for youth, fairfax, virginia; dr. richard brown, professor of family medicine, school of medicine and public health, university of wisconsin, madison, wisconsin; gail ritchie, public health analyst, center for mental health services, substance abuse and mental health services administration, u.s. department of health and human services, rockville, maryland; dr. pierluigi mancini, ceo, clinic for education, treatment, prevention, and addiction, inc., norcross, georgia. pierluigi, between 2002 and 2011, the total number of adolescents that received prevention messages through the media went from 83.2 percent in 2002 and 75.1 percent on 2011. are we reaching enough young people with prevention messages? well, i think the question is how are we trying to reach the youth with prevention messages? i think that the development of technology today has given us an opportunity that we haven't quite caught up with. traditionally, we have public service announcements, we have school activities, but today, we have facebook. we have texting. we have an ability to find new ways that we haven't quite exploded yet. so, the media we have to look at from a broader perspective, not just the broadcast media but everything that the yo

i was just thinking: the center for mental health services has been a national leader in developing what's called youth m.o.v.e. to really help youth become national leaders, to help others take away the stigma of asking for help or being in treatment. and we're very proud of that, and we think that's a growing trend. it is. and we can all work together on that, i think. that's a great program. yes. i'm going to ask the entire panel now: if you were looking at a crystal ball, what would be your one area where you think that we need to improve? given everything that society is facing and given the challenges, the fiscal challenges, that we have, where should we be going in the future? kristen, i'm going to start with you. i really think we have to look at prevention and treatment as the investments that they are. i think too often, we wait until there's a national crisis, and then we spring to action. and, i think it's more important that we look at working with kids at the very earliest stages of showing that there's a problem, whether it's potential substance abuse or aggression or anxiet

westley clark, director, center for substance abuse treatment, substance abuse and mental health services administration, u.s. department of health and human serviceses, rockville, m; dr. maxine harris, ceo and co-founder, community connections, washington, dc. dr. clark, what is trauma and how do we define trauma? the definition of trauma is a little ambiguous, but it's tied to specific adverse events that a person may experience or a community may experience, including disasters, physical or sexual abuse, or witnessing the above-mentioned. it's of that nature, it could be psychological as well as physical, and there are a wide range of issues associated with the definition. very good, and what are the various sources of trauma? well, the sources are similar to the precipitant. it could be from a relative or a partner. it could be in war, from the enemy. it could be from tornadoes or hurricanes or floods. it could be from predators who are in the community unbeknownst to the victim, a person who's victimized from either physical assault or rape or events like that. so the, it can be from

center for mental health law in washington. >> change is hard. because you have years and years of service systems that were premised on a different vision about the capabilities of people with disabilities that didn't envision people with disabilities as living regular lives the same kinds of lives that the rest of us, having families, having jobs. >> reporter: so even after the a.d.a. became law, many people with disabilities were not being moved by the states out of large institutions and into homes and community-based programs. in response, in 1999, the supreme court handed down the "olmstead decision," reaffirming the a.d.a.'s integration mandate. it held that unjustified segregation constitutes discrimination. and it served to push states into compliance. 14 years later, the picture has improved. states have made progress nationally and they have reduced the share of medicaid spending for individuals with disabilities living in institutions like nursing homes and special hospitals. but as senator tom harkin, who co-authored the a.d.a., discovered through a new report he commissioned,

we were at the same time asking me to health centers to expand coverages for his handling oral health care or do that with mental health services, counseling services as well as increasing the number of people coming through the community health centers. so we wanted to give time for structures to be in place. $11 billion is provided in the affordable care act to community health centers. i was part of the movement they made sure the money was included early in the process so you have some help. interested as you call my people from the community health centers, whether some of the money has in fact been years and how is that working and i'm obviously interested in the entire country, very interested in maryland. we found that some of our rural areas we still don't have enough facilities and place. quite frankly we are not going to roll all of the uninsured one year. it will take us several years to get this up to the numbers we expect. ultimately we will be in the system. kevin, are you getting the money? isn't helping? or facilities increasing in size? >> health care for the homeless receive a grant to establish a mobile prog

