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tv   Key Capitol Hill Hearings  CSPAN  October 13, 2015 6:00am-8:01am EDT

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they put a battalion commander in jail. they resupplied and got back and took over district center, but it took them a couple of weeks to do that. they eventually got that done. they did that much quicker and within a couple of days they were inside the city and they've taken a hard look to figure out why that happened and that it doesn't happen no where else. it's a sign of government that wants and cares for their security forces. that's different than what we had before. >> i appreciate that. in fact, i think about our own
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history of the united states army, 40 years after the formation we left the capital exposed and it was set on fire. i'm glad that our nation didn't give us on us at that time. the authority to strike, are you allowed any independent or prohibitions on your command-level to strike dausch. >> to our forces. >> thank you, and thank you, sir, for your dedicated service to our nation, i yield back. >> thank you, mr. chairman. good to see you again. thanks for continued service to our country. great to see you in may when we were over there. i know the current situation with the hospital is under investigation but i want to ask about the targeting process in
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general. since the last time i was over there in uniform we were and my time in air operation center, we would strike counterterrorism, dynamic, decisions and positive identification, all that stuff was done at the headquarters or under joint terminal attack. obviously we had u.s. troops very much deployed all over the nation at the time. sometimes it was back in headquarters and not in the fight we were hitting and they were calling the shots. can you just walk me through -- maybe this is not in the setting, maybe a classified answer, what the process on the u.s. side but also if afghans are asking for support and how do we make sure we have ced and
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being able to get that pid and cde done correctly. if you can just share that. if it's classified -- >> i would rather go to classified session. we would continue to ensure to have pid, we are very precise and rigorous. i can cover those -- >> is it fair to say with the troops being pulled back to centralized locations that it's just more challenging for us to get that good intel in order to reach pid? >> it maybe more challenging, that means i would not -- >> absolutely. i totally agree. great. it becomes more of a challenging situation. what about if afghans ask for support -- >> if they ask support then it has to go through our process. >> thank you, when we talked to you in may there were some
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setbacks or delays in moving things forward that we were trying to the nsf with delays and defense minister, a lot of that seemed to have brought a lot of things into a standstill, uncertainty of how long we were going to be there and time pulling out and when we talked to individuals in the afghan security forces that uncertainty was createing angst. has anything changed since we talked in may and have things gotten better? >> in some areas better, they are about the same. he has taken sure. i have great confidence in him. he has a great vision for the future. we all thought he would be the minister, on july 4th he didn't get through parliament. she's doing quite well. i think it would do go to ensure
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that minister continues to serve in that position. in other areas there are -- there have been some holdbacks, there are people waiting to find out where the u.s. is going to go post2016, after that, we do get a lot of questions on that. >> great, what else can we go to build the after -- afghan air force, if they don't have -- >> i think everybody back here osd, everybody is working very hard to get after that. part of it is going to take time afghanistan understands they have to make tough decisions. two or three years out, they have to put the right number of people in with right training
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and if they don't make decisions now it's going to take longer and longer, we work hard in that. everybody is working hard to get there. there are restrictions that haven hibted all working through. quite frankly when they started the fighting season, they have two. at the end of fighting season just based on structural integrity of the aircraft they won't be able to florida, 17's, we do have md-530, little heal coppers. 829, that will help. we are taking a look at what they need based on the continued fight, wear and tear, that kind of thing. >> thanks to you and your family to your continued faithful service to the country. i yield back. >> thank you. general, i appreciate you patiently answering all of our questions, more importantly very
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much i appreciate you and those who serve with you for what you do every day to protect the security of our nation by working with the afghans in other ways. it's challenging circumstances, part are placed upon you by chain of command, but i think it's clear to all of us that you are making the situation for the country security and we are grateful for the service. with that, the hearing stands adjourn. >> thank you, chairman. [inaudible conversations]
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[inaudible conversations]
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[inaudible conversations] >> i mean, is that a matter of expressing that? how do you counterthose feelings that we need to get out when you end this? >> well, there are legitimate frustrations. i mean i was surprised when general campbell said, you know, we're training the army eight to nine years air force for about the last three. why do we sate so long? maybe we. >> so absorbed to defeat al qaeda. there are legitimate frustrations. the rest of the story is this takes a long time.
