1 00:04:07,447 --> 00:04:08,047 THAT'S IN FACT CROSSED THE 2 00:04:08,114 --> 00:04:08,815 BLOOD BRAIN BARRIER. 3 00:04:08,881 --> 00:04:11,017 WE HEARD EARLIER IN THE MORNING 4 00:04:11,084 --> 00:04:11,985 WORK FROM WEST VIRGINIA 5 00:04:12,051 --> 00:04:13,419 UNIVERSITY ABOUT DISRUPTING THE 6 00:04:13,486 --> 00:04:15,154 BLOOD BRAIN BARRIER WITH 7 00:04:15,221 --> 00:04:15,855 ULTRASOUND. 8 00:04:15,922 --> 00:04:17,357 OBVIOUSLY THIS IS NOT UTILIZING 9 00:04:17,423 --> 00:04:23,062 THAT TECHNIQUE BUT W IT DOESN'T 10 00:04:23,129 --> 00:04:24,998 CROSS THE BLOOD BRAIN BARRIER IN 11 00:04:25,064 --> 00:04:25,565 SIGNIFICANT AMOUNTS. 12 00:04:25,632 --> 00:04:27,533 WHAT WE'VE GONE ON TO DO IS AT 13 00:04:27,600 --> 00:04:29,168 THE SINGLE CELL LEVEL UNDERSTAND 14 00:04:29,235 --> 00:04:32,238 HOW IT WORKS THROUGH THREE MAIN 15 00:04:32,305 --> 00:04:37,510 SIGNALING PATHWAYS. 16 00:04:37,577 --> 00:04:39,445 AGAIN THIS IS IMPORTANT BECAUSE 17 00:04:39,512 --> 00:04:40,546 WHEN ONE IS NOWADAYS TRYING TO 18 00:04:40,613 --> 00:04:42,548 DEVELOP A NOVEL PAIN THERAPY, 19 00:04:42,615 --> 00:04:45,118 THERE IS A LOT OF STIGMA, THIS 20 00:04:45,184 --> 00:04:47,120 WAS DISCUSSED YESTERDAY BY THE 21 00:04:47,186 --> 00:04:48,621 STRATEGICS IN TERMS OF 22 00:04:48,688 --> 00:04:49,522 DE-RISKING THE CLINICAL 23 00:04:49,589 --> 00:04:50,390 DEVELOPMENT AND I'LL TOUCH ON 24 00:04:50,456 --> 00:04:53,026 THAT AT THE END OF THE TALK. 25 00:04:53,092 --> 00:04:54,127 ONE OF THE THINGS WE DID EARLY 26 00:04:54,193 --> 00:04:56,195 ON WAS TO CHARACTERIZE THE LACK 27 00:04:56,262 --> 00:04:58,731 OF LIVER INJURY AND ONE CAN SEE 28 00:04:58,798 --> 00:05:01,034 HERE ON THE RIGHT THE LIVER FROM 29 00:05:01,100 --> 00:05:03,102 ANIMALS TREATED WITH VERY HIGH 30 00:05:03,169 --> 00:05:04,971 DOSES OF TYLENOL OR 31 00:05:05,038 --> 00:05:05,304 ACETAMINOPHEN. 32 00:05:05,371 --> 00:05:06,606 YOU CAN SEE THIS WOULD BE THE 33 00:05:06,673 --> 00:05:08,675 EQUIVALENT OF 8, 10, 12 GRAMS. 34 00:05:08,741 --> 00:05:14,714 SO FROM USUALLY ADD OVERDOSE. 35 00:05:14,781 --> 00:05:16,182 THE GROSSLY ABSENT INJURY IN 36 00:05:16,249 --> 00:05:18,518 THOSE LIVERS, THEN WHEN THE 37 00:05:18,584 --> 00:05:20,620 BIOMARKERS, LIVER INJURY 38 00:05:20,687 --> 00:05:21,688 BIOMARKERS ARE LOOKED AT, YOU 39 00:05:21,754 --> 00:05:23,790 CAN SEE THE HIGH RISE IN RED FOR 40 00:05:23,856 --> 00:05:25,858 THE ANIMALS TREATED WITH 41 00:05:25,925 --> 00:05:28,261 ACETAMINOPHEN ARE ABSENT WITH 42 00:05:28,327 --> 00:05:28,594 SRP001. 43 00:05:28,661 --> 00:05:30,029 ALL OF YOU THAT DID HISTOLOGY 44 00:05:30,096 --> 00:05:30,997 REMEMBER THESE SLIDES ON THE TOP 45 00:05:31,064 --> 00:05:32,632 RIGHT THERE WITH ASEAT IN MY 46 00:05:32,699 --> 00:05:40,173 OPINIACETAMINOPHENIS ABSENT AGA. 47 00:05:40,239 --> 00:05:42,809 THEN WHEN WE DO STAINING 48 00:05:42,875 --> 00:05:43,776 DOWNSTREAM OF THE MECHANISM THAT 49 00:05:43,843 --> 00:05:45,978 I'LL SHOW YOU NEXT, WHICH IS NOT 50 00:05:46,045 --> 00:05:50,583 KEY, ONE CAN SEE THAT CENTRAL 51 00:05:50,650 --> 00:05:51,217 NECROSIS -- PRETTY WELL. 52 00:05:51,284 --> 00:05:55,822 SO WE'RE ABLE TO DESCRIBE THE 53 00:05:55,888 --> 00:05:56,823 LIBRARY AS WELL AS DESCRIBE 54 00:05:56,889 --> 00:05:59,425 THESE TWO MECHANISMS NOW IN LATE 55 00:05:59,492 --> 00:06:00,860 2020, AND THE MECHANISM OF 56 00:06:00,927 --> 00:06:03,162 ACTION IS THAT IT DOESN'T 57 00:06:03,229 --> 00:06:05,431 PRODUCE THE METABOLITE MAN KEEP 58 00:06:05,498 --> 00:06:07,533 WHICH IS SHOWN IN 1923 TO BE THE 59 00:06:07,600 --> 00:06:09,702 CAUSE OF LIVER INJURY FROM 60 00:06:09,769 --> 00:06:10,269 ACETAMINOPHEN OVERDOSE. 61 00:06:10,336 --> 00:06:14,073 MORE RECENTLY BY ANOTHER GROUP, 62 00:06:14,140 --> 00:06:16,476 THE DISRUPTION OF THE JUNCTIONS 63 00:06:16,542 --> 00:06:18,244 ARE MAINTAINED THAT ARE 64 00:06:18,311 --> 00:06:20,146 DISRUPTED WITH ACETAMINOPHEN. 65 00:06:20,213 --> 00:06:22,248 SO I WILL GO THROUGH BECAUSE OF 66 00:06:22,315 --> 00:06:26,252 THE BREVITY OF TIME ALL OF THE 67 00:06:26,319 --> 00:06:27,987 WORK REPORTED BY THE NINDS FAST 68 00:06:28,054 --> 00:06:29,288 TRACK, GRANTED WE WERE FORTUNATE 69 00:06:29,355 --> 00:06:32,024 TO RECEIVE THAT CHARACTERIZED 70 00:06:32,091 --> 00:06:33,459 TOXICITY ABSENT THE GOP TOX AS 71 00:06:33,526 --> 00:06:35,194 WELL AS SOME OTHER MECHANISTIC 72 00:06:35,261 --> 00:06:38,998 STUDIES AND JUMP INTO A PHASE 73 00:06:39,065 --> 00:06:40,233 ONE RANDOMIZED TRIAL WE JUST 74 00:06:40,299 --> 00:06:41,434 FINISHED IN DECEMBER 2023, AND 75 00:06:41,501 --> 00:06:43,836 WE ARE DOING THE DRAFT REPORTS 76 00:06:43,903 --> 00:06:44,704 AND FINALIZING THE REPORTS. 77 00:06:44,771 --> 00:06:53,713 SO WE WERE ABLE TO -- IN MIA 78 00:06:53,780 --> 00:06:54,347 MIAMI -- SUBJECTS WITHOUT PAIN 79 00:06:54,413 --> 00:06:56,082 TO BE ABLE TO -- THESE WERE 80 00:06:56,149 --> 00:06:57,083 NORMAL HEALTHY VOLUNTEERS TO BE 81 00:06:57,150 --> 00:06:59,585 ABLE TO REALLY CHARACTERIZE THE 82 00:06:59,652 --> 00:07:01,988 SAFETY TO TOLERABILITY THE PK -- 83 00:07:02,054 --> 00:07:03,422 FOOD AND ONE CAN SEE HERE IS 84 00:07:03,489 --> 00:07:05,725 THAT THE DOSE GOES UP, THERE'S A 85 00:07:05,792 --> 00:07:07,827 PROPORTIONAL OR 86 00:07:07,894 --> 00:07:08,461 SUPERPROPORTIONAL INCREASE IN 87 00:07:08,528 --> 00:07:12,165 THE CMAX IN PEAK CONCENTRATION 88 00:07:12,231 --> 00:07:13,032 AT ONE HOUR. 89 00:07:13,099 --> 00:07:14,033 INTERESTINGLY WE HAD A SENSE OF 90 00:07:14,100 --> 00:07:16,102 THIS FROM THE ANIMAL STUDIES, 91 00:07:16,169 --> 00:07:19,605 THERE'S ACTUALLY A BIMODAL 92 00:07:19,672 --> 00:07:20,573 DISTRIBUTION. 93 00:07:20,640 --> 00:07:22,909 WITH A FAVORABLE HALF-LIFE WE'RE 94 00:07:22,975 --> 00:07:24,410 ABLE TO SEE IN THE MAD. 95 00:07:24,477 --> 00:07:25,745 WHAT I'LL POINT TO YOU AT THE 96 00:07:25,812 --> 00:07:27,280 BOTTOM IS IF YOU COULD LOOK AT 97 00:07:27,346 --> 00:07:29,982 THE HALF LIFE OF 10.1 HOUR, 98 00:07:30,049 --> 00:07:31,617 ABOUT 3 TO 4X WHAT'S CURRENTLY 99 00:07:31,684 --> 00:07:31,884 AVAILABLE. 100 00:07:31,951 --> 00:07:34,821 THIS IS BEFORE WE DO MORE 101 00:07:34,887 --> 00:07:35,922 EXTENSIVE EXTENDED RELEASE 102 00:07:35,988 --> 00:07:38,858 FORMULATION WORK ON THE FUTURE 103 00:07:38,925 --> 00:07:39,192 CAPSULE. 104 00:07:39,258 --> 00:07:40,927 SO THESE ARE VERY FAVORABLE 105 00:07:40,993 --> 00:07:42,261 PKs NOT ONLY FOR ACUTE PAIN 106 00:07:42,328 --> 00:07:43,996 BUT WE ALSO FEEL FOR CHRONIC 107 00:07:44,063 --> 00:07:45,198 PAIN WHICH IS OBVIOUSLY THE 108 00:07:45,264 --> 00:07:47,500 LARGE NEED AS 51 MILLION 109 00:07:47,567 --> 00:07:48,367 AMERICANS ARE AFFECTED BY THIS. 110 00:07:48,434 --> 00:07:51,771 SO WE ARE SQUARELY FOCUSED TO DO 111 00:07:51,838 --> 00:07:54,941 THE BEST PHASE 2 STUDY TO ASK 112 00:07:55,007 --> 00:07:55,908 THE QUESTION ABOUT EFFICACY. 113 00:07:55,975 --> 00:07:58,444 THESE ARE DIFFERENT MODELS. 114 00:07:58,511 --> 00:08:00,112 WE ARE CHOOSING TO USE THE 115 00:08:00,179 --> 00:08:01,614 DENTAL MODEL BECAUSE IT'S THE 116 00:08:01,681 --> 00:08:02,481 FASTEST ENROLLMENT YOU CAN SEE 117 00:08:02,548 --> 00:08:04,784 THERE ON THE LEFT IN THE 118 00:08:04,851 --> 00:08:06,085 PUBLICATION, THE HIGHEST 119 00:08:06,152 --> 00:08:07,820 ENROLLMENT 50 TO 60 SUBJECTS PER 120 00:08:07,887 --> 00:08:09,355 CENTER PER MONTH, AND IT ALSO 121 00:08:09,422 --> 00:08:11,224 HAS THE HIGH SENSITIVITY, THE 122 00:08:11,290 --> 00:08:11,824 HIGHEST SIGNAL-TO-NOISE. 123 00:08:11,891 --> 00:08:13,092 THIS IS IMPORTANT BECAUSE AS WE 124 00:08:13,159 --> 00:08:14,527 ALL HAVE DISCUSSED, PAIN IS 125 00:08:14,594 --> 00:08:16,796 SUBJECTIVE AND ONE IS TRYING TO 126 00:08:16,863 --> 00:08:18,664 OBJECTIFY SOMETHING THAT'S 127 00:08:18,731 --> 00:08:19,098 OBJECTIVE. 128 00:08:19,165 --> 00:08:20,299 THE CENTERS HAVE DONE THIS WORK 129 00:08:20,366 --> 00:08:23,469 WITH MERCK, J. & J, GSK OVER THE 130 00:08:23,536 --> 00:08:24,670 YEARS WHEN THEY'VE DONE 131 00:08:24,737 --> 00:08:25,771 REFORMULATED REPURPOSED DRUGS, 132 00:08:25,838 --> 00:08:27,440 SO THERE ACTUALLY IS A FAIRLY 133 00:08:27,506 --> 00:08:28,407 QUANTITATIVE WAY OF DOING THIS 134 00:08:28,474 --> 00:08:31,010 WE JUST DESCRIBED HERE. 135 00:08:31,077 --> 00:08:32,812 THIS IS WHAT THE PHASE 2 TRIAL 136 00:08:32,879 --> 00:08:33,980 DESIGN LOOKS LIKE, HAPPY TO 137 00:08:34,046 --> 00:08:35,948 SHARE THIS WITH ANYONE. 138 00:08:36,015 --> 00:08:37,183 MY EMAIL IS ON THE LAST SLIDE, 139 00:08:37,250 --> 00:08:38,484 IN A COLLABORATIVE WAY TO LOOK 140 00:08:38,551 --> 00:08:40,486 AT THE PRIMARY AND SECONDARY END 141 00:08:40,553 --> 00:08:41,754 POINTS TO TRULY ASK THE 142 00:08:41,821 --> 00:08:42,722 QUESTION, ONE, IS THERE AN 143 00:08:42,788 --> 00:08:44,257 EFFECT COMPARED TO PLACEBO, AND 144 00:08:44,323 --> 00:08:45,558 THEN TWO, IS THERE A 145 00:08:45,625 --> 00:08:46,225 DOSE-RESPONSE BETWEEN LOW AND 146 00:08:46,292 --> 00:08:48,761 HIGH DOSE. 147 00:08:48,828 --> 00:08:49,862 THE COMPARATOR WILL BE EITHER 148 00:08:49,929 --> 00:08:52,565 HIGH DOSE OF ACETAMINOPHEN OR 149 00:08:52,632 --> 00:08:55,001 POSSIBLY VICODIN, 5 MG OF LOW 150 00:08:55,067 --> 00:08:55,735 DOSE ACETAMINOPHEN. 151 00:08:55,801 --> 00:08:58,971 WE WERE FORTUNATE TO RECEIVE 152 00:08:59,038 --> 00:09:01,240 FAST TRACK DESIGNATION FOR ACUTE 153 00:09:01,307 --> 00:09:03,442 PAIN BY FDA IN OCTOBER 2023 AND 154 00:09:03,509 --> 00:09:04,977 I ENCOURAGE ANYONE WORKING ON 155 00:09:05,044 --> 00:09:07,914 NOVEL PAIN THERAPEUTICS TO LOOK 156 00:09:07,980 --> 00:09:09,115 AT THIS MECHANISM BECAUSE IT 157 00:09:09,181 --> 00:09:11,183 REALLY IS A COMMERCIAL 158 00:09:11,250 --> 00:09:13,953 ACCELERANT IN TERMS OF THE 159 00:09:14,020 --> 00:09:16,322 ABILITY OF HAVING MORE FREQUENT 160 00:09:16,389 --> 00:09:17,556 COMMUNICATIONS WITH THE 161 00:09:17,623 --> 00:09:18,658 REGULATORY AGENCY AND ON 162 00:09:18,724 --> 00:09:20,493 AVERAGE, SHAVE ABOUT A YEAR AND 163 00:09:20,559 --> 00:09:21,694 A HALF IN CLINICAL DEVELOPMENT. 164 00:09:21,761 --> 00:09:22,929 TO THAT END WHAT I'LL OUTLINE 165 00:09:22,995 --> 00:09:24,330 HERE IS WHAT THE PATH WOULD LOOK 166 00:09:24,397 --> 00:09:26,299 LIKE, WE HAVE NOT DISCUSSED DATA 167 00:09:26,365 --> 00:09:28,834 WE HAVE ON THE DRG IN 168 00:09:28,901 --> 00:09:30,770 NEUROPATHIC PAIN BECAUSE OF THE 169 00:09:30,836 --> 00:09:31,971 BREVITY OF TIME BUT THAT IS 170 00:09:32,038 --> 00:09:33,205 ANOTHER TARGET, SO WE'RE 171 00:09:33,272 --> 00:09:36,242 SQUARELY FOCUSED NOW ON GETTING 172 00:09:36,309 --> 00:09:37,777 THE RESOURCES SO WE CAN CONDUCT 173 00:09:37,843 --> 00:09:39,412 THE PHASE 2 ACUTE PAIN 174 00:09:39,478 --> 00:09:41,280 RANDOMIZED TRIAL OF 200 SO WE 175 00:09:41,347 --> 00:09:42,381 CAN DEMONSTRATE THESE QUESTIONS 176 00:09:42,448 --> 00:09:43,816 OF EFFICACY AND DOSE-RESPONSE 177 00:09:43,883 --> 00:09:45,651 WHICH I THINK ARE IMPORTANT. 178 00:09:45,718 --> 00:09:46,419 AND THEN CONTINUE THE 179 00:09:46,485 --> 00:09:47,954 DEVELOPMENT. 180 00:09:48,020 --> 00:09:49,922 LASTLY, I'LL JUST MENTION 181 00:09:49,989 --> 00:09:50,923 OBVIOUSLY FOR PARTNERSHIPS, 182 00:09:50,990 --> 00:09:53,326 THESE ARE IMPORTANT THINGS TO DO 183 00:09:53,392 --> 00:09:57,897 TO MAINTAIN A STRONG IP 184 00:09:57,964 --> 00:09:58,230 POSITION. 185 00:09:58,297 --> 00:10:00,733 I'LL FINISH IF YOU'LL ALLOW ME 186 00:10:00,800 --> 00:10:02,068 FOR A MINUTE AND A HALF OR TWO 187 00:10:02,134 --> 00:10:03,269 MINUTES TO REALLY DISCUSS THE 188 00:10:03,336 --> 00:10:04,370 APPROACH THAT US AND MANY OTHERS 189 00:10:04,437 --> 00:10:05,638 HAVE BEEN TAKING THE PAST YEAR 190 00:10:05,705 --> 00:10:06,639 AND A HALF TO TWO YEARS. 191 00:10:06,706 --> 00:10:10,142 THIS IS A SESSION THAT I WAS IN 192 00:10:10,209 --> 00:10:14,146 IN NEW YORK, BIOCEO AND INVESTOR 193 00:10:14,213 --> 00:10:16,415 CONFERENCE IN 2023, THE NEXT IS 194 00:10:16,482 --> 00:10:19,885 IN A COUPLE WEEKS, AND IN THAT 195 00:10:19,952 --> 00:10:21,520 PANEL, DAVE THOMAS FROM BIO WAS 196 00:10:21,587 --> 00:10:24,156 THERE AND HE PRODUCED THIS 197 00:10:24,223 --> 00:10:25,257 REPORT WE'VE ALLUDED TO A LITTLE 198 00:10:25,324 --> 00:10:26,692 BIT IN THIS CONFERENCE. 199 00:10:26,759 --> 00:10:28,961 THE DERTH OF INVESTMENT IN 200 00:10:29,028 --> 00:10:29,929 INNOVATIVE CANDIDATES SAY 201 00:10:29,996 --> 00:10:30,997 COMPARED TO ONCOLOGY, AND CAN 202 00:10:31,063 --> 00:10:32,565 YOU SEE HOW FLAT IT IS. 203 00:10:32,631 --> 00:10:34,967 AND WHAT I WOULD THINK, WHAT I 204 00:10:35,034 --> 00:10:36,402 SAY UNDERSTANDING THE HEAL 205 00:10:36,469 --> 00:10:37,837 THERAPIES THAT ARE BEING 206 00:10:37,903 --> 00:10:40,773 DEVELOPED IN HAVING PRECIPITATED 207 00:10:40,840 --> 00:10:42,108 THE LAST FEW DAYS AND FROM THE 208 00:10:42,174 --> 00:10:43,075 PAST YEAR IS THAT I THINK WE'RE 209 00:10:43,142 --> 00:10:45,478 ON THE CUSP OF INNOVATION AND 210 00:10:45,544 --> 00:10:47,613 I'M HOPEFUL THAT IT IS POSSIBLE 211 00:10:47,680 --> 00:10:49,982 IN THE NEAR FUTURE THESE TARGETS 212 00:10:50,049 --> 00:10:51,884 AND CANDIDATES WILL TRANSLATE TO 213 00:10:51,951 --> 00:10:53,586 NOVEL SOLUTIONS FOR ACUTE AND 214 00:10:53,652 --> 00:10:54,120 CHRONIC PAIN. 215 00:10:54,186 --> 00:10:55,988 OBVIOUSLY WE ALL KNOW ABOUT THE 216 00:10:56,055 --> 00:10:56,655 VERTEX NEWS. 217 00:10:56,722 --> 00:11:01,694 ONE OF THE TW TWO TRIALS SHOWED 218 00:11:01,761 --> 00:11:02,495 INFERIORITY, THE OTHER WAS NOT 219 00:11:02,561 --> 00:11:04,397 ABLE TO MEET THAT END POINT. 220 00:11:04,463 --> 00:11:06,032 THE MEDIA STILL TALKS ABOUT THE 221 00:11:06,098 --> 00:11:09,101 GREAT NEED WE NEED AS A NATION 222 00:11:09,168 --> 00:11:11,070 FOR NOVEL NEW OPIOID. 223 00:11:11,137 --> 00:11:15,574 I THINK THE AIM IS TO -- 224 00:11:15,641 --> 00:11:16,475 RIGOROUS RANDOMIZED TRIAL TO 225 00:11:16,542 --> 00:11:17,676 LOOK AT THE EFFICACY. 226 00:11:17,743 --> 00:11:19,412 TO THAT END, THIS IS IN 227 00:11:19,478 --> 00:11:20,479 SAN DIEGO IN OCTOBER WITH 228 00:11:20,546 --> 00:11:21,714 DR. KOROSHETZ AND DR. BILL 229 00:11:21,781 --> 00:11:22,581 SCHMIDT AT HIS CONFERENCE. 230 00:11:22,648 --> 00:11:27,720 YOU CAN SEE DR. MIKE KOSHINSKI 231 00:11:27,787 --> 00:11:30,990 AND DR. SHARON HERTZ, SEVERAL 232 00:11:31,057 --> 00:11:32,058 PIPELINES, SEVERAL NEW TARGETS 233 00:11:32,124 --> 00:11:33,192 WERE DISCUSSED OVER TWO DAYS 234 00:11:33,259 --> 00:11:35,361 WHICH I THINK ARE IMPORTANT. 235 00:11:35,428 --> 00:11:37,596 HERE'S WHERE WE'RE TARGETING, WE 236 00:11:37,663 --> 00:11:39,398 WERE IN A SESSION BEFORE LUNCH 237 00:11:39,465 --> 00:11:40,599 ON DIFFERENT TARGETS AND I THINK 238 00:11:40,666 --> 00:11:41,167 THESE ARE IMPORTANT. 239 00:11:41,233 --> 00:11:44,570 YOU CAN SEE THE NUMBER OF PAIN 240 00:11:44,637 --> 00:11:46,739 TRIALS IN 2023, SO I THINK THERE 241 00:11:46,806 --> 00:11:49,308 IS A LOT OF OPTIMISM TO 242 00:11:49,375 --> 00:11:49,842 HOPEFULLY TRANSFORM PAIN. 243 00:11:49,909 --> 00:11:51,911 I WILL JUST END THAT IN BIO IN 244 00:11:51,977 --> 00:11:53,079 JUNE, I WILL CHAIR THIS SESSION 245 00:11:53,145 --> 00:11:54,847 ON NEW PAIN THERAPEUTICS AND 246 00:11:54,914 --> 00:11:57,149 I'LL BRING SOMEONE FROM NIH 247 00:11:57,216 --> 00:11:58,684 LEADERSHIP AND TRY TO BRING IN 248 00:11:58,751 --> 00:12:00,853 THE STAKEHOLDERS THAT WE CAN GET 249 00:12:00,920 --> 00:12:02,488 HOPEFULLY POSITIVE ENGAGEMENT TO 250 00:12:02,555 --> 00:12:04,356 HELP PATIENTS FOR WHOM WE'RE 251 00:12:04,423 --> 00:12:05,124 DOING THIS WORK FOR. 252 00:12:05,191 --> 00:12:15,367 THANK YOU. 253 00:12:17,970 --> 00:12:19,672 >> THANK YOU, DR. BAZAN. 254 00:12:19,738 --> 00:12:21,540 NEXT WE'RE GOING TO MOVE TO HEAR 255 00:12:21,607 --> 00:12:25,578 FROM DR. KATHERINE CHONG FROM 256 00:12:25,644 --> 00:12:26,745 THE MAYO CLINIC, SO I WANT TO 257 00:12:26,812 --> 00:12:34,286 WELCOME HER TO THE STAGE. 258 00:12:34,353 --> 00:12:35,154 >> THANK YOU VERY MUCH. 259 00:12:35,221 --> 00:12:36,355 THANK YOU VERY MUCH FOR THE KIND 260 00:12:36,422 --> 00:12:37,123 INTRODUCTION. 261 00:12:37,189 --> 00:12:39,325 SO BEFORE I BEGIN, I'D LIKE TO 262 00:12:39,391 --> 00:12:41,260 THANK THE ORGANIZERS FOR THE 263 00:12:41,327 --> 00:12:42,061 OPPORTUNITY TO PRESENT. 264 00:12:42,128 --> 00:12:45,030 IT'S TRULY A PLEASURE BEING 265 00:12:45,097 --> 00:12:45,431 HERE. 266 00:12:45,498 --> 00:12:47,199 I ALSO WANT TO SAY I'M HONORED 267 00:12:47,266 --> 00:12:48,834 AND GRATEFUL TO BE SELECTED AS A 268 00:12:48,901 --> 00:12:51,570 RECIPIENT FOR THE TRAILBLAZER 269 00:12:51,637 --> 00:12:51,904 AWARD. 270 00:12:51,971 --> 00:12:52,972 IT MEANS A GREAT DEAL TO ME. 271 00:12:53,038 --> 00:12:53,539 THANK YOU. 272 00:12:53,606 --> 00:12:55,708 SO I'LL BE TALKING ABOUT A 273 00:12:55,774 --> 00:12:57,676 BIOMARKER SIGNATURE FOR 274 00:12:57,743 --> 00:12:58,677 PREDICTING POST-TRAUMATIC 275 00:12:58,744 --> 00:13:00,746 HEADACHE PERSISTENCE. 276 00:13:00,813 --> 00:13:02,081 HERE ARE MY DISCLOSURES. 277 00:13:02,148 --> 00:13:04,016 I RECEIVED RESEARCH SUPPORT FROM 278 00:13:04,083 --> 00:13:08,521 THE NIH, DOD, AS WELL AS AMGEN. 279 00:13:08,587 --> 00:13:09,622 AND POST-TRAUMATIC HEADACHE. 280 00:13:09,688 --> 00:13:11,357 SO WHY ARE WE INTERESTED IN IT, 281 00:13:11,423 --> 00:13:13,325 AND WHY DO WE WANT TO TRACK 282 00:13:13,392 --> 00:13:14,860 RECOVERY AND WHAT IS 283 00:13:14,927 --> 00:13:15,494 POST-TRAUMATIC HEADACHE IN THE 284 00:13:15,561 --> 00:13:17,029 FIRST PLACE? 285 00:13:17,096 --> 00:13:19,899 SO POST-TRAUMATIC HEADACHE IS 286 00:13:19,965 --> 00:13:23,936 PROBABLY THE MOST COMMON SYMPTOM 287 00:13:24,003 --> 00:13:27,439 FOLLOWING MILD TRAUMATIC BRAIN 288 00:13:27,506 --> 00:13:29,608 INJURY AND IS ALSO THE MOST 289 00:13:29,675 --> 00:13:30,276 DISABLING SYMPTOM. 290 00:13:30,342 --> 00:13:33,779 THERE'S A LOT OF OVERLAP BETWEEN 291 00:13:33,846 --> 00:13:35,214 POST-TRAUMATIC HEADACHE 292 00:13:35,281 --> 00:13:36,015 PHENOTYPICALLY WITH MIGRAINE. 293 00:13:36,081 --> 00:13:37,383 IN FACT IF YOU SAW A PATIENT YOU 294 00:13:37,449 --> 00:13:38,450 DIDN'T KNOW THAT THAT PATIENT 295 00:13:38,517 --> 00:13:41,120 HAD A CONCUSSION, YOU PROBABLY 296 00:13:41,187 --> 00:13:42,188 WOULD MISTAKE THEM FOR SOMEBODY 297 00:13:42,254 --> 00:13:43,088 WITH MIGRAINE. 298 00:13:43,155 --> 00:13:44,490 THERE ARE A COUPLE OF RISK 299 00:13:44,557 --> 00:13:47,793 FACTORS THAT ARE ASSOCIATED WITH 300 00:13:47,860 --> 00:13:49,094 DEVELOPING ACUTE POST-TRAUMATIC 301 00:13:49,161 --> 00:13:52,064 HEADACHE, WHICH IS A HISTORY OF 302 00:13:52,131 --> 00:13:54,033 MIGRAINE, AS WELL AS FEMALE SEX. 303 00:13:54,099 --> 00:13:58,270 AND WE ALSO KNOW THAT DEVELOPING 304 00:13:58,337 --> 00:13:59,071 PERSISTENT POST-TRAUMATIC 305 00:13:59,138 --> 00:14:00,239 HEADACHE, WHICH ARE HEADACHES 306 00:14:00,306 --> 00:14:02,875 THAT LAST LONGER THAN THREE 307 00:14:02,942 --> 00:14:05,177 MONTHS, ARE ASSOCIATED WITH 308 00:14:05,244 --> 00:14:07,379 SIGNIFICANTLY INCREASED 309 00:14:07,446 --> 00:14:08,414 LONG-TERM DISABILITY AS WELL AS 310 00:14:08,480 --> 00:14:09,315 HEALTH BURDEN. 311 00:14:09,381 --> 00:14:12,184 SO WHAT WE DON'T KNOW, REALLY, 312 00:14:12,251 --> 00:14:14,253 IS, AND THAT'S A HUGE PROBLEM, 313 00:14:14,320 --> 00:14:16,322 IS WHY DO PEOPLE, AFTER HAVING A 314 00:14:16,388 --> 00:14:17,856 CONCUSSION, THEY GET HEADACHES 315 00:14:17,923 --> 00:14:19,992 AND THEY RECOVER QUICKLY, RIGHT? 316 00:14:20,059 --> 00:14:20,826 MAYBE THEY HAVE HEADACHES A 317 00:14:20,893 --> 00:14:22,127 COUPLE OF DAYS, THEN THEY GO 318 00:14:22,194 --> 00:14:23,329 AWAY, NEVER TO RETURN. 319 00:14:23,395 --> 00:14:25,731 AND WHY DO SOME OTHER PEOPLE 320 00:14:25,798 --> 00:14:26,765 DEVELOP PERSISTENT HEADACHES 321 00:14:26,832 --> 00:14:29,435 THAT LAST FOR DAYS AND WEEKS AND 322 00:14:29,501 --> 00:14:31,103 SOMETIMES YEARS TO COME? 323 00:14:31,170 --> 00:14:33,973 AND THAT'S REALLY A CONUNDRUM 324 00:14:34,039 --> 00:14:36,242 AND THAT PUTS PHYSICIANS IN A 325 00:14:36,308 --> 00:14:39,211 REALLY BAD SPOT, BECAUSE WE KNOW 326 00:14:39,278 --> 00:14:41,146 THAT ADMINISTRATION OF 327 00:14:41,213 --> 00:14:43,249 MEDICATION WORKS BEST WHEN 328 00:14:43,315 --> 00:14:44,550 ADMINISTERED AT THE EARLIEST 329 00:14:44,617 --> 00:14:46,085 POSSIBLE TIME POINT, BUT WE 330 00:14:46,151 --> 00:14:48,387 DON'T WANT TO GIVE MEDICATION TO 331 00:14:48,454 --> 00:14:50,222 THOSE WHO CAN RECOVER ON THEIR 332 00:14:50,289 --> 00:14:51,890 OWN, WHO DON'T NEED IT, RIGHT? 333 00:14:51,957 --> 00:14:53,626 BECAUSE ALL MEDICATIONS HAVE 334 00:14:53,692 --> 00:14:54,393 SIDE EFFECTS. 335 00:14:54,460 --> 00:14:56,595 SO THIS IS REALLY THE GOAL, AND 336 00:14:56,662 --> 00:14:59,732 THAT WAS THE REASON WE WERE 337 00:14:59,798 --> 00:15:01,267 HOPING TO DEVELOP BIOMARKERS 338 00:15:01,333 --> 00:15:04,036 THAT THEN ALLOW US TO PREDICT 339 00:15:04,103 --> 00:15:05,204 WHO'S GOING TO RECOVER AND WHO 340 00:15:05,271 --> 00:15:07,773 IS GOING TO BE AT HIGH RISK FOR 341 00:15:07,840 --> 00:15:08,841 DEVELOPING PERSISTENT 342 00:15:08,907 --> 00:15:13,045 POST-TRAUMATIC HEADACHE. 343 00:15:13,112 --> 00:15:15,014 SO THIS IS HOW WE ORGANIZED THE 344 00:15:15,080 --> 00:15:15,547 STUDY. 345 00:15:15,614 --> 00:15:24,723 WE WERE FUNDED IN 2019. 346 00:15:24,790 --> 00:15:26,292 PATIENT WERE ENROLLED ACUTELY 347 00:15:26,358 --> 00:15:28,394 AFTER TBI, THEY COMPLETED 348 00:15:28,460 --> 00:15:30,529 BASELINE IMAGING DATA, IT WAS A 349 00:15:30,596 --> 00:15:31,964 LONG BATTERY THAT I'LL SHOW 350 00:15:32,031 --> 00:15:33,499 LATER, AND THEN THEY CAME BACK 351 00:15:33,565 --> 00:15:35,901 AT THREE MONTHS AND SIX MONTHS. 352 00:15:35,968 --> 00:15:39,838 WE ALSO GAVE PATIENTS AN APP TO 353 00:15:39,905 --> 00:15:41,140 COMPLETE THEIR DAILY HEADACHE 354 00:15:41,206 --> 00:15:42,207 DIARY. 355 00:15:42,274 --> 00:15:44,777 AND THEY ALSO SUBMITTED SPEECH 356 00:15:44,843 --> 00:15:50,582 SAMPLES I EVER THREE EVERY THREN 357 00:15:50,649 --> 00:15:50,783 APP. 358 00:15:50,849 --> 00:15:52,318 SO WE ASKED PATIENTS IN OUR 359 00:15:52,384 --> 00:15:53,319 HEALTHY CONTROLS TO SUBMIT A LOT 360 00:15:53,385 --> 00:15:54,620 OF DATA. 361 00:15:54,687 --> 00:15:58,190 AND SO YOU CAN SEE THAT JUST 362 00:15:58,257 --> 00:15:59,491 COMPLETING THE QUESTIONNAIRES, 363 00:15:59,558 --> 00:16:00,793 AND I THINK THERE WERE 12 OR 13 364 00:16:00,859 --> 00:16:02,828 ON THERE, TOOK ABOUT 60 MINUTES. 365 00:16:02,895 --> 00:16:04,797 SO THAT'S WAY TOO LONG, 366 00:16:04,863 --> 00:16:05,898 CLINICALLY NOT USEFUL, BUT WE 367 00:16:05,964 --> 00:16:07,533 WANTED TO SPREAD A WIDE NET AND 368 00:16:07,599 --> 00:16:10,803 THEN SELECT THOSE ONES WITH HIGH 369 00:16:10,869 --> 00:16:15,174 UTILITY AS WE PRUNED DOWN THIS 370 00:16:15,240 --> 00:16:16,175 HEADACHE AND QUESTIONNAIRE 371 00:16:16,241 --> 00:16:16,608 BATTERY. 372 00:16:16,675 --> 00:16:18,477 SO HERE'S SOME OF OUR EARLIER 373 00:16:18,544 --> 00:16:20,012 RESULTS. 374 00:16:20,079 --> 00:16:22,514 SO WE TOOK ALL THE 375 00:16:22,581 --> 00:16:23,515 QUESTIONNAIRES AND ALL THE 376 00:16:23,582 --> 00:16:24,416 FEATURES FROM THE QUESTIONNAIRES 377 00:16:24,483 --> 00:16:29,088 AT BASELINE, AND WE WANTED TO 378 00:16:29,154 --> 00:16:30,522 SEE THE PREDICTIVE VALUE OF JUST 379 00:16:30,589 --> 00:16:31,357 THE QUESTIONNAIRE ONLY. 380 00:16:31,423 --> 00:16:33,659 WE ACTUALLY FOUND IT WAS QUITE 381 00:16:33,726 --> 00:16:34,460 GOOD. 382 00:16:34,526 --> 00:16:37,830 IT HAD AN AUC OF .72, AND 383 00:16:37,896 --> 00:16:40,566 INTERESTINTERESTINGLY, WHEN WE D 384 00:16:40,632 --> 00:16:41,767 DOWN AND PRUNED DOWN THIS 385 00:16:41,834 --> 00:16:44,169 QUESTIONNAIRE TO ONLY THOSE THAT 386 00:16:44,236 --> 00:16:45,604 HAD PREDICTIVE ACCURACY, WE 387 00:16:45,671 --> 00:16:47,439 ENDED UP WITH THREE 388 00:16:47,506 --> 00:16:48,207 QUESTIONNAIRES AND FIVE 389 00:16:48,273 --> 00:16:49,875 QUESTIONS FROM THESE THREE 390 00:16:49,942 --> 00:16:51,944 QUESTIONNAIRES. 391 00:16:52,010 --> 00:16:53,145 INTERESTINGLY, THESE QUESTIONS 392 00:16:53,212 --> 00:16:55,314 RELATED TO PHYSICAL, COGNITIVE 393 00:16:55,381 --> 00:16:57,683 AND EMOTIONAL SYMPTOMS FROM THE 394 00:16:57,750 --> 00:16:58,917 SPORTS CON SUGGESTS ASSESSMENT 395 00:16:58,984 --> 00:16:59,151 TOOL. 396 00:16:59,218 --> 00:17:00,619 THERE WE GOT THE TOTAL SCORE, AS 397 00:17:00,686 --> 00:17:02,454 WELL AS NUMBER OF SUBSCORES. 398 00:17:02,521 --> 00:17:06,058 AND ALSO THE TOTAL SCORE FROM 399 00:17:06,125 --> 00:17:07,693 THE PAIN CATASTROPHIZING SCALE. 400 00:17:07,760 --> 00:17:08,994 NOT A BIG FAN OF THE NAME OF 401 00:17:09,061 --> 00:17:10,329 THAT SCALE, BUT NEVERTHELESS, IT 402 00:17:10,396 --> 00:17:13,365 WAS REALLY INTERESTING TO US 403 00:17:13,432 --> 00:17:15,234 THAT THE SUBDOMAIN SCORE OF 404 00:17:15,300 --> 00:17:16,335 HELPLESSNESS REALLY POPPED UP 405 00:17:16,402 --> 00:17:18,170 AND CONTRIBUTED TO IDENTIFYING 406 00:17:18,237 --> 00:17:20,706 THOSE WITH PERSISTING HEADACHE. 407 00:17:20,773 --> 00:17:24,743 AND THEN LASTLY, THE TRAIT 408 00:17:24,810 --> 00:17:25,844 ANXIETY INVENTORY SCALE WHICH 409 00:17:25,911 --> 00:17:29,014 MEASURES GENERAL ANXIETY. 410 00:17:29,081 --> 00:17:30,315 SO AGAIN WHEN WE PRUNED IT DOWN, 411 00:17:30,382 --> 00:17:32,851 WE WERE ABLE TO RETAIN 412 00:17:32,918 --> 00:17:33,952 0.72 ACCURACY, WHICH MADE US 413 00:17:34,019 --> 00:17:36,221 QUITE HOPEFUL. 414 00:17:36,288 --> 00:17:37,790 AND WE THEN THOUGHT, OKAY, LET'S 415 00:17:37,856 --> 00:17:39,625 ADD SOME OF THE STRUCTURAL 416 00:17:39,691 --> 00:17:41,927 IMAGING MEASURES, AGAIN GIVEN AT 417 00:17:41,994 --> 00:17:42,761 BASELINE. 418 00:17:42,828 --> 00:17:45,764 SO FROM THE T1 WEIGHTED SCAN, WE 419 00:17:45,831 --> 00:17:53,405 PARWE -- WHEN WE ADDED THAT TO 420 00:17:53,472 --> 00:17:55,107 THOSE THREE QUESTIONNAIRES, WE 421 00:17:55,174 --> 00:17:58,110 WERE ABLE TO INCREASE THROUGH 422 00:17:58,177 --> 00:18:01,947 PREDICTIVE POWER TO 0.8. 423 00:18:02,014 --> 00:18:05,350 SO WE ALSO HAD PATIENTS SUBMIT A 424 00:18:05,417 --> 00:18:08,053 SPEECH SAMPLE, AND WE WERE ABLE 425 00:18:08,120 --> 00:18:09,822 TO EXTRACT SPECIFIC FACTORS FROM 426 00:18:09,888 --> 00:18:12,458 THERE, AND ONE IS A SPEAKING 427 00:18:12,524 --> 00:18:13,225 RATE AND PAUSE RATE. 428 00:18:13,292 --> 00:18:15,060 AND THIS IS SOMETHING THAT OUR 429 00:18:15,127 --> 00:18:16,161 STUDY COORDINATOR DANNY SMITH 430 00:18:16,228 --> 00:18:17,963 WAS VERY INTERESTED IN. 431 00:18:18,030 --> 00:18:21,066 AND YOU CAN SEE JUST FROM THOSE 432 00:18:21,133 --> 00:18:23,702 SCALES ON THE LEFT, ON THE 433 00:18:23,769 --> 00:18:28,207 SPECTRAS, THAT AS PATIENTS HAD 434 00:18:28,273 --> 00:18:29,408 MODERATE HEADACHE, THEIR 435 00:18:29,475 --> 00:18:32,578 SPEAKING RATE BECAME MUCH LONGER 436 00:18:32,644 --> 00:18:34,546 TO SAYING A SPECIFIC SENTENCE. 437 00:18:34,613 --> 00:18:36,014 IT WAS REALLY INTERESTING TO US 438 00:18:36,081 --> 00:18:37,616 THAT WHEN WE COMPARED THE DATA 439 00:18:37,683 --> 00:18:39,451 TO HEALTHY CONTROLS, NOT ONLY 440 00:18:39,518 --> 00:18:42,521 WERE THERE THESE DIFFERENCES 441 00:18:42,588 --> 00:18:44,590 WITH PATIENTS WITH ACUTE 442 00:18:44,656 --> 00:18:45,491 POST-TRAUMATIC HEADACHE BEING 443 00:18:45,557 --> 00:18:46,792 SLOWER, BUT WHEN WE COMPARED THE 444 00:18:46,859 --> 00:18:49,428 DATA TO MIGRAINE, AGAIN, VERY 445 00:18:49,495 --> 00:18:50,295 PHENOTYPICALLY SIMILAR TO 446 00:18:50,362 --> 00:18:51,597 PATIENTS WITH ACUTE 447 00:18:51,663 --> 00:18:53,365 POST-TRAUMATIC YO HEADACHE, WE 448 00:18:53,432 --> 00:18:55,534 STILL FOUND THAT COMPARED TO 449 00:18:55,601 --> 00:18:56,635 HEADACHE-FREE STATE OR MILD 450 00:18:56,702 --> 00:18:59,037 HEADACHE OR MODERATE HEADACHE, 451 00:18:59,104 --> 00:19:00,772 THAT OUR PATIENTS WITH ACUTE 452 00:19:00,839 --> 00:19:01,440 POST-TRAUMATIC HEADACHE WERE 453 00:19:01,507 --> 00:19:03,075 STILL SLOWER THAN MIGRAINE. 454 00:19:03,141 --> 00:19:04,610 AND IT'S INTERESTING, AGAIN, 455 00:19:04,676 --> 00:19:05,677 BECAUSE PHENOTYPICALLY, THEY'RE 456 00:19:05,744 --> 00:19:08,547 SO SIMILAR, THAT IT COULD 457 00:19:08,614 --> 00:19:10,015 INDICATE THAT ON THE LEVEL OF 458 00:19:10,082 --> 00:19:13,919 THE PATHOPHYSIOLOGY, THAT THERE 459 00:19:13,986 --> 00:19:16,255 ARE DIFFERENCES RELATED TO THE 460 00:19:16,321 --> 00:19:16,955 HEADACHE AS WELL AS THE 461 00:19:17,022 --> 00:19:21,026 CONCUSSION. 462 00:19:21,093 --> 00:19:22,861 NOW AGAIN THE WHOLE GOAL WAS TO 463 00:19:22,928 --> 00:19:24,696 COMBINE OUR DATA, TO ENSEMBLE 464 00:19:24,763 --> 00:19:25,063 THE DATA. 465 00:19:25,130 --> 00:19:27,566 SO WE AGAIN DREW FOR MORE 466 00:19:27,633 --> 00:19:28,233 IMAGING FEATURES. 467 00:19:28,300 --> 00:19:30,302 WE ADDED THE QUESTIONNAIRES AND 468 00:19:30,369 --> 00:19:32,404 THE SPEECH SAMPLES, AND WANTED 469 00:19:32,471 --> 00:19:36,008 TO SEE HOW MUCH AND HOW MANY 470 00:19:36,074 --> 00:19:38,911 DAYS OF SPEECH SAMPLES WILL BE 471 00:19:38,977 --> 00:19:40,612 NECESSARY TO THEN BE ABLE TO 472 00:19:40,679 --> 00:19:41,480 PREDICT RECOVERY AT THREE 473 00:19:41,547 --> 00:19:41,914 MONTHS. 474 00:19:41,980 --> 00:19:44,216 AND WHAT WE FOUND IS WE RECEIVED 475 00:19:44,283 --> 00:19:46,818 AN ACCURACY OF 0.8 BY ADDING SIX 476 00:19:46,885 --> 00:19:47,920 WEEKS OF SPEECH DATA. 477 00:19:47,986 --> 00:19:49,454 THEN MY COLLEAGUE FROM GEORGIA 478 00:19:49,521 --> 00:19:51,657 TECH SAID, SUGGESTS THAT, YOU 479 00:19:51,723 --> 00:19:53,292 KNOW WHAT, LET'S JUST TAKE THE 480 00:19:53,358 --> 00:19:56,562 EASY MEASURES AND COMBINE THEM. 481 00:19:56,628 --> 00:19:57,996 THOSE THREE QUESTIONNAIRES. 482 00:19:58,063 --> 00:19:59,731 LET'S SEE HOW MUCH DAILY DIARY 483 00:19:59,798 --> 00:20:01,700 DATA NEEDS TO BE ADDED TO THAT. 484 00:20:01,767 --> 00:20:04,536 THAT'S EASY TO COLLECT. 485 00:20:04,603 --> 00:20:06,071 TO SEE IF WE CAN IMPROVE UPON 486 00:20:06,138 --> 00:20:06,838 THAT ACCURACY. 487 00:20:06,905 --> 00:20:09,975 AND WHAT WE WERE EXTRACTING IS 488 00:20:10,042 --> 00:20:11,577 20 VARIABLES WHICH WERE REALLY 489 00:20:11,643 --> 00:20:14,413 20 BINARY QUESTIONS FROM THE 490 00:20:14,479 --> 00:20:17,349 ELECTRONIC HEADACHE DIARY, AND 491 00:20:17,416 --> 00:20:18,617 AGAIN, WE LOOKED AT OUR END 492 00:20:18,684 --> 00:20:21,620 POINT OF IMPROVEMENT AT THREE 493 00:20:21,687 --> 00:20:22,921 MONTHS AND FOUND THAT ABOUT 494 00:20:22,988 --> 00:20:24,990 SEVEN WEEKS OF DIARY WAS 495 00:20:25,057 --> 00:20:26,325 NECESSARY TO INCREASE OUR 496 00:20:26,391 --> 00:20:31,129 ACCURACY THEN TO 0.88. 497 00:20:31,196 --> 00:20:32,564 YOU SEE EVEN IF PATIENTS SKIPPED 498 00:20:32,631 --> 00:20:34,166 A COUPLE OF DAYS, THAT DIDN'T 499 00:20:34,232 --> 00:20:35,500 SEEM TO REDUCE THE ACCURACY BY 500 00:20:35,567 --> 00:20:36,268 VERY MUCH. 501 00:20:36,335 --> 00:20:38,136 BUT WHAT'S REALLY INTERESTING TO 502 00:20:38,203 --> 00:20:39,871 US, THAT WE THOUGHT HEADACHE 503 00:20:39,938 --> 00:20:42,407 FREQUENCY WOULD BE AT THE TOP 504 00:20:42,474 --> 00:20:45,043 FEATURE TO PREDICT HEADACHE 505 00:20:45,110 --> 00:20:45,777 PERSISTENCE BUT IT WASN'T. 506 00:20:45,844 --> 00:20:47,312 THERE WERE MORE FEATURES RELATED 507 00:20:47,379 --> 00:20:49,181 TO HOW DISABLING AND HOW INTENSE 508 00:20:49,247 --> 00:20:51,783 THE HEADACHE WAS. 509 00:20:51,850 --> 00:20:53,318 SO MORE FEATURES RELATED TO 510 00:20:53,385 --> 00:20:53,885 HEADACHE BURDEN. 511 00:20:53,952 --> 00:20:58,156 THIS IS ALSO A STUDY THAT WAS 512 00:20:58,223 --> 00:21:00,559 DEVELOPED BY AN ASU STUDENT AND 513 00:21:00,626 --> 00:21:02,527 WHO, AGAIN, COMBINED SPEECH DATA 514 00:21:02,594 --> 00:21:03,829 WITH IMAGING DATA. 515 00:21:03,895 --> 00:21:06,231 THIS TIME IT WAS T2 STAR DATA 516 00:21:06,298 --> 00:21:09,067 WHERE WE LOOKED AT IRON 517 00:21:09,134 --> 00:21:10,302 ACCUMULATION, AND SO FAR THE 518 00:21:10,369 --> 00:21:15,307 BEST ACCURACY IS 86.6% IN 519 00:21:15,374 --> 00:21:16,375 PREDICTING PATIENTS THAT RECOVER 520 00:21:16,441 --> 00:21:22,981 FROM THOSE WHO DO NOT RECOVER. 