White House Opioid Summit - Prevention and Treatment CSPAN March 2, 2018 2:27am-3:35am EST
>> reverend billy graham passed away on february 21 at the age of 99. his funeral service will be held at a tent outside of the billy in charlotte, north carolina. beacon watch dead you can watch live coverage here at c-span. the white house hosted a summit to address the opioid epidemic. speakers included veterans affairs secretary david shulkin, housing and urban developing secretary been carson -- ben carson, and health and human services secretary. kellyanne conway moderated. this is an hour. [applause]
>> good afternoon. thank you all for being here today. i want to be here to personally tell each of you that what i do it matters. , everyone in this room knows that our country is in the middle of the opioid crisis, and i'm so proud of the work that this administration has already done to combat this epidemic. we all know there is still much work to be done, which is why you are all here today. i know one panel will focus on the supply side of this crisis and the other panel will focus on the prevention, treatment, and recovery.
our unified goal is that of all who have been andcted by drug addiction for me, that means focusing on babies and young mothers, which is something that i have seen often in my travels. i want to read a letter that i received from a woman named betsy henderson, a mother who lost her son to drugs. she wrote this letter to me just one month after her son passed away. ms. henderson is here with us today. betty, please join me. [applause] >> dear mrs. trump, on september 22, 2017, opioids took the life
of my son, billy. the day after my son's death, i had to go to the medical examiner's office to claim his body. no mother should ever have to claim their child's body. i'm sure that you, as a mother, would have some understanding of the depths of despair that i experienced on that day. mrs. trump, i'm asking for your help in claiming these lost souls before drugs take them from this earth. i pray that we give peace to families in knowing that they told their loved ones how much they are treasured. >> betty, thank you for having the strength to reach out in the
midst of your grief. your story touched me and i know it has now touched everyone in this room. just as you said in your letter to me, let us all take a moment now and celebrate your son's life. thank you very much. [applause] let's all keep betty and her son , billy, in your minds today as you work through some of the issues related to the opioid epidemic. sadly, she is not alone in her grief and we need to change that. thank you again for your hard work and commitment to these topics. you are all making a real difference and i look forward to hearing the important action items that everyone will take away from today's summit. thank you all, god bless you, and god bless the united states
of america. [applause] >> ladies and gentlemen, ms. kellyanne conway. [applause] ms. conway: as you can see, the first lady joins our president of the united states and the entire administration in their commitment of combating the opioid crisis and the drug demand supply railing our country. on october 26, 2017, on this very platform in this very room, the president and first lady delivered a joint policy address about this topic.
that same day, the acting director of health and human services -- acting secretary, pardon me he declared a public , health emergency and the president deployed and directed his entire administration to do their respective parts in helping to bend the curve on the numbers and grief and loss that is roiling this nation. since then, the administration has made great progress. and the purpose of today's summit is so that we can go to the very top of each cabinet and department, and agency represented here today and learn , what front-line activities are happening and also to learn the futured vision for the from each of those departments. i really would like to welcome you again to the white house. each and every one of you. we have a lot of headliners and decision-makers among us. but i really want to recognize with great distinction and gratitude for being here, those
courageous family members who have suffered loss and those individuals who currently are either struggling and or are recovering. we see you, we hear you, and we support you. this president and his administration are focused on law enforcement, treatment and recovery, education and prevention. i believe now we are going to show you some video footage of a nascencyhat is in its here at the white house, that is called "opioids, the crisis next door" that no demographic has been spared, no demographic has been untouched. we would like to dim the lights and show this and then start our first panel today. thank you. [video clip] >> i'm eric, i am a television
personality and i'm here to talk about the opioid crisis and how it affected my family. my son was a very, very social highschooler grew up in new , jersey just out of new york city. he liked to have fun. he was a normal kid, loved baseball, loved his car. he went to the university of colorado, had a fantastic freshman year. my wife and i are out to dinner and having a very normal dinner. on the way home, my wife was driving and my phone rang at 10:30 at night. it was a young man who was panicked. he says mr. call kayla right , now. she answered her phone and she was crying. kayla, for some reason my mind went to this as a parent. i asked, is he alive? she said no. there was a detective in his apartment. died of an opioid overdose.
