Itâs been a year since Horseshoe Cincinnati, the last of Ohio's casinos to open, began taking bets. So are concerns about problem gambling coming true? The number of people calling Ohioâs Gambling Helpline or adding themselves to the stateâs Voluntary Exclusion Program has gone up. Statewide, the voluntary exclusion list has grown from 252 people in February 2013 to almost 750 people as of last month. That seems like a big jump. But is it concerning? âNo, not at this point,â? says Stacey Frohnapfel-Hasson with the stateâs Bureau of Problem Gambling. âWe do see a change starting to occur and we knew that would happen based on the experiences from other states. Once there are increased opportunities for gambling, especially casino and racino venues, then you do start to get an increase but it usually takes three or four years before you really see that impact in problem gambling.â? Okay, but the number of people calling the stateâs problem gambling helpline went from 348 in February, 2013 to a high of 1,522 by July, 2013. That HAS to be a lot, right? âWe have a large percentage of individuals who call that number for things that arenât problem gambling issues,â? says Frohnapfel-Hasson. "For example, âwhatâs on the buffet in Cincinnati?â âWhoâs playing in the bar?â? Plus Frohnapfel-Hasson says the phone number is just a lot more visible now. Itâs on everything: video lottery terminals, slot machines, billboards. Horseshoe Cincinnati says nothing has changed in its approach to Responsible Gaming. A spokesperson declined to say how many people the casino has added to its banned list. Ohio took a baseline study before the casinos opened so it will be able to track problem gambling over time. Meanwhile, addiction specialists are meeting this week in Columbus for Ohioâs annual Problem Gambling Conference. This yearâs focus is the stateâs response to a changing landscape.