1 00:00:04,771 --> 00:00:06,573 WHAT ARE YOU GUYS HOPING TO GET FROM THIS SESSION? 2 00:00:08,541 --> 00:00:14,180 HELLO, MY NAME IS LIB LIBBY DISMU GREER AND I AM A HEALTH 3 00:00:14,247 --> 00:00:19,753 SERVICES RESEARCHER AND HEALTH ECONOMIST WITH THE HEALTH 4 00:00:19,819 --> 00:00:25,191 ECONOMICS RESOURCE CENTER IN THE VA HEALTHCARE SYSTEM. 5 00:00:25,825 --> 00:00:31,531 AND SO I DO A LOT OF WORK IN THE AREA OF MILITARY RELATED 6 00:00:31,598 --> 00:00:37,470 TRAUMATIC BRAIN INJURY WITH A STUDY CALLED LIMBIC LONG TERM 7 00:00:37,537 --> 00:00:43,610 IMPACT OF MILITARY BRAIN INJURY CONSORTIUM AND ALSO TRAUMATIC 8 00:00:43,676 --> 00:00:46,346 BRAIN INJURY MODEL SYSTEMS. 9 00:00:48,648 --> 00:00:54,921 AND SO MOST OF MY FOCUS OF MY RESEARCH IS IN THE AREA OF 10 00:00:54,988 --> 00:01:01,294 HEALTH SERVICES OUTCOMES SUCH AS UTILIZATION OF CARE AND 11 00:01:01,361 --> 00:01:07,867 DIFFERENT SYSTEMS, DOD AND VA COST OF CARE ALSO LOOKING AT 12 00:01:07,934 --> 00:01:12,505 DISPARITIES, GEOGRAPHIC, RACIAL, ETHNIC. 13 00:01:15,809 --> 00:01:24,784 AND SO I'M HERE TO LEARN FROM THE REST OF THE WORLD ABOUT 14 00:01:24,851 --> 00:01:31,424 POLICY AND OUTCOMES AND WHAT'S IMPORTANT. 15 00:01:31,758 --> 00:01:36,863 THANK YOU THAT'S RIGHT OLYMPIC SO SO CRIMINAL JUST I'M I'M KIND 16 00:01:36,930 --> 00:01:41,401 OF I'M A CLINICAL NEAREST COLLEGE OF THEIR BACKGROUNDS. 17 00:01:41,468 --> 00:01:44,037 I'VE ACCIDENTALLY WORKED IN PRISON SYSTEMS AND THE BIG 18 00:01:44,103 --> 00:01:47,040 PROBLEM THAT WE HAVE IS FAR TOO MANY PEOPLE WITH BRAIN TRAUMA 19 00:01:47,106 --> 00:01:50,143 JUST HAVEN'T GOT THE SYSTEMS TO SUPPORT AND CARE FOR THEM FROM A 20 00:01:50,210 --> 00:01:51,277 VERY LONG TIME BEFORE. 21 00:01:51,878 --> 00:01:54,981 AND YOU'LL KNOW THAT THE LONG RANGE OUTCOMES ARE AWFUL. 22 00:01:55,048 --> 00:01:58,418 NOW THE BIG EPIDEMIOLOGICAL STUDIES IN SWEDEN AND DENMARK 23 00:01:58,485 --> 00:02:01,821 SHOWING TWO TO THREE TIMES INCREASES RISK OF SUICIDE AND 24 00:02:01,888 --> 00:02:05,325 TWO TO THREE TIMES INCREASED RISK OF OF VIOLENCE, IN OTHER 25 00:02:05,391 --> 00:02:08,161 WORDS ENDING UP IN THE CRIMINAL JUSTICE SYSTEM. 26 00:02:08,228 --> 00:02:11,264 OFTEN THE VIOLENCE IS REACTIVE AND ONE OF THE BIG PROBLEMS. 27 00:02:11,331 --> 00:02:16,469 SO IMAGINE FOR MILITARY SIDE IS IS IS AROUND WHETHER THERE'S THE 28 00:02:16,536 --> 00:02:21,140 RIGHT KIND OF APPROACHES TO ENABLE VETERANS TO BE ABLE TO 29 00:02:21,207 --> 00:02:25,144 READJUST TO SOCIETY, PARTICULARLY POST CONFLICT. 30 00:02:25,345 --> 00:02:29,549 THE BIG DIFFERENCE BETWEEN THE UK AND US IN TERMS OF POST 31 00:02:29,616 --> 00:02:34,087 CONFLICT RATES OF BRAIN INJURY AND PTSD IS THAT WE HAVE LOWER 32 00:02:34,153 --> 00:02:38,725 LEVELS IN THE UK BUT THEN OUR MILITARY ARE OUT IN THEATRE LESS 33 00:02:38,791 --> 00:02:39,259 OFTEN. 34 00:02:39,325 --> 00:02:42,595 WE DON'T HAVE THE SAME LEVEL OF OF EXPOSURE BUT THEY'RE STILL 35 00:02:42,662 --> 00:02:42,996 THERE. 36 00:02:43,062 --> 00:02:46,833 SO WE HAVE, WE HAVE THE THE SAME TYPE OF THINGS LIKE TBI PLUS 37 00:02:46,900 --> 00:02:47,200 PTSD. 38 00:02:48,902 --> 00:02:54,007 MY MAIN BACKGROUND THERE IS TRAUMATIC BRAIN INJURY WITH PTSD 39 00:02:54,073 --> 00:02:55,275 WITH THE EARS. 40 00:02:55,875 --> 00:02:58,478 SO, SO THAT THAT IS AN ONGOING CHRONIC PROBLEM. 41 00:02:58,678 --> 00:03:02,148 AND HOW WE ADDRESS TBI AND PTSD TOGETHER IS A REAL BIG ISSUE 42 00:03:02,215 --> 00:03:05,184 BECAUSE THERE'S A NEED TO DEVELOP THE RIGHT KIND OF 43 00:03:05,251 --> 00:03:08,588 PROGRAMS TO TO MANAGE THE PTSD ELEMENT AND THE TBI ELEMENT 44 00:03:08,655 --> 00:03:10,623 BECAUSE THEY WORK OFF EACH OTHER. 45 00:03:11,124 --> 00:03:15,595 SO YOU KNOW IRRITABILITY, IMPULSIVITY, HYPER HOUSEHOLD 46 00:03:15,662 --> 00:03:16,396 ETCETERA. 47 00:03:16,729 --> 00:03:20,800 SO I IMAGINE THERE THERE IS WORRYING CONCERN I KNOW AROUND 48 00:03:20,867 --> 00:03:24,938 VETERANS AND INTIMATE PARTNER VIOLENCE THAT'S THAT'S A BIG 49 00:03:25,004 --> 00:03:27,807 PROBLEM THAT WE NEED TO SOMEHOW ADDRESS. 50 00:03:27,874 --> 00:03:32,579 I DON'T KNOW WHAT HOW THAT TURNS INTO PROBLEMS IN JUSTICE SECTOR 51 00:03:32,645 --> 00:03:37,116 BUT A BIG DEAL I IMAGINE THIS AROUND HOW DO WE MAKE SURE THAT 52 00:03:37,183 --> 00:03:41,387 DAFTA SO THEY THEY ARE NOT ACTING OUT THE THE TRAUMA THAT 53 00:03:41,454 --> 00:03:45,358 THEY'VE EXPERIENCED AND THEY'RE ABLE TO BE RE ENGAGED 54 00:03:45,425 --> 00:03:50,063 EFFECTIVELY MANY ARE I MEAN THIS WONDERFUL PROGRAM SO WORK WITH 55 00:03:50,129 --> 00:03:54,467 AUK CHARITY THAT'S BREAKING GROUND HERITAGE WE WE WORK WITH 56 00:03:54,534 --> 00:03:58,137 VETERANS AROUND BEING ABLE TO USE THEIR SKILLS IN 57 00:03:58,204 --> 00:04:02,909 ARCHAEOLOGICAL SETTINGS SO IT'S BECOME SO THEY DO ARCHAEOLOGICAL 58 00:04:02,976 --> 00:04:06,713 DIGS AND AND TOGETHER BUT CONTRACTED BY OUR VARIOUS 59 00:04:06,779 --> 00:04:11,484 AGENCIES TO DO DIGS BUT THEY DO DIGS TOGETHER USING THEIR SKILLS 60 00:04:11,551 --> 00:04:15,521 AND EXPERIENCES TO THEN ALSO HAVE GROUP PROCESS AROUND 61 00:04:15,588 --> 00:04:18,958 MANAGING THE TRAUMA THEY EXPERIENCE AND SO ON. 62 00:04:19,025 --> 00:04:23,296 SO IT'S REALLY COOL PROGRAMME BREAKING GROUND HERITAGE MEAN IT 63 00:04:23,363 --> 00:04:27,667 MIGHT BE SOMETHING INTERESTING TO COME BACK TO HELP YOU DELIVER 64 00:04:27,734 --> 00:04:32,138 ANY KIND OF THERAPEUTIC WAYS OF WORKING TOO OFTEN NOT ALWAYS TOO 65 00:04:32,205 --> 00:04:36,275 OFTEN TO MEN AND THEN WE MEN AREN'T THAT PRUNES ARE TALKING 66 00:04:36,342 --> 00:04:40,647 ABOUT THINGS ARE WE SO YOU KNOW SO IT'S IT THAT MIGHT BE IT'S A 67 00:04:40,713 --> 00:04:44,784 TOPS ANYWAY I DON'T KNOW WHAT YOUR PROGRAMS ARE LIKE AROUND 68 00:04:44,851 --> 00:04:49,155 PICKING UP ON BRAIN INJURY IN I KNOW THERE'S FANTASTIC RESEARCH 69 00:04:49,222 --> 00:04:53,226 IN KIND OF VETERANS POPULATION BASED AND THE THE THE PIECE 70 00:04:53,292 --> 00:04:57,664 AROUND INTEGRATING INTO SOCIETY IS REALLY IMPORTANT AND TRACKING 71 00:04:57,730 --> 00:05:01,668 DOWN THE LINE YOUR MODEL SYSTEMS ARE GREAT BECAUSE THAT'S 72 00:05:01,734 --> 00:05:06,105 PROTECTIVE OR PEOPLE LEADING UP IN CRIMINAL JUSTICE BUT THAT'S I 73 00:05:06,172 --> 00:05:09,942 THINK I THINK THERE'S A BIG MORAL ISSUE AROUND WE TRAIN 74 00:05:10,009 --> 00:05:14,480 PEOPLE TO GO AND DO THE WORK FOR OUR SOCIETY BUT WE DON'T UNTRAIN 75 00:05:14,547 --> 00:05:15,982 THAT SOMETIMES DO WE. 76 00:05:18,084 --> 00:05:23,222 I DON'T KNOW DOES THAT THAT'S NO THAT'S FASCINATING AND YOU 77 00:05:23,289 --> 00:05:28,895 MENTIONED SUICIDE THE BIG THING FROM BOTH VA AND DOD AND AND AND 78 00:05:28,961 --> 00:05:33,433 THERE'S A LOT OF RESEARCH SHOWING THAT VETERANS AND 79 00:05:33,499 --> 00:05:38,204 MILITARY WITH TBI ARE HIGHER RISK THAN HIGHER RISK FOR 80 00:05:38,271 --> 00:05:43,976 SUICIDE AS WELL AS FOR SUBSTANCE USE AND OTHER ISSUES I'VE I HAVE 81 00:05:44,043 --> 00:05:49,182 A COLLEAGUE I THINK IS LOOKING AT CRIMINAL JUSTICE ACTIVITY 82 00:05:49,248 --> 00:05:50,383 MARY JO PUGH. 83 00:05:50,950 --> 00:05:51,484 OH OK. 84 00:05:51,551 --> 00:05:52,085 I'VE HEARD OF. 85 00:05:52,719 --> 00:05:53,019 YEAH. 86 00:05:53,086 --> 00:05:53,186 YEAH. 87 00:05:55,121 --> 00:05:59,125 BUT THAT'S NOT BEEN A BIG BIG AREA THAT I'VE HEARD OF AND I 88 00:05:59,192 --> 00:06:03,629 THINK IT'S VERY FASCINATING WHAT YOU'RE DOING THERE WITH THAT AND 89 00:06:03,696 --> 00:06:07,633 SO THANK YOU FOR I, I I'VE ALREADY DOWNLOADED YOUR SLIDES. 