In Piedmont region public facilities for addiction started to work with pathological gamblers 15 years ago, while the inclusion of the gambling disorder within NHS in Italy happened only in January 2017. First interventions - in 2003 and 2004 - were outpatient, with activities borrowed from experiences in the clinic of substance use disorders, activated by psychologists, social workers and professional educators without specific fieldwork experience and training. In 2006 in the ASL (local NHS branch) TO3 began the first specific residential treatments in Italy. In 2015, 1569 pathological gamblers were treated by public services for addiction in Piedmont - ten-fold those of ten years before. For structural prevention, Piedmont is the Italian region where there is the highest number of municipalities that adopted provisions to limit gambling supply with slot machines and VLT. The municipalities that implemented such measures are now more than 150, including all the main towns, with a population of 2,5 millions (over 50% of total Piedmont population).
Keywords: Gambling, trattamento residenziale, Piemonte, prevenzione strutturale, riduzione offerta