justin, dr. osher mentioned engagement and how that is one of the criminal -- critical missing pieces. give us your be perspective on how you saw things, how you see things, and the role you now play on helping people navigate these complex systems? justin: thank you, judge. , somebody whoist has lived experience. i suffer from mental health and substance abuse issues. funny enough you mentioned friday the 13th. friday the 13th 11 years ago i found myself on the ninth floor of the miami-dade jail, and a pile of urine, feces and vomit. i have been diagnosed six months before. supporters,reat found the jail diversion program. they got me out of jail, i got back on my meds, started doing better, feeling better. they closed out my court case. they offered me a job working for the courts. i said, i am paranoid, delusional. they said, no, you will fit right in here. [applause] this is what people need come opportunities to recover, decent job opportunities. i went from having no insight on myself having a me

i would like to turn to dr. osher a bit and have him talk about what trauma means to people, and talk a little bit about how we got to where we are. >> thank you. i appreciate the specificity of the first question. >> you are the psychiatrist on the panel. >> indeed. i want to make some general comments about how we got there. we certainly are aware of high rates of trauma. both in the arrest population and the arresters. once one encounters that, there is a variety of changes one experiences at that point in time. we know that those can have a long and enduring impacts. we had an adverse childhood events study in massachusetts of 20,000 individuals that looked at kids who were abused or had traumatic events. followed them forward. saw indeed there were morphological changes in their brains. as well as behavioral problems associated with that. it is not a surprise. our frontline providers also experience that as a reaction to what they see, even though they maintain their professional posture, it is not without an ins