2019 Public Health Ethics Forum: Ethical Dilemmas in Child and Adolescent Health – Part 2 of 6

this is the essence of our day together to really listen to what these young folk have to say and I before we selected the students and even after I asked to get all their their BIOS the sketches you know and because I wanted to get a sense of who they they are and when you're in high school and sometimes when you start at college you really haven't done a whole lot of things you want to put on paper you've done a whole lot of things but you don't know what's important what's not important so I looked at the bow sketches and thought I'd do it a different way rather than to try to read what they what the descriptions are also I've learned over time that names are very very important and it's nothing more offensive or insulting to say somebody's name wrong and did that not doesn't have to do with how it's how it's spelled is how it's pronounced I had a young woman who when I in the mph program at Tuskegee several years back really bright really energetic matter of fact she did our undergraduate studies at Emory and came to Tuskegee to do the mph degree and we had her name and and I'm you know I I can read and do phonetics pretty good and her name was Beatrice easy to pronounce and so when she came first you know I met her he said this is Beatrice that's what I said as I introduce to the people this is Beatrice and first time she didn't say anything second time introduced her this is Beatrice and she kind of looked at me kind of strange and then the third time I understood to another form this is Beatrice and she's an mph student that just getting real proud of her she pulled me aside she said oh not the one in all due respect I was named after my grandmother and her name is Beatrice my name ain't Beatrice I was named after my grandmama and I name is Beatrice so I learned at that point I am trying to pronounce anybody anymore I want you to hear them tell you what their name is so you won't mess up like I did the other thing that I want them to do is in and saying their full name I want them to say where they're from and for many of us where you're from is different where you are it's almost where you're born and where you're from and we are changes regularly so I want you to them to tell you where they're from and where they are that is where I am is the high school where I am and what level I am and then lastly so so we won't spend a lot of time talking about them instead of listening to them the most important thing that you want this audience to know about you not but I think it's important what you think is the most important one thing that you want the audience to know about you and it doesn't really matter what we think let me give you an example because I've learned to listen to my my now grown children and then we'll move on I think it's important time identify my primary training and as you notice I have a diastema that's what dentist says there's a gap I went for the gap and my mama had a gap mud my dad had a gap and all most of them did all I've had it so but when I got in dental school we were taught that you know that the the the the anti-cop the anatomical profile the appropriate one your teeth are aligned and there's no diastema so I'm gonna be the studious dental students note I asked him oh I knew so when my son was coming up and he got to be by 12 we took him to the dentist and they paid three four thousand dollars for bracelets to straighten his teeth out so there wasn't it wasn't any gap it wasn't a – Tamar to say it professionally and three years and it was – all straight his profile was perfect and then you get a retainer did you wear for two years that gives the bone a chance to – to solidify so the teeth won't move again so I got the retainer and I'm paying big-time money and I would notice yo you weren't wearing a retainer so that our lost kids I got him another one I mean what am i a retainer I said well well ID you ain't paid $5,000 to get you some braces and it perfect and what's wrong brother I wouldn't get retainer your typical he said look man you got a gap my Grandmamma have a gap mark was there a gap I want my job back our son is 34 and if you see him guess what you got a gap I say that to say your identity who you want them to know who you are it's critically important it's just not a whole story just what's the most important thing that you want this audience to know because that will contextualize what you say you know I'm saying they will understand what you say a lot by who you want them to know what you want to know about you let me start with my immediate right and your name where you from where you are that's your school your grade and the most important thing for things now I'm gonna say it again so y'all won't be wondering what what you're supposed to do your name got that shouldn't be too hard well you're from where you are that's the school grade and the last book what do you want them to know about you sir morning everyone my name is a little over the door and I was born in Atlanta Georgia and I'm currently a senior at Chamblee charter high school and what I want you guys to remember me about is that all I want to do is spark change within my Latin ex community I've seen that you know within my community we've been struggling a lot financially and with health care and I just want to make a change for them good morning my name is Ken dairy savvy I am a senior at Buca CY sin High School in Tuskegee Alabama and uh a small thing about me I'll be attending Tuskegee University in the fall as a sophomore and uh I guess that'll be it for the time being hi I'm Emma McDonald I'm from Conyers Georgia and I'm a sophomore at Rockdale magnet and I really don't know what I would like want you guys to know about me I guess I have two older brothers and I also just want to change things for the better whether that be environmental or just a quality for different people okay hi my name is Maya Martin I am 18 and I'm sophomore at Agnes Scott College and we're both from Vox ITL and one thing I would want you to know about me is that I'm a journalist I love learning about people and writing and listening to NPR good morning my name is jamya McNeil and I'm from Tuskegee Alabama and currently I'm a senior at Booker T Washington high school and I plan on attending Tuskegee University in the fall and I chose Tuskegee because that's where I wanted to change to start alright so you have a sense of who you going to be listening to and what I want to frame this this conversation it is a conversation around the the topic areas that the whole day is grounded in and around we we are wrestle with these topic areas because there are all kind of things going on in the world you know and and it's fuzzy and there weren't because of the nature of the timing and whatever there wasn't a lot we didn't have young folk with us so we were trying to figure it out and that's why I took us so long trying to figure it out and you know you say well when I was in high school what that didn't work at all so what we we framed them the best we could and so as we want you all to respond to these topic areas with this a statement but which how you interpret them to read and what that means to you and it it may mean something very different that gives us a context from which to have this broader conversation and we'll do that and then most important as we learn from last year is the question that you all have about the folks up here so we want to at least get some sense of that so we'll go by the first topic area and then let them say what that means in their context from each of the panelists and we can have some conversation about that so we're gonna subset these because they're they're very important areas as we view them and you all may view them differently so why don't we starting since we have a kind of a line already we'll start up to my immediate right the first topic area is adolescent access to sexual health education and services and let me start by saying what what is an adolescent and so that let's start here with with our first panelist Adolfo Lu what is this topic ever you mean but I also want to hear what you think of adolescent ears and they're not right or wrong answer this conversation what do you think and that list is all right so for me what an adolescent is is you know I guess it's someone that's like I guess getting into those stages of becoming an adult okay yeah and when and what is your thoughts about this first topic area adolescent access to sexual health education and services what does that mean to you and what we're really trying to get you to say not what it means to us what Lee attended be does that mean to you somebody says access to sexual health education and help and sexual health services so in a sense I feel the sexual health is something that needs to be addressed so I mean I have quite a lot of examples so where I've so I grew up in the city of doraville and I've attended Sequoyah middle school and now cross key and then I went across Keys high school before going to shame Lee and those who schools compared to Shamli are very different Chamblee is very you know they get all the funds from the state so they have a good health program within the school but then there's schools like Sequoia and Cross Keys and then they don't they don't have the sort of aid from the state so when I took health in seventh and eighth really liked it they didn't really address what is it like sexual health and everything like that and so I feel like there needs to be I don't know some sort of like program for that I mean I didn't