Ruling while revealing a life in the times of the people in these cases. Cases. Klandmark join the conversation as we take your comments during the program. For background on each case while you watch, order your copy of the companion book, and available at cspan. Org landma rkcases. Next, a form on improving Mental Health treatment in the united dates. The House Budget Committee meets to consider different versions of the federal budget. A with garyq hart. Announcer tim murphy and christmas we talked about Mental Health bills. A panel weighed in on ways the nation can assist those with Mental Illness. This is two hours. Johanna we encourage your engagement during the program via social media. Audience question and there are microphones around the room. Please state your name and organization. You can also submit your question anytime during this program the a twitter. Via twitter. We encourage you to download our mobile app. Andncludes the Schedule Information about todays speakers, attendees, and the survey. We would love for you to fill that out so that we can continue to improve our events. This morning, we will have a discussion about Mental Health reform. Serioussuffering from illness face challenge getting access to care, which can result homelessness or incarceration. At the state in federal levels, there is recognition that lack of health care is a Public Health issue. As the reform bills await their fate, our conversation will focus on policy changes. We will hear from representative tim murphy and senator chris murphy. They will deliver remarks and then sit down for a moderated discussion. We will conclude the program with a moderated panel of experts. Now, i would like to invite dr. Uer to the podium. [applause] elizabeth thank you for joining us. Johnson johnson is proud to underwrite this event. We have set the bar too low on how we support those living with Mental Illness. Morel illness cost society than cancer, diabetes, and respiratory disease combined. We are encouraged that the efforts we see underway to change this. We can and should set the bar higher. Collaboration between the Mental Health and criminal Justice System is critical to improving the outcomes of those living with Mental Illness. Exist to reform the Mental Health and criminal Justice System and support programs can assist in transition. We are looking for to todays discussion of these promising solutions. Thank you again for joining us. We are pleased that you are here and we are pleased to be part of this important discussion. [applause] honorablewelcome the tim murphy. [applause] glanced over to see the House Office Building and the flags lowered to half staff. I was reminded why during this week which is Mental Illness treatment week that, once again, we are mourning the loss of so many citizens who had a death that did not have to happen. This has been the bloody summer of 2015. When many high profile events in dallas, houston, tennessee, virginia, oregon. These are the incidence that get the headlines, it is a tiny fraction of the tragedy that occurs in the area of Mental Illness that is untreated. We make it the most difficult for those who have the most difficulties, with serious Mental Illness that is untreated, undertreated, or mistreated. 1950s, we had half a million hospital beds. Now we have 40,000. To close those of silence because they were bad places. We were supposed to open up Community Health centers. Bill that president kennedy signed before his assassination doubt with changing the Mental Health system. Later, things have gotten worse. Have,e the knowledge we identifying markers of serious Mental Illness, despite having more effective psychotherapy treatments, despite breakthroughs in medication, we are federal policies that abusive and neglectful. Antipsychiatry, a antipatient, antifamily. That it is made the most harmful for those who are minority or low income. I want to lay that out by we need to change it. Silence,losed those of we ended up reducing the number of hospital beds but where did they go . Some got better with treatment. We want them to have productive lives. Theso many, they traded hospital that for the prison cell. The homeless shelter. The emergency room. The more. Gue. This year, we will have thousands and thousands more of mentally ill who are guilty of crime and rate and assault. Deaths byve 41,000 suicide, 1. 2 million suicide attempts, 43,000 Drug Overdose deaths. Headlinese grab our tell us what we need to do. , we address these directly and comprehensively. The First Comprehensive bill to deal with Mental Illness. We have to do that because key have beenencies neglecting and harmful. They have taken millions of dollars of taxpayer money to do frivolous grants. Things as over 400,000 websites to have singalong songs for children. They recommend to drink a smoothie if you are stressed. They have workshops are they tell people to get off their medication. Last winter, they told people in boston how to deal with snelling zaidi. Two days ago, the Washington Post released a story that they agency tomoney to it tell reporters they will give 175 if they will write a nice story. When an agency is reduced it to bribery to the media to say tell a nice story about us because reports said that samsung is not doing its job, there is 112 federal agencies that are supposed to be doing services for the mentally ill. The gao report says they have not met since 2009. Despite the director of samson coming to us to talk, they said they would start a meeting. She says, we are going to look into