I am palo delveccio. Each year sampson releases the most recent findings from the National Service on drug use and health. Today sampson is releasing results from the 2016 survey. Here today to present today the key Substance Use and Mental Health indicators from the report. Today also marks sampsons 28th annual recovery month observa e observance, recovery month is special to me for many reasons, i among many in the room, and thousands of people across this great nation and you proof and evidence that treatment works and people do recover. Thank you recovery month provides an opportunity for us to celebrate those americans recovering from drug abuse and m Mental Illness and it also celebrates the daily work of advocates and grass roots organizations and family members and friends who have joined their loved ones on their journeys of recovery. To begin todays program, i am honored to introduce our assistant secretary mccants. She is a graduate of the university of Connecticut School of medicine. Dr. Mccants cats has extensive experience in the care and treatment of those living with Substance Abuse and mental disorders, shes Board Certified in general psychiatry and addiction psychiatry and the treatment of mental disorders and Substance Abuse disorders. Her experience in federal and state agencies, equip her with the multifaceted expertise needed to address todays Behavioral Health challenges. Please join me in welcoming snich assistant secretary mccants kats. Thank you, and good morning. Its really great to be here. Welcome everyone here at the National Press club and those watching our webcast. I am pleased to join you today and its my honor to present data highlights on todays National Survey on drug use and health. Its also my distinct privilege. Recovery month is celebrated by countless americans who are living in recovery and our loved ones and by those who are just embarking on those who are reclaiming their health and reclaiming their lives. Our country faces serious challenges in Mental Health and Substance Abuse at this time and as to every challenge we must rise to the occasion and meet the challenge with coousordina of effort and leadership. We are fortunate to have dr. Price who buy brings a strong commitment to Substance Abuse and the opiod crisis. Dr. Price was sworn in as the 23rd secretary of health and Human Services on february 21, 2017, he brings a lifetime of service toed ed advancing the qy 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 at Grady Memorial Hospital as well as on the faculty at Emery University school of medicine. As with many physicians and Health Occasion pcare providers prices experience in caring for patients also gave him a unique perspective about the impact of Public Policy on the practice of medicine. With the goal of improving access to Quality Health care, dr. Price ran for Public Office and was elected to four terms and was elected to the u. S. House of representatives serving georgias sixth Congressional District for 12 years. Dr. Price has been a steady advocate for patient centered health care systems. Quality choices innovation and responsiveness to patient care needs, as secretary for health and Human Services, dr. Price remains committed to these principles, administering a wide array of services, supporting life saving search and protecting and serving all americans, please join me in welcoming secretary price. Thank you so very much for that kind introduction. 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. Mccantskats for that tremendous interdurodun a. We are tremendously excited to have you in your tenure there at 156 sampson. The National Survey on drug use and health is a major task, i dont have to tell most of you that, getting reliable and comparable information is vital to our assessment and policy processes. This monumental effort is absolutely crucial to understanding the challenges that we face in knowing how we need to focus our efforts. Thanks go to all of the hard working folks at sampson for their dedication in prodiucing this survey and this year is no exception. Thanks to the acting head of sampson for putting this together. And also to palo delveccio, i just like to say that name. The director of afternosampsont Health Services and to Kimberly Johnson at the scenter of Substance Abuse treatment. And i want to just give a special heart felt thanks to emanuel and esther and zack for participating and sharing their story and celebrating recovery month and sharing their personal experiences in the struggle with Substance Abuse. The purpose of our work here today is to shed more sunlight on the Public Health issues and challenges that require sober reflection and honest, candid evaluation and planning, when our team received this briefing earlier this year on this form from the experts at sampson, im told it was the first time in years that the hhs secretary had received this briefing in person. And thats not because hhs secretaries dont receive data briefings all the time, its because were at a 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. This survey reflects the urgency that we have in two of our clinical priority areas, theres some good news points that imtd li i would like to share, one is that the opiod crisis, the report didnt show that the opiod crisis is more prevalent than in 2016. But the number of Overdose Deaths continue to skyrocket. And as all of you who toil in this crisis know that this is a deeply complicated story. But the fact that were not seeing this scourge grow any further is a testament to the work of communities large and small. But we have also heard of so much tragedy as well, because the rates of addiction to heroin and misuse of prescription opiods that were seeing are incredibly high and the cost in terms of lives cost is still rapidly growing. Tireds survey estimates that 948,000 American Adults used heroin in the past year, 0. 4 of the population, thats similar to the numbers that we have had over the past few years, however it is significantly higher than the numbers that were gathered in 2002 and 2013. We see similar trends in the use of opiods, relatively stable right now, but its so much worse than it was just a few short years ago. And the situation is worsening significantly, thanks to the rising intensity and frequency of misuse and the emergence of illicitly used fentanyl. The opiod crisis is bringing a bigger and big e cost across our land. We saw 52,000 Drug Overdose debts in 2015, and the numbers are no better in 2016 and they certainly are no better this year. What that means is that were lying a total of more individuals than were lost in the entire vietnam war, the entire 15 plus years of the vietnam war, were losing every single year to Drug Overdoses, thats unacceptable to me, its unacceptable to the president and i know its unacceptable to every Single Person in this room. Preliminary data for 2016 says the number is likely to exceed 60,000 Overdose Deaths in 2016 and as i mentioned again the numbers this year are no better. At hhs under the Trump Administration we have unveiled a new strategy on behalf of the american people. Improving prevention treatment and recovery, including the full range of medication assisted treatment. Second is making sure that overdose reversing drugs are as omnipresent and available as possible. Third is strengthening our understanding