SOAR Press Conference | Ohio State Medical Center Walter "Ted" Carter Jr.: Well, good morning, everybody. Crowd: Morning. Walter "Ted" Carter Jr.: It's a great day to be in Columbus. It's a great day to be in the state of Ohio. It's a great day to be at The Ohio State University. Being a Rhode Islander, I feel right at home with this little bit of snow. [Text on screen: Walter "Ted" Carter Jr. President of The Ohio State University] Walter "Ted" Carter Jr.: My name is Ted Carter and I am proud to be your 17th president of The Ohio State University and what a way to spend my 19th day on the job. I'm excited to be here to tell you about a major new research effort that involves not only Ohio State, but many other universities across the state of Ohio. And I'm pleased to host you in the heart of Carmenton, Ohio State's Innovation District. Governor DeWine, we are so grateful for your support to help grow this part of our campus and our community. The $100 million JobsOhio investment you announced in 2021 is helping us research, innovate, and create a talented workforce in the health and life science spaces. Also, in terms of facilities, the Pelotonia Research Center next door was completed just last year. It will host the researchers who are going to lead the initiative we're announcing today. The building we're standing in right now, the Energy Advancement and Innovation Center, opened just last month. It's focused on energy, smart systems, and technology incubation. It has dedicated space for business partners. These spaces and all of Carmenton are about to make collaboration easier because if we're going to find solutions to today's and society's most complex challenges, we've got to continue to bring people together. I want to talk a little bit about mental health. This is a topic that's near and dear to me. While I was on active duty in 2012, the head of the United States Navy asked me to lead a task force on mental health. I wrote a very complex plan for how the Navy, the Marine Corps, and the Department of Defense would help battle this. They're still trying to implement some of those issues today. It is one of the most complex challenges, not only in the military, but in our world and our communities. As in other areas in the country, Ohio has seen a rise in mental health challenges, substance abuse, use, suicide, and drug overdose deaths in just the past decade. At any given time, one out of every five Ohioans struggle with these types of issues. Every one of our communities is affected. There's nobody that is not affected by this. There's somebody that you know in your family, your community, your neighborhood that is affected by this. The State of Ohio Adversity and Resilience research study, or SOAR as you see up here in all the acronyms, is something we're announcing today that's going to help change the face of mental health care and it's made possible once again by the generous support of the state of Ohio. This research investment demonstrates Ohio's strong commitment to mobilizing expertise across the state to improve life for some of our most vulnerable residents. I want to personally thank Governor DeWine and the state of Ohio, along with LeeAnne Cornyn, director of the Ohio Department of Mental Health and Addiction Services for this robust investment in behavioral and mental health for all Ohioans. Innovative partnerships like this one between the flagship university and the entire state of Ohio are why I chose to come to a place like Ohio State. As a public land-grant university, we have a duty to seek new ways to better meet the mental health needs of all Ohioans. We are honored that this significant study will be headquartered right here at The Ohio State University. So now it's my pleasure to introduce our Ohio governor, Mike DeWine. Since becoming a Buckeye, I've learned that Governor DeWine's highest priority is to advance policy that help every Ohioan thrive. And through this effort that we're launching today, we will do just that by harnessing the power of research and innovation across our state. So it now gives me great pleasure to introduce the 70th governor of the great state of Ohio, the Honorable Mike DeWine. Mike DeWine: Mr. President, thank you. Walter "Ted" Carter Jr.: Thank you. Mike DeWine: Mr. President, thank you very, very much. We welcome you and Linda here. We're so happy you're leading The Ohio State University. You've had a busy week. Something about sports, announcement maybe this week. [Text on screen: Mike DeWine Governor of Ohio] Mike DeWine: Before I begin, I'd like to recognize some people who really got us here today, people who were on my team or are still on my team. They've worked hard to improve behavioral health in Ohio. Lori Criss, our former director of Mental Health and Addiction Services, who is now with The Ohio State Wexner Medical Center as the behavioral health community engagement director, played a major role in this. Alisha Nelson, executive director of the OneOhio Recovery Foundation. Aimee Shadwick, director of the Recovery Ohio Initiative. All of them played a major, major role and I also of course will mention LeeAnne Cornyn, my director, who will be speaking later. Mr. President, it is good to be here in the Innovation District. This is something that we've partnered with you, The Ohio State University, and something that we believe is going to make a huge, huge difference. Innovation District was established in Cincinnati, in Columbus, and in Cleveland. We did this to bring talent and assets together to fuel research innovation, to expand science and medicine. It's something I think that does make Ohio unique and something that is very, very exciting. This is a beautiful day in Ohio because of this announcement. We're here to announce that the Ohio Department of Mental Health and Addiction Services is providing a $20 million grant to The Ohio