dog on their own in the midst of a thirty years social experiment as director of the national institutes of mental health thomas insel has been at the center of a storm of contradictions about the use of these drugs so i think we have to be very humble about this right now because we've often been so self-congratulatory because we have after all many people feel made great strides. the numbers don't really support that dr insoles candor is sure to shock and upset many on all sides of the debate the word failure is one few have dad to utter fundamentally why we failed here why has the suicide rate not come down why have as they measures disability whatever those might be why have those continued to go up instead of down well all the numbers are going in the wrong direction so we're already failed what's gone wrong here a lot of people say it's because of stigma and access the fact is that actually more people are getting more treatment than ever before so it's hard for me to quite believe that i would just submit that from the end i am age perspective. the answer about why we failed is a little more disru

we are working hard a improve access to care for number of initiatives, including children's mental health , working with the national institute of mental health. in thehe increase percentage of young adults with seris increase in mental illness, we need to -- with serious mental illness, we need in collaborative guidance with shared responsibility with our many partners. that's why it is encouraging, as the newe noted, about committee that just held its inaugural meeting one week ago today, bringing together not just hhs, but 10 other federal departments to the table with national experts to focus on solutions. early engagement in care, care,sing the quality of and expanding community-based supports are all in focus and within reach. samhsa has collarated extensively with our colleagues on new programs, addressing first episode psychosis. as noted in the last three years, we have stood up 228 first episode psychosis programs around the country. we work closely with our colleagues at the centers for medicare and medicaid services, have collaborated with our colleagues at the department of theice and others to expand assistant

at samhsa we are working hard to give mental health awareness day, programs such as systems that work with the national institute of mental health around assisting clinically high-risk children and families. given the increase in the percentage of young adults with serious mental illness, i believe we need to look atmore collaborative guidance with many partners. it's exciting, as secretary price noted about the serious mental organization committee, which just held the inaugural meeting one month ago today. bringing together, not just hhs, but two others with national experts to focus on solutions. early engagement and care, increasing the quality of care, community based support are in focus and within reach. samhsa collaborated with our colleagues on new programs. over the last three years we stood up over 228 first episode psychosis programs around the country. we work closely with our colleagues at the centers for medicare and medicaid services, certified behavior health clinics, collaborated with colleagues at the department of justice and others to expand assisted outpatient treatment services as well. addit

social experiment as director of the national institutes of mental health thomas insel has been at the center of a storm of contradictions about the use of these drugs so i think we have to be very humble about this right now because we've often been so self-congratulatory because we have after all many people feel made great strides. the numbers don't really support that dr insel skandha is sure to shock upset many on all sides of the debate the word failure is one few have dad to utter fundamentally why we failed here why has the suicide rate not come down why have as they measures disability whatever those might be why have those continued to go up instead of down all the numbers are going in the wrong direction so we're already failed what's gone wrong here a lot of people say it's because of stigma and access the fact is that actually more people are getting more treatment than ever before so it's hard for me to poit believe that i would just submit that from the end i am age perspective. the answer about why we failed is a little more disruptive and that answer is that we don't k

to the committee is that it hass the va to work with the department of defense, the national institute of mental health, and private partners to identify and prepare to additional brain diagnostic measurements for clinical work in the va by the fall of 2020. the next recordation is to develop a plan for treatment resistant mental conditions. roughly one third of mental health conditions do not respond to traditional treatments and this is a big issue that is not addressed in montana. they have nothing in our state to address treatment, this is personal to me because i lost a dear friend and who was a is a n in september 2015 to resist and to watch his options slowly slip away is one of the hardest things i've ever seen. montana blue cross and blue shield supports treatment and i do not buy montana va does not. the next recommendation expands access to tell the psychiatry and then makes online behavioral therapy available to all veterans. we also believe that the va should expand the availability of automated suicide risk assessments to do that with a prize to create and update a medical screening tool

we recommend to the committee is a task to work with the department of defense, the national institute of mental health and the private partner to prepare two additional brain diagnostic measurements for clinical work in the va by the fall of 2020. our next recommendation is to develop a plan for treatment resistant mental health conditions. rough ly a third of mental healh conditions do not respond to traditional treatments. and this is a big issue and it's an issue that's not addressed in montana. the va has nothing in our state to address treatment resistant depression. this is very personal to me because i lost a dear friend and it was a veteran in september of 2015 to treatment resis tapt depression and to watch his options slowly slip away was one of the hardest things i have ever seen. montana blue cross and blue shield supports tms treatment for depression. i do not know why the va does not. expand access to psychiatry and make online behavioral therapy available to all veterans. we also believe the va should expand availability of automated suicide risk assessments, develop a prize to create a