for mental health services. when you look at health centers. it has been an incredible expansion of services that are now available in communities that did not have services before. it has been very cost-effective. hospital admission rates of one down. a lot of this is to reduce the needs of reducing emergency room care because it is so expensive and not very effective if you have an ongoing issue. if you can get to the community centers, we can do a better job on that. as far as facilities for construction, that has been very difficult to get at the national level. there has always been someone available, but not a lot. it is an area that we understand we still did not have enough facilities out there, but we do look for you to tell us what is the best way to expand capacity using a model that is working. we will look for ways to expand that. one of the nice things about the affordable care after is the health centers have bipartisan support. , lot of controversial issue particularly in a cost-effect of setting where you could provide comprehe

mental health services and society's perception of the mentally ill. we will also discuss the cost of college with janet buckley from the national centers for educationaltatistics. can see "washington journal" by the every morning starting at 7:00 a.m. eastern. bullying that they love to engage in, their favorite is racial bullying. is based philosophy almost solely and completely at this point on the idea that they stand up for victimized groups. everything they do is to stand up on behalf of a victimized minority. blacks, jews, gays, women. if we oppose their policies, by necessity, their logic is that they hate lakhs, jews, gays, and women. >> ben shapiro is sunday's in depth the guest. they will take your calls for three hours starting at noon eastern. johnng ahead, congressman lewis will be october's guest. feminist critic christina book tv's book club returns in september with "this town." read the book and engage on our facebook page and on twitter. >> one of the most fun times i've ever had was in 2006 and it looked like democrats were going to take back over the house and it was looking pretty bad for republicans. and vice president cheney's o

mental health services and sit -- and society's perception of the mentally ill. we will also discuss the cost of college in federal student aid with jack buckley from the national center foreducational statistics and the president of college measures. live onton journal" is c-span everyday at 7:00 a.m. eastern. one of the most fun times i ever had -- it was 2006, and it looked like democrats were really going to take back over the house, and it was looking pretty bad for republicans, and vice president cheney's office called and wanted to know if rotenberg and i could come over and have breakfast. we went over to the vice president's residence and had breakfast with him. i had met him before. i did not know. first of all, it was unbelievable how much he knew about -- he has been to so many of these districts over the years as one of the republican leaders of the house and this and that, but basically he was sort of asking us how bad -- us, how bad is this? we were saying, it is pretty bad. that is kind of fun when you get to talk to the various sides and you kind of get a glimpse of the inside players. a with more than 30 years as political analyst, charlie cook has uncov

or dealing with mental health services, counseling services as well as increasing the number of people that were coming through the community health centers. so we wanted to give time forstructures to be in place. there was $11 billion provided in the affordable care act to community health centers. i was part of the movement that made sure that money was included early in the process so that you would have some help. i'm interested as you call on the people from the community health centers whether some of that money has, in fact, been used in the -- and how is it working? i'm obviously interested in the entire country, but very interested in maryland. we found that in some of our rural areas we still don't have enough facilities in place. now, quite frankly, we're not going to roll all of the uninsured in one year. it's going to take us several years to get this up to the numbers that we expect ultimately will be in the system. so, kevin, how -- are you getting the money? is it helping? are facilities increasing in size? is. >> we certainly are. health care for the homeless received a grant to establish a mobile program, and so we have also a new facility that opened

centers. we have additional financing going for culturally-competent community providers, doctors, nurses, dentists, mental health professionals who actually speak the language and reach out to a neighborhood. we've doubled the size of the public health serviceorps which, to me, is one of the great well-kept secrets in america. it's like the peace corps for health workers. the you agree to serve in an underserved area, the federal government helps pay off the student loans and debt that a lot of health professionals carry. and what we find is that when people actually take up service in the national health service corps, they stay in the commitments that they are serving -- in the communities that they are serving long beyond their assignment. so there will be continued access for undocumented. and i think there's no question that outreach to individuals in, again, a language and answering questions in this a culturally-appropriate manner is a huge part of this effort. it's not going to come out of washington. it's not going to come even out of a neighborhood that people are not familiar with. it has to really be part of a dialogue with neighbors and family and friends. and health care providers. that will be the most effective way to answer