Boroughs. Tom price wajoined by officials from the Substance Abuse anmental Health Services administration. This is an hour and 40 minutes. Good morning. Each year, samhsa releases findings. Today, samhsas release of results from the 2016 survey. Mccancekatznore toe today to prevent present the key indicato from the report. Today also marks shsas 28 and the oral recovery month observance. 28 recoveryth month observance. You are prevent evidence that treatment works and people do recover. [cheers and applause] recovery month prides an opportunity for us to save those fromubstance abuse and Mental Illness. The hard workates of dedicated professionals in the field, of advocates, of grassroots organizations, and of the mily members and friends who have joined their loved ones on their journeys of recovery. To begin todays program, i am honored to introduce our. Ssistant secretary and is aved her phd gruate of the university of Connecticut School of micine. Mccancekatz has experience in the treatment of those living with mental Abuse Mental Health and Substance Abuse disorders. Over 28 years of clinical expernce in the treatment of mental disorders, Substance Use disorders, and cooccurring issues. Her experience in federal and state agencies as a commission, archer, and educate commission researcher and educator equip her with the expertise need to address Behavioral Health challenges. Please join me in welcomg Education Assistant secretary cekatz. [applause] good morning. It is great to be here. Welcome, everyone, here at the National Press club and ose watching our webcast. I am pleased to join you today, and it is my honor to present data highlights from the survey on drug use and health. It is also my privilege to share the podium with secretary price and our guest speakers. Recovery month is celebrated by countless americans living in loved onesy their and by those who are just embarkingn the joury to regain their health and reclaim their lives. Very seriousaces challenges in Mental Health and Substance Use at this time. Challenge,ry serious we must rise to the occasion and meet the challenges headon with clarity and purpose, coordination of effort, efficiency and strong leadership. We are fortunate to have secretary price, who brings a strong commitment to addressing the seriousness of Mental Illness and the Opioid Crisis. Sworn in as the 23rd secretary of health and Human Services on february 10, 2017. He brings to the department a lifetime of service and dedication to advancing the quality of health care in america, both as a physician and as a policymaker. Trained as an orthopedic surgeon, dr. Price held leadership roles in the atlanta medical community, having served as medical director of the orthopedic clinic at grady memorial hospital, as well as on the faculty emory universitys school of medicine. As wh many physicians and Health Care Providers, dr. Prices experience caring for uniques also gave him a perspective about the impact of Public Policy on the praice of medicine. A goal dr. Price was elected to four terms in the Georgia State senate, following which he was elected t u. S. House of representatives, searching serving georges sixth Congressional District for 12 years. Price has been an advocate for a Health Care System that adhereto affordability,ccessibility, quality, choices innovation, and responsiveness to patient care needs. As secretary, dr. Price remains committed to these principles, administering a we up a wide ay wide array of services and protecting and serving all americans. Please join me in welcoming secretary price. [applause] dr. Price thank you so very much for that kind introduion. Good morning. What a great joy it is to be here with so many dedicated folks to an issue that deserves so much attention for our nation. I want to thank dr. Mccancekatz fothat introduction, and just to commend her for her incredible work as she brings a remarkable wealth of experience to the issues that are of concern to all of you, and to our nation. Toare tremendously excited have you in your tenure at samhsa, so god bless you. Nisda, or the National Survey on drug use and health, is a major task. I dont have to tell most of you that. Getting reliable information is vital to our assessment and policy processes. This effort is absolutely crucial to understanding the challenges we face and knowing how we need to focus our efforts. Thanks go to all of the hardworking folks at samhsa for their dedication in producing the survey every year, and this year is no exception. To connie for her work as acting head of samhsa at the time of the survey, as well as to paolo del vecchio u just kind of like to say that name, dont you . [laughter] dr. Price the director of samhsas center for mental Health Services, daryl kade, the director of samhsas center of Behavioral Health statistics and theity, who oversees survey, and kimberly johnson, thdirector of Substance Abuse treatment area Substance Abuse treatment. To can i just give a special heartfelt thanks to the manual and esther and zach for participating and sharing their story and celebrating recovery month and sharing their personal experiences and struggle with Substance