WHAT ARE YOU GUYS HOPING TO GET FROM THIS SESSION?
HELLO, MY NAME IS LIB LIBBY DISMU GREER AND I AM A HEALTH
SERVICES RESEARCHER AND HEALTH ECONOMIST WITH THE HEALTH
ECONOMICS RESOURCE CENTER IN THE VA HEALTHCARE SYSTEM.
AND SO I DO A LOT OF WORK IN THE AREA OF MILITARY RELATED
TRAUMATIC BRAIN INJURY WITH A STUDY CALLED LIMBIC LONG TERM
IMPACT OF MILITARY BRAIN INJURY CONSORTIUM AND ALSO TRAUMATIC
BRAIN INJURY MODEL SYSTEMS.
AND SO MOST OF MY FOCUS OF MY RESEARCH IS IN THE AREA OF
HEALTH SERVICES OUTCOMES SUCH AS UTILIZATION OF CARE AND
DIFFERENT SYSTEMS, DOD AND VA COST OF CARE ALSO LOOKING AT
DISPARITIES, GEOGRAPHIC, RACIAL, ETHNIC.
AND SO I'M HERE TO LEARN FROM THE REST OF THE WORLD ABOUT
POLICY AND OUTCOMES AND WHAT'S IMPORTANT.
THANK YOU THAT'S RIGHT OLYMPIC SO SO CRIMINAL JUST I'M I'M KIND
OF I'M A CLINICAL NEAREST COLLEGE OF THEIR BACKGROUNDS.
I'VE ACCIDENTALLY WORKED IN PRISON SYSTEMS AND THE BIG
PROBLEM THAT WE HAVE IS FAR TOO MANY PEOPLE WITH BRAIN TRAUMA
JUST HAVEN'T GOT THE SYSTEMS TO SUPPORT AND CARE FOR THEM FROM A
VERY LONG TIME BEFORE.
AND YOU'LL KNOW THAT THE LONG RANGE OUTCOMES ARE AWFUL.
NOW THE BIG EPIDEMIOLOGICAL STUDIES IN SWEDEN AND DENMARK
SHOWING TWO TO THREE TIMES INCREASES RISK OF SUICIDE AND
TWO TO THREE TIMES INCREASED RISK OF OF VIOLENCE, IN OTHER
WORDS ENDING UP IN THE CRIMINAL JUSTICE SYSTEM.
OFTEN THE VIOLENCE IS REACTIVE AND ONE OF THE BIG PROBLEMS.
SO IMAGINE FOR MILITARY SIDE IS IS IS AROUND WHETHER THERE'S THE
RIGHT KIND OF APPROACHES TO ENABLE VETERANS TO BE ABLE TO
READJUST TO SOCIETY, PARTICULARLY POST CONFLICT.
THE BIG DIFFERENCE BETWEEN THE UK AND US IN TERMS OF POST
CONFLICT RATES OF BRAIN INJURY AND PTSD IS THAT WE HAVE LOWER
LEVELS IN THE UK BUT THEN OUR MILITARY ARE OUT IN THEATRE LESS
OFTEN.
WE DON'T HAVE THE SAME LEVEL OF OF EXPOSURE BUT THEY'RE STILL
THERE.
SO WE HAVE, WE HAVE THE THE SAME TYPE OF THINGS LIKE TBI PLUS
PTSD.
MY MAIN BACKGROUND THERE IS TRAUMATIC BRAIN INJURY WITH PTSD
WITH THE EARS.
SO, SO THAT THAT IS AN ONGOING CHRONIC PROBLEM.
AND HOW WE ADDRESS TBI AND PTSD TOGETHER IS A REAL BIG ISSUE
BECAUSE THERE'S A NEED TO DEVELOP THE RIGHT KIND OF
PROGRAMS TO TO MANAGE THE PTSD ELEMENT AND THE TBI ELEMENT
BECAUSE THEY WORK OFF EACH OTHER.
SO YOU KNOW IRRITABILITY, IMPULSIVITY, HYPER HOUSEHOLD
ETCETERA.
SO I IMAGINE THERE THERE IS WORRYING CONCERN I KNOW AROUND
VETERANS AND INTIMATE PARTNER VIOLENCE THAT'S THAT'S A BIG
PROBLEM THAT WE NEED TO SOMEHOW ADDRESS.
I DON'T KNOW WHAT HOW THAT TURNS INTO PROBLEMS IN JUSTICE SECTOR
BUT A BIG DEAL I IMAGINE THIS AROUND HOW DO WE MAKE SURE THAT
DAFTA SO THEY THEY ARE NOT ACTING OUT THE THE TRAUMA THAT
THEY'VE EXPERIENCED AND THEY'RE ABLE TO BE RE ENGAGED
EFFECTIVELY MANY ARE I MEAN THIS WONDERFUL PROGRAM SO WORK WITH
AUK CHARITY THAT'S BREAKING GROUND HERITAGE WE WE WORK WITH
VETERANS AROUND BEING ABLE TO USE THEIR SKILLS IN
ARCHAEOLOGICAL SETTINGS SO IT'S BECOME SO THEY DO ARCHAEOLOGICAL
DIGS AND AND TOGETHER BUT CONTRACTED BY OUR VARIOUS
AGENCIES TO DO DIGS BUT THEY DO DIGS TOGETHER USING THEIR SKILLS
AND EXPERIENCES TO THEN ALSO HAVE GROUP PROCESS AROUND
MANAGING THE TRAUMA THEY EXPERIENCE AND SO ON.
SO IT'S REALLY COOL PROGRAMME BREAKING GROUND HERITAGE MEAN IT
MIGHT BE SOMETHING INTERESTING TO COME BACK TO HELP YOU DELIVER
ANY KIND OF THERAPEUTIC WAYS OF WORKING TOO OFTEN NOT ALWAYS TOO
OFTEN TO MEN AND THEN WE MEN AREN'T THAT PRUNES ARE TALKING
ABOUT THINGS ARE WE SO YOU KNOW SO IT'S IT THAT MIGHT BE IT'S A
TOPS ANYWAY I DON'T KNOW WHAT YOUR PROGRAMS ARE LIKE AROUND
PICKING UP ON BRAIN INJURY IN I KNOW THERE'S FANTASTIC RESEARCH
IN KIND OF VETERANS POPULATION BASED AND THE THE THE PIECE
AROUND INTEGRATING INTO SOCIETY IS REALLY IMPORTANT AND TRACKING
DOWN THE LINE YOUR MODEL SYSTEMS ARE GREAT BECAUSE THAT'S
PROTECTIVE OR PEOPLE LEADING UP IN CRIMINAL JUSTICE BUT THAT'S I
THINK I THINK THERE'S A BIG MORAL ISSUE AROUND WE TRAIN
PEOPLE TO GO AND DO THE WORK FOR OUR SOCIETY BUT WE DON'T UNTRAIN
THAT SOMETIMES DO WE.