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how long have we been in colombia, for example, and look at where they are now versus where they had been. that's the reason that we are going to spend a whole week on this subject week after next. not just iraq, syria and afghanistan, but historically in a broader context, what are the lessons, is it always hard, are there particular circumstances in every country beyond our control or lessons that we can apply more broadly to different countries in our efforts to secure forces. we can't do everything ourselves. somebody has to be out there helping us doing it. we are trying to work with others, you just heard somebody today mention poland. we have allies of different capabilities, how well are we organized, equipped, prepared to work with those capabilities, i
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think this is a very big important question. >> are those hearings going to be education? >> both, so we are going to have close-round table, we are going to have outside experts, administration witnesses, different efferents, so it's try to understand but is it works or not or other things to do differently. yeah. >> we are going to have an answer from obama on the -- >> i don't know. i don't know. he said he had given him the recommendations and but he al said if you heard it that it's really important that we provide some reassurance and stability to this fragile unity government so they know that we are not bailing on them. >> that they're willing to put more troops there or keep more troops there. >> but they're going to follow us. u.s. leadership is what matters.
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i don't think nato is going to be there if we're not there. if we are there, other countries will contribute, absolutely. >> eight or nine years is kind of a long time, what do you think the u.s. effort hasn't worked up to this point? >> that's what we want to explore not only with afghanistan but other countries as well, you know, i do think we shouldn't be too vavalier as how hard this is. when they were there in 2002-2003 there were 200 folks guarding the presidential palace, so you know, meanwhile they've been under constant war at this time. i don't want us to have the errogant attitude that why aren't you like us. on the other hand, there are other frustrations, not just
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afghanistan, iraq and obviously syria here recently. so it's our job to understand why things have not gone as well as we wanted and to see what we might have done differently and what we might do differently in the future, not just the way we train people but maybe we're not organized right. maybe we don't have the right authorities which is congress', i'm just saying, i think this is a big question that applies in lots of regions in the world but we have to do better because we can't go fixing everything ourselves. >> on the house leadership race, are you -- are you concerned that caucus members are going to ask a potential speaker to -- >> i'd be concerned if any group tried to put conditions on
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anyone running for leadership. anyway, speaking of which, i'm headed there. >> sorry that y'all can't join in the fun. >> wish we could. >> thank you very much. [laughter] >> see ya. >> coming up on c-span2, congressmen tim murphy and chris murphy. the economic and security challenges in the kurdish region of iraq. c-span road to the white house coverage continues today with former florida governor jeb bush talking about repealing the affordable care act. at the new hampshire institute of politics live at 10:00 a.m. eastern on c-span. later ohio governor kasich, that's 12:30 eastern.
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c-span has your coverage to road to the white house 2016 where you'll find candidates, speeches, debates and most importantly your questions. this year we are taking the road to the white house coverage into classrooms across the country with our student cam contest, giving the students to discus what important issues they want to hear the most from the candidates. follow student cam contest, follow c-span on t, radio, and online at c-span.org. >> next congressmen tim murphy of pennsylvania and senator chris murphy, hosted by the national journal, this is two hours. >> please welcome senior vice
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president of national journal. [applause] >> good morning, i'm delighted to welcome you mental health reform, improving access to care and reducing incarceration. at this time just remind you to silence cell phone because we encourage engagement via social the media, you can use the #nj mental health. for audience q&a portion there's microphones around the room and please state your name and organization if you have a question and you can also submit your question at any time during the program via twitter and use the #ask nj. if you haven't already, we encourage you to download the national journal live mobile app. it includes the event schedule as well as information about today's speakers and
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underwriter, fellow attendees and includes a survey, we would love for you to fill that out so we can continue to improve. as many suffering from serious mental illness face challenges getting access to care which can result to homelessness and even incarceration. at both state and federal levels, there's regular in addition that lack of effective mental health care is a public health issue and cost driver. as several mental health reform reforms, reform bills await fate in congress, our conversation will focus on what policy changes are needed and how we can improve access to mental health services. today's event we will hear from representative tim murphy and chris murphy, they will deliver remarks an sit down with moderated discussion with lauren fox, we will continue to program with a moderated panel of
