WEBVTT 00:23.500 --> 00:26.630 I just now I think we had owner may the panel and the programs 00:26.630 --> 00:30.260 down fantastic anime deathly gonna be looking up many of them 00:30.720 --> 00:34.120 but now it is my very just think toaster to introduce two your 00:34.120 --> 00:38.040 woman home. I have admired for a very long time share some model 00:38.070 --> 00:42.060 officer and Schellmann home is an amazing role model for young 00:42.060 --> 00:45.980 women Tae especially young women in uniform like my daughter making. 00:47.180 --> 00:51.170 She as passionate about soldiers and their families she goes 00:51.170 --> 00:54.860 she's delicate almost thirty years to of her life to their health 00:54.860 --> 00:59.580 and well-being she's a to respect life. He's a devoted mom and 00:59.580 --> 01:02.950 a very loving daughter please. Join me in welcoming our for ether 01:02.950 --> 01:05.830 surgeon general of United States army lieutenant general petition 01:05.830 --> 01:06.900 run for. Half. 01:13.790 --> 01:18.890 We will penny thank you very much they that introduction and 01:18.890 --> 01:19.390 I Yum. 01:20.760 --> 01:23.430 Validated with my has been whether and I was a good wife and 01:23.430 --> 01:29.370 I said thank you he was. Are. Mrs. dempsey necessary or now in 01:29.370 --> 01:32.000 everybody that's your today. Thank you very very much what I 01:32.000 --> 01:36.750 wanted to is is actually take a minute to take you on and turning. 01:37.310 --> 01:41.010 A journey that we've been taking across the army and across army 01:41.010 --> 01:44.630 met ascend and then the actions that we've taken so fi Kitces 01:44.630 --> 01:45.910 that's for the lights. Please. 01:51.000 --> 01:52.610 There and. Set. 02:20.420 --> 02:22.510 Eleven years one month. 02:23.220 --> 02:24.190 Twelve days. 02:24.880 --> 02:25.620 One hour. 02:26.770 --> 02:28.440 And about twenty minutes ago. 02:29.240 --> 02:31.630 I knew exactly where I worked. 02:32.600 --> 02:36.010 This is when our lives all of our lives changed. 02:36.550 --> 02:37.840 The world as we knew it. 02:38.350 --> 02:39.380 Changed forever. 02:40.540 --> 02:44.950 What did you just feel hearing that song in viewing that video. 02:45.500 --> 02:49.870 Did you feel anger sadness anxiety fear. 02:51.000 --> 02:55.310 Taken the moment take a moment to notice how your body reacted. 02:56.380 --> 02:57.830 Your palms maybe sweating. 02:58.630 --> 03:01.160 The your heart maybe beating a little bit faster. 03:01.900 --> 03:03.780 And maybe you're feeling a little nervous. 03:04.700 --> 03:09.660 You just experience both the physical and the psychological responses 03:10.080 --> 03:12.340 to the memory of a tragic event. 03:13.000 --> 03:17.010 Something that happened over eleven years ago and need it leah 03:17.010 --> 03:21.800 folks the same the motion as they did back and Is a real mp. 03:23.070 --> 03:24.050 Is it in your head. 03:25.150 --> 03:27.180 And certainly it does begin they're. 03:27.920 --> 03:29.580 It begins deep in your brain. 03:30.170 --> 03:32.860 In that area just about your spinal cord. 03:33.450 --> 03:36.860 In the area of the brain that controls things like breathing. 03:37.430 --> 03:39.250 Heart rate and blood pressure. 03:39.920 --> 03:42.690 It's part of the our the nomics nervous system. 03:43.500 --> 03:46.920 The ata nomics Nordic system. You can think of a there's and 03:46.960 --> 03:48.750 automatic nervous system. 03:49.400 --> 03:53.250 It's controlled largely a low the level of consciousness. 03:53.860 --> 03:56.160 This is where your fight for your flight. 03:56.680 --> 03:58.090 We sponsors come from. 03:58.900 --> 04:03.670 Watching that video of nine-eleven triggered. I cannot call an 04:03.670 --> 04:05.160 electrical cascade. 04:05.670 --> 04:09.320 That made your heart beat faster here breathing to quick and 04:09.780 --> 04:14.460 and your blood pressure to rise. It also send information to 04:14.460 --> 04:17.420 your frontal lobe to trigger an emotion. 04:18.890 --> 04:23.480 For most of history anything we could not see we did not only. 04:24.210 --> 04:29.180 Not only that we are fend Oster sized those with conditions that 04:29.180 --> 04:30.380 we can understand. 04:31.340 --> 04:34.120 Most conditions of the brain fell in that category. 04:34.770 --> 04:40.560 Today science provides an understanding of many invisible medical mysteries. 04:41.060 --> 04:43.920 Blurring the line between mental and physical. 04:44.840 --> 04:49.250 Recent scientific researchers discovered that in mild traumatic 04:49.250 --> 04:53.450 brain injury shearing forces stretched. The nerve bundles of 04:53.450 --> 04:54.010 the brain. 04:54.550 --> 04:59.680 Directly impacting major your logic pathways that can lead to 04:59.680 --> 05:03.240 both psychological and cognitive impairments. 05:03.770 --> 05:07.710 Are nurse scientist can now on fish elyse. This activity. 05:08.240 --> 05:12.970 With electric impulse mapping in brain imaging and we're actually 05:12.970 --> 05:17.240 having this capability right now in Afghanistan and This is center 05:17.280 --> 05:21.180 and abstract hypothesis. It's science in its real. 05:22.000 --> 05:22.820 Flights please.. Book. 05:30.130 --> 05:33.580 Book. 05:34.320 --> 05:40.630 Your Yeah it. What.. That. 05:42.500 --> 05:49.500 That. And for me. To. 05:52.810 --> 05:53.650 The final of. 05:54.500 --> 05:55.270 And it. 05:56.000 --> 05:56.760 The. Of 06:01.000 --> 06:03.790 We're where they when they're world start turning. 06:04.730 --> 06:09.460 For many of our nation's science and daughters our soldiers sailors 06:09.560 --> 06:13.800 airmen and marines who weapon Jared more than eleven years of for. 06:14.390 --> 06:19.150 It was fighting somewhere in iraq for Afghanistan. It was add-on patrol. 06:19.780 --> 06:21.840 Back on a forward operating base. 06:22.410 --> 06:26.140 Or may any get checkpoint. That's when they're world stop turning. 