'Your first step to change' is a self-help guidebook for people who are concerned about their gambling. The project was funded by the Massachusetts Department of Public Health. The guidebook is approximately 20 pages long and includes several lists of questions to prompt reflection. It is divided into three sections:
- Facts about gambling and gambling disorder – signs of gambling disorder, information about common gambling myths
- Understanding your gambling – identification of harmful impacts
- Thinking about change – assessing readiness to change, selecting and committing to change
The guidebook is also available in several languages on the Cambridge Health Alliance, Division on Addictions' website.