-- the first week into his sophomore year, eric chase died of an opioid overdose. at that moment, my wife, who was in the drivers seat, literally fell into the road. i had to gather her up and we sat on the curb for about an hour, crying, talking, just trying to figure out what just happened. we never saw it coming. we never thought we would get that call. every parent doesn't want it. we got it. sorry. so afterwards, your mind tries to figure out what happened, what went wrong. is it something we did? and then it's also coupled with, what are people going to think? what are our neighbors going to think? what are our friends going to think? it sounds shallow, but those are the things that go through your mind. i didn't know where to go. i had no support system, and so
i went to twitter and said, look, this happened. i was overwhelmed by the number of people who opioids are affecting. what i have done since then is to talk about the stories of people who are worried about a loved one, worried about the child, a brother, a sister, a mother, a coworker, a friend. it it helps to talk about it and it helps to find resources for that help. there is one underlying issue parents need to understand that is very important. i have seen it for the past several months since eric has passed. not my kid syndrome. not my kid syndrome is terrible. not my kid syndrome is a terror as you just don't know. it could very well be your kid. do your family a favor, do your children in favor. have the discussion with them and do it again and again, and get involved in your kids' lives.
keep an eye on what their spending and where they are spending it. it matters. you can save someone. >> the crisis is terrible, heartbreaking. probably the worst thing i have seen. i never thought i would be spending so much time on this opioid crisis as the fire chief, but i think in many ways this is , a natural thing for the fire departments out there because we are a place you come to for help. january 2015, we went from 20 overdoses in a month to 75 overdoses in a month. that occurred with synthetic opioids. last week, we went to 84 in manchester, not including methamphetamines, just opiates. in may 2016, we started a program called safe stations. the first day that i was promoted to the chief, i opened up all of my fire stations to anybody seeking treatment or
seeking help for substance abuse disorder. if it's at 2:00 in the morning, or during the day, we are always there. we are in the neighborhoods and we welcome people in. we treat these people who are addicted with -- very nonjudgmental. we will help you. if you want treatment, we will give you a shot of treatment 100% of the time. my safe station program is just a small piece of this. we have seen a 30% reduction and in our overdose death rate overall. we went from 90 to 64. we are saving lives every single day we go out there. >> i'm a physician. i have a masters degree in public health. i'm the united states surgeon general and my family is suffering. my brother philip is in prison due to crimes he committed. to support his addiction. his illnesses affected my entire family, emotionally, medically,
and financially. as a trauma analyst ideologist -- anesthesiologist i have seen , things that make the average person cringe, but nothing has shaken me like seeing barbed wire and the thick metal bars when i visited my brother in state prison. it was all the more agonizing because despite my knowledge and experience, i couldn't prevent or fix his illness. i'm hopeful that by sharing my story, it will help people understand that addiction touches every community and that they are not alone. that's why i'm asking everyone to partner with me for this fight for a healthier country. because for me and for all too many americans, stopping the opioid epidemic is not only pressing, it's personal. i encourage you to share your story along with mine, so that we can break the stigma. [applause]
, ourdies and gentlemen first panel is on prevention and treatment and recovery. it's my great pleasure to welcome to the stage our panelists. secretary, if you would begin with your opening comments. thank you. >> kellyanne, it's an honor. thanks to the first lady for those important and personal remarks to kick this off. thank you for the wonderful video of those personal stories. i think it's so important to have that message out there of "not my kid."