I DON'T KNOW DOES THAT THAT'S NO THAT'S FASCINATING AND YOU
MENTIONED SUICIDE THE BIG THING FROM BOTH VA AND DOD AND AND AND
THERE'S A LOT OF RESEARCH SHOWING THAT VETERANS AND
MILITARY WITH TBI ARE HIGHER RISK THAN HIGHER RISK FOR
SUICIDE AS WELL AS FOR SUBSTANCE USE AND OTHER ISSUES I'VE I HAVE
A COLLEAGUE I THINK IS LOOKING AT CRIMINAL JUSTICE ACTIVITY
MARY JO PUGH.
OH OK.
I'VE HEARD OF.
YEAH.
BUT THAT'S NOT BEEN A BIG BIG AREA THAT I'VE HEARD OF AND I
THINK IT'S VERY FASCINATING WHAT YOU'RE DOING THERE WITH THAT AND
SO THANK YOU FOR I, I I'VE ALREADY DOWNLOADED YOUR SLIDES.
I'M LOOKING FORWARD TO.
OH WELL FAIR ENOUGH.
I MEAN I'VE GOT TO BE GOING THROUGH AND UNFORTUNATELY I'VE
GOT MEETING WITH ONE OF MY POLICE COLLEAGUES WITH THIS THIS
THIS WORK WE'RE TRYING TO PUT TOGETHER.
SO.
BUT ABSOLUTELY.
I MEAN THERE'S THERE'S THERE'S SO MUCH VERY POSITIVE WORK.
I THINK THE SUICIDE PIECE IS AWFUL ISN'T IT AND AND PART OF
WHAT WE'LL BE DOING WITH THE POLICE IN THE UK IS IS IS
TRAINING THEM BY UNDERSTANDING BRAIN TRAUMA WHEN THEY'RE
NEGOTIATING PEOPLE WHEN THEY'RE IN SITUATIONS WHERE THERE
THERE'S POTENTIAL SUICIDE OR HOSTAGE TAKING AND SO ON TO THEN
UNDERSTAND HOW DE ESCALATE THE SITUATION.
TAKING BRAIN TRAUMA INTO ACCOUNT AND BEING MINDFUL OF OF OF PTSD
AND TBI THAT SORT OF CONTEXT IS REALLY IMPORTANT BECAUSE
OBVIOUSLY SOME SOME OF THE WORK THAT WE DID AND AND MARK
WILLIAMS AROUND SUICIDE RISK IS ESPECIALLY HIGH IN PEOPLE WHO
HAVEN'T GOT GOOD AUTOBIOGRAPHICAL MEMORY ACCESS
TO EPISODES IN THEIR LIFE WHERE THERE WAS POSITIVE COPING AND
BRAIN TRAUMA REALLY GETS IN THE WAY OF THAT THERE'S SOME WORK
FROM YEARS AGO SO IT'S HOW HOW DO YOU WORK AROUND THAT KIND OF
POOR BIOGRAPHICAL MEMORY FOR POSITIVE PAST TO PLAN FOR THE
FUTURE TO GET STUCK IN THIS AND IN TERMS OF PRISON POPULATION.
I THINK IT MIGHT BE INTERESTING TO LOOK AT MILITARY EX MILITARY
PERSONNEL BECAUSE THERE'S BIG RISK OF SUICIDE IN PEOPLE
ENTERING ENTERING PRISON.
WE'VE GOT PEOPLE JUST COMING OUT IN THAT AREA HEADING TB IS TO
IT'S A BIG RISK FACTOR FOR FOR COMING INTO PRISON THEN WITHIN
TWO OR THREE WEEKS ATTEMPTING SUICIDE AND AND IT'D BE SO
IMPORTANT TO LOOK AT THAT FROM A FROM A VETERANS PERSPECTIVE
BECAUSE THEY THEY.
I DON'T KNOW WHETHER I'D INCREASED RISK OR WHAT HAVE YOU
BUT I I WOULD YOU KNOW IT THERE'S SO MANY THINGS ISN'T IT
IT'S LIKE ENDING UP IN THE WRONG KIND OF PLACE FOR A PERSON LIKE
THEM AND AND THE STRUGGLES THAT CAN ISSUES OR ANYBODY THE
CRIMINAL JUSTICE I THINK AS I SAID EARLIER AS I STRAYED INTO
THIS AREA YOU KNOW BRAIN INJURY UNITS WITHOUT RESOURCES.
THIS IS THE KEY TAKE ON OUR OWN PRISONS JUST HORRENDOUS.
HI EVERYBODY.
I'M JULIE HARBAR KRUPA FROM THE CDC.
HI YOU THANK YOU FOR ALL YOUR GREAT WORK AND I JUST WANTED TO
SHARE WITH YOU SOME THINGS WE'RE DOING THROUGH CDC.
FIRST OF ALL KIM GORGON'S AND DREW NAGLE HAVE GRANTS TO STUDY
PEOPLE IN THE JUSTICE SYSTEM AND THEY'RE TRYING TO FIGURE OUT HOW
TO MAKE IT BETTER WHEN THEY LEAVE YOU KNOW TRAINING.
SO WITH THEM JUDY DETTMER SOME FOLKS IN WASHINGTON AND WITHIN
CDC WE HAVE A SECTION THAT FOLLOWS INFECTIOUS DISEASE IN
THE JUSTICE SYSTEM.
AND CDC IS CURRENTLY CONVENING A GROUP TO TALK ABOUT ALL THE
ISSUES WITHIN THE JUSTICE SYSTEM BUT THE CORROBORATION I CREATED
EVEN IT INCLUDES THOSE STUDYING INFECTIOUS DISEASE BECAUSE WHEN
I CONTACTED THEM.
THEY SAID WE HEAR ABOUT TBI ALL THE TIME.
WE HEAR THAT PEOPLE HAVE HAD IT BEFORE COMING IN.
BUT ANYWAYS, WE HAVE A PAPER UNDER REVIEW WHERE WE LOOKED AT
ADOLESCENCE WITH THE HISTORY OF CHILDHOOD BRAIN INJURY AND MADE
THE CASE THAT THEY DEVELOP SYMPTOMS THAT MAKE THEM AT RISK
FOR ENTERING THE JUSTICE SYSTEM.
OH, DEFINITELY, YEAH, YEAH, YEAH.
AND YOU KNOW, THERE WE DIDN'T HAVE DATE ON THAT.
WE LOOKED AT THE NATIONAL HEALTH INTERVIEW SURVEY TO DETERMINE
WHO HAD A HISTORY OF CBI, EXPLAINED THAT.
I'M HOPING THAT GETS PUBLISHED BECAUSE WE WANT TO TRY TO
PREVENT KIDS FROM GOING INTO THE JUSTICE SYSTEM, RIGHT?
YEAH, YEAH, YEAH, YEAH.
WELL, SCHOOL EXCLUSION, BEING BULLIED AT SCHOOL, CARRYING A
WEAPON.
BECAUSE YOU GET BULLIED AND THEN YOU END UP, YOU KNOW, BEING
CHUCKED OUT WITH SCHOOL AND THEN YOU END UP, WELL-BEING UTILIZED
OR JUST TIMING YOUR HANDS AND NOBODY'S LOOKING AFTER YOU.
