t of trying to develop ways to more timely and in a more interactive way share what has been learned, so that people can, as the name implies, move from the theory of the research to putting it into practical application. the r2p project tries to help people by condensing, through our efforts ahead of time, to distill really what is the best evidence that's available that's relevant to the work of people who work in drug courts. so, we are then able to, by using experts and by preparing background information, to give people the very latest guidance on how they should do their work in order to promote effectiveness in what they are trying to accomplish. it's important to disseminate this information to the practitioners that are out there, so that they can understand better who's coming to the table, how do they relate to one another at the table, and how can they make the most

effective decisions. understanding that type of research, i think, is really valuable. it's not only important in translating research into practice but also translating in a way that can draw on the experience of practitioners that have tried to use research findings and what are the barriers that they find. trying to take advantage of quick turnaround and quick conveyance to mass audiences of information, but, at the same time, allowing for the interactivity that will allow people to get a greater grasp of what's being said. the partners to this cooperative agreement that is r2p really get together and they try-we try to figure out what are the most important questions that people who work in drug courts have that we have evidence-based research that can be used to assist them. we then start thinking about what kind of resources should we put together, what kind of people should be involved as experts, and then what the format should be.

the issue that we were trying to address when we crafted this project was that there's a great deal of good research that's gone on about drug courts and how they function and what's effective and what's not. but there's been a struggle to get that information out to the practitioners in a-first, in a timely way, and, secondly, in a way that is digestible, that it's usable, that is productive. there's so little information that's relevant to actual services quickly available that i think that by making this information available to-in a very practical way-to everyone that's involved, but particularly to the criminal justice practitioner that doesn't normally have access to this, this will help strengthen these programs. dr. peterson, i want to go to you because you've mentioned some of the issues that the physicians are facing in terms of when they do their screening and so on, and

you also mentioned off camera that you were attempting to work with them on motivational interviewing skills. you want to talk a little bit about that? yeah, and i'm speaking from my experience working with trying to implement sbirt into primary healthcare settings and emergency departments or emergency room settings in wisconsin. one of the things that was very difficult in terms of the implementation, one i mentioned earlier, that busy physicians, it's very difficult for them to find time. the very brief screening itself, however, you can do universally to everybody who walks in the office in a very short period of time. pencil and paper are up on a kiosk. that will give you enough information to know what to do with that person next. that, in itself, doesn't take the time, but talking to patients does. in wisconsin, we used paraprofessionals that we trained very intensively to work with people, and

that was very effective. they took the time. they were very skilled in motivational approaches, and the thing that was also difficult is that there's a lot of stigma around both mental health issues and substance abuse. this affects not only the individual, but it also affects everybody else who grew up in our society, including providers. in wisconsin, some providers were very reluctant to bring up the subject of somebody's alcohol use with them. they felt it was intrusive, and i think this idea of stigma is really critical for us to address. as long as that is in play as strongly as it is right now, it's going to be a major obstacle for us in getting people to agree to treatment, in getting physicians or other

health professionals to discuss behavioral health with their patients, and it's something that we really have to take a look at. well, i tend to be an optimist, so i'm going to say that once people watch the show and learn that there are other resources out there that they can learn from that we will begin to change a little bit some of the minds that need to be changed. tom. i'd like to comment, because i'm-have the advantage of being old, and i've heard this stigma argument for a very long time, and it keeps going on, and the kind of behaviors you describe, candice, just keep happening. i am not sure that educating physicians and nurses and pharmacists about addiction is the way to go. i think when they understand just how profoundly even

subdiagnostic levels of alcohol and other drug use affect the rest of the conditions that they're trying to treat and how they've been ignoring that to their own peril. they're not treating the diabetic, the asthmatic, the hypertensive patient in a professional or comprehensive way if they haven't even asked about their alcohol and other drug use. i think that's the kind of thing that's going to make stigma go away. and, how do we do that? you show them that it is in their interest, and dr. clark correctly said this is our chance to show real value to the rest of medicine. if we can show improved outcomes in general health by showing that when you do it with the kind of innovative programs that candice is talking about you get better cost savings, you get better access, you get better adherence to treatment, now, you've got something. i would add to what tom is saying is it's not only a matter

