from samhsa's point of view, that would include mental health issues, trauma, substance use, etc. but remember, we're dealing with somebody who is homeless, so we need to know what else, what other situations are going on. am i homeless because of economics? am i homeless because of domestic violence? am i homeless because of a physical problem that needs to be addressed? am i a veteran who may have access to resources? will i benefit from peer support? these are all questions the case-, the person doing the assessment should be asking. so then you can move forward. if i'm addicted to opioids, might i benefit from an opioid treatment program, using something like methadone or buprenorphine? these are all things that need to be addressed, and if you, in your assessment, aren't addressing those, then in your treatment plan, you're not accommodating those needs. and so, again, there are many pathways in the treatment approach, but i, i think the hallmark is a very good assessment of where the individual is, what some of the causal factors are, and what the service needs should be. bu

and we're meeting with politicians and other mental health providers. these types of events are important to highlight. it's important because we are educating the public about both mental health issues and substance abuse issues. we're also, by holding these types of events, we're also working to reduce the stigma associated with mental health or substance abuse issues. this year, we're tying it into waterfire. we're taking the light of remembrance from here out into the general public out into waterfire, the 20,000 people that are there to basically say, each of us is important, each of us has a voice, and this issue is important. it raises a level of awareness to have an event such as this associated with waterfire, which has a great reputation. we took it out of an indoor facility, because we wanted to give the message that we're not hiding. that the face of recovery needs to be out in the open. we need to dispel the myth and the stigma of substance abuse and mental illness. we are always looking to help people improve the quality of their lives, an

so it's physical health, it's mental health, and it's substance use disorder, full spectrum. when we come back, we're going to continue to talk about, now, the treatment of homeless individuals with co-occurring conditions and with addiction problems. we'll be right back. it's important to be familiar with the proper terminology surrounding addiction and recovery. one of the terms you want to be familiar with is, co-occurring disorder. co-occurring disorders are when an individual suffers from both a substance use and mental health disorder. such as an anxiety, depression, or other mood disorders. for more information on this and other recovery jargon, visit the recovery month website. mornings used to be the toughest. before i got treatment for my addiction, it was the little things that were hardest to bear. but now that i'm free of drugs and alcohol, it's the little things that give me the most joy. recovery. it gave me back my life. now i can give back. for drug and alcohol treatment referral for you, or someone you know, call 1-800-662-help. [music] [music] community con

and these were, these were doctoral level, most doctoral level mental health clinicians. so it may be that even unconsciously it triggers a bias that people aren't even aware of. i think this is very important because even though we may use the term ourselves, thinking well, i don't mean it like that, i mean it like this. i mean in a more general sense and i certainly don't mean it in a stigmatizing way. but what can be conveyed and picked up, unconsciously perhaps, is that it does evoke, elicit, these more punitive attitudes towards these individuals. and when we come back, we're going to continue to chat about that and i think we need to get into a dialogue about how we can change this. we'll be right back. [music] it's important to be familiar with the proper terminologies surrounding addiction and recovery. one of the terms you'll want to be familiar with is, discrimination. discrimination is treating someone less favorably than someone else because he or she has, once had, or is regarded as having a disability. for more information on this and other recovery jargon,

this is giving people permit supportive housing while even today, we need to address the issue of mental health, mental illness -- that is the promise of permanent supportive housing, the support of part, the mental health, and now that my best friend is governor and one of my closest friends is the lieutenant governor, we are going to focus on mental health for the state of california. [applause] i want to introduce some of the original members of that committee. i want you to know everybody told us we could not do it, and as we are standing here today, i believe it is very close to 4000 people have gotten a prominent supporter of housing and are off the streets when they were chronically homeless, meaning they had been on the streets for more than four years with triple diagnoses and other mental health issues. almost 4000 people have a home that did not have a home, and that is because of the 10-year council and mayor gavin newsom. [applause] so i want to introduce michael d'annunzio. i'm going to totally blind again. loren hall. david heller. randy with him, and john hanley from local 798.