521 00:21:23,048 --> 00:21:26,351 WE'RE AT THE R33 PHASE NOW, 522 00:21:26,418 --> 00:21:28,453 WHERE WE'RE HOPING TO HAVE GREAT 523 00:21:28,520 --> 00:21:30,622 VALUE AND BE CLINICALLY USEFUL. 524 00:21:30,689 --> 00:21:31,390 NOT ALL PATIENTS ARE GOING TO 525 00:21:31,456 --> 00:21:32,290 HAVE ALL DATA. 526 00:21:32,357 --> 00:21:33,792 SOME PATIENTS MAY HAVE A 527 00:21:33,859 --> 00:21:34,993 T1 WEIGHTED SCAN, SOME DON'T. 528 00:21:35,060 --> 00:21:37,195 SOME PEOPLE MAY HAVE COMPLETED 529 00:21:37,262 --> 00:21:39,931 SOME QUESTIONNAIRES, SOME DON'T. 530 00:21:39,998 --> 00:21:43,101 AND SO HERE YOU COULD CLICK ON 531 00:21:43,168 --> 00:21:44,670 THOSE DATA THAT ARE AVAILABLE 532 00:21:44,736 --> 00:21:46,605 AND THEN THE ALGORITHM WOULD 533 00:21:46,672 --> 00:21:51,076 YIELD THE PROGNOSIS OF RECOVERY. 534 00:21:51,143 --> 00:21:52,511 SO WITH THAT, I'D LIKE TO THANK 535 00:21:52,577 --> 00:21:56,248 OUR COLLABORATORS FROM GEORGIA 536 00:21:56,314 --> 00:21:59,184 TECH, JING LI AS WELL AS HER 537 00:21:59,251 --> 00:22:02,354 TALENTED STUDENTS, FROM THE VA, 538 00:22:02,421 --> 00:22:03,588 CATHERINE ROSS, SHANNON HARRIS 539 00:22:03,655 --> 00:22:08,026 FROM ASU, AND THEIR INCREDIBLY 540 00:22:08,093 --> 00:22:14,066 STUDENTS AND POSTDOCS. 541 00:22:14,132 --> 00:22:18,437 MY COLLEAGUES FROM MAYO CLINIC. 542 00:22:18,503 --> 00:22:22,574 AS WELL AS OUR COORDINATORS. 543 00:22:22,641 --> 00:22:24,209 THE SUCCESS OF THE STUDY HINGES 544 00:22:24,276 --> 00:22:25,977 ON COLLABORATION AND THE 545 00:22:26,044 --> 00:22:28,280 INNOVATIVE SPIRIT, AND I AM VERY 546 00:22:28,346 --> 00:22:32,651 GRATEFUL FOR YOUR CONTINUED 547 00:22:32,718 --> 00:22:33,852 SUPPORT AND DEDICATING YOUR TIME 548 00:22:33,919 --> 00:22:34,419 TO THE STUDY. 549 00:22:34,486 --> 00:22:44,663 THANK YOU. 550 00:22:45,697 --> 00:22:49,935 >> THANK YOU, DR. CHIONG. 551 00:22:50,001 --> 00:22:50,268 CHONG. 552 00:22:50,335 --> 00:22:52,471 NEXT WE'RE GOING TO HEAR FROM 553 00:22:52,537 --> 00:23:02,948 MR. JACOB COVERSTONE OF 554 00:23:07,018 --> 00:23:07,419 NEUROVATIONS EDUCATION. 555 00:23:07,486 --> 00:23:09,821 >> I KIND OF WISH THERE WERE 556 00:23:09,888 --> 00:23:11,490 FEWER PEOPLE LEFT IN THE WORD. 557 00:23:11,556 --> 00:23:16,962 DON'T FAULT ME IF I STUMBLE. 558 00:23:17,028 --> 00:23:18,396 WE ARE PART OF THE INITIATIVE TO 559 00:23:18,463 --> 00:23:20,932 HELP CULTIVATE, DEVELOP AND 560 00:23:20,999 --> 00:23:22,067 RETAIN THE NEXT GENERATION OF 561 00:23:22,134 --> 00:23:24,402 PAIN RESEARCHERS. 562 00:23:24,469 --> 00:23:27,472 SO WE HAVE BEEN -- WHAT WE HAVE 563 00:23:27,539 --> 00:23:29,241 CREATED IS BOTH AN IN-PERSON AND 564 00:23:29,307 --> 00:23:30,208 ONLINE COMPONENT TO TRY TO 565 00:23:30,275 --> 00:23:31,476 CENTRALIZE A BUNCH OF RESOURCES 566 00:23:31,543 --> 00:23:32,611 AND TO BRING THE ENTIRE 567 00:23:32,677 --> 00:23:34,479 COMMUNITY ACROSS THE SPECTRUM OF 568 00:23:34,546 --> 00:23:35,580 BASIC CLINICAL TRANSLATIONAL 569 00:23:35,647 --> 00:23:36,982 PERSONS WITH LIVED EXPERIENCE, 570 00:23:37,048 --> 00:23:39,084 RESEARCH ADMINISTRATORS, ALL 571 00:23:39,151 --> 00:23:42,587 INTO ONE NETWORK TO BROADEN YOUR 572 00:23:42,654 --> 00:23:44,856 COLLABORATIVE SPHERE. 573 00:23:44,923 --> 00:23:47,058 IF YOU REMEMBER NOTHING ELSE, 574 00:23:47,125 --> 00:23:47,826 PAINREACHERS.COM, IF YOU'RE IN 575 00:23:47,893 --> 00:23:48,794 THIS ROOM, YOU BELONG IN THE 576 00:23:48,860 --> 00:23:53,298 NETWORK. 577 00:23:53,365 --> 00:23:53,732 PAINRESEARCHERS.COM. 578 00:23:53,799 --> 00:23:55,000 IT IS ONE PLACE, ONE COMMUNITY 579 00:23:55,066 --> 00:23:58,670 THAT AK GATE AGGREGATES A LOT OF 580 00:23:58,737 --> 00:23:59,171 INFORMATION. 581 00:23:59,237 --> 00:24:00,505 SOME IS JUST FOR THIS COMMUNITY 582 00:24:00,572 --> 00:24:02,507 AND IS PART OF HOPEFULLY DOING A 583 00:24:02,574 --> 00:24:05,977 GOOD JOB OF SUPPORTING THOSE WHO 584 00:24:06,044 --> 00:24:07,179 ARE TRYING TO SOLVE THESE GREAT 585 00:24:07,245 --> 00:24:10,916 CHALLENGES. 586 00:24:10,982 --> 00:24:12,751 WE'VE GOT ABOUT 2,000 MEMBERS IN 587 00:24:12,818 --> 00:24:14,753 THE NETWORK AT THE MOMENT, 588 00:24:14,820 --> 00:24:18,323 ABSOLUTELY FREE TO JOIN, 589 00:24:18,390 --> 00:24:18,990 PAINRESEARCHERS.COM, YOU CAN GO 590 00:24:19,057 --> 00:24:19,424 THERE. 591 00:24:19,491 --> 00:24:21,026 WHEN YOU ACTUALLY CREATE YOUR 592 00:24:21,092 --> 00:24:22,694 PROFILE, EVERYBODY IS VETTED, 593 00:24:22,761 --> 00:24:24,196 IT'S INVITE OR APPROVAL ONLY, SO 594 00:24:24,262 --> 00:24:25,664 IT IS A CLOSED NETWORK. 595 00:24:25,730 --> 00:24:29,401 THIS IS NOT INSERT OTHER SOCIAL 596 00:24:29,467 --> 00:24:31,570 NETWORK HERE. 597 00:24:31,636 --> 00:24:33,405 WHENEVER YOU JOIN, YOU'LL 598 00:24:33,471 --> 00:24:35,173 SELF-IDENTIFY AS BASIC CLINICAL 599 00:24:35,240 --> 00:24:36,007 TRANSLATIONAL IF YOU YOURSELF 600 00:24:36,074 --> 00:24:37,375 ARE A PERSON WITH LIVED 601 00:24:37,442 --> 00:24:38,677 EXPERIENCE, ALL OF THIS 602 00:24:38,743 --> 00:24:39,945 INFORMATION IS TAILORED SO THAT 603 00:24:40,011 --> 00:24:42,180 YOU CAN HELP DETERMINE 604 00:24:42,247 --> 00:24:42,447 RELEVANCY. 605 00:24:42,514 --> 00:24:44,816 MY SLIDES ARE OUT OF ORDER. 606 00:24:44,883 --> 00:24:46,117 OF THOSE PERSONS THAT YOU WOULD 607 00:24:46,184 --> 00:24:47,219 SEEK TO COLLABORATE WITH AND 608 00:24:47,285 --> 00:24:51,256 ALSO TO BE FOUND. 609 00:24:51,323 --> 00:24:52,257 WE'VE GOT DIFFERENT INTEREST 610 00:24:52,324 --> 00:24:53,992 GROUPS THROUGHOUT THE PLATFORM, 611 00:24:54,059 --> 00:24:55,861 BOTH THOSE TO HELP YOU 612 00:24:55,927 --> 00:24:56,862 ADMINISTER YOUR OWN PROJECTS AND 613 00:24:56,928 --> 00:24:58,363 GRANTS BUT ALSO FOR 614 00:24:58,430 --> 00:24:59,130 SUBCOMMUNITIES OF INTEREST THAT 615 00:24:59,197 --> 00:25:00,398 CAN HELP YOU ANSWER AND SOLVE 616 00:25:00,465 --> 00:25:04,169 SOME OF THESE GREAT CHALLENGES. 617 00:25:04,236 --> 00:25:05,370 IF YOU USE TO ACTUALLY 618 00:25:05,437 --> 00:25:06,471 ADMINISTER YOUR OWN PLATFORM, 619 00:25:06,538 --> 00:25:07,539 HERE'S AN EXAMPLE OF WHAT REJOIN 620 00:25:07,606 --> 00:25:09,774 IS DOING, IT CAN BE YOUR CENTRAL 621 00:25:09,841 --> 00:25:10,308 RESOURCE HUB. 622 00:25:10,375 --> 00:25:11,710 YOU CAN COLLABORATE, YOU CAN 623 00:25:11,776 --> 00:25:13,144 COMMUNICATE WITH OTHERS IN YOUR 624 00:25:13,211 --> 00:25:13,578 PROJECTS. 625 00:25:13,645 --> 00:25:14,679 YOU CAN SCHEDULE ALL YOUR 626 00:25:14,746 --> 00:25:15,547 MEETINGS THROUGH IT. 627 00:25:15,614 --> 00:25:16,915 THEY TOOK REGISTRATION FOR THEIR 628 00:25:16,982 --> 00:25:19,251 ANNUAL MEETING THROUGH THE 629 00:25:19,317 --> 00:25:19,985 PLATFORM. 630 00:25:20,051 --> 00:25:21,019 IF YOU'RE AN ADMIN, YOU CAN 631 00:25:21,086 --> 00:25:24,055 ACTUALLY USE THIS INSTEAD OF 632 00:25:24,122 --> 00:25:25,624 MAILCHIMP OR SOMETHING ELSE TO 633 00:25:25,690 --> 00:25:26,691 ACTUALLY TELL IF THOSE IN THE 634 00:25:26,758 --> 00:25:28,927 STUDY ARE OPENING YOUR MESSAGES 635 00:25:28,994 --> 00:25:30,662 YOU'RE SENDING THEM, AND REALLY 636 00:25:30,729 --> 00:25:32,163 INTEGRATE WITH THE REST OF THE 637 00:25:32,230 --> 00:25:33,698 RESEARCH COMMUNITY AND LET THEM 638 00:25:33,765 --> 00:25:35,066 KNOW WHAT YOU'RE DOING ON. 639 00:25:35,133 --> 00:25:36,868 YOUR OWN PROFILE, IT'S AN 640 00:25:36,935 --> 00:25:39,604 OPPORTUNITY TO SHOWCASE WHAT 641 00:25:39,671 --> 00:25:41,773 YOUR EXPERTISE IS, TO UPLOAD 642 00:25:41,840 --> 00:25:42,574 YOUR BIOSKETCH. 643 00:25:42,641 --> 00:25:44,309 EVERYTHING IS CUSTOMIZED TO THIS 644 00:25:44,376 --> 00:25:44,576 COMMUNITY. 645 00:25:44,643 --> 00:25:45,176 A LOT OF THE INFORMATION YOU 646 00:25:45,243 --> 00:25:47,045 WOULD HAVE TO FILL IN ERA 647 00:25:47,112 --> 00:25:48,246 COMMONS ABOUT ANY OF YOUR 648 00:25:48,313 --> 00:25:49,014 COLLABORATORS IS ALSO GOING TO 649 00:25:49,080 --> 00:25:50,448 BE ADDED TO THIS NETWORK. 650 00:25:50,515 --> 00:25:52,183 IF YOU SO WISH. 651 00:25:52,250 --> 00:25:53,818 YOU CAN SHOWCASE YOUR EXPERTISE, 652 00:25:53,885 --> 00:25:55,320 LINK UP YOUR OWN STUDIES AND 653 00:25:55,387 --> 00:25:59,190 PROJECTS AND UNLIKE ON THE NIH 654 00:25:59,257 --> 00:26:00,158 REPORTER WHERE YOU REALLY JUST 655 00:26:00,225 --> 00:26:01,993 SEE THE PO AND THE PI ON ANY 656 00:26:02,060 --> 00:26:03,428 STUDY, YOU CAN LIST YOUR ENTIRE 657 00:26:03,495 --> 00:26:03,895 RESEARCH TEAM HERE. 658 00:26:03,962 --> 00:26:06,932 YOU CAN GET THOSE WHO ARE DOING 659 00:26:06,998 --> 00:26:07,832 ADMINISTRATIVE WORK CREDIT FOR 660 00:26:07,899 --> 00:26:09,134 DOING THAT WORK AS WELL. 661 00:26:09,200 --> 00:26:10,435 SHOWCASE EVERYBODY'S EXPERTISE. 662 00:26:10,502 --> 00:26:11,870 YOU CAN EVEN START GROUP 663 00:26:11,937 --> 00:26:12,871 MESSAGES BETWEEN THE ENTIRE 664 00:26:12,938 --> 00:26:15,473 GROUP IF YOU HAVE A DIFFUSED 665 00:26:15,540 --> 00:26:17,242 NETWORK. 666 00:26:17,309 --> 00:26:20,845 YOU CA CAN ALSO GET A LITTLE BIF 667 00:26:20,912 --> 00:26:21,279 RECOGNITION. 668 00:26:21,346 --> 00:26:22,380 THIS IS REAL, BY THE WAY. 669 00:26:22,447 --> 00:26:27,085 THE AWARD IS ABOUT YAY TALL. 670 00:26:27,152 --> 00:26:28,620 WE HAVE FIVE CATEGORIES THIS 671 00:26:28,687 --> 00:26:35,727 YEAR. 672 00:26:35,794 --> 00:26:36,928 APPLICATIONS ARE OPEN. 673 00:26:36,995 --> 00:26:38,863 DEADLINE IS MARCH 18TH. 674 00:26:38,930 --> 00:26:43,902 PLEASE SUBMIT. 675 00:26:43,969 --> 00:26:46,972 THOSE WILL BE HANDED OUT AT THE 676 00:26:47,038 --> 00:26:48,173 SECOND ANNUAL PURPOSE MEETING 677 00:26:48,239 --> 00:26:49,841 FOR PAIN RESEARCHERS. 678 00:26:49,908 --> 00:26:52,677 THIS IS AN INTERESTING KIND OF 679 00:26:52,744 --> 00:26:54,212 FUN NOVEL PROGRAM, NOT LIKE ANY 680 00:26:54,279 --> 00:26:55,180 OTHER PAIN RESEARCH MEETING 681 00:26:55,246 --> 00:26:56,047 YOU'VE GONE TO. 682 00:26:56,114 --> 00:26:57,349 WE FOR EXAMPLE HAD A WONDERFUL 683 00:26:57,415 --> 00:26:58,783 POSTER SESSION WHERE NONE OF THE 684 00:26:58,850 --> 00:26:59,784 FEEDBACK WAS ABOUT YOUR 685 00:26:59,851 --> 00:27:00,652 RESEARCH, IT WAS ALL ABOUT HOW 686 00:27:00,719 --> 00:27:02,187 YOU WERE COMMUNICATING THAT 687 00:27:02,253 --> 00:27:02,620 RESEARCH. 688 00:27:02,687 --> 00:27:04,489 WE'RE TRYING TO FOCUS ON THE 689 00:27:04,556 --> 00:27:05,857 SKILLS NOT TO NECESSARILY MAKE 690 00:27:05,924 --> 00:27:07,425 YOU BETTER AT YOUR RESEARCH, 691 00:27:07,492 --> 00:27:08,760 YOUR HOME INSTITUTION, YOUR 692 00:27:08,827 --> 00:27:09,794 MENTORS ARE ALL WORKING HARD TO 693 00:27:09,861 --> 00:27:10,628 DO THAT. 694 00:27:10,695 --> 00:27:11,696 WE'RE TRYING TO MAKE YOU A 695 00:27:11,763 --> 00:27:13,465 BETTER RESEARCHER TO HELP GIVE 696 00:27:13,531 --> 00:27:14,666 YOU THAT NETWORK AND THOSE 697 00:27:14,733 --> 00:27:15,533 SKILLS THAT ARE GOING TO HELP 698 00:27:15,600 --> 00:27:18,269 YOU STAY IN THIS FIELD AND 699 00:27:18,336 --> 00:27:19,471 CONTINUE DOING YOUR WORK FOR A 700 00:27:19,537 --> 00:27:22,073 LONG TIME AND TO THRIVE. 701 00:27:22,140 --> 00:27:23,274 SO A LOT OF THAT MEETING IS 702 00:27:23,341 --> 00:27:25,477 BASED OFF GIVING FEEDBACK FOR 703 00:27:25,543 --> 00:27:26,444 COMMUNICATION STRATEGIES, 704 00:27:26,511 --> 00:27:28,013 WORKING IN INTERDISCIPLINARY 705 00:27:28,079 --> 00:27:30,949 MATRIX TEAMS, AND YOU GET 706 00:27:31,016 --> 00:27:32,150 FEEDBACK ON HOW YOU WRITE YOUR 707 00:27:32,217 --> 00:27:34,019 AIMS PAGES, HOW YOUR BIOSKETCH 708 00:27:34,085 --> 00:27:35,320 IS DRAFTED. 709 00:27:35,387 --> 00:27:37,088 SUPPORT STRATEGIES FOR EARLY ADD 710 00:27:37,155 --> 00:27:38,289 MID CAREER RESEARCHERS THIS 711 00:27:38,356 --> 00:27:39,357 YEAR, AGAIN, COMPLETELY FREE, 712 00:27:39,424 --> 00:27:41,292 AND WE WILL BE LIVESTREAMING AS 713 00:27:41,359 --> 00:27:41,893 WELL. 714 00:27:41,960 --> 00:27:43,828 ONCE YOU'RE IN THE NETWORK, YOU 715 00:27:43,895 --> 00:27:47,132 CAN REGISTER. 716 00:27:47,198 --> 00:27:50,635 THERE'S ALSO A LOT OF ONLINE 717 00:27:50,702 --> 00:27:52,704 LEARNING, WE HAVE A FUN SEERS 718 00:27:52,771 --> 00:27:54,906 CALLED GET TO KNOW YOUR NIH IC 719 00:27:54,973 --> 00:27:56,641 WHERE IS WHERE WE INTERVIEW EACH 720 00:27:56,708 --> 00:27:57,876 INSTITUTE OR CENTER ONE BY ONE 721 00:27:57,942 --> 00:27:59,377 TO TALK ABOUT THE NUANCES OF 722 00:27:59,444 --> 00:28:00,578 FUNDING PAIN RESEARCH, WHAT 723 00:28:00,645 --> 00:28:01,780 THEIR PRIORITIES ARE, HOW THEIR 724 00:28:01,846 --> 00:28:02,547 INSTITUTE IS DIFFERENT THAN 725 00:28:02,614 --> 00:28:04,649 OTHERS, AND REALLY TRY TO TEASE 726 00:28:04,716 --> 00:28:06,184 APART THESE NUANCES AND 727 00:28:06,251 --> 00:28:06,918 DIFFERENCES. 728 00:28:06,985 --> 00:28:08,486 IT'S ACTUALLY REALLY ENGAGING 729 00:28:08,553 --> 00:28:10,655 AND, I'VE GOT TO SAY, KIND OF 730 00:28:10,722 --> 00:28:10,922 FUN. 731 00:28:10,989 --> 00:28:11,956 THOSE ARE HAPPENING MONTHLY. 732 00:28:12,023 --> 00:28:13,825 WE ALSO DO KIND OF THESE EXPERT 733 00:28:13,892 --> 00:28:15,894 DEEP DIVES OF WHAT HAS YOUR 734 00:28:15,960 --> 00:28:16,895 CAREER TRAJECTORY BEEN LIKE, 735 00:28:16,961 --> 00:28:18,029 WHAT ARE SOME OF THE BARRIERS 736 00:28:18,096 --> 00:28:19,397 YOU'VE FACED IN YOUR CAREER. 737 00:28:19,464 --> 00:28:20,632 SOON I THINK WE'LL BE POSTING 738 00:28:20,698 --> 00:28:22,133 THE RECORDING OF ONE WE DID LAST 739 00:28:22,200 --> 00:28:24,436 MONTH FOR TRANSITIONING FROM A K 740 00:28:24,502 --> 00:28:26,304 TO AN R01, FOR EXAMPLE. 741 00:28:26,371 --> 00:28:28,473 THERE'S AN APP FOR THAT. 742 00:28:28,540 --> 00:28:30,341 THERE'S A QR CODE AVAILABLE. 743 00:28:30,408 --> 00:28:31,776 OUT IN THE LOBBY. 744 00:28:31,843 --> 00:28:34,179 YOU CAN SCAN THAT, DOWNLOAD THE 745 00:28:34,245 --> 00:28:34,512 APP. 746 00:28:34,579 --> 00:28:36,247 AT THIS POINT, ALMOST DAILY, I'M 747 00:28:36,314 --> 00:28:37,782 GETTING MESSAGES ON THERE THAT 748 00:28:37,849 --> 00:28:39,517 WE'RE ABLE TO COMMUNICATE WITH, 749 00:28:39,584 --> 00:28:41,820 TROUBLESHOOT, SUPPORT OTHER 750 00:28:41,886 --> 00:28:44,222 PEOPLE AND IT'S JUST MUCH MORE 751 00:28:44,289 --> 00:28:45,323 CONVENIENT. 752 00:28:45,390 --> 00:28:46,424 AGAIN, THERE'S A BOOTH IN THE 753 00:28:46,491 --> 00:28:48,726 HALLWAY. 754 00:28:48,793 --> 00:28:49,360 PAINRESEARCHERS.COM. 755 00:28:49,427 --> 00:28:50,328 JOIN THE NETWORK, LET US KNOW 756 00:28:50,395 --> 00:28:51,896 WHAT WOULD HELP YOU, AND 757 00:28:51,963 --> 00:28:54,299 PARTICIPATE. 758 00:28:54,365 --> 00:29:01,172 TEU TO EVERYBODY AT NEUROVATIONS 759 00:29:01,239 --> 00:29:03,675 EDUCATION, EVERYBODY IN THE BACK 760 00:29:03,741 --> 00:29:04,576 THERE, AND EVERYBODY FOR HELPING 761 00:29:04,642 --> 00:29:05,877 AND SUPPORTING THE TIME TO DO 762 00:29:05,944 --> 00:29:06,211 THIS. 763 00:29:06,277 --> 00:29:16,054 THAT'S ALL. 764 00:29:16,121 --> 00:29:17,789 >> THANK YOU, MR. COVERSTONE. 765 00:29:17,856 --> 00:29:19,991 SO NOW I WANT TO WELCOME TO THE 766 00:29:20,058 --> 00:29:23,928 STAGE DR. KATHRYN HAWK OF YALE 767 00:29:23,995 --> 00:29:27,866 UNIVERSITY. 768 00:29:27,932 --> 00:29:30,568 >> THARNT THANKS SO MUCH. 769 00:29:30,635 --> 00:29:32,103 I'MAGE EMERGENCY PHYSICIAN 770 00:29:32,170 --> 00:29:33,304 PRACTICE AT YALE UNIVERSITY AND 771 00:29:33,371 --> 00:29:34,405 AM JUST REALLY, REALLY THRILLED 772 00:29:34,472 --> 00:29:35,073 TO BE HERE. 773 00:29:35,140 --> 00:29:36,174 AND AS YOU'RE GOING TO SEE 774 00:29:36,241 --> 00:29:37,675 TODAY, IT'S REALLY GOING TO 775 00:29:37,742 --> 00:29:38,810 BE -- I'M GOING TO BE TALKING 776 00:29:38,877 --> 00:29:39,878 ABOUT SOME WORK THAT A LARGE 777 00:29:39,944 --> 00:29:42,046 GROUP OF US HAVE DONE TO REALLY 778 00:29:42,113 --> 00:29:44,048 HELP LEVERAGE THE ED TO IMPROVE 779 00:29:44,115 --> 00:29:46,117 CARE FOR PATIENTS WITH OPIOID 780 00:29:46,184 --> 00:29:46,784 USE DISORDER. 781 00:29:46,851 --> 00:29:48,186 I HAVE NO CONFLICTS OF INTEREST 782 00:29:48,253 --> 00:29:48,753 TO DISCLOSE. 783 00:29:48,820 --> 00:29:50,722 SO WHY FOCUS ON THE ED? 784 00:29:50,788 --> 00:29:51,923 VERY OBVIOUS TO SOME PEOPLE BUT 785 00:29:51,990 --> 00:29:53,224 TO SOME PEOPLE IT MIGHT REQUIRE 786 00:29:53,291 --> 00:29:54,759 A LITTLE BIT MORE THOUGHT ON WHY 787 00:29:54,826 --> 00:29:55,860 WE WOULD THINK THAT THIS IS THE 788 00:29:55,927 --> 00:29:56,961 RIGHT PLACE TO IDENTIFY AND 789 00:29:57,028 --> 00:29:58,363 START PEOPLE ON TREATMENT FOR 790 00:29:58,429 --> 00:29:59,030 OPIOID USE DISORDER. 791 00:29:59,097 --> 00:30:00,665 WE CERTAINLY KNOW WE SEE PEOPLE 792 00:30:00,732 --> 00:30:02,867 IN THE ED AFTER OVERDOSE, SKIN 793 00:30:02,934 --> 00:30:04,502 AND SOFT TISSUE INFECTIONS, 794 00:30:04,569 --> 00:30:05,703 ABSCESSES, THEY COME IN AFTER 795 00:30:05,770 --> 00:30:08,840 INJURIES, THEY COME IN IN 796 00:30:08,907 --> 00:30:10,508 WITHDRAWAL, WHEN THEY CAN'T FIND 797 00:30:10,575 --> 00:30:12,377 ANY OTHER TREATMENT IN THEIR 798 00:30:12,443 --> 00:30:13,144 LOCAL HOME COMMUNITY. 799 00:30:13,211 --> 00:30:15,647 ONE OF THE THINGS THAT MY MENTOR 800 00:30:15,713 --> 00:30:17,182 WHO IS HERE SOMEWHERE WHO YOU'LL 801 00:30:17,248 --> 00:30:20,919 HEAR ABOUT THROUGHOUT THIS TALK 802 00:30:20,985 --> 00:30:22,220 REALLY -- TO HELP FIGURE OUT HOW 803 00:30:22,287 --> 00:30:23,621 WE CAN IMPROVE OUR CARE OF FOLKS 804 00:30:23,688 --> 00:30:24,289 IN THE ED. 805 00:30:24,355 --> 00:30:26,357 SO I'M ACTUALLY GOING TO -- I'VE 806 00:30:26,424 --> 00:30:27,892 HAD THE PRIVILEGE AS A HIGHLY 807 00:30:27,959 --> 00:30:28,993 COLLABORATIVE RESEARCHER OF 808 00:30:29,060 --> 00:30:30,662 BEING INVOLVED IN SORT OF FOUR 809 00:30:30,728 --> 00:30:31,729 DIFFERENT HEAL STUDIES OVER THE 810 00:30:31,796 --> 00:30:33,031 COURSE OF THE LAST FOUR YEARS. 811 00:30:33,097 --> 00:30:34,132 AND SO I'M GOING TO TALK A 812 00:30:34,199 --> 00:30:35,667 LITTLE BIT ABOUT THOSE ON A 813 00:30:35,733 --> 00:30:37,969 VERY, VERY HIGH LEVEL. 814 00:30:38,036 --> 00:30:39,737 OR GOING TO TRY TO OVER THE NEXT 815 00:30:39,804 --> 00:30:40,371 EIGHT MINUTES OR SO. 816 00:30:40,438 --> 00:30:42,774 SO THIS IS THE BASIS FOR ALL OF 817 00:30:42,840 --> 00:30:46,177 OUR WORK ON IMPLEMENTING ED 818 00:30:46,244 --> 00:30:48,079 INITIATED BUPRENORPHINE IN THE 819 00:30:48,146 --> 00:30:49,013 EMERGENCY DEPARTMENT. 820 00:30:49,080 --> 00:30:50,748 PUBLISHED IN JAMA IN 2015 THAT 821 00:30:50,815 --> 00:30:52,183 SHOWED THAT PEOPLE WHO COME IN 822 00:30:52,250 --> 00:30:54,152 TO THE EMERGENCY DEPARTMENT WITH 823 00:30:54,219 --> 00:30:55,587 UNTREATED OPIOID USE DISORDER, 824 00:30:55,653 --> 00:30:58,423 IF THEY'RE RANDOMIZED TO RECEIVE 825 00:30:58,489 --> 00:31:00,625 TREATMENT, IF THEY WERE 826 00:31:00,692 --> 00:31:01,926 RANDOMIZED TO RECEIVE 827 00:31:01,993 --> 00:31:03,328 BUPRENORPHINE AND A REFERRAL FOR 828 00:31:03,394 --> 00:31:04,562 TREATMENT, WERE ALMOST TWICE AS 829 00:31:04,629 --> 00:31:05,964 LIKELY TO BE IN TREATMENT AT 30 830 00:31:06,030 --> 00:31:09,234 DAYS COMPARED TO THOSE WHO WERE 831 00:31:09,300 --> 00:31:11,202 RECEIVING JUST A STANDARD 832 00:31:11,269 --> 00:31:12,437 REFERRAL WHICH AT THE TIME WAS 833 00:31:12,503 --> 00:31:13,271 STANDARD OF CARE FOR THE 834 00:31:13,338 --> 00:31:13,972 EMERGENCY DEPARTMENT. 835 00:31:14,038 --> 00:31:16,641 WE KNOW TREATMENT ENGAGEMENT IS 836 00:31:16,708 --> 00:31:17,775 ONE OF THE MOST IMPORTANT THINGS 837 00:31:17,842 --> 00:31:21,512 WE CAN DO, SO THIS REALLY 838 00:31:21,579 --> 00:31:24,215 STARTED I GUESS STARTED THE 839 00:31:24,282 --> 00:31:25,550 INSIGHT OF KNOWING THAT WE 840 00:31:25,617 --> 00:31:27,085 NEEDED TO FIGURE OUT HOW TO DO 841 00:31:27,151 --> 00:31:28,186 BETTER IN THE EMERGENCY 842 00:31:28,253 --> 00:31:30,588 DEPARTMENT, HOW TO GET OUR 843 00:31:30,655 --> 00:31:31,889 CLINICIANS TO THINK ABOUT 844 00:31:31,956 --> 00:31:33,091 INTEGRATING THIS INTO THEIR 845 00:31:33,157 --> 00:31:33,524 CLINICAL PRACTICE. 846 00:31:33,591 --> 00:31:36,361 SO THROUGH THE CLINICAL TRIALS 847 00:31:36,427 --> 00:31:37,962 NETWORK, WE LAUNCHED TWO 848 00:31:38,029 --> 00:31:39,664 SEPARATE IMPLEMENTATION STUDIES. 849 00:31:39,731 --> 00:31:41,399 THERE'S A LOT OF JARGON ON THESE 850 00:31:41,466 --> 00:31:42,934 SLIDES, BUT SO ONE IS PROJECT ED 851 00:31:43,001 --> 00:31:45,136 HEALTH WHICH IS A CLINICAL 852 00:31:45,203 --> 00:31:45,770 TRIALS NETWORK 69. 853 00:31:45,837 --> 00:31:47,739 AND THIS IS AN IMPLEMENTATION 854 00:31:47,805 --> 00:31:49,841 STUDY AND FOUR URBAN ACADEMIC 855 00:31:49,907 --> 00:31:52,343 EMERGENCY DEPARTMENTS. 856 00:31:52,410 --> 00:31:55,847 THE SECOND STUDY IS ED CONNECT 857 00:31:55,913 --> 00:32:00,652 WHICH SL ETN79 AND 79-A1, HIGH 858 00:32:00,718 --> 00:32:01,753 NEED, LOW RESOURCE EMERGENCY 859 00:32:01,819 --> 00:32:02,186 DEPARTMENTS. 860 00:32:02,253 --> 00:32:03,621 THINKING ABOUT THOSE RURAL 861 00:32:03,688 --> 00:32:04,689 EMERGENCY DEPARTMENTS, CRITICAL 862 00:32:04,756 --> 00:32:06,891 ACCESS HOSPITALS, COMMUNITY 863 00:32:06,958 --> 00:32:08,192 HOSPITALS THAT HAVE DIFFERENT 864 00:32:08,259 --> 00:32:09,861 STAFFING STRATEGIES AND PUBLIC 865 00:32:09,927 --> 00:32:10,728 SAFETY NET HOSPITALS. 866 00:32:10,795 --> 00:32:11,929 SO THE IDEA WAS TO THINK ABOUT 867 00:32:11,996 --> 00:32:13,998 HOW WE CAN SUPPORT 868 00:32:14,065 --> 00:32:16,634 IMPLEMENTATION OF ED-INITIATED 869 00:32:16,701 --> 00:32:18,036 BUPRENORPHINE ACROSS THESE SEVEN 870 00:32:18,102 --> 00:32:18,670 DIFFERENT EMERGENCY DEPARTMENTS 871 00:32:18,736 --> 00:32:21,339 TO GET A BETTER SENSE OF HOW WE 872 00:32:21,406 --> 00:32:28,346 CAN HELP IMPROVE -- SO WE DID 873 00:32:28,413 --> 00:32:30,848 LOTS AND LOTS OF FOCUS GROUPS 874 00:32:30,915 --> 00:32:31,816 WITH THESE EMERGENCY 875 00:32:31,883 --> 00:32:32,250 DEPARTMENTS. 876 00:32:32,317 --> 00:32:33,685 CERTAINLY WE FOUND BARRIERS TO 877 00:32:33,751 --> 00:32:34,552 CLINICAL PRACTICE CHANGE, 878 00:32:34,619 --> 00:32:36,521 COMPETING PRIORITIES, LACK OF 879 00:32:36,587 --> 00:32:38,723 EXPERIENCE WITH BUPRENORPHINE. 880 00:32:38,790 --> 00:32:40,358 NONE OF THESE EMERGENCY 881 00:32:40,425 --> 00:32:41,326 DEPARTMENT CLINICIANS HAD 882 00:32:41,392 --> 00:32:42,527 RECEIVED TREATMENT -- OR HAD 883 00:32:42,593 --> 00:32:45,730 RECEIVED TRAINING IN MEDICAL 884 00:32:45,797 --> 00:32:47,098 SCHOOL AND THEIR RESIDENCY, THAT 885 00:32:47,165 --> 00:32:47,999 WAS JUST NOT SOMETHING THAT WAS 886 00:32:48,066 --> 00:32:49,867 PART OF TRAINING AT THE TIME. 887 00:32:49,934 --> 00:32:51,069 AND SO MANY PEOPLE WERE 888 00:32:51,135 --> 00:32:52,537 UNCOMFORTABLE WITH THE PRACTICE 889 00:32:52,603 --> 00:32:53,905 THEY DIDN'T KNOW HOW TO DO. 890 00:32:53,971 --> 00:32:55,773 MANY CLINICIANS WERE NOT SURE 891 00:32:55,840 --> 00:32:58,509 HOW THEY WERE TO EFFECTIVELY 892 00:32:58,576 --> 00:32:59,510 LINK PEOPLE TO TREAT WENT OR 893 00:32:59,577 --> 00:33:00,812 WHAT TREATMENT RESOURCES WERE 894 00:33:00,878 --> 00:33:01,679 AVAILABLE IN THEIR COMMUNITY. 895 00:33:01,746 --> 00:33:03,014 OBVIOUSLY LACK OF AWARENESS THAT 896 00:33:03,081 --> 00:33:06,284 ADDICTION IS A TREATABLE 897 00:33:06,351 --> 00:33:08,353 DISEASE, AND STIGMA WERE 898 00:33:08,419 --> 00:33:09,354 CERTAINLY VERY PERVASIVE 899 00:33:09,420 --> 00:33:10,121 THROUGHOUT THE WORK THAT WE 900 00:33:10,188 --> 00:33:10,988 FOUND. 901 00:33:11,055 --> 00:33:14,926 WE ALSO FOUND -- I -- IDENTIFIED 902 00:33:14,992 --> 00:33:15,360 FACILITATORS. 903 00:33:15,426 --> 00:33:16,361 WE DO KNOW THE TRAINING WORKS 904 00:33:16,427 --> 00:33:18,096 AND WE WERE CERTAINLY ABLE TO 905 00:33:18,162 --> 00:33:20,398 TEACH PEOPLE HOW TO INITIATE 906 00:33:20,465 --> 00:33:21,599 BUPRENORPHINE. 907 00:33:21,666 --> 00:33:22,600 WITH A VARIETY OF 908 00:33:22,667 --> 00:33:23,801 TRAINING PROTOCOLS THAT WERE 909 00:33:23,868 --> 00:33:24,569 IMPLEMENTED. 910 00:33:24,635 --> 00:33:26,871 PROTOCOLS PROBABLY THE MOST 911 00:33:26,938 --> 00:33:28,039 IMPORTANT THING TO HELP 912 00:33:28,106 --> 00:33:29,374 IMPLEMENT PRACTICE CHANGE IN 913 00:33:29,440 --> 00:33:31,275 THESE EDs, SO PROTOCOLS 914 00:33:31,342 --> 00:33:32,777 REPRESENT A NUMBER OF REALLY 915 00:33:32,844 --> 00:33:33,845 IMPORTANT THINGS. 916 00:33:33,911 --> 00:33:35,913 ONE, TO HAVE A PROTOCOL, YOU 917 00:33:35,980 --> 00:33:37,849 HAVE LEADERSHIP BUY-IN OR 918 00:33:37,915 --> 00:33:39,217 SUPPORT SO IT INDICATES THAT. 919 00:33:39,283 --> 00:33:42,286 TWO, IT TELLS YOU WHAT TO DO. 920 00:33:42,353 --> 00:33:43,755 SO AS FAR AS QUESTIONS ABOUT IS 921 00:33:43,821 --> 00:33:45,656 THIS THE RIGHT DOSING OR -- IT'S 922 00:33:45,723 --> 00:33:46,991 ALL SORT OF LAID OUT ON THE 923 00:33:47,058 --> 00:33:48,826 PROTOCOL. 924 00:33:48,893 --> 00:33:50,361 AND THREE, IT SETS THE STAGE TO 925 00:33:50,428 --> 00:33:52,897 SAY THAT THIS IS LIKE THE 926 00:33:52,964 --> 00:33:54,732 NORMALIZED CARE WE EXPECT FOR 927 00:33:54,799 --> 00:33:55,400 OUR EMERGENCY DEPARTMENT. 928 00:33:55,466 --> 00:33:57,268 MANY CLINICIANS WERE WORRIED 929 00:33:57,335 --> 00:33:59,237 ABOUT BEING SORT OF ON THE 930 00:33:59,303 --> 00:34:00,438 LEADING EDGE, TO BE THE FIRST 931 00:34:00,505 --> 00:34:01,506 PEOPLE TO DO THAT IN THEIR 932 00:34:01,572 --> 00:34:02,407 EMERGENCY DEPARTMENT, AND 933 00:34:02,473 --> 00:34:03,374 PROTOCOLS SAY THIS IS WHAT WE DO 934 00:34:03,441 --> 00:34:04,409 AND THIS IS PART OF THE PRACTICE 935 00:34:04,475 --> 00:34:05,243 THAT WE HAVE. 936 00:34:05,309 --> 00:34:06,778 TARGETED FEEDBACK TO ED STAFF IS 937 00:34:06,844 --> 00:34:08,212 REALLY IMPORTANT. 938 00:34:08,279 --> 00:34:09,614 ED CLINICIANS SEE PEOPLE WHEN 939 00:34:09,680 --> 00:34:10,615 THEY'RE DOING POORLY. 940 00:34:10,681 --> 00:34:13,217 WE DON'T SEE PEOPLE WHO GO TO 941 00:34:13,284 --> 00:34:14,852 TREATMENT, ARE DOING GREAT, THEY 942 00:34:14,919 --> 00:34:16,087 DON'T COME BACK TO THE ED, WHICH 943 00:34:16,154 --> 00:34:17,388 IS WONDERFUL, BUT IF YOU'RE ABLE 944 00:34:17,455 --> 00:34:18,689 TO ACTUALLY PROVIDE FEEDBACK TO 945 00:34:18,756 --> 00:34:21,325 THOSE CLINICIANS, WHO SAW 946 00:34:21,392 --> 00:34:21,926 PATIENTS, SAY REMEMBER THAT 947 00:34:21,993 --> 00:34:23,060 PATIENT YOU SAW LAST WEEK OR 948 00:34:23,127 --> 00:34:24,829 LAST MONTH, YOU KNOW, THEY'RE IN 949 00:34:24,896 --> 00:34:26,397 TREATMENT AND DOING REALLY WELL. 950 00:34:26,464 --> 00:34:27,698 AND ALL OF THIS IS ABOUT 951 00:34:27,765 --> 00:34:28,800 CHANGING CULTURE. 952 00:34:28,866 --> 00:34:30,668 AND SO I THINK PART OF THIS IS 953 00:34:30,735 --> 00:34:36,240 ABOUT HOW YOU MAKE IT CLEAR THIS 954 00:34:36,307 --> 00:34:39,076 IS PART OF A AN EXPECTATION OF 955 00:34:39,143 --> 00:34:39,844 YOUR CLINICAL PRACTICE. 956 00:34:39,911 --> 00:34:41,479 ONE OF THE FOCUS GROUPS IN A 957 00:34:41,546 --> 00:34:45,550 RURAL SITE IN NE NEW HAMPSHIRE,E 958 00:34:45,616 --> 00:34:47,718 ED DOC I WAS TALKING TO, THAT 959 00:34:47,785 --> 00:34:50,021 STUDY WAS DONE AT YALE, I'M NOT 960 00:34:50,087 --> 00:34:51,889 SURE IT APPLIES TO ME, WHAT I 961 00:34:51,956 --> 00:34:55,693 REALLY WANT TO SEE IS I WANT TO 962 00:34:55,760 --> 00:34:57,228 SEE SOMETHING FROM MY 963 00:34:57,295 --> 00:34:58,129 PROFESSIONAL SOCIETY THAT SAYS 964 00:34:58,196 --> 00:35:00,097 THIS IS ACTUALLY SOMETHING THAT 965 00:35:00,164 --> 00:35:01,866 IS MY JOB, BECAUSE I'M ACTUALLY 966 00:35:01,933 --> 00:35:02,934 REALLY NOT SURE THAT IT IS. 967 00:35:03,000 --> 00:35:04,035 SO ONE OF THE THINGS THAT SORT 968 00:35:04,101 --> 00:35:05,670 OF CAME DIRECTLY OUT OF THIS 969 00:35:05,736 --> 00:35:08,172 RESEARCH WAS A GROUP OF US MET 970 00:35:08,239 --> 00:35:10,041 WITH OUR -- THROUGH THE AMERICAN 971 00:35:10,107 --> 00:35:10,675 COLLEGE OF EMERGENCY PHYSICIANS 972 00:35:10,741 --> 00:35:12,009 WITH THEIR PROFESSIONAL SOCIETY 973 00:35:12,076 --> 00:35:14,846 AND DEVELOPED CONSENSUS 974 00:35:14,912 --> 00:35:16,914 GUIDELINES ON TREATING OPIOID 975 00:35:16,981 --> 00:35:17,782 USE DISORDER IN THE EMERGENCY 976 00:35:17,849 --> 00:35:18,816 DEPARTMENT AND SAID YOU KNOW 977 00:35:18,883 --> 00:35:20,318 WHAT, THIS REALLY IS OUR JOB, WE 978 00:35:20,384 --> 00:35:21,452 CAN DO IT, THIS IS SOMETHING 979 00:35:21,519 --> 00:35:23,821 THAT REALLY IS -- SHOULD BE 980 00:35:23,888 --> 00:35:25,456 CONSIDERED THE STANDARD OF CARE. 981 00:35:25,523 --> 00:35:26,924 AND SO THAT IS OUT THERE AND 982 00:35:26,991 --> 00:35:27,425 THAT IS AVAILABLE. 983 00:35:27,492 --> 00:35:29,060 IF YOU HAVE EDs THAT YOU WORK 984 00:35:29,126 --> 00:35:30,361 WITH WHO THINK IT'S NOT THEIR 985 00:35:30,428 --> 00:35:33,998 JOB, IT IS. 986 00:35:34,065 --> 00:35:35,566 SO FALLING BACK TO ED CONNECT, 987 00:35:35,633 --> 00:35:37,034 WHICH IS THE IMPLEMENTATION 988 00:35:37,101 --> 00:35:38,903 STUDY, AND THE HIGH NEED/LOW 989 00:35:38,970 --> 00:35:39,804 ACCESS EDs. 990 00:35:39,871 --> 00:35:41,305 SO WE DID IMPLEMENTATION WITH 991 00:35:41,372 --> 00:35:42,507 THE STAFF AND WE ALSO DID 992 00:35:42,573 --> 00:35:43,474 PATIENT LEVEL DATA. 993 00:35:43,541 --> 00:35:46,444 AND SO WHEN WE STARTED IN 2018, 994 00:35:46,511 --> 00:35:48,412 THERE WERE NO -- NO ONE. 995 00:35:48,479 --> 00:35:51,148 NONE OF THE SITES WERE 996 00:35:51,215 --> 00:35:52,483 IMPLEMENTING ED INITIATED 997 00:35:52,550 --> 00:35:53,384 BUPRENORPHINE. 998 00:35:53,451 --> 00:35:57,154 SO AFTER A SIX-MONTH FAIRLY 999 00:35:57,221 --> 00:35:58,256 INTENSIVE IMPLEMENTATION 1000 00:35:58,322 --> 00:36:01,526 FACILITATION EXPERIENCE, WE 1001 00:36:01,592 --> 00:36:02,627 COLLECTED BASELINE LEVEL DATA 1002 00:36:02,693 --> 00:36:06,130 AND FOUND THAT JUST OVER SIX 1003 00:36:06,197 --> 00:36:08,332 EDs PER -- SIX PATIENTS PER ED 1004 00:36:08,399 --> 00:36:10,501 PER MONTH WERE RECEIVING 1005 00:36:10,568 --> 00:36:11,068 ED-INITIATED BUPRENORPHINE. 1006 00:36:11,135 --> 00:36:12,470 SO NOT A HUGE NUMBER BUT 1007 00:36:12,537 --> 00:36:13,671 DEFINITELY A HUGE INCREASE, 1008 00:36:13,738 --> 00:36:16,407 CONSIDERING A SIX-MONTH 1009 00:36:16,474 --> 00:36:17,074 IMPLEMENTATION PERIOD IN SITES 1010 00:36:17,141 --> 00:36:18,376 THAT WERE NOT TOTAL LEISURE THAT 1011 00:36:18,442 --> 00:36:20,244 THEY WANTED TO TALK TO US WHEN 1012 00:36:20,311 --> 00:36:21,012 WE SHOWED UP THERE. 1013 00:36:21,078 --> 00:36:22,313 WE WERE ACTUALLY VERY PLEASED 1014 00:36:22,380 --> 00:36:24,515 WITH THAT. 1015 00:36:24,582 --> 00:36:27,351 HEAL WAS KIND ENOUGH TO SUPPORT 1016 00:36:27,418 --> 00:36:29,353 A SUSTAINABILITY EVALUATION 1017 00:36:29,420 --> 00:36:29,987 BECAUSE WE KNOW THAT'S ONE OF 1018 00:36:30,054 --> 00:36:31,289 THE MOST IMPORTANT THINGS ABOUT 1019 00:36:31,355 --> 00:36:32,390 IMPLEMENTATION RESEARCH, IS DOES 1020 00:36:32,456 --> 00:36:35,026 IT CONTINUE. 1021 00:36:35,092 --> 00:36:36,661 SO WITHOUT THE IMPLEMENTATION 1022 00:36:36,727 --> 00:36:37,461 FACILITATION JUST WANTED TO SEE 1023 00:36:37,528 --> 00:36:38,729 WHAT WOULD HAPPEN DOWN THE LINE. 1024 00:36:38,796 --> 00:36:40,031 CLEARLY LOTS OF THINGS HAPPENED 1025 00:36:40,097 --> 00:36:41,899 IN 2020 AND 2021 AROUND ACCESS 1026 00:36:41,966 --> 00:36:45,303 TO ED-INITIATED -- TO OUD CARE, 1027 00:36:45,369 --> 00:36:46,837 BUT EVEN WITHOUT ADDITIONAL IF, 1028 00:36:46,904 --> 00:36:48,906 WE ACTUALLY SAW A SIGNIFICANT 1029 00:36:48,973 --> 00:36:49,874 INCREASE IN THE NUMBER OF 1030 00:36:49,941 --> 00:36:52,843 PATIENTS WHO WERE RECEIVING ED 1031 00:36:52,910 --> 00:36:53,945 INITIATED BUPRENORPHINE THERE. 1032 00:36:54,011 --> 00:36:55,346 SO WE KNOW THAT WE CAN TEACH 1033 00:36:55,413 --> 00:36:57,448 CLINICIANS HOW TO DO IT. 1034 00:36:57,515 --> 00:36:58,950 WE ALSO WERE TRYING TO DO THESE 1035 00:36:59,016 --> 00:37:00,184 TWO THINGS AT ONE TIME, TRYING 1036 00:37:00,251 --> 00:37:01,152 TO FIGURE OUT EXACTLY WHAT THE 1037 00:37:01,218 --> 00:37:02,353 RIGHT THING IS TO DO. 1038 00:37:02,420 --> 00:37:03,988 SO THERE'S STILL LOTS OF WAYS, 1039 00:37:04,055 --> 00:37:06,290 LOTS OF QUESTIONS AROUND HOW YOU 1040 00:37:06,357 --> 00:37:07,491 ACTUALLY INITIATE BUPRENORPHINE. 