this can impact and hit just about everybody. i want to thank president trump for making the opioid crisis such a priority. in my discussions with them, it's a constant point of focus for him of ensuring that we are taking bold enough action and devoting enough resources to the challenges ahead. it's a pleasure to be joined here by these two as we work together to tackle this crisis. i want to start off with an important statement. at h.h.s. and across this administration, we know we need to treat addiction as a medical challenge, not as a moral failing. that informs h.h.s.'s work across all three areas we will talk about today, prevention, treatment, and recovery. that's why the president directed h.h.s. to consider it a public health emergency and why we declared it an emergency october 26, 2017. this emergency declaration brought a new level of focus and
coordination, and cooperation to our work across the federal government in its entirety. i want to give you some examples of what we have a compost since -- accomplished since then. first, we know it's essential to prevent people from getting people addicted to opioids in the first place. we have seen promising news on appropriate opioid prescribing. prescribing is down noticeably from 2010 to 2015. but it's still three times what it was in 1999. just one example of our work on this front. in december, as part of a broader reform administrative, initiative, we held an opioid code-a-thon. what they did as the programmers, they spent the day coming up with new tools for apps that used existing data to monitor existing opioid prescribing and provide
-- help providers assess their own levels to see if they were out of the norm and needed focus on their own habits. we also know that treatment, including medication assistant treatment is essential to this fight. shortly after the public health emergency declaration, we announced a streamlined process for states to get waivers to support substance abuse treatment and we approved five of these waivers so far. this weekend at the national governors association, i paraded ed therated -- berat governor, saying, why have i only gotten five of these? i want to work with them. we will have a streamlined process for considering them, and i want more. we also highlighted two forthcoming food and drug administration guidances that will expand and accelerate medication assisted treatment. one of them will help the development of long acting depot formulations like the monthly shot that was approved this past
fall. and one that will open up new ways of assessing medically assisted treatment effectiveness by looking at metrics other than complete abstinence. so alternative endpoints. on recovery, this year and last, we are issuing $500 million in targeted response grants to state governments, which cover prevention and treatment but also recovery supports. these supports are a key piece of successful treatment, including medically assisted treatment. to support that, we announced a new method of technical assistance to use more expertise to provide technical assistance , rathers and grantees than a one-size-fits-all approach from washington. the president's budget also proposes doubling these state grants to $1 billion a year as part of an historic $13 billion
package in proposed funding for this crisis. that's just a small sample of the work we are doing and all of it requires the contribution and cooperation of our partners on the front line, which includes many of you in this room. that's why the president is holding this event today so we can share our work with you, so and we can solicit your input on what we need to do further. so thank you for joining us here today. we and all of our partners look forward to working with you as we tackle the scorch of this scourge of this opioid crisis. thank you. [applause] >> secretary carson, thank you. thank you so much for those remarks. secretary carson: thank you for leading the -- a leading -- leading out in this endeavor.
i'm vagal for the leadership of -- grateful for the leadership of the president and the first lady and the cabinet secretaries, as well as surgeon general, for bringing this to the level of attention it should have. it is affecting virtually every part of our society and the very fabric of our society. i'm also grateful to all of you who have come here to show your interest and support for what is going on. everybody has a sphere of influence. together, we can really take this important issue to where it needs to be. at the department of housing and urban development, the human cost of opioids is all too familiar to all of us. for us, drug addiction lands at an intersection of health, housing, and economic opportunity. it is especially dangerous to
the communities that h.u.d. serves. so we are being especially vigilant in our efforts to address this epidemic and all of its consequences. in fiscal year 2017, approximately 25% of those served in hud funded care reported substance abuse issues. that's a lot of folks. moving forward, we have convened senior leadership from all program offices working , collaboratively to recommend near-term actions to impact both awareness and treatment. we have also convened all program offices to think through the strategic changes to rules and guidance that will support the efforts of law enforcement to tackle drug traffickers and drug use prevention and treatment for those struggling with addiction. we are continuing to study local success stories across the country, identifying good models
, and data to be integrated into hud's notices of funding availability that have proven to be effective and are promising in addressing substance abuse. and that is really a key factor when it comes to making progress. when you look at the turn-of-the-century before this past one, the average age of death in america was under 50. at the most recent turn-of-the-century, we are approaching 80. how did that happen? it was because the medical profession began to make its policies and recommendations based on evidence. that makes all the difference in the world. these conversations with public officials, private foundations from san diego to new york, are ongoing. our new envision center initiative will have community health and wellness as one of its core missions.