State University Wexner Medical Center to help pay for a long-term study on mental illness. I want to thank the members of the General Assembly. We asked them to do this, this was a bold move and they did it. They didn't flinch. They did it and I think they did it because it is an essential part of our commitment in Ohio to deal with the mental health challenges. Dr. Phan, chairman of the Department of Psychiatry and Behavioral Health, The Ohio State University College of Medicine is going to conduct this study. This will look at generations of families from all regions of Ohio who are affected by mental illness and substance use disorders. I'm told, Doctor, that you've even already started. You've got some people enrolled already, so that's exciting. The goal of study is to better understand the root causes of these diseases and the resilience needed to face adversity. The SOAR study will bring together a network of Ohio universities and hospitals throughout the state to participate and lend their expertise. While this is led by Ohio State, it was important to involve many of our other great universities. This includes Bowling Green State University, Central State, Kent State, Nationwide Children's Hospital, Northeast Ohio Medical University, Case Western University Hospital in Cleveland, Ohio University, the University of Cincinnati, Cincinnati Children's Hospital, University of Toledo, and Wright State University. While the study will continue for at least a decade, we hope that it will continue for decades after that. But findings along the way, and this is something that Dr. Phan and I really talked about, that findings along the way will be utilized then and will be quickly translated into solutions for Ohioans. It's important that that happen and that's the way this study has been designed. The goal is obviously preventing the onset of these disorders and saving lives. To help with that, our state of Ohio Action for Resiliency, our SOAR Network, will work in consultation with the study. The network created at our request in our most recent operating budget, and again, the budget that was approved by the General Assembly, is made up of state agencies, researchers, universities, individuals with lived experience and experts in Ohio's behavioral health system. The SOAR Network will analyze existing research, look for gaps, help find new research, and then of course publicize the results. I want to go back, Dr. Phan, to July 2021. That's a long time ago. I first learned really of Dr. Phan's work and his plan. In July 2021, he and Holly Kastan, Bob Schottenstein, members of our team met to talk about their concept of a longitudinal study similar to the famous Framingham, Massachusetts heart study. That particular study I'm told began in 1948 and it's now in its third generation of participants and continues on. That study changed what we knew about the heart and the role that high blood pressure, high cholesterol, blood sugar, smoking played in the development of heart disease, stroke, and dementia. Similarly, there is still an awful lot to know about mental health. Candidly, the research in this field has not been as robust as that has been in other areas in medical science. It is our goal through this work, we believe Ohio has the ability to lead the nation in innovations in prevention, treatment, and recovery. The scale and breadth of this study makes it unique. The study will gather data on a participant's environmental, mental, physical health characteristics, including the person's brain chemistry, and to do that over a lifetime. It will give us a complete picture of each participant to uncover why, for example, two people in similar circumstances or with a similar health have very, very different outcomes. The study will do this across the entire state with thousands of Ohioans, and we'll do this for decades to come. Something that we learned from the pandemic is that access to data is so important for decision-makers. That was a lesson that I learned throughout the pandemic, getting good data makes for better decisions and we hope better outcomes. The SOAR Study will help fill in many gaps in our knowledge of the mental health conditions in Ohio and across the country. I've talked about this in two of our State of the State addresses. It is our goal, our administration's goal, to make behavioral health help visible, accessible, and effective in every community in the state of Ohio. It is our goal to fulfill a promise that was made by President Kennedy in the last bill that he signed, the Community Mental Health Act, where the promise was made that mental health would be accessible for every American in their own community. We've never lived up to that. Our goal is to do everything we can here in Ohio over time to be able to live up to that. With funding from our most recent operating budget and again, support from the General Assembly, we are investing in research and innovation with this grant. I want to thank particularly Representative Jay Edwards, Senator Matt Dolan. They were particularly helpful in getting this funding into the final budget version, as well as Senator Vern Sykes and Representative Bride Sweeney, the Democrat ranking members on Senate and House Finance Committee. This is an area where Democrats and Republicans come together and we've had great bipartisan support since I became governor for many initiatives in regard to mental health. This study is an essential component part of that overall effort. We are also continuing, and with the legislature's help, to fund our student wellness and success program, which includes support for more than 1400 programs in our schools throughout the state of Ohio that have the goal of improving the physical and mental well-being of over a million students a year. We're also investing $90 million to add more than 200 crisis residential beds, which