and restraint through trauma-informed practice, rockville, md; dr. h. westley clark, director, center for substance abuse treatment, substance abuse and mental health services administrationartment of health and human serviceses, rockville, m; dr. maxine harris, ceo and co-founder, community connections, washington, dc. dr. clark, what is trauma and how do we define trauma? the definition of trauma is a little ambiguous, but it's tied to specific adverse events that a person may experience or a community may experience, including disasters, physical or sexual abuse, or witnessing the above-mentioned. it's of that nature, it could be psychological as well as physical, and there are a wide range of issues associated with the definition. very good, and what are the various sources of trauma? well, the sources are similar to the precipitant. it could be from a relative or a partner. it could be in war, from the enemy. it could be from tornadoes or hurricanes or floods. it could be from predators who are in the community unbeknownst to the victim, a person who's victimized from either physical assault or rape or events like that. so the, it can be from a loved one or it can be

and mental health conditions. we will be talking about what's working and what's needed. 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, md; jane callahan, director, national community anti-drug coalition institute, community anti-drug coalitions of america, alexandria, va; jordan burnham, mental health advocate, active minds inc., washington, dc; dr. wendy greene, assistant director of trauma and critical care and program developer, screening, brief interventions and referral to treatment program, howard university hospital, washington, dc. fran, what is the definition of behavioral health, and how do we distinguish between prevention, early intervention, and treatment within that definition? the definition for behavioral health for samhsa is we are taking the substance abuse and mental health prevention, intervention, and treatment programs, and we are encasing it within the disorder realm. so substance abuse, prevention, intervention, and treatment are exactly the same, same levels, and so is mental health. we are finding that mental health properties for pre

health strategy to assist people in need of services. so the strategic initiative lead is lar quong dr. lar quong, appointed to that role by pamela hyde, the administrator of the substance abuse and mental health services administration, with the focus on working not only with issues of domestic violence but also working with the issues of the criminal justice system because, indeed, as i mentioned, it's not the abuse excuse, it is trying to break the cycle. we spend a lot of money reincarcerating individuals who have primary issues that have never dealt with, so especially in nonviolent situations. we wanted to break that cycle and, as dr. harris pointed out, we also want to create a workforce that has a stable appreciation of traumatic phenomenon so that, again, we don't blame the child, we don't blame the wife, we don't blame the spouse who is the victim of trauma. and the gains center also has some training programs as well as other initiatives, correct? yes, we have a number of programs that address trauma, and one can access that from our web site at wwww.samhsa.gov gains center. we have a national center on traumatic stress. we've got the activity that dr. gillece is engaged in,

director of consumer advocacy, mental health america; john o'brien, senior advisor for behavioral health financing, substance abuse and mental health services administration, u.s. department of health and human services. john, healthcare reform, why was it necessary? what benefits are we going to see out of it? well, ivette, we have about 50 million individuals in this country who don't have any insurance at any given point in a year. a number of them use emergency rooms and/or hospitals and that has a very significant cost for both people who have insurance, as well as employers who pay for insurance. we spend about $17.2 billion dollars on uncompensated care for those individuals. we also know that there is a significant number of people with substance abuse disorders who have benefits and don't access care, but there are a significant number of individuals who can't access care because they don't have insurance benefits. and richard, what are the major ways the affordable care act will affect the behavioral health system? the affordable care act, the behavioral health aspects of the affordable care act are based on sort of three principles. one is cove

mental health and substance abuse centers across chicago will be offering a routine hiv testing and counseling. it has been funded by nearly $1 million in grants to the city from the substance abuse and mental health services administrationyor emanuel is announcing reforms to the city's program tif today that he says will make it more accountable. >> the city of chicago will be providing tif funds to help move for the nursing school into chicago to st. elizabeth's hospital. the money will be used to construct a brand new nursing center. today the mayor and hospital officials toward the areaoured the area, the deal will bring in over 77 jobs and help over 500 students in the growing field of nursing. the mayor said a task force he appointed is looking into the tif operation and have made several recommendations. >> today we are implementing these recommendations. there will now be an online tif so you can check on each individual tif where it is in the meeting its obligations and contract. there will be greater enforcement there be regular audits by third parties from each individual tif to see whether it is achieving its goals and. >> he also said the entire project will cost around $13 million with $4.7 million coming f

its survey by the substance abuse and mental health services administration found that women were morethan men to have experience mental illness. the mental illness rate among people in young adults aged 18- 25 was twice as high as among people 50 and older the survey also found that nearly 9 million american adults had serious thoughts of suicide in the past year and over a million attempted to take their own lives. >>many women who get screened for osteoporosis may not need to osteoporosis is a loss in bone density that can lead to fractures in injuries the u.s. preventive services task force recommended a bone density test every two years but a study in the new england journal of medicine suggests a healthy results at age 65 probably means that women can wait at least 15 years before being tested again because of how slowly the disease develops the researchers report that osteoporosis develops and fewer than 10% to women at the age of 80 if they had normal bone density at the age of 65 >>head injuries and excess weight may be hazardous combination for n.f.l. players a new study comp

and when we say we have every agency involved what that means. the national institutes of health and the food and drug administration. the centers for medicare and medicaid, centers for disease control, substance abuse and mental health servicestration. the administration on aging. we have representation at hhs for every single agency in the department. and they touch every life in america. we are honored to represent and are pleased to talk about and we have been able to work forward with lgbt use that i was pleased to see the secretary and it gets better. we were able to help seniors as michael todd. we have done curriculum for mental health services and health resources because they have incredibly broad scope reach two of care providers and we're training health care providers all of the country both in the federally qualified health clinics and providers of health care sensitivity. we attacked the accuracy community about the significance of data, the number one issue that our community to help us document that exists. we have tremendous support with the national institute of health. the list goes on and on. when the president issued his memorandum two years ago that for that hospital visitation, derek three sections. wa

and human services, and when we say we have every agency involved what ma means. the food and drug administration, the centers for medicare and medicaid services, the center for disease control, substance abuse and mental healthtration, resources administration, the administration on aging. i will miss some. we have representation at hhs from every single agency in the department, and they touch every life in america, and what we have been able to do in two years i'm so honored to represent and pleased to talk about. we have been able to work forward for lgbt youth. i was happy to see the video get filmed, we help seniors as michael talked about, we have done curriculum through both samsa and hersa because they have broad scope reach to health care providers, and we are training health care providers all across the country about cultural sensitivity and talked to the community about the significance of data, the number one issue our community needs. please help us document the health disparities that exist. we have tremendous support with the national institutes of health. the list goes on and on. when the president issued his memorandum two years ago about hospital visitation, there were three sections. one