06:26.910 --> 06:30.770 And the emotions that they felt deployed can be triggered now 06:31.120 --> 06:35.860 over and over again and their gestures real as the emotions that 06:35.860 --> 06:37.390 you felt among many go. 06:38.170 --> 06:39.100 Is that real. 06:40.030 --> 06:41.160 Was a real for you. 06:42.660 --> 06:43.500 Yes it's real. 06:44.590 --> 06:48.410 Think conflicts past when we didn't understand the links between 06:48.410 --> 06:54.040 mental and physical injury and illness often that the fart responses 06:54.270 --> 06:55.680 was that it was all in your head. 06:56.440 --> 06:57.270 Was that right. 06:59.080 --> 07:02.140 I to make yes it worth but it was also wrong. 07:03.180 --> 07:05.270 Right where's that it is in our head. 07:06.090 --> 07:07.450 It's deepen our brains. 07:08.030 --> 07:11.650 Wrong wires that the IMF rents that it was a real. 07:12.610 --> 07:16.610 The memories the emotions and the experiences are troop bring 07:16.610 --> 07:17.710 home are re are. 07:18.340 --> 07:19.950 We understand that now. 07:20.780 --> 07:24.730 The psychological responses to the tirana that they've injured 07:25.100 --> 07:30.260 are based on real biological responses from deep within our brains. 07:31.120 --> 07:34.770 This is true not only for our soldiers but for their families 07:34.770 --> 07:35.340 as well. 07:36.040 --> 07:40.330 We have had over eighty% of our service members that had been 07:40.330 --> 07:44.900 diagnosed with pt estee have actually been healed and re turn 07:44.900 --> 07:45.810 to active duty. 07:46.620 --> 07:47.360 Lights. Place. 07:59.500 --> 08:00.570 Airman no. 08:01.500 --> 08:07.950 To. The training and of on the headlines from in the. Hospital. 08:10.000 --> 08:15.130 They are it's I don't know where the why and I'm in hospital someone. 08:16.220 --> 08:18.710 It I get a day hit by ninety the. Today. 08:22.180 --> 08:24.640 Think it. Carry. 08:25.160 --> 08:29.760 On. I'm not too bad considering the with the vehicle. Of. 08:34.650 --> 08:37.840 Where was that neither when her world stop turning. 08:38.810 --> 08:44.140 When that call comes every wife every has spent every mother 08:44.340 --> 08:48.560 every father and every child the members exactly where they were. 08:49.380 --> 08:53.290 This is bigger than the soldier and it isn't an isolated event. 08:53.920 --> 08:58.380 The news and the emotions that news brings fences shockwaves 08:58.770 --> 09:03.160 through our units to our families our friends and our communities. 09:03.830 --> 09:04.530 Lights please. 09:06.000 --> 09:09.930 We're today's three U.S. marines were killed as women reporting 09:09.930 --> 09:13.840 there was an intense battle in iraq sunday after grill of fighters 09:13.840 --> 09:18.380 ambushed to the U.S. convoys fit when an Afghan police officer 09:18.380 --> 09:21.760 believed to be a Taliban in from traitor open fire. 09:22.880 --> 09:26.640 Real estate nationalities pending notification the next UK that's. 09:27.530 --> 09:31.200 A suicide bomber drove an explosive Laden car out the entrance 09:31.200 --> 09:32.710 of the U.S. military. Airfield. 09:35.600 --> 09:39.520 For family's back home that twenty four seven stream of news 09:39.770 --> 09:44.200 has them hyper vigilant jumping at the ring of a phone or the 09:44.200 --> 09:48.740 slamming of a car door and running to the computer or smartphone 09:48.740 --> 09:54.100 to check facebook email we're trying to sky anxious to hear that 09:54.100 --> 09:55.550 their loved one is okay. 09:56.100 --> 09:59.690 For the families of the estimated two point six million service 09:59.690 --> 10:04.150 members who have served in iraq in Afghanistan since two thousand 10:04.150 --> 10:08.430 and one a constant uncertainty compounds the normal stresses 10:08.430 --> 10:09.200 of daily life. 10:09.900 --> 10:10.650 Lights. Pleats. 10:14.000 --> 10:14.540 There's a lot. 10:15.500 --> 10:19.280 And there even that numbers and you get back in the UK describe 10:19.280 --> 10:22.410 is a lot of very with the everything that. 10:24.690 --> 10:27.670 Have a very hard times nighttime they'll they'll that. 10:28.500 --> 10:39.060 And sometimes stands the second family members that have kept 10:39.170 --> 10:41.860 the family going whether service members really. 10:42.700 --> 10:44.070 Consist of my number seven. 10:44.810 --> 10:48.070 He's keep things that they can think it had a second right they 10:48.070 --> 10:51.250 in gap the spurs Britney we've made for us that you know in the 10:51.250 --> 10:55.110 number one anniversary valentine's day to they sign and underlying 10:55.110 --> 10:57.060 I knew exactly because I getting into. 10:57.570 --> 11:01.160 When you realize as many this difficult in it gap meanwhile for 11:01.160 --> 11:03.300 the first nine going into. 11:04.040 --> 11:05.350 Into an empty bedroom. 11:07.090 --> 11:10.820 Is the highest and You know taking the kids to that. 11:11.500 --> 11:16.800 The concert they can buy yourself and that the christmas alone. 11:17.340 --> 11:20.150 He because the fish here at it like it could think they here 11:20.240 --> 11:21.200 sci-fi now let. 11:21.800 --> 11:23.540 Your weapon of the stress pitched. Here. 11:27.420 --> 11:29.830 Did you all feel the emotions in those words. 11:31.740 --> 11:34.510 Not just the war of but the emotions. 11:35.170 --> 11:39.880 Fearing. Things side E. Loneliness. And regret. 11:41.220 --> 11:44.000 Yeah also the remarkable santa pride. 11:44.890 --> 11:46.600 That's our military families. 11:47.300 --> 11:50.990 So going back to the question or these feelings real. 11:51.820 --> 11:54.460 I think all of this now realize that they are. 11:55.500 --> 11:58.840 Not only or their psychological responses normal. 11:59.530 --> 12:03.550 The physical responses are hard wired in our brains. 12:04.070 --> 12:08.500 Today we recognize and validate those feelings the first step 12:08.500 --> 12:10.730 for towards treatment and healing. 