Abuse. The purpose of our work here today is to shed more sunlight on Public Health and the Public Health issues and challenges er reflection sobr and honest evaluation. When our team received this briefing earlier this year on was told it was the first time in years that the hhs secretary have received this briefing in person. Thats not because hhs secretaries dont receive data briefings all the time. It is because we are at the most difficult point in terms of this battle against addiction and drug abuse, and we, at hhs and the Trump Administration, have chosen to make this a priority. It reflects the urgency we have in two of our priority areas, the Opioid Crisis and severe Mental Illness. There are good news points that i would like to share. One is that the Opioid Crisis, the survey did not show that the opioid misuse or addiction has been taking up or is more common than in 2016. The problem is the number of opioid and Overdose Deaths continues to skyrocket. As all who toil in this area, you know well that the Opioid Crisis is a deeply collocated story. The fact that we are not seeing this scorer to a further is a sstament to the courge any further is a testament to the communities around our nation. But we have also heard of so much tragedy as well. The rates of addiction to heroin and misuse of prescription , andds are incredibly high the cost in terms of lives lost is still rapidly growing. Todays survey estimates that 548,000 American Adults use heroine 948,000 American Adults used heroin in the past year. It is significantly higher than the numbers gathered between 2002 and 2013. We see similar trends in the use of opioids, relatively stable now, but so much worse than it was a few years ago. And the situation is worsening significantly, thanks to the rising intensity and frequency of misuse and the emergence of illicitly used fentanyl and fentanyl analogues. The Opioid Crisis is taking a bigger toll on lives across our land. Each year, a new unprecedented total of lives lost. Or a government steps in 2015, and the numbers are no better in 2016, and they are certainly no better this year. That means we are losing a total of more individuals than were lost in the entire vietnam war. Yeare losing every single to drug overdose. Me, to unacceptable to the president , and to every skilled person in this room. To every Single Person in this room. Preliminary data suggest that the number is likely to exceed 60,000 Overdose Deaths in 2016, and the numbers, again, are no better. We have unveiled a new fivepoint strategy to tackle this comprehensively for the american people, on behalf of the american people, improving prevention treatment and recovery, including the full range of medication assisted treatment. The second is making sure that overdose reversing drugs are is omnipresent and available as possible. The third is strengthening our understanding of the crisis andeen Public Health data reporting. That includes things like support for state aid to work like the new grants the cdc put out this week. Fourth is providing support for cuttingedge research on pain and addiction and understanding it. Advancing the way in which we manage pain in this nation. One of the interesting aspects of the survey is that 2 3 of americans misusing opioids said they did so to treat physical pain. We need to offer those folks a better option, a nonopiate option to treating pain. Use and abuse is not the only serious Behavioral Health problem that we have facing america. Another one is one of our departments other priorities, and that is severe Mental Illness. The share of americans with severe Mental Illness, meaning americans with schizophrenia, bipolar disorder, and serious depression, has remained steady at around 4 of the population. One trend in the survey is that the range of americans aged 18 to 25 with a serious Mental Illness has continued to rise for the past couple of years, and this year exceeds the number of Older Americans for the first. Ime ever in taking the survey this is a disturbing trend and one we need to better understand. Again, the survey found that with 1 3 of americans severe Mental Illness received no treatment in the past year, a finding that has been steady for a number of years. We know how to treat these diseases. Failing to provide treatment is a serious indictment of our current policies. It would be like letting 1 3 of americans with cancer or diabetes go without treatment, something none of us would tolerate. The good news is that something can be done. Last week, aged just had the honor of holding the first meeting of the interdepartmental serious Mental Illness coordinating committee. Another committee, but another committee that for the first time is charged with making another report to congress on the just the challenge, but the kinds of solutions we are to be putting forward. To say that, from my standpoint after 12 years in congress and a short time in this position, we have a congress that appears to be receptive to the kinds of needs and resources necessary to make positive changes in the area of serious Mental Illness. There are three numbers i would like you to keep in mind when you are thinking about serious Mental Illness, and they are 10, 10, and 10. 