AND THEN YOU DRIFT, DRIFT, AND THEN YOU END UP INTO THE BECAUSE
YOU HAVE NO SKILLS.
WHAT YOU GOING TO DO SO IT'S A HORRENDOUS THING.
IT'S CALLED THE SCHOOL TO PRISON PIPELINE.
IT'S NOT A PIPELINE IT'S A IT'S A IT'S IT'S LIKE A MESSED UP YOU
KNOW KIND OF YOU KNOW CONVEYOR BELT OF OF KIND OF JUST YOU KNOW
DISCARD IT'S DISCARDED OFF THE CONVEYOR BELT OF LIFE AS IT'S
MORE LIKE IT THE YOU KNOW THE CONVEYOR BELT THAT TAKES PEOPLE
LIKE LIKE IT'S INTO UNIVERSITY AND WHAT HAVE YOU THAT'S NOT
THERE FOR THEM TO TO TRY TO KEEP THAT KIND OF BELT GOING.
SO, SO, ABSOLUTELY.
AND WE NEED, SO YEAH, WE NEED MORE SYSTEMS ON THAT.
I PREVIOUSLY PUBLISHED A PAPER LOOKING IN THE US WHAT'S CALLED
THE YOUTH RISK BEHAVIOR SURVEY AND IT ONLY ASKS ONE QUESTION.
DID YOU HAVE TWO ADOLESCENTS?
DID YOU EVER HAVE A SPORTS RELATED CONCUSSION?
BUT WHAT WE LEARNED IS THEY'RE MORE AT RISK FOR SCHOOL
VIOLENCE, LIKE BRINGING A WEAPON TO SCHOOL.
BEING EXPELLED.
YEAH, THAT'S THE ONE.
YEAH.
THAT THEY'RE MORE.
THERE'S A THERE'S A INTERESTING THING TO DO WITH THE SPORTS
CONCUSSIONS THAT GET THERE'S THERE'S THE THE HIGH VELOCITY
INJURIES, IT'S THE MOTOR VEHICLE ACCIDENTS AND THE ASSAULTS THAT
REALLY CARRY THE RISK.
AND THEN THOSE RISKS ARE THEN TURNED INTO THE THE WEAPON
CARRYING AND THE REST OF THE US CONTEST, UA CONTEST.
WE DON'T HAVE AS MUCH WEAPON CARRYING, BUT WE HAVE THE
BULLYING AND WE HAVE THE SCHOOL EXCLUSION.
WE HAVE SO MANY KIDS EXCLUDED FROM SCHOOLS AND AND AND AND
IDENTIFY THE BRAIN TRAUMA EARLY SO THAT ADAPTATIONS CAN BE MADE
SO THE UN CONVENTIONAL RIGHTS TO CHINA WHICH THE US IS NOT SIGNED
I DON'T THINK THERE WELL THAT'S THAT'S WILL OR SHOULD BE A MODEL
FOR WHAT SHOULD BE DONE AROUND ADJUSTMENTS AND SO ON.
BECAUSE THE DOWN THE LINE EARLY ENTERING THE CRIMINAL JUSTICE
SYSTEM MEANS LONG TERM INVOLVED CRIMINAL JUSTICE SYSTEM MEANS
EROSION OF ALL THE POSITIVES THAT COULD HAVE HAPPENED TO MAKE
SURE YOU HAD THE LIFE THEREAFTER.
SO IF YOU'RE INTERESTED IN IN SOME KIND OF INPUT INTO THAT
PLEASE LET ME KNOW SO WE CAN.
WE'VE GOT THE THE GUY I'M GOING FOR DINNER WITH IN A MINUTE.
HE'S THE THE GUY WHO'S HEADED UP THE VIOLENCE REDUCTION UNIT FOR
THAMES VALLEY IN THE UK WHICH IS EFFECTIVELY MILLIONS OF PEOPLE
ON THE YOU KNOW DATA SETS THAT YOU CAN THEN TRACK HEALTH
EDUCATION AND CRIMINAL JUSTICE FACTORS.
BUT THAT'S THE MODEL FOR GOING FORWARD FOR PROBABLY FOR THE UK
AROUND HOW DO WE GATHER DATA TO TRIED TO FIGURE OUT THOSE ARE
THE KIDS THAT NEEDED HELP 10 YEARS AGO OR 50 YEARS AGO AND
AND YOU CAN AND YOU CAN TRACK IT FROM THEIR SCHOOL DATA SO THAT'S
A KEY THING AND THE AND THE AND THE BRAIN SHOULD OH GOSH YEAH.
SO YOU KNOW YOU KNOW THIS BUT I GUESS OTHER PEOPLE MAY NOT KNOW
AS MUCH AS AS THAT AS AS YOU DO JULIE BUT YEAH.
WELL, I AM INTERESTED IN IT.
WHAT IS THIS GROUP GOING TO DEVELOP ANYTHING ABOUT THIS
AREA, THE THE TPI?
YEAH, THE REST THAT WE THANKFULLY THE MEDICAL RESEARCH
COUNCIL IN THE UK HAS SEEN THIS AS AN IMPORTANT AREA TO LOOK AT
VULNERABLE POPULATIONS.
SO I'M GOING TO BE WORKING WITH CENA FOR SALE HERE IN OXFORD TO
LOOK AT HOW DO WE IMPROVE ACCESS TO SCREENING OF TPI IN
POPULATION.
SO THERE'S A WORK WE'RE DOING IN IN AGAIN, THAMES VALLEY IS
OXFORD, READING WEST OF LONDON.
WE'RE WORKING WITH A WOMEN'S JUSTICE GROUP, SO WOMEN IN
CONTACT WITH THE LAW AND SO ON, HUGE AMOUNTS OF BRAIN TRAUMA AND
WOMEN INTIMATE PART OF VIOLENCE BEING A KEY FACTOR IN THAT, AS
YOU'LL KNOW.
SO HOW DO WE SCREEN FROM THAT IN THE POPULATION?
BUT HOW CAN YOU STEP BACK AND THINK, WELL, WE NEED TO BE
LOOKING AT THIS WHEN ANYBODY IS RESPONDING OR THE POLICE
RESPONDING TO TO INCIDENTS, HOW THEY THINK ABOUT THIS.
WHEN PEOPLE COME INTO CUSTODY, HOW THEY THINK ABOUT THIS.
WHEN PEOPLE COME INTO CUSTODY AS AS AS VICTIMS OR WITNESSES OR AS
PERPETRATORS.
WITHIN TWO YEARS THERE'S A MASSIVE INCREASED RISK THAT CAN
BE BACK IN AGAIN AND VERY LIKELY AS PERPETRATORS BY THE POINT
BECAUSE YOU GET THIS FLIP FROM BEING VICTIM TO PERPETRATORS TO
SOME EXTENT.
SO THERE'S THIS ALL THESE ISSUES THAT WE'RE TRYING TO UNPACK.
SO IF YOU LIKE, WE.