12:11.500 --> 12:16.580 As the army surgeon general. It's my responsibility to make psychological 12:16.580 --> 12:17.300 health real. 12:18.000 --> 12:19.490 To overcome the stigma. 12:20.000 --> 12:24.920 And to provide evidence based prevention screening treatment 12:25.170 --> 12:26.390 and rehabilitation. 12:27.150 --> 12:31.080 Our response has been robust that before I go into the details 12:31.080 --> 12:34.110 of what we've been doing over the last several years there's 12:34.110 --> 12:37.510 a subject that I am compelled to speak to you about and to address 12:38.000 --> 12:38.730 lights place. 12:40.330 --> 12:43.210 Of more than were those lower than mile. 12:44.000 --> 12:45.980 And basically just can clean his dad. 12:46.530 --> 12:51.060 The and That. 12:51.800 --> 12:54.700 On you are getting delivers. 12:55.690 --> 13:01.640 Cakes and Am grown almost time you go you covering a man. 13:02.540 --> 13:05.870 You all it to hear of girl don't ever. Demand. 13:11.000 --> 13:16.830 The but we don't know how do you will more boring than the But 13:16.830 --> 13:17.450 it. Will. 13:22.250 --> 13:24.590 Don't worry what I was doing do who you. 13:26.250 --> 13:28.580 At The good when Syrian. 13:29.840 --> 13:31.790 Joan we numerate the 13:33.110 --> 13:38.190 And no toward the surfor was a news and Been very. Drones. 13:40.500 --> 13:42.550 Good job was of the early. New. 13:46.750 --> 13:50.530 Our most difficult and frustrating in heart-wrenching challenge. 13:50.530 --> 13:52.800 We face today is suicide. 13:54.000 --> 13:58.460 So far this year three hundred and twelve soldiers had taken 13:58.460 --> 13:59.210 their life. 13:59.780 --> 14:04.340 Soldiers who raise there he and to join in the institution that 14:04.340 --> 14:07.230 is greater than themselves and it to and our nation. 14:08.030 --> 14:10.040 Many joint to prove themselves. 14:10.560 --> 14:14.210 May begin move forward with their lives or maybe they just wanted 14:14.210 --> 14:15.470 to fight for our nation. 14:16.600 --> 14:19.730 Even one suicide is one suicide too many. 14:21.380 --> 14:25.870 Our army is committed to doing everything in its power to solve 14:25.870 --> 14:26.740 this tragedy. 14:27.770 --> 14:30.600 I believe the solution is multi-faceted. 14:31.370 --> 14:34.990 But at the core is soldier and family resell EMC. 14:35.500 --> 14:40.180 And social support from peers families units and communities. 14:41.030 --> 14:42.460 We don't have all the answers. 14:43.230 --> 14:48.510 Butting collaboration with academia. Public and private institutions. 14:49.010 --> 14:52.950 Other federal agencies we continue to search for a better and 14:53.440 --> 14:58.540 more effective prevention screening and intervention options. 14:59.140 --> 15:02.680 We have to for our army and for our nation. 15:03.660 --> 15:04.660 We do know. 15:05.380 --> 15:09.760 That to low-rate the risk of suicide one has to live fly and 15:09.760 --> 15:13.200 pride with purpose to be part of a larger community. 15:13.940 --> 15:18.540 Our goal is to strengthen soldiers and their families enhance 15:18.540 --> 15:24.130 communities every store lives to an individual's highest potential. 15:24.860 --> 15:26.440 This is a national issue. 15:27.030 --> 15:30.530 With almost thirty thousand suicides in twenty ten. 15:31.140 --> 15:32.730 This is a national issue. 15:33.500 --> 15:36.980 So we had a we re store the lives had a we get people to live 15:36.980 --> 15:39.740 life to the very forced and the best health possible. 15:41.180 --> 15:42.430 Where this health happen. 15:44.300 --> 15:46.030 I mean psychological health. 15:48.170 --> 15:48.990 Physical health. 15:50.000 --> 15:50.950 Family health. 15:51.710 --> 15:52.450 Unit health. 15:53.190 --> 15:54.360 A community health. 15:55.150 --> 15:56.140 Where is that happened. 15:57.340 --> 16:00.930 You might think as the army surgeon general that I would say 16:00.930 --> 16:05.470 it happen semi hospitals and in my clan next so let's take a look. 16:06.270 --> 16:07.950 This white mine that you see. 16:08.460 --> 16:11.160 Represents a year in the life of our patients. 16:11.810 --> 16:12.680 The blue Dart. 16:13.300 --> 16:17.920 Represents five twenty minute. I'll patient visits the average 16:17.920 --> 16:20.430 number of this it's per soldier per year. 16:22.060 --> 16:25.120 We have about a hundred minutes the year. 16:26.150 --> 16:28.570 How much health is going on their. 16:29.560 --> 16:33.970 Healthcare to be sure and we have I think the best internationally 16:33.970 --> 16:35.890 renowned healthcare system. 16:37.450 --> 16:38.770 But what about health. 16:40.500 --> 16:44.050 From the patients perspective there more than I happen. No we 16:44.050 --> 16:45.130 in minutes any year. 16:45.670 --> 16:48.750 Actually five hundred twenty five thousand five hundred minutes 16:49.030 --> 16:52.650 is which you have left in the year. If you go see a doctor five 16:52.650 --> 16:53.320 times the your. 16:54.310 --> 16:58.360 Let's Alpe la our hundred minutes of direct. Implements. 17:00.700 --> 17:02.870 Is this amount of fluids that we have. 17:04.630 --> 17:05.600 How about. This. 17:08.890 --> 17:10.620 Know it's actually that's. 17:11.910 --> 17:14.290 And it's not and I test for the people on the background. 17:15.890 --> 17:18.460 But we're going to help you fear. So we're gonna put in. Aerodam. 17:20.500 --> 17:23.590 So I ask again where there's help happened. 17:24.670 --> 17:29.720 Had a we address in ninety nine point nine% of patients lives 17:29.910 --> 17:33.290 better Alps side. Our hospitals and clinics to improve health. 17:34.340 --> 17:36.060 So what's happening in that time. 17:36.590 --> 17:38.880 The time I'm gonna call the like space. 17:39.740 --> 17:40.990 This screened Cirque on. 17:41.830 --> 17:44.210 Represents time at work and score. 17:45.530 --> 17:47.080 How does that influence your health. 