the envision centers will work to improve access to health services, including drug treatment and prevention for those struggling with drug addiction including opioids. , but it is important to note, ourge of opioids in america is not just a crisis of health. it's also a crisis of hope. the envision centers will also leverage public and private partnerships to promote long-term, economic, educational, and employment opportunities in our community, all things which bring hope. once more, americans will have the tools to build a brighter future and fewer of them will try to escape their current realities through drugs. this is a challenge that will take our combined resources and
ingenuity to solve. but together, we can solve it and save thousands of lives in the process. i look forward to further collaborations with my fellow agency heads and all of you in the coming year. [applause] >> secretary and dr. carson, thank you. secretary and dr. shulkin, you are on. >> thank you very much. you know, as i look around the audience, there is such amazing expertise and personal experience with this issue and whenever i go to an event, i always have a goal of taking off a message or meeting somebody that will help me. thank you also much for being here and i hope that you too will meet people in this room, and take away something that can contribute. also want to thank the
president and first lady to give us the opportunity to be here. i have three points i wanted to share with you in the hope that you will take something away, as well. the first is that i do believe that we can make a difference. that we can really help save lives. at the department of veteran affairs, we are the largest health care system in the country. we began to see this problem and -- in opioid addiction and crisis before maybe other health systems. we started focusing on this in 2011 and in 2012, we launched the opioid safety initiatives that has put in over $300 million in prevention and treatment. since 2012, we reduced the number of opioids used in the v.a. by 41%. if you look at that figure as a reduction, it has come through a 90% reduction in the start of new opioids.
so by looking at alternatives, instead of just reaching for a prescription pad as probably dr. carson and i learned in medical school, we have had a 90% reduction. so there is hope out there and we can do better and save lives. second point is, is that as we begin to share best practices, we have a lot to learn from each other. kellyanne, thank you to her leadership and governor christie, who helped lead our commission that helped participate in. we went around the country and visited places that were not -- that are really doing this well. the department of veteran affairs took an unusual step two months ago and we now publish publicly all of our opioid prescribing rates for every v.a. medical center across the country. now we are the only health care system that does this. there is nobody else doing it, but we do it to encourage others to follow the lead, to take a look at data.va.gov.
you will see all of our prescribing rates there. in highest in the country is roseburg, oregon. the lowest in the country in cleveland at 3%, where kellyanne and i went to visit. by sharing these practices, we know we can help each other rest and i encourage the of the country to help participate and the v.a. is there to help teach. the third and final point, i wanted to share where he got this 41% reduction in new opioids. if you have something important, you better develop an acronym because there is no initiative that does not have an acronym. so i made this one up. it is called stop pain. we have a step approach towards pain management where opioids is at the end, not the beginning.
the "t" is for treatment alternatives. we have really focused on integrative medicine and nonmedicinal aspects, as well as the secretary talked about the , medication approved treatments that offer alternatives when people are addicted. the "o" in stop is for ongoing monitoring and usage. so we actually use data to identify where there are problems, where there are bumps in high usage rates so that we can go and effectively intervene. the "p" is for practice guidelines. i am proud that the department of defense, department of veteran affairs, the cdc have all jointly published practice guidelines in the public domain that we teach our commissions. -- clinicians. the "p" for pain is for perception monitoring. -- prescription monitoring. they are really important in the
state so we as doctors, i go to the state practitioner databases to see if other doctors have prescribed medication. the "a" for pain is for academic detailing. we send our pharmacists to train doctors in how to appropriately prescribe opioids. the "i" is for informed consents. we have our patients sign informed consents before we prescribed them opioids, because they have a shared responsibility in this. the "n" is for -- distribution. we distributed 100,000 naloxone kits to first responders and we know that that saves lives. maybe you will pick up one of to share your experience and those and continue to share your experience and together, i know we can make a difference. thank you very much. [applause] >> thank you very much, secretary shulkin. now we take questions from the
audience. the first question comes from froms from -- carla richmond, kentucky. >> my name is carla and i'm from richmond, kentucky, and i would like to say that i'm here because i lost my only son to the opioid epidemic. i would like to share this is , his picture. i did that because i made a promise to him that i would fight. so i'm here today not only for myself but for everyone who has lost their child or loved one to the epidemic. this hason is, since happened with my son i have had the opportunity to go out in my community, be part of the u.s. attorneys program, and go into the schools, because my son's addiction started at a very young age. my question is, is there a plan to put something like eight prevention program into the schools nationwide -- a