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experts in the mental health arena. now i would like to invite elizabeth, vice president from global health policy at jon&johnson to the podium. [applause] >> thanks, johana. policy improves for patients. johnson&johnson are proud to underwrite this event. for too long we set the bar too low on how we support those living with mental illness. globally, mental illness cost society more than cancer, diabetes and respirtory disease combined. we encouraged to change federal, state and local level. we can and should set the bar
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higher. enhanced collaboration between the mental health and criminal justice systems is critical to improving the health outcomes with those living with mental illness and improve -- improving exists. we are really looking to today's discussion, some of the promises solutions including diversion of individuals for whom it is appropriate away from the criminal justice system, care during incarceration and reentry programs that better connect individuals to community resources when they come out of institutions. thank you again for joining us. we've pleased that you are here and pleased to be part of an important discussion on an important topic that affects us all. [applause] >> please welcome to honorable tim murphy, cochair of
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congressional caucus. [applause] >> good morning, great to be with you. thank you for being here on this critical importance to our nation. last night when i was sitting in the balcony of the capital i saw sunset and the twitlight skies and this beautiful pail blue sky darkening, i glance over to see the flags lowered to half staff, i was reminded why during this week mental illness week that once again we are mourning the loss of so many citizens who have had death that didn't have to happen. this was the bloody summer of 2015 and many high-profile events occurred in dallas, in
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house en, in tennessee, in oregon, the list goes on and on. and although these are the instances that get the headlines, it is a tiny fraction of the tragedy that occurs in the area of mental illness that is untreated. we actually make it the most difficult for those who have the most difficulty with serious mental illness that is untreat untreated, under treated or mistreated. back in the 190's when we had half a million hospital beds, now we have 40,000. and what we have done is we need to close those asylums because they were bad places in many ways. we were supposed to open up community centers. the last bill before kennedy signed was dealing with changing the mental health system in
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america. and here it is half a century later and actually i believe things have gotten worst, despite the knowledge and science finding genetic markers such as skits friendia -- skits >> we have federal policy that are abusive and neglectful to people with mental illness. they're antifamily. what is worst, what is worst is that it is made the most harmful for those for minorities and low income. i want to lay that out and why we need to change this. when we closed those asylums, we needed to, we ented up re--
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reducing hospital beds, where did they go? we want them to have health and productive life. they trade it had hospital bed for the prison cell. the homeless shelter, the emergency room and the morgue. not only this year we have some where 12-1500 homicides, victims of crime and rape and assault, we will have 41,000 deaths by suicide, 1.2 million suicide attempts were bad enough to seek medical health, 43,000 overdoes drugs death and the list goes on and on. in my bill to helping families hr2446 we address these directly and comprehensively t first and
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most comprehensive bill to deal with serious illness in america. substance mpciĆ³n has been -- they fund such things as 400,000-dollar website to have sing along songs for children, they recommend drink a fruit smoothy if you're stressed. yes, they do. they have workshops that tell people to get off medicine. two days ago the washington post released a story that they have sent money to an agency, pr agency to tell reporters they'll give $175 to the charity of their choice when they write a nice story.
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please, tell a nice story about us because two gal reports said that samsa is not doing its job. there's 112 federal agencies that are supposed to be doing services for the mental ill, the gal report said that haven't met since 2009 and despite the director coming to talk about it, we are going to start meeting now. when we asked about this website for children sing along, it's for prevention. we are going to look into that. why did you spend 22,000 on a painting hanging in our office by two people sitting in a rock it was for mental heaware of. it's a waste of money and waste of approach and that's the way the country operates and that's why the agency must change. now we are going to e lifate this have mental health and substance abuse.
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no more frivolous workshops or singing songs. $80,000 on that. no more. in their 40,000 words statement of what they do, they don't even mention the word skits -- bipolar and concerned about people treatment than right to be well. when i hear judges and police officers say i can't do anything with these folks because it's not illegal to be crazy. what about the right to be treated? if someone was walking with alzheimer's disease, delusional, grama has the right to have alzheimer's. if someone had the stroke, well, they have a right to have stroke. if someone passed from a heart attack, there's nothing we could do about it.