17:47.890 --> 17:50.790 Had a we impact that part of the like space. 17:51.780 --> 17:53.010 This yellow circle on. 17:53.660 --> 17:56.080 Represents family and personal time. 17:57.290 --> 18:00.820 What about our family and friends what influence to they have 18:00.820 --> 18:01.300 on health. 18:02.220 --> 18:03.650 Had a we support down. 18:04.960 --> 18:08.080 The re meaning white space is the circle is sleep. 18:08.810 --> 18:13.470 Current science tells surf that adequate sleep is linked to physical 18:13.820 --> 18:15.860 and psychological health and healing. 18:17.100 --> 18:20.980 The value of re story tits sleep cannot be overstayed it. 18:22.610 --> 18:28.230 Finally this circle represents social media any internet they're 18:28.230 --> 18:32.190 the primary communication vehicles for many of our soldiers and 18:32.190 --> 18:33.050 our families. 18:33.580 --> 18:35.490 If or going to influence health. 18:36.070 --> 18:40.180 We're what we're should we provide that information it's not 18:40.180 --> 18:44.290 enough to wait for patients to come to us we need to reach out 18:44.500 --> 18:46.840 beyond the blue Dart and we are. 18:47.360 --> 18:49.310 With regard to be hater health. 18:50.070 --> 18:53.900 Army leadership has been instrumental in reducing the stigma 18:53.960 --> 18:56.610 associated with asking for help help. 18:57.120 --> 19:01.090 In army medicine. We recognize that to overcome the stigma. 19:01.400 --> 19:05.020 We needed to make our behavior healthcare teams more accessible. 19:06.000 --> 19:10.440 Not only do we opera behave are hell services tara hospitals 19:10.440 --> 19:14.390 anorak lennox. We're reaching outside the traditional settings 19:14.600 --> 19:18.130 and closer to our patients and their families and more reaching 19:18.130 --> 19:19.350 into the life space. 19:19.920 --> 19:23.640 Where synchronizing and courtney aiding resources with installation 19:23.640 --> 19:27.750 management to me and and our senior mission commanders. We are 19:27.750 --> 19:31.800 well into the process of embedding behave are health assets into 19:31.800 --> 19:36.280 our units soldiers centered medical homes patient centered medical 19:36.280 --> 19:41.500 homes schools and communities we're building community base climax. 19:41.670 --> 19:45.000 So that help is located where our families live. 19:46.440 --> 19:50.420 In collaboration with the fisher foundation. We're standing up 19:50.420 --> 19:54.060 eleven national intrepid center attacks when centers that will 19:54.060 --> 19:56.760 synchronize behavior help and can passive clear. 19:57.600 --> 20:01.320 We're standardize thing the delivery of pain management. So that 20:01.320 --> 20:05.400 it standard across our medical centers anarchy muted. Egos clinics 20:05.650 --> 20:09.700 and more also adding integrated medicine and alternative medicine 20:09.960 --> 20:12.800 to that whole continue amount of being able to treat pain. 20:13.370 --> 20:16.760 We've chartered a woman. Tell task force to look at women's health 20:16.760 --> 20:21.680 issues from policies to protect a personal equipment today appointed 20:21.680 --> 20:25.870 hell support and redeployment programs were lever chained. 20:25.870 --> 20:28.800 Tell of behavior health and tell and there and it's summary is 20:29.060 --> 20:33.300 to e-ink increase our capacity in the disability a valuation 20:33.300 --> 20:36.870 service and be able to leveraged behave or health more towards 20:36.870 --> 20:41.650 prevention in Afghanistan. We are now having over this last year 20:41.850 --> 20:45.610 tell of behave or health to some of our most remote cups and 20:45.610 --> 20:49.550 fonts to be able to have that capability present. So that they 20:49.550 --> 20:53.060 can deal with the concerns and the issues of what they just experienced 20:53.280 --> 20:57.540 prior and snot waiting until they get home to deal with those challenges. 20:57.790 --> 21:00.920 We're focusing our efforts and standardized thing the entire 21:00.920 --> 21:05.490 patient care experience and finally we're continuing to utilize 21:05.490 --> 21:10.300 social media and the internet to reach out to soldiers and to families. 21:10.900 --> 21:15.060 If you will allow me one more video clap our last for lights. Please. 21:20.000 --> 21:27.480 The and if two mile weldon's with their own nearer for. 21:29.590 --> 21:34.820 And and this and just to. An. 21:37.000 --> 21:39.020 A and these a is. 21:39.660 --> 21:47.200 To here in the air the The flags to stands and and and they can 21:47.260 --> 21:48.610 say that. Our. 21:54.960 --> 21:58.710 We to or rebuilding. We're rebuilding and strengthening their 21:58.710 --> 22:01.930 health of our soldiers and families who a bit he answered the 22:01.930 --> 22:06.240 call of our nation for the last eleven years within all volunteer force. 22:06.770 --> 22:09.970 Well rebuilding our army and rebuilding america. 22:10.500 --> 22:14.300 General odeon no frequently States the strength of our nation 22:14.300 --> 22:18.690 is our army the strength of our army is our soldiers the strength 22:18.690 --> 22:23.210 of our soldiers is our families and this is what makes this army strong. 22:23.840 --> 22:28.220 I am huntley reminded each day that the injuries on the battlefield 22:28.250 --> 22:32.390 impact the lives of our soldiers sailors airmen and marines their 22:32.390 --> 22:35.960 families and the units and the communities that support them. 22:36.530 --> 22:40.880 Despite the thing injuries individuals and families can and they 22:40.880 --> 22:46.300 do recap are communities transform and they unite and the fabric 22:46.300 --> 22:51.750 of america binds tighter or children are grandchildren and their 22:51.750 --> 22:56.140 grandchildren will judge our tana ration on how we responded 22:56.140 --> 23:00.870 to psychological and physical effects of or on those who faithfully 23:00.870 --> 23:01.930 serve their nation. 