in fact, huge numbers do seek out treatment whether it's 12 step or anything else, if that treatment is respectful, if it's quality, if it has evidence of success. we do not need the criminal sanction in order to get people into drug treatment. [applause] >> i find it relatively interesting that we have on the books, and it was passed by the people of california initiative, proposition 36, which provided a means for individuals to give treatment and avoid the criminal sanction. we have practically every county around the state has both preplea or foast plea diversion programs for individuals who are charged with felony possession can complete that program and not have that conviction. and yet this overlays now under senator leno's bill, this would create a parallel system but only for misdemeanors. and i note the only sanction for an individual who refuses probation for a misdemeanor is to pay a $500 drug program fee, or if it's a second offense, he gets charged with $1,500. but if he accepts probation, then the fee is cut down to $250 or $500 for a second or subsequent offense. now,

amount of treatment in prisoner jail that changed the behavior, it was the treatment out in the community after that individual was released and had to deal with life stressors. so what evidence -- practices tells us is that there is a more effective way in which we can get a better return on our investment, 1506 is one of those strategies and it also reduces victimization and breaks the cycle of crime so we don't have the next generation coming into the system. >> let me ask you this, it seems that over the years there's been an acceptance that somebody could be on probation and perhaps get caught when they give, let's say, urine tests or whatever is the requirement of their probation, but let's say a dirty test, testing positive for marijuana and slowly over the years it seems like the probation department gave that less importance. there was a time when that would have been treated as a violation, over time it hasn't been treated as a very serious violation. tal raised the issue about responsible drug use, and when we get into the area of heroin or cocaine or other drugs, are you seein

so, people come in treatment, whether it's substance use treatment or mental health treatment or primary care treatment, they're one person with a whole lot of problems. and all of the providers who are professionally in a situation where they're likely to encounter and be called upon to treat these individuals have to be at least more than peripherally aware of the fact that this is going on, and currently in the training this is not happening. and there's also a hierarchy of diseases, if i may, where a person treating someone with diabetes or any chronic condition has a behavioral component. so it's fair to say that even someone with diabetes, the behavior may not be stigmatized, but they may be eating too much, you know, so -but that's not as stigmatized as doing drugs. the other thing that i would add, if i may, is that for people with other chronic conditions-asthma, hypertension, diabetes, what have you-if there is also an existing condition that's a mental health concern or a substance use disorder, untreated, those behaviors affect the successful treatment of the diabetes or what

clark's center for substance abuse treatment. it is, really, it goes through the kinds of accommodations that are necessary, and it's kind of a primer for alcohol and drug treatment providers who want to serve this population. excellent. and, john, let's go back, how do we basically, overall, not-not on the legality of whether someone is-is upholding the ada, which has its own set of actions that people can take, but overall what would you tell an individual with both a substance use disorder and perhaps a co-occurring mental illness and on top of that-that have a disability in terms of helping to deal with discrimination and prejudice and stigma? well, they're going to have to work to get into a treatment program. they're going to have to work at it, and it really helps if they've got a family member who's an advocate or maybe even a formal advocate through the independent living centers that are interspersed kind of throughout our communities. and they're probably going to have to make sure that the treatment program has the fl

and i have been in treatment-and have been clean and sober-ever since.that's wonderful, that's great. you know, i took the opportunity and ran with it, and i ran as far away from that dark side of my life as i possibly could. and i have taken the skills that i learned from being an addict and i used them in my work with helping other mothers in recovery. that's excellent. fran, basically beyond what erica has already said in terms of losing children and the cost. what other costs to society are there in terms of families that are experiencing mental or substance use disorders? there are several, almost too many to mention. we have young-if you start with the young kids, if you start with the children, the cost to society is that they often-we need extra costs to help them learn. they haven't had the type of parenting and discipline in the home to be able to keep up with their schoolwork, so they are behind, so that causes extra cost. oftentimes, children in troubled homes that have addiction and mental health issues, they drop out early. and that's a hug

treatment willingly need to know?ell, there's a lot of different ways to approach treatment, and it's important for an individual or a family who's looking for treatment to know that there are different ways to approach it and that there are evidence-based ways to approach treatment. so, they want to look for things that not only are accessible and affordable to them but also something that's going to fit with their needs. if the person is, for example, very motivated, then there are places that they could go where-would fit that stage of readiness. if the person is not really that aware or doesn't agree that they have a problem, then you might want to-you're going to start at a different stage with that person, so you want to look for something that fits with that person's set of circumstances. were you able to have that flexibility in your own recovery, dr. peterson? well, my own recovery was quite a long time ago, i think about 26 or 27 years ago now. and, i had the good fortune of being able to go and get help fro