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that's precisely what we do with mental health in america. policy of the federal government are abusive and neglectful toward them particular minorities and the poor. when medicaid has a rule that you can't see two doctors in the same day. that's neglectful to the poor. you can't have more than 16 hospital beds, that's neglectful toward the poor. we need to address the needs of persons. when we have a shortage of child and adolescent psychiatrist at a time when serious mental illness emerges by age 14 and 75 by age 24, but we don't have enough. we need to have incentiives, we need more peer support and people that have gone through this and mental health america has to say we are going to work on certifying and people the
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training they need to get out there. when you have agency after agency that strugglings to get dollars, every taxpayer in america should be discussed and see someone go off to jail, people should be outraged. and i am. and what we are going to do once again is have moments of silence in congress as we mourn the deaths of these people who should not have died because someone should have been in treatment. when i say america wake up, congress wake up, we don't need no more moments of silence, we need moments of action, shouting out enough is enough, mental illness is a brain illness, it is not according to some of the agencies that sends funds, it's not a difference in attitude. it is a brain disease and must
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be treated as such. my bill in addition to secretary of mental health and substance abuse to organize agencies to weed out those who aren't doing a good job and elevate those doing a great job, to make sure we allow states to combine the dollars for mental health and substance abuse because the majority of each are abusing drugs and have mental health problems. why would we isolate from treating together to say we need more hospitals to bed? we make sure that people who are in that revolving door of prison systems and -- and yet mental illness, that we want states to have wrap-around services for them. this is the time in this nation when we have to stop wasting time on mourning and we have to put agencies to say, you are going to treat mental illness or you're going to get out of the way. we are going to employ the best and brightest, consumers, peer
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support, people that are providers and families and allow them to be part of it. we are going to stop families from being kicked out from the treatment method. hippa don't allows them to participate. when they have a much higher illness, because of the medication they take, higher risk for diabetes, but we do not tell family members when their next appointment is, what the diagnosis is and treatment is, we blame parents for not taking care of it? what do we have from that? millions of americans with serious mental illness that's untreated, that bumpy slow motion road to death. that is tragic, that is third world, folks. that's embarrassing. as the only person in congress who is a mental health provider currently, i am determined to
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change this system to wake up congress and wake up america to say, there are answers to this but not the answer continuing to do what we do again. i want the time to be that while we have the twitlight of one sunsetting of the day, of the way we treat serious mental illness now, i want americans, million of american families and million of americans suffering from mental illness to look forward to bright new dawn to treat illness with effectively and based care and make a difference in their lives. that's why today is helping families in mental crisis day in washington, d.c. where hundreds of families are here in washington to talk to members of congress and that during this week mental illness treatment week people are speaking out to members of congress. over 40 newspapers and now it's time to have leadership call bill up for a vote.
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let congress vote on this and let's provide hope for those people who have been suffering in the shad -- shadows for far too long. [applause] >> please welcome lauren fox. >> thank you for joining us. because you mentioned in our speech you are the currently mem health provider in congress, when did you first start to realize that there were gaps in the system, issues with getting your clients the help that they needed. ..
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>> they do get interlinked because those are the cases that get peoples attention but we pay attention to what's in the minds, not what's in their hands. if we miss that then we are once again going to fail to address a comprehensive reforms we need a mental health treatment. no other areas of medicine is controlled by lawyers and by
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congress the way that mental health is, it restricts people from getting the care they need. would look at the suicide deaths in the tens of thousands of people that die every year from jumping in front of the car, from driving a car off a bridge, from voicing themselves, drug overdoses, we also need to talk about roads and bridges and cars. we would understand how that's not what we need to be doing and how that is diminishing our focus is helping people with serious mental illness. we have set those 4 million peoplpeople aside and try to pee aside and tried to ignore them and treat them with denial and diversion in our thoughts, and that's not appropriate. as a mental health provider i cannot let that happen. it is critically important where the right services for them to get better. >> do you think the discussions after shootings help give your build a little more momentum, the people struck talk about what are the resolutions?