90 00:06:07,700 --> 00:06:08,768 I'M LOOKING FORWARD TO. 91 00:06:09,469 --> 00:06:10,303 OH WELL FAIR ENOUGH. 92 00:06:10,369 --> 00:06:13,339 I MEAN I'VE GOT TO BE GOING THROUGH AND UNFORTUNATELY I'VE 93 00:06:13,406 --> 00:06:16,409 GOT MEETING WITH ONE OF MY POLICE COLLEAGUES WITH THIS THIS 94 00:06:16,476 --> 00:06:18,478 THIS WORK WE'RE TRYING TO PUT TOGETHER. 95 00:06:18,544 --> 00:06:18,878 SO. 96 00:06:19,679 --> 00:06:21,013 BUT ABSOLUTELY. 97 00:06:21,080 --> 00:06:24,050 I MEAN THERE'S THERE'S THERE'S SO MUCH VERY POSITIVE WORK. 98 00:06:24,117 --> 00:06:27,220 I THINK THE SUICIDE PIECE IS AWFUL ISN'T IT AND AND PART OF 99 00:06:27,286 --> 00:06:30,123 WHAT WE'LL BE DOING WITH THE POLICE IN THE UK IS IS IS 100 00:06:30,189 --> 00:06:33,159 TRAINING THEM BY UNDERSTANDING BRAIN TRAUMA WHEN THEY'RE 101 00:06:33,226 --> 00:06:36,229 NEGOTIATING PEOPLE WHEN THEY'RE IN SITUATIONS WHERE THERE 102 00:06:36,295 --> 00:06:39,499 THERE'S POTENTIAL SUICIDE OR HOSTAGE TAKING AND SO ON TO THEN 103 00:06:39,565 --> 00:06:41,734 UNDERSTAND HOW DE ESCALATE THE SITUATION. 104 00:06:41,801 --> 00:06:46,272 TAKING BRAIN TRAUMA INTO ACCOUNT AND BEING MINDFUL OF OF OF PTSD 105 00:06:46,339 --> 00:06:50,243 AND TBI THAT SORT OF CONTEXT IS REALLY IMPORTANT BECAUSE 106 00:06:50,309 --> 00:06:54,213 OBVIOUSLY SOME SOME OF THE WORK THAT WE DID AND AND MARK 107 00:06:54,280 --> 00:06:58,551 WILLIAMS AROUND SUICIDE RISK IS ESPECIALLY HIGH IN PEOPLE WHO 108 00:06:58,618 --> 00:07:01,888 HAVEN'T GOT GOOD AUTOBIOGRAPHICAL MEMORY ACCESS 109 00:07:01,954 --> 00:07:06,225 TO EPISODES IN THEIR LIFE WHERE THERE WAS POSITIVE COPING AND 110 00:07:06,292 --> 00:07:10,530 BRAIN TRAUMA REALLY GETS IN THE WAY OF THAT THERE'S SOME WORK 111 00:07:10,596 --> 00:07:14,934 FROM YEARS AGO SO IT'S HOW HOW DO YOU WORK AROUND THAT KIND OF 112 00:07:15,001 --> 00:07:19,038 POOR BIOGRAPHICAL MEMORY FOR POSITIVE PAST TO PLAN FOR THE 113 00:07:19,105 --> 00:07:23,442 FUTURE TO GET STUCK IN THIS AND IN TERMS OF PRISON POPULATION. 114 00:07:23,509 --> 00:07:27,847 I THINK IT MIGHT BE INTERESTING TO LOOK AT MILITARY EX MILITARY 115 00:07:27,914 --> 00:07:31,684 PERSONNEL BECAUSE THERE'S BIG RISK OF SUICIDE IN PEOPLE 116 00:07:31,751 --> 00:07:33,419 ENTERING ENTERING PRISON. 117 00:07:33,486 --> 00:07:37,523 WE'VE GOT PEOPLE JUST COMING OUT IN THAT AREA HEADING TB IS TO 118 00:07:37,590 --> 00:07:41,561 IT'S A BIG RISK FACTOR FOR FOR COMING INTO PRISON THEN WITHIN 119 00:07:41,627 --> 00:07:45,264 TWO OR THREE WEEKS ATTEMPTING SUICIDE AND AND IT'D BE SO 120 00:07:45,331 --> 00:07:49,235 IMPORTANT TO LOOK AT THAT FROM A FROM A VETERANS PERSPECTIVE 121 00:07:49,302 --> 00:07:50,403 BECAUSE THEY THEY. 122 00:07:50,469 --> 00:07:53,706 I DON'T KNOW WHETHER I'D INCREASED RISK OR WHAT HAVE YOU 123 00:07:53,773 --> 00:07:57,076 BUT I I WOULD YOU KNOW IT THERE'S SO MANY THINGS ISN'T IT 124 00:07:57,143 --> 00:08:00,813 IT'S LIKE ENDING UP IN THE WRONG KIND OF PLACE FOR A PERSON LIKE 125 00:08:00,880 --> 00:08:04,183 THEM AND AND THE STRUGGLES THAT CAN ISSUES OR ANYBODY THE 126 00:08:04,250 --> 00:08:07,720 CRIMINAL JUSTICE I THINK AS I SAID EARLIER AS I STRAYED INTO 127 00:08:07,787 --> 00:08:11,157 THIS AREA YOU KNOW BRAIN INJURY UNITS WITHOUT RESOURCES. 128 00:08:11,224 --> 00:08:14,026 THIS IS THE KEY TAKE ON OUR OWN PRISONS JUST HORRENDOUS. 129 00:08:15,595 --> 00:08:16,362 HI EVERYBODY. 130 00:08:16,429 --> 00:08:19,398 I'M JULIE HARBAR KRUPA FROM THE CDC. 131 00:08:19,465 --> 00:08:23,135 HI YOU THANK YOU FOR ALL YOUR GREAT WORK AND I JUST WANTED TO 132 00:08:23,202 --> 00:08:26,305 SHARE WITH YOU SOME THINGS WE'RE DOING THROUGH CDC. 133 00:08:26,873 --> 00:08:31,177 FIRST OF ALL KIM GORGON'S AND DREW NAGLE HAVE GRANTS TO STUDY 134 00:08:31,244 --> 00:08:35,815 PEOPLE IN THE JUSTICE SYSTEM AND THEY'RE TRYING TO FIGURE OUT HOW 135 00:08:35,882 --> 00:08:39,518 TO MAKE IT BETTER WHEN THEY LEAVE YOU KNOW TRAINING. 136 00:08:39,585 --> 00:08:45,424 SO WITH THEM JUDY DETTMER SOME FOLKS IN WASHINGTON AND WITHIN 137 00:08:45,491 --> 00:08:50,830 CDC WE HAVE A SECTION THAT FOLLOWS INFECTIOUS DISEASE IN 138 00:08:50,897 --> 00:08:52,698 THE JUSTICE SYSTEM. 139 00:08:53,366 --> 00:08:57,637 AND CDC IS CURRENTLY CONVENING A GROUP TO TALK ABOUT ALL THE 140 00:08:57,703 --> 00:09:02,241 ISSUES WITHIN THE JUSTICE SYSTEM BUT THE CORROBORATION I CREATED 141 00:09:02,308 --> 00:09:06,812 EVEN IT INCLUDES THOSE STUDYING INFECTIOUS DISEASE BECAUSE WHEN 142 00:09:06,879 --> 00:09:08,014 I CONTACTED THEM. 143 00:09:08,080 --> 00:09:10,983 THEY SAID WE HEAR ABOUT TBI ALL THE TIME. 144 00:09:11,050 --> 00:09:13,319 WE HEAR THAT PEOPLE HAVE HAD IT BEFORE COMING IN. 145 00:09:13,386 --> 00:09:17,556 BUT ANYWAYS, WE HAVE A PAPER UNDER REVIEW WHERE WE LOOKED AT 146 00:09:17,623 --> 00:09:21,994 ADOLESCENCE WITH THE HISTORY OF CHILDHOOD BRAIN INJURY AND MADE 147 00:09:22,061 --> 00:09:26,098 THE CASE THAT THEY DEVELOP SYMPTOMS THAT MAKE THEM AT RISK 148 00:09:26,165 --> 00:09:28,334 FOR ENTERING THE JUSTICE SYSTEM. 149 00:09:28,401 --> 00:09:30,102 OH, DEFINITELY, YEAH, YEAH, YEAH. 150 00:09:30,169 --> 00:09:33,272 AND YOU KNOW, THERE WE DIDN'T HAVE DATE ON THAT. 151 00:09:33,339 --> 00:09:36,876 WE LOOKED AT THE NATIONAL HEALTH INTERVIEW SURVEY TO DETERMINE 152 00:09:36,943 --> 00:09:39,445 WHO HAD A HISTORY OF CBI, EXPLAINED THAT. 153 00:09:39,512 --> 00:09:42,682 I'M HOPING THAT GETS PUBLISHED BECAUSE WE WANT TO TRY TO 154 00:09:42,748 --> 00:09:45,952 PREVENT KIDS FROM GOING INTO THE JUSTICE SYSTEM, RIGHT? 155 00:09:46,619 --> 00:09:47,453 YEAH, YEAH, YEAH, YEAH. 156 00:09:47,520 --> 00:09:50,890 WELL, SCHOOL EXCLUSION, BEING BULLIED AT SCHOOL, CARRYING A 157 00:09:50,957 --> 00:09:51,290 WEAPON. 158 00:09:51,357 --> 00:09:53,993 BECAUSE YOU GET BULLIED AND THEN YOU END UP, YOU KNOW, BEING 159 00:09:54,060 --> 00:09:56,862 CHUCKED OUT WITH SCHOOL AND THEN YOU END UP, WELL-BEING UTILIZED 160 00:09:56,929 --> 00:09:59,498 OR JUST TIMING YOUR HANDS AND NOBODY'S LOOKING AFTER YOU. 161 00:09:59,966 --> 00:10:02,802 AND THEN YOU DRIFT, DRIFT, AND THEN YOU END UP INTO THE BECAUSE 162 00:10:02,868 --> 00:10:03,636 YOU HAVE NO SKILLS. 163 00:10:03,703 --> 00:10:06,072 WHAT YOU GOING TO DO SO IT'S A HORRENDOUS THING. 164 00:10:06,138 --> 00:10:08,240 IT'S CALLED THE SCHOOL TO PRISON PIPELINE. 