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{ timecode: 0, handler: 'blob', id: 1, data: {text: 'REPRESENTATIVE JOE ARMSTRONG: Next I want to introduce our Vice President of National Black Caucus of State Legislators. She is very close to the administration, the secretary, Secretary Sebelius, the '}},
{ timecode: 16, handler: 'blob', id: 2, data: {text: 'Secretary of Health and Human Resources is a personal friend of her. A former governor. She has those relationships. She brings a wealth of knowledge to NBCSL plus a wealth of prestige for the folks '}},
{ timecode: 27, handler: 'blob', id: 3, data: {text: 'that she knows. She is recognized all throughout the nation. If you\'ve ever heard her sing, she is certainly, she is certainly the songbird of this organization, and you know, every time I hear we are '}},
{ timecode: 41, handler: 'blob', id: 4, data: {text: 'going to be honored by her song or her gift, it\'s always a pleasure. I am going to bring on our vice president, president elect, President Barbara Ballard. PRESIDENT BARBARA BALLARD: Thank you, Joe, '}},
{ timecode: 61, handler: 'blob', id: 5, data: {text: 'and could we please say, you know, verbally, loud and clapping for his job this morning. Thank you very much. It is actually my pleasure to introduce our next speaker for the rest of our afternoon, '}},
{ timecode: 81, handler: 'blob', id: 6, data: {text: 'basically. Dr. Carl Bell, M.D., is present and CEO of Community Mental Health Council and Foundation. You know, in Kansas when I see CMHC, that\'s our Community Mental Health Centers, and I had to look '}},
{ timecode: 99, handler: 'blob', id: 7, data: {text: 'at this for a minute, but in Chicago he employs a very large multi-collar1 comprehensive, he\'s in charge of community mental health centers employing 390 social service geniuses. If you know anything '}},
{ timecode: 116, handler: 'blob', id: 8, data: {text: 'about trying to employ people that work in mental health, they\'re all individuals, and it\'s really a multi-job that you have to do. He is also a clinical professor of Psychiatry and Public Health, and '}},
{ timecode: 130, handler: 'blob', id: 9, data: {text: 'he\'s also the Director for the Institute of Juvenile Research in University at Illinois in Chicago. His organization is a century old, multi-million dollar academic institute providing child and '}},
{ timecode: 147, handler: 'blob', id: 10, data: {text: 'family research training and service employing 257 academic faculty and support staff. He is a member and former chairman of the National Medical Association Section on Psychiatry, a Fellow of the '}},
{ timecode: 160, handler: 'blob', id: 11, data: {text: 'American College of Psychiatrists, a Fellow of the American Psychiatric Association, and a founding member and past board chair of the National Commission on Correctional Health Care. Over the last 40 '}},
{ timecode: 174, handler: 'blob', id: 12, data: {text: 'years, he\'s published more than 400 articles, and for anyone who\'s just tried to get an article together, 400 - that\'s a lot of research. Chapters and books on mental health and authored The Sanity of '}},
{ timecode: 187, handler: 'blob', id: 13, data: {text: 'Survival. He\'s has been interviewed by Ebony, Jet, Essence, Emerge, New York Times, Chicago Tribune Magazine, People magazine, Chicago Reporter, Nightline, ABC News, CBS Sunday Morning News Hour with '}},
{ timecode: 203, handler: 'blob', id: 14, data: {text: 'Jim Lehrer, the Tom Joyner Morning Show, Chicago Tonight and the Today Show. He\'s a 1967 graduate of the University of Illinois at Chicago. He earned his M.D. from Maharry College in Nashville, '}},
{ timecode: 220, handler: 'blob', id: 15, data: {text: 'Tennessee in 1971. He completed his psychiatric residency in 1974 at the Illinois State Psychiatric Institute. After his residency, Dr. Bell served in the U.S. Navy, after which he began his career as '}},
{ timecode: 236, handler: 'blob', id: 16, data: {text: 'a community psychiatrist on Chicago\'s South Side. We\'ve talked a lot this morning about how important our mental health, we\'ve heard those testimonies, and we\'ve just heard on the veterans’ '}},
{ timecode: 249, handler: 'blob', id: 17, data: {text: 'side. If you look at his resume and what all he\'s doing and the large staff he has, he can actually wrap all of that together, and it\'s our pleasure, and please welcome Dr. Bell. CARL BELL, M.D.: I '}},
{ timecode: 266, handler: 'blob', id: 18, data: {text: 'tried to get her to sing, but she said "No, no, no." I\'ve got a lot of information to share. It\'s all printed, it\'s all published, I\'ve been talking about this for 40 years, I\'m getting tired of '}},
{ timecode: 280, handler: 'blob', id: 19, data: {text: 'saying the same stuff. I have solutions, I\'m not he only one that\'s developed these. These are evidence based, I\'m not just talking. I have done the work for 40 years. So, please, try to hear what I\'m '}},
{ timecode: 298, handler: 'blob', id: 20, data: {text: 'going say, \'cause I\'m getting tired of saying it and I get interesting when I get tired. We just heard from the veterans about the trauma they experienced. I want to tell you about an Adverse '}},
{ timecode: 311, handler: 'blob', id: 21, data: {text: 'Childhood Experiences Study where in San Diego they were looking at obese people, health problem, cardiologist/internist. They had 300, 300+ pound people. They developed a chemical, gave these people '}},
{ timecode: 329, handler: 'blob', id: 22, data: {text: 'the chemical. By the way, these people 80% were white, 10% Latino, 10% African American, all college graduates, all had jobs, all had good health care, I should call it illness care coverage, because '}},
{ timecode: 343, handler: 'blob', id: 23, data: {text: 'we don\'t have a health care system, we have an after you’re broken, in an iron lung with polio then we come fix you, which is why it is costing so much money, and I\'ll get to that. But, they '}},
{ timecode: 354, handler: 'blob', id: 24, data: {text: 'gave these folks the chemical and it took away their appetite, and all 300 people lost 300 pounds. Diabetes went away, back pain went away, you know, knee pain, high blood pressure, everything, poof, '}},
