EXAMINING MENTAL HEALTH, RESILIENCE, AND COPING STRATEGIES AMONG VIETNAMESE MIGRANT WORKERS IN MACAU

ABSTRACT

LEGALIZING GAMBLING HAS BROUGHT NUMEROUS ADVANTAGES TO MACAU, INCLUDING EMPLOYMENT OPPORTUNITIES, ECONOMIC GROWTH, IMPROVED QUALITY OF LIFE, AND ACCELERATED URBAN DEVELOPMENT. WHILE THESE MACRO-LEVEL BENEFITS ARE EVIDENT, THE INDUSTRY HAS ALSO SIGNIFICANTLY IMPACTED LOCAL FAMILIES AND COMMUNITIES. IN PARTICULAR, THE INITIAL DISCOVERY OF A FAMILY MEMBER'S GAMBLING PROBLEM INFLICTS IMMEASURABLE HARM ON THE HOUSEHOLD, AND THE COPING STRATEGIES ADOPTED BY AFFECTED FAMILY MEMBERS CRITICALLY INFLUENCE THEIR RELATIONSHIPS WITH THE GAMBLER AND THE OVERALL TRAJECTORY OF THE FAMILY UNIT. THIS QUALITATIVE STUDY, CONDUCTED IN COLLABORATION BETWEEN THE UNIVERSITY OF SAINT JOSEPH (USJ) AND SKH 24-HOUR ONLINE GAMBLING COUNSELING SERVICE (SKH-24H), EMPLOYED SEMI-STRUCTURED INTERVIEWS TO EXPLORE THE COPING STRATEGIES OF FAMILY MEMBERS OF PROBLEM GAMBLERS. NINE PARTICIPANTS WERE INTERVIEWED, AND THEMATIC ANALYSIS REVEALED EIGHT KEY COPING STRATEGIES: (1) BAILING OUT THE PROBLEM GAMBLER, (2) MAINTAINING STATUS QUO OF THE FAMILY, (3) HELP SEEKING IN MACAU COMMUNITY, (4) COPING BY SELF-REGULATION, (5) COPING BY ENGAGEMENT, (6) COPING BY WITHDRAWAL, (7) TOLERANCE AND (8) SEEKING PSYCHIATRIC CONSULTATIONS. THE STUDY AIMS TO ENHANCE THE UNDERSTANDING OF LOCAL GAMBLING COUNSELING PROFESSIONALS REGARDING THE COPING STRATEGY EMPLOYED BY MACAU FAMILIES DEALING WITH PROBLEM GAMBLERS. BY ALIGNING INTERVENTION STRATEGIES WITH THE LIVED EXPERIENCES OF THESE FAMILIES, THE FINDINGS CAN INFORM MORE EFFECTIVE, FAMILY-FOCUSED APPROACHES TO SERVICE DELIVERY. FURTHERMORE, THE RESEARCH PROVIDES INSIGHTS FOR GOVERNMENT AGENCIES INTO THE REAL-WORLD CHALLENGES FACED BY FAMILIES AFFECTED BY PROBLEM GAMBLING, OFFERING EVIDENCE-BASED RECOMMENDATIONS FOR EVALUATING AND REVISING EXISTING REGULATIONS TO MITIGATE THE ADVERSE EFFECTS OF THE GAMBLING INDUSTRY ON MACAU'S HOUSEHOLDS. "