prevention program into the schools nationwide? i have seen the affect of being able to go talk to these young kids of the fact that your first time using could also be a last time. it is very effective. thank you. >> first of all, what was his name? brendan. thank you for sharing that story. does anybody have any particular thoughts on schools? >> thank you very much for being here, carla. i am with everyone in tone you how sorry we are for your loss, are to beved we able to channel your grief. other stakeholders and decision-makers are very invested in making sure that we communicate a message of prevention education, particularly to our youth. the first lady is very committed
to the well-being of children overall, and this would be a part of that. i think to begin just by educating each other, not just on the harrowing statistics, but on the basics. that most ofne america suffers from information under load. a 20,000 americans were dying every single year from almost anything, would stop and turn our attention to that almost immediately. i think what the president and others are urging is to stop and at least turn part of our attention to that. i have had occasion with my colleagues inside the white house and across the learn all ofn to the great work that is being done in the private sector and nonprofit community. i would invite others to come forward and tell us what they are working on it so that we can see their best practices. there are a lot of folks who
have developed great ways of communicating with youth. it is not just youth. the last saturday of every october and april we have take back day. why not make take back a day every -- if we can tell the way that the president said on october 26, the last saturday in october and april is called takeback day. why not make every day takeback day? if we can work with the pharmacy, if we can work with the first responders. we do not have to wait for twice a year. there is a way to safely dispose of this. some of the private sector businesses are working on this. we have to get to youth, whether it is after schools, community messaging, and that is a big part. this is where the president is committed to education and prevention. he is also dedicated to treatment and recovery. i would also note that the president's commission on combating the opioid crisis had 56 recommendations. the commission did great work. the president has accepted all
56 of these recommendations. this is covered there as well. our next question comes from ryan hansen, from pasadena, california. there is a microphone coming. >> my name is ryan hampton. i am in sustained recovery from a substance use disorder. i felt it necessary to have a drink or drug, and importantly, heroin or opioids. i have not felt it necessary to have a drink sense 2016. i know how incredibly lucky i am to have made it out of this crisis alive, but i know recovery and access to recovery should never be about luck. in 2015, when i got out of treatment for the last time, i was able to access stable recovery housing and support that came with that. if it were not for those 18 months of that stable housing, i probably would not be here.
in the last two years, i lost way over a dozen friends to accidental overdoses. the majority of them were not able to access the full continuum of care. my question to the panel would be, since we know that the first five years of someone's recovery how can weortant, support people through that full continuum, specifically when it comes to stable, qualified, and ethical recovery housing and residences? >> thank you for that question. as i mentioned in my opening, there is a true nexis between opioid abuse and housing. that is why it is incredibly
important and one of the reasons housing and urban development have coupled with the v.a. for the past program in various ways for making sure veterans have a secure place from which to recover. it spreads far beyond that. it is all aspects of our society. we have continuum care programs. we have devoted a significant amount of money to that issue of providing recovery necessary. it is critical people understand that people who are addicted to opioids are not like them and then there is us. it can be any of us at any time. it is so easy to get addicted. it has nothing to do with social or economic class or anything else.
we need to recognize that in our society right now, it permeates to the extent that anybody you talk to knows somebody that has been affected. if you talk to manufacturers, they will tell you it is difficult to find people to work who can pass a drug screening. that gives you some idea of the pervasiveness in our society and that is the reason we have agency, corporations working with hhs, with recognizing -- recognizing how this impacts. as you have stated, we understand providing the kind of place where they feel secure and
stable is the first step. when you talk about recovering from opioids, you are not talking about a few weeks. you are talking about 18 months. it is a long-term commitment and as a society, we have to recognize until it becomes as easy to get treatment as it is to get drugs, we are not going to win the battle. >> the issue you raised, ryan, about that kind of support in the recovery period, that is why the president has doubled the amount of state treatment and grant programs from $.5 billion to $1 billion. that is going to more than double, doubling in just that type of grant to $1 billion to help these kinds of programs and we're putting at $75 million for naloxone funding so first responders can have adequate supplies at a good cost.
we are working to create $150 million grant programs for rural treatment, not just in pasadena, -- also in more world parts rural parts of our country where folks have underserved areas from a treatment perspective, that we can provide more support and $.5 billion from community health centers. they provide such a vital safety net for ongoing recovery. so, it is beyond the 18 months, as a mentioned, i think of it as a lifelong process. the first lady of north dakota has been an inspiration to many people who have heard her story. today she would like to talk to us about breaking through the silence and the stigma.