really get so most of my education from that topic would have probably been from Wake I don't just from experiences from that outside world like just being with friends and just seeing what other people within my community have done and what pathways they've taken I could say from firsthand is that their choices weren't the best and I mean their health hasn't been that well either because of those choices so I feel like there needs to be some sort of change for those communities in those areas and I mean on the other hand Chamblee it's more of a I mean they have more funds so they're the area of Chamblee so chamblee is quite a big city and it's divided into two areas I'd like to call it the poor area of shamlian a rich area of Chamblee and my school is mainly in the rich area of Chamblee and I mean their programs are good too and but you don't see that type of stuff that I've seen in the city of doraville or in the poor part of chamblee and that area of Chamblee is filled with a lot of Hispanics and a lot of mainly from Guatemala and they don't really know what the sexual health like how to have like protective sex or abstinence or anything like that like they don't know that those type of stuff so I really do feel like that we need to address those topics more in areas like doraville or that one section of Shamli thank you um being a first I mean I'm on address what I feel in AD listen is I feel like Adolfo said an adolescent is just somebody's coming to those stages of adulthood as far as adolescent access to sexual health and education in my community at my high school we do have health we have health class and things of that nature but in our health class we don't address sexual health we don't address sexual health and it's not it's not looked at as much as it should be for especially being a delicious you know you get curious stuff like it happens don't can't even can't even talk so it happens so for us to not address it the way that it is just as much as it should be it was a detriment so young just a young people and that's just point blank so I'm saying it I I just could say that it needs to be addressed more it's too many kids fall victim to not being apprised of how important it is to be knowledgeable of it to be ignorant of it is it's it hurts you more than it helps a lot of older people think that if you don't know you won't try and no that's not how I work so like as older people I would I would ask that lets kids know so I'm going back to the definition of an adolescent thing yeah I really just think it's someone who's still like learning how to kind of stand on their own two feet and like growing into themselves as a person there's not really like I said age range because it really does change from person to person like half-assed with that person matures and then about the topic I know that I haven't had like a real health class since sixth grade and of course they didn't talk about anything relating to that um it was mostly to spent like drug and alcohol prevention stuff and then when you get in the high school like it's required that you take a health class but really we're focused on going through and becoming like competitive enough for the college admissions process so it's like I took health online and I took physical education online over my summers that way I could take more AP's so it that way I could like get into college and of course over that like there you would think that if there's not that like awkwardness in the room of trying to address it then like they would put something in there like a PowerPoint you have to look at it something but there wasn't like and if the system is like going through and it's like this lacking trying to educate like heterosexual youths on this then you know that it's even more lacking for LGBTQ youth and they're like not getting the different information that they need about having safe sex or anything like that and then heterosexual youth aren't learning about family planning or different options they have in different ways to go through and set up their life for success that way they can get to where they want to be before they make like the knowledgeable decision of what they want to do yeah so I went to a very small conservative high school um and I think that we learned about abstinence was definitely encouraged and it was very like hetero centric and yeah so I think that a comprehensive sexual health plan would include all kinds of relationships including LGBTQ plus and not just abstinence but how to have safe sex because you know like you said people are going to do these things anyway and it's just like best to know and how to like to know overall sexual health because it's part of like who you are as a person overall and I think like it also includes having access to HIV testing condoms and birth control like without parental permission because like even if you're doing these things you need to be have an avenue to do it safely without like your parents knowing because you're not going to reach out if you have to go through your parents so yeah most of what I learned about like sexual health was through the internet and I think it should not be that way okay I agree with all of them but I feel like sexual education should be taught in all when I all schools like middle school and up because all the students like they know exactly what they want and what they're going to do and the way that we're being raised now I feel like we're growing up faster than everyone else did so at my middle school we used to learn about sexual education with we had a coach his name was coach Patrick and he used to teach us about all types of diseases and I forgot everything else he said but that was in like seventh grade but he taught us a lot we used to take a lot of tests but it was very anonymous so he wouldn't know who he would just know it like what we're doing and I feel like every middle school should have that just to like show the students what they need because they won't talk to their parents unless it's like life or death so that's how I feel about it you know what you have a sense of what they think rather than that you ask them questions now because we will be the whole day on this one subject I'm gonna do the same thing with all this topic area so just jot down your questions so we can get through at least the subject areas that we thought were important so you have a sense of where they're coming from with that so we'll come back to that but the second topic area facing substance abuse and mental health challenges with facts and moral courage facing substance abuse and mental health challenges with facts and moral courage panel what does that mean to you so like I said before I was raised in a small city that's filled with a lot of minorities and substance abuse was something that was well not really now but growing up in my elementary school days was something that was common and I mean in that area but people wouldn't say anything it was it would be adults doing it kids doing it like I'd be outside on the soccer field playing and then you'd see other people I mean doing drugs and all that stuff and I mean to me it was just common in the um in my area and why they did that those stuff and I really don't know why I guess it's just because everyone in that area did people would just follow that path like oh hey I'm gonna do it too and it just continues on and on and now that sort of substance abuse I don't really see it that much in my area yeah I mean it's still present but it's not as high as it was before a bit I mean mentally it didn't really affect me because well me personally because I just I really didn't care about that type of stuff like my parents kept me going on the right path which I'm thankful for that but there are other I've had friends or and even family members that went down that path of substance abuse and I don't know I feel like in those areas where there where there are a lot of minorities it's just not there aren't any programs or organizations present to sort of get them aware that you know this isn't the way to go and stuff like that okay substance abuse is quite honestly in this in this climate like now it's become really normalized and it's not okay um if I had to say if I had to put a thing on it I honestly say that it's like media pop culture think people don't know how to differentiate between reality and what they see so it's like a lot of younger people especially marijuana people young young people smoke young people smoke marijuana and like a lot of people you know a lot of people say that it's okay it's Kenny from the ground came from the earth and they can hurt nobody but steel like it's not it gotta be something come on it's something that if something gotta happen cuz it's not okay people don't have the young people especially don't have the I want to say don't have the maturity I don't want to say they don't have the maturity but we think we do and we don't add time and we don't a lot of the time and it's just we should be able somebody should be there to let us know not to like nag and like top downs but to let us know that we do have limits a lot of as young people we don't see that we have limits but we have limits and I just want I just feel as if to look at substance abuse be it be it over-the-counter medication be it drugs be alcohol be it whatever we should be able to look at it with clarity look at it for what it is take it at face value and just know that it's not for us and that's just my little look on it front planking alright so I'm gonna go through I'm gonna like go into like my personal experiences with my life