that. We are waiting to see the results. Esults provided to spend 22,058 on a painting in your office . It was for Mental Health awareness. It is a waste of money that is the way the country operates that is why the agency must change. Now we will elevate this to have an assistant secretary no more fruitless workshops dont take your medication or they march in a circle singing songs. And 80,000. No more imagine what communities could have done if they had this money. In a 40,000 word statement they dont even mention the word schizophrenia or bipolar didnt even have despite ecologist on staff. They quit their more concerned about the right to refuse them the right to be well. Win i hear the judge is simply is officer said cannot do anything i say what about their right to be treated . If somebody walked the streets with alzheimers and delusional you would not say she has the right to have alzheimers or if someone had a stroke and not aware we would say nothing you can do about if they were passed on the street from a heart attack you wouldnt say they have a right but that is precisely what we do with Mental Health in america. The politics are abusive and neglectful particularly minorities and the port. And medicaid has a rule you cannot see to doctors in the same day that is neglectful toward the port with as a policy cannot have more than 16 hospital beds that is neglectful to the port we need to address the needs to get them to see the people they need to see if we have a shortage of child and adolescent psychologist when Mental Illness emerges we dont have enough canadian incentive to get more we need more peer support counselors who have been through this to have like a little help america we will work on people getting the training that they need to be out there. Agency after agency have to struggle to get dollars to make sure they have the Wraparound Services every taxpayer in america should be disgusted with bases someone go off to jail and see what our government spends money on people should be outraged and i am. Once again we will have moments of silence in congress as we mourn the death of these people that should not have died because someone should have been in treatment. Congress wakeup lead moments of action not silence the shouting about it enough is enough. Here is a brain illness not a difference of attitude hallucinations and dilution are not simply not consensus reality is a brain disease and must be treated as such we will organize these agencies to weed out those who are not doing a good job elevate those that are. To make sure we allows states to combine the dollars for Mental Health and Substance Abuse because the majority of each why would we isolate them if we need more hospital beds will allow the same day dr. Rule. We make sure for people in the revolving door of a prison system with Mental Illness to have a Wraparound Services for them. This is the time we have to stop wasting our time on morning to put under a sharp microscope treat Mental Illness or get out of the way to deploy the best and brightest of the consumers of peer support, providers and families and allow them to be a part of this. We are going to stop being kicked out but some interesting we blame families why didnt the parents know . Because the laws to not allow them to participate they have a much higher risk of chronic illness part merely because of poor nutrition or because of the medication they take with higher risk of diabetes and cardiovascular disease we do not tell family members their treatment planner the next appointment then we blame the parents. So we have millions of americans that are not treated on that slow motion road to death. That is embarrassing the only person in congress in mentalhealth provider currently, i am determined to change the system to wake up congress and say there are answers to this and not continuing to do what we do begin rally have the twilight of 17 setting the way we treat serious Mental Illness now by one to look forward to that bright new dawn effectively with the evidence based care to make the difference in their lives. Today is helping families of Mental Health crisis stay where hundreds of families will talk to congress him this week people are speaking a to the members of congress over 40 newspapers have published supports with wonder 43 cosponsors now they need to call this up for a vote but Congress Vote on this to provide hope for those people who were suffering in silence. Thank you very much. [applause] staff correspondent for national journal. I want to start off because he mentioned your the only current Mental Health provider in congress when did you for start realize there were gaps and issues with getting your clients the help they need . My first internship in the 70s when Community Help centers were beginning to reemerge i found the things i was trained on but was not allowed to urdu the law does not allow you to do that so it was a matter to recognize even then but it got even worse as chairman of the oversight subcommittee after the shootings at sandy hook we heard family after family in providers talk about the difficulty of getting care that is when it became very clear much of the policies were in the way. Want to talk about this in the context of shooting and gun dash talkedabout does after a tragedy can you address why they interlinked is that a mistake . They do because those are the cases that get peoples attention but we have to Pay Attention to what is in their mind and not the other hand if we miss that we will fail to address the mentalhealth