165 00:10:08,307 --> 00:10:11,744 IT'S NOT A PIPELINE IT'S A IT'S A IT'S IT'S LIKE A MESSED UP YOU 166 00:10:11,811 --> 00:10:15,181 KNOW KIND OF YOU KNOW CONVEYOR BELT OF OF KIND OF JUST YOU KNOW 167 00:10:15,247 --> 00:10:18,451 DISCARD IT'S DISCARDED OFF THE CONVEYOR BELT OF LIFE AS IT'S 168 00:10:18,517 --> 00:10:21,754 MORE LIKE IT THE YOU KNOW THE CONVEYOR BELT THAT TAKES PEOPLE 169 00:10:21,821 --> 00:10:24,991 LIKE LIKE IT'S INTO UNIVERSITY AND WHAT HAVE YOU THAT'S NOT 170 00:10:25,057 --> 00:10:28,160 THERE FOR THEM TO TO TRY TO KEEP THAT KIND OF BELT GOING. 171 00:10:28,461 --> 00:10:29,996 SO, SO, ABSOLUTELY. 172 00:10:30,062 --> 00:10:33,466 AND WE NEED, SO YEAH, WE NEED MORE SYSTEMS ON THAT. 173 00:10:34,233 --> 00:10:37,737 I PREVIOUSLY PUBLISHED A PAPER LOOKING IN THE US WHAT'S CALLED 174 00:10:37,803 --> 00:10:41,307 THE YOUTH RISK BEHAVIOR SURVEY AND IT ONLY ASKS ONE QUESTION. 175 00:10:41,707 --> 00:10:43,242 DID YOU HAVE TWO ADOLESCENTS? 176 00:10:43,309 --> 00:10:45,611 DID YOU EVER HAVE A SPORTS RELATED CONCUSSION? 177 00:10:46,078 --> 00:10:48,814 BUT WHAT WE LEARNED IS THEY'RE MORE AT RISK FOR SCHOOL 178 00:10:48,881 --> 00:10:51,150 VIOLENCE, LIKE BRINGING A WEAPON TO SCHOOL. 179 00:10:51,350 --> 00:10:52,485 BEING EXPELLED. 180 00:10:53,019 --> 00:10:54,153 YEAH, THAT'S THE ONE. 181 00:10:54,220 --> 00:10:54,387 YEAH. 182 00:10:55,321 --> 00:10:56,155 THAT THEY'RE MORE. 183 00:10:56,422 --> 00:10:59,692 THERE'S A THERE'S A INTERESTING THING TO DO WITH THE SPORTS 184 00:10:59,759 --> 00:11:02,962 CONCUSSIONS THAT GET THERE'S THERE'S THE THE HIGH VELOCITY 185 00:11:03,029 --> 00:11:06,599 INJURIES, IT'S THE MOTOR VEHICLE ACCIDENTS AND THE ASSAULTS THAT 186 00:11:06,665 --> 00:11:07,800 REALLY CARRY THE RISK. 187 00:11:07,867 --> 00:11:11,404 AND THEN THOSE RISKS ARE THEN TURNED INTO THE THE WEAPON 188 00:11:11,470 --> 00:11:14,740 CARRYING AND THE REST OF THE US CONTEST, UA CONTEST. 189 00:11:14,807 --> 00:11:17,176 WE DON'T HAVE AS MUCH WEAPON CARRYING, BUT WE HAVE THE 190 00:11:17,243 --> 00:11:19,078 BULLYING AND WE HAVE THE SCHOOL EXCLUSION. 191 00:11:19,145 --> 00:11:22,982 WE HAVE SO MANY KIDS EXCLUDED FROM SCHOOLS AND AND AND AND 192 00:11:23,049 --> 00:11:27,219 IDENTIFY THE BRAIN TRAUMA EARLY SO THAT ADAPTATIONS CAN BE MADE 193 00:11:27,286 --> 00:11:31,590 SO THE UN CONVENTIONAL RIGHTS TO CHINA WHICH THE US IS NOT SIGNED 194 00:11:31,657 --> 00:11:35,861 I DON'T THINK THERE WELL THAT'S THAT'S WILL OR SHOULD BE A MODEL 195 00:11:35,928 --> 00:11:39,432 FOR WHAT SHOULD BE DONE AROUND ADJUSTMENTS AND SO ON. 196 00:11:39,498 --> 00:11:42,435 BECAUSE THE DOWN THE LINE EARLY ENTERING THE CRIMINAL JUSTICE 197 00:11:42,501 --> 00:11:45,438 SYSTEM MEANS LONG TERM INVOLVED CRIMINAL JUSTICE SYSTEM MEANS 198 00:11:45,504 --> 00:11:48,441 EROSION OF ALL THE POSITIVES THAT COULD HAVE HAPPENED TO MAKE 199 00:11:48,507 --> 00:11:50,142 SURE YOU HAD THE LIFE THEREAFTER. 200 00:11:50,643 --> 00:11:53,646 SO IF YOU'RE INTERESTED IN IN SOME KIND OF INPUT INTO THAT 201 00:11:53,712 --> 00:11:55,247 PLEASE LET ME KNOW SO WE CAN. 202 00:11:55,481 --> 00:11:58,851 WE'VE GOT THE THE GUY I'M GOING FOR DINNER WITH IN A MINUTE. 203 00:11:59,085 --> 00:12:02,888 HE'S THE THE GUY WHO'S HEADED UP THE VIOLENCE REDUCTION UNIT FOR 204 00:12:02,955 --> 00:12:06,692 THAMES VALLEY IN THE UK WHICH IS EFFECTIVELY MILLIONS OF PEOPLE 205 00:12:06,759 --> 00:12:10,062 ON THE YOU KNOW DATA SETS THAT YOU CAN THEN TRACK HEALTH 206 00:12:10,129 --> 00:12:12,465 EDUCATION AND CRIMINAL JUSTICE FACTORS. 207 00:12:12,531 --> 00:12:16,769 BUT THAT'S THE MODEL FOR GOING FORWARD FOR PROBABLY FOR THE UK 208 00:12:16,836 --> 00:12:21,040 AROUND HOW DO WE GATHER DATA TO TRIED TO FIGURE OUT THOSE ARE 209 00:12:21,107 --> 00:12:25,111 THE KIDS THAT NEEDED HELP 10 YEARS AGO OR 50 YEARS AGO AND 210 00:12:25,177 --> 00:12:29,648 AND YOU CAN AND YOU CAN TRACK IT FROM THEIR SCHOOL DATA SO THAT'S 211 00:12:29,715 --> 00:12:34,053 A KEY THING AND THE AND THE AND THE BRAIN SHOULD OH GOSH YEAH. 212 00:12:34,120 --> 00:12:37,256 SO YOU KNOW YOU KNOW THIS BUT I GUESS OTHER PEOPLE MAY NOT KNOW 213 00:12:37,323 --> 00:12:39,692 AS MUCH AS AS THAT AS AS YOU DO JULIE BUT YEAH. 214 00:12:39,758 --> 00:12:41,760 WELL, I AM INTERESTED IN IT. 215 00:12:41,827 --> 00:12:46,832 WHAT IS THIS GROUP GOING TO DEVELOP ANYTHING ABOUT THIS 216 00:12:46,899 --> 00:12:48,501 AREA, THE THE TPI? 217 00:12:48,901 --> 00:12:51,737 YEAH, THE REST THAT WE THANKFULLY THE MEDICAL RESEARCH 218 00:12:51,804 --> 00:12:55,107 COUNCIL IN THE UK HAS SEEN THIS AS AN IMPORTANT AREA TO LOOK AT 219 00:12:55,174 --> 00:12:56,408 VULNERABLE POPULATIONS. 220 00:12:56,642 --> 00:13:02,014 SO I'M GOING TO BE WORKING WITH CENA FOR SALE HERE IN OXFORD TO 221 00:13:02,081 --> 00:13:06,785 LOOK AT HOW DO WE IMPROVE ACCESS TO SCREENING OF TPI IN 222 00:13:06,852 --> 00:13:07,720 POPULATION. 223 00:13:07,786 --> 00:13:11,390 SO THERE'S A WORK WE'RE DOING IN IN AGAIN, THAMES VALLEY IS 224 00:13:11,457 --> 00:13:13,359 OXFORD, READING WEST OF LONDON. 225 00:13:13,859 --> 00:13:17,663 WE'RE WORKING WITH A WOMEN'S JUSTICE GROUP, SO WOMEN IN 226 00:13:17,730 --> 00:13:22,168 CONTACT WITH THE LAW AND SO ON, HUGE AMOUNTS OF BRAIN TRAUMA AND 227 00:13:22,234 --> 00:13:26,505 WOMEN INTIMATE PART OF VIOLENCE BEING A KEY FACTOR IN THAT, AS 228 00:13:26,572 --> 00:13:27,406 YOU'LL KNOW. 229 00:13:27,806 --> 00:13:29,975 SO HOW DO WE SCREEN FROM THAT IN THE POPULATION? 230 00:13:30,042 --> 00:13:33,179 BUT HOW CAN YOU STEP BACK AND THINK, WELL, WE NEED TO BE 231 00:13:33,245 --> 00:13:36,348 LOOKING AT THIS WHEN ANYBODY IS RESPONDING OR THE POLICE 232 00:13:36,415 --> 00:13:39,451 RESPONDING TO TO INCIDENTS, HOW THEY THINK ABOUT THIS. 233 00:13:39,518 --> 00:13:41,887 WHEN PEOPLE COME INTO CUSTODY, HOW THEY THINK ABOUT THIS. 234 00:13:43,722 --> 00:13:47,426 WHEN PEOPLE COME INTO CUSTODY AS AS AS VICTIMS OR WITNESSES OR AS 235 00:13:47,493 --> 00:13:48,160 PERPETRATORS. 236 00:13:48,227 --> 00:13:51,363 WITHIN TWO YEARS THERE'S A MASSIVE INCREASED RISK THAT CAN 237 00:13:51,430 --> 00:13:54,700 BE BACK IN AGAIN AND VERY LIKELY AS PERPETRATORS BY THE POINT 238 00:13:54,767 --> 00:13:58,103 BECAUSE YOU GET THIS FLIP FROM BEING VICTIM TO PERPETRATORS TO 239 00:13:58,170 --> 00:13:58,837 SOME EXTENT. 240 00:13:59,171 --> 00:14:01,740 SO THERE'S THIS ALL THESE ISSUES THAT WE'RE TRYING TO UNPACK. 241 00:14:01,807 --> 00:14:02,841 SO IF YOU LIKE, WE. 242 00:14:02,908 --> 00:14:06,745 I CAN HAVE A CALL WITH STAN GILMORE, COMMANDER STAN GILMORE 243 00:14:06,812 --> 00:14:09,982 OF WE HAVE A GROUP CALLED GLEFFER, THE GLOBAL LAW 244 00:14:10,049 --> 00:14:13,686 ENFORCEMENT PUBLIC HEALTH ASSOCIATION THAT WE WORK UNDER 245 00:14:13,752 --> 00:14:17,756 THE UMBRELLA AND STAN ADVISES THE UN OFFICE OF DRUGS AND CRIME 246 00:14:17,823 --> 00:14:21,794 AND THE OFFICE FOR COOPERATION AND ALL WHAT'S CALLED SECURITY 247 00:14:21,860 --> 00:14:23,195 COOPERATION IN EUROPE. 248 00:14:23,262 --> 00:14:25,164 SO IF YOU LIKE, WE CAN ARRANGE A CALL. 249 00:14:25,231 --> 00:14:30,269 AND FRANCIS SHEEHAN WAS THE PERSON WHO DRAFTED THE OUR OUR 250 00:14:30,336 --> 00:14:35,841 RESEARCH PROPOSITION TO THE UN AROUND WHY THE UN CONVENTION HAS 251 00:14:35,908 --> 00:14:37,109 TO BE CHANGED. 