Serving the counties of

Des Moines, Henry, Lee & Louisa


Problem Gambling Services


For most people, gambling is a form of recreation. A recent study of Iowans 18 years of age and older showed that 93.4% gambled in their lifetime. A full 2% of the population studied (43,000 individuals) indicated a problem with gambling such as preoccupation with gambling, increased time and money spent, inability to cut back or quit, and agitation/irritability when trying to quit. Because gambling problems are not well understood by most Iowans, and having a gambling problem creates intense shame and guilt, many people do not access treatment: only 602 in the whole state of Iowa in 2014.  This is a problem which can take over lives while ruining careers, education, health, and relationships.

Education and counseling services for problem gambling are provided to residents of the following Iowa Counties:

Gambling Treatment Staff

Nicolas Foss, MS, IADC, BACC, ICGC-II
Associate Director for Treatment Services:
Nicolas is located at our Burlington office and can be reached at 319-753-6567 or

Jessica Hartz, BA, ICGC-I
Gambling Counselor:
Jessica is located at our Burlington office and can be reached at 319-753-6567 or

Click here to view ADDS March 2019 Gambling Treatment Program newsletter!

External link to information from 1-800-Bets-Off, Iowa Gambling Treatment Program.
National Council on Problem Gambling.
The National Center for Responsible Gaming.

ADDS Resources
Additional information from ADDS regarding problem gambling.

Problem Gambling Newsletter

Brief Biosocial Gambling Screen:
3 questions you can answer to understand your gambling or that of a loved one.

Gam-Anon 20 Questions:
20 questions you can ask regarding your loved one's gambling.

National Council Booklet:
Problem Gambling Guide to Financial stability for concerned persons

Choices booklet:
A workbook with activities to help you change your gambling with or without professional care.

Co-occurring problems with gambling problems

Screen for Gambling Problems
Why primary healthcare practitioners should screen for gambling problems

To schedule an educational presentation on problem gambling for your group or arrange for an individual counseling session, contact any of our outpatient offices. No service is denied due to an inability to pay for the service. 

Problem gambling services for those in immediate crisis may be obtained by contacting our 24 hour toll free Hotline at:

1-800-Bets Off (1-800-238-7633)