with this so my oldest brother he's five years older than me when he was in high school he was diagnosed with bipolar depression and anxiety and before he was able to have access to the right medication he went and he turned to substance abuse whether that be alcohol or smoking and lots of things and it you know that kind of stuff affects people differently but for him it wasn't good and he got into some trouble with when he was going through and he was using his substances and it really messed up his life for a while and that was really hard for all of us it was hard like at home when he was going through and he was suffering with that and when he was in and out of different facilities trying to get help but I think that if we went through and we tried to like DS stigmatize mental illness if people knew that it was okay to reach out and ask for help like earlier before it got to that breaking point then people would be able to get access to the like legal and safe medications they needed that way they wouldn't feel that way and they wouldn't have to turn to these different substances to try and help themselves and it would just be a lot easier so I think that we need to open up that conversation that way people are okay with like going and reaching out for help before it gets to a point where it's going to ruin their lives and hurt the people around them yeah yeah thank you for sharing that so I think that we should treat people who struggle with substance abuse with compassion and treat it as a disease instead of a lifestyle choice and I think that sending kids to jail for doing drugs is not the answer on substance abuse is very common in Tuskegee Alabama so I see it mostly every day and I feel like it's very common because the students and everyone else they're able to get access to these drugs like so easily so and I feel like we have a lot of problems because we don't know how to talk about our problems like we don't know how to handle it so we turn to drugs and alcohol and everything so everyone mostly in my school they mostly smoke weed not good at all but is easy access and they feel like it's a sense of peace and calm so thinking about that very sensitive and I think an important topic how does how what are the intergenerational challenges you know looking at your parents and other folks how are those those intergenerational challenging structures impact upon substance abuse and the diversity of your population of young folk do are adults helpful they're not know for what are the challenges that you see with what we call intergenerational structural challenges around substance abuse all right so so for me the I guess from what I've seen the older generation mmm hasn't really helped out I mean because most of like I said before most of the people in my area are Hispanic and they tend to have that mentality of back in the day like in Mexico or in Guatemala which is I mean once you hit the age of five go out there and work on on the fields go cut the the maize collect the coffee beans and all that and coming to the u.s. because of poverty in those areas they have that mentality of oh hey you're five you're old enough to do this you're old enough to do that and I mean most of the time most of the kids growing up from parents with these mentalities they just end up raising themselves in a sense so and I mean most of these kids have fallen in substance abuse and it's mainly due to either because their friends have told him to hey try this or just because they felt lonely out there and they didn't have anyone to talk to because like I said their before their parents think they're like they have that mentality of Guatemala or in Mexico or any other area and they just don't have anyone to talk to like the parents are out there working working just to get enough money for the rent and for food and I don't know because of from what I've seen that's why I think that the older generation has really helped out um in my case uh I was raised the first few years of my life with my grandparents and uh my grandparents they didn't like they talked to me so um I was never I never wanted I never wanted to get any closer substances of that of any nature and like they were always talked to me even if I did like they'd tell me they'd say lady lay it down and like I remember when I went to my first party my granddaddy said uh don't get drunk people take advantage of you and I and I took and I'm you know so I don't drink um I don't I don't smoke so it's just like a lot of people don't have that support system a lot of people don't have somebody in their ear telling them pop the weight if they do something do it positive it in a way that don't put them in that doesn't put them in danger a lot of people don't have that a lot of people so that on that older generation a lot of people don't have that older generation that got some sense to tell them what to do and what not to do or how to do it if they do do it so it's like a lot of people don't feel that positive that positive hold on them a lot of people don't have it and when they don't have it they just they are victim of circumstance at that point and if they have a hold and it's not positive it's even worse because now they're being pushed towards that's not helping them at all and that's just it defeats the purpose if you're not contributing you're taking away so you're not helping anyone you're not doing anything worthwhile you're just holding them back and that's what the older generation does for some of the people that I see around but could see why some high school but thankfully we have a support system at Liberty Wiseman High School now named Belynda Copeland Sutherland who was actually there for students but it's up to the students to go to her she has she leaves her daughter but it's up to them to go to her and that's just it um I think though this kind of like goes back to what we were talking about originally where it's like if you just tell kids not to do something with no explanation they're not gonna listen if you're just like don't have sex like okay don't do drugs like all right and then like you have to actually have a conversation about why these things are important and the different effects it can have because it's like I know kids they'll go and they'll be like smoking weed and there's Red Ribbon Week and they're like I promise to be drug-free guys like look at this they're going and they're like toasting with their little like backgrounds and stuff they set up around the school but it's like people aren't taking it seriously because they haven't been told about the serious consequences that these kinds of things can have it's just don't do it and that's the end of the conversation but really you need to understand what you're doing you need to be knowledgeable and be able to make those decisions for yourself and I think that adults are responsible for going through and providing that information to the youth so that way they can make those knowledgeable unconscious decisions on their own so I can't really speak to this because I don't have experience with the substance abuse or in my immediate family but I would just echo kendarius and Emma that a support system of people saying like just grounding you and who you are before you go off to college is especially important and like educating people about the effects of these drugs I feel like it depends on who you were raised by like if you were raised by your mom or your dad or both and I feel like it depends on who you surround yourself with and your friends like in your friend group because they have a really big impact on what you're going to do or what you decide to do and that's all you know in different communities around the country and even within communities we have a challenge with accessing first fruits and vegetables you know sometimes you can get them but you don't want them you know and sometimes you want them they can't get them if you had any experience with but getting access to you know fresh fruits first is going to the store and buying Pepsi or coke or whatever or is that an issue for you you just that issue getting the right kind of food that you think you should be having in your community I mean personally I haven't experienced anything like not having access to fresh fruits or vegetables I live like right next to a farmers market so whenever we need something I just go run quickly and grab something real quick but I have friends that do that have it's been hard for them to get access to them and mainly because they don't have a like the other parent like they're either missing or a mom and it's kind of hard for them finding food so and one of my neighbors he's just he's a junior at my school and we've been good friends for quite a while now and you know he's a sort of an inspiration to me for what he's doing because he's working hard in engineering but the thing with him is that so he's grown up without a father and food has been kind of a struggle for him like his mom works at a cleaning hotel so whenever in hotels when they don't have like I guess extra food that they don't use she just grabs it and takes him home and and take note of this that she's also raising five kids so it's hard trying to feed five boys every single day so for them access to food has been pretty hard and I don't know I've helped him out a bit with food and all that bit I mean from what I've seen it's pretty hard just trying to get fresh fruits and fresh vegetables every single day and I could imagine the struggle that the mom goes every single day working from 7:00 a.m. coming home to 9 p.m. and barely seeing her children