I CAN HAVE A CALL WITH STAN GILMORE, COMMANDER STAN GILMORE
OF WE HAVE A GROUP CALLED GLEFFER, THE GLOBAL LAW
ENFORCEMENT PUBLIC HEALTH ASSOCIATION THAT WE WORK UNDER
THE UMBRELLA AND STAN ADVISES THE UN OFFICE OF DRUGS AND CRIME
AND THE OFFICE FOR COOPERATION AND ALL WHAT'S CALLED SECURITY
COOPERATION IN EUROPE.
SO IF YOU LIKE, WE CAN ARRANGE A CALL.
AND FRANCIS SHEEHAN WAS THE PERSON WHO DRAFTED THE OUR OUR
RESEARCH PROPOSITION TO THE UN AROUND WHY THE UN CONVENTION HAS
TO BE CHANGED.
SO IF YOU LIKE, WE CAN ARRANGE TO HAVE A CHAT TOGETHER.
YEAH, WELL, AND THAT'S MY QUESTION, BECAUSE THIS IS MY
FIRST TIME ATTENDING THIS GROUP AND I JUST WONDERED IF THIS
SUBGROUP HAD STARTED LIKE AN INTERNATIONAL PERSPECTIVE WHERE
PEOPLE FROM DIFFERENT COUNTRIES CAN.
I DON'T KNOW I'M JUST ASKING IF PEOPLE WOULD LIKE IF WE WOULD,
I'D BE KEEN TO SEE HOW WE CAN DO THAT.
I CAN TALK TO DAVID ABOUT THAT AND AND I'M FOR SURE WE WOULD
LIKE TO DO THAT.
I'M JUST I'M I'M A LITTLE BIT OVER AN OUTSIDER INTERLOPER
COMING IN TO TALK ABOUT THE STUFF THAT I DO BUT BUT I'VE
BEEN BROUGHT INDOORS TO TO THE TBI REGISTER WORK AS WELLS AND
WHEN AS YOU KNOW WHY THE PDM 3 CONCESSION RANGER GROUP ALSO TO
WORK IN THIS AREA.
SO WE CAN BRING THINGS TOGETHER A BIT MORE DEFINITELY.
HELLO, WE, IT'S TERRY ROMANCO.
I'M FROM WHO IN GENEVA.
I'D BE HAPPY TO TALK ABOUT THAT AT SOME POINT.
WE HAVE A COUPLE OF NETWORKS, I'LL BE SPEAKING TOMORROW AT THE
MEETING AND THERE'S BEEN A COUPLE OF IDEAS DISCUSSED IN
TERMS OF DIFFERENT ASPECTS.
WE HAVE A FEW NETWORKS, GLOBAL REGISTRY THAT'S GOT A PLATFORM
THAT'S KIND OF FREED THE COUNTRY.
SO THERE'S A NUMBER OF DIFFERENT WAYS OF A COUPLE OF ACTION
INTERVENTION IMPLEMENTATION NETWORKS AS WELL.
SO DEPENDING ON YOUR PARTICULAR INTEREST, WHETHER IT'S THE DATA,
WHETHER IT'S DESIGNING INTERVENTIONS AT THE POLICY
LEVEL, WE CAN WE CAN DISCUSS THAT THERE'S DIFFERENT ENTITIES
AND WE'VE BEEN TALKING WITH DAVID ABOUT USING THOSE UP.
SO JUST FEEL FREE TO REACH OUT TOMORROW OR TO OR TO SEND YOU AN
E-MAIL OR A MESSAGE IF IF YOU'D LIKE.
CAN I JUST OH, SORRY, A COUPLE ISSUES HERE.
SOME ONE OF MY STRONG INTEREST IS PREVENTING KIDS FROM GOING
INTO THE JUSTICE SYSTEM AND IN THE US WHAT WE'VE LEARNED IS
EVEN WITH MILD INJURIES THEY MAY HAVE THESE EFFECTS AND THEY
DON'T GET CARE.
THAT'S ONE ISSUE.
THE OTHER ISSUE IS PEOPLE WHO ARE ALREADY IN THE JUSTICE
SYSTEM.
MAYBE THEY HAD A HISTORY OF HEAD INJURY OR THEY HAVE A HEAD
INJURY, MAKING SURE THAT WHEN THEY LEAVE THAT THEY GET PROPER
CARE.
THEY'RE NOT JUST SET FREE.
THEY'RE LIKE, WE'RE GOING TO HELP YOU WITH COMMUNITY
SUPPORTS.
THOSE ARE TWO ISSUES I'M REALLY INTERESTED IN AND I ALWAYS LEARN
FROM TALKING TO YOU, YOU AND OTHERS WHO ARE DOING THIS WORK
ABOUT WHAT'S HAPPENING.
SO I'M SO SORRY, I NEED TO BE GOING IN A MINUTE.
BUT I'VE JUST PUT IN THE.
YEAH, I JUST WANT TO SAY THANKS TO YOU BECAUSE I WILL ALSO HAVE
TO JUMP OFF.
AND HI ALICIA, THANK YOU FOR EVERYTHING AND I WILL I WILL SEE
THIS THIS EVENING AND IF YOU IF YOU LIKE I CAN BRING YOU INTO
SOME OTHER WORK WE'RE DOING WITH SAID THAT ON WHICH IS THE SWISS
BASED CHARITY THAT FUNDS A LOT OF WORK WITH EU BUT ALSO IN
OTHER PLACES.
AND WE HAVE IN GENEVA ACTUALLY TERRY, BUT WE'VE BEEN DOING SOME
WORK TO TRY TO BRING TOGETHER AGENCIES TO LOOK AT THESE
ISSUES.
SO JULIE, YOU MENTIONED ABOUT WHAT'S HAPPENING AROUND TO
REDUCING THE CHANCES OF REPEATING CRIMINALISATION WERE
WERE DEFINITELY SO THE REALNESS WORK IN THE UK THAT I WOULD LIKE
TO GET ACROSS WOULD BE THE SECURE STAIR SYSTEM WE'RE NOW
REDUCE YOUNG PEOPLE PRISON POPULATION FROM 2 OR 3000 ABOUT
10 YEARS AGO DOWN TO LESS THAN 400 AND THAT'S TO DO WITH ONE
PART OF THIS THE SECURE STAIRS THAT IMPROVES UNDERSTANDING OF
THE EMOTIONAL TRAUMA THEY'VE EXPERIENCED IN YOUR RESPONSES.
THEY'VE EXPERIENCED MORE SUPERVISION FOR THE WORKERS AND
MUCH MORE GOAL PLANNING AND MUCH MORE NEURO REHAB STYLE WAYS OF
WORKING, WHICH IS REALLY BENEFICIAL.
I CAN TELL YOU MORE ABOUT THAT.
IN WALES PARTICULARLY, THERE'S A REALLY NICE SYSTEM CALLED
INCENTIVE INTERVENTION, MORE PSYCHOLOGICAL SUPPORT IN EARLY
MORE FORMULATION, MORE BETTER UNDERSTANDING AND IN OTHER
PLACES AS WELL THERE'S REALLY NICE INTERVENTIONS.
