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A cellist and a research scientist, this was a successful, intelligent man in his early 40s, with family and friends. Inhis addiction in full bloom, only one thing would get Hartwell up from the video poker machine -- his 2-year-old daughter. Howard Shaffer, an associate professor of psychiatry at Harvard Medical School and a leading authority on the impact of gambling expansion, isn't sure.

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Furthermore, most empirical research on adolescent gambling in Europe has demonstrated a clear relationship between gambling behaviour and substance abuse Molde et al. Primary prevention strategies can be used to help promote informed decision-making and be incorporated into curriculum through interactive school-based prevention programs.

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