help people who have experienced a behavioral health crisis transition back into the community with the additional support they need to stay healthy. Additionally, these funds will support 37 regional projects across the state to further build our local crisis response services. We're also fully funding 988, Ohio Suicide and Crisis Lifeline, to make sure every Ohioan has access to and is aware of this opportunity for help. We're also expanding our pediatric mobile crisis response units with the goal of covering every Ohio county. We're growing the number of pediatric mental health providers, something that's absolutely essential to reduce wait times for families. We're supporting suicide prevention and harm reduction programs, and we're increasing reimbursement rates, something very important, for Ohio's behavioral health services to put that workforce on par with other healthcare professionals. We've done that all, again, with the help of the General Assembly and done it in a bipartisan way. Over the past five years, we've built the foundation, I believe, for better behavioral healthcare and with this very, very important study, new research and innovation will guide the next generation of strategies to improve the well-being of Ohioans for years to come. It's my privilege now to introduce someone who's been very, very involved in the planning of this. Someone who certainly has supported a great deal, Dr. John Warner, CEO of the Wexner Medical Center, who's going to share more information on this project. Doctor? [Text on screen: John J. Warner, MD CEO of The Ohio State University Wexner Medical Center and Executive Vice President at Ohio State] John J. Warner, MD: So thank you, Governor DeWine. I'll start by echoing President Carter's gratitude for your ongoing commitment to mental health. In particular your ongoing support of the state of Ohio action for Resiliency, from highlighting in your State of the State address to working with the legislator to include it in the state budget, you've continued to champion this effort to improve lives across the state. We very much look forward to the partnership with you and with Director Cornyn who we'll hear from a little later in the program and the Ohio Department of Mental Health and Addiction Services. We know that Ohio is stronger with healthy individuals, families, and communities, and we know that quality healthcare is critical to that. But for far too many Ohioans, mental health and substance abuse disorders are barriers to realizing their full potential, with opioid overdose deaths increasing by more than 300% since 2010 and suicide increasing by 15% just in the past decade. At Ohio State, we're determined to change that and to improve outcomes for those suffering from mental health and substance use disorders by better understanding, as you said, what fuels these issues. Currently, there's a lot that we don't know and the SOAR Study is a huge step forward in advancing our understanding of mental health and substance use disorders. This study will provide key data that will shape the future of mental health across Ohio and beyond. Even bigger than that, if that's possible, is the impact that this study will have on healthcare as a whole. Governor DeWine mentioned the famous Framingham Heart Study. For those of you who don't know me, I'm a cardiologist and that paved the way to being able to understand and provide earlier cardiovascular interventions and ultimately reduce or even prevent the effects of heart disease. The SOAR Study is positioned to do the exact same thing for mental and behavioral healthcare. And thanks to the investment in mental health research and innovation that Governor DeWine and the General Assembly have made along with the network of academic and healthcare partners joining us in this study, experts 10, 20, or even 30 years from now will look back on this moment, crediting the SOAR Study for its life-saving advancements for patients struggling with mental health and substance use disorders. When we focus on identifying and addressing root causes and risk factors, as the SOAR Study is designed to do, we can make a real difference in improving and saving lives. Not only will this improve patient care directly, but will also influence the way that we train future generations of care providers. Just as the Framingham Heart Study did, it will arm us with a deeper level of knowledge that is certain to inspire ongoing research breakthroughs. The SOAR Study is also an excellent example of our tripartite mission here at Ohio State, and we couldn't be prouder to champion this vital research to help all Ohioans. In addition to our gratitude we have for our state of Ohio partners, I would be remiss not to also recognize and thank three individuals. Dr. Peter Mohler, Ohio State's Executive Vice President for Research Innovation and Knowledge, and the chief scientific officer at the Wexner Medical Center in the College of Medicine, Dr. Carol Bradford, dean of the College of Medicine, and Dr. Andrew Thomas, our chief clinical officer. Thank you all. I want to thank you for your leadership and the ongoing support that played an important role in making today's announcement possible. Of course, this critically important work is led here at Ohio State, as you've heard by Dr. Luan Phan, the principal investigator of the SOAR Study and the chair of the Department of Behavioral Health at Ohio State. And at this time it's my pleasure to welcome him to the podium to share more about the SOAR Study. [Text on screen: K. Luan Phan, MD Professor and Chair of the Department of Psychiatry and Behavioral Health at Ohio State] K. Luan Phan, MD: Morning, everyone. Thanks for braving the weather to be here in person. I'll warn you that the themes that I'll be talking about are very redundant to what's already been said, but I believe in the power of redundancy. This