{ timecode: 367, handler: 'blob', id: 25, data: {text: 'gone. Followed these people up a year later. All 300 had regained their 300 pounds. This internist and cardiologist said, "What are you doing? You felt better, you looked better, what\'s up?" And these '}},
{ timecode: 384, handler: 'blob', id: 26, data: {text: '300 people said you didn\'t ask us what was driving our behavior. And he said, "what was it?" and they said adverse childhood experience: physical abuse, sexual abuse, emotional abuse, parent '}},
{ timecode: 394, handler: 'blob', id: 27, data: {text: 'incorrections, violence against mother, substance use in the home, suicidal memory of parent,.. adverse childhood experiences. 50% of these folk who are middle class folk had at least one and 6% '}},
{ timecode: 413, handler: 'blob', id: 28, data: {text: 'reported four or more. Everybody clear so far? Trauma is pretty ubiquitous even in well-to-do, middle class, working and college educated people. Imagine what it’s like for somebody that\'s poor '}},
{ timecode: 428, handler: 'blob', id: 29, data: {text: 'and non-white. When you looked at that 6% that had four or more of these adverse childhood experiences, as you wound expect, a seven-fold increase in alcoholism. We just heard from the vets about '}},
{ timecode: 443, handler: 'blob', id: 30, data: {text: 'their exposure to trauma. A 10% fold in drug abuse, 4 and a half depression, 12 point increase in suicide attempts. I came upon this when we were doing the Institute of Medicines Report on Preventing Suicide,'}},
{ timecode: 460, handler: 'blob', id: 31, data: {text: 'and this struck me as a, as a critical issue to have to pay attention to. Increase in smoking twice. Do we have an HIV problem in the black community? Yes. Could it be, could it be that what happens '}},
{ timecode: 481, handler: 'blob', id: 32, data: {text: 'is that children get sexually abused, they trade sex for affection and as a result you see this three-and-a-half fold increase in 50+ sexual partners. HIV epidemic. A two-and-a-half fold increase in'}},
{ timecode: 495, handler: 'blob', id: 33, data: {text: 'sexually transmitted diseases. Now, we also have a physical health problem in this country with obesity in black folk and what we find from this study is that if you have been traumatized as a child '}},
{ timecode: 508, handler: 'blob', id: 34, data: {text: 'you\'re twice more likely to have heart disease, cancer, four times more likely to have lung disease because traumatized children smoke, overeat, drink, trade sex for affection. So we need to be real '}},
{ timecode: 523, handler: 'blob', id: 35, data: {text: 'clear what we\'re talking about. Now, as we were doing this Institute of Medicine report, the National Research Council where all the Nobel Prize winners hang out, why they let me in with my room '}},
{ timecode: 536, handler: 'blob', id: 36, data: {text: 'temperature IQ I\'ll never understand. But what we discovered, which I had to tell all of these national and international experts, was that you know I\'m confused because black women have suicide rates '}},
{ timecode: 553, handler: 'blob', id: 37, data: {text: 'of 2 per 100,000. I said now I know something\'s wrong with that because I know I have purposely tried to get some black women to kill themselves just by how I treated from my black male entitlement '}},
{ timecode: 565, handler: 'blob', id: 38, data: {text: 'dysfunction, cause you know how we black men are. You know how we treat women, and you know, so I am like how could black women have the lowest rates of suicide of everybody in the country? Something '}},
{ timecode: 580, handler: 'blob', id: 39, data: {text: 'must be wrong here, although it\'s really right. So as we dug deeper into this information, what we came to understand, hear this please, understand me because I\'m getting tired and I\'m old, too, '}},
{ timecode: 595, handler: 'blob', id: 40, data: {text: '20,000 out of 100,000 people get depressed, 20,000 out of 100,000 people, that\'s a lot of people. 5,000 out of 100,000 people actually attempt suicide. Suicide rates for everybody is 11, for teenagers '}},
{ timecode: 622, handler: 'blob', id: 41, data: {text: 'it\'s 20 per 100,000 people. Find that 11 out of the 20,000, find that 20 out of that 5,000, it\'s not possible, and this ignorant Western approach that we are taking to health care and wellness is '}},
{ timecode: 641, handler: 'blob', id: 42, data: {text: 'stupid, because you cannot profile or identify who\'s at risk, it\'s not possible. Read Dr. Satcher\'s Youth Violence Report. Read the Institute of Medicines Suicide Prevention report. Something is '}},
{ timecode: 658, handler: 'blob', id: 43, data: {text: 'protecting people. Could it be that we\'re following the wrong path? Trauma, just heard about trauma. When I started some of my work in \'82, we were looking at children exposed to violence. Of course, '}},
{ timecode: 674, handler: 'blob', id: 44, data: {text: 'nobody was listening to me. Who am I, I\'m just running a large multi-million dollar mental health center on the South Side of Chicago, seeing 336,000 people, 400 employees where Senator Trotter is my '}},
{ timecode: 688, handler: 'blob', id: 45, data: {text: 'tenant, and if he don\'t act right I\'ll evict him. But, but, I have, I have to say, Senator Trotter is always acting right, so it\'s not an issue, but I had to do my Chicago signify, yeah, this Senator '}},
{ timecode: 704, handler: 'blob', id: 46, data: {text: 'Trotter, I know, I know. He is a tenant, no not a patient. I won\'t admit to his being a patient. We found when we talked to black children that 25%, 30% had seen a shooting or stabbing because '}},
{ timecode: 724, handler: 'blob', id: 47, data: {text: 'homicide is the leading cause of death in black males 15 to 44 and black females 15 to 34, but you gotta be careful because, see there\'s this confusion that they approach us with. Suicide is the third '}},