1041 00:37:07,558 --> 00:37:11,762 STANDARD DOSING, INITIAL STUDY, 1042 00:37:11,829 --> 00:37:13,297 WHAT MANY PEOPLE WERE INITIALLY 1043 00:37:13,364 --> 00:37:14,298 DOING IN THE EMERGENCY 1044 00:37:14,365 --> 00:37:16,801 DEPARTMENT WAS 8 MILLIGRAMS. 1045 00:37:16,867 --> 00:37:18,669 THERE'S ALSO HIGH DOSE DURING 1046 00:37:18,736 --> 00:37:20,504 THE ED STAY THAT HAS BEEN 1047 00:37:20,571 --> 00:37:23,474 LARGELY PIONEERED OUT IN 1048 00:37:23,541 --> 00:37:24,675 CALIFORNIA BRIDGE, RATIONALE FOR 1049 00:37:24,742 --> 00:37:26,210 THAT IS THAT IT GETS PEOPLE -- 1050 00:37:26,277 --> 00:37:28,279 IT JUST GETS MEDICATION ON THE 1051 00:37:28,346 --> 00:37:30,047 RECEPTORS MORE QUICKLY, GETS 1052 00:37:30,114 --> 00:37:31,582 CRAVING AND WITHDRAWAL SYMPTOMS 1053 00:37:31,649 --> 00:37:33,217 CONTROLLED MORE QUICKLY. 1054 00:37:33,284 --> 00:37:34,752 AND THEN INJECTABLE FORMULATIONS 1055 00:37:34,819 --> 00:37:36,253 IS ANOTHER INTERESTING THING TO 1056 00:37:36,320 --> 00:37:37,288 THINK ABOUT. 1057 00:37:37,355 --> 00:37:38,923 THERE ARE 7 AND 30-DAY 1058 00:37:38,990 --> 00:37:39,790 FORMULATIONS BUT IF YOU CAN 1059 00:37:39,857 --> 00:37:42,326 ACTUALLY THINK ABOUT GIVING 1060 00:37:42,393 --> 00:37:43,194 MEDICATION -- ADMINISTER 1061 00:37:43,260 --> 00:37:45,162 MEDICATION TO A PERSON THAT 1062 00:37:45,229 --> 00:37:47,131 LASTS FOR A WEEK, SO THEY DON'T 1063 00:37:47,198 --> 00:37:49,100 HAVE THE BURDEN OF MISSING A 1064 00:37:49,166 --> 00:37:50,735 RIDE TO THE PHARMACY OR NOT 1065 00:37:50,801 --> 00:37:51,836 HAVING THEIR INSURANCE CARD OR 1066 00:37:51,902 --> 00:37:53,404 THEIR I.D., THINKING ABOUT 1067 00:37:53,471 --> 00:37:54,772 DIFFERENT STRATEGIES TO HELP 1068 00:37:54,839 --> 00:37:57,308 INCREASE LIKELIHOOD TO LINKAGE 1069 00:37:57,375 --> 00:37:57,842 TO TREATMENT. 1070 00:37:57,908 --> 00:37:59,276 THIS IS A STUDY THAT WE'RE 1071 00:37:59,343 --> 00:38:00,044 CONDUCTING RIGHT NOW. 1072 00:38:00,111 --> 00:38:02,213 IT'S ED INNOVATION. 1073 00:38:02,279 --> 00:38:05,716 IT IS A CLINICAL TRIAL COMPARING 1074 00:38:05,783 --> 00:38:07,618 7-DAY INJECTABLE VERSUS 1075 00:38:07,685 --> 00:38:09,387 SUBLINGUAL IN 30 EDs AROUND 1076 00:38:09,453 --> 00:38:09,920 THE U.S. 1077 00:38:09,987 --> 00:38:12,189 REALLY THE GOAL OF THIS STUDY IS 1078 00:38:12,256 --> 00:38:14,058 TO SEE IF ONE OF THESE PERFORMS 1079 00:38:14,125 --> 00:38:15,693 BETTER AT LINKING PEOPLE TO 1080 00:38:15,760 --> 00:38:17,995 TREATMENT AT 7 DAYS. 1081 00:38:18,062 --> 00:38:19,630 LOTS AND LOTS OF PEOPLE INVOLVED 1082 00:38:19,697 --> 00:38:22,266 IN THIS AS I SAID, 30 EDs. 1083 00:38:22,333 --> 00:38:24,568 WE'RE NOT -- I THINK WE FINISHED 1084 00:38:24,635 --> 00:38:25,670 ENROLLMENT THIS SUMMER, WE'RE 1085 00:38:25,736 --> 00:38:26,971 VERY, VERY CLOSE BUT I THINK THE 1086 00:38:27,038 --> 00:38:27,938 OTHER COOL THING ABOUT IT IS 1087 00:38:28,005 --> 00:38:30,675 MANY OF THESE 30 EDs THAT ARE 1088 00:38:30,741 --> 00:38:32,877 ENROLLING WERE NOT DOING ED 1089 00:38:32,943 --> 00:38:33,978 INITIATED BUPRENORPHINE BEFORE 1090 00:38:34,045 --> 00:38:36,380 THIS TRIAL. 1091 00:38:36,447 --> 00:38:39,517 SO MOVING FORWARD, THERE ARE 1092 00:38:39,583 --> 00:38:40,751 SORT OF TWO STUDIES THAT WE'RE 1093 00:38:40,818 --> 00:38:42,286 IN THE PROCESS OF LAUNCHING. 1094 00:38:42,353 --> 00:38:44,055 ONE IS AS I ALLUDED TO SORT OF 1095 00:38:44,121 --> 00:38:45,556 THE ROLE OF HIGH DOSE 1096 00:38:45,623 --> 00:38:49,293 BUPRENORPHINE, WE DON'T KNOW 1097 00:38:49,360 --> 00:38:51,062 PROSPECTIVELY WHETHER 8 VERSUS 1098 00:38:51,128 --> 00:38:52,563 24 MILLIGRAMS WOULD BE BETTER, 1099 00:38:52,630 --> 00:38:53,531 SO WE'RE CURRENTLY IN THE 1100 00:38:53,597 --> 00:38:55,199 PROCESS OF LAUNCHING THAT. 1101 00:38:55,266 --> 00:38:56,734 PROBABLY LATE THIS SUMMER AGAIN 1102 00:38:56,801 --> 00:38:58,469 THROUGH THE HEAL INITIATIVE AND 1103 00:38:58,536 --> 00:38:59,336 THE CLINICAL TRIALS NETWORK. 1104 00:38:59,403 --> 00:39:00,337 THEN THE LAST THING THAT I 1105 00:39:00,404 --> 00:39:01,205 WANTED TO TALK ABOUT IS 1106 00:39:01,272 --> 00:39:03,607 SOMETHING THAT IS LIKE A TOTAL 1107 00:39:03,674 --> 00:39:04,942 PIVOT BUT ALSO STILL VERY MUCH A 1108 00:39:05,009 --> 00:39:06,243 DIFFERENT WAY TO PROMOTE 1109 00:39:06,310 --> 00:39:06,911 CLINICAL PRACTICE CHANGE, WHICH 1110 00:39:06,977 --> 00:39:10,181 IS REALLY RELYING ON DATA AROUND 1111 00:39:10,247 --> 00:39:12,717 HOW YOU CAN INFLUENCE SORT OF 1112 00:39:12,783 --> 00:39:14,151 HEALTHCARE INFRASTRUCTURE. 1113 00:39:14,218 --> 00:39:16,554 SO PREVIOUS TO THIS GRANT, WE 1114 00:39:16,620 --> 00:39:19,724 HAD SORT OF DEVELOPED ED OUD 1115 00:39:19,790 --> 00:39:22,226 QUALITY MEASURES BASED ON DO 1116 00:39:22,293 --> 00:39:23,227 PEOPLE RECEIVE BUPRENORPHINE IN 1117 00:39:23,294 --> 00:39:24,862 THE EMERGENCY DEPARTMENT, DO 1118 00:39:24,929 --> 00:39:27,031 THEY RECEIVE A PRESCRIPTION, DO 1119 00:39:27,098 --> 00:39:28,499 THEY GET NALOXONE. 1120 00:39:28,566 --> 00:39:30,000 SO WE ARE ACTUALLY GOING TO 1121 00:39:30,067 --> 00:39:31,335 IMPLEMENT THOSE QUALITY MEASURES 1122 00:39:31,402 --> 00:39:33,838 INTO AN EXISTING EMERGENCY 1123 00:39:33,904 --> 00:39:34,972 DEPARTMENT CLINICAL DATA 1124 00:39:35,039 --> 00:39:36,607 REGISTRY THROUGH THE AMERICAN 1125 00:39:36,674 --> 00:39:38,542 COLLEGE OF EMERGENCY PHYSICIANS. 1126 00:39:38,609 --> 00:39:41,178 AND SO WE'RE GOING TO AUTOMATE 1127 00:39:41,245 --> 00:39:44,181 DATA EXTRACTION AND PERSONALIZE 1128 00:39:44,248 --> 00:39:46,450 OU D-DAY TA DASHBOARDS FOR 40 1129 00:39:46,517 --> 00:39:49,186 EDs AND DEVELOP A PUBLIC 1130 00:39:49,253 --> 00:39:50,387 FACING DASHBOARD. 1131 00:39:50,454 --> 00:39:53,357 I'M DEEPLY GRATEFUL TO BE HERE 1132 00:39:53,424 --> 00:39:55,092 TODAY AND CLEARLY MY AMAZING 1133 00:39:55,159 --> 00:39:55,993 COLLABORATORS ARE THE ONLY 1134 00:39:56,060 --> 00:39:57,061 REASON I'M HERE ON THE STAGE 1135 00:39:57,128 --> 00:40:07,571 TODAY, SO THANK YOU VERY MUCH. 1136 00:40:07,638 --> 00:40:11,609 >> THANK YOU, DR. HAWK. 1137 00:40:11,675 --> 00:40:15,212 WE HAVE DR. DEANNA WILSON OF THE 1138 00:40:15,279 --> 00:40:23,120 UNIVERSITY OF PENNSYLVANIA. 1139 00:40:23,187 --> 00:40:29,326 >> GOOD AFTERNOON, EVERYBODY. 1140 00:40:29,393 --> 00:40:30,027 ONE QUICK SECOND. 1141 00:40:30,094 --> 00:40:30,995 I THINK WE'RE JUST WAITING FOR 1142 00:40:31,061 --> 00:40:41,405 THE SLIDES TO LOAD. 1143 00:40:54,952 --> 00:41:05,196 ONE SECOND. 1144 00:41:05,262 --> 00:41:08,032 I WANTED TO THANK THE HEAL 1145 00:41:08,098 --> 00:41:09,700 PROGRAM FOR THIS AWARD AND THE 1146 00:41:09,767 --> 00:41:12,770 OPPORTUNITY TO SHARE THESE 1147 00:41:12,837 --> 00:41:15,406 FINDINGS WITH ALL OF YOU. 1148 00:41:15,472 --> 00:41:17,074 I HAVE NO CONFLICTS TO DISCLOSE 1149 00:41:17,141 --> 00:41:18,242 BUT I JUST WANTED TO OFFER A 1150 00:41:18,309 --> 00:41:20,978 NOTE ON LANGUAGE. 1151 00:41:21,045 --> 00:41:23,180 BECAUSE OF THE IMPORTANCE OF 1152 00:41:23,247 --> 00:41:25,115 HEARING PEOPLE THROUGH THEIR OWN 1153 00:41:25,182 --> 00:41:26,650 WORDS, I WANT TO NOTE THAT I'LL 1154 00:41:26,717 --> 00:41:28,619 REPORT PARTICIPANT QUOTATIONS 1155 00:41:28,686 --> 00:41:29,420 VERBATIM, EVEN THOUGH SOME OF 1156 00:41:29,486 --> 00:41:31,589 THE LANGUAGE YOU'LL HEAR MAY BE 1157 00:41:31,655 --> 00:41:34,225 NEGATIVE AND TROUBLING. 1158 00:41:34,291 --> 00:41:35,759 STIGMA IS A SOCIAL PROCESS BY 1159 00:41:35,826 --> 00:41:37,628 WHICH INDIVIDUALS ARE LABELED, 1160 00:41:37,695 --> 00:41:39,363 STEREOTYPED AND MARGINALIZED ON 1161 00:41:39,430 --> 00:41:41,565 THE BASIS OF REAL OR PERCEIVED 1162 00:41:41,632 --> 00:41:43,767 STATUS OR ATTRIBUTES. 1163 00:41:43,834 --> 00:41:45,536 STIGMA TOWARDS PATIENTS WITH 1164 00:41:45,603 --> 00:41:47,404 BOTH PAIN AND OPIATE USE 1165 00:41:47,471 --> 00:41:49,073 DISORDER REPRESENTS AN URGENT 1166 00:41:49,139 --> 00:41:49,573 PUBLIC HEALTH PROBLEM. 1167 00:41:49,640 --> 00:41:50,674 WE KNOW THAT NEARLY HALF OF 1168 00:41:50,741 --> 00:41:52,109 PATIENTS WHO INJECT DRUGS, 1169 00:41:52,176 --> 00:41:53,978 PARTICULARLY OPIOIDS, REPORT 1170 00:41:54,044 --> 00:41:55,179 HAVING CHRONIC PAIN. 1171 00:41:55,246 --> 00:41:56,513 AND WE KNOW THAT STIGMA IMPACTS 1172 00:41:56,580 --> 00:41:58,115 THE QUALITY OF CARE THAT THOSE 1173 00:41:58,182 --> 00:41:58,782 PATIENTS RECEIVE. 1174 00:41:58,849 --> 00:42:00,684 BOTH IN THE UNDERTREATING AND 1175 00:42:00,751 --> 00:42:01,852 UNDERASSESSING OF PAIN LEADING 1176 00:42:01,919 --> 00:42:03,721 TO DISENGAGEMENT FROM TREATMENT 1177 00:42:03,787 --> 00:42:06,690 AND CARE, AND ULTIMATELY POOR 1178 00:42:06,757 --> 00:42:08,125 CLINICAL OUTCOMES. 1179 00:42:08,192 --> 00:42:10,527 AND SO OUR STUDY ASKS, HOW DOES 1180 00:42:10,594 --> 00:42:12,162 STIGMA IMPACT HOSPITALIZED 1181 00:42:12,229 --> 00:42:14,565 PATIENT WHO HAVE BOTH OPIATE USE 1182 00:42:14,632 --> 00:42:16,433 DISORDER AND ACUTE AND CHRONIC 1183 00:42:16,500 --> 00:42:18,736 PAIN, WITH THE ULTIMATE GOAL OF 1184 00:42:18,802 --> 00:42:19,970 LEARNING HOW WE CAN REDUCE 1185 00:42:20,037 --> 00:42:21,138 STIGMA IN THE HOSPITAL SETTING 1186 00:42:21,205 --> 00:42:22,239 AND IMPROVE OUTCOMES FOR THIS 1187 00:42:22,306 --> 00:42:25,109 PATIENT POPULATION. 1188 00:42:25,175 --> 00:42:26,176 IN ORDER TO ANSWER THESE 1189 00:42:26,243 --> 00:42:27,611 QUESTIONS, WE'RE RELYING ON 1190 00:42:27,678 --> 00:42:29,346 HUMAN CENTERED DESIGN. 1191 00:42:29,413 --> 00:42:30,814 SO THIS DRAWS ON THE FIELDS OF 1192 00:42:30,881 --> 00:42:32,449 TECHNOLOGY AND DESIGN THINKING. 1193 00:42:32,516 --> 00:42:34,285 IT ALLOWS US TO UNDERSTAND THE 1194 00:42:34,351 --> 00:42:36,854 NEEDS AND DESIRES OF PEOPLE MOST 1195 00:42:36,921 --> 00:42:38,022 IMPACTED BY A PROBLEM. 1196 00:42:38,088 --> 00:42:39,690 AND THROUGH A SERIES OF 1197 00:42:39,757 --> 00:42:41,325 PARTICIPATORY ACTIVITIES, IT 1198 00:42:41,392 --> 00:42:43,727 ALLOWS FOR INTERVENTIONS TO BE 1199 00:42:43,794 --> 00:42:45,362 CO-CREATED WITH END USERS, WHICH 1200 00:42:45,429 --> 00:42:48,032 IN THIS CASE ARE PEOPLE WHO HAVE 1201 00:42:48,098 --> 00:42:50,334 BOTH PAIN AND OPIATE USE 1202 00:42:50,401 --> 00:42:50,634 DISORDER. 1203 00:42:50,701 --> 00:42:52,069 MOST IMPORTANTLY, IT ALLOWS US 1204 00:42:52,136 --> 00:42:53,304 TO AUTHENTICALLY ENGAGE PEOPLE 1205 00:42:53,370 --> 00:42:55,606 WITH LIVED EXPERIENCE, 1206 00:42:55,673 --> 00:42:57,675 RECOGNIZING THEIR EXPERIENCE AS 1207 00:42:57,741 --> 00:42:59,176 ITS OWN VALID TRUTH, AND TO DO 1208 00:42:59,243 --> 00:43:04,648 RESEARCH THAT IS WITH 1209 00:43:04,715 --> 00:43:05,649 MARGINALIZED POPULATIONS. 1210 00:43:05,716 --> 00:43:09,486 THE FRAMEWORK WE'RE USING IS A 1211 00:43:09,553 --> 00:43:11,288 DESIGN SPRINT, 8 TO 12 PEOPLE 1212 00:43:11,355 --> 00:43:13,324 WITH LIVED EXPERIENCE AT A TIME 1213 00:43:13,390 --> 00:43:14,525 OVER THE COURSE OF FIVE SESSIONS 1214 00:43:14,591 --> 00:43:16,427 AND A SERIES OF TARGETED HUMAN 1215 00:43:16,493 --> 00:43:18,395 CENTERED DESIGN ACTIVITIES. 1216 00:43:18,462 --> 00:43:19,697 THAT MOVES PARTICIPANTS FROM 1217 00:43:19,763 --> 00:43:21,999 MAPPING OR DEFINING A PROBLEM 1218 00:43:22,066 --> 00:43:23,534 TOGETHER TO CREATING 1219 00:43:23,600 --> 00:43:24,301 INTERVENTION COMPONENTS 1220 00:43:24,368 --> 00:43:25,836 TOGETHER, PROTOTYPING, AND THEN 1221 00:43:25,903 --> 00:43:28,439 TESTING THEM WITH PROVIDERS AND 1222 00:43:28,505 --> 00:43:32,076 PATIENTS. 1223 00:43:32,142 --> 00:43:33,644 THE FIRST STEP OF THE DESIGN 1224 00:43:33,711 --> 00:43:35,212 PROCESS REQUIRES US TO MAP THE 1225 00:43:35,279 --> 00:43:37,014 PROBLEM OF STIGMA IN THE 1226 00:43:37,081 --> 00:43:38,115 HEALTHCARE SETTING WITH 1227 00:43:38,182 --> 00:43:39,216 PARTICIPANTS. 1228 00:43:39,283 --> 00:43:40,551 IN ANTICIPATION OF THIS FIRST 1229 00:43:40,617 --> 00:43:42,152 STEP, WE'VE CONDUCTED 1230 00:43:42,219 --> 00:43:43,187 QUALITATIVE SEMI STRUCTURED 1231 00:43:43,253 --> 00:43:45,155 INTERVIEWS TO CAPTURE A RANGE OF 1232 00:43:45,222 --> 00:43:47,358 PERSPECTIVES THAT WILL SHARE AT 1233 00:43:47,424 --> 00:43:48,525 OUR FIRST DESIGN SPRINT SESSION. 1234 00:43:48,592 --> 00:43:49,960 FOR THE REMINDER OF MY TIME 1235 00:43:50,027 --> 00:43:51,195 TODAY, I'LL BE DISCUSSING THOSE 1236 00:43:51,261 --> 00:43:52,062 FINDINGS. 1237 00:43:52,129 --> 00:43:55,666 WE'VE ASKED HOW IS STIGMA IN 1238 00:43:55,733 --> 00:43:59,837 HOSPITALHOSPITALIZED PATIENTED 1239 00:43:59,903 --> 00:44:00,170 MANIFESTED? 1240 00:44:00,237 --> 00:44:04,208 WHAT ARE THE BEST PRACTICES IN 1241 00:44:04,274 --> 00:44:05,209 THE HOSPITAL SETTING AND WHAT 1242 00:44:05,275 --> 00:44:05,876 ARE SOME OPPORTUNITIES AND 1243 00:44:05,943 --> 00:44:06,844 CHALLENGES. 1244 00:44:06,910 --> 00:44:08,712 WE'VE INTERVIEWED HOSPITALIZED 1245 00:44:08,779 --> 00:44:10,381 PATIENTS WITH BOTH OPIOID USE 1246 00:44:10,447 --> 00:44:11,682 DISORDER AND CHRONIC PAIN WHO 1247 00:44:11,749 --> 00:44:12,516 ARE ENGLISH SPEAKING AND OVER 1248 00:44:12,583 --> 00:44:13,350 THE AGE OF 18. 1249 00:44:13,417 --> 00:44:14,418 WE INTERVIEWED PROVIDERS WHO 1250 00:44:14,485 --> 00:44:15,853 CARED FOR PATIENTS, HOSPITALIZED 1251 00:44:15,919 --> 00:44:18,022 WITH CHRONIC PAIN AND OUD WITHIN 1252 00:44:18,088 --> 00:44:19,256 THE PAST YEAR, AND WE 1253 00:44:19,323 --> 00:44:20,557 INTERVIEWED SUFFICIENT 1254 00:44:20,624 --> 00:44:23,527 PARTICIPANTS IN EACH GROUP TO 1255 00:44:23,594 --> 00:44:24,395 ACHIEVE SATURATION. 1256 00:44:24,461 --> 00:44:25,963 WE INTERVIEWED A TOTAL OF 1257 00:44:26,030 --> 00:44:27,631 21 PATIENTS AGES 24 TO 62 YEARS 1258 00:44:27,698 --> 00:44:29,299 OF AGE, A FIFTH OF WHOM WERE 1259 00:44:29,366 --> 00:44:30,701 BLACK AND HALF WHO WERE FEMALE. 1260 00:44:30,768 --> 00:44:32,002 WE INTERVIEWED 16 PROVIDERS, THE 1261 00:44:32,069 --> 00:44:34,004 BULK OF WHOM WERE WHITE, AND 1262 00:44:34,071 --> 00:44:36,640 HALF OF WHOM WERE FEMALE. 1263 00:44:36,707 --> 00:44:38,375 INTERVIEWS WERE 25 TO 60 MINUTES 1264 00:44:38,442 --> 00:44:41,111 IN LENGTH, AUDIO RECORDED, 1265 00:44:41,178 --> 00:44:42,446 TRANSCRIBED, AND THEN WE 1266 00:44:42,513 --> 00:44:44,314 ANALYZED THEM USING THEMATIC AND 1267 00:44:44,381 --> 00:44:46,183 CONTENT ANALYSIS GUIDED BY THE 1268 00:44:46,250 --> 00:44:50,320 HEALTH STIGMA FRAMEWORK. 1269 00:44:50,387 --> 00:44:56,560 KEY FINDINGS WITH STIGMA WAS 1270 00:44:56,627 --> 00:44:58,128 COMMON, INTERSECTIONAL BOTH BY 1271 00:44:58,195 --> 00:44:59,596 THE CONDITION, ACE, RAGE AND 1272 00:44:59,663 --> 00:45:00,197 GENDER. 1273 00:45:00,264 --> 00:45:01,398 MANAGING CARE FOR PATIENTS WHO 1274 00:45:01,465 --> 00:45:02,866 HAVE BOTH OPIATE USE DISORDER 1275 00:45:02,933 --> 00:45:04,568 AND PAIN IN THE HOSPITAL SETTING 1276 00:45:04,635 --> 00:45:06,136 WAS COMPLEX AND PARTICULARLY 1277 00:45:06,203 --> 00:45:08,739 CHALLENGING FOR PROVIDERS. 1278 00:45:08,806 --> 00:45:10,074 AND STIGMA NEGATIVELY IMPACTS 1279 00:45:10,140 --> 00:45:11,041 THE QUALITY OF CARE PATIENTS 1280 00:45:11,108 --> 00:45:13,644 WITH OUD AND PAIN RECEIVED IN 1281 00:45:13,710 --> 00:45:15,446 THE HOSPITAL SETTING. 1282 00:45:15,512 --> 00:45:18,949 THIS SCHEMATIC ADAPTED FROM THE 1283 00:45:19,016 --> 00:45:19,783 FRAMEWORK ILLUSTRATES SOME OF 1284 00:45:19,850 --> 00:45:21,051 THE KEY RELATIONSHIPS WE FOUND 1285 00:45:21,118 --> 00:45:22,152 IN OUR INTERVIEWS. 1286 00:45:22,219 --> 00:45:23,987 DRIVERS OF STIGMA LIKE PROVIDERS 1287 00:45:24,054 --> 00:45:25,222 FEARING THE WORSENING OF 1288 00:45:25,289 --> 00:45:26,623 ADDICTION BY GIVING PATIENTS IN 1289 00:45:26,690 --> 00:45:28,826 PAIN OPIOIDS, JUDGMENT ABOUT 1290 00:45:28,892 --> 00:45:31,128 PEOPLE WHO USE DRUGS, NEGATIVE 1291 00:45:31,195 --> 00:45:32,996 STEREOTYPES AND PREJUDICE ABOUT 1292 00:45:33,063 --> 00:45:34,631 ADDICTION COUPLED WITH A LACK OF 1293 00:45:34,698 --> 00:45:35,833 AWARENESS BY PROVIDERS OF THEIR 1294 00:45:35,899 --> 00:45:37,701 OWN PERSONAL BIASES, AND HOW 1295 00:45:37,768 --> 00:45:39,603 THAT MIGHT BE CONTRIBUTING TO 1296 00:45:39,670 --> 00:45:42,639 NEGATIVE CLINICAL CARE. 1297 00:45:42,706 --> 00:45:44,942 THESE MARK PEOPLE WITH OPIATE 1298 00:45:45,008 --> 00:45:46,910 USE DISORDER WITH PAIN IN OFTEN 1299 00:45:46,977 --> 00:45:48,479 STIGMATIZING WAY, FOR EXAMPLE IN 1300 00:45:48,545 --> 00:45:49,313 LANGUAGE IN THE ELECTRONIC 1301 00:45:49,379 --> 00:45:50,547 HEALTH RECORD. 1302 00:45:50,614 --> 00:45:52,749 THESE THEN LEAD TO STIGMA 1303 00:45:52,816 --> 00:45:56,487 PRACTICES, LIKE STEREOTYPING AND 1304 00:45:56,553 --> 00:45:58,889 DISCRIMINATORY EXPERIENCES, LIKE 1305 00:45:58,956 --> 00:46:00,424 INTERNALIZED STIGMA THAT 1306 00:46:00,491 --> 00:46:02,192 PATIENTS DESCRIBE DIRECTING 1307 00:46:02,259 --> 00:46:03,961 TOWARD THEMSELVES AND STIGMA 1308 00:46:04,027 --> 00:46:06,663 THAT THEY BOTH EXPERIENCE OR 1309 00:46:06,730 --> 00:46:07,564 ANTICIPATE EXPERIENCING. 1310 00:46:07,631 --> 00:46:09,333 THESE FEEDBACK TO DRIVE 1311 00:46:09,399 --> 00:46:10,400 ADDITIONAL STIGMATIZING 1312 00:46:10,467 --> 00:46:12,035 BEHAVIORS EVENTUALLY LEADING TO 1313 00:46:12,102 --> 00:46:14,338 POOR CLINICAL OUTCOMES. 1314 00:46:14,404 --> 00:46:16,340 ONE OF THE MOST SIGNIFICANT POOR 1315 00:46:16,406 --> 00:46:18,075 OUTCOMES WAS A RETURN TO 1316 00:46:18,142 --> 00:46:19,710 SUBSTANCE USE OR AN INCREASE IN 1317 00:46:19,776 --> 00:46:21,812 SUBSTANCE USE DRIVEN BY POOR 1318 00:46:21,879 --> 00:46:27,284 LEHMANALYMANAGED PAIN, SOMETHINW 1319 00:46:27,351 --> 00:46:29,153 NOT ALL PATIENTS WILL SURVIVE. 1320 00:46:29,219 --> 00:46:31,788 THIS WOMAN DESCRIBED HER HUSBAND 1321 00:46:31,855 --> 00:46:33,991 IN REMISSION FOR OPEN YAID USE 1322 00:46:34,057 --> 00:46:36,827 DISORDER, HAD SPINAL SURGERY 1323 00:46:36,894 --> 00:46:38,162 THEN SENT HOME. 1324 00:46:38,228 --> 00:46:40,797 THEY SENT HIM HOME IN A WEEK 1325 00:46:40,864 --> 00:46:43,100 WITH FOUR OXYCODONES AND MO TRIN 1326 00:46:43,167 --> 00:46:44,535 AND HE KEPT COMING BACK, WE KEPT 1327 00:46:44,601 --> 00:46:44,835 COMING BACK. 1328 00:46:44,902 --> 00:46:46,503 HE SAID I CAN'T TAKE THE PAIN. 1329 00:46:46,570 --> 00:46:48,805 THEY COULD HAVE GAVE HIM 1330 00:46:48,872 --> 00:46:50,340 VICODIN, THEY COULD HAVE GIVEN 1331 00:46:50,407 --> 00:46:51,975 HIM IG HE COULDN'T TAKE THE PAIN 1332 00:46:52,042 --> 00:46:53,076 SO WHAT DEWE DO? 1333 00:46:53,143 --> 00:46:54,511 HE WENT TO THE STREET AND IT 1334 00:46:54,578 --> 00:46:55,612 KILLED HIM INSTANTLY. 1335 00:46:55,679 --> 00:46:57,047 IT WASN'T LIKE HE WANTED TO GET 1336 00:46:57,114 --> 00:46:58,015 HIGH, HE JUST COULDN'T STAND THE 1337 00:46:58,081 --> 00:47:00,250 PAIN. 1338 00:47:00,317 --> 00:47:01,552 NEGATIVE STEREOTYPES AND 1339 00:47:01,618 --> 00:47:02,653 PREJUDICE WERE COMMON THROUGHOUT 1340 00:47:02,719 --> 00:47:03,987 THE HEALTHCARE SYSTEM. 1341 00:47:04,054 --> 00:47:05,856 PEOPLE WHO USE DRUGS WERE 1342 00:47:05,923 --> 00:47:07,057 DESCRIBED IN OFTEN NEGATIVE 1343 00:47:07,124 --> 00:47:07,491 WAYS. 1344 00:47:07,558 --> 00:47:08,825 A PROVIDER SAYS I CAN'T EVEN 1345 00:47:08,892 --> 00:47:10,027 REALLY IMAGINE HOW ANYBODY COULD 1346 00:47:10,093 --> 00:47:12,462 DO THAT TO THEMSELVES. 1347 00:47:12,529 --> 00:47:13,864 IT'S CLEARLY A TERRIBLE PRACTICE 1348 00:47:13,931 --> 00:47:15,832 SO DESTRUCTIVE AND DANGEROUS. 1349 00:47:15,899 --> 00:47:18,468 PEOPLE WHO INJECTED DRUGS WERE 1350 00:47:18,535 --> 00:47:19,903 VIEWED EVEN MORE NEGATIVELY. 1351 00:47:19,970 --> 00:47:21,104 PROVIDER SAYS THE WORD DIRTY 1352 00:47:21,171 --> 00:47:21,772 COMES TO MIND. 1353 00:47:21,838 --> 00:47:23,740 I DON'T KNOW IF THAT'S ME OR 1354 00:47:23,807 --> 00:47:24,841 EVERYBODY, I DON'T REALLY THINK 1355 00:47:24,908 --> 00:47:26,376 PEOPLE ARE DIRTY, BUT IT'S SORT 1356 00:47:26,443 --> 00:47:28,011 OF MORE LIKE THE JUNKIE HANGING 1357 00:47:28,078 --> 00:47:34,184 OUT ON SCID ROW. ON SKID ROW. 1358 00:47:34,251 --> 00:47:35,319 A PROVIDER SAYS PATIENTS ARE 1359 00:47:35,385 --> 00:47:36,853 WEAK, BROKEN, IT COMES FROM 1360 00:47:36,920 --> 00:47:38,589 SOMETHING ABOUT THEIR MORAL 1361 00:47:38,655 --> 00:47:40,023 FIBER OR CHARACTER THAT'S 1362 00:47:40,090 --> 00:47:40,691 PREDISPOSED THEM TO THIS 1363 00:47:40,757 --> 00:47:45,963 CONDITION. 1364 00:47:46,029 --> 00:47:48,365 DISCRIMINATORY ATTITUDES WERE 1365 00:47:48,432 --> 00:47:49,333 COMMON. 1366 00:47:49,399 --> 00:47:51,101 A PROVIDER SAID PEOPLE THAT USE 1367 00:47:51,168 --> 00:47:53,070 SUBSTANCES DON'T NECESSARILY 1368 00:47:53,136 --> 00:47:56,907 DESERVE THE TYPE OF CARE OTHER 1369 00:47:56,974 --> 00:47:57,708 PEOPLE SHOULD. 1370 00:47:57,774 --> 00:47:59,776 ANOTHER DESCRIBES PEOPLE WITH 1371 00:47:59,843 --> 00:48:01,845 OPIATE USE DISORDER AS BROKEN 1372 00:48:01,912 --> 00:48:02,980 PEOPLE, BROKEN BEYOND REPAIR, 1373 00:48:03,046 --> 00:48:03,847 AND THAT THEY'RE NOT GOING TO 1374 00:48:03,914 --> 00:48:06,049 GET BETTER. 1375 00:48:06,116 --> 00:48:07,184 ADDITIONALLY, PATIENTS DESCRIBE 1376 00:48:07,251 --> 00:48:08,619 BEING BLAMED FOR THEIR PAIN IF 1377 00:48:08,685 --> 00:48:10,020 IT WAS THE RESULT OF INJECTION 1378 00:48:10,087 --> 00:48:12,856 DRUG USE OR OTHER SUBSTANCE USE. 1379 00:48:12,923 --> 00:48:14,157 PROVIDERS OFTEN HAVE SEEN THE 1380 00:48:14,224 --> 00:48:15,726 WORST IF A PATIENT HAD A HISTORY 1381 00:48:15,792 --> 00:48:16,927 OF ADDICTION AND PATIENTS 1382 00:48:16,994 --> 00:48:18,328 DESCRIBED OFTEN BEING REMOVED 1383 00:48:18,395 --> 00:48:20,464 FROM PRACTICES, CUT OFF FROM 1384 00:48:20,530 --> 00:48:21,765 PRESCRIPTIONS AND FORCED TO 1385 00:48:21,832 --> 00:48:24,701 EXPERIENCE WITHDRAWAL. 1386 00:48:24,768 --> 00:48:26,336 THERE'S INTERSECTIONAL STIGMA SO 1387 00:48:26,403 --> 00:48:28,672 STIGMA BOTH FOR PATIENT WITH 1388 00:48:28,739 --> 00:48:31,508 PAIN AND STIGMA WITH OPIATE USE 1389 00:48:31,575 --> 00:48:32,509 DISORDER, THESE PATIENTS ARE 1390 00:48:32,576 --> 00:48:34,144 VIEWED AS DRUG SEEKING, BOTH 1391 00:48:34,211 --> 00:48:35,812 PATIENTS AND PROVIDERS ENDORSED 1392 00:48:35,879 --> 00:48:36,480 THIS. 1393 00:48:36,546 --> 00:48:39,216 PATIENTS DESCRIBED A HOST OF 1394 00:48:39,283 --> 00:48:41,652 EXPERIENCED STIGMA WITH POOR OR 1395 00:48:41,718 --> 00:48:42,619 SUBSTANDARD CARE THEY RELATED AS 1396 00:48:42,686 --> 00:48:44,054 BEING A RESULT OF THEIR 1397 00:48:44,121 --> 00:48:45,155 ADDICTION, LESS FREQUENT 1398 00:48:45,222 --> 00:48:46,256 CHECK-INS AND SUPPORTS FROM ALL 1399 00:48:46,323 --> 00:48:47,257 MEMBERS OF THE HEALTHCARE TEAM, 1400 00:48:47,324 --> 00:48:48,692 FROM ATTENDING PHYSICIANS, TO 1401 00:48:48,759 --> 00:48:52,863 BEDSIDE NURSES AND OFTEN POORLY 1402 00:48:52,929 --> 00:48:53,730 MANAGED PAIN. 1403 00:48:53,797 --> 00:48:55,165 THIS DESCRIBES AN EXPERIENCE 1404 00:48:55,232 --> 00:48:56,700 WHERE A PROVIDER WAS FIXING HER 1405 00:48:56,767 --> 00:48:59,336 FOOT AND SHE SAYS HE LITERALLY 1406 00:48:59,403 --> 00:49:01,104 CUT IN THE WRONG SMOT AND MADE A 1407 00:49:01,171 --> 00:49:02,873 COMMENT LIKE OH, WELL, YOU'LL 1408 00:49:02,939 --> 00:49:05,175 JUST NOD OUT SOON SO I CAN HIT 1409 00:49:05,242 --> 00:49:07,044 THE RIGHT SPOT. 1410 00:49:07,110 --> 00:49:12,282 STIGMA WAS INTERSECTIONAL WITH 1411 00:49:12,349 --> 00:49:14,918 BLACK -- WERE VIEWED MORE 1412 00:49:14,985 --> 00:49:15,485 NEGATIVELY. 1413 00:49:15,552 --> 00:49:16,553 "I DO THINK SOMETIMES 1414 00:49:16,620 --> 00:49:17,788 INDIVIDUALS THAT ARE NON-WHITE 1415 00:49:17,854 --> 00:49:19,289 BACKGROUND DO HAVE POTENTIAL 1416 00:49:19,356 --> 00:49:20,757 STIGMA FOR INCREASED DRUG 1417 00:49:20,824 --> 00:49:22,192 SEEKING BEHAVIORS." 1418 00:49:22,259 --> 00:49:23,727 ANOTHER SAYS, BLACK PEOPLE WERE 1419 00:49:23,794 --> 00:49:25,028 VIEWED AS BEING ESPECIALLY 1420 00:49:25,095 --> 00:49:26,263 DEMANDING IN THEIR PAIN NEEDS, 1421 00:49:26,330 --> 00:49:29,199 AND AT HIGH RISK OF WORSENING 1422 00:49:29,266 --> 00:49:30,300 THEIR OPIATE USE DISORDER. 1423 00:49:30,367 --> 00:49:31,635 A PATIENT WHO IDENTIFIED AS 1424 00:49:31,702 --> 00:49:33,637 BLACK SAYS, IN HIS EXPERIENCE, 1425 00:49:33,704 --> 00:49:35,906 BLACKS ARE SEEN AS DEPENDENT, 1426 00:49:35,972 --> 00:49:39,776 LAZY, GREEDY, AS HEARTIER STOCK 1427 00:49:39,843 --> 00:49:41,211 LIKE CATTLE AND ABLE TO ENDURE 1428 00:49:41,278 --> 00:49:42,713 MORE PAIN, OR SIMPLY THEY JUST 1429 00:49:42,779 --> 00:49:44,081 DON'T CARE AND WE HAVE TO ENDURE 1430 00:49:44,147 --> 00:49:45,282 MORE PAIN. 1431 00:49:45,349 --> 00:49:48,752 IT'S DISHEARTENING, HUMILIATING, 1432 00:49:48,819 --> 00:49:51,088 DEGRADING, SUBJUGATING. 1433 00:49:51,154 --> 00:49:52,456 PROVIDERS DESCRIBE A STRUGGLE 1434 00:49:52,522 --> 00:49:55,926 AND NEED FOR CLINICAL EQUIPOISE 1435 00:49:55,992 --> 00:49:57,994 AROUND MANAGING PAIN AND OPIATES 1436 00:49:58,061 --> 00:49:59,663 WHO OFTEN -- WITH OPIOIDS AND 1437 00:49:59,730 --> 00:50:01,298 PATIENT WHO ARE OFTEN HIGHLY 1438 00:50:01,365 --> 00:50:04,468 OPIATE-TOLL RAPT AND DEPENDENT 1439 00:50:04,534 --> 00:50:05,502 ON FENTANYL. 1440 00:50:05,569 --> 00:50:08,372 THEY RECOGNIZE THE HIGH OPIATE 1441 00:50:08,438 --> 00:50:10,974 NEEDS OR PATIENTS USING FENTANYL 1442 00:50:11,041 --> 00:50:14,945 AND NEED TO USE MORE POTENT HIGH 1443 00:50:15,011 --> 00:50:19,449 DOSE FOR PAIN CONTROL, YET FEAR 1444 00:50:19,516 --> 00:50:21,084 THE BALANCE OF GIVING OPIOIDS 1445 00:50:21,151 --> 00:50:22,753 FOR ACUTE PAIN, FEARS OF CAUSING 1446 00:50:22,819 --> 00:50:25,021 EEUPHORIA WITH USE OF HIGH DOSE 1447 00:50:25,088 --> 00:50:26,890 OPIOIDS AND THE PERCEIVED NEED 1448 00:50:26,957 --> 00:50:28,558 TO GIVE DOSES FAR ABOVE THEIR 1449 00:50:28,625 --> 00:50:29,259 COMFORT ZONE. 1450 00:50:29,326 --> 00:50:30,327 PARTICIPANTS IDENTIFIED SOME 1451 00:50:30,394 --> 00:50:31,428 STRATEGIES TO MITIGATE STIGMA 1452 00:50:31,495 --> 00:50:33,964 SUCH AS PRIORITIZING PATIENT 1453 00:50:34,030 --> 00:50:35,832 GOALS LIKE USING LESS SUBSTANCES 1454 00:50:35,899 --> 00:50:37,601 OVER PROVIDER PREFERENCES LIKE 1455 00:50:37,667 --> 00:50:39,936 TOTAL ABSTINENCE. 1456 00:50:40,003 --> 00:50:41,138 UTILIZING PATIENT-CENTERED 1457 00:50:41,204 --> 00:50:42,038 INTERVIEWING STRATEGIES TO 1458 00:50:42,105 --> 00:50:43,840 ESTABLISH RAPPORT AND FACILITATE 1459 00:50:43,907 --> 00:50:44,841 HONEST COMMUNICATION BETWEEN 1460 00:50:44,908 --> 00:50:47,043 PROVIDERS AND PATIENTS, 1461 00:50:47,110 --> 00:50:48,912 RECOGNIZING THE REAL IMPACT OF 1462 00:50:48,979 --> 00:50:50,447 TRAUMA AND MENTAL HEALTH AND 1463 00:50:50,514 --> 00:50:51,748 PEOPLE'S EXPERIENCE OF PAIN, AND 1464 00:50:51,815 --> 00:50:53,216 HOW THEY MIGHT ACT OR RESPOND IN 1465 00:50:53,283 --> 00:50:54,518 THE HEALTH SETTING. 1466 00:50:54,584 --> 00:50:55,952 AND ENCOURAGING PROVIDERS TO DO 1467 00:50:56,019 --> 00:50:57,053 THEIR OWN WORK REFLECTING ON 1468 00:50:57,120 --> 00:50:59,389 THEIR OWN BIASES TO REDUCE THE 1469 00:50:59,456 --> 00:51:01,491 LIKELY IMPACT OF THOSE BIASES IN 1470 00:51:01,558 --> 00:51:02,359 DRIVING CLINICAL 1471 00:51:02,426 --> 00:51:03,326 DECISION-MAKING. 1472 00:51:03,393 --> 00:51:04,961 USING ROLE MODELS OR CHAMPIONS 1473 00:51:05,028 --> 00:51:06,696 TO CHALLENGE NEGATIVE VIEWS OF 1474 00:51:06,763 --> 00:51:08,064 PATIENTS WITH OUD AND 1475 00:51:08,131 --> 00:51:09,599 DEMONSTRATE BEST PRACTICES. 1476 00:51:09,666 --> 00:51:11,568 FOR PAIN MANAGEMENT 1477 00:51:11,635 --> 00:51:12,602 SPECIFICALLY, PROVIDERS 1478 00:51:12,669 --> 00:51:14,104 RECOMMENDED USING HIGHER 1479 00:51:14,171 --> 00:51:16,640 QUANTITIES OF SHORT ACTING 1480 00:51:16,706 --> 00:51:18,608 OPIOIDS AND USING PROTOCOLS TO 1481 00:51:18,675 --> 00:51:21,812 HELP ADEQUATELY AND AGGRESSIVELY 1482 00:51:21,878 --> 00:51:24,648 MANAGE PAIN, DEMONSTRATING 1483 00:51:24,714 --> 00:51:26,183 PATIENTS THAT THEIR BELIEFS 1484 00:51:26,249 --> 00:51:29,619 ABOUT PAIN ARE BOTH HEARD AND 1485 00:51:29,686 --> 00:51:31,254 BELIEVED. 1486 00:51:31,321 --> 00:51:32,756 RECOGNIZING THAT BUPRENORPHINE 1487 00:51:32,823 --> 00:51:34,291 ALONE IS HELPFUL BUT NOT 1488 00:51:34,357 --> 00:51:34,624 SUFFICIENT. 1489 00:51:34,691 --> 00:51:36,860 THEY FOUND IT HELPFUL TO SET 1490 00:51:36,927 --> 00:51:39,496 CLEAR GOALS FOR ANALGESIA AND AT 1491 00:51:39,563 --> 00:51:40,497 DISCHARGE THAT NEEDED SUPPORT 1492 00:51:40,564 --> 00:51:43,233 AND TAPERING OR DE-ESCALATING 1493 00:51:43,300 --> 00:51:44,334 OPIOIDS, AND BOTH PATIENTS AND 1494 00:51:44,401 --> 00:51:45,435 PROVIDERS FOUND IT HELPFUL TO 1495 00:51:45,502 --> 00:51:46,570 WORK WITH SPECIALTY PAIN OR 1496 00:51:46,636 --> 00:51:47,437 ADDICTION MEDICINE TEAMS IN THE 1497 00:51:47,504 --> 00:51:50,173 HOSPITAL SETTING. 1498 00:51:50,240 --> 00:51:51,808 SO WHERE DO WE GO FROM HERE? 1499 00:51:51,875 --> 00:51:53,376 WE'RE PRESENTING THESE FINDINGS 1500 00:51:53,443 --> 00:51:54,344 TO PATIENTS WITH LIVED 1501 00:51:54,411 --> 00:51:56,780 EXPERIENCE AS PART OF THE 1502 00:51:56,847 --> 00:51:58,081 REMAINDER OF THE PROCESS AND 1503 00:51:58,148 --> 00:52:00,317 WE'LL USE THIS AS A JUMPING OFF 1504 00:52:00,383 --> 00:52:03,920 POINT TO CODESIGN TOGETHER 1505 00:52:03,987 --> 00:52:05,455 ULTIMATELY A MULTILEVEL STIGMA 1506 00:52:05,522 --> 00:52:06,690 INTERVENTION TO BE DEPLOYED IN 1507 00:52:06,756 --> 00:52:07,691 THE HOSPITAL SETTING. 1508 00:52:07,757 --> 00:52:09,226 AND A WAY THAT REALLY CENTERS 1509 00:52:09,292 --> 00:52:11,495 THE VOICES, PERSPECTIVES AND 1510 00:52:11,561 --> 00:52:13,296 DESIRES OF PEOPLE WITH LIVED 1511 00:52:13,363 --> 00:52:14,998 EXPERIENCE WITH AN EMPHASIS ON 1512 00:52:15,065 --> 00:52:17,334 SORT OF CENTERING EQUITY FOR 1513 00:52:17,400 --> 00:52:18,902 THOSE IMPACTED BY OVERLAPPING 1514 00:52:18,969 --> 00:52:21,304 AND COMPOUNDING SYSTEMS OF 1515 00:52:21,371 --> 00:52:22,405 DISADVANTAGE AND BIAS. 1516 00:52:22,472 --> 00:52:32,649 THANK YOU. 1517 00:52:34,251 --> 00:52:36,119 >> THANK YOU, DR. WILSON. 1518 00:52:36,186 --> 00:52:38,088 AND I'LL SAY THAT THESE 1519 00:52:38,154 --> 00:52:39,523 INVESTIGATORS ARE TRAILBLAZERS 1520 00:52:39,589 --> 00:52:41,157 NOT BECAUSE OF THE INNOVATIVE 1521 00:52:41,224 --> 00:52:42,392 RESEARCH THAT THEY'RE PRESENTING 1522 00:52:42,459 --> 00:52:44,160 HERE BUT ALSO BECAUSE THEY 1523 00:52:44,227 --> 00:52:45,462 COMPLETED THEIR PRESENTATIONS 1524 00:52:45,529 --> 00:52:46,229 WITH FIVE MINUTES TO SPARE. 1525 00:52:46,296 --> 00:52:50,100 SO I THINK WE HAVE TIME FOR A 1526 00:52:50,166 --> 00:52:51,201 QUESTION OR TWO, SO IF ANYBODY 1527 00:52:51,268 --> 00:52:52,936 IN THE AUDIENCE HAS A BURNING 1528 00:52:53,003 --> 00:52:53,603 QUESTION, PLEASE FEEL FREE TO 1529 00:52:53,670 --> 00:52:56,273 COME UP TO ONE OF THE MICS. 1530 00:52:56,339 --> 00:52:59,342 WE'VE GOT ONE HERE, GREAT. 1531 00:52:59,409 --> 00:53:00,410 >> MIC ON? 1532 00:53:00,477 --> 00:53:01,011 OKAY, GOOD. 1533 00:53:01,077 --> 00:53:01,945 THE INVESTIGATOR, I BELIEVE, 1534 00:53:02,012 --> 00:53:04,614 FROM THE UNIVERSITY OF 1535 00:53:04,681 --> 00:53:06,049 PENNSYLVANIA, YES, THANK YOU 1536 00:53:06,116 --> 00:53:08,018 VERY, VERY MUCH FOR PRESENTING 1537 00:53:08,084 --> 00:53:09,252 THAT INFORMATION, SPECIFICALLY 1538 00:53:09,319 --> 00:53:12,422 ON STIGMA. 1539 00:53:12,489 --> 00:53:13,757 ALLOW ME TO INTRODUCE MYSELF. 1540 00:53:13,823 --> 00:53:18,929 MY NAME IS RAY LEI, FORMERLY 1541 00:53:18,995 --> 00:53:21,865 HOMELESS, HON RAB BLI DISCHARGED 1542 00:53:21,932 --> 00:53:22,566 UNITED STATES MARINE LIVING WITH 1543 00:53:22,632 --> 00:53:26,269 A DUAL DIAGNOSIS. 1544 00:53:26,336 --> 00:53:28,805 OF SCHIZO EFFECTIVE DISORDER AND 1545 00:53:28,872 --> 00:53:30,106 POLYSUBSTANCE ABUSE ISSUES. 