252 00:14:37,543 --> 00:14:41,347 SO IF YOU LIKE, WE CAN ARRANGE TO HAVE A CHAT TOGETHER. 253 00:14:41,647 --> 00:14:44,950 YEAH, WELL, AND THAT'S MY QUESTION, BECAUSE THIS IS MY 254 00:14:45,017 --> 00:14:48,621 FIRST TIME ATTENDING THIS GROUP AND I JUST WONDERED IF THIS 255 00:14:48,687 --> 00:14:52,391 SUBGROUP HAD STARTED LIKE AN INTERNATIONAL PERSPECTIVE WHERE 256 00:14:52,458 --> 00:14:54,793 PEOPLE FROM DIFFERENT COUNTRIES CAN. 257 00:14:54,860 --> 00:14:58,464 I DON'T KNOW I'M JUST ASKING IF PEOPLE WOULD LIKE IF WE WOULD, 258 00:14:58,530 --> 00:15:00,733 I'D BE KEEN TO SEE HOW WE CAN DO THAT. 259 00:15:00,799 --> 00:15:05,838 I CAN TALK TO DAVID ABOUT THAT AND AND I'M FOR SURE WE WOULD 260 00:15:05,904 --> 00:15:07,239 LIKE TO DO THAT. 261 00:15:07,539 --> 00:15:10,976 I'M JUST I'M I'M A LITTLE BIT OVER AN OUTSIDER INTERLOPER 262 00:15:11,043 --> 00:15:14,380 COMING IN TO TALK ABOUT THE STUFF THAT I DO BUT BUT I'VE 263 00:15:14,446 --> 00:15:18,117 BEEN BROUGHT INDOORS TO TO THE TBI REGISTER WORK AS WELLS AND 264 00:15:18,183 --> 00:15:21,887 WHEN AS YOU KNOW WHY THE PDM 3 CONCESSION RANGER GROUP ALSO TO 265 00:15:21,954 --> 00:15:22,955 WORK IN THIS AREA. 266 00:15:23,022 --> 00:15:25,891 SO WE CAN BRING THINGS TOGETHER A BIT MORE DEFINITELY. 267 00:15:26,425 --> 00:15:28,761 HELLO, WE, IT'S TERRY ROMANCO. 268 00:15:29,061 --> 00:15:31,597 I'M FROM WHO IN GENEVA. 269 00:15:32,331 --> 00:15:33,799 I'D BE HAPPY TO TALK ABOUT THAT AT SOME POINT. 270 00:15:33,866 --> 00:15:37,036 WE HAVE A COUPLE OF NETWORKS, I'LL BE SPEAKING TOMORROW AT THE 271 00:15:37,102 --> 00:15:39,905 MEETING AND THERE'S BEEN A COUPLE OF IDEAS DISCUSSED IN 272 00:15:39,972 --> 00:15:41,273 TERMS OF DIFFERENT ASPECTS. 273 00:15:41,340 --> 00:15:45,377 WE HAVE A FEW NETWORKS, GLOBAL REGISTRY THAT'S GOT A PLATFORM 274 00:15:45,444 --> 00:15:47,680 THAT'S KIND OF FREED THE COUNTRY. 275 00:15:48,580 --> 00:15:52,251 SO THERE'S A NUMBER OF DIFFERENT WAYS OF A COUPLE OF ACTION 276 00:15:52,318 --> 00:15:55,187 INTERVENTION IMPLEMENTATION NETWORKS AS WELL. 277 00:15:55,821 --> 00:15:59,091 SO DEPENDING ON YOUR PARTICULAR INTEREST, WHETHER IT'S THE DATA, 278 00:15:59,158 --> 00:16:01,727 WHETHER IT'S DESIGNING INTERVENTIONS AT THE POLICY 279 00:16:01,794 --> 00:16:04,863 LEVEL, WE CAN WE CAN DISCUSS THAT THERE'S DIFFERENT ENTITIES 280 00:16:04,930 --> 00:16:07,800 AND WE'VE BEEN TALKING WITH DAVID ABOUT USING THOSE UP. 281 00:16:08,033 --> 00:16:12,805 SO JUST FEEL FREE TO REACH OUT TOMORROW OR TO OR TO SEND YOU AN 282 00:16:12,871 --> 00:16:15,741 E-MAIL OR A MESSAGE IF IF YOU'D LIKE. 283 00:16:17,509 --> 00:16:20,479 CAN I JUST OH, SORRY, A COUPLE ISSUES HERE. 284 00:16:20,546 --> 00:16:24,216 SOME ONE OF MY STRONG INTEREST IS PREVENTING KIDS FROM GOING 285 00:16:24,283 --> 00:16:27,886 INTO THE JUSTICE SYSTEM AND IN THE US WHAT WE'VE LEARNED IS 286 00:16:27,953 --> 00:16:31,623 EVEN WITH MILD INJURIES THEY MAY HAVE THESE EFFECTS AND THEY 287 00:16:31,690 --> 00:16:32,524 DON'T GET CARE. 288 00:16:32,591 --> 00:16:33,459 THAT'S ONE ISSUE. 289 00:16:33,726 --> 00:16:36,662 THE OTHER ISSUE IS PEOPLE WHO ARE ALREADY IN THE JUSTICE 290 00:16:36,729 --> 00:16:37,129 SYSTEM. 291 00:16:37,529 --> 00:16:41,734 MAYBE THEY HAD A HISTORY OF HEAD INJURY OR THEY HAVE A HEAD 292 00:16:41,800 --> 00:16:46,138 INJURY, MAKING SURE THAT WHEN THEY LEAVE THAT THEY GET PROPER 293 00:16:46,205 --> 00:16:46,472 CARE. 294 00:16:46,538 --> 00:16:48,240 THEY'RE NOT JUST SET FREE. 295 00:16:48,307 --> 00:16:50,642 THEY'RE LIKE, WE'RE GOING TO HELP YOU WITH COMMUNITY 296 00:16:50,709 --> 00:16:51,043 SUPPORTS. 297 00:16:51,110 --> 00:16:54,813 THOSE ARE TWO ISSUES I'M REALLY INTERESTED IN AND I ALWAYS LEARN 298 00:16:54,880 --> 00:16:58,317 FROM TALKING TO YOU, YOU AND OTHERS WHO ARE DOING THIS WORK 299 00:16:58,384 --> 00:16:59,718 ABOUT WHAT'S HAPPENING. 300 00:17:01,754 --> 00:17:04,223 SO I'M SO SORRY, I NEED TO BE GOING IN A MINUTE. 301 00:17:04,590 --> 00:17:05,624 BUT I'VE JUST PUT IN THE. 302 00:17:05,958 --> 00:17:08,293 YEAH, I JUST WANT TO SAY THANKS TO YOU BECAUSE I WILL ALSO HAVE 303 00:17:08,360 --> 00:17:08,727 TO JUMP OFF. 304 00:17:08,794 --> 00:17:13,198 AND HI ALICIA, THANK YOU FOR EVERYTHING AND I WILL I WILL SEE 305 00:17:13,265 --> 00:17:17,703 THIS THIS EVENING AND IF YOU IF YOU LIKE I CAN BRING YOU INTO 306 00:17:17,770 --> 00:17:22,408 SOME OTHER WORK WE'RE DOING WITH SAID THAT ON WHICH IS THE SWISS 307 00:17:22,474 --> 00:17:26,678 BASED CHARITY THAT FUNDS A LOT OF WORK WITH EU BUT ALSO IN 308 00:17:26,745 --> 00:17:27,679 OTHER PLACES. 309 00:17:28,347 --> 00:17:33,051 AND WE HAVE IN GENEVA ACTUALLY TERRY, BUT WE'VE BEEN DOING SOME 310 00:17:33,118 --> 00:17:37,256 WORK TO TRY TO BRING TOGETHER AGENCIES TO LOOK AT THESE 311 00:17:37,322 --> 00:17:37,756 ISSUES. 312 00:17:37,823 --> 00:17:41,460 SO JULIE, YOU MENTIONED ABOUT WHAT'S HAPPENING AROUND TO 313 00:17:41,527 --> 00:17:45,030 REDUCING THE CHANCES OF REPEATING CRIMINALISATION WERE 314 00:17:45,097 --> 00:17:49,234 WERE DEFINITELY SO THE REALNESS WORK IN THE UK THAT I WOULD LIKE 315 00:17:49,301 --> 00:17:52,938 TO GET ACROSS WOULD BE THE SECURE STAIR SYSTEM WE'RE NOW 316 00:17:53,005 --> 00:17:56,742 REDUCE YOUNG PEOPLE PRISON POPULATION FROM 2 OR 3000 ABOUT 317 00:17:56,809 --> 00:18:00,712 10 YEARS AGO DOWN TO LESS THAN 400 AND THAT'S TO DO WITH ONE 318 00:18:00,779 --> 00:18:04,716 PART OF THIS THE SECURE STAIRS THAT IMPROVES UNDERSTANDING OF 319 00:18:04,783 --> 00:18:08,620 THE EMOTIONAL TRAUMA THEY'VE EXPERIENCED IN YOUR RESPONSES. 320 00:18:08,687 --> 00:18:11,557 THEY'VE EXPERIENCED MORE SUPERVISION FOR THE WORKERS AND 321 00:18:11,623 --> 00:18:14,893 MUCH MORE GOAL PLANNING AND MUCH MORE NEURO REHAB STYLE WAYS OF 322 00:18:14,960 --> 00:18:16,795 WORKING, WHICH IS REALLY BENEFICIAL. 323 00:18:16,862 --> 00:18:17,696 I CAN TELL YOU MORE ABOUT THAT. 324 00:18:17,763 --> 00:18:20,566 IN WALES PARTICULARLY, THERE'S A REALLY NICE SYSTEM CALLED 325 00:18:20,632 --> 00:18:23,535 INCENTIVE INTERVENTION, MORE PSYCHOLOGICAL SUPPORT IN EARLY 326 00:18:23,602 --> 00:18:26,305 MORE FORMULATION, MORE BETTER UNDERSTANDING AND IN OTHER 327 00:18:26,371 --> 00:18:28,774 PLACES AS WELL THERE'S REALLY NICE INTERVENTIONS. 328 00:18:28,841 --> 00:18:32,010 SO WE COULD DEFINITELY SHOWCASE SOME OF THOSE AND AND BRING THEM 329 00:18:32,077 --> 00:18:32,444 ACROSS. 330 00:18:32,945 --> 00:18:34,246 YES, THAT WOULD BE HELPFUL. 331 00:18:35,080 --> 00:18:38,550 AND WHAT FRANCIS IS DOING FOR US IS LOOKING AT IN THE UK 332 00:18:38,617 --> 00:18:39,117 CONCERTS. 333 00:18:39,184 --> 00:18:42,588 BUT GLOBALLY, HOW WOULD THE UN CONVENTIONALIZE THE CHILD NEW 334 00:18:42,654 --> 00:18:43,288 DISABILITY? 335 00:18:43,689 --> 00:18:47,192 INFORMATION, HOW DOES THAT, WHAT DOES THAT MEAN IN PRACTICE? 