{ timecode: 737, handler: 'blob', id: 48, data: {text: 'leading cause of death in young people, so it\'s serious. But we are talking rates of 20 per 100,000, so how it is the leading cause, but it\'s rare, see, it is a both/and conversation, so it confuses '}},
{ timecode: 751, handler: 'blob', id: 49, data: {text: 'people. Homicide is a problem. Most of the homicide that occurs occurs in interpersonal altercation. It\'s not stranger danger, it\'s not predators, it’s people - family or friends for the most '}},
{ timecode: 761, handler: 'blob', id: 50, data: {text: 'part, three fourths. We looked at these children. This is a Resnick study, a Kessler study, a Breslow. You don\'t want to be in Detroit. 89% of folk in Detroit report lifetime prevalence of trauma. '}},
{ timecode: 775, handler: 'blob', id: 51, data: {text: 'Trauma is all over the place. It\'s in Iraq, it was in Viet Nam, it\'s growing up in the inner city, it\'s everywhere. Trauma is pretty much ubiquitous for us, which is why, by the way, we go to church, '}},
{ timecode: 791, handler: 'blob', id: 52, data: {text: 'because trauma - church is a trauma magnet. People go to church to be reborn, to have a new beginning, you know to start all over again. What\'s everybody trying to get away from? Trauma, trauma. Now, '}},
{ timecode: 812, handler: 'blob', id: 53, data: {text: 'when you look at PTSD, despite the ubiquitousness of trauma, what you find in raped women, in children exposed to violence, in people exposed to traumatic stress, is that you find rates of 8% or 20% '}},
{ timecode: 832, handler: 'blob', id: 54, data: {text: 'in males and females, Breslow\'s work - 10% to 14%. Something is protecting all of these folks from trauma. So with suicide I talked about child issues, it\'s very simply and we\'ve gotta shift the '}},
{ timecode: 853, handler: 'blob', id: 55, data: {text: 'paradigm. The risk factors, whatever they are, your momma on crack, your daddy in prison, you\'ve seen daddy beat the hell out of momma, whatever those risk factors are - you\'ve been sexually abused. '}},
{ timecode: 866, handler: 'blob', id: 56, data: {text: 'Think about your own lives and what you\'ve come through. Think about your being reborn, however you want to roll it out, all of us have been traumatized on some level or another, or we will be, but '}},
{ timecode: 885, handler: 'blob', id: 57, data: {text: 'something protects us, because we understand when they throw lemons make lemonade. So risk factors are not automatically predictive because if they were me and Trotter would be on drugs, in jail or '}},
{ timecode: 898, handler: 'blob', id: 58, data: {text: 'dead. Risk factors are not automatically predictive of bad outcomes because of protective factors. But we take this demonizing illness pathology approach to people, because we have this very sick side '}},
{ timecode: 919, handler: 'blob', id: 59, data: {text: 'to our human nature that looks at the ugly and the horrible and we are fascinated by it because it stimulates us and we get stuck there instead of looking at the health. We would do well to listen to '}},
{ timecode: 931, handler: 'blob', id: 60, data: {text: 'Fredrick Douglas who told us it is easier to raise strong children than fix broken men. Risk factors are not predictive factors because of protective factors. I\'ve done violence prevention research, '}},
{ timecode: 947, handler: 'blob', id: 61, data: {text: 'sexual debut prevention research, drug abuse prevention research, HIV prevention research for the last 20 years. The evidence is crystal clear that these protective factors prevent all kinds of '}},
{ timecode: 966, handler: 'blob', id: 62, data: {text: 'problems - PTSD, drug use, sexual inappropriate behavior, you know violence, you name it. You name it. Whether you have a mental illness or not, you need social fabric around you. You get some black '}},
{ timecode: 986, handler: 'blob', id: 63, data: {text: 'people in a room, they start talking about the problems of black people and somebody stands up and says "Well, when I was growing up, when I broke a window, before I got home I got chastised three '}},
{ timecode: 996, handler: 'blob', id: 64, data: {text: 'times.” That\'s because you were in a village and you got these people walking around talking this cutesy puke about it "takes a village to raise a child" but who’s rebuilding the village? '}},
{ timecode: 1009, handler: 'blob', id: 65, data: {text: 'Unfortunately, in a place like Chicago and other cities, we have elected officials who are in city government who only want to see their people vote when it\'s voting time, so they don\'t go out and '}},
{ timecode: 1023, handler: 'blob', id: 66, data: {text: 'rebuild village when everybody could vote and have social fabric and be protecting one another from these problems. Technology, modern technology, ancient technology, there are interventions that are '}},
{ timecode: 1041, handler: 'blob', id: 67, data: {text: 'coming up the pike. There is psychological first aid that is finally coming to hit, that people are beginning to use. It\'s fascinating to me that everybody would know exactly to do if I started '}},
{ timecode: 1051, handler: 'blob', id: 68, data: {text: 'choking, because everybody is familiar with physical first aid; but if I saw some violence and I was 5 years old or 12 years old, y\'all wouldn\'t know what to do with me with something called '}},
{ timecode: 1063, handler: 'blob', id: 69, data: {text: 'psychological first aid, what everybody can do. That\'s modern technology - connectedness. You can\'t learn anything from anybody if you\'re not connected. Resnick’s got work on schools that shows '}},
{ timecode: 1078, handler: 'blob', id: 70, data: {text: 'where children are connected you don\'t see suicides, you don\'t see drop outs, you don\'t see violence, you don\'t see any of that stuff. Social, and I should say social and emotional skills. What '}},
{ timecode: 1090, handler: 'blob', id: 71, data: {text: 'happens is, you gotta understand something about biology. Children are terrorists. If you got any you know exactly what I\'m talking about, because when they’re13, 14 and they\'re not home by '}},
