04 21 2015
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  • When should we use military to enforce US goals? NASHUA, N.H. (AP) — Rand Paul lashed out Saturday at military hawks in the Republican Party in a clash over foreign policy dividing the packed GOP presidential field. Paul, a first-term senator from Kentucky who favors a smaller U.S. footprint in the world, said that some of his Republican colleagues would do more harm in international affairs than would leading Democrat Hillary Rodham Clinton. "The other Republicans will criticize the president and Hillary Clinton for their foreign policy, but they would just have done the same thing — just 10 times over," Paul said on the closing day of a New Hampshire GOP conference that brought about 20 presidential prospects to the first-in-the-nation primary state. "There's a group of folks in our party who would have troops in six countries right now, maybe more," Paul said. Foreign policy looms large in the presidential race as the U.S. struggles to resolve diplomatic and military conflicts across the globe. The GOP presidential class regularly rails against President Barack Obama's leadership on the world stage, yet some would-be contenders have yet to articulate their own positions, while others offered sharply different visions. Former Florida Gov. Jeb Bush, whose brother, President George W. Bush, authorized the 2003 invasion of Iraq, declined to say whether he would have done anything different then. Yet Jeb Bush acknowledged a shift in his party against new military action abroad. "Our enemies need to fear us, a little bit, just enough for them to deter the actions that create insecurity," Bush said earlier in the conference. He said restoring alliances "that will create less likelihood of America's boots on the ground has to be the priority, the first priority of the next president." The GOP's hawks were well represented at the event, led by Florida Sen. Marco Rubio and Wisconsin Gov. Scott Walker, who has limited foreign policy experience but articulated a muscular vision during his Saturday keynote address. Walker said the threats posed by radical Islamic terrorism won't be handled simply with "a couple bombings." "We're not going to wait till they bring the fight to us," Walker said. "We're going to bring the fight to them and fight on their soil." South Carolina Sen. Lindsey Graham addressed the question of putting U.S. troops directly in the battle against the Islamic State group militants by saying there is only one way to defeat the militants: "You go over there and you fight them so they don't come here." Texas Sen. Ted Cruz suggested an aggressive approach as well. "The way to defeat ISIS is a simple and clear military objective," he said. "We will destroy them." Businesswoman Carly Fiorina offered a similar outlook. "The world is a more dangerous and more tragic place when America is not leading. And America has not led for quite some time," she said. Under Obama, a U.S.-led coalition of Western and Arab countries is conducting regular airstrikes against Islamic State targets in Iraq and Syria. The U.S. also has hundreds of military advisers in Iraq helping Iraqi security forces plan operations against the Islamic State, which occupies large chunks of northern and western Iraq. Paul didn't totally reject the use of military force, noting that he recently introduced a declaration of war against the Islamic State group. But in an interview with The Associated Press, he emphasized the importance of diplomacy. He singled out Russia and China, which have complicated relationships with the U.S., as countries that could contribute to U.S. foreign policy interests. "I think the Russians and the Chinese have great potential to help make the world a better place," he said. "I don't say that naively that they're going to, but they have the potential to." Paul suggested the Russians could help by getting Syrian President Bashar Assad to leave power. "Maybe he goes to Russia," Paul said. Despite tensions with the U.S., Russia and China negotiated alongside Washington in nuclear talks with Iran. Paul has said he is keeping an open mind about the nuclear negotiations. "The people who already are very skeptical, very doubtful, may not like the president for partisan reasons," he said, and "just may want war instead of negotiations."
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  • Some lawmakers, sensing a tipping point, are backing the parents and teachers who complain about 'high stakes' tests   
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  • Watch Rachel Maddow interview VA Secretary Robert McDonald  
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(From left to right): Art Nakamura, Chief Mike
Reese, Dr. Alisha Moreland, Dr. Ameen Ramzy

 

Cascadia Behavioral Healthcare Inc. and Legacy Emanuel Medical Center are partnering to help reduce youth violence among males of color through Healing Hurt People Portland, or HHP.

HPP Portland will serve males of color, ages 10 to 25, who have experienced intentional trauma such as gunshots and/or stab wounds. It's modeled after HHP Philadelphia, which has been duplicated in 22 other major U.S. cities.

According to Dr. Alisha Moreland, the project director, HHP is a coordination and reinforcement of efforts to prevent violence in North and Northeast Portland that will include county, city and state assistance.

The project will include a multi-disciplinary staff consisting of social workers, chaplains and emergency trauma physicians at Legacy Emanuel's emergency department. They will address a patient's trauma and find ways to connect the victim and his family to resources provided by Cascadia, which include, but are not limited to emotional support, family support, housing, medical follow-up, substance abuse treatment and legal and educational support.

Trauma surgeon Ameen Ramzy says Legacy Emanuel is always looking for ways to better serve the community and this project will be another valuable addition to their approach.

"We want to see the young men in our community live long and productive lives," he says. "We don't want to see them return to our operating table."

According to Legacy Emanuel, HHP's trauma-informed approach takes into account the adversity clients have faced throughout their lives and recognizes that addressing the trauma is critical to breaking the cycle of violence.

The project will provide six months to a year of intensive case management and wrap around services for injured victims and their families at Cascadia's Garlinton Center, where workers will assist them with navigating and connecting to resources. Case management and support services will be provided by clinicians at Garlington, who Legacy Emanuel emphasizes are well trained and culturally responsive.

"With two brothers who are victims of gang violence, I have seen first-hand the way drugs, domestic abuse and poverty can impact this community," says Joshua Lathan, a peer intervention specialist with HHP Portland. "I am looking forward to helping these young men. I wasn't able to help my brothers, but I am now able to help someone else's brother and for that I am grateful."

According to Legacy Emanuel, HHP will promote health wellness as core to overall healing. Some of the expected outcomes include reductions in repeat emergency visits, reductions in retaliatory visits, reductions in arrests and re-arrests, and reductions in the development of Acute Stress and Post Traumatic Stress Disorder.

Legacy Emanuel says what makes HHP unique is its focus on timing. HHP will have the opportunity to intervene in the emergency department, which is when people are most ready to consider change, they say. According to their research, intervening within four months of a trauma increases the likelihood of preventing further violence.

For more information about HHP Portland, go to http://www.cascadiabhc.org/healing-hurt-people/.

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