1546 00:53:30,173 --> 00:53:31,708 I AM A PERSON THAT HAD MY FIRST 1547 00:53:31,775 --> 00:53:32,943 TASTE OF HEROIN WHEN I WAS IN 1548 00:53:33,009 --> 00:53:34,411 HONG KONG. 1549 00:53:34,477 --> 00:53:36,613 AND I HAVE ACTUALLY HAD COCAINE 1550 00:53:36,680 --> 00:53:39,482 IN THE JUNGLES OF COLOMBIA. 1551 00:53:39,549 --> 00:53:41,685 MA'AM, WHEN YOU TALKED ABOUT 1552 00:53:41,751 --> 00:53:44,521 STIGMA, I WENT THROUGH A PROCESS 1553 00:53:44,588 --> 00:53:47,824 OF ALMOST 14 YEARS FOR SERVICE 1554 00:53:47,891 --> 00:53:48,925 CONNECTION FOR MY MENTAL HEALTH 1555 00:53:48,992 --> 00:53:53,296 AND SUBSTANCE USE ISSUES. 1556 00:53:53,363 --> 00:53:55,932 AND THE FINDINGS THAT YOU JUST 1557 00:53:55,999 --> 00:53:57,701 PRESENTED ARE, FOR LACK OF A 1558 00:53:57,767 --> 00:54:00,971 BETTER WAY TO PUT IT, TRUE. 1559 00:54:01,037 --> 00:54:03,173 BUT I HAVE TO STATE, I WOULD 1560 00:54:03,239 --> 00:54:07,577 LOVE TO BE PART OF YOUR STIGMA 1561 00:54:07,644 --> 00:54:08,378 REDUCTION PROGRAM. 1562 00:54:08,445 --> 00:54:10,747 I WAS -- I STATE THAT FOR THE 1563 00:54:10,814 --> 00:54:12,182 SIMPLE REASON, I SPENT OVER 10 1564 00:54:12,248 --> 00:54:13,850 YEARS HOMELESS. 1565 00:54:13,917 --> 00:54:15,819 I HAVE LIVED WITH SCHIZOPHRENIA 1566 00:54:15,885 --> 00:54:17,887 FOR OVER 60 YEARS. 1567 00:54:17,954 --> 00:54:19,422 OKAY? 1568 00:54:19,489 --> 00:54:22,092 AND TODAY, I AM A HOMEOWNER, I 1569 00:54:22,158 --> 00:54:26,262 AM A BUSINESS OWNER. 1570 00:54:26,329 --> 00:54:28,531 I'M ALMOST 17 YEARS CLEAN AND 1571 00:54:28,598 --> 00:54:30,333 SOBER. 1572 00:54:30,400 --> 00:54:33,536 OKAY? 1573 00:54:33,603 --> 00:54:35,872 I AM A MEMBER OF THE BOARD OF 1574 00:54:35,939 --> 00:54:37,340 DIRECTORS WITH THE NATIONAL 1575 00:54:37,407 --> 00:54:40,243 ALLIANCE ON MENTAL ILLNESS FOR 1576 00:54:40,310 --> 00:54:41,344 BOTH THE STATE OF INDIANA AND 1577 00:54:41,411 --> 00:54:42,612 THE NATION. 1578 00:54:42,679 --> 00:54:45,248 AND SO I BELIEVE IN BUSTING THAT 1579 00:54:45,315 --> 00:54:46,916 STIGMA TREMENDOUSLY. 1580 00:54:46,983 --> 00:54:52,756 I'M A PEER SUPPORT SPECIALIST, A 1581 00:54:52,822 --> 00:54:53,823 VETERANS' ADMINISTRATION PEER 1582 00:54:53,890 --> 00:54:55,291 SUPPORT SPECIALIST AND ALSO FOR 1583 00:54:55,358 --> 00:54:56,693 THE STATE OF INDIANA AND A 1584 00:54:56,760 --> 00:54:57,460 TRAINER OF SUCH. 1585 00:54:57,527 --> 00:54:58,762 AND SO I DO KNOW THAT WE HAVE 1586 00:54:58,828 --> 00:55:04,401 QUITE A FEW CREDENTIALED PERSONS 1587 00:55:04,467 --> 00:55:07,137 IN THIS AUDIENCE. 1588 00:55:07,203 --> 00:55:08,872 BUT I STILL -- I SAY AGAIN, I 1589 00:55:08,938 --> 00:55:12,709 WANT TO MAKE SURE THAT HOPEFULLY 1590 00:55:12,776 --> 00:55:14,377 WE CAN FIGURE OUT A WAY THAT I 1591 00:55:14,444 --> 00:55:17,113 CAN BE PART OF YOUR STIGMA 1592 00:55:17,180 --> 00:55:17,614 BUSTING CAMPAIGN. 1593 00:55:17,681 --> 00:55:18,682 >> THANK YOU SO MUCH. 1594 00:55:18,748 --> 00:55:21,885 THANK YOU FOR YOUR STORY, AND 1595 00:55:21,951 --> 00:55:22,752 YOUR SERVICE. 1596 00:55:22,819 --> 00:55:24,287 I MEAN, I WOULD LOVE TO CONNECT 1597 00:55:24,354 --> 00:55:26,189 WITH YOU AFTER. 1598 00:55:26,256 --> 00:55:30,427 I THINK WHAT YOU'RE -- HOW 1599 00:55:30,493 --> 00:55:31,995 THE -- LISTENING TO THESE QUOTES 1600 00:55:32,062 --> 00:55:33,063 SORT OF MAKE YOU FEEL IS 1601 00:55:33,129 --> 00:55:34,030 SOMETHING THAT IS REALLY COMMON 1602 00:55:34,097 --> 00:55:35,865 WHEN I SHARE THESE FINDINGS WITH 1603 00:55:35,932 --> 00:55:38,802 OTHER FOLKS LIVING WITH PAIN AND 1604 00:55:38,868 --> 00:55:39,736 OPIOID USE DISORDER. 1605 00:55:39,803 --> 00:55:40,804 I THINK OUR PATIENTS -- I'M A 1606 00:55:40,870 --> 00:55:41,971 PHYSICIAN AND MY PATIENTS 1607 00:55:42,038 --> 00:55:43,139 DESCRIBE THIS TO ME ALL THE 1608 00:55:43,206 --> 00:55:44,574 TIME, AND I THINK IT'S SOMETIMES 1609 00:55:44,641 --> 00:55:46,242 REALLY SHOCKING TO SEE KIND OF 1610 00:55:46,309 --> 00:55:50,814 BLOWN UP ON A SCREEN, BUT THIS S 1611 00:55:50,880 --> 00:55:51,748 IS WHAT PEOPLE ARE LIVING WITH 1612 00:55:51,815 --> 00:55:52,315 EVERY DAY. 1613 00:55:52,382 --> 00:55:53,850 STIGMA IS ALIVE AND REAL IN OUR 1614 00:55:53,917 --> 00:55:54,384 HEALTH SYSTEM. 1615 00:55:54,451 --> 00:55:55,752 I THINK WE NEED ALL PEOPLE TO 1616 00:55:55,819 --> 00:55:58,588 TAKE UP ADDRESSING STIGMA IN 1617 00:55:58,655 --> 00:55:59,589 WHATEVER KIND OF WORK THEY DO. 1618 00:55:59,656 --> 00:56:00,323 SO THANK YOU SO MUCH. 1619 00:56:00,390 --> 00:56:01,257 >> WITH PLEASURE. 1620 00:56:01,324 --> 00:56:03,993 AND I WOULD JUST LIKE TO ADD 1621 00:56:04,060 --> 00:56:06,062 THAT WHAT YOU JUST STATED RIGHT 1622 00:56:06,129 --> 00:56:08,098 THEN IS ALSO SO, SO, SO, SO 1623 00:56:08,164 --> 00:56:08,431 TRUE. 1624 00:56:08,498 --> 00:56:11,601 BUT I DO HAVE SOME OF MY 1625 00:56:11,668 --> 00:56:13,770 BUSINESS CARDS AND NAMI CARDS 1626 00:56:13,837 --> 00:56:15,672 WITH ME, AND I WILL BE GLAD TO 1627 00:56:15,739 --> 00:56:19,275 WALK DOWN AND GIVE YOU ONE. 1628 00:56:19,342 --> 00:56:22,245 >> THANK YOU SO MUCH. 1629 00:56:22,312 --> 00:56:23,780 I THINK WE'VE GOT TWO MINUTE 1630 00:56:23,847 --> 00:56:24,581 LEFT SO ONE MORE QUESTION. 1631 00:56:24,647 --> 00:56:25,882 WE'VE GOT SOMEONE AT THE MIC AND 1632 00:56:25,949 --> 00:56:27,083 THEN WE'LL TRANSITION. 1633 00:56:27,150 --> 00:56:31,421 >> MY QUESTION WAS FOR DR. HAWK. 1634 00:56:31,488 --> 00:56:35,024 I'M ALSO A LIVED EXPERIENCE 1635 00:56:35,091 --> 00:56:35,892 HEROIN ADDICT AND COCAINE. 1636 00:56:35,959 --> 00:56:37,794 I MEAN, HONESTLY, EVERYTHING. 1637 00:56:37,861 --> 00:56:39,062 THOSE WERE MY TWO FAVORITES, 1638 00:56:39,129 --> 00:56:42,065 THOUGH. 1639 00:56:42,132 --> 00:56:45,368 AND MY FIRST JOB AS A PEER 1640 00:56:45,435 --> 00:56:47,370 SUPPORT SPECIALIST WAS IN 1641 00:56:47,437 --> 00:56:50,006 ST. LOUIS WITH THE EPIC PROGRAM. 1642 00:56:50,073 --> 00:56:54,077 HAVE YOU HEARD OF THAT BEFORE? 1643 00:56:54,144 --> 00:56:55,779 >> IT DEPENDS ON WHICH ONE. 1644 00:56:55,845 --> 00:56:59,215 >> IT'S ENGAGING PATIENTS IN 1645 00:56:59,282 --> 00:57:00,550 CONTINUOUS CARE. 1646 00:57:00,617 --> 00:57:03,386 SO I WAS AN EPIC COACH FOR ABOUT 1647 00:57:03,453 --> 00:57:04,621 FIVE YEARS AND IT'S KIND OF 1648 00:57:04,687 --> 00:57:06,589 SIMILAR TO THAT, SO I WAS JUST 1649 00:57:06,656 --> 00:57:09,893 WONDERING IF YOU HAD GOTTEN ANY 1650 00:57:09,959 --> 00:57:11,261 INFORMATION OR BEEN ABLE TO USE 1651 00:57:11,327 --> 00:57:12,462 THEM AT ALL. 1652 00:57:12,529 --> 00:57:14,297 >> SO I DON'T KNOW ABOUT THAT 1653 00:57:14,364 --> 00:57:18,034 PARTICULAR PROGRAM, BUT MY 1654 00:57:18,101 --> 00:57:20,370 SLIDES DID NOT INCLUDE THE 1655 00:57:20,436 --> 00:57:22,005 SIMILAR QUOTES, BUT WE KNOW THAT 1656 00:57:22,071 --> 00:57:22,772 THE EMERGENCY DEPARTMENT HAS 1657 00:57:22,839 --> 00:57:25,074 BEEN A REALLY TRAUMATIC PLACE 1658 00:57:25,141 --> 00:57:26,442 FOR PEOPLE WHO USE DRUGS AND WE 1659 00:57:26,509 --> 00:57:28,611 ARE TRYING TO DO BETTER. 1660 00:57:28,678 --> 00:57:31,548 AND HONESTLY PEER NAVIGATORS, 1661 00:57:31,614 --> 00:57:33,383 PEER COACHES ARE A REALLY 1662 00:57:33,449 --> 00:57:34,918 IMPORTANT PART OF HELPING TO 1663 00:57:34,984 --> 00:57:35,285 CONNECT FOLKS. 1664 00:57:35,351 --> 00:57:36,886 >> WE WERE ABLE, LIKE, IF 1665 00:57:36,953 --> 00:57:40,089 SOMEBODY PRESENTED WITH A 1666 00:57:40,156 --> 00:57:41,391 WITHDRAWAL OR AN OVERDOSE AND 1667 00:57:41,457 --> 00:57:42,826 AGREED TO GET HELP, WE HAD AN 1668 00:57:42,892 --> 00:57:44,828 HOUR TO GET TO THE EMERGENCY 1669 00:57:44,894 --> 00:57:46,796 ROOM, AND WE COULD GET THEM IN 1670 00:57:46,863 --> 00:57:48,498 SAME DAY OR NEXT DAY TREATMENT 1671 00:57:48,565 --> 00:57:51,868 AND FOLLOW THEM FOR SIX MONTHS. 1672 00:57:51,935 --> 00:57:53,736 AND WE WORKED -- THE DOCTORS 1673 00:57:53,803 --> 00:57:56,973 WERE VERY OPEN TO IT. 1674 00:57:57,040 --> 00:57:58,675 >> ONE THING I WILL SAY ABOUT 1675 00:57:58,741 --> 00:57:59,475 NAVIGATOR PROGRAMS THAT GOES 1676 00:57:59,542 --> 00:58:01,077 BACK TO THE IDEA OF CULTURE IS 1677 00:58:01,144 --> 00:58:02,212 THAT WHEN YOU HAVE PEOPLE WITH 1678 00:58:02,278 --> 00:58:07,283 LIVED EXPERIENCE IN YOUR ED, IT 1679 00:58:07,350 --> 00:58:09,485 HELPS CLINICIANS LEARN, 1680 00:58:09,552 --> 00:58:11,688 UNDERSTAND A LITTLE BIT MORE 1681 00:58:11,754 --> 00:58:12,989 ABOUT HOW TRAUMATIC THESE 1682 00:58:13,056 --> 00:58:14,190 EXPERIENCES CAN BE FROM 1683 00:58:14,257 --> 00:58:15,225 PATIENTS, AND SO THERE'S LIKE A 1684 00:58:15,291 --> 00:58:17,360 LITTLE BIT OF SORT OF NAVIGATING 1685 00:58:17,427 --> 00:58:18,194 AND TEACHING THAT HAPPENS WITH 1686 00:58:18,261 --> 00:58:19,162 THAT. 1687 00:58:19,229 --> 00:58:20,196 SO THANK YOU FOR THE WORK THAT 1688 00:58:20,263 --> 00:58:21,965 YOU DO AND FOR ALL OF THE PEERS 1689 00:58:22,031 --> 00:58:25,335 AND NAVIGATORS THAT HELP OFFSET 1690 00:58:25,401 --> 00:58:27,670 WHAT IS VERY CLEARLY A BROKEN 1691 00:58:27,737 --> 00:58:29,439 HEALTHCARE SYSTEM TO TRY TO GET 1692 00:58:29,505 --> 00:58:29,973 PEOPLE WHAT THEY NEED. 1693 00:58:30,039 --> 00:58:31,574 >> I ALSO HAVE MY CARDS AND 1694 00:58:31,641 --> 00:58:33,409 WOULD LOVE TO HELP WITH 1695 00:58:33,476 --> 00:58:38,481 ANYTHING. 1696 00:58:38,548 --> 00:58:39,315 >> ALL RIGHT. 1697 00:58:39,382 --> 00:58:40,416 JOIN ME AGAIN IN THANKING ONE 1698 00:58:40,483 --> 00:58:42,352 MORE TIME THE TRAILBLAZER 1699 00:58:42,418 --> 00:58:43,419 AWARDEES, AND I'M SO GLAD THAT 1700 00:58:43,486 --> 00:58:44,220 WE HAD TIME FOR THAT 1701 00:58:44,287 --> 00:58:47,590 CONVERSATION. 1702 00:58:47,657 --> 00:58:49,158 SO NEXT WE HAVE A PANEL FROM 1703 00:58:49,225 --> 00:58:51,227 HEAL CONNECTIONS. 1704 00:58:51,294 --> 00:58:52,695 AS A REMINDER, THIS IS AN EFFORT 1705 00:58:52,762 --> 00:58:54,597 THAT'S FUNDED BY THE NIH HEAL 1706 00:58:54,664 --> 00:58:56,432 INITIATIVE TO TRANSLATE HEAL 1707 00:58:56,499 --> 00:58:58,334 RESEARCH INTO ACTION. 1708 00:58:58,401 --> 00:59:00,270 AND THE PANEL IS GOING TO BE LED 1709 00:59:00,336 --> 00:59:03,072 BY JESSICA HULSEY, THE CEO AND 1710 00:59:03,139 --> 00:59:04,807 FOUNDER OF THE ADDICTION POLICY 1711 00:59:04,874 --> 00:59:05,341 FORUM. 1712 00:59:05,408 --> 00:59:07,911 SO I WANT TO WELCOME JESS AND 1713 00:59:07,977 --> 00:59:11,748 THE PANELISTS UP ON THE STAGE. 1714 00:59:11,814 --> 00:59:22,125 THANK YOU SO MUCH. 1715 00:59:53,022 --> 00:59:53,456 >> ON? 1716 00:59:53,523 --> 00:59:54,958 GOOD TO GO. 1717 00:59:55,024 --> 00:59:56,926 ALL RIGHT. 1718 00:59:56,993 --> 00:59:58,528 SO GREAT TO BE ABLE TO SHARE 1719 00:59:58,594 --> 00:59:59,729 SOME OF THE WORK OF HEAL 1720 00:59:59,796 --> 01:00:01,931 CONNECTIONS WITH ALL OF THE 1721 01:00:01,998 --> 01:00:02,565 TODAY. 1722 01:00:02,632 --> 01:00:05,468 MY NAME IS JESSICA HULSEY WITH 1723 01:00:05,535 --> 01:00:07,670 THE ADDICTION POLICY FORUM AND 1724 01:00:07,737 --> 01:00:09,205 WE'RE REALLY EB SITED TO JOIN 1725 01:00:09,272 --> 01:00:11,074 WITH OUR PARTNERS AT GEORGE 1726 01:00:11,140 --> 01:00:12,008 MASON UNIVERSITY, DUKE 1727 01:00:12,075 --> 01:00:13,743 UNIVERSITY, CHESTNUT HEALTH 1728 01:00:13,810 --> 01:00:15,044 SYSTEMS AND SO MANY OTHERS TO 1729 01:00:15,111 --> 01:00:16,980 REALLY BRING THIS WORK TOGETHER 1730 01:00:17,046 --> 01:00:17,747 ON HEAL CONNECTIONS. 1731 01:00:17,814 --> 01:00:19,282 A LITTLE BIT, AND I'M REALLY 1732 01:00:19,349 --> 01:00:20,550 EXCITED WE HAVE SOME OF OUR KEY 1733 01:00:20,616 --> 01:00:21,417 PARTNERS THAT I COULD HAND THIS 1734 01:00:21,484 --> 01:00:24,120 OVER TO TODAY, HEAL CONNECTIONS 1735 01:00:24,187 --> 01:00:25,688 IS REALLY HERE TO SERVE ALL OF 1736 01:00:25,755 --> 01:00:26,189 YOU. 1737 01:00:26,255 --> 01:00:29,993 TO DO A BETTER JOB OF 1738 01:00:30,059 --> 01:00:32,495 MEANINGFULLY SHARE YOUR STUDY 1739 01:00:32,562 --> 01:00:33,830 FINDINGS AND YOUR WORK WITH THE 1740 01:00:33,896 --> 01:00:35,431 BROADER COMMUNITY. 1741 01:00:35,498 --> 01:00:36,099 HOW CAN WE 1742 01:00:36,165 --> 01:00:38,167 MAKE SURE NEW SCIENCE, NEW 1743 01:00:38,234 --> 01:00:39,235 INTERVENTIONS, NEW INNOVATIONS 1744 01:00:39,302 --> 01:00:40,837 GET INTO THE HANDS OF THOSE WHO 1745 01:00:40,903 --> 01:00:43,139 NEED IT THE MOST, WHO NEED -- 1746 01:00:43,206 --> 01:00:45,875 ARE WAITING FOR MORE DIRECTION 1747 01:00:45,942 --> 01:00:48,111 AND MORE GOOD NEWS, AND THERE'S 1748 01:00:48,177 --> 01:00:50,179 SO MUCH THAT'S EXCITING UNDERWAY 1749 01:00:50,246 --> 01:00:51,547 FROM HEAL, IT'S REALLY EXCITING 1750 01:00:51,614 --> 01:00:52,849 WORK THAT WE GET TO TAKE PART 1751 01:00:52,915 --> 01:00:53,883 IN. 1752 01:00:53,950 --> 01:00:55,752 A LITTLE BIT MORE ABOUT HEAL 1753 01:00:55,818 --> 01:00:57,053 CONNECTIONS AND THE WORK. 1754 01:00:57,120 --> 01:01:00,356 AND WE HAVE LOTS OF THE TEAM 1755 01:01:00,423 --> 01:01:01,491 HERE THAT WORK ON HEAL 1756 01:01:01,557 --> 01:01:02,392 CONNECTIONS FROM ALL THESE 1757 01:01:02,458 --> 01:01:03,259 DIFFERENT INSTITUTIONS, SO IF 1758 01:01:03,326 --> 01:01:04,227 YOU COULD RAISE YOUR HAND AND 1759 01:01:04,293 --> 01:01:05,828 SAY HELLO TO EVERYONE. 1760 01:01:05,895 --> 01:01:07,897 IF YOU HAVE PAPERS COMING OUT 1761 01:01:07,964 --> 01:01:10,867 SOON, PLEASE CHAT WITH US RIGHT 1762 01:01:10,933 --> 01:01:14,404 BEFORE YOU HEAD OUT. 1763 01:01:14,470 --> 01:01:15,071 WE HAVE TWO MAIN GOALS THAT 1764 01:01:15,138 --> 01:01:17,273 WE'RE WORKING ON. 1765 01:01:17,340 --> 01:01:19,909 WE CREATE BIDIRECTIONAL 1766 01:01:19,976 --> 01:01:20,610 COMMUNICATION WITH THE LARGER 1767 01:01:20,676 --> 01:01:22,578 COMMUNITY, SO THIS ISN'T JUST US 1768 01:01:22,645 --> 01:01:23,780 SHARING WITH THE LARGER 1769 01:01:23,846 --> 01:01:24,547 COMMUNITY WHAT YOU'RE WORKING 1770 01:01:24,614 --> 01:01:26,349 ON, BUT THIS IS ALSO US 1771 01:01:26,416 --> 01:01:29,752 PROVIDING NIDA, NIH, NINDS 1772 01:01:29,819 --> 01:01:31,287 LEADERSHIP AND OTHERS WITH 1773 01:01:31,354 --> 01:01:32,655 UPDATES ON WHAT'S HAPPENING ON 1774 01:01:32,722 --> 01:01:34,524 THE GROUND, SO CREATING THESE 1775 01:01:34,590 --> 01:01:35,925 FEEDBACK LOOPS SO WE GET 1776 01:01:35,992 --> 01:01:37,460 INFORMATION DIRECTLY FROM OUR 1777 01:01:37,527 --> 01:01:39,162 COMMUNITIES ON A REGULAR BASIS. 1778 01:01:39,228 --> 01:01:41,464 THIS ALSO MEANS WE FOCUS ON 1779 01:01:41,531 --> 01:01:42,999 RAPID MEANINGFUL TRANSLATION OF 1780 01:01:43,066 --> 01:01:43,466 SCIENCE. 1781 01:01:43,533 --> 01:01:45,701 AND WHAT DO WE MEAN BY THAT? 1782 01:01:45,768 --> 01:01:47,770 MAKING SURE THAT WE GET 1783 01:01:47,837 --> 01:01:50,406 TRANSLATION OF CONTENT CORRECT, 1784 01:01:50,473 --> 01:01:52,208 DIFFERENT FIELDS AND AUDIENCES 1785 01:01:52,275 --> 01:01:54,043 HAVE DIFFERENT LEARNING 1786 01:01:54,110 --> 01:01:55,044 PREFERENCES AND FORMATS, SO WE 1787 01:01:55,111 --> 01:01:57,847 MAKE SURE WE GET THAT RIGHT AS 1788 01:01:57,914 --> 01:01:59,048 WE SEND YOUR RESEARCH AND YOUR 1789 01:01:59,115 --> 01:02:00,483 DATA OUT TO THE WORLD. 1790 01:02:00,550 --> 01:02:01,684 WE FOCUS ON KNOWLEDGE 1791 01:02:01,751 --> 01:02:02,819 TRANSLATION, WE DO 1792 01:02:02,885 --> 01:02:04,687 DISSEMINATION, WE HELP WITH 1793 01:02:04,754 --> 01:02:05,088 IMPLEMENTATION. 1794 01:02:05,154 --> 01:02:06,222 ALL OF THESE ACTIVITIES ARE 1795 01:02:06,289 --> 01:02:09,459 ROLLED UP INTO HEAL CONNECTIONS. 1796 01:02:09,525 --> 01:02:11,527 THE ULTIMATE GOAL IS TO HELP 1797 01:02:11,594 --> 01:02:13,162 BRIDGE THIS SCIENCE TO PRACTICE 1798 01:02:13,229 --> 01:02:14,530 GAP. 1799 01:02:14,597 --> 01:02:15,865 IN ORDER TO DO THAT, WE NEED TO 1800 01:02:15,932 --> 01:02:17,834 MAKE SURE WE GO BEYOND SHARING 1801 01:02:17,900 --> 01:02:20,136 WITH OTHER RESEARCHERS AND 1802 01:02:20,203 --> 01:02:21,337 SCIENTISTS, BUT PATIENTS, 1803 01:02:21,404 --> 01:02:22,271 INDIVIDUALS WITH LIVED 1804 01:02:22,338 --> 01:02:24,240 EXPERIENCE, PRACTITIONERS, 1805 01:02:24,307 --> 01:02:25,875 STAKEHOLDERS, COMMUNITY-BASED 1806 01:02:25,942 --> 01:02:26,809 ORGANIZATIONS, ADVOCATES. 1807 01:02:26,876 --> 01:02:27,810 THE LIST GOES ON. 1808 01:02:27,877 --> 01:02:31,247 HOW DO WE BETTER ENGAGE THEM? 1809 01:02:31,314 --> 01:02:35,151 IN TERMS OF MEANINGFUL 1810 01:02:35,218 --> 01:02:36,552 ENGAGEMENTS, YOU HAVE A SAMPLING 1811 01:02:36,619 --> 01:02:38,955 TODAY OF SOME OF OUR AMAZING 1812 01:02:39,021 --> 01:02:40,389 ORGANIZATIONS THAT I REALLY 1813 01:02:40,456 --> 01:02:43,292 DESCRIBE AS "THE DISSEMINATION 1814 01:02:43,359 --> 01:02:44,727 MACHINE" THAT WE'RE CREATING. 1815 01:02:44,794 --> 01:02:46,329 WE HAVE MAPPED 30 INITIAL 1816 01:02:46,395 --> 01:02:47,463 PRIORITY AUDIENCES TO MAKE SURE 1817 01:02:47,530 --> 01:02:49,398 THAT WE ENGAGE ON A MONTHLY 1818 01:02:49,465 --> 01:02:51,467 BASIS TO GET ANY NEW KNOWLEDGE 1819 01:02:51,534 --> 01:02:53,636 OUT TO THIS COMMUNITY. 1820 01:02:53,703 --> 01:02:55,805 SO YOU CAN SEE THIS RANGES FROM 1821 01:02:55,872 --> 01:02:57,306 HEALTH, HEALTHCARE PROVIDERS, 1822 01:02:57,373 --> 01:02:58,875 POLICY MAKERS ACROSS THE 1823 01:02:58,941 --> 01:03:01,777 FEDERAL, STATE, CITY AND COUNTY 1824 01:03:01,844 --> 01:03:03,212 LEVELS. 1825 01:03:03,279 --> 01:03:04,714 PATIENTS, THOSE WITH LIVED 1826 01:03:04,780 --> 01:03:05,915 EXPERIENCE, INCLUDING 1827 01:03:05,982 --> 01:03:07,750 PRIORITIZING PRIORITY 1828 01:03:07,817 --> 01:03:08,417 POPULATIONS, THAT'S ACTUALLY 1829 01:03:08,484 --> 01:03:09,719 WHAT WE PREFER TO BE CALLED, SO 1830 01:03:09,785 --> 01:03:12,455 WE ASK AND WE'VE SORT OF EVEN 1831 01:03:12,522 --> 01:03:13,923 NAMED OUR COMMITTEES BASED ON 1832 01:03:13,990 --> 01:03:17,527 FEEDBACK FROM THE FIELD. 1833 01:03:17,593 --> 01:03:19,829 COMMUNITY SERVICES AND EVEN 1834 01:03:19,896 --> 01:03:20,930 CRIMINAL JUSTICE ASSOCIATIONS. 1835 01:03:20,997 --> 01:03:23,599 HERE INSTEAD OF REINVENTING THE 1836 01:03:23,666 --> 01:03:25,701 WHEEL, WE RELY ON THE MEMBERSHIP 1837 01:03:25,768 --> 01:03:26,335 AND NATIONAL ASSOCIATIONS THAT 1838 01:03:26,402 --> 01:03:27,403 ACTUALLY HAVE THOSE MEMBERS WE 1839 01:03:27,470 --> 01:03:28,704 WANT TO ENGAGE. 1840 01:03:28,771 --> 01:03:30,673 THESE ARE LARGE ORGANIZATIONS 1841 01:03:30,740 --> 01:03:32,308 ACROSS LIVED EXPERIENCE, HEALTH, 1842 01:03:32,375 --> 01:03:33,809 COMMUNITY SERVICES, AND 1843 01:03:33,876 --> 01:03:35,211 GOVERNMENT THAT ARE PART OF THE 1844 01:03:35,278 --> 01:03:38,848 HEAL CONNECTIONS MECHANISM. 1845 01:03:38,915 --> 01:03:40,049 A COUPLE KEY COMPONENTS THAT WE 1846 01:03:40,116 --> 01:03:41,851 HAVE, AND THEN I CAN SHARE A 1847 01:03:41,918 --> 01:03:43,186 LITTLE BIT OF OUR SUCCESSES AND 1848 01:03:43,252 --> 01:03:45,021 THE FUN WE'VE HAD IN THE FIRST 1849 01:03:45,087 --> 01:03:45,488 YEAR. 1850 01:03:45,555 --> 01:03:47,957 WE HAVE A PATIENT AND 1851 01:03:48,024 --> 01:03:49,725 STAKEHOLDER DISSEMINATION 1852 01:03:49,792 --> 01:03:51,460 NETWORK ALONG WITH OUR NATIONAL 1853 01:03:51,527 --> 01:03:52,962 ASSOCIATION PARTNERS, YOU'RE 1854 01:03:53,029 --> 01:03:54,697 GOING TO MEET SOME TODAY. 1855 01:03:54,764 --> 01:03:55,898 THAT'S OVER 140 ORGANIZATIONS 1856 01:03:55,965 --> 01:03:56,999 THAT ARE PART OF HEAL 1857 01:03:57,066 --> 01:03:58,267 CONNECTIONS. 1858 01:03:58,334 --> 01:03:59,669 THEY MAY NOT BE INTERESTED IN 1859 01:03:59,735 --> 01:04:01,437 EVERY SINGLE STUDY THAT COMES 1860 01:04:01,504 --> 01:04:03,005 OUT, BUT YOU WOULD BE SURPRISED 1861 01:04:03,072 --> 01:04:04,040 ON THE INTEREST AND ENGAGEMENT 1862 01:04:04,106 --> 01:04:06,242 THAT WE GET FROM THESE 140 1863 01:04:06,309 --> 01:04:06,642 GROUPS. 1864 01:04:06,709 --> 01:04:10,780 WE ALSO HAVE VERY IMPORTANTLY 11 1865 01:04:10,846 --> 01:04:13,282 LIVED EXPERIENCE PANELS MADE UP 1866 01:04:13,349 --> 01:04:14,750 OF OVER 55 INDIVIDUALS WITH 1867 01:04:14,817 --> 01:04:16,219 LIVED AND LIVING EXPERIENCE WITH 1868 01:04:16,285 --> 01:04:21,290 SUBSTANCE USE DISORDER AND PAPEN 1869 01:04:21,357 --> 01:04:22,925 WHO MAKE SURE WE ARE TRANSLATING 1870 01:04:22,992 --> 01:04:23,926 AND COMMUNICATING EFFECTIVELY 1871 01:04:23,993 --> 01:04:24,927 FOR OUR LIVED EXPERIENCE 1872 01:04:24,994 --> 01:04:25,194 COMMUNITY. 1873 01:04:25,261 --> 01:04:27,063 THANK YOU. 1874 01:04:27,129 --> 01:04:28,798 WE HAVE SOME OF OUR PANEL 1875 01:04:28,864 --> 01:04:30,666 MEMBERS IN THE ROOM TODAY. 1876 01:04:30,733 --> 01:04:33,936 AND HAVING YOU TAKE PART IN THIS 1877 01:04:34,003 --> 01:04:34,770 SCIENTIFIC MEETING AND MEETING 1878 01:04:34,837 --> 01:04:36,973 ALL THESE RESEARCHERS AND 1879 01:04:37,039 --> 01:04:37,707 INVESTIGATORS, IT'S SUCH AN 1880 01:04:37,773 --> 01:04:38,808 IMPORTANT MOMENT TO MAKE SURE 1881 01:04:38,874 --> 01:04:41,277 THAT WE ARE ENGAGING, THAT WE'RE 1882 01:04:41,344 --> 01:04:42,878 COMMUNICATING EFFECTIVELY TO ALL 1883 01:04:42,945 --> 01:04:45,014 WHO ARE IMPACTED BY HEAL 1884 01:04:45,081 --> 01:04:46,249 RESEARCH, AND WE'RE SO GLAD THAT 1885 01:04:46,315 --> 01:04:48,017 YOU'RE HERE WITH US. 1886 01:04:48,084 --> 01:04:49,652 THE OTHER PIECE THAT WE HAVE IS 1887 01:04:49,719 --> 01:04:51,287 RAPID FEEDBACK TEAMS. 1888 01:04:51,354 --> 01:04:53,356 WE HAVE SET UP THESE TEAMS THAT 1889 01:04:53,422 --> 01:04:55,324 PROVIDE SAME-DAY INPUT ON OUR 1890 01:04:55,391 --> 01:04:56,859 CONTENT THAT WE DEVELOP. 1891 01:04:56,926 --> 01:04:59,495 IF YOU WANT A PARTICULAR PIECE 1892 01:04:59,562 --> 01:05:01,397 OF INFORMATION TO GO OUT TO 1893 01:05:01,464 --> 01:05:04,900 EMERGENCY DEPARTMENTS, THEN WE 1894 01:05:04,967 --> 01:05:06,335 CAN MAKE SURE THAT THE AUDIENCE 1895 01:05:06,402 --> 01:05:07,403 MIGHT INCLUDE THOSE PHYSICIANS 1896 01:05:07,470 --> 01:05:09,138 AND NURSES BUT IT COULD INCLUDE 1897 01:05:09,205 --> 01:05:10,973 PEERS, PEER RECOVERY SUPPORT, IT 1898 01:05:11,040 --> 01:05:12,308 CAN INCLUDE PATIENTS THEMSELVES, 1899 01:05:12,375 --> 01:05:15,311 AND WE CAN PROVIDE SAME-DAY OR 1900 01:05:15,378 --> 01:05:16,512 VERY QUICK TURNAROUND TO MAKE 1901 01:05:16,579 --> 01:05:19,048 SURE WE GET THOSE PRODUCTS 1902 01:05:19,115 --> 01:05:20,783 CORRECT. 1903 01:05:20,850 --> 01:05:22,718 SO WHAT HAVE WE BEEN DOING 1904 01:05:22,785 --> 01:05:23,152 RECENTLY? 1905 01:05:23,219 --> 01:05:24,553 JUST A COUPLE EXAMPLES OF OUR 1906 01:05:24,620 --> 01:05:26,889 WORK. 1907 01:05:26,956 --> 01:05:28,157 THREE REALLY FUN PROJECTS. 1908 01:05:28,224 --> 01:05:30,126 ONE TRANSLATING AND 1909 01:05:30,192 --> 01:05:32,428 DISSEMINATING EAT, SLEEP, 1910 01:05:32,495 --> 01:05:32,962 CONSOLE. 1911 01:05:33,029 --> 01:05:36,198 PUSHING OUT THE PAIN AND NEURAL 1912 01:05:36,265 --> 01:05:37,166 BIOMARKERS PAPER AND STUDY OUT 1913 01:05:37,233 --> 01:05:38,734 OF THE BRAIN INITIATIVE. 1914 01:05:38,801 --> 01:05:41,971 AND SHARING THE OPIOID-OVERDOSE 1915 01:05:42,038 --> 01:05:44,006 REDUCTION CONTINUUM OF CARE 1916 01:05:44,073 --> 01:05:46,208 APPROACH, OORCCA, OUT OF THE 1917 01:05:46,275 --> 01:05:46,776 CASE STUDY. 1918 01:05:46,842 --> 01:05:48,477 SO THESE ARE THREE CASE STUDIES 1919 01:05:48,544 --> 01:05:49,779 WE'VE HAD IN THE FIRST YEAR OF 1920 01:05:49,845 --> 01:05:50,980 OPERATING THIS CENTER. 1921 01:05:51,047 --> 01:05:53,683 SO WHAT WAS SORT OF INVOLVED IN 1922 01:05:53,749 --> 01:05:54,550 THIS TRANSLATION PIECE? 1923 01:05:54,617 --> 01:05:59,455 SO I LOVE ALL Y'ALL, BUT NOT 1924 01:05:59,522 --> 01:06:00,890 MOST OF THE COMMUNITY READS 1925 01:06:00,956 --> 01:06:02,191 THOSE BIG PAPERS YOU ALL 1926 01:06:02,258 --> 01:06:02,425 PUBLISH. 1927 01:06:02,491 --> 01:06:03,926 IT IS SUCH GREAT SCIENCE AND 1928 01:06:03,993 --> 01:06:05,027 WORK, HOWEVER, WE HAVE LEARNED 1929 01:06:05,094 --> 01:06:07,163 FROM DOING INTERVIEWS WITH OUR 1930 01:06:07,229 --> 01:06:10,666 KEY AUDIENCES THAT NOT -- 1931 01:06:10,733 --> 01:06:13,069 THERE'S A HIGH NEED FOR 1932 01:06:13,135 --> 01:06:14,270 TRANSLATING INTO FORMATS THAT 1933 01:06:14,337 --> 01:06:16,639 MAKE SENSE TO THOSE ON THE 1934 01:06:16,706 --> 01:06:18,407 GROUND. 1935 01:06:18,474 --> 01:06:19,942 THOSE INCLUDE BLOG POSTS, 1936 01:06:20,009 --> 01:06:22,078 ONE-PAGE SUMMARIES, NEWSLETTER 1937 01:06:22,144 --> 01:06:23,512 ARTICLES, INFO GRAPHICS, SOCIAL 1938 01:06:23,579 --> 01:06:25,815 MEDIA GRAPHICS, KEY TAKEAWAYS 1939 01:06:25,881 --> 01:06:27,249 EMAILS, INSTEAD OF ASSUMING THAT 1940 01:06:27,316 --> 01:06:28,718 WE KNOW HOW YOU WANT YOUR 1941 01:06:28,784 --> 01:06:30,019 INFORMATION, WE ASK OUR GROUPS 1942 01:06:30,086 --> 01:06:31,987 AND THEN WE TAKE ORDERS AND PUSH 1943 01:06:32,054 --> 01:06:33,589 OUT THE CONTENT THAT WORKS BEST 1944 01:06:33,656 --> 01:06:34,156 FOR THEM. 1945 01:06:34,223 --> 01:06:36,192 SO HERE'S AN EXAMPLE WE HAD OVER 1946 01:06:36,258 --> 01:06:37,526 15 DIFFERENT PRODUCTS THAT WE 1947 01:06:37,593 --> 01:06:39,362 PUSHED OUT ON EAT SLEEP CONSOLE. 1948 01:06:39,428 --> 01:06:41,997 SIMILAR TO BOTH OORCA AND THE 1949 01:06:42,064 --> 01:06:43,432 BRAIN STUDY. 1950 01:06:43,499 --> 01:06:44,467 THE RESULTS FOR THAT, WE TRACK 1951 01:06:44,533 --> 01:06:46,669 OUR METRICS ON A MONTHLY BASIS. 1952 01:06:46,736 --> 01:06:49,271 WE'VE HAD OVER 9,000 ENGAGEMENTS 1953 01:06:49,338 --> 01:06:50,873 WITH THE EAT SLEEP CONSOLE 1954 01:06:50,940 --> 01:06:52,541 CONTENT THAT WE MADE FOR 1955 01:06:52,608 --> 01:06:52,975 STAKEHOLDERS. 1956 01:06:53,042 --> 01:06:54,944 WE'VE HAD OVER 5,000 ENGAGEMENTS 1957 01:06:55,010 --> 01:06:56,645 WITH THE BRAIN INITIATIVE STUDY, 1958 01:06:56,712 --> 01:06:58,848 AND WE'VE HAD OVER 19,000 1959 01:06:58,914 --> 01:07:00,816 ENGAGEMENTS WITH THE OORCA 1960 01:07:00,883 --> 01:07:01,484 FRAMEWORK. 1961 01:07:01,550 --> 01:07:03,519 THAT'S JUST SINCE DECEMBER. 1962 01:07:03,586 --> 01:07:04,854 SO THAT SHOWS THAT WE'RE 1963 01:07:04,920 --> 01:07:07,156 BUILDING AND GROWING THIS 1964 01:07:07,223 --> 01:07:09,325 MECHANISM FOR YOU ALL THAT CAN 1965 01:07:09,392 --> 01:07:11,727 PUSH YOUR WORK, YOUR HARD WORK 1966 01:07:11,794 --> 01:07:16,632 OUT AND FIND MORE STAKEHOLDERS 1967 01:07:16,699 --> 01:07:17,633 AND PATIENT GROUPS AND COMMUNITY 1968 01:07:17,700 --> 01:07:18,601 ORGANIZATIONS THAT NEED TO HAVE 1969 01:07:18,667 --> 01:07:21,170 ACCESS TO THAT INFORMATION. 1970 01:07:21,237 --> 01:07:24,240 SO INSTEAD OF TELLING YOU MORE 1971 01:07:24,306 --> 01:07:26,275 ABOUT HOW WE PULLED OFF THE 1972 01:07:26,342 --> 01:07:27,476 NEARLY 40,000 ENGAGEMENTS, YOU 1973 01:07:27,543 --> 01:07:29,111 TALK A LOT ABOUT THE IMPACT 1974 01:07:29,178 --> 01:07:30,546 SCORES FOR THE JOURNALS, BUT IF 1975 01:07:30,613 --> 01:07:33,349 YOU THINK ABOUT WHAT IS THE 1976 01:07:33,416 --> 01:07:34,784 COMMUNITY OR STAKEHOLDER IMPACT 1977 01:07:34,850 --> 01:07:35,317 SCORE? 1978 01:07:35,384 --> 01:07:37,953 HOW FAR DID YOU PENETRATE THE 1979 01:07:38,020 --> 01:07:40,923 STAKEHOLDER AND LIVED EXPERIENCE 1980 01:07:40,990 --> 01:07:42,625 FIELDS AND AUDIENCES WITH YOUR 1981 01:07:42,691 --> 01:07:42,925 STUDY? 1982 01:07:42,992 --> 01:07:44,160 AND THAT'S WHERE WE CAN COME IN 1983 01:07:44,226 --> 01:07:46,629 AND HELP YOU SORT OF BRIDGE THAT 1984 01:07:46,695 --> 01:07:46,796 GAP. 1985 01:07:46,862 --> 01:07:50,266 SO I'M REALLY EXCITED TO 1986 01:07:50,332 --> 01:07:51,700 INTRODUCE FIVE OF OUR NATIONAL 1987 01:07:51,767 --> 01:07:54,537 ASSOCIATIONS THAT I DESCRIBE AS 1988 01:07:54,603 --> 01:07:56,238 THAT DISSEMINATION MACHINE. 1989 01:07:56,305 --> 01:07:58,441 WE HAVE DENISE BERTIN-EPP, WHO'S 1990 01:07:58,507 --> 01:08:00,042 PRESIDENT AND CEO OF THE 1991 01:08:00,109 --> 01:08:00,543 NATIONAL ASSOCIATION FOR 1992 01:08:00,609 --> 01:08:01,377 CHILDREN OF ADDICTION. 1993 01:08:01,444 --> 01:08:03,212 WE HAVE KATE NICHOLSON, FOUNDER 1994 01:08:03,279 --> 01:08:05,281 AND EXECUTIVE DIRECTOR OF THE 1995 01:08:05,347 --> 01:08:06,849 NATIONAL PAIN ADVOCACY CENTER. 1996 01:08:06,916 --> 01:08:08,984 WE HAVE MICHAEL LITTERER, VICE 1997 01:08:09,051 --> 01:08:12,254 PRESIDENT OF THE RWJ BARN BASS 1998 01:08:12,321 --> 01:08:13,155 HEALTH INSTITUTE FOR PREVENTION 1999 01:08:13,222 --> 01:08:13,823 AND RECOVERY. 2000 01:08:13,889 --> 01:08:16,859 WE HAVE SARAH WURZBURG, DEPUTY 2001 01:08:16,926 --> 01:08:18,994 DIVISION DIRECTOR FOR BEHAVIORAL 2002 01:08:19,061 --> 01:08:21,197 HEALTH AT THE CSG JUSTICE 2003 01:08:21,263 --> 01:08:22,264 CENTER, COUNCIL OF STATE 2004 01:08:22,331 --> 01:08:23,265 GOVERNMENTS, AND LAST BUT 2005 01:08:23,332 --> 01:08:25,000 CERTAINLY NOT LEAST, MY FRIEND 2006 01:08:25,067 --> 01:08:27,169 PATTI MCCARTHY, CEO OF FACES AND 2007 01:08:27,236 --> 01:08:28,037 VOICES OF RECOVERY. 2008 01:08:28,103 --> 01:08:29,238 SO I'M GOING TO HAND IT OVER TO 2009 01:08:29,305 --> 01:08:32,508 THEM TO SHARE A LITTLE BIT ABOUT 2010 01:08:32,575 --> 01:08:33,509 HOW WE'RE DOING THIS WORK AND 2011 01:08:33,576 --> 01:08:37,279 HOW MEANINGFUL THESE PROJECTS 2012 01:08:37,346 --> 01:08:39,648 ARE FOR OUR STAKE HOLD ARES. 2013 01:08:39,715 --> 01:08:46,922 SO DENISE? 2014 01:08:46,989 --> 01:08:47,890 >> GOOD AFTERNOON. 2015 01:08:47,957 --> 01:08:52,094 I AM THE CEO AT THE NATIONAL 2016 01:08:52,161 --> 01:08:53,329 CENTER FOR CHILDREN IMPACTED BY 2017 01:08:53,395 --> 01:08:53,896 ADDICTION. 2018 01:08:53,963 --> 01:08:55,731 WE ARE A VERY PROUD HEAL 2019 01:08:55,798 --> 01:08:56,732 CONNECTIONS ASSOCIATE PARTNER. 2020 01:08:56,799 --> 01:08:57,900 AND AS SOMEONE WHO HAS WORKED IN 2021 01:08:57,967 --> 01:09:01,303 THIS FIELD FOR OVER 40 YEARS, I 2022 01:09:01,370 --> 01:09:03,606 HAVE NEVER BEEN SO JAZZED UP AND 2023 01:09:03,672 --> 01:09:05,741 EXCITED ABOUT IMPLEMENTING WHAT 2024 01:09:05,808 --> 01:09:07,076 YOU ALL PRODUCE AT HEAL. 2025 01:09:07,143 --> 01:09:08,477 AND IT'S BEEN WONDERFUL TO BE 2026 01:09:08,544 --> 01:09:12,214 PART OF THIS GROUP. 2027 01:09:12,281 --> 01:09:13,916 IT IS SO INNOVATIVE THAT WE CAN 2028 01:09:13,983 --> 01:09:15,351 ACTUALLY GO FROM HAVING A 2029 01:09:15,417 --> 01:09:16,785 PAUCITY OF RESEARCH AT THE 2030 01:09:16,852 --> 01:09:18,220 TREATMENT AND IMPLEMENTATION 2031 01:09:18,287 --> 01:09:19,788 SIDE TO HAVING RESEARCH AT OUR 2032 01:09:19,855 --> 01:09:20,823 FINGERTIPS FOR US TO ACTUALLY 2033 01:09:20,890 --> 01:09:22,591 USE AND IMPLEMENT. 2034 01:09:22,658 --> 01:09:26,996 I'D ALSO LIKE TO THANK JESSICA 2035 01:09:27,062 --> 01:09:29,365 HULSEY FOR HER VISION AND 2036 01:09:29,431 --> 01:09:30,132 LEADERSHIP AND TO ALL OF YOU 2037 01:09:30,199 --> 01:09:31,100 TODAY FOR BEING HERE TO LISTEN 2038 01:09:31,166 --> 01:09:33,402 TO US. 2039 01:09:33,469 --> 01:09:34,270 NACOA'S MISSION HAS BEEN TO 2040 01:09:34,336 --> 01:09:37,773 ELIMINATE THE ADVERSE EFFECTS OF 2041 01:09:37,840 --> 01:09:38,707 DRUGS AND ALCOHOL ON CHILDREN 2042 01:09:38,774 --> 01:09:39,408 AND FAMILIES. 2043 01:09:39,475 --> 01:09:40,676 WE PROVIDE TOOLS TO EDUCATE THE 2044 01:09:40,743 --> 01:09:42,144 COMMUNITY ABOUT THE IMPACT OF 2045 01:09:42,211 --> 01:09:43,245 SUBSTANCE USE DISORDER ON 2046 01:09:43,312 --> 01:09:43,946 CHILDREN AND FAMILIES. 2047 01:09:44,013 --> 01:09:47,316 FOR THE LAST 41 YEARS, NACOA HAS 2048 01:09:47,383 --> 01:09:50,386 FOSTERED THIS MISSION IN THE 2049 01:09:50,452 --> 01:09:52,288 USA, CANADA, EUROPE, AND SOUTH 2050 01:09:52,354 --> 01:09:53,088 AMERICA. 2051 01:09:53,155 --> 01:09:54,857 THIS MISSION HAS BEEN AND WILL 2052 01:09:54,924 --> 01:09:57,126 BE AN UPHILL BATTLE BECAUSE 2053 01:09:57,192 --> 01:10:00,362 HISTORICALLY, WE FORGET TO 2054 01:10:00,429 --> 01:10:01,330 INCLUDE CHILDREN AND FAMILIES. 2055 01:10:01,397 --> 01:10:02,431 THEY'RE ALWAYS AN AFTERTHOUGHT 2056 01:10:02,498 --> 01:10:04,967 WHEN WE THINK ABOUT THE DISEASE 2057 01:10:05,034 --> 01:10:06,835 OF ADDICTION AND SUBSTANCE USE 2058 01:10:06,902 --> 01:10:08,203 DISORDER. 2059 01:10:08,270 --> 01:10:09,638 NACOA PROVIDES A BREATH OF FRESH 2060 01:10:09,705 --> 01:10:11,240 AIR FOR KIDS WHO ARE CALLING OUT 2061 01:10:11,307 --> 01:10:12,441 FOR HELP AND WE BRING THEM TO 2062 01:10:12,508 --> 01:10:19,415 THE TABLE TO HEAL. 2063 01:10:19,481 --> 01:10:20,649 THESE ARE SOME OF THE 2064 01:10:20,716 --> 01:10:22,585 EDUCATIONAL MATERIALS THAT NACOA 2065 01:10:22,651 --> 01:10:23,152 PUT OUT IN THE FIELD. 