This is the first of several of our reports from the 7th Annual Midwest Conference on Problem Gambling & Substance Abuse in Kansas City, Mo. Dr. H. Westley Clark, director of the Center for Substance Abuse Treatment (CSAT), opened the conference with a keynote address on the challenges and opportunities for addressing gambling disorders. CSAT promotes community-based substance abuse treatment services as part of the Substance Abuse Mental Health Services Administration (SAMHSA), within the U.S. Department of Health and Human Services.