10 million, 10 years, and 10 times. , as todaysmericans survey found, live with serious Mental Illness in any given year. 10 years. On average, they live lives 10 years shorter than the average american population, and some estimates show the gap to the greater. Times and 10 times. There are 10 times more americans with serious Mental Illness in prison and there are are in inpatient psychiatric facilities, a significant indictment. Health care for serious Mental Illness has not received the resources it has needed in the past, and we are intent on turning that around. Hhs and the Trump Administration are committed to tackling it and ensuring what we can do to make sure americans with serious Mental Illness get the treatment they need, and that their families and communities have the tools they need to make that happen. Todays report underscores the challenges we face, and you will hear about that with the upcoming speakers, with the Opioid Crisis and with serious Mental Illness. The good news is it is within our power to turn around these trends and turn these numbers in the right direction. Doing so will enable millions of americans to live longer lives ofn down with the kinds purpose and meaning endowed with the kind of purpose and meaning we all want. We are so blessed to have so many dedicated and talented folks getting us moving in the right direction, and i want to thank each and every one of them and each and everyone one of you for attending today, and for your interest and concern about these extremely important Public Health challenges. Thank you so much. God bless you. [applause] thank you so much, secretary price, for your leadership. It gives me great pleasure to introduce my next speaker, daryl kade. Daryl kade currently serves as the director of Behavioral Health statistics for samhsa within the u. S. Department of health and Human Services. It is the governments lead entity for Behavioral Health statistics. It provides National Leadership and Behavioral Health statistics in the beginning auntie in basiciology, and promotes and applied research and Statistical Methodology and carries out special Data Collection projects. Samhsasonsults secretary for Mental HealthSubstance Abuse. Please help me welcome barrel to the daryl to the podium. [applause] kade thank you, paolo del vecchio. The survey is an annual survey of the civilian noninstitutionalized population of the United States at age 12 years or older. Hundreds of field interviewers hold facetoface interviews with people throughout the country on sensitive issues. Support, this has been to continued to be the primary source of information on drug use, alcohol abuse, Substance Abuse disorders, and Mental Health issues. One of our strengths is the large nationally representative sample, which allows for the examination of subgroups such as adolescence. Theher strength is stability and the sample and survey design, which allows betiple years of data to combined to examine rare behaviors such as injection and drug use, and to attract and to track trends in those behaviors over time. However, new drugs are introduced into the market, and updates are needed to the questionnaire. To address this need, questions are periodically updated in the survey, which leads to a break in the ability to compare data. In 2015, a number of changes were made to the russian air and to the questionnaire and Data Collection procedures. These data improve the quality of the data collected. As a result, our 2016 first findings report, which is now available on our website, provides longterm trends for heroin use, such as depression, and Mental Health service use. However, it does not have longterm trends for pain relievers, methamphetamines, Substance Use disorders, and treatment. Forward to the 2018 and 2019 surveys, and having a full four years of data points to share with you in the near future that would reestablish trendlines in these areas. Thank you, and i turned the program back to dr. Mccancekatz. She will share major findings from the survey, which are particularly policyroman. Thank you. Policy relevant. Thank you. [applause] while i amkatz happy to have the opportunity to talk to you about the survey, let me just tell you a bit more about it. Every year, the National Survey sda,rug use and health, or n surveys americans about their use of substances and about their difficulties with symptoms of Mental Illness. I want to start by thanking big participants who shared their time with surveyors and at the current and honesty to share Sensitive Information and shed light on these important issues. You also for secretary price mention our leadership at samhsa. I also want to acknowledge our samhsa staff who worked very da every year, and who also work in communities and our state and stakeholders to improve the Behavioral Health of the nation. I do want to recognize all the samhsa. Ho work at i had the opportunity briefly to meet them one by one, and i have been very impressed. Nsda has been completed every year since 1990. We have lots of years of data. Even though the study was redesigned in 2015, there are a