2066 01:10:23,218 --> 01:10:27,823 IT INCLUDINGS A MONTHLY 2067 01:10:27,890 --> 01:10:28,591 NEWSLETTER, ENGAGING CHILDREN 2068 01:10:28,657 --> 01:10:29,892 WHO HAVE EXPERIENCED THE TRAUMA 2069 01:10:29,959 --> 01:10:31,060 OF ADDICTION. 2070 01:10:31,126 --> 01:10:33,429 OUR REACH OF NACOA IS TO THE 2071 01:10:33,495 --> 01:10:34,797 CHILD WELFARE CONSTITUENTS, 2072 01:10:34,863 --> 01:10:37,066 FOSTER CARE, TREATMENT COURT, 2073 01:10:37,132 --> 01:10:38,801 CHILD PROTECTIVE SERVICES, AND 2074 01:10:38,867 --> 01:10:39,902 OTHER PROFESSIONALS WHO WANT TO 2075 01:10:39,969 --> 01:10:41,604 HELP KIDS AND FAMILIES RECOVER 2076 01:10:41,670 --> 01:10:43,706 AND HAVE HEALTHY FUTURES AFTER 2077 01:10:43,772 --> 01:10:46,008 BEING ADVERSELY IMPACTED BY 2078 01:10:46,075 --> 01:10:47,209 SUBSTARNES USE DISORDERS. 2079 01:10:47,276 --> 01:10:51,413 YOU CAN SEE UP HERE THE SEVEN 2080 01:10:51,480 --> 01:10:52,414 Cs, YELLOW POSTER WITH KIDS ON 2081 01:10:52,481 --> 01:10:52,648 IT. 2082 01:10:52,715 --> 01:10:53,716 THIS IS AN IMPORTANT PIECE 2083 01:10:53,782 --> 01:10:55,651 BECAUSE IT SHOWS KIDS THEY DID 2084 01:10:55,718 --> 01:10:57,620 NOT CAUSE THIS DISEASE, BUT THEY 2085 01:10:57,686 --> 01:10:58,954 CAN HEAL REGARDLESS OF WHETHER 2086 01:10:59,021 --> 01:11:04,393 THEIR PARENTS GET INTO RECOVERY. 2087 01:11:04,460 --> 01:11:06,662 SOME OF THE PROGRAMS WE OFFER TO 2088 01:11:06,729 --> 01:11:07,763 HELP CHILDREN AND FAMILIES HEAL 2089 01:11:07,830 --> 01:11:08,797 INCLUDE OUR CHILDREN'S PROGRAM 2090 01:11:08,864 --> 01:11:10,265 KIT, WHICH IS AN EDUCATIONAL 2091 01:11:10,332 --> 01:11:11,900 SUPPORT FOR KIDS AGED 5 TO 18, 2092 01:11:11,967 --> 01:11:13,636 AND YES, WE INCLUDE THE TEENS IN 2093 01:11:13,702 --> 01:11:14,370 THIS. 2094 01:11:14,436 --> 01:11:16,472 WE HAVE AN EVIDENCE-BASED WHOLE 2095 01:11:16,538 --> 01:11:18,874 FAMILY CELEBRATING FAMILIES 2096 01:11:18,941 --> 01:11:20,075 CURRICULUM. 2097 01:11:20,142 --> 01:11:21,076 THIS IS ON THE NATIONAL 2098 01:11:21,143 --> 01:11:21,443 REGISTRY. 2099 01:11:21,510 --> 01:11:22,978 IT'S A PROGRAM THAT IS 2100 01:11:23,045 --> 01:11:25,180 TRAUMA-INFORMED AND HAS 2101 01:11:25,247 --> 01:11:26,615 ADAPTATIONS FOR LATINOS AND 2102 01:11:26,682 --> 01:11:27,383 INDIGENOUS COMMUNITIES. 2103 01:11:27,449 --> 01:11:28,350 BOTH OF THESE COURSES AND 2104 01:11:28,417 --> 01:11:31,720 CURRICULUM ARE OFFERED ON DEMAND 2105 01:11:31,787 --> 01:11:32,688 AS WELL AS IN PERSON. 2106 01:11:32,755 --> 01:11:33,889 WE HAVE ADDITIONAL PARTNERSHIPS 2107 01:11:33,956 --> 01:11:34,523 THAT WE CREATE. 2108 01:11:34,590 --> 01:11:36,058 YOU CAN SEE THIS LITTLE GREEN 2109 01:11:36,125 --> 01:11:38,027 PUPPET UP IN THE CORNER. 2110 01:11:38,093 --> 01:11:40,529 NACOA IS OFTEN BEHIND THE SCENES 2111 01:11:40,596 --> 01:11:42,598 SUPPORTING AGENCIES, MESSAGING 2112 01:11:42,665 --> 01:11:45,768 AND ADVOCACY FOR RECOVERY AND 2113 01:11:45,834 --> 01:11:49,605 THE WELFARE OF CHILDREN. 2114 01:11:49,672 --> 01:11:51,440 LAST BEFORE I GET INTO THE HEAL 2115 01:11:51,507 --> 01:11:52,508 CONNECTIONS, HERE ARE SOME OF 2116 01:11:52,574 --> 01:11:53,709 THE BASIC WAYS YOU CAN GET 2117 01:11:53,776 --> 01:11:54,376 INVOLVED WITH YOUR WORK AND A 2118 01:11:54,443 --> 01:11:55,344 WITH US. 2119 01:11:55,411 --> 01:11:57,613 YOU CAN SEE HERE COA AWARENESS 2120 01:11:57,680 --> 01:11:58,714 WEEK, WHICH HAPPENS TO BE NEXT 2121 01:11:58,781 --> 01:11:59,048 WEEK. 2122 01:11:59,114 --> 01:12:03,585 IT ALWAYS FALLS ON THE WEEK OF 2123 01:12:03,652 --> 01:12:04,586 VALENTINE'S BECAUSE 41 YEARS 2124 01:12:04,653 --> 01:12:06,989 AGO, THAT'S WHEN THE CHILDREN OF 2125 01:12:07,056 --> 01:12:07,656 ALCOHOLICS ORGANIZATION WAS 2126 01:12:07,723 --> 01:12:07,956 CREATED. 2127 01:12:08,023 --> 01:12:09,458 YOU CAN ALSO SEE A POSTER HERE 2128 01:12:09,525 --> 01:12:10,793 FOR NATIONAL DEFLECTION WEEK, 2129 01:12:10,859 --> 01:12:11,894 WHERE WE WORK WITH POLICE AND 2130 01:12:11,960 --> 01:12:13,195 TRY TO HELP THEM AS THEY 2131 01:12:13,262 --> 01:12:14,063 INTERFACE WITH CHILDREN. 2132 01:12:14,129 --> 01:12:15,698 AND I'D BE HAPPY TO TALK TO YOU 2133 01:12:15,764 --> 01:12:16,665 ABOUT ANY OF THESE PROGRAMS AT 2134 01:12:16,732 --> 01:12:17,666 THE END OF THIS. 2135 01:12:17,733 --> 01:12:19,935 WE ALSO WILL HELP YOU WITH ANY 2136 01:12:20,002 --> 01:12:20,803 GRANT FUNDING THAT YOU HAVE THAT 2137 01:12:20,869 --> 01:12:22,671 YOU WANT TO PROVIDE CHILDREN OR 2138 01:12:22,738 --> 01:12:26,942 FAMILY CARE. 2139 01:12:27,009 --> 01:12:28,210 AND NOW TO THE PIECE I LOVE THE 2140 01:12:28,277 --> 01:12:30,746 MOST HERE TODAY. 2141 01:12:30,813 --> 01:12:32,047 EAT, SLEEP, CONSOLE STUDY. 2142 01:12:32,114 --> 01:12:33,248 THIS WAS ONE OF THE FIRST HEAL 2143 01:12:33,315 --> 01:12:34,550 PROJECTS TO BE SUPPORTED BY THE 2144 01:12:34,616 --> 01:12:38,153 HEAL CONNECTIONS FOR RESULTS 2145 01:12:38,220 --> 01:12:40,122 DISSEMINATION, WHICH I AND WE AT 2146 01:12:40,189 --> 01:12:41,390 NACOA ARE VERY PROUD TO BE PART. 2147 01:12:41,457 --> 01:12:42,624 IF THE RESEARCHERS ARE HERE 2148 01:12:42,691 --> 01:12:44,126 TODAY FOR ESC, I WANT YOU TO 2149 01:12:44,193 --> 01:12:45,994 KNOW I WANT TO HUG YOU. 2150 01:12:46,061 --> 01:12:47,329 THIS WAS SUCH IMPORTANT RESEARCH 2151 01:12:47,396 --> 01:12:48,931 AND SO APPLICABLE TO WHAT WE DO, 2152 01:12:48,997 --> 01:12:50,332 SO THANK YOU. 2153 01:12:50,399 --> 01:12:52,101 THIS STUDY ASSESSED WHETHER THE 2154 01:12:52,167 --> 01:12:53,402 EAT, SLEEP, CONSOLE APPROACH 2155 01:12:53,469 --> 01:12:55,137 COULD SAFELY AND EFFECTIVELY 2156 01:12:55,204 --> 01:12:56,672 IMPROVE THE FUNCTION AND COMFORT 2157 01:12:56,739 --> 01:12:59,541 OF NEWBORNS WITH NEONATAL OPIOID 2158 01:12:59,608 --> 01:13:02,444 WITHDRAWAL SYNDROME, OR NOWS, 2159 01:13:02,511 --> 01:13:03,746 COMPARED TO THE TRADITIONAL 2160 01:13:03,812 --> 01:13:04,980 APPROACH OR MODEL OF CARE. 2161 01:13:05,047 --> 01:13:06,415 NACOA AND OUR OTHER NATIONAL 2162 01:13:06,482 --> 01:13:07,883 ASSOCIATION PARTNERS 2163 01:13:07,950 --> 01:13:10,085 CO-DEVELOPED DIFFERENT PRODUCTS 2164 01:13:10,152 --> 01:13:11,520 AND MATERIALS AND DISSEMINATED 2165 01:13:11,587 --> 01:13:14,556 THE STUDY RESULTS BROADLY. 2166 01:13:14,623 --> 01:13:16,325 YOU CAN SEE HERE THERE WERE 2167 01:13:16,391 --> 01:13:17,292 EIGHT ASSOCIATIONS WHO ACTIVELY 2168 01:13:17,359 --> 01:13:19,828 ENGAGED THEIR NETWORKS FOR 2169 01:13:19,895 --> 01:13:20,562 DISSEMINATION. 2170 01:13:20,629 --> 01:13:23,098 WHAT RESULTED FROM A LOT OF 2171 01:13:23,165 --> 01:13:24,166 BI-DIRECTIONAL COLLABORATION WAS 2172 01:13:24,233 --> 01:13:26,268 A GREAT ARRAY OF COMMUNICATION 2173 01:13:26,335 --> 01:13:28,771 PRODUCTS WHICH YOU CAN SEE HERE. 2174 01:13:28,837 --> 01:13:31,039 AS JESSICA SAID EARLIER, WE 2175 01:13:31,106 --> 01:13:36,745 RECEIVED JUST SHY OF 10 THOWL 10 2176 01:13:36,812 --> 01:13:37,813 ENGAGEMENTS IN THE PATIENT AND 2177 01:13:37,880 --> 01:13:39,248 STAKEHOLDER FIELDS. 2178 01:13:39,314 --> 01:13:40,682 THESE INCORPORATE FEEDBACK FROM 2179 01:13:40,749 --> 01:13:41,650 ALL EIGHT OF OUR ASSOCIATION 2180 01:13:41,717 --> 01:13:43,051 PARTNERS TO SHARE TO OUR WIDER 2181 01:13:43,118 --> 01:13:43,585 NETWORKS. 2182 01:13:43,652 --> 01:13:46,021 WE SIMPLIFIED THE INFORMATION TO 2183 01:13:46,088 --> 01:13:47,656 ACCOMMODATE VERY DISTINCT 2184 01:13:47,723 --> 01:13:49,825 AUDIENCES, INTERFACING WITH ALL 2185 01:13:49,892 --> 01:13:51,126 OF OUR CONSTITUENTS AND 2186 01:13:51,193 --> 01:13:52,327 INCLUDING THE MATERIALS THAT WE 2187 01:13:52,394 --> 01:13:53,462 REQUESTED SO THEY WERE TAILORED 2188 01:13:53,529 --> 01:13:57,366 FOR US. 2189 01:13:57,432 --> 01:13:58,767 IT WAS INCREDIBLY IMPORTANT FOR 2190 01:13:58,834 --> 01:14:00,469 NACOA AND OUR CONSTITUENTS IN 2191 01:14:00,536 --> 01:14:01,503 CHILD WELFARE, ALL OF THE 2192 01:14:01,570 --> 01:14:03,806 ORGANIZATIONS AND AGENCIES WE 2193 01:14:03,872 --> 01:14:06,308 SERVE, SO HAVE THIS INFORMATION. 2194 01:14:06,375 --> 01:14:09,144 THIS ISSUE OF HOW CAN I HELP 2195 01:14:09,211 --> 01:14:10,345 IMPROVE THE LIFE OF MY CHILD 2196 01:14:10,412 --> 01:14:13,949 BORN WITH OPIATES WAS THE 2197 01:14:14,016 --> 01:14:15,317 FIRST -- THE ABSOLUTE NUMBER ONE 2198 01:14:15,384 --> 01:14:16,451 CALL THAT WE RECEIVED AT NACOA 2199 01:14:16,518 --> 01:14:19,488 FOR THE FIRST QUARTER OF 2023. 2200 01:14:19,555 --> 01:14:21,690 SO YOU CAN IMAGINE FOR THE FIRST 2201 01:14:21,757 --> 01:14:23,659 TIME, WE HAD A SOLUTION THAT WE 2202 01:14:23,725 --> 01:14:25,194 COULD OFFER IN COLLABORATION 2203 01:14:25,260 --> 01:14:26,962 WITH CARE TEAMS TO HELP THESE 2204 01:14:27,029 --> 01:14:29,331 MOTHERS TO SUCCESSFULLY BOND, TO 2205 01:14:29,398 --> 01:14:31,200 DISCHARGE EARLIER FROM THE 2206 01:14:31,266 --> 01:14:32,401 HOSPITAL, AND TO REDUCE THE 2207 01:14:32,467 --> 01:14:34,469 OVERALL COST OF CARE. 2208 01:14:34,536 --> 01:14:36,305 THIS PARTNERSHIP WITH THE HEAL 2209 01:14:36,371 --> 01:14:37,606 CONNECTIONS AND THOSE OF US AS 2210 01:14:37,673 --> 01:14:40,142 ASSOCIATE PARTNERS IS TRULY A 2211 01:14:40,209 --> 01:14:43,612 PERFECT MARRIAGE OF RESEARCH AND 2212 01:14:43,679 --> 01:14:44,279 APPLICATION. 2213 01:14:44,346 --> 01:14:47,015 LIVES AND FAMILIES ARE IMPACTED 2214 01:14:47,082 --> 01:14:48,317 IMMEDIATELY WITH THE 2215 01:14:48,383 --> 01:14:49,618 INCORPORATION OF THIS RESEARCH 2216 01:14:49,685 --> 01:14:51,787 INTO OUR PROGRAMS AND THE ITEMS 2217 01:14:51,854 --> 01:14:53,889 I SHOWED YOU WE DELIVER IN THE 2218 01:14:53,956 --> 01:14:54,456 COMMUNITY EVERY DAY. 2219 01:14:54,523 --> 01:15:00,262 WE CAN DO IT REALTIME. 2220 01:15:00,329 --> 01:15:02,097 STAAS FAR AS RELEVANCE FOR NACOA 2221 01:15:02,164 --> 01:15:04,399 AND OUR CONSTITUENTS, BEING 2222 01:15:04,466 --> 01:15:08,437 INVOLVED IN THE TRANSLATION 2223 01:15:08,503 --> 01:15:10,172 PROCESS HAD SO MANY BENEFITS. 2224 01:15:10,239 --> 01:15:11,807 AS I MENTIONED EARLIER, WE COULD 2225 01:15:11,874 --> 01:15:14,443 HELP MOMS IMMEDIATELY, REALTIME, 2226 01:15:14,509 --> 01:15:16,311 SOOTHE THEIR BABIES, HELP THEIR 2227 01:15:16,378 --> 01:15:16,845 BABIES. 2228 01:15:16,912 --> 01:15:18,680 THE IMMEDIATE APPLICABILITY OF 2229 01:15:18,747 --> 01:15:21,116 THIS RESEARCH INTO OUR CONTENT, 2230 01:15:21,183 --> 01:15:23,385 FOR INSTANCE, WE WERE GIVEN AN 2231 01:15:23,452 --> 01:15:25,787 IMPLEMENTATION TOOLKIT LAST 2232 01:15:25,854 --> 01:15:26,355 FRIDAY. 2233 01:15:26,421 --> 01:15:28,056 TUESDAY AND WEDNESDAY OF THIS 2234 01:15:28,123 --> 01:15:29,258 WEEK, 37 PEOPLE WERE TRAINED IN 2235 01:15:29,324 --> 01:15:30,359 THAT IMPLEMENTATION TOOLKIT. 2236 01:15:30,425 --> 01:15:32,227 SO IT HAPPENS VERY QUICKLY WHEN 2237 01:15:32,294 --> 01:15:33,662 THERE'S THE DESIRE, THE 2238 01:15:33,729 --> 01:15:35,631 COLLABORATION AND THE MOTIVATION 2239 01:15:35,697 --> 01:15:38,133 IN AN ORGANIZATION LIKE HEAL 2240 01:15:38,200 --> 01:15:39,768 CONNECTIONS. 2241 01:15:39,835 --> 01:15:41,303 ONE OF THE VERY IMPORTANT 2242 01:15:41,370 --> 01:15:42,604 ELEMENTS WAS ALSO THE RURAL 2243 01:15:42,671 --> 01:15:43,472 BENEFITS, WHERE WE HAD THE REACH 2244 01:15:43,538 --> 01:15:45,240 AND IT AFFORDED THE EQUAL ACCESS 2245 01:15:45,307 --> 01:15:46,775 FOR IMPROVED HEALTH STATUS AND 2246 01:15:46,842 --> 01:15:49,044 CARE FOR OUR NACOA CLIENTS, 2247 01:15:49,111 --> 01:15:51,213 STUDENTS AND PARTNERS ACROSS 2248 01:15:51,280 --> 01:15:52,014 THIS COUNTRY AND THROUGHOUT THE 2249 01:15:52,080 --> 01:15:54,850 WORLD. 2250 01:15:54,917 --> 01:15:56,151 AS I MENTIONED EARLIER, THIS 2251 01:15:56,218 --> 01:15:57,352 MARRIAGE BETWEEN RESEARCH AND 2252 01:15:57,419 --> 01:15:58,553 CLINICAL APPLICATION IS 2253 01:15:58,620 --> 01:15:58,820 ESSENTIAL. 2254 01:15:58,887 --> 01:16:00,522 WE NEED TO BE ABLE TO WORK 2255 01:16:00,589 --> 01:16:01,256 TOGETHER. 2256 01:16:01,323 --> 01:16:04,559 THIS IS A POSITIVE 2257 01:16:04,626 --> 01:16:05,861 SOLUTION-ORIENTED FIX. 2258 01:16:05,928 --> 01:16:07,930 ALL OF US WORKING AS PARTNERS 2259 01:16:07,996 --> 01:16:09,464 AND IN TEAMS IS KEY. 2260 01:16:09,531 --> 01:16:12,434 WE HAVE A SERIOUS OPIOID CRISIS 2261 01:16:12,501 --> 01:16:13,635 IN THIS COUNTRY THAT ALL OF US 2262 01:16:13,702 --> 01:16:14,937 IN THIS ROOM KNOW ABOUT, AND 2263 01:16:15,003 --> 01:16:16,138 TOGETHER, WE CAN ACTUALLY HELP 2264 01:16:16,204 --> 01:16:19,708 TO REPAIR THIS IN MANY WAYS. 2265 01:16:19,775 --> 01:16:21,376 ALL OF YOU IN HEAL HAVE DONE SO 2266 01:16:21,443 --> 01:16:23,946 MUCH AROUND STIGMA, INCLUDING 2267 01:16:24,012 --> 01:16:26,949 DIVERSE FAMILIES AND CULTURE, 2268 01:16:27,015 --> 01:16:28,483 AND CULTURES IN YOUR HEALING 2269 01:16:28,550 --> 01:16:30,419 PROCESS, AND TO EMPOWER 2270 01:16:30,485 --> 01:16:31,520 PROFESSIONALS TO SERVE AND HELP 2271 01:16:31,586 --> 01:16:34,056 OTHERS. 2272 01:16:34,122 --> 01:16:35,590 I FEEL VERY HOPEFUL THAT THIS IS 2273 01:16:35,657 --> 01:16:37,893 JUST THE BEGINNING OF NEW 2274 01:16:37,960 --> 01:16:39,828 FUNDING, OF NEW STRATEGIES, AND 2275 01:16:39,895 --> 01:16:42,431 NEW RESEARCH TO CONTINUE TO HELP 2276 01:16:42,497 --> 01:16:45,067 CHILDREN AND FAMILIES SO WE CAN 2277 01:16:45,133 --> 01:16:49,871 CONTINUE TO BREAK THE IPT 2278 01:16:49,938 --> 01:16:50,639 INTERGENERATIONAL CYCLE OF 2279 01:16:50,706 --> 01:16:51,840 ADDICTION WITH THEM THROUGH HEAL 2280 01:16:51,907 --> 01:16:52,808 AND ALL OF THE WORK YOU DO 2281 01:16:52,874 --> 01:16:53,008 TODAY. 2282 01:16:53,075 --> 01:16:54,209 THANK YOU SO MUCH FOR YOUR TIME 2283 01:16:54,276 --> 01:16:55,544 AND YOUR INTEREST IN HEAL 2284 01:16:55,610 --> 01:17:05,821 CONNECTIONS. 2285 01:17:07,389 --> 01:17:08,290 >> GOOD AFTERNOON. 2286 01:17:08,357 --> 01:17:10,425 MY NAME IS KATE NICHOLSON, I AM 2287 01:17:10,492 --> 01:17:12,828 THE EXECUTIVE DIRECTOR AND 2288 01:17:12,894 --> 01:17:14,363 FOUNDER OF THE NATIONAL PAIN 2289 01:17:14,429 --> 01:17:15,764 ADVOCACY CENTER, A NON-PROFIT 2290 01:17:15,831 --> 01:17:16,865 ORGANIZATION THAT TAKES NO 2291 01:17:16,932 --> 01:17:18,834 INDUSTRY FUNDING, AND ADVOCATES 2292 01:17:18,900 --> 01:17:20,435 TO ADVANCE THE HEALTH AND HUMAN 2293 01:17:20,502 --> 01:17:21,336 RIGHTS OF PEOPLE LIVING WITH 2294 01:17:21,403 --> 01:17:22,304 PAIN. 2295 01:17:22,371 --> 01:17:25,273 WE ARE A COALITION OF 2296 01:17:25,340 --> 01:17:27,242 SCIENTISTS, CLINICIANS, PUBLIC 2297 01:17:27,309 --> 01:17:29,344 HEALTH AND CIVIL RIGHTS EXPERTS, 2298 01:17:29,411 --> 01:17:30,412 AND A DIVERSE GROUP OF PEOPLE 2299 01:17:30,479 --> 01:17:33,448 WITH LIVED EXPERIENCE LED BY 2300 01:17:33,515 --> 01:17:35,217 PEOPLE LIVING WITH PAIN. 2301 01:17:35,283 --> 01:17:37,519 AND WE FOCUS ON ENSURING 2302 01:17:37,586 --> 01:17:39,688 EQUITABLE AND EFFECTIVE CARE 2303 01:17:39,755 --> 01:17:42,324 THROUGH CHANGING THE NARRATIVE 2304 01:17:42,391 --> 01:17:44,726 ABOUT PAIN AND POLICY-BASED 2305 01:17:44,793 --> 01:17:46,661 ADVOCACY CHANGE. 2306 01:17:46,728 --> 01:17:49,531 MOST IMPORTANTLY, WE ARE A HEAL 2307 01:17:49,598 --> 01:17:51,033 CONNECTIONS NATIONAL ASSOCIATION 2308 01:17:51,099 --> 01:17:54,569 PARTNER. 2309 01:17:54,636 --> 01:17:55,971 SO I WANT TO BEGIN WITH A PHRASE 2310 01:17:56,038 --> 01:17:59,041 I'VE SEEN ON OTHER SLIDES TODAY. 2311 01:17:59,107 --> 01:18:00,442 THIS IS A FAVORITE OF MINE, 2312 01:18:00,509 --> 01:18:03,345 PARTLY BECAUSE MY BACKGROUND IS 2313 01:18:03,412 --> 01:18:07,349 AS A DISAB DISABILITY RIGHTS ANL 2314 01:18:07,416 --> 01:18:10,052 RIGHTS ATTORNEY AND PARTLY 2315 01:18:10,118 --> 01:18:16,391 BECAUSE PAIN IS TH THE CHIEF CAE 2316 01:18:16,458 --> 01:18:20,128 OF LONG TERM DISABILITY BOTH 2317 01:18:20,195 --> 01:18:22,497 GLOBALLY AND IN THE U.S. 2318 01:18:22,564 --> 01:18:23,398 IT BASICALLY STANDS FOR THE IDEA 2319 01:18:23,465 --> 01:18:25,133 THAT RESEARCH AND POLICY 2320 01:18:25,200 --> 01:18:26,234 SHOULDN'T BE UNDERTAKEN WITHOUT 2321 01:18:26,301 --> 01:18:27,869 THE INPUT OF THOSE GROUPS THAT 2322 01:18:27,936 --> 01:18:31,373 ARE LIKELY TO BE MOST AFFECTED 2323 01:18:31,440 --> 01:18:34,342 BY THEIR OUTCOMES. 2324 01:18:34,409 --> 01:18:35,944 THIS IS A POLITICAL AND ETHICAL 2325 01:18:36,011 --> 01:18:38,146 MANDATE, BUT IT'S ALSO A 2326 01:18:38,213 --> 01:18:38,680 PRACTICAL ONE. 2327 01:18:38,747 --> 01:18:39,981 IF YOU WANT YOUR RESEARCH TO 2328 01:18:40,048 --> 01:18:41,416 HAVE MEANING. 2329 01:18:41,483 --> 01:18:44,352 AND IMPACT. 2330 01:18:44,419 --> 01:18:45,454 NICELY, BOTH HEAL AND HEAL 2331 01:18:45,520 --> 01:18:47,956 CONNECTIONS HAVE EMBRACED THIS 2332 01:18:48,023 --> 01:18:49,491 IDEA BY INCLUDING PEOPLE WITH 2333 01:18:49,558 --> 01:18:50,759 LIVED EXPERIENCE AT EVERY STAGE 2334 01:18:50,826 --> 01:18:54,496 OF THE RESEARCH PROCESS FROM 2335 01:18:54,563 --> 01:18:58,233 INCEPTION THROUGH TRANSLATION. 2336 01:18:58,300 --> 01:18:59,868 AND THE TRANSLATIONAL PART IS 2337 01:18:59,935 --> 01:19:00,302 REALLY IMPORTANT. 2338 01:19:00,368 --> 01:19:03,371 AFTER YOU ASK FOR OUR INPUT IN 2339 01:19:03,438 --> 01:19:06,641 WHAT'S IMPORTANT TO STUDY, IT'S 2340 01:19:06,708 --> 01:19:08,210 IMPORTANT TO CONVEY THE FINDINGS 2341 01:19:08,276 --> 01:19:10,112 OF THOSE STUDIES BACK TO THE 2342 01:19:10,178 --> 01:19:11,313 COMMUNITY AND MOST PEOPLE LIVING 2343 01:19:11,379 --> 01:19:13,281 WITH PAIN DON'T HAVE ACCESS OR 2344 01:19:13,348 --> 01:19:15,250 PAID SUBSCRIPTIONS TO JOURNALS 2345 01:19:15,317 --> 01:19:17,319 AND AREN'T REALLY USED TO 2346 01:19:17,385 --> 01:19:21,056 READING SCIENTIFIC ARTICLES. 2347 01:19:21,123 --> 01:19:22,257 BUT AS IMPORTANTLY, TRANSLATION 2348 01:19:22,324 --> 01:19:26,394 TO A BROADER AUDIENCE HELPS US 2349 01:19:26,461 --> 01:19:27,929 BE A DISSEMINATION ARMY FOR YOUR 2350 01:19:27,996 --> 01:19:28,263 WORK. 2351 01:19:28,330 --> 01:19:30,232 ONCE WE HAVE THOSE MATERIALS, WE 2352 01:19:30,298 --> 01:19:32,634 CAN TALK ABOUT THE EXCITING NEW 2353 01:19:32,701 --> 01:19:34,169 RESEARCH WITH OUR -- IN OUR 2354 01:19:34,236 --> 01:19:35,937 MEETINGS WITH POLICY MAKERS AND 2355 01:19:36,004 --> 01:19:37,672 THE MEDIA, AND REALLY GET THE 2356 01:19:37,739 --> 01:19:40,175 WORD OUT QUICKLY ABOUT WHAT'S 2357 01:19:40,242 --> 01:19:49,050 HAPPENING. 2358 01:19:49,117 --> 01:19:50,385 SO THE HEAL CONNECTIONS TEAM 2359 01:19:50,452 --> 01:19:51,486 REALLY ACTS AS A BRIDGE. 2360 01:19:51,553 --> 01:19:53,321 THEY MEET WITH NIH LEADERSHIP 2361 01:19:53,388 --> 01:19:57,259 AND STUDY LEADS TO FIGURE OUT 2362 01:19:57,325 --> 01:19:58,894 WHAT DISSEMINATION NEEDS THEY 2363 01:19:58,960 --> 01:20:00,095 HAVE, BUT THEN THEY ALSO MEET 2364 01:20:00,162 --> 01:20:01,730 WITH STAKEHOLDERS AND GROUPS 2365 01:20:01,796 --> 01:20:03,598 LIKE OURS. 2366 01:20:03,665 --> 01:20:04,466 TO DECIDE WHAT'S GOING 2367 01:20:04,533 --> 01:20:05,901 TO BE MOST RELEVANT TO OUR 2368 01:20:05,967 --> 01:20:06,535 COMMUNITIES. 2369 01:20:06,601 --> 01:20:08,837 AND THIS STUDY WAS REALLY 2370 01:20:08,904 --> 01:20:10,605 IMPORTANT FOR PEOPLE LIVING WITH 2371 01:20:10,672 --> 01:20:12,007 PAIN FOR A COUPLE OF PRIMARY 2372 01:20:12,073 --> 01:20:13,775 REASONS. 2373 01:20:13,842 --> 01:20:16,178 ONE OF THE BIGGEST BARRIERS I 2374 01:20:16,244 --> 01:20:18,146 HEAR TO PEOPLE LIVING WITH PAIN 2375 01:20:18,213 --> 01:20:22,617 IF TREATIN TREATMENT IS THAT THR 2376 01:20:22,684 --> 01:20:23,518 SUBJECTIVE REPORTING OF THEIR 2377 01:20:23,585 --> 01:20:25,053 CONDITION IS DISMISSED OR 2378 01:20:25,120 --> 01:20:26,021 DISBELIEVED, AND OF COURSE THIS 2379 01:20:26,087 --> 01:20:27,322 HAPPENS FAR MORE FREQUENTLY IF 2380 01:20:27,389 --> 01:20:28,857 SOMEONE HAPPENS TO BE A PERSON 2381 01:20:28,924 --> 01:20:31,960 OF COLOR, A WOMAN, LGBTQIA, 2382 01:20:32,027 --> 01:20:33,361 SOMEONE WITH DIVERSE 2383 01:20:33,428 --> 01:20:34,229 DISABILITIES, OR PEOPLE WHO 2384 01:20:34,296 --> 01:20:35,964 EXIST AS MANY DO AT THE 2385 01:20:36,031 --> 01:20:38,600 INTERSECTION OF ALL OF THOSE 2386 01:20:38,667 --> 01:20:41,102 IDENTITIES. 2387 01:20:41,169 --> 01:20:42,737 THERE ALSO STILL SOCIALLY ISN'T 2388 01:20:42,804 --> 01:20:43,805 WIDE UNDERSTANDING ABOUT THE 2389 01:20:43,872 --> 01:20:45,173 DIFFERENCE BETWEEN ACUTE AND 2390 01:20:45,240 --> 01:20:46,808 CHRONIC PAIN, OR THIS IDEA THAT 2391 01:20:46,875 --> 01:20:48,443 CHRONIC PAIN CAN BE A DISEASE IN 2392 01:20:48,510 --> 01:20:50,412 ITS OWN RIGHT. 2393 01:20:50,478 --> 01:20:52,280 AND THE WONDERFUL THING ABOUT 2394 01:20:52,347 --> 01:20:56,084 THIS STUDY IS THROUGH IMPLANTED 2395 01:20:56,151 --> 01:20:58,920 DEVICES AND IMAGING OF THE 2396 01:20:58,987 --> 01:21:00,689 BRAIN, AND ARTIFICIAL 2397 01:21:00,755 --> 01:21:02,891 INTELLIGENCE, AND TAKING 2398 01:21:02,958 --> 01:21:04,859 PEOPLE'S SUBTIVE REPORTS IS THAT 2399 01:21:04,926 --> 01:21:06,494 IT SORT OF ADDRESSES BOTH OF 2400 01:21:06,561 --> 01:21:06,828 THOSE THINGS. 2401 01:21:06,895 --> 01:21:09,431 IT SHOWED THAT PEOPLE 2402 01:21:09,497 --> 01:21:11,066 SELF-REPORTING LINED UP PRETTY 2403 01:21:11,132 --> 01:21:13,501 DARN WELL WITH THOSE MORE 2404 01:21:13,568 --> 01:21:14,236 QUOTE-UNQUOTE OBJECTIVE 2405 01:21:14,302 --> 01:21:14,903 MEASURES. 2406 01:21:14,970 --> 01:21:18,440 IT ALSO SHOWED THAT DIFFERENT 2407 01:21:18,506 --> 01:21:19,741 AREAS OF THE BRAIN LIT UP WHEN 2408 01:21:19,808 --> 01:21:21,910 WE WERE TALKING ABOUT ACUTE AS 2409 01:21:21,977 --> 01:21:25,180 OPPOSED TO CHRONIC PAIN. 2410 01:21:25,247 --> 01:21:25,847 OBVIOUSLY THERE'S MORE TO DO, 2411 01:21:25,914 --> 01:21:27,616 BUT FOR OUR COMMUNITY, IT WAS A 2412 01:21:27,682 --> 01:21:31,253 REALLY EXCITING AND IMPACTFUL 2413 01:21:31,319 --> 01:21:31,453 STUDY. 2414 01:21:31,519 --> 01:21:33,788 SO WE WORKED WITH THE HEAL 2415 01:21:33,855 --> 01:21:35,323 CONNECTIONS TEAM AND JESS TO 2416 01:21:35,390 --> 01:21:37,726 COME UP WITH A SERIES OF 2417 01:21:37,792 --> 01:21:39,628 PRODUCTS. 2418 01:21:39,694 --> 01:21:41,263 WE CAME UP WITH SEVEN PRODUCTS, 2419 01:21:41,329 --> 01:21:43,798 A WEBPAGE A ONE-PAGER, A 2420 01:21:43,865 --> 01:21:47,402 TOOLKIT, SOCIAL MEDIA BLASTS, 2421 01:21:47,469 --> 01:21:48,603 E-BLASTS, A LAY PERSON SUMMARY 2422 01:21:48,670 --> 01:21:51,006 AND A SERIES OF GRAPHICS. 2423 01:21:51,072 --> 01:21:54,075 AND THEN WE DISSEMINATED THROUGH 2424 01:21:54,142 --> 01:21:57,679 THREE PARTNER ORGANIZATIONS, 2425 01:21:57,746 --> 01:21:58,847 NPAC, THE ORGANIZATION I'M 2426 01:21:58,913 --> 01:21:59,881 AFFILIATED WITH, THE CHRONIC 2427 01:21:59,948 --> 01:22:01,483 PAIN RESEARCH ALLIANCE, WHICH IS 2428 01:22:01,549 --> 01:22:05,654 DIRECTED BY KRISTEN VEESLEY WHO 2429 01:22:05,720 --> 01:22:07,088 MANY OF YOU MAY HAVE WORKED WITH 2430 01:22:07,155 --> 01:22:08,590 AND OF COURSE THE U.S. 2431 01:22:08,657 --> 01:22:10,258 ASSOCIATION FOR THE STUDY OF 2432 01:22:10,325 --> 01:22:12,227 PAIN, SHOUT OUT TO ONE OF OUR 2433 01:22:12,294 --> 01:22:13,762 NEW PARTNERS WHO'S THE 2434 01:22:13,828 --> 01:22:14,696 PRESIDENT-ELECT. 2435 01:22:14,763 --> 01:22:15,597 ANYWAY, BY USING THESE NETWORKS, 2436 01:22:15,664 --> 01:22:19,334 WE WERE ABLE TO GET OVER 5,000 2437 01:22:19,401 --> 01:22:26,541 ENGAGEMENTS. 2438 01:22:26,608 --> 01:22:27,776 SO BIG PICTURE AS JUST 2439 01:22:27,842 --> 01:22:29,411 MENTIONED, REALLY THE IDEA 2440 01:22:29,477 --> 01:22:31,613 BEHIND HEAL CONNECTIONS IS 2441 01:22:31,680 --> 01:22:32,580 MEANINGFUL BI-DIRECTIONAL 2442 01:22:32,647 --> 01:22:33,882 COMMUNICATION, AND THE TEAM DOES 2443 01:22:33,948 --> 01:22:35,984 THIS IN A FEW BASIC WAYS. 2444 01:22:36,051 --> 01:22:37,752 THE FIRST IS THROUGH HOSTING 2445 01:22:37,819 --> 01:22:40,922 QUARTERLY LISTENING SESSIONS. 2446 01:22:40,989 --> 01:22:44,092 THAT INVOLVE BOTH NIH 2447 01:22:44,159 --> 01:22:45,393 LEADERSHIP, AND THE STAKEHOLDER 2448 01:22:45,460 --> 01:22:48,797 AND PATIENT ENGAGEMENT GROUPS. 2449 01:22:48,863 --> 01:22:50,899 THE SECOND IS THROUGH 2450 01:22:50,965 --> 01:22:52,534 CO-PRODUCTION OF MATERIALS. 2451 01:22:52,600 --> 01:22:53,835 AND LET ME BE THE FIRST TO TELL 2452 01:22:53,902 --> 01:22:55,704 YOU THAT IT IS ABSOLUTELY TRUE 2453 01:22:55,770 --> 01:22:57,872 THAT STAKEHOLDER EDITS ARE 2454 01:22:57,939 --> 01:22:58,640 INCORPORATED AND THAT THE 2455 01:22:58,707 --> 01:23:01,076 MATERIALS ARE NOT DISTRIBUTED 2456 01:23:01,142 --> 01:23:01,943 UNTIL EVERYONE'S CONCERNS HAVE 2457 01:23:02,010 --> 01:23:04,045 BEEN MET. 2458 01:23:04,112 --> 01:23:05,914 WHICH IS SOMETHING WE REALLY 2459 01:23:05,980 --> 01:23:10,285 APPRECIATE ABOUT THIS EFFORT. 2460 01:23:10,352 --> 01:23:11,686 AND THERE'S ACTUALLY PRETTY GOOD 2461 01:23:11,753 --> 01:23:16,391 DATA THAT ENGAGING END USERS IN 2462 01:23:16,458 --> 01:23:17,926 STUDY TRANSLATION AND KNOWLEDGE 2463 01:23:17,992 --> 01:23:22,630 TRANSLATION CREATES, YOU KNOW, 2464 01:23:22,697 --> 01:23:23,732 GREAT RESULTS, INCLUDING LEADING 2465 01:23:23,798 --> 01:23:25,467 TO THE ADOPTION OF 2466 01:23:25,533 --> 01:23:26,034 EVIDENCE-BASED PRACTICES FOR 2467 01:23:26,101 --> 01:23:27,902 EXAMPLE, OR CREATING A SENSE OF 2468 01:23:27,969 --> 01:23:32,474 OWNERSHIP THAT SPURS ACTION. 2469 01:23:32,540 --> 01:23:33,908 THE FINAL PILLAR THAT WAS REALLY 2470 01:23:33,975 --> 01:23:35,009 IMPORTANT FOR THE FIRST YEAR, 2471 01:23:35,076 --> 01:23:37,512 YEAR AND A HALF, OF HEAL 2472 01:23:37,579 --> 01:23:38,947 CONNECTIONS WAS THE LANDSCAPE 2473 01:23:39,013 --> 01:23:41,015 ANALYSIS, WHICH WAS A 2474 01:23:41,082 --> 01:23:43,885 PARTNERSHIP BETWEEN NIH AND THE 2475 01:23:43,952 --> 01:23:45,954 STAKEHOLDERS TO IDENTIFY THE 2476 01:23:46,020 --> 01:23:47,822 BARRIERS AND THE CHALLENGES AND 2477 01:23:47,889 --> 01:23:49,424 THE UNIQUE COMMUNICATION NEEDS 2478 01:23:49,491 --> 01:23:51,226 OF ALL OF THESE DIFFERENT GROUPS 2479 01:23:51,292 --> 01:23:52,761 THAT ALIGNED WITH HEAL 2480 01:23:52,827 --> 01:23:56,364 PRIORITIES. 2481 01:23:56,431 --> 01:23:57,832 I WAS VERY HONORED TO BE 2482 01:23:57,899 --> 01:24:00,735 INVOLVED IN THIS LANDSCAPE 2483 01:24:00,802 --> 01:24:01,169 ANALYSIS. 2484 01:24:01,236 --> 01:24:02,270 THE LANDSCAPE ANALYSIS ABOUT 2485 01:24:02,337 --> 01:24:04,906 PAIN, WHICH WE CO-PRODUCED, 2486 01:24:04,973 --> 01:24:09,611 ALONG WITH JESS' TEAM WHICH OF 2487 01:24:09,677 --> 01:24:10,812 COURSE THEY DID THE HEAVY 2488 01:24:10,879 --> 01:24:13,081 LIFTING ON, IDENTIFIED A NUMBER 2489 01:24:13,148 --> 01:24:14,382 OF BARRIERS AND CHALLENGES. 2490 01:24:14,449 --> 01:24:15,517 ONE WAS THE LACK OF EDUCATION 2491 01:24:15,583 --> 01:24:17,452 AND TRAINING IN CLINICIANS ABOUT 2492 01:24:17,519 --> 01:24:18,887 PAIN, PARTICULARLY AMONG PRIMARY 2493 01:24:18,953 --> 01:24:21,423 CARE PROVIDERS, AND ALSO ISSUES 2494 01:24:21,489 --> 01:24:23,291 WITH THE WORKFORCE IN TERMS OF 2495 01:24:23,358 --> 01:24:24,726 THERE NOT BEING ENOUGH PAIN 2496 01:24:24,793 --> 01:24:25,693 MANAGEMENT PROVIDERS OR EXPERTS 2497 01:24:25,760 --> 01:24:27,228 OUT THERE. 2498 01:24:27,295 --> 01:24:28,263 BARRIERS TO QUALITY TREATMENT 2499 01:24:28,329 --> 01:24:30,532 AND SERVICES IS PROBABLY THE 2500 01:24:30,598 --> 01:24:32,033 NUMBER ONE THAT WE HEAR AGAIN 2501 01:24:32,100 --> 01:24:33,902 AND AGAIN AND AGAIN. 2502 01:24:33,968 --> 01:24:36,304 IDENTIFIED AREAS WHERE THERE 2503 01:24:36,371 --> 01:24:38,606 WERE GAPS IN SYSTEMS 2504 01:24:38,673 --> 01:24:39,607 COLLABORATING, PROBLEMS WITH 2505 01:24:39,674 --> 01:24:42,444 LINKAGE SO THAT PEOPLE WITH PAIN 2506 01:24:42,510 --> 01:24:45,079 WESPENT A LOT OF THEIR TIME TRYG 2507 01:24:45,146 --> 01:24:47,682 TO CONNECT THE DOTS, WHICH SOME 2508 01:24:47,749 --> 01:24:49,784 CONSIDER TO BE A FULL-TIME JOB. 2509 01:24:49,851 --> 01:24:51,753 ANOTHER BARRIER WAS THE LACK OF 2510 01:24:51,820 --> 01:24:54,689 FUNDING RELATIVE TO PAIN'S SORT 2511 01:24:54,756 --> 01:24:57,659 OF PREVALENCE AND DISABLING 2512 01:24:57,725 --> 01:24:58,493 CONSEQUENCES AND COSTS. 2513 01:24:58,560 --> 01:25:00,562 A BIG ONE WAS ONE SIZE FITS ALL 2514 01:25:00,628 --> 01:25:01,663 APPROACHES, WHICH REALLY MAKES 2515 01:25:01,729 --> 01:25:03,631 VERY LITTLE SENSE WHEN WE'RE 2516 01:25:03,698 --> 01:25:05,266 TALKING ABOUT A HUGE UMBRELLA 2517 01:25:05,333 --> 01:25:06,468 CATEGORY LIKE CHRONIC PAIN THAT 2518 01:25:06,534 --> 01:25:08,570 CAN INVOLVE A LOT OF DIFFERENT 2519 01:25:08,636 --> 01:25:09,671 DISEASES, AND A LOT OF DIFFERENT 2520 01:25:09,737 --> 01:25:12,407 NEEDS, AND IN WHICH WE KNOW THAT 2521 01:25:12,474 --> 01:25:14,509 INDIVIDUALIZED WHOLE PERSON 2522 01:25:14,576 --> 01:25:15,477 BIOPSYCHOSOCIAL CARE IS BEST, 2523 01:25:15,543 --> 01:25:21,282 AND FINALLY, WAS THE LACK OF 2524 01:25:21,349 --> 01:25:22,684 DATA AND RESEARCH IN GENERAL, SO 2525 01:25:22,750 --> 01:25:23,685 IT'S IMPORTANT, AGAIN, TO 2526 01:25:23,751 --> 01:25:24,486 TRANSLATE WHAT IS HAPPENING TO 2527 01:25:24,552 --> 01:25:26,421 THE COMMUNITY. 2528 01:25:26,488 --> 01:25:29,424 THARNTIONTHANKS SO MUCH, AND I N 2529 01:25:29,491 --> 01:25:39,801 IT OVER TO SARAH. 2530 01:25:40,935 --> 01:25:41,769 >> OKAY. 2531 01:25:41,836 --> 01:25:42,203 AND WE'RE BACK. 2532 01:25:42,270 --> 01:25:43,104 THANK YOU. 2533 01:25:43,171 --> 01:25:44,305 SO I'M SARAH. 2534 01:25:44,372 --> 01:25:45,306 I'M GOING TO FIRST TELL YOU A 2535 01:25:45,373 --> 01:25:46,074 LITTLE BIT ABOUT THE 2536 01:25:46,140 --> 01:25:47,275 ORGANIZATION I WORK FOR, AND 2537 01:25:47,342 --> 01:25:48,810 THEN WE'LL GET INTO HOW WE'VE 2538 01:25:48,877 --> 01:25:50,578 BEEN HELPING ON THIS REALLY 2539 01:25:50,645 --> 01:25:51,546 IMPORTANT WORK TO THINK ABOUT 2540 01:25:51,613 --> 01:25:56,284 HOW TO GET RESEARCH INTO POLICY, 2541 01:25:56,351 --> 01:25:57,051 PLANNING, PRACTICE AND 2542 01:25:57,118 --> 01:25:57,418 IMPLEMENTATION. 2543 01:25:57,485 --> 01:25:58,119 SO THE ORGANIZATION I WORK FOR 2544 01:25:58,186 --> 01:26:00,455 IS CALLED THE COUNCIL OF STATE 2545 01:26:00,522 --> 01:26:00,788 GOVERNMENTS. 2546 01:26:00,855 --> 01:26:04,592 WE'RE A NON-PARTISAN, NON-PROFIT 2547 01:26:04,659 --> 01:26:06,361 ORGANIZATION, IT'S ACTUALLY A 2548 01:26:06,427 --> 01:26:07,395 MEMBERSHIP ORGANIZATION OF ALL 2549 01:26:07,462 --> 01:26:09,197 THREE BRANCHES OF GOVERNMENT SO 2550 01:26:09,264 --> 01:26:13,234 BOTH APPOINTED AND ELECTED 2551 01:26:13,301 --> 01:26:16,304 OFFICIALS ACROSS THE BOARD. 2552 01:26:16,371 --> 01:26:17,605 CSG AS YOU CAN SEE ON THE LITTLE 2553 01:26:17,672 --> 01:26:18,940 LOGO IS REALLY FOCUSED ON 2554 01:26:19,007 --> 01:26:20,475 GETTING STATES TO IMPLEMENT BEST 2555 01:26:20,542 --> 01:26:22,544 PRACTICES ACROSS THE COUNTRY. 2556 01:26:22,610 --> 01:26:24,946 AND THEN I WORK IN THE CSG 2557 01:26:25,013 --> 01:26:26,814 JUSTICE CENTER, WHICH WE FOCUS 2558 01:26:26,881 --> 01:26:29,651 ON DEVELOPING RESEARCH-DRIVEN 2559 01:26:29,717 --> 01:26:31,286 STRATEGIES TO INCREASE PUBLIC 2560 01:26:31,352 --> 01:26:32,153 SAFETY AND STRENGTHEN 2561 01:26:32,220 --> 01:26:32,487 COMMUNITIES. 2562 01:26:32,554 --> 01:26:34,689 SO WHAT THAT LOOKS LIKE IS WE 2563 01:26:34,756 --> 01:26:37,091 FOCUS ON BREAKING THE CYCLE OF 2564 01:26:37,158 --> 01:26:38,660 INCARCERATION, ADVANCING HEALTH 2565 01:26:38,726 --> 01:26:40,061 EQUITY AND OPPORTUNITY, SO 2566 01:26:40,128 --> 01:26:41,930 TRYING TO GET THROUGH SOME OF 2567 01:26:41,996 --> 01:26:43,698 THE BARRIERS THAT WE SEE IN THE 2568 01:26:43,765 --> 01:26:45,333 COMMUNITY AROUND ACCESS TO 2569 01:26:45,400 --> 01:26:48,202 BEHAVIORAL HEALTHCARE, HOUSING, 2570 01:26:48,269 --> 01:26:50,605 ECONOMIC MOBILITY, RACIAL AND 2571 01:26:50,672 --> 01:26:52,574 GENDER INEQUALITY AS WELL, AND 2572 01:26:52,640 --> 01:26:53,808 BRING DIVERSE STAKEHOLDERS 2573 01:26:53,875 --> 01:26:55,977 TOGETHER TO TRY TO PLAN EFFORTS 2574 01:26:56,044 --> 01:26:57,712 THAT WILL SUPPORT WORK FOR THEM. 2575 01:26:57,779 --> 01:27:00,248 AND WE USE DATA TO IMPROVE 2576 01:27:00,315 --> 01:27:03,851 SAFETY AND JUSTICE. 