clark and samhsa have been embracing and promoting for many years at samhsa, for example, screening, early intervention. you have person-centered or patient-centered in healthcare reform. you have integrated care, which for healthcare reform is primary and behavioral healthcare, whereas, in samhsa it's mental health and substance use. and then you have the continuum-of-care model, the chronic-care model, which would, in healthcare reform, be evidenced in the so-called patient integrated care health homes for the people on medicare with the definition of medicare being enlarged in 2014. and i really think that the way that healthcare reform is presenting as written right now is extremely friendly to the recovery support services model that i believe should be implemented. and really, what's going to be lacking, at least from my perspective, is the science base for the recovery, for the need for recovery support services, because whilst there are a lot of federal agencies-ondcp, of course, the department of education and samhsa-the service level that are pushing for recovery support ex

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 is pretty close to the rate that you mentioned earlier for people who receive no services at all. we have a couple of long-term studies. we need more long-term studies. but what is really exciting is that in these two long-term studies, 10 years after they enrolled in this supported employment program, over half of the people who initially en

[music] samhsa's approach to moving research to practice in the last 20 years has really evolved. think we understand now that there are, in fact, specific evidence-based practices that work better than other kinds of practices. and so, we are trying to push those. on the other hand, we also understand that there are things that we don't know. so we're also trying to look at the ways that services can teach us something about research and about the need for evidence. frankly, the best thing we can do is encourage evidence-based thinking so that clinicians use some combination of the research documents-the information that's available out there, as well as their own clinical experience-and frankly, taking into account what the consumer, what the person in recovery and their family is needing at that particular moment. one of the most important things about trying to get information to the field is also getting information back from the field, so collecting data from practitioners, from consumers, anand peers and digesting that data and returning it to the field allows us to make su

under the new health care reform, the affordable care act, and some changes that are underway at samhsa, there will be more support for financing sober housing, and we'll be able to see maybe an improvement of that system for these people. we've been, we also want to keep in mind, though, that samhsa, the va, working with hud, pursuing permanent supportive housing as an integral part of treatment strategy, it becomes then the services associated with the housing. what sober living housing offers is an environment. permanent supportive housing, however, may be not be as focused initially on recovery, and so we need to facilitate those services in those settings. because vouchers are being handed out by hud and these programs are being facilitated, but we do need to make sure that there's sufficient services available to address the psychological and-and the substance-related issues that a person may experience. and how do people gain access to that information in order for them to go and basically, i wouldn't say demand, but really negotiate for those types of services, barbara? well, th

i would now like to introduce samhsa's administrator. she's been leading the efforts to reduce the impact of disorders in the community. under her leadership, samhsa demonstrates behavior health is essential to health, treatment works, and is effective, and people can and do recover from mental and substitutes disorders. [applause] >> good morning, and welcome, everyone, and thank you, wes. in addition, i'd like to thank the samhsa team and the planning partners who host just hundreds of events every year and make such a significant impact in spreading the message of recovery. i also want to thank joe who oversees the massive data collection and analysis we conduct every year for our national survey which utilizes 700 data collectors and surveys approximately 70,000 people ages 12 and older throughout the country. thank you, joe. [applause] no small feat. this survey is the most comprehensive of services for those disorders in the united states. because of the statistical cower of the survey, it's a prime source of information on the sco

and so they can go to samhsa's web site and look up nrep and see what kind of clinical strategies are being employed. so our link with the nih is an essential one. we have a blending initiative with the national institute of drug abuse where we're promoting effective evidence-based practices, and training materials are available, so that providers and consumers can get that information. we want to make sure that consumers, peers, families, as well as providers and policymakers are aware of the wide range of information because, at the end of the day, stigma and discrimination and the expectation of individuals with regard to mental health and addiction is a cultural phenomenon. when we look at the people who are not engaged in substance abuse treatment, 95 percent perceive no need for treatment. even though they meet criteria for abuse or dependence, they perceive no need. it's not that they don't want treatment. it's that they perceive no need for treatment. and that is the conundrum for the healthcare delivery system. if we don't facilitate that awareness at the community level, at

go out of your way to find out what faces and voices in samhsa and your local organizations are doingor next year, for 2012, and-and do what you've got to do, you know, to get out there and say "hey, yes. we're in recovery. we do recover. we are active, productive citizens in your community. hear us." (music playing.) it's such a special day in so many different ways. it's a community coming together, out in the sunshine in the city of providence, to say to all the residents of our great state that people in recovery are important, that the message of recovery and hope is possible for anyone. (music playing.) from where it came from and taking recovery out of church basements and shadows and putting it right in the biggest block party in the city of providence-it's mind-boggling, it's astounding, it's awesome. members of the recovery community in rhode island have all come out, and we've had wonderful speakers and a great day of celebration of the value and importance of support for people who are in recovery. actually seeing recovery in the heart of providence, on main street, bringi

we are trying-samhsa is actually is being quite the leader in helping our general health field and ourinsurance companies to be able to see that family therapy, educational classes, other medical and psychological services are indeed very appropriate for the consumers and the patients and the family members and people that are in long-term recovery, as it were, to get all of those services covered. we have a long ways to go, but we are working very hard to get the country ready for 2014 when health reform will actually take hold in a bigger way and we'll have so many more thousands of americans that will have health insurance coverage that they've never had. we know from the research that when family therapy is integrated with substance abuse treatment, outcomes are enhanced. we know that we have better rates of engaging people in treatment, better rates of keeping people in treatment when they would otherwise drop out, improve long term outcomes, lowering societal costs of addiction, actually decreasing rates of domestic violence in families and decreasing or lessening the effects of

for a copy of this program or other programs in the road to recovery series, call samhsa at 1-800-662-help. or order online at recoverymonth.gov and click multimedia. [music playing] every september, national recovery month provides an opportunity for communities like yours to raise awareness of substance use and mental health problems. to highlight the effectiveness of treatment and that people can and do recover. in order to help you plan events and activities in commemoration of this year's recovery month observance, the free online recovery month kit offers ideas, materials, and tools for planning, organizing, and realizing an event or outreach campaign that matches your goals and resources. to obtain an electronic copy of this year's recovery month kit and gain access to other free publications and materials related to recovery issues, visit the recovery month web site at www.recoverymonth.gov or call 1-800-662-help. [music] >> we did not expect the house to be so packed tonight, so i apologize for lack of seating in the back. i am inspector john wrote a and chief inspector secre