{ timecode: 1109, handler: 'blob', id: 72, data: {text: '10:00 or earlier you\'re terrorized. You are worried, you are scared. They can mess you up, and the reason they can mess you up is because you were little and you used to be stupid just like they are '}},
{ timecode: 1123, handler: 'blob', id: 73, data: {text: 'and you had hormones and limbic system. Fight, flight, freeze. Y\'all would just, me too, little sexual, violent, you know, drinking. \'Cos the brain develops from the inside out and the first parts of'}},
{ timecode: 1141, handler: 'blob', id: 74, data: {text: 'the brain to develop are the animal, vegetative, visceral, gut parts of the brain. Those are going at 120%. That\'s the gasoline. The computer part of the brain, the judgment, the morality, the '}},
{ timecode: 1155, handler: 'blob', id: 75, data: {text: 'discernment, the deductive reasoning, the wisdom is in the frontal lobes and that\'s 26, you gotta be 26 before that\'s working. Some of y\'all be 46 and it still ain\'t working. Y\'all still got, you '}},
{ timecode: 1171, handler: 'blob', id: 76, data: {text: 'know. Or, that animal part gets tapped somehow, like watching a child kill another child with a 2 x 4 in Chicago, and then you see people reacting instead of responding with their brain. And so, what '}},
{ timecode: 1188, handler: 'blob', id: 77, data: {text: 'we\'ve gotta do is teach people social and emotional skills so that they learn how to respond instead of react. They respond instead of react. And there are all kinds of ways you can do this. '}},
{ timecode: 1207, handler: 'blob', id: 78, data: {text: 'Self-esteem, a sense of power, a sense of connectedness and a sense of models, and a sense of uniqueness. It\'s fascinating, because if you look at the real good research on post-traumatic stress '}},
{ timecode: 1219, handler: 'blob', id: 79, data: {text: 'disorder what you learn is that if somebody is subjected to a traumatic stress, I won\'t get too graphic with you, although the brother, minister from the war did. If you are in that situation and you '}},
{ timecode: 1240, handler: 'blob', id: 80, data: {text: 'catastrophize about it. “Oh my God, we\'re doomed, we\'re never gonna survive, this is horrible, we\'re ruint,” as we say in Chicago, “we\'re ruint,” you are increasing your '}},
{ timecode: 1252, handler: 'blob', id: 81, data: {text: 'likelihood of PTSD by 33%. If you don\'t have a way of turning your traumatic helplessness, traumatic helplessness into learned helpfulness, like Alcoholics Anonymous do, you\'re at risk because you '}},
{ timecode: 1278, handler: 'blob', id: 82, data: {text: 'don\'t have self-efficacy, you don\'t have a sense of power. You\'re at risk for getting PTSD at a greater rate by 25%. I was in Pittsburgh and I asked a group of people "How many of you would like to be '}},
{ timecode: 1289, handler: 'blob', id: 83, data: {text: 'in a room where somebody was shot. If you were absolutely guaranteed of your safety 100%, and, of course, as usual, nobody raised their hand, except the three paramedics in the room, because the three '}},
{ timecode: 1300, handler: 'blob', id: 84, data: {text: 'paramedics would not be traumatically helpless. They would know what to do to try to save somebody, and it\'s not whether or not you actually save somebody, it\'s just that you are active and it’s '}},
{ timecode: 1311, handler: 'blob', id: 85, data: {text: 'called mastery. That\'s what, that\'s what keeps us when we are traumatized from succumbing. Adult protective shield. You know, everybody needs to be safe. Everybody needs to be safe. Had there '}},
{ timecode: 1329, handler: 'blob', id: 86, data: {text: 'been—had the . . . We did violence prevention research in Chicago Public Schools and it was working. We decreased, in fact, it you look 10 years back, homicide rates were twice what they are '}},
{ timecode: 1344, handler: 'blob', id: 87, data: {text: 'currently in the country and in places like Chicago. Because people actually, I don\'t know what happened, they actually listened to me. Maybe it was the lithium I put in the water supply that year. '}},
{ timecode: 1353, handler: 'blob', id: 88, data: {text: 'They actually listened to me and did what I told them to do, and the homicide rates decreased because they put adult protective shield in place. How many of y\'all are gonna get on an airplane '}},
{ timecode: 1364, handler: 'blob', id: 89, data: {text: 'strapped. Why not? Y\'all gotta go through the metal detector, that\'s an adult protective shield. How many of y\'all are running the stop lights that are photo enforced? In fact, y\'all are looking for '}},
{ timecode: 1376, handler: 'blob', id: 90, data: {text: 'the photo enforced stop lights so you don’t have to get that $100 ticket. Adult protective shield. Safety. Then I have already talked a little bit about minimizing trauma. I need to talk to you '}},
{ timecode: 1391, handler: 'blob', id: 91, data: {text: 'a little bit in the little bit of time I\'ve got because I know we want to do questions. About this report that was recently done by the Institute of Medicine. It is a report on the prevention of '}},
{ timecode: 1404, handler: 'blob', id: 92, data: {text: 'mental disorders, substance abuse, and problem behaviors in children, adolescents and young adults. I am fascinated by the health care reform conversations that are talking about money, legal things '}},
{ timecode: 1421, handler: 'blob', id: 93, data: {text: 'and technology. Nobody\'s talking about health care. Who are these geniuses? That\'s what I want to know. This report has answers. We know that children have disorders probably about 13, 14. We early '}},
{ timecode: 1443, handler: 'blob', id: 94, data: {text: 'identify these children. We know who they are, we can screen them, and it\'s not rocket science to understand that the quicker you get to a problem and fix it the better off it is in terms of keeping '}},
{ timecode: 1459, handler: 'blob', id: 95, data: {text: 'it from turning into something that is gonna cause you a disability. We can identify this stuff and prevent it, prevent it. This is going to cause a paradigm shift that\'s gonna be an ugly battle. It\'s '}},