of the crisis through better Public Health. And now grants that the cdc put out this week, fourth is providing funding for Cutting Edge Research in understanding how to take care of it better. And fifth and finally and as important as any is 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 opiods said they did so to treat physical pain, we need to offer those folks a better option, a nonaddictive, a nonopiod option to treating pain. Sadly opiod use and abuse is not the some serious Behavioral Health problem that we have facing america. Another is one of our departments other clinical priorities and that is severe Mental Illness. The overall share of americans with serious Mental Illness, generally meaning schizophrenia and bipolar disorder has remained steady in around 4 of the general population. One trend and finding in this population is that the 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 Time Ever in taking this survey. This is a disturbing trend and one that we need to better understand. Again, the survey found that onethird of americans, onethird of americans with serious Mental Illness received no treatment in the past year, a finding thats been steady for a number of years now. We know how to treat these diseases. Failing to provide treatment is a serious indictment of our current policies, it would be like onethird of americans with cancer or diabetes or Heart Disease go without treatment, something none of us would tolerate. The gusood news is that there i something that can be done about it. Last year hhs had the honor of holding the first meeting of the serio serious Mental Illness report to congress on not just the challenge, but the kinds of solutions that we ought to be putting forward and im really pleased to say that from my standpoint, and perspective after 12 years in congress and now a short time in this position, we have a congress that appears to be receptive to the kinds of need and resources necessary to make positive changes in the area of serious Mental Illness. There are three numbers that i would like you to keep in mind when youre thinking about serious Mental Illness, they are 10, 10 and 10, 10 million, 10 years and 10 times. 10 million americans as todays 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 that gap to be significantly greater than that. And 10 times, this is one of the areas that i think its incredibly important for us to concentrate on. There are 10 times more americans with serious Mental Illness in prison than there are in in patient psychiatric facilities, a significant indictment on the challenge that we have. Mental health care and a particular serious Mental Illness has not received the emphasis or the resources that it has in the past and were intent on turning that around. Hhs and the Trump Administration are committed to tackling it and committed to determining what we can do to ensure that people with serious Mental Illness get the treatment they need and their families have the tools they need to make that happen. So tieds report, with the upcoming speakers, with opiod crisis and serious Mental Illness, the good news is that it is within our power to turn around these trends and to turn these numbers in the right direct theations. Doing so will enable millions of americans to live longer healthier lives endowed with the purpose and meaning we all want for our children, for our neighbor gs and for our fellow americans. I want to thank each and every one of them and i want to thank each and every one of you for attending today and for your interest and your concern about these extremely important Public Health challenges, thank you so much. God bless. [ applause ] National Leadership in Behavioral Health and he epidemiolo epidemiology. And promotes basic and applied research and Statistical Methodology designs and special Data Collection and analytic projects. Please welcome, help me become darrell to the podium to share information specific in its design and function. [ applause ] thank you, palo delveccio, its good. The National Survey on drug use and health is an annual survey of the civilian noninstitutionalized population of United States aged 12 years or older. Hundreds of field interviews hold facetoface interviews with people throughout the country on sensitive issues, it is hard but rewarding works, with their support, nsdu ara e of the strblgts is the large nationally representative sample which allows for the examination of specific subgroups in the United States, such as adolescence, another strength is the stability 09 of the sample and survey design that allows multiple data to combine behaviors such as drug use and to tract trends in those bl behaviors over time. However new drugs are introduced into the market and updates are needed to the questionnaire in order to stay more relevant. Questions are periodically updated with leads to a break in the eight to compare data. In 2015, a number of changes were made to the questionnaire and Data Collection procedures. These changes improved the quality of the date that collected and encourages current Substance Abuse and research pollas a result, our 2016 first findings report, which is now available on our website provides longterm trends for many topics, such as heroin use, depression and Mental Health service use, however it does not have longterm trends for pain receivers, methamphetamines, Substance Abuse disorder and treatment. We look 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 trend lines in these critical areas. Thank you and i turn the program back to assistant secretary dr. Mccantskats who will share some findings of the 2016 survey which have particular policy relevance. Thank you. Well, im happy to have the opportunity to talk to you about the 2016 National Survey on drug use and health. Let me just tell you a little bit more about it. Every year, the National Survey on drug use and health, or nsdua as we call it. Surveys 67,500 americans about their use of substances and about their difficulties with symptoms of Mental Illness. I want to start by thanking the participants who shared their answers with surveyors. You also heard secretary price mention our leadership at sampson, its my privilege to work with these leaders, but i also want to acknowledge our samsa staff who work very hard on the nsdua every year and who also work in communities and with our states and stake holders to improve the beha Behavioral Health of the nation so i do want to thank all of those who work at samsa, i have had the opportunity to meet them one by one and i have been very impressed. So nsdua has been completed every year since 1990. So we have a lot of years of data now. And even though, as darrell mentioned that the study was redesigned in 2015, there are a number of measures that were able to trend and they do show consistency from prior years, for example tobacco and alcohol use are trending downward by age group and Prescription Drug use also appears to be modestly decreasing. But there are also areas of concern that we see from the nsdua and im going to spend my time talking about those areas, but first lets talk for a minute about the prevalence of mental and Substance Abuse disorders in america, and this is data that the nsdua gives us every year. What we learned in 2016 is that 18. 3 of people over the age of 12 in the United States or 44. 7 Million