This community-engaged research study explored the effects of legalized gambling on recovery communities. Key findings included a community-led definition of gambling recovery, a recommendation to stop using the term “responsible gaming” as it is harmful and stigmatizing, an identification of gaps in support and validation, and an initial recognition that legalized gambling is impacting the recovery process. Findings further highlight the need for recovery community voices to be included in discussions surrounding gambling policy. While existing resources for problem gambling provide an important foundation, they are not sufficient to address the growing scale and complexity of
gambling-related harms—particularly in the rapidly expanding landscape following PASPA’s repeal. Going forward, greater intentional and coordinated efforts are needed to expand access, improve visibility, and ensure that care systems are adequately resourced, culturally responsive, and prepared to meet rising demand.