{ timecode: 1475, handler: 'blob', id: 96, data: {text: 'already started because a lot of people are making a lot of money off of taking care of sick people. It\'s like the iron lung business with polio. You get polio we put you in the iron lung. You think '}},
{ timecode: 1486, handler: 'blob', id: 97, data: {text: 'black people were in iron lungs when there was polio? Hell, no. There were health disparities back then in the \'50s. How did they fix it? Developed a vaccine. Now we got the vaccine 10 years later, '}},
{ timecode: 1500, handler: 'blob', id: 98, data: {text: 'because we\'re always on the lower part of the totem pole, not all of us but most of us. But, what do you think the iron lung people did that had stock in iron lung? They were breaking needles, '}},
{ timecode: 1514, handler: 'blob', id: 99, data: {text: 'spinning vaccine. They didn\'t want to see that happen. It took the auto industry 30 years, although they knew about seat belts, before they put them in cars. Profit. We are in a greedy, transactional'}},
{ timecode: 1530, handler: 'blob', id: 100, data: {text: 'culture where greed supersedes ethics and morality. It is crystal clear to me and it\'s offensive and reprehensible. I don\'t practice money, I practice medicine. These things are preventable, but the '}},
{ timecode: 1549, handler: 'blob', id: 101, data: {text: 'paradigm shift is gonna be ugly. There has been exposure and randomized control trials around prevention, and usually what you find when you go to any city people working like this, everybody working'}},
{ timecode: 1561, handler: 'blob', id: 102, data: {text: 'real hard, trying to make a difference, different language, different goals. You know, just working, working, working. And this is what we rely on you for, my state legislative folk. Y\'all need to '}},
{ timecode: 1575, handler: 'blob', id: 103, data: {text: 'provide some leadership, get all of these arrows pointed in the same direction. We now have some synergy, have some evidence based interventions instead of some profit motives. The science is becoming '}},
{ timecode: 1588, handler: 'blob', id: 104, data: {text: 'so clear that it oughta be and is in some instances, just like it would be unethical not to give a child a polio shot, it\'s gonna be unethical not to do prevention. Because the economic argument that '}},
{ timecode: 1603, handler: 'blob', id: 105, data: {text: 'we\'re so fond of in this transactional, greedy culture, "How much does it cost?" "Oh, it\'ll save someone\'s life well that\'s nice, but how much does it cost?" You scumbag. Don’t you worry about '}},
{ timecode: 1620, handler: 'blob', id: 106, data: {text: 'saving somebody\'s life? The economic argument is not a good argument, because somebody\'s excess spending in health care is somebody\'s funding stream. We did an intervention in McLean County, Illinois, '}},
{ timecode: 1634, handler: 'blob', id: 107, data: {text: 'where we reduced the number of black children going into foster care from 40 per 1,000 down to 11. 62%. I decreased the income of 5 private foster care agencies. They sent the state police after me '}},
{ timecode: 1652, handler: 'blob', id: 108, data: {text: 'telling me I\'d stole the money, put my salary in the paper, trying to discredit my work, because I\'d cut into their profit margin of them harvesting black children. I told them, I said "You know, I\'m '}},
{ timecode: 1671, handler: 'blob', id: 109, data: {text: 'a black male, I know I\'m supposed to earn money, I said, but the Illinois Department of Children and Family Aid hasn\'t paid us yet. As soon as they pay us, I\'ll steal the money, I promise.” '}},
{ timecode: 1680, handler: 'blob', id: 110, data: {text: 'These are some of the common risk factors, problems. You got some families that are toxic, lack of self-regulation again. Reacting rather than responding. Self-regulation is critical. You don\'t need '}},
{ timecode: 1696, handler: 'blob', id: 111, data: {text: 'loose cannons running around, people who are impulsive. That\'s what - we used to call that "no home training." And the funny thing is, the more I get into the science, the more I see that black folk '}},
{ timecode: 1707, handler: 'blob', id: 112, data: {text: 'wisdom in the Bible and the Qur’an and the Tao. They already know this. We\'re just fascinated with our science and our mechanisms, but this is known. This is known. The prevention window as I\'ve '}},
{ timecode: 1723, handler: 'blob', id: 113, data: {text: 'already mentioned. We can catch it early and prevent it. We are trying to shift this paradigm. When we did the first report in \'94, I wasn\'t in that one I was in this recent one in 2009, we didn\'t '}},
{ timecode: 1738, handler: 'blob', id: 114, data: {text: 'have health promotion, there wasn\'t enough science to say that health promotion was the way to go, wasn’t enough science, but now it is, and this just shows at the ages you can intervene. It\'s '}},
{ timecode: 1752, handler: 'blob', id: 115, data: {text: 'clear that if you teach children social skills there are tons of interventions, tons of interventions. The Centers for Disease Control has 53 different violence prevention curriculums that would '}},
{ timecode: 1766, handler: 'blob', id: 116, data: {text: 'reduce violence in schools by 25% to 33%. The problem is implementation. Nobody\'s using them. These are multi-year effects. It\'s not that, you know, somebody does a study and they decrease drug use '}},
{ timecode: 1781, handler: 'blob', id: 117, data: {text: 'for a year. We are talking 5, 10 years out these interventions work. It\'s amazing. There is also evidence that you can prevent schizophrenia, which is a serious, serious disease. McGlashan at Yale and '}},
{ timecode: 1800, handler: 'blob', id: 118, data: {text: 'MacFarlan up in Maine. They are doing this in Japan. This is nurse/family partnership. You send nurses into high risk situations with teenage moms and you focus on prenatal care, smoking, and you '}},
