(music) hello, i'm ivette torres and welcome to another edition of the road to recovery . today we'll be talking about behavioral health issues among military families. joining us in our panel today are kathryn power, director, center for mental health services, substance abuse and mental health services administration, u.s. department of health and human services, rockville, md; captain joan hunter, director of psychological health, u.s. public health service, detailed with the national guard bureau, arlington, va; hector zayas, recovery coach and consultant, orlando, fl; dr. bradley karlin, national mental health director for psychotherapy and psychogeriatrics, office of mental health services, department of veterans affairs headquarters, washington, dc. kathryn, more than 2 million troops deployed to afghanistan and iraq. what are some of the behavioral health issues related to the returning vets that are there, the vets that are there, and the returning vets? i think all of us are paying great attention to the behavioral health issues of anyone who has been in combat.

hello, i am ivette torres and welcome to another edition of the road to recovery . today we'll be talking about preventing, treating, and recovering from mental and substance use disorders within the context of the family. joining us in our panel today are frances harding, director, center for substance abuse prevention, substance abuse and mental health services administration, u.s. department of health and human services, rockville, maryland. dr. nancy young, executive director, children and family futures, irvine, california. erica asselin, family support specialist and medication-assisted treatment advocate, fresh start, square one, holyoke, massachusetts. dr. kim sumner-mayer, senior advisor, phoenix house center on addiction and the family new york, new york. fran, what is the definition of family within our society currently? that's a very good question. family has changed, the definition. we used to think of family as two parents living in a house with two children and probably a pet or two. now, we have a wide variety of families. we have families that are

ivette, may i go back and kind of piggyback on what nancy was saying? you started by describing sort of what it looks like for a child who is in school and how they may present. and so to say what is happening at home in those situations, if you have a parent with a substance abuse problem, very often you're seeing children whose developmental needs are not the primary concern. and so the family is very oriented around meeting the parent's needs and keeping the family functioning around the parent's addiction. so rather than the child getting what they need developmentally, the family is really kind of putting the child's needs last in order to keep the family just functioning. so that sometimes means that children are actually flipping roles with their parents and becoming parentified, where they are in a role that is not appropriate for them. the lines of authority are not clear or they change, depending on whether the parent is high or not high. so there is a lot of inconsistency for children. so, fran, let me go back. a child that is within one of t

that's correct, ivette, we do. and our administrator, when she came on board a year ago, said this is a population that we need to pay attention to, even though there is really nothing in law and there's no appropriation that says we should become involved in this. but we had discovered, frankly, from our grantees, from our substance abuse and mental health grantees at the local level, that we did have individuals who were coming into community-based agencies and seeking help. so, the first thing we had to do is we had to recognize the fact that even the civilian agencies weren't asking people, "do you have a dd214, have you ever served in the military, have you ever been in combat?" do you want to explain the dd214? dd214 is the piece of paper that you get from the department of defense when you are, when you go off active duty and you retire. and so, the reality was that we needed to get the civilian providers thinking about this population and then directing them appropriately to va facilities and to tricare and

[applause] [music] hello, i'm ivette torres, and welcome to another addition of the road to recovery today, we'll be talking about obtaining and retaining employment for people in recovery. joining us in our panel today are david berns, director, district of columbia department of human services, washington, dc; dr. gary bond, professor of psychiatry, dartmouth psychiatric research center, lebanon, new hampshire; peggy burns, eap counselor, employee assistance program, university of maryland medical system, baltimore city, maryland; neli vasquez-rowland, president, a safe haven, chicago, illinois. of those individuals that are unemployed, there was about a 15.7 percent rate of drug dependency among them. of the ones that are employed with a drug dependency, there were 23.3 million people overall, and about

[music] hello, i am ivette torres and welcome to another edition of the road to recovery . today, we will be talking about our military service members, veterans, and their families; and providing support for their substance use and mental health problems. joining us in our panel today are: jennifer crane, operation enduring freedom veteran, outreach assistant, give an hour, coatesville, pennsylvania; dr. barbara cohoon, deputy director, government relations, national military family association, washington dc; dr. mike haynie, executive director and founder, institute for veterans and military families, syracuse, ny; a. kathryn power, samsha strategic initiative lead for military families and regional administrator region 1, substance abuse and mental health services administration, u.s. department of health and human services, boston, massachusetts. kathryn, there's approximately 2.3 million active military men and women and about 22 million vets. um, talk to us a little bit about why military families are important to our national security. well, i think that one of the

well, maybe, ivette, the best way to explain this is to describe evidence-based supported employment, which is the approach that we've been studying for, and disseminating, for the last 20 years, a network of us at dartmouth and around the country. and, actually, around the world now. so evidence-based, supported employment is an approach that has been endorsed by samhsa. in fact, a lot of the early studies were done through samhsa funding. but now there have been 16 rigorous studies, randomized control trials, the gold standard in drug research. sixteen studies of this evidence-based, supported employment, and every single one of them has shown an advantage to supported employment and helping people get competitive jobs, compared to other approaches, traditional approaches, that include stepwise approaches that involve counseling and transitional employment, and other things. so overall, the employment rate from these studies is about 65 percent for people who enroll in supported, evidence-based supported employment, compared to about 23 percent in comparison groups. the 23 percent i

i'm ivette torres and welcome to another edition of the road to recovery . today, we'll be talking about youth and young adults in recovery. joining us in our panel today are tami bahr, assistant director, connections counseling, board member of recovery foundation, madison, wisconsin; jonathan katz, director, rita j. kaplan jewish community services, jewish board of family and children services, new york, new york; justin riley, at-large board member, faces and voices of recovery, seattle, washington; bridget ruiz, technical expert lead, division of systems improvement, jbs international, bethesda, maryland. bridget, 21.5 percent of 18- to 25-year-olds have an issue with illicit drugs. talk to me a little bit about that and what kind of drugs are they using. it is quite different than it was even 2 or 3 years ago. we see a huge increase in pharmaceutical drug use, not using it as prescribed. we also see an increase in alcohol use, and binge drinking is a serious problem, as well as some of the more legal types of drugs labeled as incense or those types of t