336 00:18:47,259 --> 00:18:49,828 SO WE'RE GOING TO LOOK AT HOW, HOW WE CAN THEN TURN THAT INTO, 337 00:18:49,895 --> 00:18:51,797 WELL, THIS IS WHAT EDUCATION NEEDS TO BE DOING. 338 00:18:51,864 --> 00:18:53,165 THIS IS WHAT HEALTH SERVICES NEEDS TO BE DOING. 339 00:18:53,232 --> 00:18:57,002 THIS IS JOINING UP THAT NEEDS TO HAPPEN BETWEEN SERVICES AND AND 340 00:18:57,069 --> 00:19:00,205 THIS SHOULD BECOME THEN MANDATORY THAT YOU NEED TO DO 341 00:19:00,272 --> 00:19:03,408 THIS IN OR IN COUNTRIES THAT HAVE SIGNED UP TO THE UN 342 00:19:03,475 --> 00:19:05,844 CONVENTION, WHICH IS 187 MEMBER STATES. 343 00:19:06,345 --> 00:19:10,048 THEN THERE THERE WILL BE A NEED TO BE COMPLIANT WITH THIS 344 00:19:10,115 --> 00:19:11,717 CONVENTION AT SOME POINT. 345 00:19:11,984 --> 00:19:15,554 NOW THEIR LEADER IN THIS FIELD APART FROM THE UK MIGHT BE NEW 346 00:19:15,621 --> 00:19:19,091 ZEALAND WHERE THEY'VE ALREADY ESTABLISHED A WAY OF SCREENING 347 00:19:19,157 --> 00:19:22,561 FOR BRAIN TRAUMA PRE COURT SO THAT THE JUDGE KNOWS WHETHER 348 00:19:22,628 --> 00:19:24,062 IT'S BRAIN INJURY OR NOT. 349 00:19:24,429 --> 00:19:27,633 THEY'VE ALSO SWITCHED THAT TO ALSO FROM BECAUSE YOU'RE SO 350 00:19:27,699 --> 00:19:31,136 SUCCESSFUL THAT IF THEY KNOW IT'S A BRAIN INJURY THEY'RE KIND 351 00:19:31,203 --> 00:19:34,606 OF OH RIGHT, WELL IT'S BEST IF THEY GO INTO THE COMMUNITY AND 352 00:19:34,673 --> 00:19:37,943 GET COMMUNITY SUPPORT AROUND GOING TO PRISON IN ANY CASE. 353 00:19:38,343 --> 00:19:41,914 AND THE THE REALLY GOOD THING WAS THAT THEY THEN SAW NEED TO 354 00:19:41,980 --> 00:19:45,684 ACTUALLY BECAUSE IT'S WORKING SO WELL, WOULD DO IT FOR 18 TO 25 355 00:19:45,751 --> 00:19:46,351 YEAR OLDS. 356 00:19:46,552 --> 00:19:49,221 SO THEY GET SCREENED IN THE UK, EVERY CHILD COMES TO THE 357 00:19:49,288 --> 00:19:52,024 CRIMINAL JUSTICE SYSTEM, GETS A NEW DISABILITY ASSESSMENT, 358 00:19:52,090 --> 00:19:54,159 MENTAL HEALTH SCREENER AND ALL REST OF IT. 359 00:19:54,593 --> 00:19:58,497 SO THEN IT'S TURNING AROUND AND CREATING A MUCH MORE EMPATHIC, 360 00:19:58,564 --> 00:20:00,499 CONCERNED AND CONNECTED SYSTEM. 361 00:20:01,199 --> 00:20:05,037 THE SADNESS IS THAT THERE'S SO MANY KIDS THAT JUST DON'T GET 362 00:20:05,103 --> 00:20:08,140 THE RIGHT KIND OF SUPPORT IN THE IN THE STATES. 363 00:20:08,206 --> 00:20:11,910 IT'S HORRENDOUS BECAUSE YOU HAVE YOU, YOU HAVE GOOD LEGISLATION 364 00:20:11,977 --> 00:20:15,314 AROUND DISABILITY, BUT THAT'S NOT ENACTED ON BRAIN INJURY 365 00:20:15,380 --> 00:20:17,883 BECAUSE YOU KNOW, THE SYSTEM'S NOT THERE. 366 00:20:18,150 --> 00:20:21,887 SO IT'S JUST WELL AND EVEN DISABILITY STUFF NEEDS A LOT OF 367 00:20:21,954 --> 00:20:22,287 WORK. 368 00:20:22,721 --> 00:20:25,223 YEAH, A LOT OF WORK, JULIE. 369 00:20:25,757 --> 00:20:29,928 I I HAVE A QUESTION, 'CAUSE MY DAUGHTER IS A SCHOOL 370 00:20:29,995 --> 00:20:33,565 PSYCHOLOGIST AND YES, IN MIAMI, MIAMI-DADE. 371 00:20:34,032 --> 00:20:38,704 AND SO WHEN THEY ARE PRESENTED WITH CHILDREN WITH POTENTIAL 372 00:20:38,770 --> 00:20:43,141 ISSUES AND THEY DO THEIR TESTING, THEY THAT HER BATTERY 373 00:20:43,208 --> 00:20:46,612 OF TESTS DO NOT INCLUDE SCREENING FOR TBIS. 374 00:20:46,678 --> 00:20:51,783 THAT'S NOT EVER EVEN I WONDER, AND THEY DON'T. 375 00:20:51,850 --> 00:20:53,919 SCHOOLS DON'T NECESSARILY DO THAT. 376 00:20:53,986 --> 00:20:56,088 WE'RE WORKING ON THAT AT CDC. 377 00:20:56,588 --> 00:20:59,458 WE HAVE RETURNED TO SCHOOL PROJECTS WHERE WE'RE TRYING TO 378 00:20:59,524 --> 00:21:01,760 BETTER UNDERSTAND WHAT'S HAPPENING TO KIDS. 379 00:21:02,227 --> 00:21:04,262 BUT YOU'RE ABSOLUTELY YOUR DAUGHTER'S RIGHT. 380 00:21:04,329 --> 00:21:05,631 THEY DON'T SCREEN FOR THAT. 381 00:21:06,264 --> 00:21:10,469 AND YEARS AGO IN GEORGIA AND MY STATE, I TRIED TO GET THEM TO 382 00:21:10,535 --> 00:21:15,007 SCREEN AT KINDERGARTEN ADMISSION AND WE HAD A BIG ADVOCACY GROUP. 383 00:21:15,073 --> 00:21:17,809 AND EVEN FOR THAT THEY SAID NO, BECAUSE THEY SAID WHAT IF IT 384 00:21:17,876 --> 00:21:19,945 SAYS YES, WHAT ARE WE GOING TO DO WITH THEM? 385 00:21:21,146 --> 00:21:25,717 YOU KNOW, IT'S REALLY HARD TO GET IF C IF CDC EVER DECIDES TO 386 00:21:25,784 --> 00:21:29,321 IMPLEMENT A TEST OR OR TEST A TEST OR WHATEVER. 387 00:21:29,388 --> 00:21:32,658 I WOULD BE HAPPY TO GET YOU IN TOUCH WITH MY DAUGHTER AT 388 00:21:32,724 --> 00:21:33,859 MIAMI-DADE TO DO IT. 389 00:21:33,925 --> 00:21:37,529 BECAUSE I KNOW SHE, SHE'S, SHE'S SEEN ME DO TBI RESEARCH ALL 390 00:21:37,596 --> 00:21:41,366 THESE YEARS AND I KNOW SHE WOULD BE THRILLED TO TO DO ANYTHING 391 00:21:41,433 --> 00:21:43,468 THAT THAT CDC MIGHT COME UP WITH. 392 00:21:43,669 --> 00:21:48,707 SO JULIE LIBBY, IT'S LOVELY TO TALK TO YOU AND EVERYBODY ELSE 393 00:21:48,774 --> 00:21:49,274 THERE. 394 00:21:49,675 --> 00:21:50,342 I'M SO SORRY. 395 00:21:50,409 --> 00:21:50,842 I'VE GOT TO GO. 396 00:21:50,909 --> 00:21:54,212 BUT HERE'S MY E-MAIL ADDRESS IF ANYBODY WANTS TO GET IN TOUCH 397 00:21:54,279 --> 00:21:57,649 AND GET SOME OF THESE REPORTS AND HAPPY TO TRY TO LINK UP WITH 398 00:21:57,716 --> 00:22:00,819 DAVID AND PEOPLE ON THE TBR REGISTER PROGRAM AND CREATE A 399 00:22:00,886 --> 00:22:03,689 GROUP AROUND THIS, SHOULD YOU, SHOULD YOU WANT TO. 400 00:22:04,423 --> 00:22:07,125 WELL, I KNOW WE TALKED ABOUT THIS BEFORE. 401 00:22:07,192 --> 00:22:10,796 AN INTERNATIONAL GROUP WOULD BE SO HELPFUL BECAUSE WE LEARN FROM 402 00:22:10,862 --> 00:22:13,632 PEOPLE FROM DIFFERENT COUNTRIES WHAT'S GOING ON? 403 00:22:14,199 --> 00:22:14,900 SO GO RUN. 404 00:22:15,300 --> 00:22:15,333 BYE. 405 00:22:15,400 --> 00:22:15,734 BYE. 406 00:22:15,801 --> 00:22:16,368 NICE TO SEE YOU. 407 00:22:16,435 --> 00:22:17,836 OK, NICE TO SEE YOU. 408 00:22:17,903 --> 00:22:20,005 NICE TO MEET YOU. 409 00:22:20,305 --> 00:22:21,073 THANK YOU SO MUCH. 410 00:22:23,642 --> 00:22:26,645 OK, WELL, IS ANYBODY ELSE? 411 00:22:26,712 --> 00:22:27,979 LIBBY, YOU'RE AT. 412 00:22:28,313 --> 00:22:29,881 YOU'RE IN THE US, RIGHT? 413 00:22:29,948 --> 00:22:30,816 YES, I'M. 414 00:22:30,882 --> 00:22:37,789 I AM ACTUALLY WITH THE VA VA AT PALO ALTO AND I DO WORK WITH THE 415 00:22:37,856 --> 00:22:43,995 TBI MODEL SYSTEMS AS WELL AS THE LONG TERM IMPACT, LIMBIC 416 00:22:44,062 --> 00:22:49,468 ASCENSI, LONG TERM IMPACT OF MILITARY BRAIN INJURY 417 00:22:49,534 --> 00:22:50,702 CONSORTIUM. 418 00:22:51,603 --> 00:22:55,907 I'M A HEALTH SERVICES RESEARCHER AND A HEALTH ECONOMIST AND SO 419 00:22:55,974 --> 00:23:00,445 I'VE BEEN DOING MOST OF MY WORK IS WITH DOD AND AND AND VETERANS 420 00:23:00,512 --> 00:23:01,079 AND TBI. 421 00:23:01,780 --> 00:23:05,717 IT'S MUCH NEEDED AND I'VE BEEN INVOLVED WITH THAT TOO, BUT NOT 422 00:23:05,784 --> 00:23:06,952 AS MUCH AS YOU HAVE. 423 00:23:07,018 --> 00:23:12,724 MY BACKGROUND HAS MOSTLY BEEN CHILDREN AND YOUNG ADULTS AND 424 00:23:12,791 --> 00:23:17,996 BUT I HAVE I'VE PUBLISHED PAPERS ON MODEL SYSTEMS WITH 425 00:23:18,063 --> 00:23:23,735 COLLABORATIONS LIKE THE LIFE EXPECTANCY 1 AND SO GREAT WORK 426 00:23:23,802 --> 00:23:26,238 IT NEEDS TO BE CAPPED UP. 427 00:23:26,304 --> 00:23:29,407 YES AND GREAT WORK IN IN CHILDREN. 