2577 01:27:03,918 --> 01:27:08,389 SO WE ARE REALLY EXCITED TO TALK 2578 01:27:08,456 --> 01:27:09,958 ABOUT THE OPIOID OVERDOSE 2579 01:27:10,024 --> 01:27:13,361 REDUCTION CONTINUUM OF CARE OR 2580 01:27:13,428 --> 01:27:15,363 OORCCA AND RESULTS TO THE FIELD. 2581 01:27:15,430 --> 01:27:16,998 THIS IS SUPER EXCITING BECAUSE 2582 01:27:17,065 --> 01:27:18,666 WHAT THIS REALLY DID FOR POLL 2583 01:27:18,733 --> 01:27:20,535 SATISFY MAKERS IS REALLY DISTELL 2584 01:27:20,602 --> 01:27:22,971 A LOT OF RESEARCH AND PRACTICES 2585 01:27:23,037 --> 01:27:24,339 INTO SOMETHING THAT WAS 2586 01:27:24,405 --> 01:27:25,106 DIGESTIBLE AND USABLE. 2587 01:27:25,173 --> 01:27:27,976 SO REALLY A WATERSHED MOMENT IN 2588 01:27:28,042 --> 01:27:29,143 TERMS OF DISTILLING INFORMATION 2589 01:27:29,210 --> 01:27:32,280 THAT NEEDED TO GET OUT THERE TO 2590 01:27:32,347 --> 01:27:36,684 TRY TO ADDRESS OPIOID OVERDOAS 2591 01:27:36,751 --> 01:27:44,192 DEOVERDOSEDEATHS ACROSS THE COU. 2592 01:27:44,258 --> 01:27:54,168 THIS OUTLINED 19 ESSENTIAL -- TO 2593 01:27:54,235 --> 01:27:56,037 TRY TO DEVELOP MULTI-SYSTEMIC 2594 01:27:56,104 --> 01:28:00,775 EFFORTS TO ADDRESS THIS. 2595 01:28:00,842 --> 01:28:01,976 AND YOU CAN SEE ON THE RIGHT 2596 01:28:02,043 --> 01:28:03,978 SIDE IS THE ENGAGEMENT. 2597 01:28:04,045 --> 01:28:04,746 OUR ORGANIZATION IS ONE OF THE 2598 01:28:04,812 --> 01:28:07,115 16 PARTICIPATING ASSOCIATIONS IN 2599 01:28:07,181 --> 01:28:07,882 THIS. 2600 01:28:07,949 --> 01:28:10,318 BUT YOU KNOW, 19,000 ENGAGEMENTS 2601 01:28:10,385 --> 01:28:13,921 REPRESENTS MANY, MANY PEOPLE. 2602 01:28:13,988 --> 01:28:16,124 I THINK THAT'S REALLY TELLING OF 2603 01:28:16,190 --> 01:28:16,758 HOW IMPORTANT AND NEEDED THIS 2604 01:28:16,824 --> 01:28:18,559 INFORMATION WAS, SO IT HAS 2605 01:28:18,626 --> 01:28:20,094 INFORMATION ON WEBINARS, ON 2606 01:28:20,161 --> 01:28:23,931 SOCIAL MEDIA, ON WEBSITES, ON 2607 01:28:23,998 --> 01:28:25,667 PARTNER ENGAGEMENT, EMAIL 2608 01:28:25,733 --> 01:28:26,234 DISSEMINATION. 2609 01:28:26,300 --> 01:28:27,769 SO THERE'S A LOT OF DIFFERENT 2610 01:28:27,835 --> 01:28:31,205 WAYS IN WHICH THE INFORMATION ON 2611 01:28:31,272 --> 01:28:32,173 THE STRATEGY IS GETTING OUT 2612 01:28:32,240 --> 01:28:33,808 THERE SO IT CAN INFORM 2613 01:28:33,875 --> 01:28:34,676 POLICYMAKING, WHICH COULD BE 2614 01:28:34,742 --> 01:28:36,010 LEGISLATION, IT COULD BE 2615 01:28:36,077 --> 01:28:38,379 ADMINISTRATIVE POLICY, AS WELL 2616 01:28:38,446 --> 01:28:39,714 AS ACTUALLY MOVING TOWARDS 2617 01:28:39,781 --> 01:28:41,249 IMPLEMENTING THESE STRATEGIES IN 2618 01:28:41,315 --> 01:28:46,954 COMMUNITIES. 2619 01:28:47,021 --> 01:28:48,589 SO THIS IS THE PART TO ME THAT'S 2620 01:28:48,656 --> 01:28:51,159 MOST EXISTING ABOUT THIS, IS 2621 01:28:51,225 --> 01:28:52,260 THAT THERE'S ALL THESE DIFFERENT 2622 01:28:52,326 --> 01:28:53,327 PRODUCTS THAT TALK ABOUT THIS IN 2623 01:28:53,394 --> 01:28:54,529 DIFFERENT WAYS FOR DIFFERENT 2624 01:28:54,595 --> 01:28:54,862 AUDIENCES. 2625 01:28:54,929 --> 01:28:56,431 AND I THINK FROM THE EXPERIENCE 2626 01:28:56,497 --> 01:28:58,066 AND THE WORK THAT I DO, THIS IS 2627 01:28:58,132 --> 01:28:58,933 REALLY IMPORTANT. 2628 01:28:59,000 --> 01:29:01,102 SO YOU HAVE THINGS LIKE THE 2629 01:29:01,169 --> 01:29:03,271 PRACTICE GUIDE FROM SAMHSA, AND 2630 01:29:03,337 --> 01:29:05,173 ONE OF THE THINGS THAT I OVERSEE 2631 01:29:05,239 --> 01:29:06,708 IS SOME TRAINING AND TECHNICAL 2632 01:29:06,774 --> 01:29:08,142 ASSISTANCE TO THE DEPARTMENT OF 2633 01:29:08,209 --> 01:29:10,278 JUSTICE, AND WE WORK ON TWO 2634 01:29:10,344 --> 01:29:11,546 MAJOR FEDERAL GRANT PROGRAMS, 2635 01:29:11,612 --> 01:29:12,947 THE JUSTICE AND MENTAL HEALTH 2636 01:29:13,014 --> 01:29:14,315 COLLABORATION PROGRAM, AND THE 2637 01:29:14,382 --> 01:29:15,483 SECOND CHANCE ACT HEALTH AND 2638 01:29:15,550 --> 01:29:15,717 HOUSING. 2639 01:29:15,783 --> 01:29:17,552 SO IT'S REALLY WORKING ACROSS 2640 01:29:17,618 --> 01:29:19,654 THE JUSTICE SYSTEM TO ADDRESS 2641 01:29:19,721 --> 01:29:21,122 MENTAL ILLNESS, SUBSTANCE USE 2642 01:29:21,189 --> 01:29:26,494 DISORDERS AND CO-OCCURRING 2643 01:29:26,561 --> 01:29:30,732 DISORDERS. 2644 01:29:30,798 --> 01:29:32,633 AS THE TA PROVIDER, WE CAN 2645 01:29:32,700 --> 01:29:33,801 ACTUALLY FOLLOW UP WITH THEM ON 2646 01:29:33,868 --> 01:29:35,570 THIS, SO WE TALK TO THEM 2647 01:29:35,636 --> 01:29:37,205 MONTHLY, WE HAVE REGULAR 2648 01:29:37,271 --> 01:29:37,905 COMMUNICATION. 2649 01:29:37,972 --> 01:29:39,173 SO FOR THAT AUDIENCE, THAT WAS 2650 01:29:39,240 --> 01:29:41,843 LIKE THE PERFECT THING BECAUSE 2651 01:29:41,909 --> 01:29:43,177 WE CAN ACTUALLY TAKE IT AND GO 2652 01:29:43,244 --> 01:29:48,649 USE IT WITH PEOPLE, AND HAVE 2653 01:29:48,716 --> 01:29:49,851 THEM FACILITATE CONVERSATIONS IN 2654 01:29:49,917 --> 01:29:52,253 THEIR COMMUNITY ABOUT WHAT 2655 01:29:52,320 --> 01:29:53,221 STRATEGIES THEY MIGHT WANT TO 2656 01:29:53,287 --> 01:29:54,255 ADD THAT THEY'RE NOT ALREADY 2657 01:29:54,322 --> 01:29:54,689 USING. 2658 01:29:54,756 --> 01:29:55,823 THERE'S ALSO THE GUIDE FOR 2659 01:29:55,890 --> 01:29:56,457 POLICY MAKERS. 2660 01:29:56,524 --> 01:29:57,759 WE ALREADY TOUCHED ON THIS A 2661 01:29:57,825 --> 01:29:58,659 LITTLE BIT BUT THE COUNCIL OF 2662 01:29:58,726 --> 01:29:59,393 STATE GOVERNMENTS, THAT'S WHAT 2663 01:29:59,460 --> 01:30:00,061 WE'RE ABOUT. 2664 01:30:00,128 --> 01:30:01,262 WE'RE ABOUT GETTING AT POLICY 2665 01:30:01,329 --> 01:30:02,396 MAKERS AND OTHER STATE 2666 01:30:02,463 --> 01:30:03,264 GOVERNMENT OFFICIALS. 2667 01:30:03,331 --> 01:30:04,699 BUT THEN THERE'S ADDITIONAL 2668 01:30:04,766 --> 01:30:05,032 OPTIONS. 2669 01:30:05,099 --> 01:30:07,235 SO AN INFOGRAPHIC THAT COULD 2670 01:30:07,301 --> 01:30:08,336 CATCH SOMEONE'S ATTENTION AND 2671 01:30:08,402 --> 01:30:09,437 THEN HOPEFULLY THEY GO AND 2672 01:30:09,504 --> 01:30:10,838 ACTUALLY SEE THE 19 STRATEGIES 2673 01:30:10,905 --> 01:30:12,840 BECAUSE OF THEIR INTEREST IN THE 2674 01:30:12,907 --> 01:30:14,075 INFOGRAPHIC. 2675 01:30:14,142 --> 01:30:16,577 AND FOR US, SOCIAL MEDIA HAS 2676 01:30:16,644 --> 01:30:17,779 ACTUALLY BEEN A BIG THING 2677 01:30:17,845 --> 01:30:21,082 LATELY, JUST TO INCREASE 2678 01:30:21,149 --> 01:30:22,717 ENGAGEMENT IN GETTING MESSAGES 2679 01:30:22,784 --> 01:30:24,018 OUT THERE TO A VARIETY OF 2680 01:30:24,085 --> 01:30:24,986 GOVERNMENT OFFICIALS LIKE MOST 2681 01:30:25,052 --> 01:30:26,220 OF THE GOVERNMENT OFFICIALS THAT 2682 01:30:26,287 --> 01:30:29,090 WE WORK WITH ARE ACTUALLY ON 2683 01:30:29,157 --> 01:30:32,059 LINKEDIN AND THEY HAVE OTHER 2684 01:30:32,126 --> 01:30:34,495 PAGES THAT THEY FOLLOW, SO I 2685 01:30:34,562 --> 01:30:35,763 THINK IT'S REALLY EFFECTIVE TO 2686 01:30:35,830 --> 01:30:36,664 HAVE THESE DIFFERENT WAYS OF 2687 01:30:36,731 --> 01:30:39,934 MARKETING TO THEM, INCLUDING 2688 01:30:40,001 --> 01:30:41,169 BLOGS, THERE WAS ALSO A WEBINAR 2689 01:30:41,235 --> 01:30:42,069 HELD LAST WEEK. 2690 01:30:42,136 --> 01:30:44,906 WE DISSEMINATED THAT THROUGH OUR 2691 01:30:44,972 --> 01:30:46,007 LISTSERV, WHICH IS 17,000 2692 01:30:46,073 --> 01:30:46,908 PEOPLE, SO RIGHT THERE YOU'RE 2693 01:30:46,974 --> 01:30:48,976 GETTING THE WORD OUT TO STATE 2694 01:30:49,043 --> 01:30:50,077 LOCAL GOVERNMENT OFFICIALS AS 2695 01:30:50,144 --> 01:30:51,479 WELL AS SOME OF THE GRANT SITES 2696 01:30:51,546 --> 01:30:53,681 WE'RE WORKING THAT ARE ACTUALLY 2697 01:30:53,748 --> 01:30:54,882 IMPLEMENTING THESE PROGRAMS 2698 01:30:54,949 --> 01:30:56,117 DIRECTLY WITHIN CRIMINAL LEGAL 2699 01:30:56,184 --> 01:30:58,519 SETTINGS. 2700 01:30:58,586 --> 01:31:00,154 AND IN ATTENDING THAT, ONE OF 2701 01:31:00,221 --> 01:31:01,489 THE THINGS THAT I LOVE TO HEAR 2702 01:31:01,556 --> 01:31:03,758 ABOUT WAS THE FOUR STATES THAT 2703 01:31:03,825 --> 01:31:05,526 WE'RE TALKING ABOUT, THE 2704 01:31:05,593 --> 01:31:07,295 COMMUNITY CASE STUDIES THAT THEY 2705 01:31:07,361 --> 01:31:08,296 IMPLEMENTED, AND WHAT WE HEAR 2706 01:31:08,362 --> 01:31:09,363 FROM A LOT OF PEOPLE WHO ARE 2707 01:31:09,430 --> 01:31:10,932 ACTUALLY COULDING THE PLANNING 2708 01:31:10,998 --> 01:31:11,933 AND IMPLEMENTATION FOR THESE 2709 01:31:11,999 --> 01:31:13,034 EFFORTS IS THEY JUST WANT TO 2710 01:31:13,100 --> 01:31:17,405 KNOW WHO DID IT AND DID IT WORK. 2711 01:31:17,471 --> 01:31:18,539 SO HEARING FROM THOSE SITES IS 2712 01:31:18,606 --> 01:31:19,607 SO IMPORTANT BECAUSE THAT 2713 01:31:19,674 --> 01:31:20,942 INSPIRES THEM LIKE, OKAY, EVEN 2714 01:31:21,008 --> 01:31:22,610 IF IT TOOK THEM A YEAR, TWO 2715 01:31:22,677 --> 01:31:23,911 YEARS, THREE YEARS, OFTEN FIVE 2716 01:31:23,978 --> 01:31:26,180 YEARS TO IMPLEMENT A PROGRAM, IF 2717 01:31:26,247 --> 01:31:27,348 YOU CAN HEAR AND GET GUIDANCE 2718 01:31:27,415 --> 01:31:28,449 FROM OTHER PEOPLE WHO HAVE DONE 2719 01:31:28,516 --> 01:31:30,418 IT, IT'S REALLY INSPIRATIONAL 2720 01:31:30,484 --> 01:31:32,787 AND I THINK MAKES A REALLY HUGE 2721 01:31:32,854 --> 01:31:35,423 DIFFERENCE. 2722 01:31:35,489 --> 01:31:37,091 SO I THINK THE KEY PIECE OF THIS 2723 01:31:37,158 --> 01:31:39,627 IS JUST LIKE MAKING THINGS 2724 01:31:39,694 --> 01:31:40,494 DIGESTIBLE FOR DIFFERENT 2725 01:31:40,561 --> 01:31:42,163 AUDIENCES AND FOR POLICY MAKERS, 2726 01:31:42,230 --> 01:31:44,232 THEY'RE REALLY BUSY, SO IF WE 2727 01:31:44,298 --> 01:31:45,533 CAN GET THINGS THAT'S DIGESTIBLE 2728 01:31:45,600 --> 01:31:48,436 TO THEM, THAT'S REALLY CLEAR TO 2729 01:31:48,502 --> 01:31:50,271 THEIR STAFF, TO THEIR TEAM 2730 01:31:50,338 --> 01:31:51,505 MEMBERS SO THEY CAN DO 2731 01:31:51,572 --> 01:31:52,940 LEGISLATION BUT ALSO 2732 01:31:53,007 --> 01:31:54,308 ADMINISTRATIVE POLICY CHANGES OR 2733 01:31:54,375 --> 01:31:56,244 CHANGES WITHIN THE COURT SYSTEM 2734 01:31:56,310 --> 01:32:01,048 ARE JUST AS IMPORTANT AS WELL. 2735 01:32:01,115 --> 01:32:02,450 SO IT'S REALLY IMPORTANT. 2736 01:32:02,516 --> 01:32:04,151 GIVEN THE SCOPE OF THE OPIOID 2737 01:32:04,218 --> 01:32:05,553 CRISIS, AS MANY PEOPLE WE CAN 2738 01:32:05,620 --> 01:32:07,121 REACH, THE BETTER WITH THESE 2739 01:32:07,188 --> 01:32:08,990 STRATEGIES AND REALLY TRYING TO 2740 01:32:09,056 --> 01:32:10,091 IMPACT POLICY MAKERS SO THEY CAN 2741 01:32:10,157 --> 01:32:11,859 USE THESE STRATEGIES TO INFORM 2742 01:32:11,926 --> 01:32:15,263 WHAT THEY'RE DOING IN WRITING 2743 01:32:15,329 --> 01:32:16,797 POLICY, IN DOING LEGISLATION AS 2744 01:32:16,864 --> 01:32:18,666 WELL, MAKING IT DIGESTIBLE AND 2745 01:32:18,733 --> 01:32:21,869 EASY FOR THEM TO UNDERSTAND, BUT 2746 01:32:21,936 --> 01:32:23,604 THEN FOR PEOPLE TO ACTUALLY PLAN 2747 01:32:23,671 --> 01:32:24,805 AND IMPLEMENT THINGS THAT FOLLOW 2748 01:32:24,872 --> 01:32:26,040 THESE PRACTICES, WHICH IS THE 2749 01:32:26,107 --> 01:32:27,041 IMPORTANT END GOAL THAT WE WOULD 2750 01:32:27,108 --> 01:32:27,575 LIKE. 2751 01:32:27,642 --> 01:32:29,110 SO I THINK WHAT'S BEEN EXCITING 2752 01:32:29,176 --> 01:32:33,414 FOR ME IS THAT THIS IS REALLY A 2753 01:32:33,481 --> 01:32:34,815 ROAD MAP TO SUPPORT RESEARCH TO 2754 01:32:34,882 --> 01:32:36,150 PRACTICE TO THINK ABOUT HOW 2755 01:32:36,217 --> 01:32:39,220 STATES AND COMMUNITIES CAN 2756 01:32:39,287 --> 01:32:40,988 FOLLOW GUIDELINES THAT IS 2757 01:32:41,055 --> 01:32:42,056 INFORMED BY THE RESEARCH THAT 2758 01:32:42,123 --> 01:32:43,824 TRULY WORKS TO TRY TO PLAN AND 2759 01:32:43,891 --> 01:32:44,725 IMPLEMENT THESE STRATEGIES. 2760 01:32:44,792 --> 01:32:46,027 SO IT'S REALLY BEEN EXCITING TO 2761 01:32:46,093 --> 01:32:48,663 BE A PART AND HELPING ON THE 2762 01:32:48,729 --> 01:32:51,332 DISSEMINATION OF THIS, AND 2763 01:32:51,399 --> 01:32:59,440 THANKS FOR THE OPPORTUNITY. 2764 01:32:59,507 --> 01:33:00,741 >> GOOD AFTERNOON, EVERYONE. 2765 01:33:00,808 --> 01:33:01,475 IS THIS ON? 2766 01:33:01,542 --> 01:33:01,709 OKAY. 2767 01:33:01,776 --> 01:33:03,177 I'M GOING TO GO A LITTLE OFF 2768 01:33:03,244 --> 01:33:04,478 SCRIPT BUT I THINK IT WILL BE 2769 01:33:04,545 --> 01:33:06,547 RELEVANT FOR THE CONVERSATION 2770 01:33:06,614 --> 01:33:07,315 TODAY. 2771 01:33:07,381 --> 01:33:10,318 SO I'M MIKE LITTERER FROM RWJ 2772 01:33:10,384 --> 01:33:10,851 BARNABAS HEALTH. 2773 01:33:10,918 --> 01:33:13,020 WE ARE NEW JERSEY'S MOST 2774 01:33:13,087 --> 01:33:13,821 COMPREHENSIVE ACADEMIC 2775 01:33:13,888 --> 01:33:14,689 HEALTHCARE SYSTEM. 2776 01:33:14,755 --> 01:33:16,691 WE SERVE ABOUT A THIRD OF NEW 2777 01:33:16,757 --> 01:33:18,192 JERSEY'S COUNTIES, BUT THAT 2778 01:33:18,259 --> 01:33:21,062 REPRESENTS OVER 50% OF THE 2779 01:33:21,128 --> 01:33:21,362 POPULATION. 2780 01:33:21,429 --> 01:33:22,730 WE HAVE ACUTE CARE HOSPITALS AND 2781 01:33:22,797 --> 01:33:25,266 WE ALSO HAVE A CLOSE PARTNERSHIP 2782 01:33:25,333 --> 01:33:26,801 WITH RUTGERS, WHO IS OUR 2783 01:33:26,867 --> 01:33:29,203 ACADEMIC PARTNER. 2784 01:33:29,270 --> 01:33:30,538 I PERSONALLY WORK ON THE TEAM AT 2785 01:33:30,604 --> 01:33:32,707 THE INSTITUTE FOR PREVENTION 2786 01:33:32,773 --> 01:33:35,543 RECOVERY. 2787 01:33:35,609 --> 01:33:37,178 WE ARE A SOLELY GRANT FUNDED ARM 2788 01:33:37,244 --> 01:33:39,947 OF THE HEALTHCARE SYSTEM. WE 2789 01:33:40,014 --> 01:33:41,482 PROVIDE PREVENTION SERVICES, 2790 01:33:41,549 --> 01:33:42,483 RECOVERY SUPPORT SERVICES, 2791 01:33:42,550 --> 01:33:43,818 TOBACCO CESSATION SERVICES, AND 2792 01:33:43,884 --> 01:33:44,885 A FEW OTHER THINGS. 2793 01:33:44,952 --> 01:33:48,289 AND I DON'T SAY THOSE THINGS TO 2794 01:33:48,356 --> 01:33:50,291 SAY WHO I AM, BUT MORE TO BRING 2795 01:33:50,358 --> 01:33:52,393 RELEVANCE TO, I THINK, SOME OF 2796 01:33:52,460 --> 01:33:55,663 THE CONVERSATION FOR TODAY. 2797 01:33:55,730 --> 01:33:56,998 THROUGH OUR PEER RECOVERY 2798 01:33:57,064 --> 01:33:58,632 PROGRAM, WE SERVE ABOUT 20,000 2799 01:33:58,699 --> 01:33:59,166 PATIENTS A YEAR. 2800 01:33:59,233 --> 01:34:02,336 WE ACTUALLY JUST SERVED 100,000 2801 01:34:02,403 --> 01:34:03,471 PATIENTS SINCE THE INCEPTION OF 2802 01:34:03,537 --> 01:34:05,573 OUR PROGRAM. 2803 01:34:05,639 --> 01:34:08,409 WE EMPLOY 120 SL FULL-TIME 2804 01:34:08,476 --> 01:34:10,077 RECOVERY SPECIALISTS, ALL 2805 01:34:10,144 --> 01:34:11,045 INDIVIDUALS WHO ARE IN RECOVERY 2806 01:34:11,112 --> 01:34:11,946 THEMSELVES. 2807 01:34:12,013 --> 01:34:14,248 THEY WORK 24 HOURS A DAY, 7 DAYS 2808 01:34:14,315 --> 01:34:16,550 A WEEK IN OUR HOSPITALS, IN OUR 2809 01:34:16,617 --> 01:34:16,984 COMMUNITIES. 2810 01:34:17,051 --> 01:34:20,621 AND JUST ARE ABSOLUTELY THE 2811 01:34:20,688 --> 01:34:22,790 LIFEBLOOD OF OUR PROGRAM, FULLY 2812 01:34:22,857 --> 01:34:23,591 INTEGRATED INTO THE CARE TEAM. 2813 01:34:23,657 --> 01:34:24,892 WE ALSO DO PREVENTION SERVICES 2814 01:34:24,959 --> 01:34:26,994 IN SOME OF OUR MOST AT-RISK 2815 01:34:27,061 --> 01:34:28,095 COMMUNITIES IN NEW JERSEY. 2816 01:34:28,162 --> 01:34:30,398 SO WE DO A LOT OF WORK. 2817 01:34:30,464 --> 01:34:32,700 AND I WILL TELL YOU, WHEN I CAME 2818 01:34:32,767 --> 01:34:34,902 HERE, I WAS A LITTLE UNSURE, I 2819 01:34:34,969 --> 01:34:36,237 WASN'T SURE IF I WAS GOING TO 2820 01:34:36,303 --> 01:34:37,371 FIT IN OR UNDERSTAND A LOT OF 2821 01:34:37,438 --> 01:34:39,106 THE THINGS THAT WERE GOING TO BE 2822 01:34:39,173 --> 01:34:42,276 TALKED ABOUT, I'M NO RESEARCHER, 2823 01:34:42,343 --> 01:34:43,844 I DO SEE MYSELF AS A CONSUMER. 2824 01:34:43,911 --> 01:34:45,279 BUT I QUICKLY REALIZED THAT IT 2825 01:34:45,346 --> 01:34:48,349 WAS AMAZING TO SEE HOW ALIGNED 2826 01:34:48,416 --> 01:34:49,583 THE TOPICS OF THIS CONFERENCE 2827 01:34:49,650 --> 01:34:51,352 WERE TO THE WORK THAT WE DO 2828 01:34:51,419 --> 01:34:53,554 EVERY DAY IN NEW JERSEY. 2829 01:34:53,621 --> 01:34:55,990 IT WAS -- THERE IS ALMOST NOT A 2830 01:34:56,057 --> 01:34:57,291 SINGLE TOPIC, I ACTUALLY WALKED 2831 01:34:57,358 --> 01:34:59,927 AROUND THE POSTER ROOM AND LET'S 2832 01:34:59,994 --> 01:35:01,629 SAY THERE WAS 50 POSTERS, I 2833 01:35:01,695 --> 01:35:03,364 THINK I TOOK PICTURE OF ABOUT 40 2834 01:35:03,431 --> 01:35:04,098 POSTERS. 2835 01:35:04,165 --> 01:35:05,499 IT WAS AMAZING TO SEE. 2836 01:35:05,566 --> 01:35:09,603 BUT I WILL TELL YOU, I HAD NO 2837 01:35:09,670 --> 01:35:10,704 AWARENESS OF ALMOST ANY OF THE 2838 01:35:10,771 --> 01:35:11,705 STUDIES THAT WERE HIGHLIGHTED IN 2839 01:35:11,772 --> 01:35:14,542 THE POSTER. 2840 01:35:14,608 --> 01:35:15,543 ONE OF THE OTHERS THINGS THAT 2841 01:35:15,609 --> 01:35:16,544 WE'RE VERY FORTUNATE IS WE 2842 01:35:16,610 --> 01:35:17,845 WORKED VERY CLOSELY WITH THE 2843 01:35:17,912 --> 01:35:18,946 RUTGERS ADDICTION RESEARCH -- I 2844 01:35:19,013 --> 01:35:20,815 SHOULD PROBABLY BE FORWARDING MY 2845 01:35:20,881 --> 01:35:23,217 SLIDES, BUT -- WE WORKED VERY 2846 01:35:23,284 --> 01:35:25,519 CLOSELY WITH THE RUTGERS 2847 01:35:25,586 --> 01:35:26,554 ADDICTION RESEARCH CENTER. 2848 01:35:26,620 --> 01:35:27,988 THAT'S BEEN ESTABLISHED I GUESS 2849 01:35:28,055 --> 01:35:29,623 ABOUT TWO YEARS OR SO, IT'S LED 2850 01:35:29,690 --> 01:35:33,594 BY DR. DANIEL DIK, WHO'S AMAZING 2851 01:35:33,661 --> 01:35:36,330 TO WORK WITH, ONE OF OUR CLOSE 2852 01:35:36,397 --> 01:35:38,966 PARTNERS, SO WE HAVE FULL ACCESS 2853 01:35:39,033 --> 01:35:41,202 TO A VERY LARGE COMPREHENSIVE 2854 01:35:41,268 --> 01:35:42,303 RESEARCH CENTER FOCUSED ON 2855 01:35:42,369 --> 01:35:45,239 ADDICTION. 2856 01:35:45,306 --> 01:35:47,708 BUT ACTUALLY A STORY, NINA AND I 2857 01:35:47,775 --> 01:35:48,909 CONNECTED IN THE LOBBY BEFORE, 2858 01:35:48,976 --> 01:35:50,111 AND NINA AND I HAVE WORKED 2859 01:35:50,177 --> 01:35:51,579 TOGETHER, SHE'S WORKED WITH OUR 2860 01:35:51,645 --> 01:35:53,114 TEAM, DID EXTENSIVE EVALUATION 2861 01:35:53,180 --> 01:35:55,082 OF OUR PEER RECOVERY PROGRAM. 2862 01:35:55,149 --> 01:35:57,051 WE WORKED VERY CLOSELY. 2863 01:35:57,118 --> 01:35:58,819 WE ARE ACTUALLY -- WE HELPED 2864 01:35:58,886 --> 01:36:00,221 CHANGE LEGISLATION IN NEW JERSEY 2865 01:36:00,287 --> 01:36:02,056 TO DISTRIBUTE NALOXONE IN OUR 2866 01:36:02,123 --> 01:36:04,024 EMERGENCY ROOM, SO OUR PEER 2867 01:36:04,091 --> 01:36:05,126 SPECIALISTS CAN ACTUALLY HAND A 2868 01:36:05,192 --> 01:36:06,327 KIT TO THE PATIENT, NOT A 2869 01:36:06,393 --> 01:36:07,194 SCRIPT. 2870 01:36:07,261 --> 01:36:08,963 AND WE PARTNERED WITH NINA AND 2871 01:36:09,029 --> 01:36:10,498 HER TEAM TO DISTRIBUTE THAT 2872 01:36:10,564 --> 01:36:11,098 NALOXONE. 2873 01:36:11,165 --> 01:36:13,934 SO WE WORK EVERY DAY. 2874 01:36:14,001 --> 01:36:14,168 VERY 2875 01:36:14,235 --> 01:36:14,401 CLOSELY. 2876 01:36:14,468 --> 01:36:16,036 AND I ACTUALLY JUST FOUND OUT 2877 01:36:16,103 --> 01:36:18,639 HERE THAT NINA ALSO HAD A STUDY 2878 01:36:18,706 --> 01:36:20,774 RECENTLY PUBLISHED, AND I HAD NO 2879 01:36:20,841 --> 01:36:23,177 IDEA THAT THAT HAD TAKEN PLACE. 2880 01:36:23,244 --> 01:36:25,579 I HIGHLIGHT THIS BECAUSE THERE 2881 01:36:25,646 --> 01:36:27,348 IS SUCH TREMENDOUS RESEARCH 2882 01:36:27,414 --> 01:36:29,350 HAPPENING, BUT THERE IS SUCH A 2883 01:36:29,416 --> 01:36:31,752 TREMENDOUS GAP IN GETTING TO THE 2884 01:36:31,819 --> 01:36:34,188 HANDS OF THE FOLKS THAT ARE 2885 01:36:34,255 --> 01:36:34,855 IMPLEMENTING. 2886 01:36:34,922 --> 01:36:36,924 THE OTHER THING, TOO, IS I AM 2887 01:36:36,991 --> 01:36:38,792 VERY FORTUNATE, WE HAVE A DATA 2888 01:36:38,859 --> 01:36:40,995 ANALYTICS AND RESEARCH AND 2889 01:36:41,061 --> 01:36:43,864 DEVELOPMENT TEAM. 2890 01:36:43,931 --> 01:36:47,801 ELLIOTT, BRITTANY, RENA, SUPER 2891 01:36:47,868 --> 01:36:48,903 INCREDIBLY SMART TEAM OF MIXED 2892 01:36:48,969 --> 01:36:50,337 METHODS RESEARCHERS. 2893 01:36:50,404 --> 01:36:52,840 BUT WE ONLY HAD THAT BECAUSE 2894 01:36:52,907 --> 01:36:54,108 ABOUT SEVEN YEARS AGO, WE 2895 01:36:54,175 --> 01:36:58,712 PRIORITIZED THAT EVERY GRANT WE 2896 01:36:58,779 --> 01:37:00,114 WRITE, WE INCLUDE ANALYTICS. 2897 01:37:00,181 --> 01:37:01,582 BECAUSE HOW CAN WE BE DOING THIS 2898 01:37:01,649 --> 01:37:03,250 WORK IF WE DON'T LOOK AT WHAT'S 2899 01:37:03,317 --> 01:37:03,918 WORKING, WHAT'S NOT. 2900 01:37:03,984 --> 01:37:05,486 SO ABOUT 10% OF EVERY GRANT THAT 2901 01:37:05,553 --> 01:37:08,189 WE WRITE, WE INCLUDE CAPACITY 2902 01:37:08,255 --> 01:37:09,890 BUILDING FOR OUR DATA ANALYTICS 2903 01:37:09,957 --> 01:37:12,693 TEAM. 2904 01:37:12,760 --> 01:37:14,128 I THINK THAT SHOULD BE THE SAME 2905 01:37:14,195 --> 01:37:15,029 THING FOR RESEARCH. 2906 01:37:15,095 --> 01:37:16,530 IT'S NOT THE GOAL OF PUBLISHING, 2907 01:37:16,597 --> 01:37:17,531 IT'S THE GOAL OF GETTING INTO 2908 01:37:17,598 --> 01:37:21,068 THE HANDS OF PEOPLE TO TRANSLATE 2909 01:37:21,135 --> 01:37:21,936 THAT WORK INTO ACTION. 2910 01:37:22,002 --> 01:37:23,437 SO I THINK EVERY RESEARCHER 2911 01:37:23,504 --> 01:37:24,905 SHOULD HAVE A PORTION OF THEIR 2912 01:37:24,972 --> 01:37:29,176 BUDGET, THEIR TIME, AND HOW ARE 2913 01:37:29,243 --> 01:37:30,177 THEY ACTUALLY GOING TO GET INTO 2914 01:37:30,244 --> 01:37:32,146 THE HANDS OF SOMEONE LIKE ME WHO 2915 01:37:32,213 --> 01:37:33,747 COMES TO A MEETING LIKE THIS SO 2916 01:37:33,814 --> 01:37:34,481 INTERESTED IN SO MANY OF THE 2917 01:37:34,548 --> 01:37:35,683 TOPICS THAT ARE SO RELEVANT TO 2918 01:37:35,749 --> 01:37:37,351 THE WORK THAT WE DO, AND I HAD 2919 01:37:37,418 --> 01:37:39,053 NO IDEA. 2920 01:37:39,119 --> 01:37:41,121 SO ONE OF THE OTHER THINGS IS I 2921 01:37:41,188 --> 01:37:42,656 WANT TO HIGHLIGHT -- YOU KNOW, 2922 01:37:42,723 --> 01:37:44,725 WE'RE NOT A NATIONAL 2923 01:37:44,792 --> 01:37:45,059 ASSOCIATION. 2924 01:37:45,125 --> 01:37:47,161 SO MANY OF MY PARTNERS HERE ON 2925 01:37:47,228 --> 01:37:49,897 THE TABLE REPRESENT 2926 01:37:49,964 --> 01:37:50,764 ORGANIZATIONS ACROSS THE 2927 01:37:50,831 --> 01:37:51,432 COUNTRY. 2928 01:37:51,498 --> 01:37:53,234 WE'RE A HEALTHCARE SYSTEM IN NEW 2929 01:37:53,300 --> 01:37:53,567 JERSEY. 2930 01:37:53,634 --> 01:37:55,102 BUT WHAT I DID REALIZE WAS, IS 2931 01:37:55,169 --> 01:37:57,771 THAT WE HAVE OUR TACKLING 2932 01:37:57,838 --> 01:38:00,040 ADDICTION TASK FORCE CHAIRED BY 2933 01:38:00,107 --> 01:38:02,343 DR. CHRISTOPHER FREER, HEAD OF 2934 01:38:02,409 --> 01:38:03,444 OUR EMERGENCY HOSPITAL SERVICE 2935 01:38:03,510 --> 01:38:05,045 LINE AS WELL AS MY BOSS, CONNIE 2936 01:38:05,112 --> 01:38:06,981 GREEN, OUR SENIOR VICE 2937 01:38:07,047 --> 01:38:07,448 PRESIDENT. 2938 01:38:07,514 --> 01:38:09,083 IT'S A MULTIDISCIPLINARY TEAM 2939 01:38:09,149 --> 01:38:10,851 THAT HAS NURSING, PHYSICIANS, 2940 01:38:10,918 --> 01:38:12,519 I.T., EVERY DISCIPLINE WITHOUT 2941 01:38:12,586 --> 01:38:13,921 THE -- THROUGHOUT THE HEALTHCARE 2942 01:38:13,988 --> 01:38:15,122 SYSTEM, AND THAT'S WHERE WE MAKE 2943 01:38:15,189 --> 01:38:16,390 OUR DECISIONS BUT THAT'S ALSO 2944 01:38:16,457 --> 01:38:18,259 WHERE WE EDUCATE THEM. 2945 01:38:18,325 --> 01:38:23,597 SO A GREAT EXAMPLE O IS THE EAT, 2946 01:38:23,664 --> 01:38:24,932 SLEEP, CONSOLE TOOLKIT LAST 2947 01:38:24,999 --> 01:38:25,599 WEEK. 2948 01:38:25,666 --> 01:38:27,568 WE DELIVER OVER 20,000 BABIES A 2949 01:38:27,635 --> 01:38:28,669 YEAR IN NEW JERSEY. 2950 01:38:28,736 --> 01:38:31,672 WE'RE THE LARGEST DELIVERER OF 2951 01:38:31,739 --> 01:38:32,873 BABIES OF NINE BIRTHING 2952 01:38:32,940 --> 01:38:33,307 HOSPITALS. 2953 01:38:33,374 --> 01:38:35,609 WE WORK VERY CLOSELY WITH OUR 2954 01:38:35,676 --> 01:38:37,044 SEEN YOUR VICE PRESIDENT OF 2955 01:38:37,111 --> 01:38:37,778 WOMEN'S SERVICES. 2956 01:38:37,845 --> 01:38:39,513 IN ONE EMAIL, I'M ABLE TO EMAIL 2957 01:38:39,580 --> 01:38:42,149 THAT TOOLKIT TO SUZANNE, SHE 2958 01:38:42,216 --> 01:38:44,385 THEN SENDS TO ALL HER OB CHAIRS 2959 01:38:44,451 --> 01:38:46,353 ACROSS OUR ENTIRE SYSTEM, AND 2960 01:38:46,420 --> 01:38:50,858 WITHIN A FEW DAYS, POTENTIALLY 2961 01:38:50,924 --> 01:38:52,726 27,000 BABIES ARE IMPACTED BY 2962 01:38:52,793 --> 01:38:55,262 THAT RESEARCH. 2963 01:38:55,329 --> 01:38:56,563 BUT IF IT WAS A RESEARCH STUDY 2964 01:38:56,630 --> 01:38:58,599 AND A 20-PAGE RESEARCH ARTICLE, 2965 01:38:58,666 --> 01:39:00,234 I WOULD PROBABLY EMAIL THAT AND 2966 01:39:00,301 --> 01:39:01,101 NO ONE WOULD READ IT. 2967 01:39:01,168 --> 01:39:03,304 I FORTUNATELY HAVE FOLKS LIKE 2968 01:39:03,370 --> 01:39:05,439 DANIELLE AND NINA AT THE RUTGERS 2969 01:39:05,506 --> 01:39:07,708 ADDICTION RESEARCH CENTER, 2970 01:39:07,775 --> 01:39:09,843 ELLIOTT, RENA AND BRITTANY WHO 2971 01:39:09,910 --> 01:39:11,578 TRANSLATE IT FOR ME AND DUMB IT 2972 01:39:11,645 --> 01:39:13,013 DOWN, BUT THERE'S ONLY SO MUCH 2973 01:39:13,080 --> 01:39:13,981 IN THAT CAPACITY. 2974 01:39:14,048 --> 01:39:16,016 SO I WAS REALLY EXCITED WHEN I 2975 01:39:16,083 --> 01:39:17,651 FOUND OUT WHAT ADDICTION -- WHAT 2976 01:39:17,718 --> 01:39:19,386 THE HEAL CONNECTIONS PROGRAM 2977 01:39:19,453 --> 01:39:19,753 WAS. 2978 01:39:19,820 --> 01:39:21,088 AND I REALLY ENCOURAGE YOU ALL 2979 01:39:21,155 --> 01:39:22,823 AS RESEARCHERS TO GET THESE 2980 01:39:22,890 --> 01:39:24,591 THINGS IN OUR HANDS BECAUSE WE 2981 01:39:24,658 --> 01:39:26,727 CAN ACT ON IT VERY QUICKLY WHEN 2982 01:39:26,794 --> 01:39:27,928 IT'S DIGESTIBLE. 2983 01:39:27,995 --> 01:39:30,197 MY LAST PIECE BEFORE I HAND IT 2984 01:39:30,264 --> 01:39:32,599 OVER IS, FOR ME, THE RESEARCH 2985 01:39:32,666 --> 01:39:35,302 AND THE INFORMATION CAUSES A 2986 01:39:35,369 --> 01:39:36,070 FORK IN THE ROAD. 2987 01:39:36,136 --> 01:39:37,504 THAT FORK IN THE ROAD DOES TWO 2988 01:39:37,571 --> 01:39:38,772 THINGS. 2989 01:39:38,839 --> 01:39:40,441 IT HELPS ME WORK ON CREATING 2990 01:39:40,507 --> 01:39:41,675 POLICY, MAKING SURE THAT THE 2991 01:39:41,742 --> 01:39:46,046 POLICIES OF OUR CARE DELIVERY, 2992 01:39:46,113 --> 01:39:47,748 OUR DOCUMENTATION FOLLOW BEST 2993 01:39:47,815 --> 01:39:48,515 PRACTICES, AS WELL AS CHANGING 2994 01:39:48,582 --> 01:39:49,383 THE PRACTICE. 2995 01:39:49,450 --> 01:39:50,584 SO WE GET INTO THE HANDS OF THE 2996 01:39:50,651 --> 01:39:51,885 DOCTORS AND THE NURSES, WE GET 2997 01:39:51,952 --> 01:39:53,687 INTO THE HANDS OF THE 2998 01:39:53,754 --> 01:39:54,788 ADMINISTRATORS, AND THAT ROAD 2999 01:39:54,855 --> 01:39:56,323 SPLIT AND WE CAN WORK IN 3000 01:39:56,390 --> 01:39:59,126 PARALLEL ON GETTING THIS DONE. 3001 01:39:59,193 --> 01:40:00,861 THAT ROAD EVENTUALLY MERGES BACK 3002 01:40:00,928 --> 01:40:02,196 WHERE PRACTICE MEETS POLICY, AND 3003 01:40:02,262 --> 01:40:04,398 THAT'S WHERE THE REAL CHANGE 3004 01:40:04,465 --> 01:40:04,698 MAKES. 3005 01:40:04,765 --> 01:40:06,700 I NEED THE INFORMATION FROM THIS 3006 01:40:06,767 --> 01:40:09,236 RESEARCH IN MULTIPLE TOOLS, SO I 3007 01:40:09,303 --> 01:40:10,871 CAN EDUCATE A DOCTOR, AN 3008 01:40:10,938 --> 01:40:12,806 ADMINISTRATOR, A NURSE, THE 3009 01:40:12,873 --> 01:40:14,641 COMMUNITY, OUR PEER SPECIALISTS. 3010 01:40:14,708 --> 01:40:17,177 SO I THINK I'M -- I FEEL VERY 3011 01:40:17,244 --> 01:40:18,645 FORTUNATE TO BE A PART OF THIS 3012 01:40:18,712 --> 01:40:20,481 HEAL CONNECTIONS TO NOT ONLY 3013 01:40:20,547 --> 01:40:24,118 HAVE THAT INPUT, BUT TO HAVE THE 3014 01:40:24,184 --> 01:40:25,386 TOOLS, THAT BI-DIRECTIONAL TOOL 3015 01:40:25,452 --> 01:40:27,421 FOR US, AND ALSO TO HOPEFULLY 3016 01:40:27,488 --> 01:40:28,622 INFORM FUTURE RESEARCH. 3017 01:40:28,689 --> 01:40:30,224 SO I WILL LEAVE IT AT THAT, BUT 3018 01:40:30,290 --> 01:40:34,294 I ENCOURAGE YOU ALL TO PLEASE 3019 01:40:34,361 --> 01:40:35,596 PARTICIPATE, AND DUMB IT DOWN, 3020 01:40:35,662 --> 01:40:36,897 GET TO SOMEONE LIKE ME THAT CAN 3021 01:40:36,964 --> 01:40:37,831 DO SOMETHING WITH IT. 3022 01:40:37,898 --> 01:40:40,134 I STILL GOOGLE WHAT A PEE TEST 3023 01:40:40,200 --> 01:40:41,535 IS, SO THAT'S WHERE I'M AT. 3024 01:40:41,602 --> 01:40:43,604 BUT IF YOU CAN GET IT DOWN TO 3025 01:40:43,670 --> 01:40:45,038 THAT LEVEL, WE CAN ACT ON IT 3026 01:40:45,105 --> 01:40:45,639 MUCH QUICKER. 3027 01:40:45,706 --> 01:40:51,545 SO THANK YOU. 3028 01:40:51,612 --> 01:40:55,182 >> HI, GOOD AFTERNOON. 3029 01:40:55,249 --> 01:40:58,685 MY NAME IS PATTY MCCARTHY, AND I 3030 01:40:58,752 --> 01:41:00,888 AM A WOMAN IN LONG TERM RECOVERY 3031 01:41:00,954 --> 01:41:03,590 FROM ALCOHOL AND DRUG ADDICTION. 3032 01:41:03,657 --> 01:41:11,665 AND -- WHERE AM I HERE? 3033 01:41:11,732 --> 01:41:12,199 THERE WE ARE. 3034 01:41:12,266 --> 01:41:15,102 SO IF IT WASN'T FOR MY RECOVERY, 3035 01:41:15,169 --> 01:41:19,506 I WOULDN'T BE A MOTHER, 3036 01:41:19,573 --> 01:41:21,008 GRANDMOTHER, TAXPAYER, 3037 01:41:21,074 --> 01:41:22,276 HOMEOWNER, VOTER. 3038 01:41:22,342 --> 01:41:23,677 AND I CERTAINLY WOULDN'T BE HERE 3039 01:41:23,744 --> 01:41:26,313 TODAY AS THE CEO OF FACES & 3040 01:41:26,380 --> 01:41:27,281 VOICES OF RECOVERY. 3041 01:41:27,347 --> 01:41:30,083 WE ARE A NATIONAL ADVOCACY AND 3042 01:41:30,150 --> 01:41:33,787 EDUCATION ORGANIZATION BASED IN 3043 01:41:33,854 --> 01:41:34,888 WASHINGTON, D.C., AND WE BEGAN 3044 01:41:34,955 --> 01:41:38,358 OVER 20 YEARS AGO TO PUT A FACE 3045 01:41:38,425 --> 01:41:39,860 AND A VOICE ON RECOVERY. 3046 01:41:39,927 --> 01:41:41,061 AND OUR MISSION REALLY IS TO 3047 01:41:41,128 --> 01:41:42,596 CHANGE THE WAY THE PUBLIC SEES 3048 01:41:42,663 --> 01:41:47,768 ADDICTION AND RECOVERY. 3049 01:41:47,835 --> 01:41:50,737 SO I'LL TELL YOU A LITTLE BIT 3050 01:41:50,804 --> 01:41:52,906 MORE ABOUT WHAT WE DO, BUT 3051 01:41:52,973 --> 01:41:54,274 REALLY ULTIMATELY, IT'S TO MAKE 3052 01:41:54,341 --> 01:41:55,576 RECOVERY POSSIBLE FOR EVEN MORE 3053 01:41:55,642 --> 01:41:58,011 AMERICANS AND CHANGE THAT 3054 01:41:58,078 --> 01:41:59,146 TRAJECTORY FOR GENERATIONS TO 3055 01:41:59,213 --> 01:42:02,850 COME AND HELP FUTURE GENERATIONS 3056 01:42:02,916 --> 01:42:03,817 AND THE CHILDREN THAT ARE OFTEN 3057 01:42:03,884 --> 01:42:05,519 THE BIGGEST WINNERS IN THE 3058 01:42:05,586 --> 01:42:09,456 RECOVERY PROCESS. 3059 01:42:09,523 --> 01:42:10,657 SO AS A NATIONAL ORGANIZATION, 3060 01:42:10,724 --> 01:42:11,525 WE HAVE QUITE A REACH. 3061 01:42:11,592 --> 01:42:15,462 WE ACTUALLY HAVE A NETWORK, IT'S 3062 01:42:15,529 --> 01:42:15,996 AN ASSOCIATION. 3063 01:42:16,063 --> 01:42:20,234 WE HAVE OVER 200 ALLIANCE 3064 01:42:20,300 --> 01:42:23,203 MEMBERS SO THERE ARE THE MEMBERS 3065 01:42:23,270 --> 01:42:24,771 OF THE ALLIANCE FOR RECOVERY 3066 01:42:24,838 --> 01:42:27,941 CENTERED ORGANIZATIONS. 3067 01:42:28,008 --> 01:42:29,977 AND MANY OF THOSE ARE RECOVERY 3068 01:42:30,043 --> 01:42:31,512 COMMUNITY ORGANIZATIONS, WHICH 3069 01:42:31,578 --> 01:42:33,013 ARE GRASSROOTS ORGANIZATIONS LED 3070 01:42:33,080 --> 01:42:34,882 AND RUN BY THE RECOVERY 3071 01:42:34,948 --> 01:42:36,850 COMMUNITY IN STATES ACROSS THE 3072 01:42:36,917 --> 01:42:37,317 COUNTRY. 3073 01:42:37,384 --> 01:42:40,287 WE ARE ALSO A GLOBAL -- THE 3074 01:42:40,354 --> 01:42:42,589 LARGEST GLOBAL RECOVERY ADVOCACY 3075 01:42:42,656 --> 01:42:48,061 NETWORK IN THE WORLD. 3076 01:42:48,128 --> 01:42:49,263 WE HAVE BEEN WORKING HARD BY 3077 01:42:49,329 --> 01:42:50,297 TALKING WITH MEMBERS OF 3078 01:42:50,364 --> 01:42:52,332 CONGRESS, TALKING WITH THE WHITE 3079 01:42:52,399 --> 01:42:53,934 HOUSE, OTHER FEDERAL AGENCIES, 3080 01:42:54,001 --> 01:42:56,403 TO MAKE SURE THAT THERE IS 3081 01:42:56,470 --> 01:42:58,071 FUNDING OUT THERE FOR RECOVERY 3082 01:42:58,138 --> 01:43:00,874 SUPPORT SERVICES AND RECOVERY 3083 01:43:00,941 --> 01:43:02,175 PROGRAMS AND RECOVERY 3084 01:43:02,242 --> 01:43:05,012 ORGANIZATIONS. 3085 01:43:05,078 --> 01:43:06,547 SO OUR ACTUAL REACH IS, YOU 3086 01:43:06,613 --> 01:43:08,916 KNOW, ABOUT 80,000 MEMBERS ON A 3087 01:43:08,982 --> 01:43:09,883 REGULAR BASIS RECEIVING OUR 3088 01:43:09,950 --> 01:43:15,789 INFORMATION. 