Through this process, participating youth gain knowledge and skills that empower them to understand, critically assess, and communicate those factors that place them and people in their communities at risk for underage and problem gambling. This approach places youth—particularly those who experience disparities and inequitable balances of power—at the center of community change.

The project has achieved the following between January 2021 and June 2023:

• 23 groups, 215 youth, 210 caregivers, and 14,478 community members were reached.
• Early evidence suggests that the project positively affected the knowledge, attitudes, and behaviors that serve as precursors to longer-term community-level change on the ultimate outcomes of interest, thereby increasing protective factors for problem gambling.
• The project is poised to have a positive impact and become a replicable model for other states.

The Massachusetts Department of Public Health Office of Problem Gambling Services currently funds multiple organizations to implement the Massachusetts Photovoice Project including: LUK, Cambridge Health Alliance, Gandara Center, High Point Treatment Center, NEW Health, and Old Colony YMCA.