428 00:23:29,474 --> 00:23:33,512 YOU KNOW I LIKE I SAID MY DAUGHTER ALL MY WORK HAS BEEN 429 00:23:33,578 --> 00:23:38,049 FOR IN ADULTS BEEN BECAUSE OF WHERE I WORK RIGHT FOR THE VA. 430 00:23:38,517 --> 00:23:43,789 BUT I ALSO AM VERY INTERESTED IN IN CHILDREN AND BECAUSE OF WHAT 431 00:23:43,855 --> 00:23:45,557 MY DAUGHTER DOES TOO. 432 00:23:45,624 --> 00:23:49,127 YOU KNOW AS A LOOKS LIKE A AND SHE TELLS ME ALL THESE STORIES. 433 00:23:49,561 --> 00:23:53,665 BUT LIKE I SAID OH I BET YOU KNOW THEY'RE NOT PART OF THE 434 00:23:53,732 --> 00:23:58,203 BATTERY OF SCHOOL PSYCHOLOGISTS TO WHEN THEY SEE CHILDREN WITH 435 00:23:58,270 --> 00:24:02,440 ISSUES THEY'RE TESTING THEM FOR IQ AND AUTISM AND YOU KNOW 436 00:24:02,507 --> 00:24:05,477 DEVELOPMENTAL DISABILITIES AND ALL THIS. 437 00:24:05,877 --> 00:24:11,750 BUT TBI IS NOT A TEST OR ANY KIND OR SCREEN OR ANYTHING THEY 438 00:24:11,817 --> 00:24:12,050 DO. 439 00:24:12,117 --> 00:24:16,254 AND SO IF IF CDC THOUGHT THAT WAS SOMETHING IMPORTANT, THAT 440 00:24:16,321 --> 00:24:19,891 COULD BE A WAY THROUGH THE SCHOOL PSYCHOLOGIST TO. 441 00:24:21,760 --> 00:24:24,396 BECAUSE THEY'RE THE ONES THAT IDENTIFY THE PROBLEM CHILDREN. 442 00:24:24,462 --> 00:24:24,896 RIGHT. 443 00:24:24,963 --> 00:24:27,365 WHICH I CAN PUT MY E-MAIL IN THE CHAT. 444 00:24:27,432 --> 00:24:30,402 AND SHE WELL, I WOULD LOVE TO TALK TO HER. 445 00:24:30,468 --> 00:24:36,274 AND YOU OK, GREAT ABOUT OUR RETURN TO SCHOOL PROJECTS? 446 00:24:37,309 --> 00:24:41,112 OH, THAT WOULD BE GREAT, BECAUSE, YOU KNOW, WE'RE JUST 447 00:24:41,179 --> 00:24:42,180 KIND OF WHOOPS. 448 00:24:42,247 --> 00:24:43,582 WHY DIDN'T THAT GO? 449 00:24:46,918 --> 00:24:47,252 EVERYONE. 450 00:24:47,319 --> 00:24:50,956 OK, LET'S SEE IF IT GOES NOW. 451 00:24:51,022 --> 00:24:51,623 OK. 452 00:24:51,690 --> 00:24:52,324 IT'S NOT. 453 00:24:52,390 --> 00:24:54,025 UH HUH, THAT'S INTERESTING. 454 00:24:55,327 --> 00:24:56,862 IT'S WON'T SEND IT. 455 00:24:57,429 --> 00:24:58,563 WELL, OK, I'LL TELL YOU. 456 00:24:58,630 --> 00:25:00,165 I'LL TELL YOU MY E-MAIL. 457 00:25:00,232 --> 00:25:01,433 TELL ME YOUR E-MAIL. 458 00:25:02,033 --> 00:25:07,405 IT'S W AS IN WATER, U AS IN UMBRELLA, K AS IN 459 00:25:07,472 --> 00:25:13,111 KITTENNUMBER1@CDC.GOV AND THAT'S ALL LOWERCASE. 460 00:25:13,778 --> 00:25:15,580 YEAH, YOU CAN SEND IT LOWER CASE. 461 00:25:16,047 --> 00:25:38,270 OK, SO WUK ONE AT CBC2.SOMINEISCLARACLARA.UHHUH.DISMUKEDASINDELTAISMUKE@VA.GOV, 462 00:25:38,336 --> 00:25:46,444 VA.GOV OR VAVAV AS IN VICTOR. 463 00:25:46,778 --> 00:25:51,049 OK, I'LL SEND YOU I'LL SEND YOU NOTE BECAUSE YOU KNOW WHAT WAS 464 00:25:51,116 --> 00:25:55,053 INTERESTING, THE FIRST JOURNAL WE SENT OUT, WE, WE WE SAID 465 00:25:55,120 --> 00:25:58,490 THESE ADOLESCENTS HAVE THESE SYMPTOMS OF BEHAVIOR 466 00:25:58,556 --> 00:26:01,960 DYSREGULATION THAT MAKE THEM AT RISK FOR ENTERING. 467 00:26:02,027 --> 00:26:04,829 AND I CITED MY PAPER WHERE I TALKED ABOUT THEY WERE MORE 468 00:26:04,896 --> 00:26:06,765 LIKELY TO ENGAGE IN SCHOOL VIOLENCE. 469 00:26:07,198 --> 00:26:11,469 AND THE FIRST REVIEWER SAID, WELL, YOU DIDN'T LOOK AT WHO 470 00:26:11,536 --> 00:26:13,838 WENT TO PRISON IN YOUR DATA SET. 471 00:26:13,905 --> 00:26:14,806 WELL, IT WASN'T IN THERE. 472 00:26:14,873 --> 00:26:16,975 WE SAID THAT THAT WAS A LIMITATION. 473 00:26:17,042 --> 00:26:21,613 BUT WE DID CITE LITERATURE SAYING ALL THAT TO ALIGN THE 474 00:26:21,680 --> 00:26:22,380 SYMPTOMS. 475 00:26:22,447 --> 00:26:26,451 I MEAN, AND AT CDC WE HAVE TO HAVE PAPERS CLEARED THROUGH 476 00:26:26,518 --> 00:26:30,855 MULTIPLE LEVELS BY SCIENTISTS WHO TOLD US THEY THOUGHT IT WAS 477 00:26:30,922 --> 00:26:31,823 A GOOD PAPER. 478 00:26:31,890 --> 00:26:35,927 SO IT'S IT'S DIFFICULT TO GET THINGS PUBLISHED RIGHT NOW I 479 00:26:35,994 --> 00:26:39,998 GUESS, BUT WE WANTED TO GET THE PEDIATRIC JOURNAL SO THAT 480 00:26:40,065 --> 00:26:43,902 PEDIATRICIANS AND PEDIATRIC SPECIALISTS WOULD KNOW IF A 481 00:26:43,969 --> 00:26:48,340 CHILD HAS A TBI THEY NEED TO BE TAKEN CARE OF AND YOU NEED TO, 482 00:26:48,406 --> 00:26:52,610 YOU DON'T JUST SAY OK, THEY'RE FINE, YOU NEED TO EXACTLY AND 483 00:26:52,677 --> 00:26:53,712 THEIR FAMILIES. 484 00:26:54,279 --> 00:26:58,850 AND I'LL TELL YOU TOO, JUST FOR FUTURE REFERENCE, THE LIMBIC 485 00:26:58,917 --> 00:27:03,288 PROJECT I'M UNDER, EVEN THOUGH IT'S A LONG TERM IMPACT OF 486 00:27:03,355 --> 00:27:07,692 MILITARY BRAIN INJURY, THE PROCESS OF IT'S RUN OUT OF THE 487 00:27:07,759 --> 00:27:10,295 VIRGINIA COMMONWEALTH UNIVERSITY. 488 00:27:10,362 --> 00:27:12,097 THE PI IS DOT DAVE SIFU. 489 00:27:12,163 --> 00:27:15,100 OH, I KNOW DAVE, YOU KNOW DAVE. 490 00:27:15,166 --> 00:27:15,767 OK YEAH. 491 00:27:15,834 --> 00:27:17,235 AND RON SEAL'S THERE NOW. 492 00:27:17,302 --> 00:27:18,603 AND RON SEAL. 493 00:27:18,670 --> 00:27:19,037 YES. 494 00:27:19,104 --> 00:27:20,038 BILL WALKER, YES. 495 00:27:20,105 --> 00:27:24,909 SO THEY COLLECT LIFETIME EXPOSURES. 496 00:27:26,044 --> 00:27:29,981 SO EVEN THOUGH THEY'RE GETTING THEM WHEN THEY'RE MILITARY, THEY 497 00:27:30,048 --> 00:27:33,685 ACTUALLY INTERVIEW THEM FOR ALL THEIR LIFETIME EXPOSURES. 498 00:27:34,819 --> 00:27:39,591 FROM CHILDHOOD, YES, FROM CHILDHOOD, FROM CHILDHOOD. 499 00:27:40,091 --> 00:27:44,496 SO MOST OF THE RESEARCH THAT I'VE SEEN DONE WITH THAT DATA, 500 00:27:44,562 --> 00:27:49,034 WHETHER IT'S MYSELF OR OTHERS, HAVE BEEN THE MILITARY ONES. 501 00:27:49,434 --> 00:27:55,440 BUT THEY ACTUALLY HAVE IN THE DATA FOR NOW CLOSE TO THEY'RE 502 00:27:55,507 --> 00:28:00,478 GETTING CLOSE TO 3000 SUBJECTS LIFETIME HISTORY. 503 00:28:00,745 --> 00:28:05,850 SO THEY THERE WOULD BE THE AND THEY ACTUALLY REPORT THE WHAT 504 00:28:05,917 --> 00:28:09,120 THEY CALL POTENTIAL CONCUSSIVE EVENT. 505 00:28:09,687 --> 00:28:14,526 SO SOMEONE COULD HAVE SAID I WAS IN A FOOTBALL, I WAS I WAS IN A 506 00:28:14,592 --> 00:28:19,230 PEEWEE FOOTBALL TEAM AND YOU KNOW BLACKED OUT OR WHATEVER AND 507 00:28:19,297 --> 00:28:21,366 SO THEY ACTUALLY RECORD IT. 508 00:28:22,300 --> 00:28:25,737 SO THEY ACTUALLY HAVE THE TYPE OF EXPOSURE WHEN THEY WERE 509 00:28:25,804 --> 00:28:26,371 CHILDREN. 510 00:28:27,472 --> 00:28:28,907 SO, YEAH. 511 00:28:29,274 --> 00:28:30,875 SO IS THAT PUBLISHED YET? 512 00:28:30,942 --> 00:28:34,579 NO, NO, IT'S DATA THAT'S BEING COLLECTED. 513 00:28:34,646 --> 00:28:39,017 BUT LIKE I SAID IF YOU YOU KNOW TALK TO DAVE SEAFOOD IF YOU EVER 514 00:28:39,084 --> 00:28:43,388 WANT TO DO SOMETHING WITH THAT CHILDHOOD DATA REACH OUT TO DAVE 515 00:28:43,455 --> 00:28:47,492 SEAFOOD AND AND BECAUSE I KNOW THAT DATE IS THERE AND AND I 516 00:28:47,559 --> 00:28:52,030 THINK YOU KNOW SOMEBODY LIKE YOU WHO'S AN EXPERT IN CHILDHOOD YOU 517 00:28:52,097 --> 00:28:53,264 KNOW TBI THEATRIC. 