SO WE COULD DEFINITELY SHOWCASE SOME OF THOSE AND AND BRING THEM
ACROSS.
YES, THAT WOULD BE HELPFUL.
AND WHAT FRANCIS IS DOING FOR US IS LOOKING AT IN THE UK
CONCERTS.
BUT GLOBALLY, HOW WOULD THE UN CONVENTIONALIZE THE CHILD NEW
DISABILITY?
INFORMATION, HOW DOES THAT, WHAT DOES THAT MEAN IN PRACTICE?
SO WE'RE GOING TO LOOK AT HOW, HOW WE CAN THEN TURN THAT INTO,
WELL, THIS IS WHAT EDUCATION NEEDS TO BE DOING.
THIS IS WHAT HEALTH SERVICES NEEDS TO BE DOING.
THIS IS JOINING UP THAT NEEDS TO HAPPEN BETWEEN SERVICES AND AND
THIS SHOULD BECOME THEN MANDATORY THAT YOU NEED TO DO
THIS IN OR IN COUNTRIES THAT HAVE SIGNED UP TO THE UN
CONVENTION, WHICH IS 187 MEMBER STATES.
THEN THERE THERE WILL BE A NEED TO BE COMPLIANT WITH THIS
CONVENTION AT SOME POINT.
NOW THEIR LEADER IN THIS FIELD APART FROM THE UK MIGHT BE NEW
ZEALAND WHERE THEY'VE ALREADY ESTABLISHED A WAY OF SCREENING
FOR BRAIN TRAUMA PRE COURT SO THAT THE JUDGE KNOWS WHETHER
IT'S BRAIN INJURY OR NOT.
THEY'VE ALSO SWITCHED THAT TO ALSO FROM BECAUSE YOU'RE SO
SUCCESSFUL THAT IF THEY KNOW IT'S A BRAIN INJURY THEY'RE KIND
OF OH RIGHT, WELL IT'S BEST IF THEY GO INTO THE COMMUNITY AND
GET COMMUNITY SUPPORT AROUND GOING TO PRISON IN ANY CASE.
AND THE THE REALLY GOOD THING WAS THAT THEY THEN SAW NEED TO
ACTUALLY BECAUSE IT'S WORKING SO WELL, WOULD DO IT FOR 18 TO 25
YEAR OLDS.
SO THEY GET SCREENED IN THE UK, EVERY CHILD COMES TO THE
CRIMINAL JUSTICE SYSTEM, GETS A NEW DISABILITY ASSESSMENT,
MENTAL HEALTH SCREENER AND ALL REST OF IT.
SO THEN IT'S TURNING AROUND AND CREATING A MUCH MORE EMPATHIC,
CONCERNED AND CONNECTED SYSTEM.
THE SADNESS IS THAT THERE'S SO MANY KIDS THAT JUST DON'T GET
THE RIGHT KIND OF SUPPORT IN THE IN THE STATES.
IT'S HORRENDOUS BECAUSE YOU HAVE YOU, YOU HAVE GOOD LEGISLATION
AROUND DISABILITY, BUT THAT'S NOT ENACTED ON BRAIN INJURY
BECAUSE YOU KNOW, THE SYSTEM'S NOT THERE.
SO IT'S JUST WELL AND EVEN DISABILITY STUFF NEEDS A LOT OF
WORK.
YEAH, A LOT OF WORK, JULIE.
I I HAVE A QUESTION, 'CAUSE MY DAUGHTER IS A SCHOOL
PSYCHOLOGIST AND YES, IN MIAMI, MIAMI-DADE.
AND SO WHEN THEY ARE PRESENTED WITH CHILDREN WITH POTENTIAL
ISSUES AND THEY DO THEIR TESTING, THEY THAT HER BATTERY
OF TESTS DO NOT INCLUDE SCREENING FOR TBIS.
THAT'S NOT EVER EVEN I WONDER, AND THEY DON'T.
SCHOOLS DON'T NECESSARILY DO THAT.
WE'RE WORKING ON THAT AT CDC.
WE HAVE RETURNED TO SCHOOL PROJECTS WHERE WE'RE TRYING TO
BETTER UNDERSTAND WHAT'S HAPPENING TO KIDS.
BUT YOU'RE ABSOLUTELY YOUR DAUGHTER'S RIGHT.
THEY DON'T SCREEN FOR THAT.
AND YEARS AGO IN GEORGIA AND MY STATE, I TRIED TO GET THEM TO
SCREEN AT KINDERGARTEN ADMISSION AND WE HAD A BIG ADVOCACY GROUP.
AND EVEN FOR THAT THEY SAID NO, BECAUSE THEY SAID WHAT IF IT
SAYS YES, WHAT ARE WE GOING TO DO WITH THEM?
YOU KNOW, IT'S REALLY HARD TO GET IF C IF CDC EVER DECIDES TO
IMPLEMENT A TEST OR OR TEST A TEST OR WHATEVER.
I WOULD BE HAPPY TO GET YOU IN TOUCH WITH MY DAUGHTER AT
MIAMI-DADE TO DO IT.
BECAUSE I KNOW SHE, SHE'S, SHE'S SEEN ME DO TBI RESEARCH ALL
THESE YEARS AND I KNOW SHE WOULD BE THRILLED TO TO DO ANYTHING
THAT THAT CDC MIGHT COME UP WITH.
SO JULIE LIBBY, IT'S LOVELY TO TALK TO YOU AND EVERYBODY ELSE
THERE.
I'M SO SORRY.
I'VE GOT TO GO.
BUT HERE'S MY E-MAIL ADDRESS IF ANYBODY WANTS TO GET IN TOUCH
AND GET SOME OF THESE REPORTS AND HAPPY TO TRY TO LINK UP WITH
DAVID AND PEOPLE ON THE TBR REGISTER PROGRAM AND CREATE A
GROUP AROUND THIS, SHOULD YOU, SHOULD YOU WANT TO.
WELL, I KNOW WE TALKED ABOUT THIS BEFORE.
AN INTERNATIONAL GROUP WOULD BE SO HELPFUL BECAUSE WE LEARN FROM
PEOPLE FROM DIFFERENT COUNTRIES WHAT'S GOING ON?
SO GO RUN.
BYE.
NICE TO SEE YOU.
OK, NICE TO SEE YOU.
NICE TO MEET YOU.
THANK YOU SO MUCH.
OK, WELL, IS ANYBODY ELSE?
LIBBY, YOU'RE AT.
YOU'RE IN THE US, RIGHT?
YES, I'M.
I AM ACTUALLY WITH THE VA VA AT PALO ALTO AND I DO WORK WITH THE
TBI MODEL SYSTEMS AS WELL AS THE LONG TERM IMPACT, LIMBIC
ASCENSI, LONG TERM IMPACT OF MILITARY BRAIN INJURY
CONSORTIUM.
I'M A HEALTH SERVICES RESEARCHER AND A HEALTH ECONOMIST AND SO
I'VE BEEN DOING MOST OF MY WORK IS WITH DOD AND AND AND VETERANS
AND TBI.