23:02.430 --> 23:04.480 I cannot think you are and now. 23:05.050 --> 23:08.580 For be in those that have supported our families our soldiers 23:08.580 --> 23:11.400 in the community thing gates meant over these the last eleven 23:11.400 --> 23:15.540 years we have a long way to go but I believe for moving on the 23:15.540 --> 23:18.920 right journey and the way that will do this will be biting each 23:18.920 --> 23:22.690 and every one of S together with our capabilities to make just 23:22.690 --> 23:26.880 not our army strong but our military strong and our nation strong. 23:27.200 --> 23:31.000 So with of the last thing that like to say is R E menace. 23:31.000 --> 23:32.750 And is on it to serve. 23:33.500 --> 23:36.210 Am proud to serve sir. Thank you very much nine entertain any 23:36.210 --> 23:37.280 questions that you may. Have. 23:43.110 --> 23:49.340 And Will. 23:56.000 --> 23:56.180 On.. The 23:56.810 --> 24:07.240 The There were doing virtual delegates this year and we have 24:07.240 --> 24:11.520 an audience of them as we speak and this question came from Fort bless. 24:12.070 --> 24:14.830 There are several programs for our soldiers and regards to be 24:14.830 --> 24:18.430 a role health and nancy the progress being so overwhelmed that 24:18.430 --> 24:21.820 take soldiers over a month to get help. I personnel a soldier 24:21.820 --> 24:24.310 that was on the verge of the anti could not get help them out 24:24.310 --> 24:28.060 a hearty try what efforts are being put in to making this better. 24:28.670 --> 24:32.570 To thank you very much for the question we have spent rj this 24:32.570 --> 24:36.090 last your really looking add. What is the demand for capabilities 24:36.090 --> 24:39.510 that we use of their several things that we've done for behavioral 24:39.510 --> 24:42.240 health reasons over hiring behavior health and the areas where 24:42.240 --> 24:45.330 we could actually hiring them because there's a national shortage 24:45.330 --> 24:48.700 and the hibberd health providers. So we over hard then they each 24:48.700 --> 24:52.230 one of our medical centers we're using the internet to be able 24:52.230 --> 24:55.920 to take that capability and leverage it to some of the more remote 24:55.920 --> 24:59.620 areas and various we're target that are higher this capabilities 25:00.110 --> 25:03.750 or also on news in the entire behave are help team so we're increase 25:03.750 --> 25:07.520 in our hires not just in psychiatrists and psychologists but 25:07.520 --> 25:11.690 also social workers and psych nurse practitioners. So we want 25:11.690 --> 25:14.830 to use the full complement on that the other thing that I think 25:14.830 --> 25:19.410 that we're doing on is as we move towards prevention that will 25:19.410 --> 25:22.930 decrease that to me and on that the heater hell system. So that 25:22.930 --> 25:25.990 we can get more towards wellness and then last better needing 25:25.990 --> 25:29.000 the actual behavior healthcare and we've and that those in our 25:29.000 --> 25:33.020 primary care. So that is people are coming in just for basic appointments. 25:33.320 --> 25:35.800 We also have behavioral patterns that it in their as. Well. 25:40.900 --> 25:44.850 We also now have a question frowned that I E anthem up we actually 25:44.850 --> 25:48.440 get us winter to come to writer questions down on a car but I 25:48.440 --> 25:51.420 think after this question we will open it up to the audience 25:51.450 --> 25:54.590 in the room arm. So that you can have a bit of an interaction 25:54.590 --> 25:58.830 with them as well so this question there's about arm service starts. 25:59.180 --> 26:02.970 I pay to have my done trained and as is like psychiatric service 26:02.970 --> 26:04.580 start and was prescribed. 26:05.170 --> 26:08.900 There was this by by military psychiatrist and psychologist however 26:08.900 --> 26:12.390 as a result of the med come policy. I was called into an office 26:12.390 --> 26:16.530 and told to take my dark home as a result. I was forced to our 26:16.530 --> 26:19.560 request retire retirement as giving out my serviced. I was not 26:19.560 --> 26:23.030 an option. I am convinced that I would be not be alive today 26:23.190 --> 26:26.360 if it was not for my server start what if any anything is be 26:26.360 --> 26:29.830 and down to assist warriors with pt estee and TV I to be able 26:29.830 --> 26:32.880 to train they're gone score on perceive a server start. 26:33.090 --> 26:37.020 Okay. Okay thank you on it there has been a lot of work at that 26:37.020 --> 26:40.270 has been done with regards to service animals and in the use 26:40.270 --> 26:43.680 of service animals for or emotional support and behavior hell support. 26:44.320 --> 26:47.900 One of the things that we had to do across army medicine is to 26:47.900 --> 26:50.780 have a policy that was standard across the board that allowed 26:50.780 --> 26:54.900 vista armed make sure that we we're providing the best and safest 26:54.900 --> 26:59.250 ox possible to meet those disability needs. So one policy did 26:59.250 --> 27:02.090 go out that was very consistent with the same policy that that 27:02.090 --> 27:05.590 veterans affairs because as people we active duty we've got to 27:05.590 --> 27:08.640 make sure that in the the a they're able them to support the 27:08.640 --> 27:11.680 needs of that service start in and our veterans of that was one 27:11.680 --> 27:15.020 rationale behind the policy what we're looking at right now we 27:15.020 --> 27:19.250 do have their peed arcs. We're arm we use that starts from motionless 27:19.250 --> 27:22.190 support to be able to help or service members that are on active 27:22.190 --> 27:27.540 duty right. Now when someone is assigned a service animal that 27:27.540 --> 27:31.580 actually means that on their gonna be going through the disability system. 