family center treatment is the way to be.i don't understand why everyone's not doing it across the board because it is shown to be more effective. i just think it should be more programs like heros and sheros in order for many more families to be touched. so kim, we were talking about the adolescent and other institutions that can actually come in and act as a beginning of a buffer for that adolescent. talk to us a little bit about that. sure. well, i think in just about every setting, a child exists in there are caring adults available, or there can be caring adults available who can be a protective factor to a child and help that child access their own inner resilience. so including things like helping children realize that they can use humor, that they can develop close relationships with safe adults. teaching children ways that they can be safe. okay, if you can't bring friends home because crazy things are happening there and you can't study there how can we put something in place so that you have a safe place to go afte

>> you may need treatments and the symptoms are severe. when you are looking at hormone replacement therapy, times -- seems like it may have more negative effects on the breast and one of the things that is common in marin is fewer women have hysterectomies and that might be part of it. fewer women having hick the rest -- hysterectomies and if they need hormones, they need the progestin and maybe the proximity and napa and more alcohol, other factors that we don't know. >> okay. >> and treatments now. and treatments now. i assume chemotherapy is one done. lumpectomy or mastectomy. the women are having mastectomies and i had a cousin who elected to have the double mastectomy. >> sure. >> and i had a lumpectomy. >> yeah. >> and she did it for, i guess, other reasons and how do you feel about women doing this? >> or goal is to guide people about outcomes and talk toem about outcomes of lumpectomy versus mastectomy and lumpectomy has similar outcomes and a big thing is patient choice. >> uh-huh. >> and patients have to decide what is right for

the family is a part of the treatment process. the person that's getting the treatment themselves is just one individual, but the family has actually been impacted, you know, by the substance abuse or mental health abuse or whichever one it is. i think it's important to have the family together as a whole so the treatment plan can work well for the family and the individual that's getting the treatment. within this community right now there's a poverty rate of close to 50 percent. the unemployment rate is the highest in the country at 35 percent. we have a huge rate of hiv and aids. pcp is huge in this community. violence is huge in this community. so really, it starts with the family unit and we believe that youth and families are key to the success of this community. one thing that bric has been very successful in doing is fostering really good relationships with our federal and local partners. the goal is to establish, with as many partners in the community as possible, because that builds the coalition, builds the reputation,

and so treatment became the ways in which we deal with pollution. narrator: to protect public health, starting in the 1950s and '60s, there was a push to put in wastewater treatment plants across the united states. today, with evolving technologies, the waste travels through multiple stages of treatment, removing tons of solids... settling out microscopic particles, and introducing bacteria that consume and decompose the toxic material. in some plants, the water is further disinfected through the use of ultraviolet light or ozonation. these plants cost millions of dollars to construct, operate, and maintain. in population centers like los angeles, the scope of the task is staggering. the hyperion wastewater treatment plant serves four million people. it processes 350 million gallons of sewage and removes 500 tons of solids daily. after treatment at hyperion, what was once raw sewage is clean enough to release into santa monica bay. other cities and towns release treated wastewater, or effluent, into local rivers, lakes, and streams. as it flows down

in anxiety disorders, the focus of the treatment is on insight, whereas the psychodymic treatment of schizophrenia has to do with developing a new parental relatiohip. it's the nature of the positive relationship between the patient and the analyst that is curative in this form of treatment. some psychotherapists believe that insig is possible, but it's through the therapist-patient relationship that progressis most often. dr. silver'sork inlv what she calls "rebuilding bridges," teaming upita tit by talking, listeng, drand being a constant source of support throughout the illness. by andarge, the patients i've worked with have been sick for many years. they've worked with manyoctors. they've had many expiences of defeat. they've been on many medications, either individually or in combinations, and, uh, come pretty much immersed in unthinkabldefeat, and the work that i do iso meet with them and gradlly to find a place wherwean relate. um, areas of--of, um, maybe mutual interest or a gradual develment of intest t of fragments of contact. , and, uh, with the understanding that we may b