IT'S MUCH NEEDED AND I'VE BEEN INVOLVED WITH THAT TOO, BUT NOT
AS MUCH AS YOU HAVE.
MY BACKGROUND HAS MOSTLY BEEN CHILDREN AND YOUNG ADULTS AND
BUT I HAVE I'VE PUBLISHED PAPERS ON MODEL SYSTEMS WITH
COLLABORATIONS LIKE THE LIFE EXPECTANCY 1 AND SO GREAT WORK
IT NEEDS TO BE CAPPED UP.
YES AND GREAT WORK IN IN CHILDREN.
YOU KNOW I LIKE I SAID MY DAUGHTER ALL MY WORK HAS BEEN
FOR IN ADULTS BEEN BECAUSE OF WHERE I WORK RIGHT FOR THE VA.
BUT I ALSO AM VERY INTERESTED IN IN CHILDREN AND BECAUSE OF WHAT
MY DAUGHTER DOES TOO.
YOU KNOW AS A LOOKS LIKE A AND SHE TELLS ME ALL THESE STORIES.
BUT LIKE I SAID OH I BET YOU KNOW THEY'RE NOT PART OF THE
BATTERY OF SCHOOL PSYCHOLOGISTS TO WHEN THEY SEE CHILDREN WITH
ISSUES THEY'RE TESTING THEM FOR IQ AND AUTISM AND YOU KNOW
DEVELOPMENTAL DISABILITIES AND ALL THIS.
BUT TBI IS NOT A TEST OR ANY KIND OR SCREEN OR ANYTHING THEY
DO.
AND SO IF IF CDC THOUGHT THAT WAS SOMETHING IMPORTANT, THAT
COULD BE A WAY THROUGH THE SCHOOL PSYCHOLOGIST TO.
BECAUSE THEY'RE THE ONES THAT IDENTIFY THE PROBLEM CHILDREN.
RIGHT.
WHICH I CAN PUT MY E-MAIL IN THE CHAT.
AND SHE WELL, I WOULD LOVE TO TALK TO HER.
AND YOU OK, GREAT ABOUT OUR RETURN TO SCHOOL PROJECTS?
OH, THAT WOULD BE GREAT, BECAUSE, YOU KNOW, WE'RE JUST
KIND OF WHOOPS.
WHY DIDN'T THAT GO?
EVERYONE.
OK, LET'S SEE IF IT GOES NOW.
OK.
IT'S NOT.
UH HUH, THAT'S INTERESTING.
IT'S WON'T SEND IT.
WELL, OK, I'LL TELL YOU.
I'LL TELL YOU MY E-MAIL.
TELL ME YOUR E-MAIL.
IT'S W AS IN WATER, U AS IN UMBRELLA, K AS IN
KITTENNUMBER1@CDC.GOV AND THAT'S ALL LOWERCASE.
YEAH, YOU CAN SEND IT LOWER CASE.
OK, SO WUK ONE AT CBC2.SOMINEISCLARACLARA.UHHUH.DISMUKEDASINDELTAISMUKE@VA.GOV,
VA.GOV OR VAVAV AS IN VICTOR.
OK, I'LL SEND YOU I'LL SEND YOU NOTE BECAUSE YOU KNOW WHAT WAS
INTERESTING, THE FIRST JOURNAL WE SENT OUT, WE, WE WE SAID
THESE ADOLESCENTS HAVE THESE SYMPTOMS OF BEHAVIOR
DYSREGULATION THAT MAKE THEM AT RISK FOR ENTERING.
AND I CITED MY PAPER WHERE I TALKED ABOUT THEY WERE MORE
LIKELY TO ENGAGE IN SCHOOL VIOLENCE.
AND THE FIRST REVIEWER SAID, WELL, YOU DIDN'T LOOK AT WHO
WENT TO PRISON IN YOUR DATA SET.
WELL, IT WASN'T IN THERE.
WE SAID THAT THAT WAS A LIMITATION.
BUT WE DID CITE LITERATURE SAYING ALL THAT TO ALIGN THE
SYMPTOMS.
I MEAN, AND AT CDC WE HAVE TO HAVE PAPERS CLEARED THROUGH
MULTIPLE LEVELS BY SCIENTISTS WHO TOLD US THEY THOUGHT IT WAS
A GOOD PAPER.
SO IT'S IT'S DIFFICULT TO GET THINGS PUBLISHED RIGHT NOW I
GUESS, BUT WE WANTED TO GET THE PEDIATRIC JOURNAL SO THAT
PEDIATRICIANS AND PEDIATRIC SPECIALISTS WOULD KNOW IF A
CHILD HAS A TBI THEY NEED TO BE TAKEN CARE OF AND YOU NEED TO,
YOU DON'T JUST SAY OK, THEY'RE FINE, YOU NEED TO EXACTLY AND
THEIR FAMILIES.
AND I'LL TELL YOU TOO, JUST FOR FUTURE REFERENCE, THE LIMBIC
PROJECT I'M UNDER, EVEN THOUGH IT'S A LONG TERM IMPACT OF
MILITARY BRAIN INJURY, THE PROCESS OF IT'S RUN OUT OF THE
VIRGINIA COMMONWEALTH UNIVERSITY.
THE PI IS DOT DAVE SIFU.
OH, I KNOW DAVE, YOU KNOW DAVE.
OK YEAH.
AND RON SEAL'S THERE NOW.
AND RON SEAL.
YES.
BILL WALKER, YES.
SO THEY COLLECT LIFETIME EXPOSURES.
SO EVEN THOUGH THEY'RE GETTING THEM WHEN THEY'RE MILITARY, THEY
ACTUALLY INTERVIEW THEM FOR ALL THEIR LIFETIME EXPOSURES.
FROM CHILDHOOD, YES, FROM CHILDHOOD, FROM CHILDHOOD.
SO MOST OF THE RESEARCH THAT I'VE SEEN DONE WITH THAT DATA,
WHETHER IT'S MYSELF OR OTHERS, HAVE BEEN THE MILITARY ONES.
BUT THEY ACTUALLY HAVE IN THE DATA FOR NOW CLOSE TO THEY'RE
GETTING CLOSE TO 3000 SUBJECTS LIFETIME HISTORY.
SO THEY THERE WOULD BE THE AND THEY ACTUALLY REPORT THE WHAT
THEY CALL POTENTIAL CONCUSSIVE EVENT.
SO SOMEONE COULD HAVE SAID I WAS IN A FOOTBALL, I WAS I WAS IN A
PEEWEE FOOTBALL TEAM AND YOU KNOW BLACKED OUT OR WHATEVER AND
SO THEY ACTUALLY RECORD IT.
SO THEY ACTUALLY HAVE THE TYPE OF EXPOSURE WHEN THEY WERE
CHILDREN.
SO, YEAH.
SO IS THAT PUBLISHED YET?
NO, NO, IT'S DATA THAT'S BEING COLLECTED.