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>> i hope so. we need to recognize those people with mental illness are not violent. all of us experience some level of the transit concerns at sometime in our life and we get better. what happens is if we recognize people with serious mental illness not in treatment are 15 times more likely to violate then someone who's in treatment. and that a person who is seriously mentally ill is 10 times more likely to be in jail for any hospital. getting services for them is actually difficult. that is what hope that this provokes us to the discussion on comp not to say we treat the mentally ill all violence will go away but it won't. at least among this group we know a quantum has been harmful process and i hope that in any meaningful they can come out of this for the families are suffering from is otherwise because they lost a loved one, at least this motivated congress to get up and do something. >> i want to talk to the
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families of mental ill patients and try to get them help. there's been a shortage of hospital beds for individuals. i guess countries how does your build a trust that? do you see a promise for ensuring the families get the help for the loved ones? >> with the dilemma of hospital beds to say also average length of stay is 30 days or less. that can save money because it covers about 98% of people. when we look at the difference between psychiatric hospitals that have this versus having some image of hospital bed with it may not have full services come at the general hospital they may stay twice as much time versus one that is focused specialty hospital without. actually many of those cases the average length of stay is under a week because they can target right away. additional the most a wraparound service afterwards. medicaid patients on these things which is helpful in agencies will make sure if
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someone is moving up have all those services secured for them, housing, education, job placement, making sure they have counseling. but more than have an agency, involve the family to whatever extent we can because these are many times loving and caring parents who someone is emerged with mental illness for genetic reasons, other reasons, and went to stop telling family members you are cut out of the equation speed of your bill makes some changes to hipaa laws to make it comes to be more involved. >> to small changes. one is permitted. doctors are allowed to listen to a family member talk to them. many counselors tell them doctor sippy cup castillo trouble but they are about to listen. it only works if they family member or friend says mrs. john doe, my friend, my son, here's the name of this treaty psychologist, here's the medications he saw, don't try this medication, do this. that information is vital.
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for mental health professional history is vital. it's like an extra is to orthopedic surgeon. it is to try to diagnose a broken leg but you're not allowed to look at an x-ray, we would never do that. history is vital. the second part made is in those circumstances, a very narrow keyhole, but in those circumstances where the consumer has diminished capacity can become gravely disabled in absence of data, may have other complications, the doctor will make a decision that is this a trusted character, not a stranger but someone who is trusted, a doctor can give a limited but vital information, the diagnosis, treatment plant, the doctor's name, the time the place of next employment and the medication list. it's also forbidden to give any therapy information. at least if that family member or that friend or the trusted
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caregiver is going to assist that person go on the next appointment, that will help and can save a lot of lives otherwise you end up with continued issuers -- issue. spent i want to discuss the intersection of criminal justice and mental health. roughly 20% of individuals serving in prison have some kind of mental illness. what can we do to ensure our jails did not become receptacles for the mentally ill? >> actually some passersby that much higher, more like 50 or 60%, for more in county and city jails, state penitentiaries are pretty high, federal penitentiary is under 20%. if it is a major contributor to what has happened, something state up. dvd prevention early on to make the world a difference. but not frivolous prevention by cappy sing along songs on the website. i mean targeting a risk group, the high risk group.