and she doesn't even know at times if they eat or if they don't eat the I mean she comes in with food from the hotel but I mean sometimes it's not even like I don't say it's not good food but it's not like the most healthiest options of food and I feel like it's something that needs to change within that area in my community at the high school we recently we had a we had a vegetable garden at high school but um it got a little rough but thanks to the way I was raised my grandparents we grow fresh we grow fresh we grow all life we go say all our food but we greens okra peppers we grow a lot of stuff so when I want something to eat I gotta grow my house because momma don't feel like cooking their day um but in Tuskegee as a whole it's really hard to get fresh fruits and vegetables because you go in Piggly Wiggly and they don't the vegetables and the fruits and take a look it's just being honest you know they don't look like they don't look at rap no people look at the way your food look it don't look attractive it don't make you want to eat it like and I just think that well you shouldn't have you're not gonna get anybody to eat healthy by having food that don't look healthy to eat and with McDonald's on this corner American deadly right down the street and churches and Burger King right across from each other some night don't happen so it's just the access to fresh fruits and vegetables in Tuskegee is not it's not it's not that it's not yeah it's not conducive to being healthy it's not conducive to live in the hell lifestyle it's getting better honestly getting better we're getting it on we're getting the vegetable gardening back up and running that bcw thanks to 4-h and the students on campus at cesky University but it's it could be a lot better but it's gonna get done so in Rockdale it's not really about like whether or not it's like there are fresh fruits and vegetables of the stories and stuff but as everyone knows like going through and trying to purchase healthier foods it's always way more expensive than being able to just like go to different fast-food places and people can be like oh but it's really not if you go through and you get these foods need like meal prep and then you're like fed for a week and it's like but it takes a lot of money to be able to originally get that and if you don't have that big sum of money to begin with then you can't do that so sometimes it ends up being like more expensive when you don't have that money originally even though like if you had that all at once then they would be able to work out and then I'm gonna go on another tangent just about like access to different healthy foods and stuff I know that in Rockdale we go through and we have programs so it that way students can come to certain locations over breaks or over the summer to be able to get food but I don't know who goes through and provides that food but I know that a lot of the time especially recently we've been getting a lot of like negative media around our different like food options that we have I know that at one of the high schools it was like a month or two ago we went through and we were in the news for having like raw chicken stuff and then people are going through and there's like video circulating of all these different like spoiled drinks that people are pouring out and just we've had two elementary school shut down within the previous year because there's been an outbreak of like norovirus so it's like there's a lot of stuff going on in these kitchens that's not providing healthy food and if this is what we're going through and we're like bringing to these people when they don't have access to that at school then it's like we're just going through and we're feeding into that like unhealthy lifestyle for these people they're like trapped in a cycle of poverty I think that we need to do a better job of like going through and giving people these like resources to healthy food that way they can go through and actually like focus on their studies or what they want to do and be able to like better that break that cycle and get out of it and provide a better life for their kids um so I live in Lithonia and we have a few grocery stores I think my mom puts in like the extra effort to buy fruits and vegetables but I know that's like not a choice for everyone because there are food deserts that exist and college is especially a difficult time especially if you're not on the meal plan of the college that you go to if you don't have a car then you would have to walk like four miles to go to get fresh fruits and vegetables and it's so much easier to just like go to someplace and buy Doritos um so yeah I think that's like been especially hard time as well um personally I don't feel like any grocery stores in Tuskegee is good I used to work at Piggly Wiggly and I feel like that place was terrible and nasty like it was nets lying around like all of the fruit I don't know who would buy it but some people did because that's the only option they had I but I feel like it should be way better we shouldn't have to go to Walmart or any store offering to buy our food but we have to the last question then we can have some some really dialogue I asked you early on about what does being an adolescent mean what does that mean to you and you know right now there's there's some rules regulations about taking certain vaccines the back you get a flu shot and other things in certain schools you can't get go to without getting your facts things up-to-date who should be should you be responsible for deciding that you want to get a flu shot or don't want to get a flu shot what do you think yeah I feel like the individual has the right to choose if they want the flu shot or if they don't like I'll use myself as an example I have two other little siblings and the three of us we go when it's like flu season we go to the doctor and get our flu shot but my parents they don't get flu shots or number one it's kind of it's not that expensive for them bag I said they just don't want to pay for it and also I feel like their immune system has is pretty good too because of the way they've grown up they grew up in Guatemala and Stephen Allison Marcos and in that area it's filled with poverty and most of the time they've lived out there in the outdoors and so they've seen like they've contracted Hummels I don't say everything but they've contracted quite a few deadly diseases and they've survived it like my mom says just get a few penicillin and you'll be good is what she said but yeah that's how I mean that's the way they grew up and they've also grown up with a lot of home remedies so I feel like their immune system is built up and I guess that's the reason why my mom and my dad don't get flu shots but when it comes to us they tell us like every single year like yo go get your flu shot go get your flu shot this and that because I don't know I guess I feel like just because we didn't grow up in the area that they did they feel like that we need to get the flu shot and I mean in a sense I feel um for me III don't say that I like getting a flu shot but I mean it's it's um it's something that needs to happen because I mean the flu is like it's like it could turn into something that we so yeah I always my thing um I don't like the idea of putting somebody else at risk so I get my flu shot just to be safe I that's that's how I roll I don't I don't like the idea of being the person that got somebody else he's sick or hurt because I'm not together so like and then at the same time I want to be together too I want to fall out so I'm gonna get my flu shot on cuz that's just that's just what I think should be that's just what I think should be the standard I guess I don't know when you're talking particularly about like flu shots I think it's a decision if you're going through and you're talking about different vaccines that like you go and you like give children a young age like before they go to school and stuff I think that there should be certain things that you like have to have before you go to school that way like if there's an outbreak of something then like it doesn't go through and just completely like get all these kids sick and like hurt them like you know all that but I also think that if some people have certain reasons why they don't want to if it's like a religious reason or just like something that's like medical then they should be able to have the opportunity to be able to go around that through like a certain system that's been in place but I think that that needs to be like monitored so that way people aren't just like oh yeah I'm a part of this thing so I don't I do it but really it's like oh I'm gonna feed my kid basil and they're gonna be okay that's like um I just think we should go through and we should have like it we should try and ensure the maximum protection for our kids especially in the school system you're going through and you're like putting hundreds of thousands of kids all in the same place like every day and it's like these people are interacting my school is one hallway we pass by each other every time classes change and so it's really easy for stuff to spread so I think we should try and you know crack down a little bit I mean I haven't gotten the flu shot this year partly because it's painful but and also it takes time so I think like I would want some education like for everyone about why it's very important to take the flu shot in particular and yeah just like why is it important education I feel like we should have the right to say whether or not we want to get a shot once we become a certain age but me personally I don't get flu