{ timecode: 1815, handler: 'blob', id: 119, data: {text: 'reduce abuse, neglect, arrest as an adolescent, and this just shows you the number of arrests. This goes out 5, 10, 15, 20 years, 30 years, hard research. You know, black folk are scared of research. '}},
{ timecode: 1836, handler: 'blob', id: 120, data: {text: '"I ain\'t going into no research, they are going "Hum, hum, huh." We\'re scared of medication. We\'re scared of medication that prevents attention deficit disorder, hyperactivity, methylphenidate. '}},
{ timecode: 1851, handler: 'blob', id: 121, data: {text: 'There\'s three times as many white kids on that medication as black kids. When have black people ever gotten the benefit of modern medical technology. We\'re not in line for the heart transplants, liver '}},
{ timecode: 1863, handler: 'blob', id: 122, data: {text: 'transplants, kidney transplants. We need to get in line for this, just like we need to get in line for the polio vaccines. I\'m telling you about it now: but I know I\'m a psychiatrist and all that, you '}},
{ timecode: 1876, handler: 'blob', id: 123, data: {text: 'all not going to listen. This was our program that we did in Chicago Public Schools Cradles to Classroom. We went to the Chicago Public Schools and found every pregnant teenager in the system. I\'m '}},
{ timecode: 1888, handler: 'blob', id: 124, data: {text: 'getting the high sign about time, I think. That\'s all right. Oh I gotta catch a plane. We reduced, look at this, about 2000 kids, about 500 freshmen and sophomores, about 500 juniors and 500 seniors, '}},
{ timecode: 1904, handler: 'blob', id: 125, data: {text: 'at the end of this program, 495 of the 500 kids graduated, 78% went on to college. Why are we doing this? Doesn\'t make sense to me. This is triple P. It shows a decrease, 18 counties in South '}},
{ timecode: 1919, handler: 'blob', id: 126, data: {text: 'Carolina, randomized control trial, decreases child abuse, decreases out of home placements, strengthening families. This is a drug abuse prevention intervention. For every $7.82 you reduce $5,805. '}},
{ timecode: 1937, handler: 'blob', id: 127, data: {text: 'Reduces delinquency, reduces methamphetamine use. Why aren\'t we using these? Family checkup, another one. New Beginnings program. Marijuana use is down. Depression can be prevented. Depression can be '}},
{ timecode: 1953, handler: 'blob', id: 128, data: {text: 'prevented. Multidimensional foster care. The children that are at risk are in foster care. But what do we do with them. We give them three hots and a cot. It Illinois we are giving them trauma '}},
{ timecode: 1965, handler: 'blob', id: 129, data: {text: 'informed treatment so that their risk factors will not be predictive. Good Behavior Game out of Baltimore. Decreased substance abuse, antisocial personalities, decreases violence. You know, this is '}},
{ timecode: 1980, handler: 'blob', id: 130, data: {text: 'one of the ones we worked on about a year in Chicago that I mentioned earlier. We gotta disseminate this. It\'s gotta be put in place. It\'s clear that we have the tools, it\'s just that nobody\'s used'}},
{ timecode: 1994, handler: 'blob', id: 131, data: {text: 'them. It\'s like discovering penicillin for strep throat and they are gonna keep it in an ice box for 20 years. When we get this done the stigma will be gone. We\'ve just gotta move towards '}},
{ timecode: 2006, handler: 'blob', id: 132, data: {text: 'implementation. So that\'s it, there\'s more, but like I said this is all in print somewhere. We are trying to get Obama to get behind this, Artie Duncan knows about it I know for sure. I\'m pretty sure '}},
{ timecode: 2020, handler: 'blob', id: 133, data: {text: 'Barack knows about it because Eric Whittaker I think told him about it. I know Trotter has been hearing this for at least 2 years. What? That wasn\'t a crack on Trotter, that was a good thing. I see '}},
{ timecode: 2038, handler: 'blob', id: 134, data: {text: 'you all know Trotter, y\'all laughing. So this is possible. We need to put this in place and should we put this in place we will be like most other civilized countries in the world, which is we will '}},
{ timecode: 2052, handler: 'blob', id: 135, data: {text: 'have health insurance and we\'ll be healthier people. Thank you. PRESIDENT BARBARA BALLARD: Let\'s give him another round of applause, and Dr. Bell thank you very, very much. Safe travels, and thank '}},
{ timecode: 2072, handler: 'blob', id: 136, data: {text: 'you. Let\'s start with our open mike in South Carolina, please. Do clinical trials account for immigration, migration and racial mixing, which escape recognition with politically protected federal groups? AUDIENCE MEMBER: Can ethnic statistical data deceive us? Phenotype is not genotype. Nationality is not biology and data collection – do'}},
{ timecode: 2107, handler: 'blob', id: 137, data: {text: 'scientists label demographic populations based on federally protected categories or do scientists ever try to use gene mapping to more accurately group homogeneous populations in clinical trials. Do '}},
{ timecode: 2124, handler: 'blob', id: 138, data: {text: 'clinical trials account for immigration, migration and ethnic mixing, which escape recognition with politically protected federal groups? Thank you. CARL BELL, M.D.: I presume I\'m supposed to answer '}},
{ timecode: 2140, handler: 'blob', id: 139, data: {text: 'that question. I\'m also a member of the National Institute Scientific Advisory Board, which is probably you know is the arm of the National Institute of Health. It gives out about $1.5 billion per '}},
{ timecode: 2155, handler: 'blob', id: 140, data: {text: 'year doing clinical trials, not to mention you have other private groups doing clinical trials as well. This technology, it\'s not quite there yet. At NIMH they\'re trying to have homogeneous '}},
{ timecode: 2168, handler: 'blob', id: 141, data: {text: 'populations and this whole issue of genome and phenotype not being the same as genotype is absolutely correct. But we haven\'t reached a stage of sophistication yet where it\'s at that level of detail '}},