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you can use programs such as response after initial schizophrenic episode which is authorized in my bill which has been very valuable. you do these things early on and make sure you have enough providers, nature there enough places for treatment. if someone is caught up in this revolving door, we want states have some rough and services for the. in new york they called assisted outpatient treatment or 46 states have this on the book but they don't always use it. if you have a history of violence, incarceration and the rest, incarceration and the rest, and you're not engaging in treatment and when not in treatment you end up back down into this abyss of troubles, the judge could order you to outpatient care, stay in treatment. this is important because sometimes people say you should never involuntary commitment of any kind. to those folks i say, you are wrong. some people, noting about 40% of people with serious mental illness or not it would have a
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problem, not a a where the dilution or even existence. they say i don't need help. in some cases someone who's been harmed by this is what they don't want to get help. but what happens is when the state mandate you got to get help. that's important. we want those services to be flexible because we don't want people in the revolving door. let me tell you the alternative. a gentleman in virginia last week, a 24 year-old, was arrested for about $5 worth of that, soft drink, candy bar from a 7-11. he went to joe because there was no room in a hospital bed. he remained in jail for 70 days, filthy, naked, untreated. he died, start, he died. there was no way that person should have ever been put into chill. we should have had people who were involved to say did them in treatment, to work with the stake is a unique places to treat people, to tell medicaid you need to change rules that someone like this who is impoverished, a minority shouldn't be getting the treatment in jail or being
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ignored in jail. it's those services which we believe are vital. >> are their mental health services in jails, and prisons come and local communities to prevent sort of an individual is put in jail to prevent them from getting more traumatized? >> some yes, but many know and many are weak if anything. we have some stay to try to save money by not getting medications. some states shut down the institutions, and the money is not said what needs to be toward real treatment so that is a troubling option. there was an article a couple months ago at riker's island ended up many people with serious mental ills would get into fights with prison guards, inmates. what started as a minor offense got elevated. they were put in solitary confinement. those are terrible things. you should never do that to someone with mental illness or quite frankly other people. a person with mental illness for the same crime will tend to
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serve a prison sentence of four times longer than a person without mental illness. it's part of what it' is ashamef our system with agencies who don't want to address that the illness. this is a shameful story of what's happening and what we need to do with those folks instead of saying we have to criminalize mental illness before you get help or yet get help or you have to say get help or you have to say you will kill yourself or someone else to get help from wikipedia with stage four? we need to be dealing things at an earlier stage. >> is there a local program, state program you have seen works very effectively and getting into the ground level so it doesn't get -- >> i mention the response of initial schizophrenic episode, very targeted, science-based, evidence-based. looking at high risk groups of adolescents and young adults have been assaulted or, dies in some way, very effective, very good. one of the reports on samhsa
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said they don't follow through, they don't have scientific standards. me cases didn't have reports that. this was gao. after that we asked the direct of samhsa how which you score yourself, perfect score. dish osha out of touch with the agencies are. they can be humble enough to save we need to change. so that's what we're going to change for them. that's why people elect us to make these changes. there are some excellent programs. that's the one we want to see elevated. we don't need 20 homeless programs. we need better continuity between department of defense and the va. we need smooth continuity for them between when you're in the army and in the va, otherwise what do we want to see them end up in jail for homeless. that's not the purpose speak you have 133 cosponsors on your bill.
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tell us about working across the aisle on this issue and whether that you feel confident that the time has come in congress to get this on the floor and passed. >> the time has come. not from the political insiders because people want to protect the turf other agencies. this is a grassroots movement across america. of those 133 cosponsors, real dynamic people on both sides of the aisle, some of the leaders on the democratic side, you have a wide range of people normally outspoken on this, the list goes on and on. republican side we have supporters, too, but it's going to take american people to be picking up a phone, their computer and contacting their members of congress to say move this bill. we can't risk again 90,000 people per year dying from untreated mental illness. >> i want to give the audience
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an opportunity. we will start questions in about five minutes to just give it opportunity to start lining up if you get to that point. i also want to talk about the language that we use we talk about mental illness and sort of have this stigmatize the issue, makes it difficult for people who don't have loved ones are not living with mental illness, how they perceive it. is there a better way to discuss this issue? how can congress help us understand that speak with we do a couple ways. when can we develop the statement by not having source available. when you don't have enough places for people to go, sometimes there are drop in centers. sometimes peer support, people you can call, sometimes social workers, nurse practitioners. we don't have enough of any of those. that helps reduce the stigma because we make it easier to get help. when you see a breast cancer tickets in, beautiful, beautiful building but when you see mental health clinic each usually hidden away somewhere,