shots because every time I got them out get the flu so my mom told my daughter is every year that I was not going to get it my sister – we never get down I used the flu shot because it still fuzzy to some people the science is there but it's still fuzzy to some people you all have heard what they think about today that's what we struggle with for four months to figure out the topics and you they clearly have an opinion about it and they're entitled to you know where they're coming from now they need to know where you're coming from so we're open to address your question to any one of our panelists or to the whole group so we can really have a kind of exchange and we can both learn questions thoughts okay let's start with back with dr. Burt I wonder if your just talk about about what has driven you to be sort of active and you're thinking about how to improve your community I think back when I was in junior high school in high school and I wasn't thinking about how I'm gonna get out there and change the community so I'm wondering how can we get more young people and even adults to be thinking more outside of themselves so they're not just focusing on risk it for me but how they can help others I have a question clear um as for why I decided to get active I think back to on I can't remember who said I want to say it was John F Kennedy I said think not what your country can do for you but what you can do for your country that was something cuz I wanna search um and but before I serve I want to be able to leave where I came from and a better place than I left I want to be able to look back and be able to say hey I did I and but as far as getting other people to get up and move my thought process is when you once you see somebody that did well for you and they're doing well for themselves later people get it people get it because that was that was my thing I saw my mentor Dan suddenly he the 4-h extension on agent for our region and he does a lot of stuff for the school system between making in Bullitt County and I seen stuff that he doesn't he's the one I got a vegetable garden together he's the one that does on community service around the school he is in charge of the arm Halloween harvest that they have during I had done in October for Halloween where the kids come out to the football field and pass out the canyon stuff for that nature and I just think that young people get young people get active when they see other people getting active especially other young people and they see it's going well and they see that it's achieving something that's when people start lend a hand so I see it as an accomplishment partly to be able to stand up and do all these things for my community but I also see it as a privilege because if your parents are absent and you're like supporting all of your siblings or if you have to work every afternoon after high school then you're not going to be able to do all these programs and so I see it as a privilege and I've had a lot of conversations with my mom about this that like when she was in high school in college she had a very different experience just because she would have to work instead of like being able to do all these internships unpaid opportunities and so for me to now have this opportunity to do these different programs and climb in my career and learn I feel like a certain duty to give back yeah I think that really the first step to going through and like creating a better world just to care about and like try and stand up for issues that don't directly affect you because it's like if you're going through and you're struggling with something that I want to be able to help you that way you can like get on the same level and then if I'm going through and I'm struggling with something that doesn't directly affect you I know that you're going to like reach out and help me back that we can all like rise up together and I think that this generation in particular you know we're exposed to so much more we have like constant updates on everything that's going wrong not only in the US but just in the world overall and so I think that we have a lot of different opportunities and maybe I just am surrounded by a good company but I know that a lot of my friends both at box the program that were part of and at my school like all my friends when I go through and they want to make a change they want to make the world better and it's just like I think that going through and providing opportunities like this are really important and the first step to doing that like we started off saying this hasn't always been around and I think that this is one of the first steps to going through making real change so I appreciate that next question in the back to my right hi do you guys think that minors should be allowed to go let us know who you are so sure my name is Alex I'm from Chicago Illinois I was wondering if you guys think it would be okay or ethically okay for a minor to go and get a vaccine or a flu shot without their parents permission I guess it's a question of personal freedom versus public safety or because I mean if you're a 16 year old you can't go and get a vaccine or a doctor can't legally give you a vaccine without a parent's permission correct so I don't really have an explanation for this I'm just going to say yes if like you know it's your body if you think I want to you know not be a danger to others then I think you should definitely have that right um I think no because you don't know what your plan is out of your body if you're not looking into it your parents might know something that you don't know I would also say yes because you have autonomy over you should have autonomy over your own body even if you're 16 yeah I'm a little indifferent um I say I'm learning a little bit I'm kind of sort of leaning towards no too but at the same time I know that there are people out there that are like against vaccines for whatever reason and I've no I risked I recently read a story about this lady that suited her son because he went and got a vaccine without letting her know and it's just it's weird so I'm not gonna say I have an opinion or I don't have anything let's say I'm somewhere in the middle but I'm leaning towards no I mean I'd say yes to like we have the right to I mean you know to go get vaccines and I guess protect ourselves from other diseases that could potentially be deadly towards us nice question – good morning everyone minding and thank you you're beautiful absolutely brilliant responses because you tend to highlight some way even if it's in between the the most important features of what you defend I miss McDonald I absolutely loved that statement you said about defending causes that may not directly relate to you but the fact that it affects somebody else then is a cause worth defending the question I have is on the drug substance abuse question and this is probably to the tuskegee person beside mr. Ivey and mr. MacNeil and that is one would think that the small town of Tuskegee did that there there's limited supply of drugs and substances to abuse but the way you refer to it is like you see it on a regular basis is there how does how does that occur in such a small town is that pipeline between Atlanta Montgomery [Laughter] alright so the way I have seen it um we I don't want to say undesirables I really hate saying that but um there are undesirables around Tuskegee that just they add to that hi I don't like saying it because it just it paints these pictures that's not positive at all but there are young people around Tuskegee especially in the school they're not they're not a part of that they're not I don't I don't feel like they want to contribute to making Tuskegee about this place so they add so that they'd add to the negative the add to that air that negative reputation that some people see that Tuskegee has so I don't want to use names but we recently had a young man at BBC Washington High School that did that he try to get he was on call in the hallways he was caught in hallways smoking and it was just like the big question was why and how like where'd you get it how'd he get here because this young man wasn't one of those students so like what happened in between you get in the school and you smoking that got it in your hands and that has always been a big question because be see that be not a place like that that's not a place where things like that happen so to address your question I don't want to say that there is a pipeline that something like I don't want to say that people I don't want to say that it's just like it's just that it does happen a lot not on a daily basis but it happens a lot way more than it should and I don't like bringing a problem out there but without providing a solution but um I don't have a solution for it and that bothers me but I don't know hmm that's a dilemma we'll talk about that later good okay but honestly I kind of forgot your question because okay let me reiterate question but also it's because a to you that that's never but you made about that that sometimes that we only go to parents with life or death issues that was very impacted and it's it seems that there's kind of divorce in the dialogue between parent and young people and I'm concerned about that but a question I spoke ax was in a small town like Tuskegee one might think that there is no drug activity at all you know that like you're in the city if you're in the city clamoring for first base you have a lot of open spaces right so how is it the case or why do you think it is the case that there is such none of the abundant supply there is an accessible supply of substances to abuse I