for sbirt but all communication. because they have to learn how to talk with patients of different cultures for many different reasons. it may not just be sbirt that they are talking about, but they take these same skills, this open-ended listening and reflective listening, back to their own patient population for other reasons also. and they also incorporate... i know that we were talking about previously the whole issue of families not wanting to accept that there is a mental illness because they feel somehow people may discriminate against them, and some people call it stigma, but it is really a discriminatory practice to not be able to accept the medical condition within the family. so i suspect they need to also learn about those issues. definitely. learning about the whole spectrum improves the health care provider and what they can provide, what assistance they can provide to their patients. and, fran, let's go back and talk about... most of what we have been referring to has to do with alcohol and drug disord

eighty percent of most of the screenings that are done with the sbirt program do not lead to a diagnosis. so what does that mean? that means only 20 percent need an actual traditional treatment. the other 80 percent need everything from a prevention program that is building awareness in education to a prevention program that is looking... targeting on their particular specific needs, whether they have a... they are living in an economic environment that is very tough for them or they are a certain ethnic group that doesn't feel like they fit well, things like that or then that they need that intervention, they are not quite into the diagnosis, but what they need is a strong program that teachers and their physicians and their faith leaders can all rally around and help change the environment and their behaviors. very good. when we come back i want to talk about other programs that are also going to be very helpful to communities in need. we will be right back. [music] when you have a drug or alcohol problem, your whole world stops making sense. you can get help for yourself or a loved on