{ timecode: 2180, handler: 'blob', id: 142, data: {text: 'where we can actually tell what\'s going on, and so it\'s a very, it\'s going to take a few years before we get to that level of sophistication. PRESIDENT BARBARA BALLARD: Jackson, Mississippi - do you '}},
{ timecode: 2193, handler: 'blob', id: 143, data: {text: 'have time for one more question? AUDIENCE MEMBER: Jackson, Mississippi has one question. The question is how do we move beyond the talk and get to the real work on the issues of mental health, '}},
{ timecode: 2206, handler: 'blob', id: 144, data: {text: 'funding, legislation, etc. CARL BELL, M.D.: It\'s very simple. I\'m a CEO, I\'ve got CEO disease, and so I lead and I manage. The problem for black folk is that we tend to learn our leadership in one of '}},
{ timecode: 2224, handler: 'blob', id: 145, data: {text: 'three places. The military, which is one form of leadership, although it\'s based on hierarchical power and I will shoot you if you don\'t follow my order, which was kind of fun to do when I was in the '}},
{ timecode: 2236, handler: 'blob', id: 146, data: {text: 'Navy. We learn our leadership and our management in church, and in not for profits, and the problem is-is at that level of sophistication around business and leadership, it is not sophisticated enough '}},
{ timecode: 2250, handler: 'blob', id: 147, data: {text: 'to keep us moving forward. We have heard from the Ozzie Davis\' Black Leadership Plan when the Black Caucus was in place. We\'ve heard from Tavis Smiley\'s The Covenant, and now they\'re coming up with '}},
{ timecode: 2268, handler: 'blob', id: 148, data: {text: 'another one. We know what to do, the problem is we got all those arrows going in all those different directions and it is very, very difficult for us to get some synergy in terms of how we lead and we '}},
{ timecode: 2281, handler: 'blob', id: 149, data: {text: 'manage. We need to, black people I think, my issue is that we need to figure out how to lead and manage and use our human resources in a way that makes sense for us. If you look around at what\'s going '}},
{ timecode: 2299, handler: 'blob', id: 150, data: {text: 'on, what you find is that black folk tend to be isolated and if you look . . . Think about this for just a minute. Most people cannot name poor white ghettos in their communities because poor white '}},
{ timecode: 2314, handler: 'blob', id: 151, data: {text: 'people got what black people want, which is scattered site housing. Poor white people got all these protective factors that I had up there; but black people all concentrate in one place. And so it is '}},
{ timecode: 2325, handler: 'blob', id: 152, data: {text: 'easy, even though white folk use more drugs than black folk, it\'s easy to arrest somebody black using drugs, because you just know where to go. Otherwise, you might arrest the son of somebody who\'s '}},
{ timecode: 2337, handler: 'blob', id: 153, data: {text: 'the mayor of the city. For me it\'s an issue of leadership, it\'s an issue of management, and we gotta start studying that area and to do stuff I think we need to get some MBAs who have those skills, '}},
{ timecode: 2353, handler: 'blob', id: 154, data: {text: 'who do work plans, and who are able to make things implement and make things go. Speaking of which, I have to do that. Thank you, and you got other people to answer questions. PRESIDENT BARBARA '}},
{ timecode: 2367, handler: 'blob', id: 155, data: {text: 'BALLARD: Could you do just do a quick one, please, \'cos he\'s . . . CARL BELL, M.D.: One more question. I\'m good, I\'m good. ANASTASIA PITTMAN: Thank you, Dr. Bell. This is Anastasia Pittman from '}},
{ timecode: 2379, handler: 'blob', id: 156, data: {text: 'Oklahoma. How do you rebuild the village concepts of constructing social fabric in youth development, or connectedness if you will, if families lack resources or access to resources? CARL BELL, M.D.: '}},
{ timecode: 2392, handler: 'blob', id: 157, data: {text: 'It\'s pretty simple. What we did in Chicago, for example. There is a school in Chicago, a poor school, and they were looking for mentors for 500 children. Then went and they got 3 mentors for 500 '}},
{ timecode: 2407, handler: 'blob', id: 158, data: {text: 'children. We did a windshield survey within half a mile of the school. We found three large black churches. We had the CEO of Chicago Public Schools go to those black churches and say we need mentors '}},
{ timecode: 2417, handler: 'blob', id: 159, data: {text: 'in this school that are in your community a half a mile away from your church. Within 3 months, each of those 500 kids had 3 mentors, so that\'s one way to rebuild village. Another way to rebuild '}},
{ timecode: 2430, handler: 'blob', id: 160, data: {text: 'village is to start block clubs, because it\'s fascinating. One other study from Tony Earls at Harvard, looked at violence in Chicago, 49 equally poor black neighborhoods, in Chicago. What he found was '}},
{ timecode: 2445, handler: 'blob', id: 161, data: {text: 'that 6 had high rates of violence. They other 43 did not, and the reason they did not, this was published in Science 1997, the reason those 43 communities did not have high rates of violence is '}},
{ timecode: 2461, handler: 'blob', id: 162, data: {text: 'because they had what Dr. Earls at Harvard coined "collective efficacy", which meant that neighbors spoke to one another and spoke to their children and had trust and had connectedness and it has '}},
{ timecode: 2476, handler: 'blob', id: 163, data: {text: 'absolutely nothing to do with how much money is in your pocket, it\'s got something to do with what\'s in your heart and your spirit and your understanding about being your brother\'s keeper, and that '}},
{ timecode: 2488, handler: 'blob', id: 164, data: {text: 'don\'t cost nobody no money, and it\'s the human capital, it\'s the human resource where we\'re rich, but again we tend to demonize and castigate and when we talk about youth violence in black '}},
{ timecode: 2503, handler: 'blob', id: 165, data: {text: 'neighborhoods we don\'t understand that it\'s just the 6. We think it\'s all 49 when really it\'s 43 that are perfectly safe. It\'s, it\'s a—we’ve gotta look at the right models and do the right '}},