feel like he is a small town people were really overly key they wouldn't expect it so Tuskegee mostly like the students they they mostly smoke weed so it's like their parents allow them to so they think it's okay so they're going to continue to do it unless their parents stop them and the statement I said about the parents with the life at death situation students we will not tell like if you're the priest if you're going through something you will not tell your parents unless it's like something hurting you physically probably but you never know what you get yourself into but mentally when problems happen you're not going to tell your parents because you don't want them to look at you differently or judge you yes ma'am okay hi we've received a few questions to the OMH email box so the first question is from Marcos Salas who's a student at Chattahoochee County High School and he wants to know do you think social media is inflicting or making our stress rise as US high school student kids does it affect our health just being on social media I'll say yes because social media you're looking at it from a different point of view you're trying to make your life like day like everyone has their expectation is on social media and I'll use Facebook as an example Facebook is like they have these quotes on there and it just looks all great and happy but it's like that's what you want your life to look like and I don't feel like that's right I feel like we should have our own mind we shouldn't be looking to a social media for a life like we should have our own and I feel like every student or everyone should think about deleting everything like social media and trying to find their self I'd say it's a big yes it does contribute to stress I mean most of our listeners that we we tend to care about what other people say about us or on the internet or we tend to care on how good we look on these social media platforms and we care more about that stuff and not other things that are going around the world right now and when we care about things that are going on in social media we I don't know it brings more stress towards us because we worry about oh hey what this person say or what this person say or how many likes that I get this in that and we tend to forget what reality is like when we're on social media so I think social media gives us unhealthy standards to look up to because everyone is posting like the most positive things that are happening in their lives instead of like the negative but I also don't think that we can just do away with social media forever like it's here and it's a part of our lives and it's something that many people enjoy and use like on a daily basis and the team population and I think there's tools for using social media and so what I do is like I follow a bunch of like mental health and positivity accounts and I also have like an app off timer that limits my time to like thirty minutes per day and so yeah that's what I do I just think that you know everything like too much of anything is a bad thing really everything can be like positive in moderation but going through and having like everyone else said going through and having these unrealistic expectations because everyone's going through and putting the best of themselves online but also like I was talking about before this generation has access to a lot more information than any previous generation has had before so we're also going through and we're getting constant news updates about the school shooting this child was killed due to police brutality all of these different things so I think that that definitely takes a toll as well and contributes to the higher rates of mental illness in our generation which once again brings us back to why we need to open up that conversation between youth and adults so I'm coming full circle here uh social media um yeah it's a it's a big detriment to health but like she said it's also it also has it it also has its positive it it also contributes to a positive look on life too but social media it hurts it hurts a lot it hurts a lot with young people because like I said for young people a lot of young people don't know how to differentiate what they see but today only how I differentiate an entertainment reality and it becomes a problem a lot of people spend too much time on it I deleted my facebook at the start of like I want to say April I delete a facebook like okay crunch time I spent too much time on it I will tell you how much time you spend on and I was spinning I feel like I feel like for like 45 minutes way too much time to spend on one thing so like I just had to get rid of spending too much time on it I I started a fad so I had to go back to doing I had to get back into my head get back into my my setting I had to get myself back where I was before so I feel like social media it does mess with you a little bit it messes with the way you read but the way you look on life and it messes with how you live your life but that's just it just depends on who you are as a person whether or not you can you can compartmentalize what's important where you can prioritize what's important what doesn't belong and if you can go for it but if you can't get rid of and that's just the individual responsibility that's the key to this question at the mic morning thank you again for sharing your stories my name is Khalifa right I'm a fellow here at the CDC and just going back to talk a little bit about sexual reproductive health and who you feel you either can or cannot talk to do you think you can speak with your health providers about sexual health or just your whatever you're going through in general and if so why and if not what do you think health providers can do to make that space more open for you to feel comfortable um I'm gonna say yeah I mean not yeah I'm sorry I'm gonna say yes because basically that's what my folks paid him for so I'm gonna say yeah I mean if you're my doctor I should be able to talk to you I should ask you questions if I'm like curious about should ask you a question if I need so living my knowledge and stuff I should ask you a question because I put it in Google is gonna tell me that I'm dead already so I need to pay the estimate okay I just ask you stuff so like that's just it all right I'm gonna say no I don't well the doctors is like I feel uncomfortable I don't know why I would feel uncomfortable but is it like first is like really cold in the doctor's office you can't really talk because they have a nurse in there to deposit and then it's like sometimes I don't I have a doctor and she's like I don't know I don't want to say it like that but she kind of looks like a man kind of and it's like it gives me bad vibes like he feels like she's looking at me in a different way I don't like it though yes sir do y'all agree that it is harder to grow up in this generation and time period then then generations before like due to social media and all the things that are happening in the world but your name difference we can go my name is Cameron raccoons I'm a freshman at Tuskegee University um I feel as this every generation has their problems we're growing up I don't want to say that it's any harder growing up now than it was before because everybody in racing had their problems my granddad tell me all the time how he had the walks with miles of school and I'm not gonna say that we know that the high school is on the 5 miles away but a problem so like I'm not going I'm not gonna step over anybody here and make anybody problems seem like they not as big as they are because everybody got it problems everybody do their problems differently um yeah yeah I agree with him I wouldn't say that it's harder I definitely think that it's like different things that are giving us problems and so I don't think that adults can be like I had to do this you can do it it's like this is a completely different situation will you please listen to what I'm saying yeah I really just think that I'm not going to say it's harder but I think that's definitely different struggles that we're dealing with I feel like it was harder back then versus now but harder now educational wise like we have to have a degree for certain things and you can't get far with just a bachelor's degree probably like you have to have a master's or a doctor's degree in order to do better but back then it only took one somebody has the mic go ahead but captain Wilkins you can speak first okay I'm Malaika Washington I work in the division of adolescent and school health here at CDC our division director will be here later this afternoon but I had a couple of follow-up questions that I wanted to UM ask after both Alex and Khalifa's questions the first was around immunizations and just trying to figure out a note two of you all said that you don't quite feel comfortable making that decision I want it to know at what age you felt it was appropriate to be able to make that decision I know people have come in it also on my dress I just came back from Uganda which is a neighboring country to the DRC Democratic Republic of Congo where they're having a Ebola outbreak right so we now have a vaccine there and daily we were getting reports in on the number of cases a lot of whom were young adolescent and babies who had contracted Ebola in the Congo and some of whom died and so we are seeing that you know parents are obviously making their own decisions on their child's health and this is a different country and all of that but it made me wonder it what age you know you all might even feel comfortable making decisions around immunizations you know there were adolescents whose