American Indian governments, operators of the largest segment of the country’s legal gambling industry, are stepping up efforts to confront problem and compulsive gambling, an addiction that targets indigenous Americans.

Although tribes have worked to combat problem and compulsive gambling since before enactment of the Indian Gaming Regulatory Act of 1988, efforts have intensified over the years with emergency hotlines and treatment, education and prevention programs, many in partnership with state chapters of the nonprofit National Center on Problem Gambling (NCPG).