3089 01:43:15,856 --> 01:43:16,990 SOME OF THE PROGRAMS WE'VE 3090 01:43:17,057 --> 01:43:18,191 STARTED AND DEVELOPED OVER THE 3091 01:43:18,258 --> 01:43:19,526 PAST 20 YEARS IS AS I MENTIONED 3092 01:43:19,593 --> 01:43:20,327 THE ALLIANCE. 3093 01:43:20,394 --> 01:43:22,429 WE SUPPORT AND UNITE THOSE 3094 01:43:22,496 --> 01:43:23,397 200-PLUS ORGANIZATIONS AROUND 3095 01:43:23,463 --> 01:43:24,965 THE COUNTRY BY SHARING KNOWLEDGE 3096 01:43:25,032 --> 01:43:28,035 AND RESOURCES WITH THEM. 3097 01:43:28,101 --> 01:43:29,369 AND NETWORKING AND BRINGING THEM 3098 01:43:29,436 --> 01:43:31,038 TOGETHER FOR AN ANNUAL 3099 01:43:31,104 --> 01:43:32,539 CONFERENCE, WE BRING THEM TO 3100 01:43:32,606 --> 01:43:32,906 CAPITOL HILL. 3101 01:43:32,973 --> 01:43:35,642 AS YOU SAW ON THE LAST SLIDE, TO 3102 01:43:35,709 --> 01:43:38,011 TALK WITH THEIR MEMBERS OF 3103 01:43:38,078 --> 01:43:38,278 CONGRESS. 3104 01:43:38,345 --> 01:43:41,848 AND THEN WE ALSO HAVE CAPRSS, 3105 01:43:41,915 --> 01:43:43,517 THE ONLY ACCREDITING BODY IN THE 3106 01:43:43,584 --> 01:43:44,985 U.S. SOLELY FOR ORGANIZATIONS 3107 01:43:45,052 --> 01:43:46,286 THAT PROVIDE PEER RECOVERY 3108 01:43:46,353 --> 01:43:48,255 SUPPORT SERVICES. 3109 01:43:48,322 --> 01:43:50,490 WE OPERATE THE NATIONAL RECOVERY 3110 01:43:50,557 --> 01:43:52,059 INSTITUTE, WHICH IS A NATIONAL 3111 01:43:52,125 --> 01:43:53,560 PEER-RUN TRAINING AND TECHNICAL 3112 01:43:53,627 --> 01:43:54,328 ASSISTANCE CENTER. 3113 01:43:54,394 --> 01:43:57,564 SO WE'RE TRAINING ORGANIZATIONS 3114 01:43:57,631 --> 01:43:59,199 TO INTEGRATE AND IMPLEMENT 3115 01:43:59,266 --> 01:44:03,604 EFFECTIVE PEER SERVICES ACROSS 3116 01:44:03,670 --> 01:44:04,137 THE COUNTRY. 3117 01:44:04,204 --> 01:44:06,006 WE'RE ALSO TRAINING THE PEER 3118 01:44:06,073 --> 01:44:08,241 WORKFORCE WITH CONTINUING 3119 01:44:08,308 --> 01:44:08,875 EDUCATION UNITS. 3120 01:44:08,942 --> 01:44:10,877 WE WORK CLOSELY WITH ANY 3121 01:44:10,944 --> 01:44:12,179 ORGANIZATION THAT WANTS -- OR 3122 01:44:12,245 --> 01:44:16,717 STATE ENTITY THAT WANTS TO BUILD 3123 01:44:16,783 --> 01:44:17,584 A RECOVERY INFRASTRUCTURE TO 3124 01:44:17,651 --> 01:44:19,453 MAKE RECOVERY-READY COMMUNITIES 3125 01:44:19,519 --> 01:44:20,520 ACROSS THE NATION. 3126 01:44:20,587 --> 01:44:24,324 OUR RECOVERY DATA PLATFORM IS A 3127 01:44:24,391 --> 01:44:26,193 CLOUD-BASED DATA PLATFORM THAT 3128 01:44:26,259 --> 01:44:28,362 COLLECTS INFORMATION FROM PEER 3129 01:44:28,428 --> 01:44:31,665 SERVICES ACROSS THE NATION. 3130 01:44:31,732 --> 01:44:33,934 WE HAVE OVER 120 ACTUAL 3131 01:44:34,001 --> 01:44:35,569 PARTICIPANTS NOW THAT HAVE 3132 01:44:35,636 --> 01:44:36,970 ENGAGED, THOSE ARE THE PEOPLE 3133 01:44:37,037 --> 01:44:38,872 RECEIVING SERVICES, AND SO THERE 3134 01:44:38,939 --> 01:44:41,308 ARE STATE ENTITIES AND COMMUNITY 3135 01:44:41,375 --> 01:44:43,143 ORGANIZATIONS THAT USE THE 3136 01:44:43,210 --> 01:44:44,244 PLATFORM, AND WE ARE VERY 3137 01:44:44,311 --> 01:44:47,681 EXCITED TO TRY TO -- WHEN WE 3138 01:44:47,748 --> 01:44:51,184 FINALLY FIND A WAY TO SHARE THAT 3139 01:44:51,251 --> 01:44:52,285 INFORMATION, THAT DATA THAT HAS 3140 01:44:52,352 --> 01:44:53,887 NOT BEEN EVALUATED OR RESEARCHED 3141 01:44:53,954 --> 01:44:54,421 AT THIS POINT. 3142 01:44:54,488 --> 01:44:55,856 SO IT'S LIKE A GOLD MINE OF 3143 01:44:55,922 --> 01:45:02,729 DATA. 3144 01:45:02,796 --> 01:45:04,398 THIS IS JUST A MAP OF ALL OF OUR 3145 01:45:04,464 --> 01:45:04,931 ORGANIZATIONS AROUND THE 3146 01:45:04,998 --> 01:45:05,365 COUNTRY. 3147 01:45:05,432 --> 01:45:06,633 IT DOESN'T REALLY SHOW THAT WE 3148 01:45:06,700 --> 01:45:08,001 ALSO HAVE ORGANIZATIONS 3149 01:45:08,068 --> 01:45:09,036 INTERNATIONALLY. 3150 01:45:09,102 --> 01:45:10,837 AND IN TERRITORIES ACROSS THE 3151 01:45:10,904 --> 01:45:15,909 COUNTRY. 3152 01:45:15,976 --> 01:45:17,878 AS KATE MENTIONED EARLIER, NOT 3153 01:45:17,944 --> 01:45:20,247 ABOUT US WITHOUT US, FOR THE 3154 01:45:20,313 --> 01:45:21,448 PAIN COMMUNITY, THIS IS REALLY 3155 01:45:21,515 --> 01:45:23,850 WHAT FACES & VOICES OF RECOVERY 3156 01:45:23,917 --> 01:45:25,886 DOES IN POLICY-MAKING DECISIONS 3157 01:45:25,952 --> 01:45:27,754 SUCH AS, YOU KNOW, OPIOID 3158 01:45:27,821 --> 01:45:29,823 ABATEMENT COUNCILS, OPIOID 3159 01:45:29,890 --> 01:45:30,390 SETTLEMENT. 3160 01:45:30,457 --> 01:45:32,492 ALSO AT THE STATE LEVEL ON 3161 01:45:32,559 --> 01:45:36,697 BEHAVIORAL HEALTH, BLACK -- 3162 01:45:36,763 --> 01:45:37,698 COUNCILS, THINGS LIKE THAT, WE 3163 01:45:37,764 --> 01:45:38,932 HELP GROUPS AND INDIVIDUALS TO 3164 01:45:38,999 --> 01:45:40,500 LEARN HOW TO ADVOCATE AND BE A 3165 01:45:40,567 --> 01:45:42,135 VOICE ON THOSE COUNCILS AND 3166 01:45:42,202 --> 01:45:43,670 THOSE COMMITTEES. 3167 01:45:43,737 --> 01:45:46,440 WE ALSO TRAIN PEOPLE LIKE A 3168 01:45:46,506 --> 01:45:49,276 SPEAKERS BUREAU AROUND HOW TO BE 3169 01:45:49,342 --> 01:45:51,144 EFFECTIVE IN POLICYMAKING, AND 3170 01:45:51,211 --> 01:45:55,515 PEOPLE IN RECOVERY. 3171 01:45:55,582 --> 01:45:57,884 SO REALLY THE IMPORTANT PIECE 3172 01:45:57,951 --> 01:45:59,286 HERE AND WHY WE'RE HERE WITH THE 3173 01:45:59,352 --> 01:46:00,487 HEAL CONNECTIONS AND WORKING 3174 01:46:00,554 --> 01:46:02,622 CLOSELY WITH THESE ORGANIZATIONS 3175 01:46:02,689 --> 01:46:04,624 AND JESS AT THE ADDICTION POLICY 3176 01:46:04,691 --> 01:46:06,259 FORUM IS BECAUSE THIS BRINGS ALL 3177 01:46:06,326 --> 01:46:10,363 OF US TOGETHER AS AN INCREDIBLE 3178 01:46:10,430 --> 01:46:12,132 FORCE TO DISSEMINATE THE 3179 01:46:12,199 --> 01:46:13,333 INFORMATION BUT ALSO ADVISE. 3180 01:46:13,400 --> 01:46:17,571 WE'RE NOT JUST BEING TOLD WHAT'S 3181 01:46:17,637 --> 01:46:18,739 HAPPENING, WE'RE ACTUALLY BEING 3182 01:46:18,805 --> 01:46:20,040 ASKED, WHAT WOULD BE USEFUL FOR 3183 01:46:20,107 --> 01:46:21,241 YOU, WHAT ARE THE TOPICS, AND 3184 01:46:21,308 --> 01:46:25,378 HOW DO WE CREATE ACTUAL 3185 01:46:25,445 --> 01:46:26,446 BITE-SIZE INFORMATION? 3186 01:46:26,513 --> 01:46:27,881 AND I KNOW IN OUR NETWORK WHEN 3187 01:46:27,948 --> 01:46:30,617 WE PUT OUT NEWSLETTERS OR PUT ON 3188 01:46:30,684 --> 01:46:33,286 SOCIAL MEDIA, WE NEED LITTLE 3189 01:46:33,353 --> 01:46:34,921 SNPPETS, REALLY SOUND BITES THAT 3190 01:46:34,988 --> 01:46:36,590 ARE EASY TO DIGEST, BUT THE 3191 01:46:36,656 --> 01:46:38,725 IMPORTANT THING IS, ALL OF THESE 3192 01:46:38,792 --> 01:46:42,996 ORGANIZATIONS THAT WE WORK WITH 3193 01:46:43,063 --> 01:46:45,065 HAVE DOZENS OR HUNDREDS OF PEER 3194 01:46:45,132 --> 01:46:45,899 SPECIALISTS THAT ARE ACTUALLY 3195 01:46:45,966 --> 01:46:46,767 WANTING THIS INFORMATION TO HELP 3196 01:46:46,833 --> 01:46:48,201 TALK WITH THE PEOPLE THEY WORK 3197 01:46:48,268 --> 01:46:49,503 WITH, THAT THEY'RE HELPING, 3198 01:46:49,569 --> 01:46:53,840 BECAUSE IT GIVES THEM HOPE. 3199 01:46:53,907 --> 01:46:55,041 YOUR RESEARCH IS GIVING THEM 3200 01:46:55,108 --> 01:46:56,576 HOPE THAT THEY CAN GET BETTER, 3201 01:46:56,643 --> 01:46:58,378 THAT THEIR BRAINS CAN CHANGE. 3202 01:46:58,445 --> 01:46:59,813 I KNOW WHEN I FIRST WORKED AS A 3203 01:46:59,880 --> 01:47:01,314 PERSON IN RECOVERY COMING INTO 3204 01:47:01,381 --> 01:47:03,250 THIS FIELD, I HAD NO IDEA THAT 3205 01:47:03,316 --> 01:47:04,484 THERE WAS A GROUP OF RESEARCHERS 3206 01:47:04,551 --> 01:47:05,452 OUT THERE THAT WERE TALKING 3207 01:47:05,519 --> 01:47:06,753 ABOUT ME. 3208 01:47:06,820 --> 01:47:08,255 THAT MY BRAIN WAS GOING TO GET 3209 01:47:08,321 --> 01:47:09,923 BETTER THE LONGER I STAYED AWAY 3210 01:47:09,990 --> 01:47:12,759 FROM THAT DRUG, THERE WOULD BE 3211 01:47:12,826 --> 01:47:13,927 CHEMISTRY CHANGES. 3212 01:47:13,994 --> 01:47:18,098 AND I USE THE BRAIN SLIDES IN 3213 01:47:18,165 --> 01:47:19,065 TRAININGS BECAUSE IT SHOWS 3214 01:47:19,132 --> 01:47:20,167 PEOPLE IN RECOVERY AND THE 3215 01:47:20,233 --> 01:47:22,435 PEOPLE THAT WORK WITH THEM, THAT 3216 01:47:22,502 --> 01:47:23,403 THERE'S HOPE. 3217 01:47:23,470 --> 01:47:26,940 IF I COULDN'T REMEMBER SOMETHING 3218 01:47:27,007 --> 01:47:28,275 WHILE I WAS ACTIVE IN ADDICTION 3219 01:47:28,341 --> 01:47:30,610 OR TAKING A LOT OF RISKS, ALL OF 3220 01:47:30,677 --> 01:47:31,912 THOSE THINGS THAT HAPPEN WHEN 3221 01:47:31,978 --> 01:47:33,880 YOUR BRAIN GETS IMPACTED, NOW I 3222 01:47:33,947 --> 01:47:35,582 KNOW IF I KEEP DOING THIS AND 3223 01:47:35,649 --> 01:47:37,751 STAY AWAY FROM THE ALCOHOL OR 3224 01:47:37,818 --> 01:47:40,053 DRUGS, IT WILL GET BETTER. 3225 01:47:40,120 --> 01:47:41,354 SO, SO MUCH OF WHAT YOU DO IS 3226 01:47:41,421 --> 01:47:47,260 REALLY ABOUT HOPE. 3227 01:47:47,327 --> 01:47:49,095 I AM NOT DOING WELL WITH THESE 3228 01:47:49,162 --> 01:47:50,096 SLIDES. 3229 01:47:50,163 --> 01:47:50,931 OKAY, EMPOWERING PEOPLE WITH 3230 01:47:50,997 --> 01:47:51,364 LIVED EXPERIENCE. 3231 01:47:51,431 --> 01:47:53,433 AS I SAID, YOU KNOW, THE 3232 01:47:53,500 --> 01:47:55,202 ORGANIZATIONS THAT WE WORK WITH 3233 01:47:55,268 --> 01:47:58,338 HAVE PROGRAMS IN EMERGENCY 3234 01:47:58,405 --> 01:48:00,607 DEPARTMENTS, IN DRUG COURTS, IN 3235 01:48:00,674 --> 01:48:03,810 ALL KINDS OF PLACES THEY'RE D 3236 01:48:03,877 --> 01:48:05,712 DOING HARM REDUCTION, THEY'RE 3237 01:48:05,779 --> 01:48:07,681 DOING RECOVERY SUPPORT SERVICES. 3238 01:48:07,747 --> 01:48:11,284 THEY OFTEN NEED THIS INFORMATION 3239 01:48:11,351 --> 01:48:12,619 TO INFLUENCE PUBLIC POLICY IN 3240 01:48:12,686 --> 01:48:14,187 THEIR OWN COMMUNITIES, 3241 01:48:14,254 --> 01:48:16,189 EVERYWHERE FROM A ZONING BOARD 3242 01:48:16,256 --> 01:48:18,258 TO CITY COUNCIL TO THEIR STATE 3243 01:48:18,325 --> 01:48:21,862 LEGISLATURE AND TO CAPITOL HILL. 3244 01:48:21,928 --> 01:48:24,264 SO THIS INFORMATION AND BRINGING 3245 01:48:24,331 --> 01:48:25,098 THIS TO PEOPLE WITH LIVED 3246 01:48:25,165 --> 01:48:29,369 EXPERIENCE IS REALLY CRITICAL. 3247 01:48:29,436 --> 01:48:31,504 WE ARE REALLY PROUD TO BE A 3248 01:48:31,571 --> 01:48:34,574 PARTNER IN THIS INITIATIVE 3249 01:48:34,641 --> 01:48:35,876 WORKING WITH THE OTHER MEMBERS 3250 01:48:35,942 --> 01:48:36,543 HERE. 3251 01:48:36,610 --> 01:48:41,681 I THINK THAT MOSTLY WHEN WE HAVE 3252 01:48:41,748 --> 01:48:43,483 THE TOOLS IN OUR TOOLBOX, WE CAN 3253 01:48:43,550 --> 01:48:45,886 DO SO MUCH MORE AND REALLY BRING 3254 01:48:45,952 --> 01:48:49,155 THAT HOPE TO COMMUNITIES. 3255 01:48:49,222 --> 01:48:51,958 SO THAT AS JESS MENTIONED, THERE 3256 01:48:52,025 --> 01:48:54,694 IS 11 PANELS WITH PEOPLE WITH 3257 01:48:54,761 --> 01:48:55,962 LIVED EXPERIENCE WHEN THAT WAS 3258 01:48:56,029 --> 01:48:58,498 FIRST CREATED, WE WERE INVITED 3259 01:48:58,565 --> 01:49:00,467 TO HELP FIND PEOPLE TO BE ON 3260 01:49:00,533 --> 01:49:01,902 THOSE PANELS. 3261 01:49:01,968 --> 01:49:03,970 SO HAVING A NATIONAL NETWORK AND 3262 01:49:04,037 --> 01:49:05,505 PUTTING THAT INFORMATION OUT 3263 01:49:05,572 --> 01:49:07,407 THERE REALLY HELPED TO GET THE 3264 01:49:07,474 --> 01:49:11,678 PEOPLE FROM DIVERSE COMMUNITIES 3265 01:49:11,745 --> 01:49:13,747 REPRESENTING ALL PARTS OF THE 3266 01:49:13,813 --> 01:49:20,420 COUNTRY ON THOSE PANELS. 3267 01:49:20,487 --> 01:49:21,721 I WANT TO LEAVE YOU WITH A FEW 3268 01:49:21,788 --> 01:49:23,690 COMMENTS JUST TO SAY ON BEHALF 3269 01:49:23,757 --> 01:49:27,360 OF THE RECOVERY COMMUNITY AND 3270 01:49:27,427 --> 01:49:28,295 FACES & VOICES OF RECOVERY, 3271 01:49:28,361 --> 01:49:29,763 THANK YOU FOR THE WORK THAT YOU 3272 01:49:29,829 --> 01:49:30,196 DO. 3273 01:49:30,263 --> 01:49:33,600 IT'S SO IMPORTANT THAT WE HAVE 3274 01:49:33,667 --> 01:49:34,334 THIS RESEARCH. 3275 01:49:34,401 --> 01:49:36,403 I WANTED TO SAY THAT HEAL 3276 01:49:36,469 --> 01:49:38,939 CONNECTIONS IS CRITICAL TO 3277 01:49:39,005 --> 01:49:40,440 REALLY SHARE THIS INFORMATION 3278 01:49:40,507 --> 01:49:43,176 AND BRING PEOPLE TOGETHER ACROSS 3279 01:49:43,243 --> 01:49:45,578 THIS WORK, AND HELP THEM BE 3280 01:49:45,645 --> 01:49:48,081 AWARE WHAT THE -- ABOUT THE 3281 01:49:48,148 --> 01:49:51,885 SCIENCE OF ADDICTION AND 3282 01:49:51,952 --> 01:49:52,852 RECOVERY, THAT THERE IS WORK 3283 01:49:52,919 --> 01:49:54,387 BEING DONE OUT THERE, AND 3284 01:49:54,454 --> 01:49:55,388 ULTIMATELY THIS REALLY BRINGS 3285 01:49:55,455 --> 01:49:58,058 HOPE TO A WHOLE COMMUNITY OF 3286 01:49:58,124 --> 01:49:59,826 PEOPLE THAT KNOW THAT YOU'RE 3287 01:49:59,893 --> 01:50:01,027 WORKING TO HELP FUTURE 3288 01:50:01,094 --> 01:50:01,328 GENERATIONS. 3289 01:50:01,394 --> 01:50:11,638 SO THANK YOU. 3290 01:50:14,841 --> 01:50:16,409 >> THANK YOU SO MUCH. 3291 01:50:16,476 --> 01:50:17,844 SO GRATEFUL FOR ALL OF OUR 3292 01:50:17,911 --> 01:50:18,478 ASSOCIATION PARTNERS. 3293 01:50:18,545 --> 01:50:20,013 YOU CAN SEE WHY THIS IS -- THESE 3294 01:50:20,080 --> 01:50:22,015 ARE SEVERAL OF OUR 16 3295 01:50:22,082 --> 01:50:22,949 ORGANIZATIONS THAT MAKE THIS 3296 01:50:23,016 --> 01:50:25,986 WORK HAPPEN MONTHLY, AND WE HAVE 3297 01:50:26,052 --> 01:50:27,420 THE BEST JOB BEING ABLE TO 3298 01:50:27,487 --> 01:50:29,923 COORDINATE WITH ALL OF THEM. 3299 01:50:29,990 --> 01:50:31,124 THEIR INPUT HAS REALLY MADE THIS 3300 01:50:31,191 --> 01:50:33,193 POSSIBLE TO GET REAL INFORMATION 3301 01:50:33,259 --> 01:50:34,661 INTO DIFFERENT HANDS AND 3302 01:50:34,728 --> 01:50:36,763 COMMUNITIES CAN BENEFIT FROM IT. 3303 01:50:36,830 --> 01:50:38,398 SO WE HAVE A LITTLE BIT OF TIME 3304 01:50:38,465 --> 01:50:39,933 FOR ANY Q & A, ANY QUESTIONS 3305 01:50:40,000 --> 01:50:42,635 THAT FOLKS MIGHT HAVE FOR ANY OF 3306 01:50:42,702 --> 01:50:44,604 OUR ASSOCIATION PARTNERS OR 3307 01:50:44,671 --> 01:50:51,044 ABOUT HEAL CONNECTIONS. 3308 01:50:51,111 --> 01:50:53,747 WE ALSO HAVE CARDS IF YOU'RE 3309 01:50:53,813 --> 01:50:54,814 INTERESTED IN GETTING LINED UP 3310 01:50:54,881 --> 01:50:56,349 TO WORK ON A TRANSLATION OF YOUR 3311 01:50:56,416 --> 01:50:56,549 STUDY. 3312 01:50:56,616 --> 01:51:01,254 ALL RIGHT, WE HAVE A QUESTION. 3313 01:51:01,321 --> 01:51:01,788 >> HI. 3314 01:51:01,855 --> 01:51:04,090 MY NAME IS INDITA. 3315 01:51:04,157 --> 01:51:07,260 I'M ON THE HEAL INITIATIVE 3316 01:51:07,327 --> 01:51:07,894 INDIGENOUS PANEL. 3317 01:51:07,961 --> 01:51:11,731 WE HAVE SOME WONDERFUL 3318 01:51:11,798 --> 01:51:12,699 FACILITATORS, SPECIAL SHOUTS OUT 3319 01:51:12,766 --> 01:51:14,434 TO EDEN AND TYRUS. 3320 01:51:14,501 --> 01:51:15,635 THEY DO A PHENOMENAL JOB. 3321 01:51:15,702 --> 01:51:21,741 [APPLAUSE] 3322 01:51:21,808 --> 01:51:25,378 ALSO ASHLEY IS WONDERFUL AS WE 3323 01:51:25,445 --> 01:51:28,648 WELL. 3324 01:51:28,715 --> 01:51:30,283 GOING DEEPER THAN THAT, 3325 01:51:30,350 --> 01:51:33,019 ESPECIALLY COMING HERE, I KNOW 3326 01:51:33,086 --> 01:51:35,622 I'VE HEARD AND ALSO FEEL THAT 3327 01:51:35,688 --> 01:51:37,257 THERE'S A GREAT DESIRE FOR THE 3328 01:51:37,323 --> 01:51:39,859 PEOPLE ON THE PANELS TO KIND OF 3329 01:51:39,926 --> 01:51:43,496 HAVE A DEEPER CONNECTION SO TO 3330 01:51:43,563 --> 01:51:45,198 SAY, LIKE WE KNOW THE PEOPLE 3331 01:51:45,265 --> 01:51:49,035 THAT WE SPEAK DIRECTLY TO, BUT I 3332 01:51:49,102 --> 01:51:51,337 THINK FOR A LOT OF US, WE WORK 3333 01:51:51,404 --> 01:51:56,109 IN MEDICAL SCIENCE OR HAVE THE 3334 01:51:56,176 --> 01:51:56,776 ASPIRATIONS TO. 3335 01:51:56,843 --> 01:51:58,411 WHAT DO ANY OF YOU THINK WOULD 3336 01:51:58,478 --> 01:52:03,216 BE A GREAT SOLUTION TO KIND OF 3337 01:52:03,283 --> 01:52:04,984 BREAK THAT BARRIER DOWN BECAUSE, 3338 01:52:05,051 --> 01:52:09,322 YOU KNOW, BEING A SCIENTIST, 3339 01:52:09,389 --> 01:52:10,523 BEING THE PERSON ACTUALLY DOING 3340 01:52:10,590 --> 01:52:15,295 THE DATA, ALL OF THAT STUFF, 3341 01:52:15,361 --> 01:52:19,799 SOMEHOW I KNOW OUR LIVED 3342 01:52:19,866 --> 01:52:21,534 EXPERIENCE, US AS PEOPLE, Y'ALL 3343 01:52:21,601 --> 01:52:22,769 AS PEOPLE, WE HAVE THE COMMON 3344 01:52:22,836 --> 01:52:23,903 EXPERIENCE OF THE HUMAN 3345 01:52:23,970 --> 01:52:24,204 EXPERIENCE. 3346 01:52:24,270 --> 01:52:28,541 SO HOW DO WE BRIDGE THAT GAP? 3347 01:52:28,608 --> 01:52:29,909 >> I LOVE THAT IDEA, AND THANK 3348 01:52:29,976 --> 01:52:31,878 YOU FOR YOUR SERVICE ON THE 3349 01:52:31,945 --> 01:52:32,545 PANEL AND FOR BEING HERE. 3350 01:52:32,612 --> 01:52:40,854 IT'S SO WONDERFUL. 3351 01:52:40,920 --> 01:52:42,288 ONE EXCITING THING WE'RE WORK ON 3352 01:52:42,355 --> 01:52:43,790 IN HEAL CONNECTIONS IS TO 3353 01:52:43,857 --> 01:52:45,091 ACTUALLY START TAILORING EVEN 3354 01:52:45,158 --> 01:52:46,826 FURTHER ALL OF THESE AMAZING 3355 01:52:46,893 --> 01:52:48,828 KNOWLEDGE TRANSLATION PIECES OF 3356 01:52:48,895 --> 01:52:50,029 SCIENCE FOR YOU. 3357 01:52:50,096 --> 01:52:54,267 OUR LEADERS ARE INFLUENCERS IN 3358 01:52:54,334 --> 01:52:55,268 OUR COMMUNITY, OUR PANELS, EVEN 3359 01:52:55,335 --> 01:52:57,203 SOME OF THE LEADERS AND MEMBERS 3360 01:52:57,270 --> 01:52:58,705 OF OUR ASSOCIATION PARTNERS, SO 3361 01:52:58,771 --> 01:53:00,273 WE CAN HAVE SORT OF AN 3362 01:53:00,340 --> 01:53:00,907 INFLUENCER STRATEGY. 3363 01:53:00,974 --> 01:53:02,976 AND ALSO FOLLOWING THAT SAME 3364 01:53:03,042 --> 01:53:03,409 RECIPE WE'VE BUILT. 3365 01:53:03,476 --> 01:53:04,911 WE WANT TO MAKE SURE THAT WE GET 3366 01:53:04,978 --> 01:53:07,313 THE COU CONTENT RIGHT, THAT IT S 3367 01:53:07,380 --> 01:53:08,848 FOR YOU, HOW DO YOU NEED IT, DO 3368 01:53:08,915 --> 01:53:10,350 YOU LIKE A VIDEO EXPLAINER, DO 3369 01:53:10,416 --> 01:53:11,985 YOU WANT TO PASS OUT A FLYER, DO 3370 01:53:12,051 --> 01:53:14,387 YOU NEED TO HAVE AN INFOGRAPHIC, 3371 01:53:14,454 --> 01:53:16,256 IS THIS ABOUT A LAY PERSON 3372 01:53:16,322 --> 01:53:17,891 SUMMARY? 3373 01:53:17,957 --> 01:53:20,160 SO WE'RE MAKING A PRIORITY TO 3374 01:53:20,226 --> 01:53:21,561 START VENTURING INTO THAT LANE 3375 01:53:21,628 --> 01:53:22,929 SO WE CAN BUILD BETTER PRODUCTS 3376 01:53:22,996 --> 01:53:24,631 FOR ALL OF OUR LEADERS WITH 3377 01:53:24,697 --> 01:53:27,233 LIVED EXPERIENCE TO HELP US GET 3378 01:53:27,300 --> 01:53:28,067 INFORMATION OUT ABOUT NEW 3379 01:53:28,134 --> 01:53:29,335 SCIENCE AND NEW INTERVENTIONS, 3380 01:53:29,402 --> 01:53:30,703 SO GIVE US SIX WEEKS AND WE'RE 3381 01:53:30,770 --> 01:53:33,373 GOING TO HAVE A TOOLBOX FOR YOU. 3382 01:53:33,439 --> 01:53:35,074 >> I CAN'T WAIT TO OPEN THE 3383 01:53:35,141 --> 01:53:36,476 SURVEY IN MY EMAIL. 3384 01:53:36,543 --> 01:53:37,410 WONDERFUL. 3385 01:53:37,477 --> 01:53:44,484 WONDERFUL. 3386 01:53:44,551 --> 01:53:45,919 >> NORA, DO YOU HAVE A QUESTION? 3387 01:53:45,985 --> 01:53:47,754 >> I HAVE A QUESTION AND IT'S A 3388 01:53:47,820 --> 01:53:49,455 MESSAGE THAT'S BEEN GIVEN TO ME 3389 01:53:49,522 --> 01:53:50,857 AS I GO ON SPEAKING FORUMS. 3390 01:53:50,924 --> 01:53:52,258 WE WILL SAY, YES, WE HEAR YOU 3391 01:53:52,325 --> 01:53:55,228 TALK ALL THE TIME, BUT WE ARE 3392 01:53:55,295 --> 01:53:56,095 CONCERNED THAT AMONG THE GROUPS 3393 01:53:56,162 --> 01:53:59,032 THAT YOU DON'T PAY ATTENTION TO 3394 01:53:59,098 --> 01:54:01,301 ARE PEOPLE THAT ARE STILL 3395 01:54:01,367 --> 01:54:02,068 LIVING -- TAKING DRUGS, THAT ARE 3396 01:54:02,135 --> 01:54:03,503 NOT IN TREATMENT, THAT ARE NOT 3397 01:54:03,570 --> 01:54:05,238 IN RECOVERY, AND FOR WHICH 3398 01:54:05,305 --> 01:54:06,539 NONETHELESS RESEARCH TO HELP 3399 01:54:06,606 --> 01:54:08,608 THEM KEEP THEM ALIVE. 3400 01:54:08,675 --> 01:54:12,345 AND SO I'VE BEEN SURROUNDED BY 3401 01:54:12,412 --> 01:54:13,546 PEOPLE THAT HAVE MADE THIS POINT 3402 01:54:13,613 --> 01:54:16,783 VERY, VERY STRONGLY, AND I DO 3403 01:54:16,849 --> 01:54:18,651 BELIEVE THAT IT BEHOOVES US TO 3404 01:54:18,718 --> 01:54:22,155 TRY TO REACH TO THEM ALSO TO 3405 01:54:22,222 --> 01:54:24,357 UNDERSTAND, FOR EXAMPLE, WHAT 3406 01:54:24,424 --> 01:54:26,326 COULD BE HELPFUL TO BRING THEM 3407 01:54:26,392 --> 01:54:28,728 EVENTUALLY TO TREATMENT, WHAT 3408 01:54:28,795 --> 01:54:30,897 WOULD BE HELPFUL TO KEEP THEM 3409 01:54:30,964 --> 01:54:31,331 ALIVE. 3410 01:54:31,397 --> 01:54:33,533 AND ALSO WHAT IS IT THAT WE CAN 3411 01:54:33,600 --> 01:54:35,868 LEARN FROM THEIR EXPERIENCES IN 3412 01:54:35,935 --> 01:54:37,870 TERMS OF AREAS THAT WE MAY HAVE 3413 01:54:37,937 --> 01:54:38,204 NEGLECTED. 3414 01:54:38,271 --> 01:54:39,639 SO I DID WANT TO MAKE THAT 3415 01:54:39,706 --> 01:54:41,374 POINT, AND THAT'S WHY I'M VERY, 3416 01:54:41,441 --> 01:54:43,209 VERY SPECIFIC WHEN WE SPEAK 3417 01:54:43,276 --> 01:54:45,378 ABOUT PEOPLE WITH LIVED 3418 01:54:45,445 --> 01:54:46,613 EXPERIENCE, THAT IT'S ALSO WITH 3419 01:54:46,679 --> 01:54:48,448 LIVING EXPERIENCE, AND THAT WE 3420 01:54:48,514 --> 01:54:50,516 HAVE ABSOLUTELY PEOPLE THAT ARE 3421 01:54:50,583 --> 01:54:52,252 IN PAIN, BUT I DON'T THINK THAT 3422 01:54:52,318 --> 01:54:54,220 WE HAVE BEEN SO SENSITIVE ABOUT 3423 01:54:54,287 --> 01:54:56,189 THE ISSUE OF PEOPLE THAT ARE 3424 01:54:56,256 --> 01:54:58,358 STILL VERY, VERY MUCH STRUGGLING 3425 01:54:58,424 --> 01:55:00,226 WITH DRUGS AND ARE NOT READY TO 3426 01:55:00,293 --> 01:55:01,094 GO INTO TREATMENT. 3427 01:55:01,160 --> 01:55:05,565 AND THEY DO DESERVE TO BE HERE. 3428 01:55:05,632 --> 01:55:10,737 >> ABSOLUTELY. 3429 01:55:10,803 --> 01:55:12,138 >> YOU KNOW, THAT IS SUCH AN 3430 01:55:12,205 --> 01:55:13,573 IMPORTANT POINT, AND JUST ONE 3431 01:55:13,640 --> 01:55:15,141 THING THAT HAS COME UP A FEW 3432 01:55:15,208 --> 01:55:16,909 TIMES IN ME HEARING THE 3433 01:55:16,976 --> 01:55:17,443 PRESENTATIONS THIS WEEK. 3434 01:55:17,510 --> 01:55:20,113 WE NEED TO UNDERSTAND WHAT THE 3435 01:55:20,179 --> 01:55:22,448 ACTUAL GOAL IS AND WHAT IT 3436 01:55:22,515 --> 01:55:23,783 REALLY MEANS TO MEET SOMEONE 3437 01:55:23,850 --> 01:55:24,550 WHERE THEY'RE AT. 3438 01:55:24,617 --> 01:55:27,186 YOU KNOW, PART OF THE PROGRAM 3439 01:55:27,253 --> 01:55:29,122 THAT WE HAVE IN OUR EMERGENCY 3440 01:55:29,188 --> 01:55:31,190 ROOM IS NOT TO GET THE PATIENT 3441 01:55:31,257 --> 01:55:33,059 FROM BEDSIDE TO A TREATMENT 3442 01:55:33,126 --> 01:55:33,293 PROGRAM. 3443 01:55:33,359 --> 01:55:35,995 IT IS TO INTRODUCE THE IDEA OF 3444 01:55:36,062 --> 01:55:36,429 RECOVERY. 3445 01:55:36,496 --> 01:55:38,831 AND THAT MIGHT BE THE TIME THEN, 3446 01:55:38,898 --> 01:55:40,566 IT MIGHT BE THE TIME LATER, BUT 3447 01:55:40,633 --> 01:55:42,635 MEETING THEM WHERE THEY'RE AT, 3448 01:55:42,702 --> 01:55:44,604 AND REALLY HAVING THE GOAL BE 3449 01:55:44,671 --> 01:55:46,539 RECOVERY AND RECOVERY SUPPORT. 3450 01:55:46,606 --> 01:55:47,974 WE DON'T MEASURE SUCCESS BY HOW 3451 01:55:48,041 --> 01:55:49,175 MANY PATIENTS WE GET TO 3452 01:55:49,242 --> 01:55:49,442 TREATMENT. 3453 01:55:49,509 --> 01:55:51,711 IT IS BY HOW MANY PEOPLE THAT 3454 01:55:51,778 --> 01:55:52,979 STAY CONNECTED WITH US AND 3455 01:55:53,046 --> 01:55:54,614 ENGAGE US IN THAT RECOVERY 3456 01:55:54,681 --> 01:55:54,947 PROCESS. 3457 01:55:55,014 --> 01:55:57,250 THE OTHER THING, TOO, IS THE 3458 01:55:57,317 --> 01:55:59,185 RESEARCH AROUND THOSE 3459 01:55:59,252 --> 01:55:59,485 INDIVIDUALS. 3460 01:55:59,552 --> 01:56:01,387 I THINK -- I ACTUALLY SAW A 3461 01:56:01,454 --> 01:56:02,255 POSTER, I THINK, IN THE OTHER 3462 01:56:02,322 --> 01:56:03,790 ROOM ON THIS. 3463 01:56:03,856 --> 01:56:06,092 REALLY EDUCATING PEOPLE HOW 3464 01:56:06,159 --> 01:56:09,162 THEIR PARTICIPATION INFORMS AND 3465 01:56:09,228 --> 01:56:10,263 HELPS THE NEXT PERSON. 3466 01:56:10,330 --> 01:56:12,565 THAT IS A MAIN TENET OF 3467 01:56:12,632 --> 01:56:13,066 RECOVERY. 3468 01:56:13,132 --> 01:56:14,167 YOU HAVE TO GIVE TO KEEP IT. 3469 01:56:14,233 --> 01:56:16,235 IF YOU CAN TRANSLATE THAT SAME 3470 01:56:16,302 --> 01:56:17,337 PASSION AND THAT SAME COMMITMENT 3471 01:56:17,403 --> 01:56:19,405 TO RESEARCH, I GIVE MYSELF TO 3472 01:56:19,472 --> 01:56:21,708 THE RESEARCH TO HELP THE NEXT 3473 01:56:21,774 --> 01:56:23,343 PERSON, I THINK WE'LL HAVE MUCH 3474 01:56:23,409 --> 01:56:24,277 BETTER INCLUSION AND 3475 01:56:24,344 --> 01:56:26,813 PARTICIPATION. 3476 01:56:26,879 --> 01:56:28,448 >> ONE OTHER QUICK ITEM TO ADD, 3477 01:56:28,514 --> 01:56:31,084 WE ARE, NORA, WORKING ON ADDING 3478 01:56:31,150 --> 01:56:32,652 A FEW ASSOCIATION PARTNERS IN 3479 01:56:32,719 --> 01:56:34,287 ADDITION TO THE -- WE HAVE THE 3480 01:56:34,354 --> 01:56:35,521 NATIONAL HARM REDUCTION 3481 01:56:35,588 --> 01:56:37,490 COALITION CURRENTLY PART OF OUR 3482 01:56:37,557 --> 01:56:39,759 DISSEMINATION NETWORK, TALKING 3483 01:56:39,826 --> 01:56:41,527 TO THE DRUG USERS UNION, BOTH 3484 01:56:41,594 --> 01:56:42,762 NATIONAL ORGANIZATIONS AS WELL 3485 01:56:42,829 --> 01:56:43,763 AS COMMUNITY-BASED ORGANIZATIONS 3486 01:56:43,830 --> 01:56:45,565 TO MAKE SURE WE HAVE THE VOICE 3487 01:56:45,631 --> 01:56:46,966 OF THOSE WITH ACTIVE USE 3488 01:56:47,033 --> 01:56:48,935 DISORDERS ACROSS THE ENTIRE 3489 01:56:49,001 --> 01:56:49,702 CONTINUUM TO MAKE SURE THAT 3490 01:56:49,769 --> 01:56:51,571 WE'RE NOT MISSING THAT VOICE, I 3491 01:56:51,637 --> 01:56:54,073 AGREE IS JUST SO CRITICALLY 3492 01:56:54,140 --> 01:56:54,640 IMPORTANT. 3493 01:56:54,707 --> 01:56:55,508 ONE QUESTION HERE AND A I'M 3494 01:56:55,575 --> 01:56:57,009 GOING TO POP OVER HERE. 3495 01:56:57,076 --> 01:56:57,777 >> HI, EVERYBODY. 3496 01:56:57,844 --> 01:56:59,445 MY NAME IS KIMBERLY. 3497 01:56:59,512 --> 01:57:00,513 I'M FROM DALLAS, TEXAS. 3498 01:57:00,580 --> 01:57:01,848 I'M PART OF YOUR PANEL, YOUR 3499 01:57:01,914 --> 01:57:02,382 PAIN PANEL. 3500 01:57:02,448 --> 01:57:04,751 I'M LIVED EXPERIENCE. 3501 01:57:04,817 --> 01:57:12,058 HEY, EE DE EDEN, HEY, ASHLEY! 3502 01:57:12,125 --> 01:57:13,893 NEXT MONTH I'LL BE CELEBRATING 3503 01:57:13,960 --> 01:57:14,794 23 YEARS CLEAN OF DRUGS AND 3504 01:57:14,861 --> 01:57:16,462 ALCOHOL. 3505 01:57:16,529 --> 01:57:16,829 [APPLAUSE] 3506 01:57:16,896 --> 01:57:18,064 I HAVE WORKED IN SEVERAL 3507 01:57:18,131 --> 01:57:19,899 TREATMENT CENTERS, INCLUDING THE 3508 01:57:19,966 --> 01:57:22,635 TEXAS STATE JUSTICE DEPARTMENT 3509 01:57:22,702 --> 01:57:23,936 TEACHING RECOVERY CLASSES. 3510 01:57:24,003 --> 01:57:26,439 AND ONE OF THE THINGS THAT WE 3511 01:57:26,506 --> 01:57:29,175 FIND THAT REALLY HURTS OUR 3512 01:57:29,242 --> 01:57:30,476 COMMUNITY IS OPIOIDS. 3513 01:57:30,543 --> 01:57:33,746 YOU KNOW, WHEN WE GO INTO THE 3514 01:57:33,813 --> 01:57:35,248 FACILITIES, I HAVE SEVERAL CAR 3515 01:57:35,314 --> 01:57:37,216 ACCIDENTS, SO I HAVE LOWER BACK 3516 01:57:37,283 --> 01:57:38,651 PAIN, WHENEVER GI INTO A 3517 01:57:38,718 --> 01:57:39,886 DOCTOR -- I HAVE TO LET THE 3518 01:57:39,952 --> 01:57:40,920 DOCTOR KNOW THAT I'M IN 3519 01:57:40,987 --> 01:57:41,554 RECOVERY. 3520 01:57:41,621 --> 01:57:42,789 SO THEY CAN'T GIVE ME OPIOIDS. 3521 01:57:42,855 --> 01:57:44,757 IF THEY DO, THEN I RUN A RISK OF 3522 01:57:44,824 --> 01:57:45,057 RELAPSE. 3523 01:57:45,124 --> 01:57:46,058 THE DISEASE OF ADDICTION IS 3524 01:57:46,125 --> 01:57:48,127 REAL. 3525 01:57:48,194 --> 01:57:50,630 AND SO I WOULD LIKE TO SEE US 3526 01:57:50,696 --> 01:57:52,165 TAKE IT SERIOUSLY AND MAYBE LOOK 3527 01:57:52,231 --> 01:57:54,100 IN OTHER WAYS OF HANDLING PAIN 3528 01:57:54,167 --> 01:57:55,968 FOR THOSE OF US WITH THE DISEASE 3529 01:57:56,035 --> 01:58:00,873 OF ADDICTION, LIKE MAYBE 3530 01:58:00,940 --> 01:58:01,541 CHIROPRACTOR, MASSAGE THERAPY. 3531 01:58:01,607 --> 01:58:03,309 I DON'T KNOW, HOLISTIC -- YOU 3532 01:58:03,376 --> 01:58:06,045 KNOW, ANYTHING OTHER THAN -- 3533 01:58:06,112 --> 01:58:08,648 STOP GIVING US ADDICTIVE 3534 01:58:08,714 --> 01:58:10,716 MEDICATION THAT'S GONNA SOMETIME 3535 01:58:10,783 --> 01:58:11,250 KILL US. 3536 01:58:11,317 --> 01:58:13,553 SO I'M HOPING THAT WE CAN FIND A 3537 01:58:13,619 --> 01:58:15,288 WAY TO LIKE -- I'M SO GRATEFUL 3538 01:58:15,354 --> 01:58:16,622 THAT I'M HERE, I'M GLAD WE'RE 3539 01:58:16,689 --> 01:58:17,690 ALL GETTING TOGETHER, WE ALL 3540 01:58:17,757 --> 01:58:21,828 HAVE A VOICE HERE, AND WE'RE NOT 3541 01:58:21,894 --> 01:58:23,129 LOOKED AT AS LESS THAN OR 3542 01:58:23,196 --> 01:58:24,230 THERE'S SOMETHING WRONG WITH US, 3543 01:58:24,297 --> 01:58:33,072 YOU KNOW, YOU'RE EPICALLY YOUR , 3544 01:58:33,139 --> 01:58:34,474 NO, I HAVE A DISEASE, I TREAT 3545 01:58:34,540 --> 01:58:35,975 THE DISEASE ACCORDINGLY JUST AS 3546 01:58:36,042 --> 01:58:39,512 IF YOU TELL ME I HAVE THE 3547 01:58:39,579 --> 01:58:41,047 DISEASE OF CANCER, DO YOU LOOK 3548 01:58:41,113 --> 01:58:42,648 DOWN YOUR NOSE AT ME AND SAY I 3549 01:58:42,715 --> 01:58:43,316 HAVE CANCER? 3550 01:58:43,382 --> 01:58:44,951 YOU UNDERSTAND WHAT I'M SAYING? 3551 01:58:45,017 --> 01:58:46,719 SO WE HAVE TO HAVE OTHER WAYS OF 3552 01:58:46,786 --> 01:58:49,322 HANDLING PAIN MANAGEMENT WHEN IT 3553 01:58:49,388 --> 01:58:50,723 COMES TO THOSE OF US THAT HAVE 3554 01:58:50,790 --> 01:58:53,693 ADDICTION, I'VE ALWAYS HAD THE 3555 01:58:53,759 --> 01:58:55,428 DISEASE OF ADDICTION, I DON'T 3556 01:58:55,495 --> 01:58:56,562 OUT GROW THE DISEASE OF 3557 01:58:56,629 --> 01:58:56,829 ADDICTION. 3558 01:58:56,896 --> 01:58:57,830 IT IS WHAT IT IS, I'M GOING TO 3559 01:58:57,897 --> 01:58:59,031 HAVE IT THE REST OF MY LIFE. 3560 01:58:59,098 --> 01:59:00,466 SO I WOULD LIKE TO SEE SOME KIND 3561 01:59:00,533 --> 01:59:02,068 OF WAY THAT WE CAN ENHANCE OTHER 3562 01:59:02,134 --> 01:59:06,038 WAYS OF HANDLING PAIN FOR THOSE 3563 01:59:06,105 --> 01:59:08,674 OF US WITH THE DISEASE OF 3564 01:59:08,741 --> 01:59:10,643 ADDICTION OTHER THAN PUMPING US 3565 01:59:10,710 --> 01:59:11,444 FULL OF OPIOIDS. 3566 01:59:11,511 --> 01:59:12,278 THANK YOU. 3567 01:59:12,345 --> 01:59:16,983 >> THANK YOU SO MUCH. 3568 01:59:17,049 --> 01:59:18,384 WE WILL BE ON THE LOOKOUT FOR 3569 01:59:18,451 --> 01:59:21,120 ANY STUDIES THAT FIT THAT BILL 3570 01:59:21,187 --> 01:59:22,455 SO WE CAN GET IT OUT TO THE 3571 01:59:22,522 --> 01:59:23,523 HANDS OF THOSE WHO NEED THAT 3572 01:59:23,589 --> 01:59:24,490 INFORMATION. 3573 01:59:24,557 --> 01:59:25,591 ONE QUESTION HERE AND THEN WE'LL 3574 01:59:25,658 --> 01:59:28,027 WRAP IT UP WITH OUR FINAL 3575 01:59:28,094 --> 01:59:28,294 QUESTION. 3576 01:59:28,361 --> 01:59:31,497 >> OKAY, THANK YOU. 3577 01:59:31,564 --> 01:59:32,698 I MADE SOME NOTES AS WE WERE 3578 01:59:32,765 --> 01:59:34,133 GOING TO HELP ME KEEP ON TRACK. 3579 01:59:34,200 --> 01:59:37,370 SO EARLIER WE HEARD SOME STIGMA 3580 01:59:37,436 --> 01:59:40,907 IN LANGUAGE AND LABELS THAT ARE 3581 01:59:40,973 --> 01:59:42,208 COMMONLY USED FOR THOSE OF US 3582 01:59:42,275 --> 01:59:43,843 WITH SUBSTANCE USE AND 3583 01:59:43,910 --> 01:59:46,345 CO-OCCURRING DISORDERS. 3584 01:59:46,412 --> 01:59:50,283 THOSE WORDS YIELD SIGNIFICANT 3585 01:59:50,349 --> 01:59:54,554 INFLUENCE, AND THAT REQUIRES US 3586 01:59:54,620 --> 01:59:56,422 TO CHANGE HOW WE ARE SPEAKING IN 3587 01:59:56,489 --> 02:00:00,760 ORDER TO CHANGE PERCEPTIONS OF 3588 02:00:00,826 --> 02:00:01,627 THOSE OF US THAT DON'T 3589 02:00:01,694 --> 02:00:02,495 UNDERSTAND THE DISEASE OF 3590 02:00:02,562 --> 02:00:04,931 ADDICTION. 3591 02:00:04,997 --> 02:00:08,968 SO EMBRACING POSITIVE WORDS 3592 02:00:09,035 --> 02:00:09,835 HELPS BRIDGE SOME OF THE DIVIDE 3593 02:00:09,902 --> 02:00:13,439 THAT THOSE OF US IN AN ACTIVE 3594 02:00:13,506 --> 02:00:16,609 ADDICTION OR IN RECOVERY FEEL. 3595 02:00:16,676 --> 02:00:18,911 AS A MEMBER OF ONE OF THE LIVED 3596 02:00:18,978 --> 02:00:23,349 EXPERIENCE PANELS, WE'VE NOW HAD 3597 02:00:23,416 --> 02:00:24,483 20 DIFFERENT SESSIONS THAT WERE 3598 02:00:24,550 --> 02:00:27,553 OFFERED OVER THE LAST TWO DAYS, 3599 02:00:27,620 --> 02:00:28,721 BUT I NOTICED A LACK OF 3600 02:00:28,788 --> 02:00:30,923 OPPORTUNITIES FOR THE 3601 02:00:30,990 --> 02:00:31,557 INDIVIDUALS WITH LIVED 3602 02:00:31,624 --> 02:00:38,464 EXPERIENCE TO SPEAK. 