treatment no other area of medicine is controlled by lawyers in congress the way mentalhealth is it is restricted air prevents people from getting the care they need. When we book that suicide than the tens of thousands of people that die from jumping in front of a car or poisoning themselves or a Drug Overdose we understand that is not what we need to do and to diminish our focus on people with serious Mental Illness we have set those people inside to ignore them and treat them with denial and diversion of the mentalhealth provider i cannot let that happen. It is critically important to have the right services for them to get better. You think this discussion helps to give your build more momentum . Maybe not if on guns but Mental Health. I hope so. Most people with Mental Illness are not violent we all experience some level of transient concerns and we get better. But what happens is if we recognize people with serious Mental Illness not getting treatment for 50 more likely time is likely to be violent in intent times more likely to be in jail than a hospital Getting Services for them is extremely difficult. That is why hopes it provokes a discussion not all violence will go away it wont but among this group we know ignoring it is a harmful process if anything meaningful can come out of this for those families who lost a loved one the this will motivate congress to do something. I want to talk about the families of those who try to get their family members help there is the shortage of hospital beds. How does sure bill address that . To use the a promise . We left the cap to say as long as the average length of stay is 30 days or less it can save money because it covers 90 percent of people in the bucket the difference between psychiatric hospitals or general bed without full services there they may spend twice as much time with fewer services and in many cases the average wage of state is under a week because they can target right away but there must be a Reference Service after words medicaid does pay for 70 is is extremely helpful they make sure they have those services secured, housing, job placement, make sure they have counseling but involved the families because many times parents for generic genetic reasons we have ric genetic reasons we have to stop telling family members you are cut out of the equation. Your bill makes those 20 changes to make sure families can be more involved. One is already permitted to get doctors can talked with them remember the lawyers say they dont because they will get trouble but that only works if someone says he is my friend were my son here is his psychiatrist here is the medication dont try this medication and has been harmful before so that information is vital for a mentalhealth professional history is vital it is like an xray to the orthopedic surgeon. We would never do that not look at the mri for a tumor but it is a narrow keyhole but where the consumer has diminished capacity can be gravely disabled then have other complications the doctor will make a decision to a trusted caregiver, not a stranger they can get out Vital Information to the diagnosis and treatment plan the doctors name it is also forbidden to give any therapy information that at least if they will assist the person that will help and save a lot of lives otherwise you end up with a continuing issue that people with Mental Illness died 25 years sooner. Talk about criminaljustice roughly 20 percent of individuals serving have some kind of Mental Illness how do we know that jails are not receptacles . What can we do to expand there . Some estimates put that much higher state penitentiaries are pretty high benefit is the major contributor if you have prevention and early on to make a world of difference not like happy singalong songs but targeting as a second prevention you can use programs that is authorized in my bill after a schizophrenic episode but you do these early on in major you have enough providers but if someone is caught up in a cycle we want to have wraparound of services. 46 states have been on the books but they dont always use it if you have a history of violence and youre not engaging in treatment than the judge can order year to Outpatient Care to stay on medication and treatment. This is very important. Bayesian not do involuntary of any kind but to them i say you are wrong. Because some people are not even aware they have a problem or that those hallucinations are not in existence so they say i dont need help in a survey has been targeted one to get help but if the state mandates and they provide that. We one service to be flexible i will tell neil tardive. Ed gentleman last week was arrested for 5 worth of theft he went to jail because there is no room in the hospital and stayed there 70 days and treated a and he died and starved. There is no way he should ever should have been put in a jail we should of had services to get him in treatment to work with the state of virginia you need places to treat people change your rules so someone like this was a minority and impoverished it is those services that our vital. Are there Mentalhealth Services is in jail to prevent that individual to be more traumatized . There is but they are weak some try to save money by not giving medication or by shutting down institutions and the money isnt where it needs to be. There was an article in the New York Times on Rikers Island people with serious Mental Illness get in fights with new charges from a minor offense became elevated put in solitary confinement you should never do that to someone