parents refused the vaccinations on their behalf and then you know subsequently they were removed from the Ebola treatment units and you know left to go home to home remedies and so I just wonder what your take was and of course we are seeing the measles vaccinations being refused here and kids you know spreading it as well so just wonder your your thoughts on the age that was appropriate to make those decisions for those of you who you know said no and even for those you said yes at what age you really feel that decision should be made my second question to follow up with Khalifa's was just around we have a parent ciao like a doctor ciao brief that – put out that says that parents should allow kids time alone with their doctors to have those confidential conversations around reproductive health specifically so I know some of you are saying that you don't feel comfortable with your provider and it just again made me wonder well is that really what we should you know say is the most the best thing to do to have that confidential conversation so you don't feel uncomfortable with your parents present to have those discussions with your providers so the first question is around immunizations and the age that you can consent for immunizations and then do you feel that it's appropriate to have time alone with your provider to have those reproductive health conversations but the first question I said no and I feel like you should be at least 17 or 18 but if you're younger I feel like you should be able to talk to your parents and tell them that you want it and they should let you or y'all y'all can talk about it and she could take why you not gonna get it but that's it and the second question you said well with one of my doctors they say that we have the children they have the right to say whether or not they want their parents in the doctor's office and whether or not they want them whether or not we want them to know what's going on now we have the right to do that but me personally I would say yes like we should have the right to do that but sometimes I want my mom prison um – the first question I was one of the people who said yes a 16 year old should be able to get an immunization and I think that the age should be young and I'm not like a professional and like developing children or anything but I think it should be young because like if even if I'm just 16 or just 13 I should have a choice and like my body or whether I live or die by disease yeah and that should be obvious I also said yes originally sixteen like 100% yes you should have the option you can drive yourself there then you should be able to get the shot sometime I think but younger than that it's like I would say I know a lot of people that like they're like 12 minutes like yes I would trust you to be able to make the appropriate decision on what you want to do with your body but also like it's even possible for you to get there I don't want some stranger to come and like talk to you and be like you need to come and get your vaccinations like at my car it's like I don't know it's just it gets messy there cuz it's like how are you going to get and just like logistically how is this going to work out who's taking you there like I don't know that just makes it really fuzzy but 16 yes you should have the decision I'm 16 I probably sound biased but you know and then time alone with your physician I I also think it should be an option but once again I don't know exactly how that would work because if you're going through and they're like do you want to have a moment of like away from your parents like your parents got like death stare you're like yeah what do you want to say when I'm not there like I don't really know how that would work out either but I'd really yes I think we should be able to have the decision whether or not going very present for your first question I'd say once they enter high school would be an appropriate age in my opinion and for your second question I'd say it all depends on each individual like if you if you want to have like a time with like a conversation with your physician alone without your parents and yeah you you can just tell it like acid that your doctor do I need to talk to you about this or talking about that can my mom like step out for a bit I'm sorry okay as for the first question um I was still in the middle bit long as far as like in life or death situations 16 1616 is enough I know a lot of people 60 I know a lot of mature people and even in that case especially in that case where people are literally dying from something they should be able to say yeah I need that because I don't want to die because that's just you want to live I mean I understand people don't trust the gonna trust government that's just that's just I'm exactly and like but you see people around you are literally dying from something if you want to go home and put mud on it come on um I understand the I understand the logic but still don't that's new plants did you put your child life on the line so 16 yeah I look young in the net and crunchy like America probably not but it is subject to circumstance but I'm as for the second question yeah um yes ma'am I do believe that on the patient should the child should have time alone with a doctor if they have questions about stuff because we can't talk to our parents about certain things um I don't yeah I'm not even gonna – I don't like to talk to my folks and my mom and my dad about stuff because I know how they are and I know that they still you know that you know they want to hold you tight because you know baby they baby but I thought that my grandparents about stuff cuz I'm really really close to my grandparents I talked to my grandparents and my uncie met because we just really closely at people who really tight we talk to each other about everything and that's just that's just me everybody don't had it so being able to talk to your doctor about something that you feel is important that's parent that's important see that's paramount so you're helping go for that should be that should be an option that should be allowed so that's my speed at this stage in your life or your age group what impact you think social media still has on bullying social media and bullying um I'm considered a weird gear so like as far as like being on social media I share my anime memes my band geek posts and stuff like that but nobody ever tried to come at me about it because I'm a pretty solid guy so like nobody try to pick on me nobody try to mess with me not since middle school uh I'm not gonna get into the middle school but nobody nobody bothers me about it I have seen it and when I see it I step in but I don't I don't see it a lot I definitely don't see a lot because it's just being being a menace to somebody else because of what they like to do on social media because of what they share it's not and it's not I'm gonna go ahead and say it's not cool to me but people you think bullying was cool and honestly it's not it's not no more nobody looks at nobody glorifies being be standing in some other way making being a minister somebody else nobody's that nobody nobody glorifies it anymore so it's like you're gonna leave to do it alone or we gonna help you that's how it is I because he watched in high school we going on to somebody so light that's just that's just how it is and yeah social media it contributes but not as much as he used to that's to answer your question social media exacerbates bullying in my experience and it used to be that you could go home from school and for it to not be there anymore like home could be your safe place but now like social media and your phone follows you everywhere so if you have an online presence it's everywhere and like bullying is constant and I think it can also be a weapon used by an intimate partner violence situations not to get off topic but yeah that's like a method of control that people use nowadays against their partners by stealing their passwords or just constantly messaging them question yes yes sir I'm Alka Thomas sophomore from tyskie University and my question is about substance abuse so you talked about how is normalized and I agree how do you think we got to that point to where it's just accepted by everybody it's just a normal thing and how do you think we can take step back and undo some of that okay um I feel like we got to that point on like I say uh pop coach Mountain haste and pop culture it sounds so but pop culture is like it just it casts light on it so much it went somebody see something so much it doesn't even have to be in a positive light once you see something so much it becomes a habit I have it becomes the ritual and now everybody's doing it so maybe I should track but as far as reading it as far as providing solution for it that'll only convert time um once you see if we started showing the things that the negative things that come with substance abuse moreso than we show how it makes somebody feel yeah you go you smoke you gonna feel you're gonna feel you don't feel like you're in the cloud you gonna feel cool calm relaxed hungry take a nap probably but what happens when you start relying on that what happens when it becomes such a big part of your day that you can't have a good day without smoking one that's when it becomes a problem that's when that's when a hobby becomes an addiction that's when you just what else can you do but as far as solving that problem that particular problem it's a just you just gotta you have to normalize being within yourself you have to normalize being able to sit with yourself for a little while and take all your problems think about