of-although critical-not only a matter of helping physicians and other healthcare professionals see that they are going to get better outcomes, in the long run, it's going to be more cost effective. yes. absolutely. but it's also a matter of really helping people understand on a very deep level that addiction is not about a failure of the will. it's a brain disease, and it must be treated as a medical condition on parity with other kinds of chronic conditions. i think that really plays into stigma when people do not see it as a- absolutely. and, dr. clark, i want to go back and, as we're offering the audience a sense of where they can look for information and for training materials, talk a little bit to us about the addiction technology transfer centers and the wealth of information that they can provide.

well, our addiction technology transfer centers work with community providers, state authorities, tribes and peers, so that they would have access to information. so, you go to our web site and you can find information about a wide range of strategies and issues. and the theme that keeps surfacing here is that as behavioral health is part of health, you can't deal with health without dealing with behavioral health, and our attcs help get that information. we also have what's called our national registries of effective critical practice or nrep, which allows people to identify clinical strategies that have been shown to work for a wide variety of populations. and so they can go to samhsa's web site and look up nrep and see what kind of clinical strategies are being employed. so our link with the nih is an essential one. we have a blending initiative with the national institute of

drug abuse where we're promoting effective evidence-based practices, and training materials are available, so that providers and consumers can get that information. we want to make sure that consumers, peers, families, as well as providers and policymakers are aware of the wide range of information because, at the end of the day, stigma and discrimination and the expectation of individuals with regard to mental health and addiction is a cultural phenomenon. when we look at the people who are not engaged in substance abuse treatment, 95 percent perceive no need for treatment. even though they meet criteria for abuse or dependence, they perceive no need. it's not that they don't want treatment. it's that they perceive no need for treatment. and that is the conundrum for the healthcare delivery system. if we don't facilitate that awareness at the community level, at the family level, at the employer level and at

the provider level, , then we'e always going to be dealing with the extremes of these conditions and people will not recognize that they need to change their behavior early. and as dr. laudet pointed out and dr. peterson pointed out, if the individual has diabetes and doesn't take his or her medication, hypertension doesn't take medication, cardiac disease doesn't take medication because of alcohol or drugs or anxiety or depression, then we're not going to effectively intervene with those conditions. so, behavioral health is a part of health. prevention works. treatment is effective. we just need to make sure that all of our efforts are synergized, so that we get that message out. if i may add to what dr. clark just said in terms of the so-called denial gap of the 92 percent people who need services and don't feel the need, i think that part of that may be the stigma because, i mean, as human beings i think we don't

like to consider the fact that we're not in charge of stuff. so, generally, people are being blamed. i mean, people, now, are almost blamed for their diabetes and their health style-you're not exercising. you know, if you're eating wrong or you're smoking, and, you know. so, the more we're giving people information in terms of the behaviors which they have some power to alter in order to improve their health-at the same time, we're kind of blaming them for not taking care of it if they're not. so, historically, even though the public seems to be increasingly buying into the addiction is a disease concept, most people, i think, in the back of their mind, thinks it's a moral weakness. so, that's what underlies the stigma. and who's going to want to cop to the fact that they may have a stigmatized problem and they've been doing bad things? if we were really able to make the same move we've had with, say, cancer, which, when i was a child, if somebody had cancer, you whispered it, and it was like a death sentence, but, now, people are walking down the street with ribbons and walking

and giving money and it's a triumph to be- well, it has been a public movement. and it has been somewhat destigmatized, as has, to some smaller extent mental health issues. you've had celebrity people or politicians' wives or even politicians, especially once they're out of office, sometimes coming out and saying, i've been treating-usually, they're not coming out saying, i'm being treated for depression now, but they are saying, i have been treated for depression in the past, which kind of, you know, opens the dialogue- humanizes it. -but also kind of gets away from the fact that they're okay now. and, there's a whole host of other issues we could have touched on related to research to practice, but before the end of the show, i want to remind our audience of national recovery month celebrated every september. you can get more information at our web site. thank you for being here. it was a great panel. for a copy of this program or other programs in the road to recovery series, call samhsa at