treatment is like quitting cigarettes, right? people need multiple times and you don't know until you're on your deathbed. cigarettes are more addictive than other drugs and takes time. but i think people responded to some extent on a moral basis that it's just not right to put people behind bars for that and secondly on the cost savings piece. the third one was the utilization of law enforcement resources. we see that with marijuana and other drugs and by in large they say let the cops focus on real crime, predator crimes, violent crimes, not prioritize the simple ones. [applause] >> i want to give everyone on the panel one last chance to make any closing remarks. >> realignment was a good sign public sentiment has changed. the polls out there, the public wants accountability but sensible accountability, and i think 1506 gives us that. and i think the comment was made in each of the economies but in fact what we found, when you have realignment, all 58 counties deciding what to do, if we just look at the incarceration rates acro

i think that that's great because we all understand that treatment does work. treatment in these forms of addiction will help these people get on track because they are broken. i think there is a general understanding among the prosecution community that that is the case, that treatment is the goal. but in my mind and in the minds of the majority of the d.a.'s around the state, the current state of misdemeanors and with our county jails being overcrowded, no person sentenced to a misdemeanor offense is going to do any jail time whatsoever. if they don't have jail as an incentive to engage in treatment, then there's nothing there, other than their own will to finally do something about their addiction. >> let me just ask you as a follow-up, what do you say, then, that the only thing -- if you're saying that currently being charged with a felony is going to result in drug treatment or maybe a sentence that isn't going to send someone to state prison, what do you say to someone that says well, what do you do with the felony conviction? you're making a lot of felon

today we'll be talking about treatment and recovery in behavioral health for individuals with a disability. joining us in our panel today are dr. h. westley clark, director, center of substance abuse treatment, substance abuse and mental health services administration, u.s. department of health and human services, rockville, maryland. john de miranda, executive director, national association on alcohol, drugs and disability inc. and president and chief executive officer, stepping stone of san diego, san diego, california. dr. barbara l. kornblau, j.d., disabilities attorney and professor, school of health professions and studies, university of michigan-flint, flint, michigan. ed hammett, consumer advocate, marbury, maryland. dr. clark, how many people in the united states have a disability? that number is not exactly clear, but we estimate roughly 53 million people have a disability, and it may be larger because, again, it turns on new classification schema. but at least 53 million. john, how do we define a disability? well, a disability is really kind of a legal and an administrative term

women seek treatment more easily than men. men wait till they're much worse off before they'llet treatment, usually till they can't work. they have a much higher rate of suicide. why do more women have depression than men? it may be because less women are alcoholic than men. men are much more likely to have alcoholism. alcoholism and depression overlap a great deal, so men may become alcoholic as a way of treating their depression. it's a very poorreatment for depression. it makes it worse, but it alls the person to get by for a longer period of time. that may be one possibilit- the overlap between alcoholism and depressn. the other reasons may have to do with hormonal differences between men and women. there are considerable differences, and, you know, women frequently develop premenstrual depression. women with depression frequely get much worse premenstrually. this is not uncommon. so there may be a hormonal difference. the may be many social differences terms of social roles concerning women in our society that exert diffe

also consider different treatment options. basically we would look at treatment that would take it from the southeast plant and filter that and produce the recycled water and we would look at treatment that would treat wastewater directly from the sewer or plant . the alternatives would be evaluated using environmental social and technical criteria along with costs and again the goal is to identify preferred project or a preferred alternative that we can move forward, and if the results of the analysis indicate that a port site should be considered as the preferred alternative, we would of course return to the port commission for port concurrence before we move forward. public involvement has been a critical part of our project. we've put in a lot of effort to make sure that the public is informed of the project and the sites we're considering. we have been talking to the public about this projected since summer of 2011 and we continue to outreach with open house sessions that we held last november. we also held workshops in j

because there is life after treatment, and a good life.o it's time for those that have a problem really to get into recovery. and ladies and gentlemen, i would like all of you to join with all of us. we are one in recovery. faces, voices, all of recovery. let's get a great big picture, and i want you to go back. i want you to talk to two people in recovery, and i want you to bring them with you next year. one more time, say it loud, say it proud, "i am in recovery! i am in recovery!" come on up, everybody. let's get a great big picture taken. (crowd: recovery rocks!) (music) the stories of recovery are the stories of individuals who have improved their own health and well-being, live self-directed lives, and are achieving their full potential. we see these stories at recovery month events but, more importantly, we see them day-in and day-out in people all around us who are leading a life in long-term recovery. the recovery movement is a wonderful example of the greatness of america, where diverse people come together and walk a pathway to