518 00:28:53,331 --> 00:28:57,602 TBI COULD COULD PROBABLY DO MORE WITH IT THAN SOME OF THE REST OF 519 00:28:57,669 --> 00:29:01,506 US WHO AREN'T SO FAMILIAR BECAUSE THEY YOU YOU'VE ACTUALLY 520 00:29:01,573 --> 00:29:05,577 GOT THAT LIFETIME OF EXPOSURES WELL AND YOU HAS DONE FABULOUS 521 00:29:05,643 --> 00:29:09,214 WORK BECAUSE I HAD A LONG CONVERSATION WITH HIM AT THE 522 00:29:09,280 --> 00:29:13,218 IRELAND CONFERENCE A FEW YEARS AGO AND I KEPT THAT'S WHEN HE 523 00:29:13,284 --> 00:29:17,322 WAS JUST STARTING TO GET THE UN INVOLVEMENT HE'S THAT'S WHY I 524 00:29:17,388 --> 00:29:21,059 WAS I ATTENDED THIS BECAUSE I WANTED TO SEE WHAT KIND OF 525 00:29:21,126 --> 00:29:24,829 POLICIES PEOPLE WERE WORKING ON AND I THINK THAT'S TO BE 526 00:29:24,896 --> 00:29:25,964 DISCUSSED RIGHT. 527 00:29:26,231 --> 00:29:30,235 THIS IS AN OPEN DISCUSSION EXACTLY THIS IS MY PART OF TIME 528 00:29:30,301 --> 00:29:33,438 INTERACTING WITH PEOPLE FROM AROUND THE WORLD. 529 00:29:33,505 --> 00:29:34,539 ME TOO. 530 00:29:34,839 --> 00:29:40,311 WELL, AND I I ATTENDED THE TBI CLASSIFICATION SESSION IN IN AT 531 00:29:40,378 --> 00:29:45,450 NIH THE LAST FEW DAYS AND THIS SESSION IS FOLLOWING THAT. 532 00:29:45,517 --> 00:29:48,920 AND A LOT OF PEOPLE WERE THERE AND I HAD NEVER EVEN HEARD OF 533 00:29:48,987 --> 00:29:49,587 THIS GROUP. 534 00:29:50,288 --> 00:29:52,090 AND SO THEY INVITED ME TO JOIN. 535 00:29:52,157 --> 00:29:56,294 I'M LIKE REALLY AND I'VE ENJOYED LISTENING JUST TO WHAT PEOPLE 536 00:29:56,361 --> 00:29:56,961 ARE DOING. 537 00:29:57,028 --> 00:30:00,365 YOU KNOW, A LOT OF IT'S LOOKING AT BIOMARKERS, WHICH THERE'S A 538 00:30:00,431 --> 00:30:02,400 LOT OF PHYSICIANS INTERESTED IN THAT. 539 00:30:02,467 --> 00:30:07,272 BUT THIS POLICY GROUP I THINK CAN LOOK AT THINGS IN, EVEN IF 540 00:30:07,338 --> 00:30:11,910 WE WROTE A WHITE PAPER ABOUT WHAT'S GOING ON IN DIFFERENT 541 00:30:11,976 --> 00:30:16,614 COUNTRIES, WE CAN LEARN YOU HAS DONE SO MUCH WORK OVER THE 542 00:30:16,681 --> 00:30:18,216 YEARS, SO MUCH WORK. 543 00:30:18,283 --> 00:30:22,353 HE WAS ONE OF THE FIRST TO TALK ABOUT THIS ISSUE, TO BE HONEST, 544 00:30:22,420 --> 00:30:23,521 THIS IS WONDERFUL. 545 00:30:23,588 --> 00:30:26,524 AND JULIE, WHAT IS YOUR ROLE AT CDC EXACTLY? 546 00:30:27,025 --> 00:30:30,328 I'M A HEALTH SCIENTIST, SUBJECT MATTER EXPERT. 547 00:30:30,395 --> 00:30:35,733 SO INTERESTINGLY, I I'VE BEEN THERE 12 YEARS AND I WAS HIRED 548 00:30:35,800 --> 00:30:41,573 BECAUSE BIAA WAS PRESSURING THEM TO HIRE SOMEONE FOR THE TBI TEAM 549 00:30:41,639 --> 00:30:43,541 WHO HAD SEEN PATIENTS. 550 00:30:43,608 --> 00:30:47,445 EVERYBODY ELSE IS AN EPIDEMIOLOGIST AND THEY WERE 551 00:30:47,512 --> 00:30:52,217 JUST, THEY WERE REQUESTED FROM CONGRESS TO WRITE A REPORT ON 552 00:30:52,283 --> 00:30:55,286 TBI IN CHILDREN, WHICH I LED AFTER I. 553 00:30:55,520 --> 00:30:58,890 SO THOSE ARE THE TWO REASONS WHY THEY ORIGINALLY APPROACHED ME. 554 00:30:59,224 --> 00:31:04,128 I LOVE IT, THOUGH, BECAUSE MY RESEARCH IS ALL INFLUENCED BY MY 555 00:31:04,195 --> 00:31:08,766 CLINICAL BACKGROUND AND I'VE ALSO DONE SOME ADULT RESEARCH 556 00:31:08,833 --> 00:31:10,635 WITH TBI MODEL SYSTEMS. 557 00:31:11,069 --> 00:31:15,573 AND INTERESTINGLY, OUTSIDE OF ON WEEKENDS, I HELPED START A FREE 558 00:31:15,640 --> 00:31:18,943 CLINIC IN OUR STATE FOR UNINSURED INDIVIDUALS. 559 00:31:19,477 --> 00:31:23,181 GEORGIA DID NOT EXPAND MEDICAID AND WE'RE THE THIRD HIGHEST 560 00:31:23,248 --> 00:31:25,149 UNINSURED RATE IN THE COUNTRY. 561 00:31:25,883 --> 00:31:29,654 AND IT HAS BEEN HEARTBREAKING TO SEE WHAT PEOPLE THEY'RE SENT 562 00:31:29,721 --> 00:31:33,758 HOME FROM THE, YOU KNOW, THEY'RE STABILIZED, THEY'RE SITTING HOME 563 00:31:33,825 --> 00:31:34,492 ON A GURNEY. 564 00:31:34,559 --> 00:31:39,297 WE HAVE PEOPLE COMING IN, NO WHEELCHAIRS, GURNEYS, IT. 565 00:31:39,364 --> 00:31:40,265 IT'S REALLY HARD. 566 00:31:40,331 --> 00:31:43,067 SO I'M WORKING WITH THAT GROUP TO TRY TO. 567 00:31:43,301 --> 00:31:45,937 WE'RE COLLABORATING WITH COLORADO AND TEXAS, WHO'VE BEEN 568 00:31:46,004 --> 00:31:47,238 DOING THIS WORK FOR A WHILE. 569 00:31:47,305 --> 00:31:52,110 BUT OUT OF THAT, IT LED ME TO PROPOSE LOOKING AT THE YOUNG 570 00:31:52,176 --> 00:31:57,515 ADULT AGE GROUP LIKE 17 TO 30 IN SOME DATA I I PROPOSED TO TRACK 571 00:31:57,582 --> 00:32:02,453 TBI DATA BECAUSE THEY ONLY SEE PEOPLE IN THE EMERGENCY ROOM 572 00:32:02,520 --> 00:32:07,659 MODEL SYSTEMS, THEY HAVE REHAB, THEY AT LEAST HAVE SOME REHAB, 573 00:32:07,725 --> 00:32:08,226 RIGHT. 574 00:32:08,960 --> 00:32:11,629 SO WE'RE IN THE PROCESS OF LOOKING AT THAT DATA. 575 00:32:12,030 --> 00:32:15,733 NOW THEY DON'T HAVE IF THEY'RE ON AT THE 12 MONTH MARK THEY 576 00:32:15,800 --> 00:32:19,504 HAVE EDUCATION AND A WORK STATUS BUT WE CAN COMPARE THEM TO 577 00:32:19,570 --> 00:32:23,608 ORTHOPEDIC CONTROLS PLUS WE CAN LOOK BACK AND SEE WHAT WERE THEY 578 00:32:23,675 --> 00:32:27,679 DOING AT THE TIME OF INJURY AND HAS THAT CHANGED FOR THESE YOUNG 579 00:32:27,745 --> 00:32:28,179 ADULTS. 580 00:32:28,513 --> 00:32:32,350 WE DON'T KNOW THAT AND THEY'RE PEOPLE WHO ARE AT VERY HIGH RISK 581 00:32:32,417 --> 00:32:34,352 TO GO TO PRISON, VERY HIGH RISK. 582 00:32:35,687 --> 00:32:40,491 IN OUR FREE CLINIC 77% ARE YOUNG ADULTS OF COLOR WHO WERE HAD 583 00:32:40,558 --> 00:32:43,494 GUNSHOT WOUNDS TO THE HEAD OR SPINE. 584 00:32:43,561 --> 00:32:46,931 CAUSE GEORGIA'S LAWS ARE VERY, VERY LAX FOR GUNS. 585 00:32:47,832 --> 00:32:52,203 IT IT IT'S AMAZING WHAT PEOPLE ARE LIVING WITH. 586 00:32:52,970 --> 00:32:59,811 WELL, I I I WAS INVOLVED WITH ONE STUDY WHERE WE PAIRED OUR 587 00:32:59,877 --> 00:33:06,617 OUR LEVEL 1 TRAUMA CENTER DATA WITH VA DATA AND COMPARED A 588 00:33:06,684 --> 00:33:13,391 BUNCH OF CLINICAL FACTORS AND AND INJURY FACTORS INCLUDING 589 00:33:13,458 --> 00:33:20,331 EXPOSURE AND WE FOUND FIREARMS WAS A WAS THE MOST IMPORTANT 590 00:33:20,398 --> 00:33:27,472 PREDICTOR OF LONG TERM CARE COST IN THE VA FOR THOSE THAT YOU 591 00:33:27,538 --> 00:33:31,909 PUBLISHED DID YOU PUBLIC, OH CAN YOU. 592 00:33:32,443 --> 00:33:33,711 I CAN SEND YOU THE STUDY. 593 00:33:33,978 --> 00:33:37,749 YEAH, YEAH, E-MAIL ME AND I'LL SEND YOU THE STUDY. 594 00:33:38,116 --> 00:33:42,086 WE PUBLISHED IT IN HEALTHEQUITY BECAUSE WE HAD SOME RACIAL 595 00:33:42,153 --> 00:33:44,355 ETHNIC DIFFERENTIALS THERE, TOO. 596 00:33:46,424 --> 00:33:48,159 AND IT WAS JUST ONE TRAUMA CENTER. 597 00:33:48,226 --> 00:33:51,529 BUT STILL IT WAS, IT WAS VERY INTERESTING BECAUSE WE DID SEE 598 00:33:51,596 --> 00:33:52,930 THE FIREARM CONVERSATION. 599 00:33:52,997 --> 00:33:53,197 YEP. 600 00:33:53,264 --> 00:33:53,398 YEAH. 601 00:33:54,031 --> 00:33:54,232 YEAH. 602 00:33:54,298 --> 00:33:57,468 I'M INTERESTED IN FIREARM STUDIES TOO, BECAUSE THERE'S SO 603 00:33:57,535 --> 00:33:58,770 MANY ON FIREARM DEATHS. 