john, what role does language play in forming public opinion on addiction and mental health issues? i think language plays a critical role in the way that, after all, it's the, it conveys the meaning of, of what we're trying to express. and so i think it plays a very important role and we should think carefully about the terms that we use because of that. so, why does some language impede the understanding, lureen, of, of our field and the way we refer to people? well i think particularly now that we have this new recovery framework, people are holding on to the old language. and the new language really holds the fullness of the framework, it really shows the validity of the framework, it shows the reality of recovery. and so the fact people are holding on to that old language, is really impeding us from moving forward into this new framework. and daphne what type, what are we talking about in terms of the old language, the new language and, and the transition that we're trying to create? old language is using phrases like addict, junkie, user, substance abuser, calling people by, r

getting some opinions on what people think about different languages used in the substance abuse and mental health arena. if i said that somebody had a drug and alcohol addiction what would you think that that means? i think the person has a... a certainly health issue problem that needs to be, needs to be attended to. i would think of people struggling in difficult circumstances... with certain underlying issues that, that lead them to feel that they need to use those things as an outlet. i think of a illness, i think of a sickness that's hard to overcome. and i think that the person needs support, as much support as possible. i think about people who needs help and they need to find help as soon as possible. so what if i said alcohol and drug problem? what do you feel about that? it's a problem that needs to be fixed, that's what i start thinking, you know, and you need to fix it, you need to find a way to fix it. if there needs to be out there more programs for these people, more resources where they can get to as soon as possible, you know, where they can speak their languages cause alcohol do

well i think factors that place the youth at risk for using substances include underlying mental health issues. i think that environmental factors play an important role if they're in a community that is highly supportive of use. maybe at home there's using going on. i think that those are some really big contributing factors. and greg, why should we be concerned in america with all of these issues with youth? well i think the biggest thing is people don't generally realize all the different areas that are impacted by young people using drugs and alcohol, you know. if you look at, you know, in my life, you know, you talk about the hospitalizations, the criminal stuff, all the different areas in my life that were impacted as a result of my alcohol and drug use. so it wasn't just that i was putting myself at risk but i was putting other people at risk and i was causing, you know, impacts in different areas of society. for our audience, give them an idea of how you ran into trouble with substances. you know, when i was about 13 or 14, you know, i experienced with alcohol, you know, and whe

i've mentioned our soar program that our center of mental health services has, and then dealing with people who are in transitional or shelters because that's where they are, as was pointed out, those are the things that we're doing. and i also like to put in a pitch for our access to recovery program, which allows wraparound services to be provided. it's a state-run program. we are in 19 jurisdictions and 5 tribal organizations, and we allow wraparound services, including facilitated housing and employment services, to be an integral part of that process. so working with our partners at hud, our partners at the department of justice, as well as the administration for children and families, we are trying to make sure that the federal government plays a critical partnership with the ngos in the community. excellent. well, i want to remind our audience that september is national alcohol and drug addiction recovery month. i want to encourage you to go to the web site, www.recoverymonth.gov, to get more information, and to get engaged, and do an event in september. it's been great having

clinicians actually who are professionally focused in the area of addiction and mental health.ually hold, have been shown to hold very biased prejudiced, stigmatizing attitudes towards people, clever studies that have been done have shown this. so what you're talking about seems to be supported by empirical evidence which always is kind of baffling when you, you know, think about people actually educated in the areas that they're actually, and still hold these maybe implicit, unconscious biases that can be elucidated through these studies. so i think and as i mentioned before it's, it's so embedded in our psyche and culture, it's very hard to shift that. but you have to take very conscious, i think, proactive efforts to do that. you know we were talking earlier about the fact that it's embedded even in the, the institutes themselves who are trying to de-stigmatize the conditions that they're focused on. by their names. by their names and also in, in published literature. it's not uncommon to see the term abuser, you know, the individual is referred to as a, as an alcohol abuser

westley clark, director, center for substance abuse treatment, substance abuse and mental health servicesinistration, u.s. department of health and human services, rockville, maryland. marco e. jacome, chief executive officer, healthcare alternative systems incorporated, chicago, illinois. john de miranda, president and ceo, stepping stone, san diego, california. william lossiah-bratt, board of directors, southeastern regional representative, faces and voices of recovery, cherokee, north carolina. dr. clark, why should we be concerned about ethnic and racial differences within the addiction and recovery field, as well as other differences? well, one of the things that we want to make sure is that people who have substance use problems are able to recover and that materials that we use can assist them in that process. and so, you know, there are differences associated with cultural values and beliefs, starting from how one physiologically responds to a particular substance misuse to how certain substances are used in a cultural context. so if we're going to facilitate recovery, we need to