catherine: thank you. i am so grateful to the administration for bringing people together for this important conversation. i've been in long-term recovery for 16 years. [applause] personal experience has stigma prevents people from reaching out from help and talking about the disease of addiction rate i did not seek real help for almost 20 years because i was ashamed. stigma puts up walls. it is socially constructed, taste in fear and -- it is based in fear. if we can begin to normalize the conversation around the chronic brain disease of addiction and talk about it like we talk about other chronic diseases like
diabetes, we can end the stigma. we can change cultures from misinterpretation to empathy. it is so great the administration has created this website for people to share their stories. that will go a long way to breaking down the barrier of stigma. we have launched a multimedia communications campaign designed to inform about the deeds of addiction. we call it our dream again campaign. my question is, has the administration considered a communications campaign that promotes understanding and empathy towards those struggling with the disease of addiction? i stand ready to help in any way i can to help eliminate the
opioid crisis and the stigma of addiction. thank you. [applause] anticipate launching a multimedia campaign to educate people about the dangers of addiction and also the fact that it could come to anybody. as part of that i think the d stigmatization of substance use disorder is critical. we have to get people willing to seek out treatment. that is one of the reasons part of our program is to spur drug court. so that it is not just about facing criminal consequences but about getting people into appropriate programs. that is the help they often need. feedback to get this from you about de-stigmatized nations so that destigmatize
--an so that we can now destigmatization so that this can be part of the conversation. bible verse. without vision, people parish. --perish. there is a strong educational component. prevention is a key portion of that. coupling with many of the communities, iur think we will have a good impact. >> thank you. gary from harrisburg,
pennsylvania. >> thank you for pulling this together. i am president of the national alliance of model state drug laws. most of my career was as a prosecutors in the philadelphia district attorney's office. during this 26 years i saw individuals going before me with untreated or undertreated addictions. most of the problems we were trying to solve were consequences of a failed health care policy of not providing enough treatment. the resources have never been there. this is a multi-pronged problem. i have been looking at this problem for 30 years. the biggest single blow this administration could deal in terms of ensuring more people get treatment is to make clear that the imd exclusion, meant to
stop the warehousing of the mentally ill, is no longer applied in the area of drug and alcohol addiction treatment. there was never a problem with warehousing people with drug and alcohol. i know you're looking at the waiver process which is time-consuming. would be administration consider just dealing a single strong blow by saying the imd was for mental illness and is does not apply to drug and alcohol addiction treatment? [applause] agree about the imd exclusion. this is a provision that was to preventcades ago the warehousing of people with mental illness into these state institutions. the stereotypical thing. it was a provision that said
medicaid fund cannot be used for facilities that more than 15 beds. what president trump did was create this streamlined waiver process so states can come in and for substance use disorders, grant that permission so that we can at the state and federal level reimburse for inpatient treatment for substance abuse disorder. this is a streamlined process. as the issuer was raising with the governor's this weekend. often times governors will come in with a package of requests around the medicaid program. they will do a whole restructuring the present complex financial and legal issues. i told them, just separate your request withver the imd exclusion and we can handle it separately. let's not let them be slowed
down by the other reforms. we did that right here with the governors. i am hopeful that we will see a faster clip. we can handle those quickly. those waivers are easy to do. it is a statute and the president's budget has proposed changing the statute. as long as it is there, i have to use my waiver authority but we're open for business. i made that very clear to all of the governors. will process them very quickly. >> and gary, thank you for sharing your experience. at the department of veteran affairs, we have courts to the country and they are setup up to do exactly what you are talking about, to allow judges to understand that rather than sending people to prison for substance abuse and other mental health issues among get them into treatment. we do this around the country with thousands of veterans and inhave an 80% reduction
going back to prison. we're getting people help. i know that is your experience. i know we will be a lot to do that for more americans. so thank you. brown, are you year? -- are you here? do you have a question? >> yes. first i want to tell you the reason i am here. son toecause we lost our a heroin overdose. he died in a very public place. a macy's bathroom. at the time when the detective skin to tell me, to tell us what happened, we said we did not want this to happen to one more person. that is exactly why we are here.