them before you turn to something else to get rid of it think about them just think about them like I don't like being in my head that I often evil because I know how my mind he overthink the mess I got something really small into something it's really not what it need to be so I do things I have hobbies you see me moving and stuff like I can't sit still for that long so I I'm not a good artist but I draw someone around my book I write stuff I read you just got a fine you got to find your niche find something that keeps you in my frame where you don't have to turn to something that's gonna hurt your body or hurt your mind keep your spirit clean that's all I can say right there innit yes sir so Ashanti Lee Davis first year grad student at Tuskegee University so what I've been hearing is that it's being said that you can't talk to your parents or to adults because you don't want to feel as though you're being judged do you think that some of the reason why they don't reach out is that they don't want to look different in your eyes do you think that's some of the reason why adults your parents don't reach out and try to talk to you about these things is that they also don't want to be judged by their children and look different in their children's eyes well I think it's an awkward conversation to have with your parents or to have with your child so yeah but I think that if parents can start having these conversations kind of earlier like age-appropriate but earlier and just like more over time instead of just one conversation like this is what happens just like over time and just have it as an ongoing conversation and make sure that they know that you can ask questions of them yeah I think I agree with it's like it's not I don't think that it needs to be like we're gonna have a conversation about this it's like I think it should just be that you need to make it clear that if your child does want to have that conversation or does have questions that you're like there when they decide to do that because if you go through and like push it on to them one at a time like when they're uncomfortable then they're not going to talk about anymore they're gonna in the conversation there so I think that needs to be like adult has to open up the door and the kid has to decide to walk through it like it's two-way thing I believe that um I do think that parents don't want to talk about certain things today I want to be judged by the kids because I'm watching my parents I know that parents don't like to be asked questions that they can't answer because they don't want to they don't want to tell the choosing the wrong thing they don't want to be the person that puts their choosing in the wrong path because I don't want to hurt the kids that's it why should my parents that's why I turned my grandparents because there they had that they have more experience with it I guess they've learned from their mistakes they sing what their children have done so it's just like I know how to I know how to handle it now so I just think that parents don't want to let the children down that's why they that's that's why on it's like a atmosphere where you I guess that's why you don't want to go to your parents like these because you know that your parents gonna react a certain way and they react that way because they don't want to be asked questions that they can't ask and they don't want to be the person that makes their kids do something that they shouldn't do I'd say that it varies from parents parent so I mean it depends now that I think about it like I'll be honest I haven't had any conversation like that with my parents cuz I don't know I guess the hardest part is trying to break the ice with them with that sort of conversation like how do I approach hit to them like hey mom hey Dad let's talk about this and let's talk about that did I'd say that that'd be the hardest part of it personally for me I don't say that my parents don't care of it I mean they have that mentality of hey I've raised you for 80 I've raised you well for 18 years and now it's all on you if you want to mess up your life that's on you I've raised you well and it all depends on you now bless burning question yes ma'am good morning my name is consume Muhammad I'm a first year clinical psychology masters I want to say you guys are brave and I am proud of you guys my question is as mental health awareness Rises how likely do you think the youth are being more successful to using these resources house acceptable do you think the youth are using mental health resources nowadays okay uh mental health all right in the black in the black community mental health II stigmatize you know how my cuz when he was ten years old he was in the crowd his mom and she was killed when she log truck slammed on brakes and you know his mom was killed and about a week later his dad was shot in a grant a gas station and in Union Springs and he is now 26 I want to say he's not 26 to 27 and he's just recently went he's just recently spoke with a cop spoke with our psychiatrist psychologist you know and the thing is they didn't they didn't seek that help for him and it shows now it shows on everything that he does cuz he doesn't talk to them anymore he moves to California right after he like right out he graduated college he moved to California and he had been back since but he came back once for armed his grandfather's funeral that was last month but he left and we had heard from since you know me and my cousin project went on person he talks to because he doesn't feel comfortable talking with them because they didn't support him when he needed it mental health is a lot of people don't like to acknowledge mental health as the illness a lot of people know my technology as something that needs to be addressed and that's a problem because when you don't when somebody come to you with a shoulder dislocated you'll tell them Oh be all right go sit down well my great idea but but it's just you need to in it's something that needs to be addressed in it's not there aren't enough that there aren't enough resources and a lot of communities because a lot of people sees it as something that's not necessary and that's just not the case it's very necessary especially now because young people a lot of young people are experiencing mental mental they experience a lot of stuff now a lot of people experience way too much to not have something to bring them to calm and it's it shouldn't be I think that there's still a really big thing where people like I think that I know more people now that acknowledge that mental health problem mental health problems exist I think there's still a lot of blaming going on of the person experiencing it like I know especially with like a child apparent gap it'll be like you're going through and you're doing all these things in here like trying you're overloading yourself you're doing this to yourself like you're this you wouldn't be feeling like this if you weren't going through and trying to like have these different ambitions even if it's like in the best interest of the person it's just I feel like there's a lot going on where mental health still isn't accepted as something that just happens to you it's something that you bring upon yourself and so I think that that's why a lot of people are afraid to get help because if they go and they try and have that conversation it's like well what do you need to change you don't feel this way instead of what can we do to like help you get past this and live your best life so I think that there's still a big adjustment that needs to happen about how we view it great okay um I feel like mental health is very like in the black community they think that is uncommon they think that you're not gonna have any problems and if you do you're just over exaggerating but me personally I feel like when I was going through it I was going through it's like no one asked if I was okay or if I needed anything or how I was doing or just like simple questions to see that the person cares so I feel like I had to get through everything by myself and express everything by writing or reading or doing something different and I had to learn that I would have to put my happiness before everyone else before anything else so hmm I just like you got to learn from yourself we stuff like that this wonderful [Applause] standing ovations that's something you know it's it's one thing to come to a wonderful place like CDC or like other places where everybody knows about it but after you're gone nobody knows you were there and nobody knows what you've done so I think we they deserve more than just the acknowledgement of being here and the director of the Office of minority health and health equity dr. Burt has a wonderful certificate for each one of them and I think she ought to present it to them and we ought to take a picture then let every that the world know they were here so dr. Lebert as I mentioned you mentioned their names ain't come right on up congratulate you are you I don't even know if you realize the weight of the last hour and a half and what you have represented on behalf of an entire generation in this really coveted on forum so you should be exceedingly proud your parents or teachers or all the people in your community should be somewhere going they belong to me because that's who was responsible for you being here today so thank you so much so I want to present this certificate to jamya McNeil [Applause] can Darius IV right Emma McDonald Maya Martin an Adolfo but do you so I want to ask you with you what are you do you and [Applause]

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