westley clark, director, center for substance abuse treatment, substance abuse and mental health services administration, u.s. department of health and human services, rockville, maryland. richard cho, director of innovations and research, corporation for supportive housing, new haven, connecticut. robert kershaw, business owner and outreach worker, oxford house, incorporated, silver spring, maryland. dr. jesse b. milby, director, medical psychology, substance abuse and homeless research program, department of psychology, university of alabama at birmingham, birmingham, alabama. dr. clark, when is a person categorized as homeless? well, the most important thing is to recognize that when a person lacks a permanent, fixed residence, they meet the category of homeless. now, there are a number of temporary arrangements that people have; for instance, it's estimated that roughly 1.6 million people are living in transitional or shelters, and they also meet the definition of homeless. so it's-we're looking for people who have permanent, fixed residence, and if you don't have that, then you're de

well, one of the things that we at samhsa are stressing is that every person who has a mental health issue or substance use issue needs to also get a good physical health assessment. one of the things we know about the misuse of alcohol or drugs is that it does have an effect on the organic integrity of the body. so you may get liver disease, you may get gastritis, you may get heart disease, you're at greater risks for various infections like hepatitis c or hiv. and we want to make sure that anybody who is on the course of recovery has as much information as possible. there was one quote i read recently and a guy says, "i spent all this time using alcohol and drugs and shooting up, etc., etc., so i finally get into treatment only to discover that i have hepatitis c." so we want to have that as an integral part because that becomes part of the cultural dynamic. and especially from a religious point of view, because you start feeling that you've been visited by god in a negative way because after all, you finally get your life on a proper course, and boom, you've got to deal with either

improvements in other aspects that constitute quality of life, such as employment, social relationships, mental health, physical health, housing, as well as access to leisure and-and activities that contribute to a healthy and productive life. and tom, why don't we give you the second half of that question, then. what are some of the most common pathways to recovery? i think that's an excellent question. i had the privilege of being with alexandre as a matter of fact, being part of a betty ford panel that-that looked at just that question. and i think, while aa 12-step is perhaps the most common, it was the agreement of that group that there is no single way to recovery, that, in fact, there are many ways. expanding a little-that's important because at least in that setting it was agreed that you could be on-in recovery, meaning the qualities that alexandre just talked about, but also be on a maintenance medication. and so i think many people don't realize that. some people can be sober, have good personal health, good social relationships, good citizenship, and be maintained on-on-on a medication. it

one else of love you you feel my heart with gladness put away all my budget city's sadness and mental healthadness ease my budget troubles -- that is what you do the morning sun in all its glory it makes the city hall a never- ending story there is the city that is defined and it is yours and it is mine at the end of the day, you should give thanks and praise to the city board who does all the work have i told you lately that i love you have i told you there is no one else of of you you fill my city hard with gladness take away all my mental health budget sadness ease my city budget troubles that's what you do ♪ supervisor chiu: next speaker. >> he is such an inspiration. i have some cute songs, too, but i do not have the guts to put myself out there like that. i think time is of the essence in picking a mayor here. i really do. why procrastinate? the mayor did a good job here, and we are sorry to see him go. we are going to get another mayor, and i think time is of

we serve people with mental health disabilities and with hiv. i have led the program into accreditation so that the commission of rehabilitation facilities where -- we are a community services provider with the department of rehabilitation. we are also funded with the department of public health. i am also a co-chair for hiv prevention planning. i have dedicated my life prior to working 20 years in technology to nonprofit work as well as being a case manager in the tenderloin at a department of public health building, primarily working with people with chronic health. mental-health and hiv work with every aspect -- affect every citizen in san francisco, every aspect from youth to veterans to people who have other disabilities. the unemployment rate for people with disabilities is quite high, usually twice the number of unemployment rate for other people that are not disabled, and they are usually the first fired and the last hired in an economic development. that said, one out of 10 placements with the department of rehabilitation are with the p

>> in addition to a shrinking budget and declining enrollment, governor schwarzenegger vetoed mental health funding in the state budget that means the mount diablo district has to find $2.5 million to pay for mental health services for its students. >> there could be things that could be done hopefully at the district offices so we can all have to suffer through this a little bit and not just the kids who are going to really be hurt by this. >> reporter: meanwhile, christine is already shopping for private schools. >> we would be willing to make sacrifice and move to a smaller place to pay for a private school. we're going to have to do what we have to do to make sure our children are afforded the best education we can give them. >> reporter: here's a list of the schools in the district that could close. glenbrook middle, holbrooke elementary, monty gardens elementary, silverwood elementary and rehn elementary. the school board is expected to make a final decision on january 11th. >> thank you. >>> police announced a new reward in the 2-year-old killing of a nanny in marin county. 33-year-o