these two individuals will have had the courage to speak up, it gives me hope. i am so grateful for you and what you are doing. our son was on a wait list for two programs when he died. what he said to me i was walking down the hall, i saw him sitting --his bedroom and he said, mom, i am trying. i am trying. he met somebody at the mall unexpectedly and there happened. he had not been using. that is my concern. we started ryan's hope, an organization to raise awareness about addiction and hope and to advocate for recovery. i had said to ryan, another day is a day of hope. and if people do not have
opportunity, opportunity is everything. that is what this whole thing is about. it is about people and saving lives so that we do not have other parents who have to go through this, so that we do not lose another son or daughter. i think it is so important. this leads me to my question. of the $6 billion that is budgeted for the opioid epidemic , can you tell me what is targeted for prevention and treatment? i think we need to get out of it. we sent ryan to college and that is where it started. onent to a training session how to talk to kids about drugs and i sat there and checked each one off. i had done it. i had done it. so something was not right. so i think we need to look at things differently with
prevention and put a face on it. in the schools or wherever. church. ryan helped with the sound system at church. he had a scholarship. so that is what i want to know, what is going to be dedicated to treatment and prevention? it is critical for me. thank you. you, mr. and mrs. brown. >> that is an important question. i cannot give you percentages, but a few weeks ago i was in kentucky and they have hope centers there for the purpose of treating people who have been addicted. these are all public private partnerships. billion, through the various agencies, a lot of it is going to be used in conjunction
with state and local programs. that is where the impetus comes from. not necessarily from a federal democrats, -- bureaucrat, but the people in the neighborhoods were there with boots on the ground and there is so much compassion in our country. there is so much philanthropy in our country. what the government provides in these private public or ships is probably the minority of funding and minority of attention. it is going to come locally and a needs to be encouraged. i would say within how the dhs will spend its portion of the money, essentially all of it is prevention treatment response. some of it longer-term treatment. in 2019, we would be dedicating over $750 million of our funding to the national institute of
health to develop the next generation not opioid pain treatment so we can hopefully stop people from even beginning and getting into the system through legal opioid use for pain. in addition to studying alternative therapies and dealing with pain beyond the pale. beyond the the -- pill. treatmentof our facilities america have their best. it is unacceptable. there are many approaches to addiction and treatment. one third is not enough. we need use the funding we are getting to build up more treatment facilities. >> we have two more questions.
theirst i want to thank president, first lady, panels, experts. thank you for putting this together. 14 clinics in the dmv. many of the government agencies like the fda and v.a. have suggested or required physicians to use these alternative treatments as the first line of care in lieu of medication. 90% of the consumption of opiates comes from this country and where 5% of the world's population.
so the other parts of the world have obviously been using these types of alternative therapies to combat pain. producedof the opioids are consumed by the u.s. i treat professional athletes. if we have an nba player who gets hurt, we have four or five experts on this guy. chiropractor, therapist, or the pdx surgeon, trainer -- orthopedic surgeon, trainer. he is treated several times a day. he gets to be cleared today all when he is in preinjury status. andhe same guy gets hurt gets an opioid, where does the breakdown occur?