27:32.180 --> 27:35.090 Because it's a permanent animal that will be assigned to them. 27:35.090 --> 27:38.540 So when we have individuals that are assigned service animals 27:38.540 --> 27:39.680 for down either. 27:40.220 --> 27:44.820 The hater held or for a physical disability than that they intend 27:44.820 --> 27:48.470 you would enter into the disability process and again they will 27:48.470 --> 27:52.330 go through that in so we do have emotional support dogs and a 27:52.330 --> 27:56.590 policy to support that that will allow on for those animals to 27:56.590 --> 28:00.510 be used but they don't follow under the same category and the 28:00.510 --> 28:04.040 same rules that that apply to us servicing and also if you're 28:04.040 --> 28:07.580 in this audience at fighting the answer that question on to your 28:07.850 --> 28:09.930 to your needs just please Frazier animate the. Now. 28:14.130 --> 28:15.010 Happy. To. 28:28.150 --> 28:31.240 I'd Aurora Christie kelvin in coz support foundations. If you 28:31.240 --> 28:34.710 mentioned to the and the chalice it we have in getting enough 28:34.710 --> 28:38.520 providers and both for the service members and their families 28:38.920 --> 28:42.580 whether we doing in regards to looking it organizations that 28:42.580 --> 28:45.520 are ardi doing this said or outside the gates where they are 28:45.520 --> 28:49.820 a non profit like not alone are given our or some of the existing 28:49.850 --> 28:54.490 support that veterans and family members to can use if they knew 28:54.490 --> 28:57.770 about I think that's the big gap of of looking outside of the 28:57.770 --> 29:02.920 resources that dod provides because we just can't we take fill 29:02.920 --> 29:06.240 the need at this point Sydney talk about how how we can move 29:06.240 --> 29:09.670 for in libya some of the barriers that keep that from happening 29:09.700 --> 29:14.470 the Actually we on it very aggressively over this last year what 29:14.470 --> 29:17.450 happened reaching out to the other organizations and and we make 29:17.450 --> 29:21.980 contact with given our they have an arm over thousands of the 29:21.980 --> 29:24.810 heater health providers that are donating their time to be able 29:24.810 --> 29:28.220 to support the behavior help to me and far service members and 29:28.220 --> 29:31.760 so there's work with the in down with them that we've also worked 29:31.760 --> 29:35.800 with congress is patched your they just passed a step back and 29:35.800 --> 29:39.310 what that does is it will allow credential knowing in purple 29:39.310 --> 29:43.290 itching across state lines and so what that will allow us to 29:43.290 --> 29:47.590 do is to be able to use the internet and and tapping into the 29:47.590 --> 29:51.040 wealth of talent that we have across the United States to really 29:51.040 --> 29:54.340 support maggots even more so our resource and our national guard 29:54.660 --> 29:57.480 that need that support and some of the most remote areas and 29:57.480 --> 30:00.920 so we've been looking at this through a policy perspective through 30:00.920 --> 30:04.950 legislation as well as parking with a lot of our community leaders 30:04.980 --> 30:08.710 on and then and then over high we it doubled the amount of our 30:08.710 --> 30:12.230 behave are health providers on active duty to support the increased 30:12.230 --> 30:15.470 demand because I believe it's you decrease the state my and you 30:15.470 --> 30:18.420 make it more comfortable for people to seek behave are healthcare 30:18.710 --> 30:22.420 that to me and it's gonna go higher but in addition to that arm 30:22.450 --> 30:26.500 are in bedding of the hey per hole into the units is a way that 30:26.500 --> 30:29.240 we're actually getting people to feel more comfortable seeking 30:29.240 --> 30:32.910 to your and we're seeing positive outcomes on on decrease in 30:32.910 --> 30:36.840 the stigma an increase in the help decrease thing inpatient admit 30:36.840 --> 30:40.360 missions do to behave are how just by having that capability 30:40.360 --> 30:44.110 embedded in the Brigade combat teams and their units and so we 30:44.110 --> 30:46.850 are actually funded for fifty million dollars to roll that out 30:46.850 --> 30:48.360 and we can rolling it out. Aggressively. 30:53.620 --> 30:57.250 I have a question from a virtual delegates at Fort heard. 30:58.030 --> 31:01.470 And is I delegate says how can we reach the family member with 31:01.470 --> 31:05.950 suicidal issues whether the statistics on the family member suicide great. 31:06.890 --> 31:11.350 You know what I a on it and Speaking of our army senior leaders 31:11.350 --> 31:14.990 because we've spent a lot of time talking about this and in we 31:14.990 --> 31:18.980 all really believe that in order for us to topple suicides. 31:19.250 --> 31:22.480 I think we have to focus more on resiliency and more and the 31:22.480 --> 31:26.060 prevention and what we found is small we look at every single 31:26.060 --> 31:29.830 suicide that occur as well pretty eighty five% of and had a 31:29.830 --> 31:34.550 relationship issue. So either a failed marriage failed dating 31:34.550 --> 31:39.030 relationship build relationship with parents were on or failed 31:39.030 --> 31:42.620 relationship with their units and so if we can focus on that 31:42.620 --> 31:46.550 community involvement if we could focus on on increasing every 31:46.550 --> 31:50.370 zillion sea and having that ingrained in everything that we do 31:50.370 --> 31:54.570 with so part of I'm general Odierno on the has has really look 31:54.570 --> 31:58.020 at it is our resiliency and readiness campaign plan and that 31:58.020 --> 32:02.300 is forcing that capability into workday today interactions within 32:02.300 --> 32:05.510 our units and so we're increasing the number master resiliency 32:05.510 --> 32:09.740 trainers were pushing more our capabilities into the units were 32:09.740 --> 32:12.410 it on we've got a soldier leader restrict actually told that 