{ timecode: 2520, handler: 'blob', id: 166, data: {text: 'things. Block clubs. If people would do block clubs, you know. When was the last time y\'all saw somebody walk up in a church trying to sell some drugs? We don\'t do that here. And, and, formal and '}},
{ timecode: 2538, handler: 'blob', id: 167, data: {text: 'informal social control is a remarkable thing. All you\'ve gotta do if you want to see this is do a Google research on my name, do a Google search on "Seven Field Principles". This stuff is so well '}},
{ timecode: 2556, handler: 'blob', id: 168, data: {text: 'documented it\'s ridiculous. It\'s just a matter of implementation, which again when we\'ve implemented I\'ve used MBAs and they do a work plan and a business plan and we sell public health just like we '}},
{ timecode: 2570, handler: 'blob', id: 169, data: {text: 'sell soap. Gotta go, thank you. PRESIDENT BARBARA BALLARD: Thank you again, Dr. Bell. SENATOR DONNE TROTTER: I just want Dr. Bell to know, I got your back, you can go on now. Dr. Bell has pointed out '}},
{ timecode: 2592, handler: 'blob', id: 170, data: {text: 'we\'ve known each other since high school and my office is in his building. So I see those 200 and some odd employees come and go at just various times of the hour. He is a field general, so he is not '}},
{ timecode: 2606, handler: 'blob', id: 171, data: {text: 'just someone who\'s getting up giving you some theories of what\'s happening and one of the ways in how we resolve some of this conflict and the violence in our neighborhood is you have to be out there '}},
{ timecode: 2617, handler: 'blob', id: 172, data: {text: 'in those streets. Dr. Bell is out there with his folks. We like most states don\'t pay our bills on time and that\'s usually when he rolls me out to go tell his employees that the money is coming so '}},
{ timecode: 2631, handler: 'blob', id: 173, data: {text: 'they\'ll leave him alone. The deal is they are so dedicated to his message and the work that they\'re doing, they\'ve have gone as much as 6 months without pay, sitting in that office and doing '}},
{ timecode: 2646, handler: 'blob', id: 174, data: {text: 'those--most of the those months, luckily I\'m in Springfield, but when I get home, but when I get home they like "please send a—try to send us our money. They don\'t be saying "Hey, Dr. Bell, I\'m '}},
{ timecode: 2657, handler: 'blob', id: 175, data: {text: 'outta here \'cos I can\'t get paid." They know that they\'re doing good work and they do it because it\'s the right thing to do. PRESIDENT BARBARA BALLARD: Thank you, Senator Trotter. Too bad he\'s not '}},
{ timecode: 2666, handler: 'blob', id: 176, data: {text: 'here to hear those nice comments, you know, he\'s out the door, but we know what he\'s done and that\'s really nice. I think if you remember what Judge Mathis was saying today, you know, people like to '}},
{ timecode: 2678, handler: 'blob', id: 177, data: {text: 'talk behind your back. Well, you know, this is really good. Thank you so much for adding that.'}},
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{ timecode: 1965, handler: 'slide', id: 222, data: { width: 650, height: 488, slide_id: 4558, count: 45, alt: '', src: 'http://framewelder.com-cache.s3.amazonaws.com/presentations/240/slides/480/4558.jpg'}},
{ timecode: 1970, handler: 'slide', id: 223, data: { width: 650, height: 488, slide_id: 4559, count: 46, alt: '', src: 'http://framewelder.com-cache.s3.amazonaws.com/presentations/240/slides/480/4559.jpg'}},
{ timecode: 1975, handler: 'slide', id: 224, data: { width: 650, height: 488, slide_id: 4560, count: 47, alt: '', src: 'http://framewelder.com-cache.s3.amazonaws.com/presentations/240/slides/480/4560.jpg'}},
{ timecode: 1980, handler: 'slide', id: 225, data: { width: 650, height: 488, slide_id: 4561, count: 48, alt: '', src: 'http://framewelder.com-cache.s3.amazonaws.com/presentations/240/slides/480/4561.jpg'}},
{ timecode: 1995, handler: 'slide', id: 226, data: { width: 650, height: 488, slide_id: 4562, count: 49, alt: '', src: 'http://framewelder.com-cache.s3.amazonaws.com/presentations/240/slides/480/4562.jpg'}},
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{ timecode: 2007, handler: 'slide', id: 229, data: { width: 650, height: 488, slide_id: 4565, count: 52, alt: '', src: 'http://framewelder.com-cache.s3.amazonaws.com/presentations/240/slides/480/4565.jpg'}},
{ timecode: 2010, handler: 'slide', id: 230, data: { width: 650, height: 488, slide_id: 4566, count: 53, alt: '', src: 'http://framewelder.com-cache.s3.amazonaws.com/presentations/240/slides/480/4566.jpg'}},
{ timecode: 2015, handler: 'slide', id: 231, data: { width: 650, height: 488, slide_id: 4567, count: 54, alt: '', src: 'http://framewelder.com-cache.s3.amazonaws.com/presentations/240/slides/480/4567.jpg'}},
{ timecode: 2020, handler: 'slide', id: 232, data: { width: 650, height: 488, slide_id: 4568, count: 55, alt: '', src: 'http://framewelder.com-cache.s3.amazonaws.com/presentations/240/slides/480/4568.jpg'}},
{ timecode: 2025, handler: 'slide', id: 233, data: { width: 650, height: 488, slide_id: 4569, count: 56, alt: '', src: 'http://framewelder.com-cache.s3.amazonaws.com/presentations/240/slides/480/4569.jpg'}},
{ timecode: 2030, handler: 'slide', id: 234, data: { width: 650, height: 488, slide_id: 4570, count: 57, alt: '', src: 'http://framewelder.com-cache.s3.amazonaws.com/presentations/240/slides/480/4570.jpg'}},
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{ timecode: 2055, handler: 'slide', id: 239, data: { width: 650, height: 488, slide_id: 4575, count: 62, alt: '', src: 'http://framewelder.com-cache.s3.amazonaws.com/presentations/240/slides/480/4575.jpg'}},
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{ timecode: 2060, handler: 'slide', id: 242, data: { width: 650, height: 488, slide_id: 4578, count: 65, alt: '', src: 'http://framewelder.com-cache.s3.amazonaws.com/presentations/240/slides/480/4578.jpg'}},
{ timecode: 2062, handler: 'slide', id: 243, data: { width: 650, height: 488, slide_id: 4579, count: 66, alt: '', src: 'http://framewelder.com-cache.s3.amazonaws.com/presentations/240/slides/480/4579.jpg'}}
);