we are creating a society of chronic pain patients. when they are not treated right away, the propensity of it becoming a reoccurring condition in the future is higher every time it occurs. stop thee to prescription from ever getting written. clinics is a free clinic in maryland. it is in a very busy medical practice. within one year we reduced the script writing by 70% for opioids. can't be that easy? if it is available you are not going to have the process take
lace -- take place? how do we instill the proper referral for and reinsurance reimbursement of this? >> that is exactly the issue i was mentioning. at theps we are taking national institute of health around alternative pain management to support reimbursement. at our to look reimbursement systems which were built in the 1960's. they were set in statute in a very concrete way that is not as always as adaptable to evolutions in nontraditional forms of treatment. worked to look at that and
with the fda. we have that charge and that is part of our focus. >> i think about what you are trying to do with four different approaches. you have to have providers in your network that have access to them. you have to be able to pay the providers for those types of alternative therapies. there are two other things we have learned. we encourage team-based approaches to care. instead of it being a solo provider number we have teams of nurses, providers, pharmacists, social workers, all of whom can suggest alternative approaches. in theare doubling down v.a. on teaching the patient self-care and letting them know
how to take care of themselves and what alternatives they should be thinking about, rather than just listening to what a provider says to them. so that they are an active participant. i think that way we could see more of what you have been able to experience. >> one last question from greg delaney from ohio. >> it is such an honor to be here with you. much like my sister and brother, i am in long-term recovery myself. 10 years in july. it is wonderful to be with others. [applause] i nearly lost my life to addiction. while i was coming through recovery, it was the work of a pastor that really made all the difference for me. was i wanted to talk about that since that time of intervention from him, we have had the opportunity in ohio to try to mobilize our church
community to be part of the solution in this crisis. we have had wonderful relationships with our attorney we have done 65 forms of faith leaders are try to help them find their lane. many of them have found their lane but what they are found is that to navigate funding for that has been intensely difficult because of their faith waste-nature. phase-based-- faith-based nature. how do we eliminate carriers to this funding for those who are doing -- lm and it these barriers -- how can we eliminate these barriers to funding for those who are doing such great work? >> you know, the faith-based community is one of the real foundations of american values.
they have taken on the responsibility of helping those, particularly those who are help says,as the book of james the fatherless and widows. the ones who need our help most. -- includesly ask those who are addicted, which affects their behavior and put them in a very vulnerable position. , we have grown our faith-based component. i think that has been the case in several different agencies. the president and the white house have made a very significant effort to make sure that we protect the faith-based community and religious freedom. while at the same time, respecting everybody's beliefs.
that is the key. so i think that you will find that this effort we are putting campusill very nicely in the faith-based community. >> please grab me afterwards. we each have faith-based offices. to job is to remove barriers providers of services who may be discriminated against in the provision of critical care to our people. i would like to know if we are getting in the way of that and if there are things we can do to alleviate that. thank you. you,anne conway: thank please join me for thinking -- in thinking all those who have in here. [applause] thank you very much. ladies and gentlemen, i would like to the stage, jim carroll, the acting director of ondcp.
he would like to make a few remarks. >> thank you. carroll: thank you, kellyanne. it is an honor to be here today and i appreciate the trust that the president has placed in me to work with you all. a week ago ied have not had the opportunity to meet with you all yet but i am looking forward to doing that in the coming months and years. 'sis is one of the president greatest priorities and it is an honor to be here with you today. in addition to the families here, i would like to recognize also that we have about 12 from across the country who came to hear this message and share their he really sent a strong 30's with us. us, law enforcement families are not immune from this epidemic. [applause]
i have worked in my career as a prosecutor and is meant much of my time prosecuting drug cases. i have seen how this tears families apart. i went to the private sector at a large corporation as the global director of compliance and became involved and aware of the importance of a strong employee-assistance program to help our employees through this area because, it becomes an economic issue as well. here at the white house as the every hd chief of staff, -- the , i get to work with many of our colleagues here on the stage today. since i started last week, i had the opportunity to meet with
runs a chain of cheesesteak restaurants in philly. much of a shift to the eagles this year. [laughter] tragically, he lost his son this year. sorry last year. i met with a woman yesterday who was raising her granddaughter because her own daughter fight this challenge. so many families have been affected eye this. when i met with the first lady of north dakota who is here, she shared her story with me and mentioned that in north dakota, i think it is one out of seven either has a family member, a friend or a neighbor who has been impacted by this. for their first time publicly, i would like to tell you that i am that one in seven, but i have a family member who has been touched by this. last year, i was in the rehab center with my family member holding that person's hand, helping them through this and
trying to be this up or system. so, it is a great honor for me to take this on. ais is a professional and personal challenge for me, the president and every member of this administration area the one thing i would like to close with is that sadly, at the office of national drug control lse, we have a collection of prayer cards from the funerals of so many young people. pastor, you talked about how many funerals you have into. we have a collection of rare cards. one i keep on my desk -- prayer cards. one of that i keep on my desk is for a kid named archie. andays --, our anxieties sent an our faith. i look forward to working with you all on this epidemic. thank you, kellyanne. thank you, everyone. [applause]