32:12.410 --> 32:15.830 we actually chest I'm rolled out and we had our suicide standout 32:16.270 --> 32:20.160 on twenty seven september and what that does is it doesn't identify 32:20.160 --> 32:23.470 his that risk more importantly what it does is that forces the 32:23.470 --> 32:27.410 conversation from our squad leaders and our platoon leaders with 32:27.410 --> 32:30.620 their service members because what we want to have happen is 32:30.620 --> 32:33.930 we want people to get that personal connection to know who's 32:33.930 --> 32:37.490 having marital problems who's having financial problems who's 32:37.490 --> 32:40.700 having stressors that work and then be able to get them into 32:41.000 --> 32:44.260 the large number of resources that we have out there the other 32:44.260 --> 32:48.360 thing that we're doing to be able to tackle this is on developing 32:48.360 --> 32:52.900 a commanders dashboard and what that will allow is to do is our 32:52.900 --> 32:56.390 commanders will then have disability by individual in there. 32:56.390 --> 33:01.130 You know up who's having challenges who's the enaam support and 33:01.130 --> 33:04.500 as they move from one installation ten out there that information 33:04.500 --> 33:07.460 doesn't get lost because that's where accountable part is this 33:07.460 --> 33:10.890 when you lose that the unit support from one place to another 33:11.160 --> 33:16.100 and so with that dashboard. He's connecting information on from CIT. 33:16.100 --> 33:20.290 It's connecting information from our from traffic violations 33:20.290 --> 33:24.860 risky behavior behavior help on it's getting compliant on but 33:24.860 --> 33:28.520 what it allows them to do is to really build that. Relationship. 33:32.810 --> 33:36.220 Ma'am my name is shop Roy and very on the government military 33:36.220 --> 33:39.490 affairs liaison with the partnership for children of come rolling county. 33:40.170 --> 33:43.680 We sponsor conference every your call the forward march conference. 33:43.710 --> 33:44.330 It's a. 33:45.100 --> 33:48.760 Predominately behave are all health-related conference. But we 33:48.760 --> 33:52.630 bring and educators along portion and the number different organizations 33:52.630 --> 33:56.560 and individuals and of that copper switches help this there's 33:56.560 --> 33:59.770 there's pass there's a and friday and we had as or closing plenary 33:59.770 --> 34:03.890 speaker command sergeant major chris barris. He's bass sergeant 34:03.890 --> 34:05.190 major was so calm. 34:05.890 --> 34:10.320 And he talked about barriers to behave or health and of course 34:10.350 --> 34:14.510 years stig human being the one that's the the most the spoken 34:14.510 --> 34:17.330 of a barrier very also mentioned. 34:18.000 --> 34:23.020 And barriers in terms of a lack of understanding of military 34:23.020 --> 34:26.840 culture and combat experience among our behavior health professionals. 34:27.440 --> 34:31.540 And the D got me thinking and my former life. I was in case worker 34:31.540 --> 34:35.510 and it's something that I heard very often is. And from from 34:35.600 --> 34:38.890 service members that and they didn't feel comfortable going to 34:38.890 --> 34:42.400 speak to somebody who they and basically had to bring up to speed 34:42.760 --> 34:46.880 on on where they were coming from and it seems to me especially 34:46.880 --> 34:50.350 and these economic times that was soldiers and service members 34:50.350 --> 34:51.480 transitioning out of. 34:52.400 --> 34:55.210 The military that there's an opportunity. 34:56.110 --> 35:00.790 To encourage some of those members to go into the behavioral field. 35:00.790 --> 35:05.790 So that a those barriers can be overcome. So I just wanted it 35:05.790 --> 35:10.650 is Faso an if it there's any way the army sitting Corp encourage 35:10.980 --> 35:15.780 on members to soldiers to be come to go into the ever health feel. 35:16.760 --> 35:20.080 If I can answer to parts of your question to sue you actually 35:20.080 --> 35:23.960 raise an issue that sound we of the looking at there's a program 35:23.990 --> 35:27.120 that has actually contested at walter reed over the last couple 35:27.120 --> 35:30.930 years and then also utilized it for me and that is how do you 35:30.930 --> 35:33.570 trainer behave are health providers. So that they have the military 35:33.570 --> 35:37.930 cultural sensitivity arm Iniguez. We've as I told you we've doubled 35:37.930 --> 35:41.350 the amount of the here help providers so we're drawing from the 35:41.350 --> 35:44.650 civilian sector to bring in a capability that they don't necessarily 35:44.650 --> 35:47.910 have that understanding of the military so we're looking at what 35:47.910 --> 35:52.060 are the right training programs that allow best up on board individuals. 35:52.200 --> 35:55.670 So that's one thing the second thing is is on to address that 35:55.670 --> 35:59.960 is really in betting are military personnel into the units said 35:59.960 --> 36:02.850 that they have that understanding because the same behavior of 36:02.850 --> 36:05.910 providers and the units will be the same behavioral for fighters 36:05.910 --> 36:08.870 that actually deploy with those units and then there's a billion 36:08.870 --> 36:12.460 set have that have bishop and habitual relationship with them. 36:13.190 --> 36:16.740 The other thing that we've done the is uniform service university 36:16.960 --> 36:20.390 has actually started a couple years ago forest a training program 36:20.390 --> 36:24.350 to develop arm psychiatric. Nurse practitioners and we've had 36:24.350 --> 36:28.090 a lot of our in list it medics actually arm are getting funded 36:28.090 --> 36:31.360 education lead to go back to school to going to the behavior held. 36:31.360 --> 36:35.600 So we are trying to aggressively look at this from from all different. Dimensions. 