care. It is important that where possible a focus on prevention is highlighted.
12. Arts. The ‘arts’ sector is huge, and worth standing alone from (9) above. Here is hardly the place to condense its importance into a few words. Suffice it that a few examples may suggest the role that the arts play in addressing gambling harms. The Scottish Education Gambling Hub’s work with young people is based on their involvement with producing arts products, major results being theatre and film productions. The Simon Community Scotland has a drama group that appeared in a show in Easterhouse which also included film and singing, the whole show themed on gambling harms. The Machine Zone’s own film has been shown in many places and continues to be so. In reaching – and often entertaining – people, arts productions are powerful and in many ways more accessible and culturally resonant than words on paper or screen. Gambling harms prevention initiatives could seek more and stronger links with the very many vibrant arts based organisations of all sizes.
13. Challenging the gambling industry. To stress that treatment and support for those who encounter gambling harms is vital. This must involve enhancing, resourcing and supporting the providers of such treatment and support, and this must be a priority. Another priority is the prevention of harms arising in the first place, though this is better, and more pragmatically, phrased as reducing the risks of gambling harms arising.
These challenges are not to gambling itself. Rather, they seek to address practical concerns which, through tighter regulation, may make gambling safer. This is a wide – and heated – area of debate, often exhibiting polarised thinking, often clouded with rhetoric. Any organisation which seeks to reduce gambling harms may choose not to challenge industry practices, and/or affirm that existing structures, including the industry’s own policies of ‘harm reduction, are adequate.
But if an organisation believes that industry practices constitute a major determinant of harms it will want to challenge these. For instance it may challenge marketing techniques, saturation advertising and sponsorship. It may want to challenge what research strongly suggests are addictive products. It may want to highlight specific areas of concern such as the fact that industry profits come largely from a small number of gamblers who are at greatest risk of harms. Such challenges are common in the UK, primarily coming from organisations created by, sustained by, and built around the voices of lived and living experience. And, of course, such challenges are themselves strongly challenged by many agents.
Scotland does not have devolved governmental powers to regulate things like gambling advertising. Local councils are constrained in things like the licensing of betting premises, or the prevalence of giant digital roadside advertisements for betting companies. In England, though, there has been sustained action by many individual councils (among them, Greater Manchester, Newham, Brent, Southampton, Leeds and Leicester), and in April 2025 the Local Government Association published Tackling gambling related harm: A whole council approach
It is possible that when Westminster funding is released, and Scottish organisations receive a share, statutory agencies such as in local government and public health will reflect, or even join with, English initiatives. In any case, third sector gambling harms prevention organisations possess the independence to include vigorous challenges to industry practices in their work. And it is to be welcomed that some have been doing so for some time.
This piece was written by Adrian Bailey, Director, The Machine Zone Community Interest Company
13 November 2025