BUT LIKE I SAID IF YOU YOU KNOW TALK TO DAVE SEAFOOD IF YOU EVER
WANT TO DO SOMETHING WITH THAT CHILDHOOD DATA REACH OUT TO DAVE
SEAFOOD AND AND BECAUSE I KNOW THAT DATE IS THERE AND AND I
THINK YOU KNOW SOMEBODY LIKE YOU WHO'S AN EXPERT IN CHILDHOOD YOU
KNOW TBI THEATRIC.
TBI COULD COULD PROBABLY DO MORE WITH IT THAN SOME OF THE REST OF
US WHO AREN'T SO FAMILIAR BECAUSE THEY YOU YOU'VE ACTUALLY
GOT THAT LIFETIME OF EXPOSURES WELL AND YOU HAS DONE FABULOUS
WORK BECAUSE I HAD A LONG CONVERSATION WITH HIM AT THE
IRELAND CONFERENCE A FEW YEARS AGO AND I KEPT THAT'S WHEN HE
WAS JUST STARTING TO GET THE UN INVOLVEMENT HE'S THAT'S WHY I
WAS I ATTENDED THIS BECAUSE I WANTED TO SEE WHAT KIND OF
POLICIES PEOPLE WERE WORKING ON AND I THINK THAT'S TO BE
DISCUSSED RIGHT.
THIS IS AN OPEN DISCUSSION EXACTLY THIS IS MY PART OF TIME
INTERACTING WITH PEOPLE FROM AROUND THE WORLD.
ME TOO.
WELL, AND I I ATTENDED THE TBI CLASSIFICATION SESSION IN IN AT
NIH THE LAST FEW DAYS AND THIS SESSION IS FOLLOWING THAT.
AND A LOT OF PEOPLE WERE THERE AND I HAD NEVER EVEN HEARD OF
THIS GROUP.
AND SO THEY INVITED ME TO JOIN.
I'M LIKE REALLY AND I'VE ENJOYED LISTENING JUST TO WHAT PEOPLE
ARE DOING.
YOU KNOW, A LOT OF IT'S LOOKING AT BIOMARKERS, WHICH THERE'S A
LOT OF PHYSICIANS INTERESTED IN THAT.
BUT THIS POLICY GROUP I THINK CAN LOOK AT THINGS IN, EVEN IF
WE WROTE A WHITE PAPER ABOUT WHAT'S GOING ON IN DIFFERENT
COUNTRIES, WE CAN LEARN YOU HAS DONE SO MUCH WORK OVER THE
YEARS, SO MUCH WORK.
HE WAS ONE OF THE FIRST TO TALK ABOUT THIS ISSUE, TO BE HONEST,
THIS IS WONDERFUL.
AND JULIE, WHAT IS YOUR ROLE AT CDC EXACTLY?
I'M A HEALTH SCIENTIST, SUBJECT MATTER EXPERT.
SO INTERESTINGLY, I I'VE BEEN THERE 12 YEARS AND I WAS HIRED
BECAUSE BIAA WAS PRESSURING THEM TO HIRE SOMEONE FOR THE TBI TEAM
WHO HAD SEEN PATIENTS.
EVERYBODY ELSE IS AN EPIDEMIOLOGIST AND THEY WERE
JUST, THEY WERE REQUESTED FROM CONGRESS TO WRITE A REPORT ON
TBI IN CHILDREN, WHICH I LED AFTER I.
SO THOSE ARE THE TWO REASONS WHY THEY ORIGINALLY APPROACHED ME.
I LOVE IT, THOUGH, BECAUSE MY RESEARCH IS ALL INFLUENCED BY MY
CLINICAL BACKGROUND AND I'VE ALSO DONE SOME ADULT RESEARCH
WITH TBI MODEL SYSTEMS.
AND INTERESTINGLY, OUTSIDE OF ON WEEKENDS, I HELPED START A FREE
CLINIC IN OUR STATE FOR UNINSURED INDIVIDUALS.
GEORGIA DID NOT EXPAND MEDICAID AND WE'RE THE THIRD HIGHEST
UNINSURED RATE IN THE COUNTRY.
AND IT HAS BEEN HEARTBREAKING TO SEE WHAT PEOPLE THEY'RE SENT
HOME FROM THE, YOU KNOW, THEY'RE STABILIZED, THEY'RE SITTING HOME
ON A GURNEY.
WE HAVE PEOPLE COMING IN, NO WHEELCHAIRS, GURNEYS, IT.
IT'S REALLY HARD.
SO I'M WORKING WITH THAT GROUP TO TRY TO.
WE'RE COLLABORATING WITH COLORADO AND TEXAS, WHO'VE BEEN
DOING THIS WORK FOR A WHILE.
BUT OUT OF THAT, IT LED ME TO PROPOSE LOOKING AT THE YOUNG
ADULT AGE GROUP LIKE 17 TO 30 IN SOME DATA I I PROPOSED TO TRACK
TBI DATA BECAUSE THEY ONLY SEE PEOPLE IN THE EMERGENCY ROOM
MODEL SYSTEMS, THEY HAVE REHAB, THEY AT LEAST HAVE SOME REHAB,
RIGHT.
SO WE'RE IN THE PROCESS OF LOOKING AT THAT DATA.
NOW THEY DON'T HAVE IF THEY'RE ON AT THE 12 MONTH MARK THEY
HAVE EDUCATION AND A WORK STATUS BUT WE CAN COMPARE THEM TO
ORTHOPEDIC CONTROLS PLUS WE CAN LOOK BACK AND SEE WHAT WERE THEY
DOING AT THE TIME OF INJURY AND HAS THAT CHANGED FOR THESE YOUNG
ADULTS.
WE DON'T KNOW THAT AND THEY'RE PEOPLE WHO ARE AT VERY HIGH RISK
TO GO TO PRISON, VERY HIGH RISK.
IN OUR FREE CLINIC 77% ARE YOUNG ADULTS OF COLOR WHO WERE HAD
GUNSHOT WOUNDS TO THE HEAD OR SPINE.
CAUSE GEORGIA'S LAWS ARE VERY, VERY LAX FOR GUNS.
IT IT IT'S AMAZING WHAT PEOPLE ARE LIVING WITH.
WELL, I I I WAS INVOLVED WITH ONE STUDY WHERE WE PAIRED OUR
OUR LEVEL 1 TRAUMA CENTER DATA WITH VA DATA AND COMPARED A
BUNCH OF CLINICAL FACTORS AND AND INJURY FACTORS INCLUDING
EXPOSURE AND WE FOUND FIREARMS WAS A WAS THE MOST IMPORTANT
PREDICTOR OF LONG TERM CARE COST IN THE VA FOR THOSE THAT YOU
PUBLISHED DID YOU PUBLIC, OH CAN YOU.
I CAN SEND YOU THE STUDY.
YEAH, YEAH, E-MAIL ME AND I'LL SEND YOU THE STUDY.
WE PUBLISHED IT IN HEALTHEQUITY BECAUSE WE HAD SOME RACIAL
ETHNIC DIFFERENTIALS THERE, TOO.
AND IT WAS JUST ONE TRAUMA CENTER.