36:38.500 --> 36:40.040 Have time for one last question.. Okay. 36:40.040 --> 36:47.510 Okay. Mentored one that's resiliency training for families and 36:47.510 --> 36:50.800 and cramming taking one and their local ACS and of enjoying a 36:50.800 --> 36:52.650 quick that much however. 36:53.220 --> 36:56.650 The training itself is get or soldiers the language is not family 36:56.650 --> 37:00.110 friendly can we Rework the curriculum to that it's a more focused 37:00.140 --> 37:03.350 on the I'm lee is when we're training Afghan mix. Happy. I what 37:03.380 --> 37:07.350 I will take that back to the that team they actually just change 37:07.350 --> 37:11.380 the title because they get feedback on when it had comprehensive 37:11.380 --> 37:15.090 soldier fitness that families detail included in that and so 37:15.230 --> 37:19.180 we've got families and to the type-1 in all go back to show them hours. 37:20.370 --> 37:25.000 Of the So I I will take that back in think it. 37:25.550 --> 37:29.240 Came to defense from on high I think it's time to. A. 37:31.260 --> 37:34.850 Well just had to think of the ten in general petition bore-hole 37:34.850 --> 37:40.120 for her amazing. First of all that wonderful words those images 37:40.120 --> 37:45.540 were so powerful and also just because you do in such a fantastic job. 37:45.730 --> 37:49.260 We know how much you here. We know how much you care and it is 37:49.260 --> 37:52.110 shines right through I mean it come upon phase for just the men 37:52.110 --> 37:55.440 that because you had agreed to our help us with a little something. 37:56.500 --> 38:00.410 Of but again please arms jeremy and around of applies to say 38:00.580 --> 38:01.070 to. Her. 38:07.000 --> 38:11.430 The the now we're going to actually you recognizing our first 38:11.430 --> 38:15.140 runner-up family of the year here upon station general corporal 38:15.140 --> 38:19.080 has agreed to help us do just that for cut we get the is real 38:19.110 --> 38:23.300 on without that the rivera family up. I the kids are are not 38:23.300 --> 38:24.420 making level of. 38:25.000 --> 38:25.760 She'll get down. 38:26.390 --> 38:29.090 You guys come on up because I'm disconnected a little bit of 38:29.530 --> 38:31.090 something about you and 38:32.420 --> 38:36.130 We've got to war officer for israel rivera. 38:37.600 --> 38:38.230 His wife. 38:39.000 --> 38:39.660 And gera. 38:41.080 --> 38:41.770 Is with that. 38:42.760 --> 38:46.500 And after getting the kids we're absolutely adorable and 38:47.740 --> 38:51.220 I just want to say that we could not be able to recognize that 38:51.310 --> 38:54.620 our families the way that we have without the help of Arce of 38:54.620 --> 38:59.540 amazing sponsors and I would actually like to invite nancy kilbride 38:59.580 --> 39:03.070 upon state with this as well she is the vice president and general 39:03.070 --> 39:07.150 manager federal pharmacy services division of express scripts 39:07.510 --> 39:11.930 which on as many of you know it or mail order are pharmacy. Company. 39:14.380 --> 39:15.740 Thank you so much can down. 39:16.530 --> 39:20.830 We are going to test await a little bit longer. So what have 39:21.040 --> 39:23.980 a lemon just tell you a little bit about the rivera fail. 39:23.980 --> 39:26.310 If you are one a chemical center stage a little bit more. 39:26.310 --> 39:26.840 So you can. 39:27.370 --> 39:32.320 Be of Every that very vera family was nominated for a by the 39:32.320 --> 39:36.570 lead chapter in through there are actually from by Fort lee to 39:36.570 --> 39:39.970 the robert heeley chapter in Virginia they have subsequently 39:39.970 --> 39:44.820 peace yes to some about germany and we're on the Devi for rivera 39:44.820 --> 39:48.320 is currently assigned to the eighty non and he Brigade I have 39:48.320 --> 39:51.340 to tell you just a little story. Well we call to congratulate 39:51.340 --> 39:55.040 that we couldn't find them family started to panic just a little 39:55.040 --> 39:58.900 that but they they partly when out all over of that there and 39:58.900 --> 40:02.620 germany we found them sell they traveled are the way from germany 40:02.620 --> 40:05.540 and have been here only for about a couple of days. So there 40:05.580 --> 40:08.570 on their just areata get their sea legs under them. I think. 40:09.180 --> 40:21.250 On the rivera family is receiving our wonderful gift basket to. For.. Her. 40:22.160 --> 40:31.230 Her. As well as a check for one thousand dollars from express 40:31.230 --> 40:32.940 scripts as well from and. The 40:36.250 --> 40:36.500 You. Can. 40:42.590 --> 40:47.000 His family is amazing family put in countless of our sir volunteer 40:47.030 --> 40:51.620 time both at their Fort lee community and now also over and on 40:51.890 --> 40:57.220 in germany they all for a down contribute very very much too 40:57.440 --> 41:01.150 many different organisations their family readiness groups and 41:01.180 --> 41:06.340 on the kids are always available to help babysit to help on support 41:06.340 --> 41:09.080 any anything that their parents have asked them to get involved 41:09.140 --> 41:13.220 with the show I was wondering if I think you know so I think 41:13.500 --> 41:16.520 are we just want to give their rivera family around of. Applies. 41:19.700 --> 41:20.840 Ten days. 41:22.430 --> 41:25.720 General brewer hope for helping us make the presentation on one 41:25.720 --> 41:27.020 last presentation to me. 41:28.800 --> 41:32.740 And that is to our sponsors without them we just could not do 41:32.740 --> 41:35.420 what we did sir. Thank you so much to express scripts for their 41:35.420 --> 41:36.270 loyal support.. That. 41:40.500 --> 41:48.390 That. And this concludes our morning ceremony. I hope that will 41:48.390 --> 41:51.740 return this afternoon at to perform number three it's gonna be 41:51.740 --> 41:55.240 just as amazing everybody west and our please help me give every 41:55.240 --> 41:55.810 in iraq..