3603 02:00:38,531 --> 02:00:39,565 YOU'VE NOW HEARD FROM THREE OF 3604 02:00:39,632 --> 02:00:42,702 US IN 10 MINUTES. 3605 02:00:42,768 --> 02:00:44,570 THE ONLY PERSON THAT WAS GIVEN 3606 02:00:44,637 --> 02:00:46,205 AN OPPORTUNITY TO SPEAK THAT 3607 02:00:46,272 --> 02:00:48,708 ALSO HAS LIVED EXPERIENCE WAS 3608 02:00:48,774 --> 02:00:51,010 TODAY, BUT HE WAS NOT PART OF 3609 02:00:51,077 --> 02:00:52,111 THE LIVED EXPERIENCE PANEL. 3610 02:00:52,178 --> 02:00:59,018 HE WAS PART OF A RESEARCH STUDY. 3611 02:00:59,085 --> 02:01:01,854 NONE OF THE SESSIONS WERE LED BY 3612 02:01:01,921 --> 02:01:04,056 ANYONE WITH LIVED EXPERIENCE. 3613 02:01:04,123 --> 02:01:05,658 AND THAT FEELS LIKE A MISSED 3614 02:01:05,725 --> 02:01:07,893 OPPORTUNITY. 3615 02:01:07,960 --> 02:01:10,396 WHILE I WAS INVITED TO SHARE MY 3616 02:01:10,463 --> 02:01:11,697 EXPERIENCES, I WASN'T INVITED TO 3617 02:01:11,764 --> 02:01:14,133 SHARE THAT WITH EVERYONE. 3618 02:01:14,200 --> 02:01:15,968 OR WITH MOST ATTENDEES. 3619 02:01:16,035 --> 02:01:18,504 THIS SEEMS LIKE A WASTE OF 3620 02:01:18,571 --> 02:01:19,805 RESOURCES, AND HIGHLIGHTS THE 3621 02:01:19,872 --> 02:01:22,942 NEED TO SHIFT FOCUS TOWARDS 3622 02:01:23,009 --> 02:01:23,843 SOLUTIONS RATHER THAN JUST 3623 02:01:23,909 --> 02:01:28,681 DISCUSSING PROBLEMS. 3624 02:01:28,748 --> 02:01:34,253 [APPLAUSE] 3625 02:01:34,320 --> 02:01:35,755 >> THANK YOU FOR THAT FEEDBACK. 3626 02:01:35,821 --> 02:01:39,358 THAT'S SO IMPORTANT THAT WE 3627 02:01:39,425 --> 02:01:42,161 CONTINUE TO IMPROVE AND CHANGE 3628 02:01:42,228 --> 02:01:44,163 HOW WE INCORPORATE ALL VOICES 3629 02:01:44,230 --> 02:01:46,666 INTO MEETINGS LIKE THIS, SO WE 3630 02:01:46,732 --> 02:01:47,767 KNOW A FEW OF THE FOLKS WHO 3631 02:01:47,833 --> 02:01:49,168 WORKED ON THIS CONFERENCE, SO WE 3632 02:01:49,235 --> 02:01:51,270 WILL TAKE THAT FEEDBACK AND MAKE 3633 02:01:51,337 --> 02:01:53,539 SURE THAT WE FIGURE OUT WAYS TO 3634 02:01:53,606 --> 02:01:54,874 BRING IN OUR PANEL MEMBERS IN 3635 02:01:54,940 --> 02:01:56,175 DIFFERENT WAYS. 3636 02:01:56,242 --> 02:01:57,710 ONE LAST QUESTION AND, AGAIN, 3637 02:01:57,777 --> 02:01:59,545 THANK YOU SO MUCH FOR STAYING 3638 02:01:59,612 --> 02:02:01,180 THROUGH THE END OF THIS 3639 02:02:01,247 --> 02:02:02,715 CONFERENCE AND LISTENING TO OUR 3640 02:02:02,782 --> 02:02:04,383 AMAZING PARTNERS. 3641 02:02:04,450 --> 02:02:04,884 >> HI. 3642 02:02:04,950 --> 02:02:06,385 CAN YOU GUYS HEAR ME OKAY? 3643 02:02:06,452 --> 02:02:06,952 >> YEAH. 3644 02:02:07,019 --> 02:02:07,420 >> ALL RIGHT. 3645 02:02:07,486 --> 02:02:09,689 MY NAME IS SPARKLE LINDSAY. 3646 02:02:09,755 --> 02:02:11,657 I'M A MOTIVATIONAL KEYNOTE 3647 02:02:11,724 --> 02:02:13,626 SPEAKER AND AN AUTHOR, AND I'M A 3648 02:02:13,693 --> 02:02:15,161 RECOVERY COACH PROFESSIONAL 3649 02:02:15,227 --> 02:02:17,463 FACILITATOR. 3650 02:02:17,530 --> 02:02:19,665 MY GOAL IS TO TRAIN COACHES TO 3651 02:02:19,732 --> 02:02:22,835 BE GREAT COACHES. 3652 02:02:22,902 --> 02:02:24,270 AND BEING ABLE TO COME HERE AND 3653 02:02:24,336 --> 02:02:26,405 BE PART OF THE HEAL INITIATIVE, 3654 02:02:26,472 --> 02:02:28,274 I WAS THE INDIGENOUS PANEL OR 3655 02:02:28,340 --> 02:02:30,576 PART OF THAT. 3656 02:02:30,643 --> 02:02:35,147 IT HAS BEEN EYE OPENING FOR ME. 3657 02:02:35,214 --> 02:02:36,315 I'M CURRENTLY FOUR YEARS NINE 3658 02:02:36,382 --> 02:02:37,450 MONTHS SOBER FROM ALCOHOL AND 3659 02:02:37,516 --> 02:02:39,652 ADDICTION. 3660 02:02:39,719 --> 02:02:39,919 [APPLAUSE] 3661 02:02:39,985 --> 02:02:42,388 THANK YOU. 3662 02:02:42,455 --> 02:02:43,255 AND ONE OF THE MAJOR THINGS I 3663 02:02:43,322 --> 02:02:44,790 CAN SAY ABOUT THIS IS THAT IT'S 3664 02:02:44,857 --> 02:02:46,425 BEEN WONDERFUL TO HEAR WHAT 3665 02:02:46,492 --> 02:02:47,493 RESEARCH IS HAPPENING. 3666 02:02:47,560 --> 02:02:51,230 IT REALLY IS. 3667 02:02:51,297 --> 02:02:52,331 I'M HAPPY TO BE A PART OF IT 3668 02:02:52,398 --> 02:02:55,367 WITH MY LIVED EXPERIENCE, BEING 3669 02:02:55,434 --> 02:02:56,902 ABLE TO PUT BOTH TOGETHER AND 3670 02:02:56,969 --> 02:02:58,337 BRIDGE THE GAPS TO THE 3671 02:02:58,404 --> 02:02:59,038 DISCONNECT THAT HAS BEEN 3672 02:02:59,105 --> 02:02:59,872 HAPPENING. 3673 02:02:59,939 --> 02:03:03,375 I BELIEVE THAT US BEING ABLE TO 3674 02:03:03,442 --> 02:03:04,910 SHARE OUR STORIES AND GIVE YOU 3675 02:03:04,977 --> 02:03:07,613 GUYS THE HEART OF YOUR DATA IS A 3676 02:03:07,680 --> 02:03:08,714 BEAUTIFUL THING, AND I'M GLAD TO 3677 02:03:08,781 --> 02:03:10,015 BE HERE TO BE A PART OF IT AND 3678 02:03:10,082 --> 02:03:11,784 I'M EXCITED TO BE ABLE TO SHARE 3679 02:03:11,851 --> 02:03:13,419 THIS LIVED EXPERIENCE WHETHER 3680 02:03:13,486 --> 02:03:15,221 IT'S BEING A RECOVERY COACH IN 3681 02:03:15,287 --> 02:03:18,124 THE EMERGENCY ROOM IN THE 3682 02:03:18,190 --> 02:03:21,227 JUSTICE SETTINGS, IN SCHOOLS, 3683 02:03:21,293 --> 02:03:23,028 ALL AROUND THE WORLD. 3684 02:03:23,095 --> 02:03:26,532 AND WE ARE THE ONES THAT ARE OUT 3685 02:03:26,599 --> 02:03:27,633 THERE, BOOTS ON THE GROUND, 3686 02:03:27,700 --> 02:03:29,435 WALKING ALONGSIDE THOSE, NOT 3687 02:03:29,502 --> 02:03:30,503 JUST MEETING THEM WHERE THEY'RE 3688 02:03:30,569 --> 02:03:32,671 AT, BUT MEETING OURSELVES WHERE 3689 02:03:32,738 --> 02:03:35,307 WE'RE AT. 3690 02:03:35,374 --> 02:03:36,609 THE IMPORTANCE IS TO UNDERSTAND 3691 02:03:36,675 --> 02:03:37,510 THAT ALL OF US THAT ARE GOING 3692 02:03:37,576 --> 02:03:38,244 THROUGH ADDICTION, WE HAVE TO 3693 02:03:38,310 --> 02:03:41,413 HAVE OUR OWN SET OF PROGRAMS T 3694 02:03:41,480 --> 02:03:41,747 TOO. 3695 02:03:41,814 --> 02:03:43,282 AND WHEN WE DO THAT, WE GIVE A 3696 02:03:43,349 --> 02:03:45,818 LOT OF ENERGY TO THOSE THAT ARE 3697 02:03:45,885 --> 02:03:48,654 FIGHTING AND LIVING AND TRYING 3698 02:03:48,721 --> 02:03:50,422 TO TAKE THEIR LIVES BACK. 3699 02:03:50,489 --> 02:03:51,524 SO WHEN WE KNOW THAT YOU GUYS 3700 02:03:51,590 --> 02:03:53,492 ARE DOING THE RESEARCH YOU'RE 3701 02:03:53,559 --> 02:03:56,428 DOING, AND YOU'RE SHOWING US 3702 02:03:56,495 --> 02:04:01,467 THAT IT'S POSSIBLE, THAT BELIEF 3703 02:04:01,534 --> 02:04:02,668 THAT THINGS CAN HAPPEN WHEN 3704 02:04:02,735 --> 02:04:04,770 PEOPLE GET TOGETHER, WHETHER 3705 02:04:04,837 --> 02:04:06,372 IT'S LIVED EXPERIENCE, WHETHER 3706 02:04:06,438 --> 02:04:09,208 IT'S RESEARCH, PUTTING THE ART 3707 02:04:09,275 --> 02:04:11,210 TO RECOVERY COACHING TOGETHER 3708 02:04:11,277 --> 02:04:12,511 AND ALSO BEING ABLE TO SEE 3709 02:04:12,578 --> 02:04:15,714 WHAT'S HAPPENING HERE SHOWCASES 3710 02:04:15,781 --> 02:04:16,649 TO THOSE THAT I'M TRAINING AND 3711 02:04:16,715 --> 02:04:18,951 THOSE THAT I'M WALKING ALONGSIDE 3712 02:04:19,018 --> 02:04:21,987 THAT THINGS WILL GET BETTER. 3713 02:04:22,054 --> 02:04:23,556 BUT I DO BELIEVE THAT WITH MY 3714 02:04:23,622 --> 02:04:25,958 STORY AND BEING ABLE TO TELL 3715 02:04:26,025 --> 02:04:27,593 THAT, YOU HAVE TO KNOW WHERE 3716 02:04:27,660 --> 02:04:30,763 YOUR RESEARCH IS GOING. 3717 02:04:30,830 --> 02:04:31,764 IT'S GOING TO THE HEART OF THE 3718 02:04:31,831 --> 02:04:35,267 PEOPLE WHO ARE OUT HERE SEEING 3719 02:04:35,334 --> 02:04:38,437 PEOPLE DROB D DROP DEAD FROM THE 3720 02:04:38,504 --> 02:04:38,771 MEDICINES. 3721 02:04:38,838 --> 02:04:40,840 THEY'RE DROPPING LIKE FLIES, AND 3722 02:04:40,906 --> 02:04:42,474 AS QUICK AS WE'RE TRYING TO GET 3723 02:04:42,541 --> 02:04:43,943 THINGS TOGETHER IS AS QUICK AS 3724 02:04:44,009 --> 02:04:46,545 WE'RE LOSING THEM. 3725 02:04:46,612 --> 02:04:49,148 I WAS ONE THAT DROPPED DEAD. 3726 02:04:49,215 --> 02:04:51,016 AND I'M HERE. 3727 02:04:51,083 --> 02:04:53,285 SO THE WORK WE'RE DOING, AND THE 3728 02:04:53,352 --> 02:04:55,187 WORK THAT WE'RE BRINGING 3729 02:04:55,254 --> 02:04:56,989 TOGETHER IS SO IMPORTANT IN A 3730 02:04:57,056 --> 02:05:00,960 WORLD RIGHT NOW THAT IS NOT JUST 3731 02:05:01,026 --> 02:05:03,028 BATTLING A WORLD EPIDEMIC, BUT 3732 02:05:03,095 --> 02:05:05,564 WE'RE BATTLING EVERYTHING ELSE. 3733 02:05:05,631 --> 02:05:08,100 PEOPLE GETTING OUT OF 3734 02:05:08,167 --> 02:05:10,169 INCARCERATION, AFTER 30 YEARS, 3735 02:05:10,236 --> 02:05:12,872 NOT KNOWING WHAT TO LOOK FORWARD 3736 02:05:12,938 --> 02:05:15,741 TO, BUT WE HAVE COACHES THAT ARE 3737 02:05:15,808 --> 02:05:18,844 STANDING OUTSIDE, WAITING TO 3738 02:05:18,911 --> 02:05:19,645 WALK WITH THEM. 3739 02:05:19,712 --> 02:05:20,846 AND WE HAVE COACHES WAITING 3740 02:05:20,913 --> 02:05:21,914 INSIDE THAT ARE TRYING TO HELP 3741 02:05:21,981 --> 02:05:23,282 THEM IN THE JUSTICE SETTINGS AS 3742 02:05:23,349 --> 02:05:23,983 WELL. 3743 02:05:24,049 --> 02:05:26,852 THE PROCESS IS MOVING FORWARD 3744 02:05:26,919 --> 02:05:27,720 AND IT'S BEAUTIFUL. 3745 02:05:27,786 --> 02:05:29,889 AND FOR ME, LOOKING AT THE FACT 3746 02:05:29,955 --> 02:05:33,826 THAT THE COACHES NOW NEED PEOPLE 3747 02:05:33,893 --> 02:05:35,160 TO WALK WITH THEM AND THEY NEED 3748 02:05:35,227 --> 02:05:36,462 TO KNOW THAT RESOURCES ARE 3749 02:05:36,528 --> 02:05:39,632 THERE, FOR THEM TO LEAD AND TO 3750 02:05:39,698 --> 02:05:40,833 GUIDE WITH POSITIVITY, TO 3751 02:05:40,900 --> 02:05:41,967 UNDERSTAND THINGS LIKE STIGMAS 3752 02:05:42,034 --> 02:05:43,769 AND LABELS, AND TO UNDERSTAND 3753 02:05:43,836 --> 02:05:47,606 THAT IF WE TALK WITH POSITIVITY, 3754 02:05:47,673 --> 02:05:49,141 AND WE USE OUR WORDS WITH THE 3755 02:05:49,208 --> 02:05:51,010 POWER OF INTENT, WE CAN DO 3756 02:05:51,076 --> 02:05:52,344 ANYTHING. 3757 02:05:52,411 --> 02:05:53,712 SO I JUST WANT TO SAY AGAIN 3758 02:05:53,779 --> 02:05:55,381 THANK YOU GUYS SO MUCH FOR 3759 02:05:55,447 --> 02:05:57,049 ALLOWING US TO COME IN HERE, 3760 02:05:57,116 --> 02:06:00,419 SHARE OUR STORIES. 3761 02:06:00,486 --> 02:06:02,154 WE'D LOVE TO SHARE OUR STORIES 3762 02:06:02,221 --> 02:06:04,356 MORE, GIVE YOU MORE DATA, MORE 3763 02:06:04,423 --> 02:06:06,125 INFORMATION, COME TOGETHER AND 3764 02:06:06,191 --> 02:06:07,626 BE FORCES TO BE RECKONED WITH 3765 02:06:07,693 --> 02:06:09,495 FOR OUR WORLD RIGHT NOW THAT 3766 02:06:09,561 --> 02:06:09,895 NEEDS US. 3767 02:06:09,962 --> 02:06:11,163 THANK YOU. 3768 02:06:11,230 --> 02:06:15,768 [APPLAUSE] 3769 02:06:15,834 --> 02:06:16,602 >> THANK YOU SO MUCH. 3770 02:06:16,669 --> 02:06:20,673 AND JUST A BIG THANK YOU TO THE 3771 02:06:20,739 --> 02:06:23,943 LEADERSHIP AT NIDA AND NINDS AND 3772 02:06:24,009 --> 02:06:25,577 NIH THAT MAKE CONNECTIONS IN 3773 02:06:25,644 --> 02:06:26,545 THIS WORK POSSIBLE. 3774 02:06:26,612 --> 02:06:28,547 IT REALLY IS SO AMAZING TO SEE 3775 02:06:28,614 --> 02:06:30,182 WHAT THE RESULTS ARE WHEN WE PUT 3776 02:06:30,249 --> 02:06:31,383 THIS INFORMATION INTO THE HANDS 3777 02:06:31,450 --> 02:06:32,918 OF THOSE WITH LIVED EXPERIENCE 3778 02:06:32,985 --> 02:06:34,320 AND STAKEHOLDERS AND THANK YOU 3779 02:06:34,386 --> 02:06:36,088 SO MUCH TO ALL OF OUR GREAT 3780 02:06:36,155 --> 02:06:38,691 PANELISTS TOO AND THEIR 3781 02:06:38,757 --> 02:06:48,968 PARTNERSHIP. 3782 02:06:51,236 --> 02:06:53,272 >> SO THANK YOU TO OUR HEAL 3783 02:06:53,339 --> 02:06:54,273 CONNECTIONS PANELISTS AND FOR 3784 02:06:54,340 --> 02:06:55,507 ALL THAT AUDIENCE PARTICIPATION. 3785 02:06:55,574 --> 02:06:56,575 THAT WAS GREAT. 3786 02:06:56,642 --> 02:06:58,210 I KEEP FEELING MORE OPTIMISTIC 3787 02:06:58,277 --> 02:07:00,179 AND INSPIRED AFTER EVERY SESSION 3788 02:07:00,245 --> 02:07:02,815 I HEAR HERE TODAY. 3789 02:07:02,881 --> 02:07:05,751 SO TO CLOSE THE MEETING, WE HAVE 3790 02:07:05,818 --> 02:07:07,219 DR. LANGEVIN, DIRECTOR OF THE 3791 02:07:07,286 --> 02:07:08,053 NATIONAL CENTER FOR 3792 02:07:08,120 --> 02:07:09,355 COMPLEMENTARY AND INTEGRATIVE 3793 02:07:09,421 --> 02:07:10,489 HEALTH, AND SHE'S GOING TO 3794 02:07:10,556 --> 02:07:12,758 PROVIDE SOME CLOSING REMARKS, 3795 02:07:12,825 --> 02:07:15,027 INCLUDING RECOGNIZING OUR 2024 3796 02:07:15,094 --> 02:07:17,363 HEAL AWARDEES, AS WELL AS THEMES 3797 02:07:17,429 --> 02:07:18,664 THAT AROSE DURING THIS YEAR'S 3798 02:07:18,731 --> 02:07:19,665 HEAL MEETING. 3799 02:07:19,732 --> 02:07:26,872 SO PLEASE WELCOME DR. LANGEVIN. 3800 02:07:26,939 --> 02:07:28,507 >> WELL, I'M SO THRILLED TO SEE 3801 02:07:28,574 --> 02:07:29,508 SO MANY OF YOU STILL HERE. 3802 02:07:29,575 --> 02:07:31,343 THIS IS FANTASTIC! 3803 02:07:31,410 --> 02:07:33,746 I'M GOING TO BE QUICK BECAUSE, 3804 02:07:33,812 --> 02:07:40,019 YOU KNOW, I'VE GOT FIVE MINUTES. 3805 02:07:40,085 --> 02:07:41,086 SO FIRST THE AWARDS. 3806 02:07:41,153 --> 02:07:44,156 IT'S MY GREAT PLEASURE TO -- 3807 02:07:44,223 --> 02:07:45,491 WE'VE ALREADY HEARD THE 3808 02:07:45,557 --> 02:07:48,427 TRAILBLAZER AWARDS EARLIER THIS 3809 02:07:48,494 --> 02:07:48,994 AFTERNOON. 3810 02:07:49,061 --> 02:07:50,095 BUT I NOW WOULD LIKE TO 3811 02:07:50,162 --> 02:07:52,931 RECOGNIZE THE 2024 NIH HEAL 3812 02:07:52,998 --> 02:07:55,000 INITIATIVE AWARDEES IN SEVERAL 3813 02:07:55,067 --> 02:07:56,301 SPECIAL CATEGORIES. 3814 02:07:56,368 --> 02:07:57,503 THE FIRST CATEGORY IS 3815 02:07:57,569 --> 02:07:59,138 MENTORSHIP. 3816 02:07:59,204 --> 02:08:00,672 I'M GOING TO HOPEFULLY SEE THIS. 3817 02:08:00,739 --> 02:08:02,307 RIGHT. 3818 02:08:02,374 --> 02:08:04,209 THESE ARE -- HEAL HAS AWARDED 3819 02:08:04,276 --> 02:08:06,378 SIX RESEARCHERS THE AWARD FOR 3820 02:08:06,445 --> 02:08:07,880 MENTORSHIP. 3821 02:08:07,946 --> 02:08:08,781 RESEARCHERS HAVE SHOWN 3822 02:08:08,847 --> 02:08:09,982 EXCEPTIONAL COMMITMENT TO THE 3823 02:08:10,049 --> 02:08:11,950 MENTORING OF EARLY CAREER 3824 02:08:12,017 --> 02:08:13,118 SCIENTISTS IN THE PAIN AND 3825 02:08:13,185 --> 02:08:14,553 ADDICTION RESEARCH FIELD. 3826 02:08:14,620 --> 02:08:19,925 SO THESE AWARDS GO TO: 3827 02:08:19,992 --> 02:08:24,630 DR. ASHLI SHEIDOW. 3828 02:08:24,696 --> 02:08:26,165 PERHAPS IF SOME OF YOU ARE STILL 3829 02:08:26,231 --> 02:08:29,101 HERE, YOU CAN STAND UP AND BE 3830 02:08:29,168 --> 02:08:30,502 RECOGNIZED. 3831 02:08:30,569 --> 02:08:30,669 YAY! 3832 02:08:30,736 --> 02:08:36,442 THERE WE GO. 3833 02:08:36,508 --> 02:08:37,976 DR. SHEIDOW IS SENIOR RESEARCH 3834 02:08:38,043 --> 02:08:42,881 SCIENTIST WITH CHE CHESTNUT HILL 3835 02:08:42,948 --> 02:08:44,750 HEALTH SYSTEMS. 3836 02:08:44,817 --> 02:08:46,385 DR. AARON FOX, ASSOCIATE 3837 02:08:46,452 --> 02:08:47,486 PROFESSOR OF MEDICINE. 3838 02:08:47,553 --> 02:08:48,454 THERE WE GO. 3839 02:08:48,520 --> 02:08:52,291 AT THE ALBERT EINSTEIN COLLEGE 3840 02:08:52,357 --> 02:08:53,592 OF MEDICINE. 3841 02:08:53,659 --> 02:08:55,461 DR. DAVID SMELSON. 3842 02:08:55,527 --> 02:09:00,399 HERE? 3843 02:09:00,466 --> 02:09:01,433 PROFESSOR OF MEDICINE AT 3844 02:09:01,500 --> 02:09:04,103 UNIVERSITY OF MASSACHUSETTS, 3845 02:09:04,169 --> 02:09:05,104 CHAN MEDICAL SCHOOL. 3846 02:09:05,170 --> 02:09:11,343 DR. KATHLEEN SLUKA. 3847 02:09:11,410 --> 02:09:13,078 PROFESSOR OF PHYSICAL THERAPY 3848 02:09:13,145 --> 02:09:14,079 AND REHABILITATION SCIENCE 3849 02:09:14,146 --> 02:09:18,350 PROGRAM AT UNIVERSITY OF IOWA. 3850 02:09:18,417 --> 02:09:22,287 DR. DAN CLAUW. 3851 02:09:22,354 --> 02:09:23,222 PROFESSOR AT THE UNIVERSITY OF 3852 02:09:23,288 --> 02:09:25,557 MICHIGAN. 3853 02:09:25,624 --> 02:09:31,263 DR. CLAUDIA CAMPBELL. 3854 02:09:31,330 --> 02:09:33,065 PROFESSOR OF MEDICINE AT JOHNS 3855 02:09:33,132 --> 02:09:34,199 HOPKINS UNIVERSITY. 3856 02:09:34,266 --> 02:09:35,868 THANK YOU, ALL OF YOU, FOR BEING 3857 02:09:35,934 --> 02:09:37,703 SUCH GOOD MENTORS. 3858 02:09:37,769 --> 02:09:41,006 NEXT, HEAL HAS AWARDED TWO 3859 02:09:41,073 --> 02:09:42,641 RESEARCHERS THE HEAL AWARD FOR 3860 02:09:42,708 --> 02:09:43,642 INTERDISCIPLINARY COLLABORATION. 3861 02:09:43,709 --> 02:09:47,045 THESE RESEARCHERS ARE BRIDGING 3862 02:09:47,112 --> 02:09:48,680 RELATIONSHIPS -- BRINGING -- 3863 02:09:48,747 --> 02:09:49,781 BRIDGING, EXCUSE ME, 3864 02:09:49,848 --> 02:09:50,649 RELATIONSHIPS ACROSS THE FIELD 3865 02:09:50,716 --> 02:09:51,950 OF SCIENCE RESULTING IN 3866 02:09:52,017 --> 02:09:52,951 INTERDISCIPLINARY AND 3867 02:09:53,018 --> 02:09:55,120 CUTTING-EDGE RESEARCH. 3868 02:09:55,187 --> 02:10:01,693 DR. KIMBERLY FRYER. 3869 02:10:01,760 --> 02:10:02,628 OBSTETRICS AND GYNECOLOGY AT 3870 02:10:02,694 --> 02:10:08,267 UNIVERSITY OF SOUTH FLORIDA, AND 3871 02:10:08,333 --> 02:10:10,202 DR. CECELIA VALRIE, ASSOCIATE 3872 02:10:10,269 --> 02:10:11,737 PROFESSOR AT VIRGINIA 3873 02:10:11,803 --> 02:10:14,273 COMMONWEALTH UNIVERSITY. 3874 02:10:14,339 --> 02:10:18,477 NEXT, HEAL HAS AWARDED FOUR 3875 02:10:18,544 --> 02:10:19,778 RESEARCHERS THE HEAL AWARD FOR 3876 02:10:19,845 --> 02:10:20,979 COMMUNITY PARTNERSHIP. 3877 02:10:21,046 --> 02:10:22,080 EXCEPTIONAL COMMITMENT TO THE 3878 02:10:22,147 --> 02:10:23,382 DEVELOPMENT OF COMMUNITY 3879 02:10:23,448 --> 02:10:24,683 PARTNERSHIPS CHARACTERIZED BY 3880 02:10:24,750 --> 02:10:26,218 RESPECT, EQUITY, AND MUTUAL 3881 02:10:26,285 --> 02:10:30,589 BENEFIT. 3882 02:10:30,656 --> 02:10:38,263 MARIA ISABELLA NATALE CASTILLO. 3883 02:10:38,330 --> 02:10:39,464 THE CLINICAL RESEARCH ASSISTANT 3884 02:10:39,531 --> 02:10:41,500 AT BOSTON CHILDREN'S HOSPITAL AT 3885 02:10:41,567 --> 02:10:44,703 HARVARD MEDICAL SCHOOL. 3886 02:10:44,770 --> 02:10:51,410 DR. LARA COUGHLIN. 3887 02:10:51,476 --> 02:10:52,177 ASSISTANT PROFESSOR AT 3888 02:10:52,244 --> 02:10:54,580 UNIVERSITY OF MICHIGAN. 3889 02:10:54,646 --> 02:11:00,485 DR. DOUGLAS KENNEDY. 3890 02:11:00,552 --> 02:11:01,920 ASSISTANT PROFESSOR AND FACULTY 3891 02:11:01,987 --> 02:11:03,655 RESEARCH FELLOW IN INTEGRATIVE 3892 02:11:03,722 --> 02:11:04,690 HEALTH AND WELL-BEING RESEARCH 3893 02:11:04,756 --> 02:11:05,224 PROGRAM AT UNIVERSITY OF 3894 02:11:05,290 --> 02:11:09,361 MINNESOTA. 3895 02:11:09,428 --> 02:11:12,965 DR. ISABEL ROTH. 3896 02:11:13,031 --> 02:11:14,466 RESEARCH ASSISTANT PROFESSOR, 3897 02:11:14,533 --> 02:11:16,535 UNIVERSITY OF NORTH CAROLINA AT 3898 02:11:16,602 --> 02:11:18,870 CHAPEL HILL. 3899 02:11:18,937 --> 02:11:20,739 AND FINALLY, HEAL HAS AWARDED 3900 02:11:20,806 --> 02:11:23,242 FOUR RESEARCHERS THE HEAL AWARD 3901 02:11:23,308 --> 02:11:25,644 FOR EXCELLENCE IN RESEARCH. 3902 02:11:25,711 --> 02:11:27,646 THESE RESEARCHERS ARE LEADING 3903 02:11:27,713 --> 02:11:29,615 EXEMPLARY RESEARCH THAT HAS HAD 3904 02:11:29,681 --> 02:11:31,650 A TRANSFORMATIVE IMPACT ON THE 3905 02:11:31,717 --> 02:11:33,151 PAIN AND ADDICTION RESEARCH 3906 02:11:33,218 --> 02:11:36,722 FIELD. 3907 02:11:36,788 --> 02:11:41,326 DR. NABILA EL-BASSEL, PROFESSOR 3908 02:11:41,393 --> 02:11:44,830 AT COLUMBIA UNIVERSITY. 3909 02:11:44,896 --> 02:11:51,370 DR. ALI REZAI, WEST VIRGINIA 3910 02:11:51,436 --> 02:11:52,571 UNIVERSITY. 3911 02:11:52,638 --> 02:11:54,106 DR. WILLIAM MARRAS, DIRECTOR OF 3912 02:11:54,172 --> 02:11:55,540 THE SPINE RESEARCH INSTITUTE AT 3913 02:11:55,607 --> 02:12:00,679 OHIO STATE UNIVERSITY. 3914 02:12:00,746 --> 02:12:08,453 AND DR. PRASAD SHIRVALKAR, 3915 02:12:08,520 --> 02:12:08,954 UNIVERSITY OF CALIFORNIA 3916 02:12:09,021 --> 02:12:11,290 SAN FRANCISCO. 3917 02:12:11,356 --> 02:12:12,491 LASTLY, I WOULD LIKE TO 3918 02:12:12,557 --> 02:12:14,459 RECOGNIZE THE THREE PLANNING 3919 02:12:14,526 --> 02:12:15,460 COMMITTEES THAT SHAPED THIS 3920 02:12:15,527 --> 02:12:16,895 YEAR'S MEETING. 3921 02:12:16,962 --> 02:12:17,763 THESE COMMITTEES SHARE THEIR 3922 02:12:17,829 --> 02:12:20,265 TIME AND EXPERTISE TO ADVISE ON 3923 02:12:20,332 --> 02:12:22,467 SESSION THEMES, FORMATS, AND 3924 02:12:22,534 --> 02:12:23,235 SPEAKER. 3925 02:12:23,302 --> 02:12:24,703 FIRST, THE RESEARCHER PLANNING 3926 02:12:24,770 --> 02:12:32,077 COMMITTEE. 3927 02:12:32,144 --> 02:12:34,279 THE NIH SCIENTIFIC PLANNING 3928 02:12:34,346 --> 02:12:39,184 COMMITTEE. 3929 02:12:39,251 --> 02:12:40,919 AND THE COORDINATING COMMITTEE, 3930 02:12:40,986 --> 02:12:41,853 TIRELESS WORK. 3931 02:12:41,920 --> 02:12:48,493 THANK YOU. 3932 02:12:48,560 --> 02:12:50,062 NOW LET ME HAVE JUST A COUPLE 3933 02:12:50,128 --> 02:12:51,096 MINUTES TO SHARE JUST A FEW 3934 02:12:51,163 --> 02:12:51,697 THOUGHTS. 3935 02:12:51,763 --> 02:12:53,865 THIS HAS BEEN SUCH AN INSPIRING 3936 02:12:53,932 --> 02:12:54,232 MEETING, REALLY. 3937 02:12:54,299 --> 02:12:57,636 YOU REALLY FEEL THAT YOU'RE SORT 3938 02:12:57,703 --> 02:13:00,138 OF -- SCIENCE MEETS HUMAN, YOU 3939 02:13:00,205 --> 02:13:01,340 KNOW, AT MEETINGS LIKE THIS. 3940 02:13:01,406 --> 02:13:02,974 AND WE'VE HEARD SO MANY 3941 02:13:03,041 --> 02:13:04,276 INSPIRING COMMENTS. 3942 02:13:04,343 --> 02:13:05,544 OBVIOUSLY WE HAD SOME EXCITING 3943 02:13:05,610 --> 02:13:06,044 SCIENCE. 3944 02:13:06,111 --> 02:13:07,879 I MEAN, A MEETING LIKE THIS 3945 02:13:07,946 --> 02:13:09,014 WITHOUT SCIENCE WOULDN'T QUITE 3946 02:13:09,081 --> 02:13:12,918 CUT IT AND WE DID GET SOME 3947 02:13:12,984 --> 02:13:15,987 EXCITING NEW DISCOVERY, SO MANY 3948 02:13:16,054 --> 02:13:17,656 EXCITING POSTERS, BIOMARKERS, 3949 02:13:17,723 --> 02:13:20,726 TARGETS FOR DRUGS. 3950 02:13:20,792 --> 02:13:21,993 BUT IN ADDITION TO THAT, I THINK 3951 02:13:22,060 --> 02:13:24,329 WHAT WAS REALLY REMARKABLE AT 3952 02:13:24,396 --> 02:13:25,964 THIS MEETING IS A REAL SENSE OF 3953 02:13:26,031 --> 02:13:28,066 MAKING THESE CONNECTIONS AT SO 3954 02:13:28,133 --> 02:13:30,902 MANY MULTIPLE LEVELS. 3955 02:13:30,969 --> 02:13:33,205 CONNECTING, FIRST OF ALL 3956 02:13:33,271 --> 02:13:34,072 BUILDING RELATIONSHIPS. 3957 02:13:34,139 --> 02:13:35,607 THAT'S WHY YOU'RE HERE, RIGHT? 3958 02:13:35,674 --> 02:13:36,775 THAT'S WHY WE COME TO MEETINGS 3959 02:13:36,842 --> 02:13:41,747 LIKE THIS, IS TO BE TOGETHER, 3960 02:13:41,813 --> 02:13:43,615 AND ALSO THE HEAL PURPOSE 3961 02:13:43,682 --> 02:13:45,384 NETWORK, WHICH IS REALLY 3962 02:13:45,450 --> 02:13:46,585 EXTENDING THE INTENT OF MAKING 3963 02:13:46,651 --> 02:13:49,855 THESE CONNECTIONS SO FAR BEYOND 3964 02:13:49,921 --> 02:13:52,958 A ROOM SUCH AS THIS, AND SO THIS 3965 02:13:53,024 --> 02:13:54,726 IS REALLY WHERE HEAL HAS PUT A 3966 02:13:54,793 --> 02:13:55,360 LOT OF EFFORT. 3967 02:13:55,427 --> 02:13:56,328 AND I THINK IT'S BEGINNING TO 3968 02:13:56,395 --> 02:13:59,431 SHOW THAT YOU ALL ARE GELLING 3969 02:13:59,498 --> 02:14:00,098 INTO A COMMUNITY. 3970 02:14:00,165 --> 02:14:03,268 YOU CAN FEEL IT. 3971 02:14:03,335 --> 02:14:05,570 THE OTHER PLACE WHERE 3972 02:14:05,637 --> 02:14:06,204 CONNECTIONS ARE SO IMPORTANT, OF 3973 02:14:06,271 --> 02:14:07,739 COURSE, IS MAKING THESE 3974 02:14:07,806 --> 02:14:10,509 PARTNERSHIPS, RIGHT, THROUGH THE 3975 02:14:10,575 --> 02:14:11,843 RESEARCH NETWORKS. 3976 02:14:11,910 --> 02:14:13,378 WE'VE HAD BEAUTIFUL EXAMPLES 3977 02:14:13,445 --> 02:14:16,882 THROUGH THE JCOIN HEALING 3978 02:14:16,948 --> 02:14:21,253 COMMUNITIES AND NCRU 3979 02:14:21,319 --> 02:14:22,454 PRESENTATIONS WHERE THESE 3980 02:14:22,521 --> 02:14:23,355 EFFORTS TO REALLY CONNECT WITH 3981 02:14:23,422 --> 02:14:24,423 COMMUNITIES THAT ARE IN NEED OF 3982 02:14:24,489 --> 02:14:30,462 THIS RESEARCH SO BADLY. 3983 02:14:30,529 --> 02:14:31,997 FINALLY, THERE WAS THESE VERY 3984 02:14:32,063 --> 02:14:33,064 INSPIRING COMMENTS, ESPECIALLY 3985 02:14:33,131 --> 02:14:36,601 JUST RECENTLY, JUST IN THIS LAST 3986 02:14:36,668 --> 02:14:41,306 SESSION, ON CONNECTING WITH 3987 02:14:41,373 --> 02:14:42,073 PEOPLE WITH LIVED EXPERIENCES 3988 02:14:42,140 --> 02:14:43,475 AND HOW THESE PEOPLE WITH LIVED 3989 02:14:43,542 --> 02:14:44,576 EXPERIENCES ARE MAKING THESE 3990 02:14:44,643 --> 02:14:47,546 CONNECTIONS THEMSELVES ALREADY 3991 02:14:47,612 --> 02:14:49,214 THROUGH THEIR WORK, PEER 3992 02:14:49,281 --> 02:14:50,615 SUPPORT, WE HEARD THE GENTLEMAN 3993 02:14:50,682 --> 02:14:52,384 TALKING ABOUT THIS FROM THE 3994 02:14:52,451 --> 02:14:54,052 V.A., SO IMPORTANT, AND AS 3995 02:14:54,119 --> 02:14:57,756 RECOVERRECOVERY COACHES. 3996 02:14:57,823 --> 02:14:59,825 THIS IS WHERE WE NEED TO DO EVEN 3997 02:14:59,891 --> 02:15:01,059 MORE TO HARNESS ALL THE POWER 3998 02:15:01,126 --> 02:15:02,360 THAT'S ALREADY EXISTING IN THE 3999 02:15:02,427 --> 02:15:03,295 COMMUNITY AND BRING IT TOGETHER 4000 02:15:03,361 --> 02:15:04,129 WITH THE RESEARCH. 4001 02:15:04,196 --> 02:15:05,664 THIS IS WHERE WE'RE REALLY GOING 4002 02:15:05,730 --> 02:15:07,199 TO MAKE A DIFFERENCE, WE CAN ALL 4003 02:15:07,265 --> 02:15:09,801 WORK TOGETHER. 4004 02:15:09,868 --> 02:15:16,608 FINALLY, ANOTHER VERY IMPORTANT 4005 02:15:16,675 --> 02:15:19,010 CONNECTION IS THROUGH DATA, 4006 02:15:19,077 --> 02:15:20,212 SHARING THE DATA. 4007 02:15:20,278 --> 02:15:21,646 DO IT! 4008 02:15:21,713 --> 02:15:24,749 ALL THE RESEARCHERS OUT HERE, IF 4009 02:15:24,816 --> 02:15:25,917 THERE'S ANY RESEARCHER OUT HERE 4010 02:15:25,984 --> 02:15:28,420 THAT HAS NOT YET REGISTERED FOR 4011 02:15:28,487 --> 02:15:33,825 THE HEAL DATA SYSTEM, DO IT. 4012 02:15:33,892 --> 02:15:35,794 YOU WILL FEEL BETTER ONCE YOU DO 4013 02:15:35,861 --> 02:15:36,428 IT. 4014 02:15:36,495 --> 02:15:37,629 IT DOESN'T TAKE LONG. 4015 02:15:37,696 --> 02:15:39,631 I HEAR FROM JESSICA OVER A 4016 02:15:39,698 --> 02:15:40,932 HUNDRED PEOPLE VISITED THE BOOTH 4017 02:15:40,999 --> 02:15:41,633 TODAY. 4018 02:15:41,700 --> 02:15:42,067 THAT'S A GOOD SIGN. 4019 02:15:42,133 --> 02:15:44,236 WE REALLY WANT TO SEE AN UPTICK 4020 02:15:44,302 --> 02:15:45,337 IN THE NUMBER OF PEOPLE 4021 02:15:45,403 --> 02:15:49,841 REGISTERING FOR THE HEAL DATA 4022 02:15:49,908 --> 02:15:50,108 ECOSYSTEM. 4023 02:15:50,175 --> 02:15:52,444 ALSO THE POWER OF COMBINING DATA 4024 02:15:52,511 --> 02:15:54,446 SHARING WITH RESEARCH NETWORKS, 4025 02:15:54,513 --> 02:15:55,747 THAT WAS EVIDENT IN SO MANY OF 4026 02:15:55,814 --> 02:15:59,384 THE PRESENTATIONS, WHERE YOU CAN 4027 02:15:59,451 --> 02:16:00,485 SEE THAT POOLING DATA FROM 4028 02:16:00,552 --> 02:16:02,220 SEVERAL STUDY, SUCH AS FOR SOME 4029 02:16:02,287 --> 02:16:07,726 OF THE CLINICAL TRIAL NETWORKS 4030 02:16:07,792 --> 02:16:11,563 THAT ARE ORGANIZED BY INTO DA, 4031 02:16:11,630 --> 02:16:13,098 IT'S IMMENSE, THE POWER OF THIS 4032 02:16:13,164 --> 02:16:14,766 RESEARCH, WHEN WE WORK TOGETHER, 4033 02:16:14,833 --> 02:16:15,867 WE CAN DO MORE. 4034 02:16:15,934 --> 02:16:17,736 THIS TOPIC OF, AGAIN, 4035 02:16:17,802 --> 02:16:18,803 IMPLEMENTATION SCIENCE AGAIN 4036 02:16:18,870 --> 02:16:20,171 SPEAKS TO THESE CONNECTIONS. 4037 02:16:20,238 --> 02:16:21,706 RESEARCH IS NOT GOING TO DO ANY 4038 02:16:21,773 --> 02:16:23,575 GOOD IF IT DOESN'T GET 4039 02:16:23,642 --> 02:16:23,875 IMPLENTIED. 4040 02:16:23,942 --> 02:16:25,977 AND WE HEARD THIS LOUD AND CLEAR 4041 02:16:26,044 --> 02:16:28,179 ALL DAY LONG, YESTERDAY AND 4042 02:16:28,246 --> 02:16:28,947 TODAY. 4043 02:16:29,014 --> 02:16:34,319 SO THERE WAS SUCH TERRIFIC 4044 02:16:34,386 --> 02:16:39,824 SESSIONS, TOOL KITS, MAKE MAKING 4045 02:16:39,891 --> 02:16:41,226 IMPLEMENTATION SCIENCE 4046 02:16:41,293 --> 02:16:41,660 IMPLEMENTABLE. 4047 02:16:41,726 --> 02:16:43,428 IT'S NOT EASY TO DO. 4048 02:16:43,495 --> 02:16:45,730 SO USE THOSE TOOL KITS. 4049 02:16:45,797 --> 02:16:49,034 AND FINALLY, DISSEMINATION OF 4050 02:16:49,100 --> 02:16:50,235 THIS, THIS WONDERFUL 4051 02:16:50,302 --> 02:16:52,537 PRESENTATION TODAY ON THE HEAL 4052 02:16:52,604 --> 02:16:54,139 CONNECTIONS, BRINGING THE 4053 02:16:54,205 --> 02:16:57,676 SCIENCE AND I WAS STRUCK BY THE 4054 02:16:57,742 --> 02:17:00,779 COMMENTS OF -- THE LAST COMMENTS 4055 02:17:00,845 --> 02:17:02,280 BY MICHAEL LITTERER SAYING, THE 4056 02:17:02,347 --> 02:17:03,815 SCIENCE HERE WAS SO WELL 4057 02:17:03,882 --> 02:17:07,552 ALIGNED, I HAD NO IDEA. 4058 02:17:07,619 --> 02:17:08,787 THAT, TO ME, SAYS IT ALL. 4059 02:17:08,853 --> 02:17:10,855 THIS IS WHERE WE HAVE TO 4060 02:17:10,922 --> 02:17:12,490 REALLY -- AND THIS IS WHERE ALL 4061 02:17:12,557 --> 02:17:15,560 OF THIS DISSEMINATION IS GOING 4062 02:17:15,627 --> 02:17:16,895 TO MAKE THAT BIG A DIFFERENCE. 4063 02:17:16,962 --> 02:17:18,763 PEOPLE NEED TO KNOW ABOUT THIS 4064 02:17:18,830 --> 02:17:21,366 AWESOME WORK THAT EVERYBODY IS 4065 02:17:21,433 --> 02:17:21,566 DOING. 4066 02:17:21,633 --> 02:17:23,835 SO WE'LL KEEP WORKING ON IT. 4067 02:17:23,902 --> 02:17:27,539 AND I WANT TO JUST CLOSE BY JUST 4068 02:17:27,606 --> 02:17:31,076 SAYING THAT GOING BACK TO 4069 02:17:31,142 --> 02:17:31,910 DR. BERTAGNOLLI'S COMMENTS 4070 02:17:31,977 --> 02:17:33,144 YESTERDAY, OUR WORK IS NOT 4071 02:17:33,211 --> 02:17:34,546 FINISHED WHEN WE PUBLISH OUR 4072 02:17:34,613 --> 02:17:35,413 STUDIES. 4073 02:17:35,480 --> 02:17:37,415 OUR WORK WILL BE FINISHED WHEN 4074 02:17:37,482 --> 02:17:42,654 PEOPLE LIVE LONG, HEALTHY LIVES. 4075 02:17:42,721 --> 02:17:44,189 SO I WANT TO JUST END WITH THE 4076 02:17:44,255 --> 02:17:45,957 DEFINITION AND I'M GOING TO USE 4077 02:17:46,024 --> 02:17:48,493 MY SPEAKER'S PREROGATIVE IN 4078 02:17:48,560 --> 02:17:51,129 TALKING ABOUT HOW WE THINK AT 4079 02:17:51,196 --> 02:17:52,664 NCCIH ABOUT WHOLE PERSON HEALTH. 4080 02:17:52,731 --> 02:17:56,501 THE WAY WE DEFINE THIS IS 4081 02:17:56,568 --> 02:17:57,702 EMPOWERING INDIVIDUALS, 4082 02:17:57,769 --> 02:17:59,904 FAMILIES, COMMUNITIES, AND 4083 02:17:59,971 --> 02:18:01,339 POPULATIONS TO IMPROVE THEIR 4084 02:18:01,406 --> 02:18:03,742 HEALTH IN MULTIPLE 4085 02:18:03,808 --> 02:18:06,144 INTERCONNECTED DOMAINS. 4086 02:18:06,211 --> 02:18:08,113 BIOLOGICAL, BEHAVIORAL, SOCIAL, 4087 02:18:08,179 --> 02:18:08,713 AND ENVIRONMENTAL. 4088 02:18:08,780 --> 02:18:10,548 AND I WOULD ADD TO THAT, 4089 02:18:10,615 --> 02:18:11,750 SPIRITUAL. 4090 02:18:11,816 --> 02:18:13,051 BECAUSE IT'S AN IMPORTANT 4091 02:18:13,118 --> 02:18:14,719 COMPONENT OF ALL OF THIS. 4092 02:18:14,786 --> 02:18:15,453 RIGHT? 4093 02:18:15,520 --> 02:18:18,223 AND SO I THINK THAT, YOU KNOW, 4094 02:18:18,289 --> 02:18:20,659 THE MORE WE MAKE THIS ABOUT 4095 02:18:20,725 --> 02:18:21,960 HUMANS, THE MORE WE MAKE THIS 4096 02:18:22,027 --> 02:18:24,963 ABOUT WHOLE HUMANS, THE MORE THE 4097 02:18:25,030 --> 02:18:26,331 SCIENCE IS GOING TO BE SERVING 4098 02:18:26,398 --> 02:18:28,333 US ALL. 4099 02:18:28,400 --> 02:18:29,868 SO THANK YOU, IT'S BEEN A GREAT 4100 02:18:29,934 --> 02:18:30,835 MEETING, AND WE'LL SEE YOU NEXT 4101 02:18:30,902 --> 02:18:39,611 TIME. 4102 02:18:39,678 --> 02:18:41,179 >> SO THANK YOU, DR. LANGEVIN, 4103 02:18:41,246 --> 02:18:42,280 FOR YOUR COMMENTS AND TO ALL OF 4104 02:18:42,347 --> 02:18:43,848 THE PRESENTERS OVER THE LAST TWO 4105 02:18:43,915 --> 02:18:44,115 DAYS. 4106 02:18:44,182 --> 02:18:47,852 I WANT TO THANK DR. ERIC HUDAK, 4107 02:18:47,919 --> 02:18:49,054 MYCO-EMCEE, BUT I ALSO WANT TO 4108 02:18:49,120 --> 02:18:51,856 THANK ALL OF YOU WHO ATTENDED 4109 02:18:51,923 --> 02:18:53,358 BOTH VIRTUALLY AND IN PERSON. 4110 02:18:53,425 --> 02:18:55,427 YOU'VE CONTRIBUTED YOUR VALUABLE 4111 02:18:55,493 --> 02:18:56,428 EXPERTISE AND LIVING EXPERIENCE 4112 02:18:56,494 --> 02:18:58,296 AND IT'S GREATLY APPRECIATED. 4113 02:18:58,363 --> 02:18:59,397 FOR THOSE OF WHO YOU ARE 4114 02:18:59,464 --> 02:19:00,598 ATTENDING A SATELLITE MEETING 4115 02:19:00,665 --> 02:19:01,966 TOMORROW, JUST A REMINDER THOSE 4116 02:19:02,033 --> 02:19:03,868 ARE BEING HELD DOWNSTAIRS, AND 4117 02:19:03,935 --> 02:19:05,537 YOU CAN LOOK AT THE MAP AND THE 4118 02:19:05,603 --> 02:19:07,105 AGENDA TO KNOW WHERE TO GO AND 4119 02:19:07,172 --> 02:19:08,073 SAFE TRAVELS HOME AND HAVE A 4120 02:19:08,139 --> 02:19:08,473 GREAT EVENING. 4121 02:19:08,540 THANK YOU, EVERYONE.