604 00:33:58,836 --> 00:34:03,608 THERE'S VERY FEW ON THOSE WHO SURVIVE WHO HAD TOTALLY RUINED 605 00:34:03,674 --> 00:34:05,143 THEIR LIVES, RIGHT. 606 00:34:05,209 --> 00:34:09,680 YOU KNOW, AND TBI AND VETERANS ARE ESPECIALLY AT HIGH RISK 607 00:34:09,747 --> 00:34:12,483 BECAUSE THEY HAVE SUCH GREAT WORK. 608 00:34:13,184 --> 00:34:14,519 YOU'RE DOING GREAT WORK. 609 00:34:14,585 --> 00:34:15,353 THANK YOU. 610 00:34:15,420 --> 00:34:16,154 YEAH, I WILL. 611 00:34:16,220 --> 00:34:17,688 I WILL SEND YOU THAT STUDY. 612 00:34:17,755 --> 00:34:21,392 AND I WOULD, LIKE I SAID I WOULD, EVEN THOUGH I HAVE NOT 613 00:34:21,459 --> 00:34:24,996 DONE ANY PEDIATRIC TBI WORK MYSELF, I WOULD LOVE TO BE 614 00:34:25,062 --> 00:34:26,497 INVOLVED IN THE FUTURE. 615 00:34:26,564 --> 00:34:30,368 AND AND I KNOW MY DAUGHTER WOULD BE APPRECIATIVE AND LOVE TO BE 616 00:34:30,435 --> 00:34:34,272 INVOLVED IN ANYTHING THAT WELL I'M HAPPY TO TALK TO YOU AND HER 617 00:34:34,338 --> 00:34:37,809 SEPARATELY ABOUT WHAT WE'RE DOING FOR RETURNING TO SCHOOL 618 00:34:37,875 --> 00:34:41,212 BUT THIS GROUP I'M HOPING I DON'T KNOW HOW BIG IT IS OR 619 00:34:41,279 --> 00:34:44,615 ANYTHING THIS SUBGROUP BUT I'M HOPING THAT IT'S SOMEHOW 620 00:34:44,682 --> 00:34:48,219 EXAMINES AN INTERNATIONAL PERSPECTIVE AND WHAT NEEDS TO BE 621 00:34:48,286 --> 00:34:51,856 DONE AROUND THE WORLD 'CAUSE THAT HAS MORE TEETH IN IT THAN 622 00:34:51,923 --> 00:34:53,224 JUST A SINGLE COUNTRY. 623 00:34:53,291 --> 00:34:55,426 I THINK AGREED AGREED. 624 00:34:56,194 --> 00:34:57,562 WHAT IS THE NATIONAL. 625 00:34:58,429 --> 00:34:58,563 YEAH. 626 00:34:58,629 --> 00:35:04,635 WHAT IS THE NATIONAL POLICY AND RESEARCH PARTNERSHIPS THAT CAN 627 00:35:04,702 --> 00:35:10,675 BE FORMED AND DONE AND AND WELL, AND I LEARNED THAT THROUGH MY 628 00:35:10,741 --> 00:35:16,547 COLLEAGUES WHO HAVE GRANTS TO FROM THE JUSTICE SYSTEM IN THE 629 00:35:16,614 --> 00:35:20,485 US TO LOOK AT KIDS AND ADULTS IN PRISON. 630 00:35:20,551 --> 00:35:21,752 THEY'VE DONE GREAT WORK. 631 00:35:22,386 --> 00:35:25,690 BUT THEY CONNECTED ME WITH THIS WOMAN AT THE STATE OF WASHINGTON 632 00:35:25,756 --> 00:35:26,757 DEPARTMENT OF HEALTH. 633 00:35:26,824 --> 00:35:31,462 SHE'S TOTALLY ASSIGNED TO THE JUSTICE SYSTEM AND SHE ASSESSES 634 00:35:31,529 --> 00:35:32,964 WHO HAD ATBI AND IT. 635 00:35:33,030 --> 00:35:34,198 THEN THEY TEST THEM. 636 00:35:34,432 --> 00:35:38,936 I MEAN SOME STATES ARE DOING SOME GOOD THINGS, BUT NOT ACROSS 637 00:35:39,003 --> 00:35:41,939 THE BOARD, REALLY NOT ACROSS THE BOARD. 638 00:35:42,206 --> 00:35:43,040 AND I WOULD NOT TEST. 639 00:35:44,275 --> 00:35:45,176 AND THAT'S DONE. 640 00:35:45,243 --> 00:35:48,045 I MEAN AND AND NO, NO, NO, NO, NO, NO. 641 00:35:48,112 --> 00:35:51,849 IN THE US IT'S NOT SCREENING'S HARD TO GET DONE. 642 00:35:51,916 --> 00:35:54,752 I MEAN DREW, I REMEMBER TALKING TO HIM A FEW YEARS AGO. 643 00:35:54,819 --> 00:35:58,523 HE REALLY HAD TO FIGHT TO GET THIS WORK DONE AND FINALLY HE 644 00:35:58,589 --> 00:36:02,126 FOUND OUT THE DEPARTMENT OF JUSTICE FUND STUDIES AND HE'S 645 00:36:02,193 --> 00:36:05,630 DOING A STUDY NOW THAT'S EXAMINING THE STATE OF FLORIDA 646 00:36:05,696 --> 00:36:06,197 AS WELL. 647 00:36:07,331 --> 00:36:11,502 SO THERE ARE PEOPLE TRYING TO DO THIS WORK. 648 00:36:11,569 --> 00:36:13,237 IT IS A HOT, BIG TOPIC. 649 00:36:13,304 --> 00:36:15,273 IT REALLY IS A BIG TOPIC. 650 00:36:15,740 --> 00:36:20,444 AND OUR TBI TEAM, I'M ON THE SO THE TBI TEAM IS A LINE ITEM IN 651 00:36:20,511 --> 00:36:21,112 CONGRESS. 652 00:36:21,178 --> 00:36:26,250 IT STARTED IN 1997 AND IT'S UP FOR RENEWAL THIS YEAR. 653 00:36:26,317 --> 00:36:31,322 SO BIAG, THE BRAIN INJURY ASSOCIATION OF AMERICA, NASHIA, 654 00:36:31,389 --> 00:36:36,027 SEVERAL GROUPS ARE REALLY PUSHING TO KEEP IT IN PLACE 655 00:36:36,093 --> 00:36:39,764 BECAUSE, YOU KNOW, WE GET TBI STUFF DONE. 656 00:36:40,331 --> 00:36:44,502 AND INTERESTINGLY, I WAS INVOLVED IN SUPPORTING THAT ACT 657 00:36:44,569 --> 00:36:49,173 IN THE 90S AND ALSO I HELPED WRITE THE ORIGINAL DEFINITION OF 658 00:36:49,240 --> 00:36:50,942 TBI FOR THE SPECIAL ED. 659 00:36:51,676 --> 00:36:55,613 AND IT'S BEEN SO INTERESTING 'CAUSE IT WAS DONE THE SAME TIME 660 00:36:55,680 --> 00:36:56,314 AS AUTISM. 661 00:36:56,747 --> 00:37:01,118 AND AUTISM HAS SO MANY PARENT ADVOCATES THAT TBI DOES NOT 662 00:37:01,185 --> 00:37:01,552 HAVE. 663 00:37:02,186 --> 00:37:05,890 BUT ALSO IT IT'S BEEN INTERESTING TO SEE IT'S 664 00:37:05,957 --> 00:37:10,595 CONSIDERED A LOW INCIDENCE DISABILITY IN THE SCHOOL DATA 665 00:37:10,661 --> 00:37:13,197 BECAUSE NOT ENOUGH KIDS QUALIFY. 666 00:37:13,264 --> 00:37:16,400 BECAUSE THEY DON'T TEST LOW ENOUGH TO QUALIFY. 667 00:37:16,968 --> 00:37:21,138 THEY MAKE BECAUSE THEY WERE MAYBE AVERAGE PERFORMERS BEFORE 668 00:37:21,205 --> 00:37:25,443 THEY HAD THIS INJURY AND WHEN THEY FIRST COME BACK, IT'S NOT 669 00:37:25,509 --> 00:37:29,914 EVIDENT THAT THEY'RE DOING WORSE EVEN THOUGH THEY ARE YOU KNOW 670 00:37:29,981 --> 00:37:30,114 SO. 671 00:37:30,181 --> 00:37:31,282 SO HOW WERE THEY? 672 00:37:31,482 --> 00:37:34,819 ARE THEY SCREENING THEM FOR TBI OR OR HOW HOW'S THAT? 673 00:37:34,885 --> 00:37:35,219 NO. 674 00:37:35,586 --> 00:37:35,953 NOPE. 675 00:37:36,320 --> 00:37:38,456 SO WHAT WE DID CDC, I'LL TELL YOU THIS. 676 00:37:38,522 --> 00:37:43,194 WE FUNDED THE STUDY WHERE WE ASK APPLICANTS TO COMPARE A STATE 677 00:37:43,260 --> 00:37:48,199 THAT HAD AN EXISTING PROGRAM FOR FOLLOWING KIDS LIKE PENNSYLVANIA 678 00:37:48,265 --> 00:37:52,803 AND OREGON OR BOTH SITES TO A STATE THAT DOES NOT BECAUSE WE 679 00:37:52,870 --> 00:37:56,641 WANT TO MAKE A POINT THAT THIS IS WHAT'S HELPING. 680 00:37:57,842 --> 00:38:00,911 AND THIS IS SO IMPORTANT FOR OUTCOMES, RIGHT? 681 00:38:01,512 --> 00:38:04,849 AND YESTERDAY WHEN I WAS AT THE TBI CLASSIFICATION SYSTEM, I 682 00:38:04,915 --> 00:38:05,983 STOOD UP AT THE END. 683 00:38:06,050 --> 00:38:07,585 THEY SAID, WHAT ARE THE OTHER ISSUES? 684 00:38:07,952 --> 00:38:11,389 AND KEITH YATES AND DANNY THOMAS AND I WERE PUSHING THEM TO LOOK 685 00:38:11,455 --> 00:38:11,822 AT KIDS. 686 00:38:11,889 --> 00:38:14,692 BUT I SAID THIS IS WHAT WE LEARNED IN THE REPORT TO 687 00:38:14,759 --> 00:38:15,192 CONGRESS. 688 00:38:15,259 --> 00:38:20,064 THE ONLY OUTCOME WE KNOW ABOUT KIDS WITH TBI, ADULT OUTCOME IS 689 00:38:20,131 --> 00:38:24,969 THAT THERE'S A HIGH RATE IN THE JUSTICE SYSTEM OF SELF REPORTED 690 00:38:25,036 --> 00:38:26,103 CHILDHOOD TBI. 691 00:38:26,470 --> 00:38:30,508 THAT'S THE OUTCOME WE KNOW WE DON'T WANT KIDS GOING TO THE 692 00:38:30,574 --> 00:38:35,112 JUSTICE SYSTEM, YOU KNOW WE WANT SO AND YOU'VE DONE FABULOUS WORK 693 00:38:35,179 --> 00:38:38,716 WITHIN THE JUSTICE SYSTEM AND MAKING SURE THIS GETS 694 00:38:38,783 --> 00:38:39,617 RECOGNIZED. 695 00:38:39,684 --> 00:38:43,888 I MEAN TAKING IT TO THE UN THAT'S INCREDIBLE AND HE'S 696 00:38:43,954 PUBLISHED ON IT.