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oftentimes not well-funded and struggling because they have to spend whatever meager money that to buy a chair. part of it is elevating this up. as well as the others breast cancer mafiosi nfl teams wearing pink gloves and socks but even the referees pink wristbands. about in pittsburgh has pink eye in at all those are great. that's important. i have a sister who died of breast cancer last year. but then when you see a football player who wears green shoelaces to bring attention to his bipolar illness, he is fine in the nfl. i'm looking forward to the day when the nfl says this is a day where we are going to wear green in support of that rebirth of recovery from mental illness. i hope we do that. that's what i were a green type of talk about mental health. i want people have that kind of hope. it's also going to be a matter of family members speaking out
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and people who are in recovery speaking out to see we can get better but we've got to have the help. >> you have made a few changes to the bill since introducing it. most recently one was giving an incentive to states implement assisted outpatient treatment instead of penalizing states that do that. how to find the right balance when it comes to legislating mental illness to make sure people get the help but also their civil liberties are not infringed upon spirit one of the primary civil liberties is to make sure people have the right to get well. we've gone down this perverse wrote to say they should be allowed to be sick and the homeless and die. how cruel and heartless is that when i hear judges say he's got the right to be crazy. we wouldn't see i get the rightf a heart attack and die. you have the right of alzheimer's, we wouldn't say that. but we perversely assigned that bigoted label to give with mental illness. with assisted outpatient treatment 46 states have on the
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books why cannot they do it is a problem. when new york did this the money they were saving paperback in the system comes to that was good. but they found the reduce incarceration by 80% plus. beverages homelessness by over 70%. they found consumer satisfaction up about 90% of the cut costs in half from a study on the new york system. as other states and counties to this it's more compassionate to help people who are in the revolving door of problems. we don't want to read more stories of the 100 plus people with mental illness who were involved in a police obligations and died. we want the police to approach folks in a organize wait and see we're going to get you. that's all good part of how we're going to address these issues. >> i want to speak and then on the question of how police officers to be trained better to interact with individuals with mental illness, high percentage of the individuals were killed
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by police officers have mental illness. how can those confrontations the deescalate speak with there's something called crisis intervention training. this is training for police officers to understand and identify situation right at the onset. many times they can tell that a person behaves, how they're dressed that this person it's a different point of view. even if some is in a threatening posture, how do deescalate that quickly. how to talk to the person calmly. how you have police officers position. you have to protect the officers safety and family safety, true. but in many cases if someone who may be verbally hostile or frightened, scared or paranoid or a lucidity other programs can we want the police to get that extra train so they are not in an unsafe position but also by mayors of individuals with mental illness are treated like a human being so they can be safer and recover as well. >> let's move onto audience q&a
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at this point. individuals were light up at the mic. let's start over your on my right. >> talking to the mic so i can hear you. >> yeah, i heard about this kind of late last night, so i haven't done my background information, but word in the trenches is that your bill is highly threatening to people who have a psychiatric diagnosis, that are more controls being put in place and more civil liberties -- >> who did you hear that from speak with several people spoke what organizations because. [inaudible] >> organizations get funding from samhsa and samhsa put out the word to make sure -- >> samhsa didn't say anything about this. >> thank you. they make sure you speak up because you may lose your funny.
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we are not taking away funding from people and w where protectg people's right to be well. let me finish. so what happened here is, people of the right to get better. there's nothing in our bill that takes away rights. does nothing ended up at mandates onto commitment, year. one for physician told the audience our bill says at the post office option for traffic accident they can force you to take medications. that is simply not true. they are creating a whole cloud of lies. what we want to see because what we see is what more providers, more places for treatment, grants that have accountability, we want innovation grants, demonstration grants. we want more efficiency and effectiveness to get people care. i understand there's people within the beltway system that don't odyssey the system change. here's the thing. while nih come from sample has worked so hard, a lot of hundred dollars into treatment, we've seen a decrease in death rates, mortality rates for heart
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disease, cancer, auto answer and, he claimed. at the same time we've seen increases in suicides go up, overdose of drugs go up, pride, more people in prisons, more people homeless. those statistics are telling us this system is failing those it's supposed well. while i want to make sure that, i understand people don't want to change. the current system is failing. i will play what. talk about people's rights. go to the parents whose children died at sandy hook i've got of posting an officer in the time those parents that an office. every day i look at those kids faces. where's their right quick where's the rights of the since it just died in oregon? worst the right of a hopeful future? have with a police officer in houston, texas, who was gunned down sunday getting gasoline from someone had serious mental illness that was untreated. case after case after case, where's the rights of its 41,000
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people who died a suicide death quick where's their right? are we just a few crazy is that if you kill yourself. i say no. these organizations that want to quit this atmosphere of life, no. what's worse is that right upon people with mental illness by frightening them with falsehoods. that is unethical for them to do that. so whatever information you i would be glad to show you. here's what i want you to be. you show me the word or the line in our bill and i will change it. but they can't do that because it's not there. >> thank you so much. let's move over to the left si side. >> good morning ladies and gentlemen. my name is anthony fernandez. i'm from los angeles. i traveled here read i just to be here to represent over 1500 families globally on this very issue of how this broken mental-health system in our nation has destroyed all of our families, our children are dying.