BUT STILL IT WAS, IT WAS VERY INTERESTING BECAUSE WE DID SEE
THE FIREARM CONVERSATION.
YEP.
YEAH.
I'M INTERESTED IN FIREARM STUDIES TOO, BECAUSE THERE'S SO
MANY ON FIREARM DEATHS.
THERE'S VERY FEW ON THOSE WHO SURVIVE WHO HAD TOTALLY RUINED
THEIR LIVES, RIGHT.
YOU KNOW, AND TBI AND VETERANS ARE ESPECIALLY AT HIGH RISK
BECAUSE THEY HAVE SUCH GREAT WORK.
YOU'RE DOING GREAT WORK.
THANK YOU.
YEAH, I WILL.
I WILL SEND YOU THAT STUDY.
AND I WOULD, LIKE I SAID I WOULD, EVEN THOUGH I HAVE NOT
DONE ANY PEDIATRIC TBI WORK MYSELF, I WOULD LOVE TO BE
INVOLVED IN THE FUTURE.
AND AND I KNOW MY DAUGHTER WOULD BE APPRECIATIVE AND LOVE TO BE
INVOLVED IN ANYTHING THAT WELL I'M HAPPY TO TALK TO YOU AND HER
SEPARATELY ABOUT WHAT WE'RE DOING FOR RETURNING TO SCHOOL
BUT THIS GROUP I'M HOPING I DON'T KNOW HOW BIG IT IS OR
ANYTHING THIS SUBGROUP BUT I'M HOPING THAT IT'S SOMEHOW
EXAMINES AN INTERNATIONAL PERSPECTIVE AND WHAT NEEDS TO BE
DONE AROUND THE WORLD 'CAUSE THAT HAS MORE TEETH IN IT THAN
JUST A SINGLE COUNTRY.
I THINK AGREED AGREED.
WHAT IS THE NATIONAL.
YEAH.
WHAT IS THE NATIONAL POLICY AND RESEARCH PARTNERSHIPS THAT CAN
BE FORMED AND DONE AND AND WELL, AND I LEARNED THAT THROUGH MY
COLLEAGUES WHO HAVE GRANTS TO FROM THE JUSTICE SYSTEM IN THE
US TO LOOK AT KIDS AND ADULTS IN PRISON.
THEY'VE DONE GREAT WORK.
BUT THEY CONNECTED ME WITH THIS WOMAN AT THE STATE OF WASHINGTON
DEPARTMENT OF HEALTH.
SHE'S TOTALLY ASSIGNED TO THE JUSTICE SYSTEM AND SHE ASSESSES
WHO HAD ATBI AND IT.
THEN THEY TEST THEM.
I MEAN SOME STATES ARE DOING SOME GOOD THINGS, BUT NOT ACROSS
THE BOARD, REALLY NOT ACROSS THE BOARD.
AND I WOULD NOT TEST.
AND THAT'S DONE.
I MEAN AND AND NO, NO, NO, NO, NO, NO.
IN THE US IT'S NOT SCREENING'S HARD TO GET DONE.
I MEAN DREW, I REMEMBER TALKING TO HIM A FEW YEARS AGO.
HE REALLY HAD TO FIGHT TO GET THIS WORK DONE AND FINALLY HE
FOUND OUT THE DEPARTMENT OF JUSTICE FUND STUDIES AND HE'S
DOING A STUDY NOW THAT'S EXAMINING THE STATE OF FLORIDA
AS WELL.
SO THERE ARE PEOPLE TRYING TO DO THIS WORK.
IT IS A HOT, BIG TOPIC.
IT REALLY IS A BIG TOPIC.
AND OUR TBI TEAM, I'M ON THE SO THE TBI TEAM IS A LINE ITEM IN
CONGRESS.
IT STARTED IN 1997 AND IT'S UP FOR RENEWAL THIS YEAR.
SO BIAG, THE BRAIN INJURY ASSOCIATION OF AMERICA, NASHIA,
SEVERAL GROUPS ARE REALLY PUSHING TO KEEP IT IN PLACE
BECAUSE, YOU KNOW, WE GET TBI STUFF DONE.
AND INTERESTINGLY, I WAS INVOLVED IN SUPPORTING THAT ACT
IN THE 90S AND ALSO I HELPED WRITE THE ORIGINAL DEFINITION OF
TBI FOR THE SPECIAL ED.
AND IT'S BEEN SO INTERESTING 'CAUSE IT WAS DONE THE SAME TIME
AS AUTISM.
AND AUTISM HAS SO MANY PARENT ADVOCATES THAT TBI DOES NOT
HAVE.
BUT ALSO IT IT'S BEEN INTERESTING TO SEE IT'S
CONSIDERED A LOW INCIDENCE DISABILITY IN THE SCHOOL DATA
BECAUSE NOT ENOUGH KIDS QUALIFY.
BECAUSE THEY DON'T TEST LOW ENOUGH TO QUALIFY.
THEY MAKE BECAUSE THEY WERE MAYBE AVERAGE PERFORMERS BEFORE
THEY HAD THIS INJURY AND WHEN THEY FIRST COME BACK, IT'S NOT
EVIDENT THAT THEY'RE DOING WORSE EVEN THOUGH THEY ARE YOU KNOW
SO.
SO HOW WERE THEY?
ARE THEY SCREENING THEM FOR TBI OR OR HOW HOW'S THAT?
NO.
NOPE.
SO WHAT WE DID CDC, I'LL TELL YOU THIS.
WE FUNDED THE STUDY WHERE WE ASK APPLICANTS TO COMPARE A STATE
THAT HAD AN EXISTING PROGRAM FOR FOLLOWING KIDS LIKE PENNSYLVANIA
AND OREGON OR BOTH SITES TO A STATE THAT DOES NOT BECAUSE WE
WANT TO MAKE A POINT THAT THIS IS WHAT'S HELPING.
AND THIS IS SO IMPORTANT FOR OUTCOMES, RIGHT?
AND YESTERDAY WHEN I WAS AT THE TBI CLASSIFICATION SYSTEM, I
STOOD UP AT THE END.
THEY SAID, WHAT ARE THE OTHER ISSUES?
AND KEITH YATES AND DANNY THOMAS AND I WERE PUSHING THEM TO LOOK
AT KIDS.
BUT I SAID THIS IS WHAT WE LEARNED IN THE REPORT TO
CONGRESS.
THE ONLY OUTCOME WE KNOW ABOUT KIDS WITH TBI, ADULT OUTCOME IS
THAT THERE'S A HIGH RATE IN THE JUSTICE SYSTEM OF SELF REPORTED
CHILDHOOD TBI.
THAT'S THE OUTCOME WE KNOW WE DON'T WANT KIDS GOING TO THE
JUSTICE SYSTEM, YOU KNOW WE WANT SO AND YOU'VE DONE FABULOUS WORK
WITHIN THE JUSTICE SYSTEM AND MAKING SURE THIS GETS
RECOGNIZED.
I MEAN TAKING IT TO THE UN THAT'S INCREDIBLE AND HE'S 696 00:38:43,954 PUBLISHED ON IT.