dr. clark, let's go back and talk a little bit more about the whole issue of the parity legislation versus what the aca brings forward. there was already some stipulations that had to be adhered to by the healthcare service delivery system that dealt with substance use disorders as well as mental health illnesses. well, one of the most important things for us to keep in mind is that both the affordable care act and the parity act embraced the notion of dealing with mental health and substance abuse services, but also recognizing that cost is an issue. the advantage of evidence-based practices or the promise of evidence-based practices is that we'll be able to produce acceptable outcomes at reasonable cost. and what we have to do is promote those strategies to service delivery systems, whether it's the integrated system or whether it's the specialty delivery system or it's the primary care system. so that's the conundrum of the research community and the services communities, to making sure that

dr. clark, what does research to practice mean and what does it mean for a methodology or a practice to be evidence-based? research to practice is a concept that captures the evolvement in the research community with regard to various aspects of, in this case, substance abuse or mental health care in an effort to increase the ability to positively affect the individual who's affected by it. so, evidence-based, then, is mobilizing administrative, clinical, and research information to enhance the quality of care and the effectiveness of care in order to produce the best outcomes associated with providing care, so when people present for care they're getting the best care possible. and, tom, in the field, how much of this is going on? what is the percentage of people that actually do evidence-based practice? well, it's a good question. as dr. clark said, nobody can argue that you need more evidence for the things that you do. every parent demands it for treatments for their children. every treatme

dr. clark, i want to move on to what is samhsa currently doing in terms of workforce development to really begin to get practitioners to understand and to adopt evidence-based practices? well, as was mentioned, we are working with organized medicine through our sbirt efforts, through our attcs. we also have a medical residency component of our screening brief intervention referrals or treatment strategy, but we are also working with our colleagues at hersa and the nih and ondcp, so that we can diffuse that information. it is key to recognize that recovery, as it were, or a public health approach to behavioral health requires a broader overview, not just, as tom pointed out, not just specialty care. it is the full spectrum of care because some problems are just risky problems. the person was drinking three drinks and has minor problems. if we don't address that, then when we-we wait long enough, they'll go from three drinks and minor problems to six drinks and major problems at a single setting.

dr. clark, samhsa originally was founded or authorized to really take the science and develop methodologies or evaluate methodologies. how has that been undertaken in recent years? well, what samhsa attempts to do is work in partnership with our colleagues at the national institutes-national institute of mental health, the national institute of drug abuse, the national institute of alcoholism and alcohol abuse, and other nih institutes-and that science that they developed, as was pointed out by dr. laudet, was very rigorous, but translating, as dr. peterson pointed out, into practice is complex. so, using our addiction technology transfer centers, we need to educate people about the science. we have to influence the behavior when we use our funding to, shall we say, prime the pump, allow community-based organizations, state authorities, county authorities, tribal authorities to explore the implications of the science that's been developed by researchers for community practice because that's wha

this is not the way we would like to see the service of dr. clarkpay tribute to his service and in an appropriate patriotic away. >> the investigation is continuing. >>> gay right supporters are vying to fight the new marriage amendment. >> # people were arrested during a sit in at a city hall rally in north carolina. >> they denied same-sex marriage licenses. >> after they passed an amendment to finding marriage between a man and women. >> later they whether released. >> former presidential candidate did rick santorum believes the support will prevent him from getting reelected. >> it as potent weapon, if you will for governor romney. if he is willing to step up and take advantage of the president who is very much out of touch with the values of america. >> they believe mitt romney can win the support of conservatives and the issue. >> we brought you part of his speech at the university. >> in that speech, he reaffirmed his stand against. >> they are not giving up. they booed one of his sons off the stage at the arizona gop convention last night. >

dr. joseph stig litsz. a university professor at columbia and a winner of the 2001 nobel prize in economics as well as the 1979 john bates clark medal. he served in the clinton administration as the chair of the president's council of economic advisers followed by an appointment of senior vice president and chief economist of the world bank. he's a co-founder of the initiative for policy dialogue current president at the international economic association chair of the u.n. commission studying ways to reform the financial system and a member of the sftc committee on emerging regulatory issues. last year foreign policy magazine named him one of the top 100 global thinkers. dr. stiglitz, thank you very much for being with us. >> thank you for holding these hearings. i welcome this opportunity to share with you my thoughts on senate bill 1138 and the broader subject of how we can best finance research on hiv/aids and for health more generally. i should begin by saying that the approach taken by the bill is exactly right. it reflects an approach that i have been arguing for years include my book "making globalization work" and the

dr. joseph stiplitz. he is a university professor at columbia university and winner of the 2001 nobel prize in economics as well as the 1979 john bates clark medal. he served in the chair of the economic advisers followed by an appointment of chief adviser of the world bank, he is a co-founder of the initiative of dialogue economic association, chair of the u.n. commission to perform ways of the financial system and a member of the cdc on one of the top 100 global thinkers. thanks very much for being with us. >> thank you very much for holding these hearings. i welcome the opportunity to share with you my thoughts of bill 1138 and the broader subject of how we can best enhance research on hiv/aids and help generally. i would say the approach taken on the bill is exactly right. it reflects the approach i've been arguing for for years, including my book "making globalization work ". the timing of this hearing couldn't be better. coming soon after the release of the report and the consultive expert work of the world health organization. i was able to present a keynote address in the launch of the report in geneva just over a week ago. interes

dr. doris they. they are bringing awareness to skin cancer protection and awareness. . >>> we'll smile and say good morning, to you. thank you for joining us here. it's monday, may 7th i'm dave clark. >> and i'm pam cook. thank you for joining us. >> in the news for you this morning we are finding out more about the woman that died after being hit by a car in frank -- in san francisco. ktvu tara moriarty is here now to tell why that street that area is so dangerous. tara. >> reporter: now that the light is out and traffic is beginning to pick up you can see how fast these cars are zipping here along masonic. you are looking at right now is geary. a lot of the folks are trying to beat the light so they are going fast. as you pan to the right this is where euclid is. people are coming up over the hill also gaining speed. and right here in front of trader joe's this is a blind spot. this is where the woman was trying to cross the street and was struck and kill. the accident happened at 5:30 last night. the 25-year-old victim was putting groceries in her car. she was not walking in a crosswalk. she was returning her cart back when a toyota tundra hit her. this stretch of roadway is sc