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our kids are being incarcerated. after incarceration they are being put in a statement to house bottles, they are being taken away from us. i'd like to do this while talking about of individuals how many of us in your actions have experienced and had a tragic at the illness amongst them and close to the family? brazier hands, please. we consider you all part of our family as well. a couple of months ago we were here in they invited by the congressman and the advocacy center tuesday our voices and share our stories get our story came out in the "los angeles times." our son was hospitalized a times, and on the ninth time after we had the police there the day before we beg him to take us up again. they denied us. that left him there with us, and the next day he woke up because god told him to stab and kill his mother and father. that is what a tragedy. he also killed our dog.
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now he was faced with double attempted murder and cruelty to animals, and now he's serving a life sentence in a state hospital in san bernardino. he's only 20. he's my baby. >> mr. menendez, along those lines and going to the question which is not about protecting right. what rights the cf in jail is zero. what rights does he have no? zero. that's what i mean. and more compassionate thing to do is get people help. we've had this discussion before there's a case in the state of maine where protection advocacy group was there and when a gentleman asked i if it could hm himself or someone else, the advocacy person make sure you said no. and he said no. they released him from jail and he went on and thinking his mother was part of al-qaeda took an ax and chopped her to pieces. what rights did she have? i don't get the right to get better. he had the right to better treatment. thank god you conjure wife live.
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thank god you are there to help your son in the future. >> what's strange is now that he's in children has a psychiatrist, a social worker, all to his disposal on a 24 hour basis. this is what ended up on the outside. but he had to break the law per ticket what he has now. so this bill that the doctors trying to ask him we are all sitting every day waiting to hear congress move forward with this necessity in our nation. and guess what was the rest of the world is watching us to take leadership as we do in many other things to fix a problem that is such an old problem. it's been around forever. it's time. the momentum issue. our movement issue. we are 1500 strong and growing. we are only two months old and we are not going anywhere until this bill is passed. >> thank you. i want to take a question from
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twitter. we have a question here that says for the american health system from what barriers are there adequate better bridge minority health disparities? >> some of the biggest barriers are you can see two doctors the same day, not enough hospital beds, services or minorities are limited. we don't have enough minority providers. part of our bill also makes sure that this minority fellowships is authorized so people are out there having access to treatment. i didn't the issue for many minorities tend to get their service in prison. ya generation after generation of people in jail. we need to have easy access for them with quality, visible services early on and continue on in their life. >> we will take a question from the site again. >> i'm stuart gordon with a national associate in a statement health program directors. we want to express our appreciation to both you and
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your senators murphy and cassidy on the other side for all the work to both of you, all of you are doing on the mental-health issue. the samhsa administrator who respond with a 10 out of 10 score after the gao report has been gone for about two months. i understand you have an opportunity to sit down with a new samhsa administrator to talk about your concerns and that she soldier but some of the things they're doing to strengthen the credit monitoring system spent went to that meeting happen? when is that going to happen? no, we have asked sam sure document commenting on this but we are waiting months later to tell us what's on the messages that. i would love to have an open conversation but they have got to change. they cannot continue to have this belief that series mental illness doesn't exist. they can have frivolous prevention programs and spend
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whatever money they have not accounted for. i welcome conversations with any of these federal agencies because it has to change. the american people are demanding it to this insensitivity and unresponsiveness has got to change. what happens is among providers like you and others, the most compassionate and caring people i've ever met, i spent four years in this career. let's face it you're not going to get rich with what you do. you love the people you're working with and because you're always so divided help. that's altruism. federal agencies onto the attention to that. get outside the beltway and different people what we need to be doing as providers. >> we decide about a minute left. soak quick question from this side spent unfortunately it's kind of loaded. executive director in washington, d.c., sort of a tongue twister some going to read it off. how does you address the need for

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