1-800-662-help or order online at recoverymonth.gov and click multimedia. every september, national recovery month provides an opportunity for communities like yours to raise awareness of substance use and mental health problems to highlight the effectiveness of treatment and that people can and do recover. in order to help you plan event and activities in commemoration of this year's recovery month observance, the free recovery month kit offers ideas, materials, and tools for planning, organizing, and realizing an event or outreach campaign that matches your goals and resources. to obtain your copy of this year's recovery month kit and gain access to other free publications and materials related to recovery issues,

visit the recovery month web site at www.recoverymonth.gov or call 1-800-662-help. [music]

>> welcome to "culturewire." today we are at recology. they are celebrate 20 years of one of the most incredibly unique artist residency programs. we are here to learn more from one of the resident artists. welcome to the show, deborah. tell us how this program began 20 years ago. >> the program began 20 years ago. our founder was an environmentalist and an activist and an artist in the 1970's.

she started these street sweeping campaigns in the city. she started with kids. they had an exhibition at city hall. city officials heard about her efforts and they invited her to this facility. we thought it would coincide with our efforts to get folks to recycle, it is a great educational tool. since then, we have had 95 professional artists come through. >> how has the program changed over the years? how has the program -- what can the public has an artist engage with? >> for the most part, we worked with metal and wood, what you would expect from a program like ours. over the years, we tried to include artists and all types of mediums. conceptual artists, at installation, photographers, videographers. >> that has really expanded the

program out. it is becoming so dynamic right now with your vision of interesting artists in gauging here. why would an artist when to come here? >> mainly, access to the materials. we also give them a lot of support. when they start, it is an empty studio. they go out to the public area and -- we call it the big store. they go out shopping, take the materials that, and get to work. it is kind of like a reprieve, so they can really focus on their body of work. >> when you are talking about recology, do you have the only sculpture garden at the top? >> it is based on work that was done many years ago in new york. it is the only kind of structured, artist program. weit is beautiful.

a lot of the plants you see were pulled out of the garbage, and we use our compost to transplant them. the pathway is lined with rubble from the earthquake from the freeways we tour about 5000 people a year to our facility, adults and children. we talk about recycling and conservation. they can meet the artists. >> fantastic. let's go meet some of your current artists. here we are with lauren. can you tell us how long have been here so far and what you're working on? >> we started our residency on june 1, so we came into the studio then and spent most of the first couple weeks just digging around in the trash. i am continuing my body of work, kind of making these hand- embroidered objects from our day-to-day life. >> can you describe some of the

things you have been making here? this is amazing. >> i think i started a lot of my work about the qualities of light is in the weight. i have been thinking a lot about things floating through the air. it is also very windy down here. there is a piece of sheet music up there that i have embroidered third. there is a pamphlet about hearing dea -- nearing death. this is a dead rabbit. this is what i am working on now. this is a greeting card that i found, making it embroidered. it is for a very special friend. >> while we were looking at this, i glanced down and this is amazing, and it is on top of a book, it is ridiculous and amazing. >> i am interested in the serendipity of these still life

compositions. when he got to the garbage and to see the arrangement of objects that is completely spontaneous. it is probably one of the least thought of compositions. people are getting rid of this stuff. it holds no real value to them, because they're disposing of it. >> we're here in another recology studio with abel. what attracted you to apply for this special program? >> who would not want to come to the dump? but is the first question. for me, being in a situation that you're not comfortable in has always been the best. >> what materials were you immediately attracted to when you started and so what was available here? >> there are a lot of books. that is one of the thing that hits me the most. books are good for understanding, language, and art in general. also being a graphic designer, going straight to the magazines and seeing all this printed material being discarded has

also been part of my work. of course, always wood or any kind of plastic form or anything like that. >> job mr. some of the pieces you have made while you have been here. -- taught me through some of the pieces you have made while you have been here. >> the first thing that attracted me to this was the printed surface. it was actually a poster. it was a silk screen watercolor, about 8 feet long. in terms of the flatwork, i work with a lot of cloddish. so being able to cut into it come at into it, removed parts, it is part of the process of negotiating the final form. >> how do you jump from the two dimensional work that you create to the three-dimensional? maybe going back from the 3f to 2d. >> everything is in the process of becoming. things are never said or settled.

the sculptures are being made while i am doing the collages, and vice versa. it becomes a part of something else. there's always this figuring out of where things belong or where they could parapets something else. at the end goal is to possibly see one of these collage plans be built out and create a structure that reflects back into the flat work. >> thank you so much for allowing "culturewire" to visit this amazing facility and to learn more about the artists in residence program. is there anything you like our viewers to know? >> we have art exhibitions every four months, and a win by the public to come out. everybody is welcome to come out. we have food. sometimes we have gains and bands. it is great time. from june to september, we accept applications from bay area artists. we encouraged artists from all mediums to apply. we want as many artists from the

bay area out here so they can have the same experience. >> how many artists to do your host here? >> 6 artist a year, and we receive about 108 applications. very competitive. >> but everyone should be encouraged to apply. thank you again for hosting us. >> thank you for including us in "culturewire." ♪ i'm derek, i'm hyungry, and ready to eat. these vendors offer a variety

of the streets near you. these mobile restaurants are serving up original, creative and unusual combinations. you can grab something simple like a grilled cheese sandwich or something unique like curry. we areher here in the average eight -- upper haight. you will be competing in the quick buy food challenge. an appetizer and if you are the winner you will get the title of the quitck bite "chompion."

i am here with matt cohen, from off the grid. >> we assembled trucks and put them into a really unique heurban settings. >> what inspired you to start off the grid? >> i was helping people lodge mobile food trucks. the work asking for what can we get -- part together? we started our first location and then from there we expanded locations. >> why do think food trucks have grown? >> i have gotten popular because the high cost of starting a brick and mortar or strong, the rise of social media, trucks can be easily located, and food trucks to offer a unique outdoor experience that is not easily replaced by any of their setting any worlwhere else in san franc.

san francisco eaters are interested in cuisine. there adventuress. the fact theyuse grea use great ingredients and make gourmet food makes unpopular. >> i have been dying to have these. >> i have had that roach coach experience. it is great they're making food they can trust. >> have you decided? >> we are in the thick of the competition? >> my game was thrown off

because they pulled out of my first appetizer choice. >> how we going to crush clear? >> it will be easy. probably everyone has tried, something bacon tell us delicious. >> -- people tell us is delicious. >> hopefully you think the same thing. >> hopefully i am going to win. we're in the financial district. there is a food truck right there. every day changes. it is easy and fun to go down. these are going to be really good. >> how are you going to dominate? >> i think he does not know what he is doing. >> i was thinking of doing [unintelligible] we are underrepresented. >> i was singing of starting an

irish pub. that was my idea. >> one our biggest is the corned beef and cabbage. we are asking people what they're thinking in getting some feedback. >> for a lot of people i am sure this combination looks very wrong. it might not sound right on paper but when you taste it to or have it in your mouth, it is a variety. this is one of the best ways in creating community. people gather around and talk about it and get to know different cultures. that brings people together and i hope more off the grid style and people can mingle and interact and remove all our differences and work on our similarities. this creates opportunity. >> the time has come and i am

very hungry. what have you got? >> i got this from on the go, a sandwich, and a caramel cupcake. i went with home cooking. what de think? >> i will have another bite. >> sounds good. >> that was fantastic. let's start with you. >> i had the fried mac and cheese, and twinkies. i wanted to get something kind of classic with a twist on it. >> it was crispy.