message is getting across. As someone who's a psychiatrist who sees patients, the fact that we have a governor, a university president, and the chief executive officer of a med center saying similar things just brings great joy and pride in my heart. And I really think that will translate to our patients, their families, and our communities. So let me begin with a story already said in part by Governor. On July 13th, 2021, I had the fortune to meet with the governor and his cabinet alongside Bob Schottenstein and Holly Kastan, who are steadfast long-standing supporters of mental health in our communities. And in that meeting, the governor asked for new ideas, new strategies. He said, "What are we going to do to help Ohioans live their life to their fullest potential, especially in the aftermath of the pandemic and especially knowing the alarming rates of overdose deaths and suicide?" I noted to him, I was very vulnerable, I was very nervous. I said, "The way that we're doing it now in clinical settings, albeit critical, is not sufficient. We've been reactive to crises and we haven't made a real meaningful effort to go upstream to think about how we can intervene earlier in the course of illness and even prevent illness in the first place." That conversation sparked the SOAR Study, and I'm grateful for the partnership of my leaders, Dr. Andy Thomas, Dr. Carol Bradford, Dr. Peter Mohler. I'm grateful to Governor DeWine, his Department of Mental Health and Addiction Services, then led by Lori Criss, the Ohio General Assembly, and all the advocates across all of Ohio who fought for this study. The legislature granted us a catalytic $20 million to launch this SOAR Study, and I look forward to working with Director Cornyn about how to do this really well going forward. I also want to thank President Carter and our CEO at the Medical Center, Dr. Warner, for their support that they've already had in a fairly short time around this study and this effort. I look forward to really making the Ohio State and our medical center the leaders for the country as well as the world. Today we are embarking on a united effort to transform the way we understand mental illness and how we treat it. [Text on screen: SOAR There's never been an effort of this scale and with this depth in the history of addiction, mental health and resilience research. The world's best minds solving the mind's toughest problems.] K. Luan Phan, MD: There's never been an effort of this scale with this depth in the history of addiction, mental health, and resilience research. To take on this effort, we are bringing together the brightest minds across the world to solve the mind's toughest problems. [Text on screen: Today we all have a healthy heart playbook on how to live healthier and longer lives. Because of a study started 75 years ago, we now know many of the modifiable risk factors of heart disease: smoking, high blood pressure, obesity, high cholesterol, and physical inactivity. And now we can intervene earlier to prevent and reduce related suffering and deaths.] K. Luan Phan, MD: As we've just heard from Framingham and what it's taught us, we know how to build a resilient heart and that's helped save hundreds of thousands of lives. What we need to do now is to build a resilient brain, a resilient mind, a resilient spirit. The SOAR Study will begin with a series of clinical research studies of thousands of families across generations across Ohio. We hope to quickly translate, as mandated by our governor, that these discoveries come to the clinic right away in real time so that patients and families are helped. Such a center aims to close the currently too-wide gap between research and clinical practice. We also want to train the next generation of mental health providers with this new model. Our approach to SOAR is very, very simple. It is to identify the factors that can be modified to reduce risk and build resilience in the face of stress, trauma, and adversity. [Text on screen: What don't we know? We do not fully understand the root causes, risk, or protective factors to explain "who", "why", "how" and "when" of mental illness] K. Luan Phan, MD: It's important to identify what we don't know. We don't know the root causes, the risks, the protective factors of mental illness to explain what I feel are fairly simple but fundamental questions. Who gets ill? Why do they get ill? How do they get ill? When do they get ill? [Text on screen: We must know. Because mental illness remains largely a mystery to researchers, clinicians and the public, we continue to see increasing rates of deaths of despair both nationwide (427 per day) and in Ohio (19 per day). K. Luan Phan, MD: But we must know. We must know. Mental illness remains largely a mystery to our researchers, our clinicians, and because of that, the public. [Chart shows number of deaths from unintentional drug overdoses and suicide in Ohio, from 2012 to 2021. Text on screen: 19 Ohio Deaths Every Day] K. Luan Phan, MD: As a result, in the past decade, as mentioned, we see a nationwide crisis of 227 deaths across our nation and 19 deaths in Ohio each and every day to suicide and overdose. Allow me to put this into perspective. Imagine two to three Boeing 737s crashing without any survivors each and every day. Despite funding, advocacy, and awareness that has grown over the past decade, the curve isn't bending across the country, across the state of Ohio, and across all of our 88 counties. I'd like to share a quote that I've grown quite fond of by the Archbishop Desmond Tutu when he won the Nobel Peace Prize back in 1984. I think he was talking about global problems above and beyond mental health. [Text on screen: "There comes a point where we need to stop just pulling people out of the river. We need to go upstream and find out why they're falling in." Archbishop Desmond Tutu. (Nobel Peace Prize, 1984)] K. Luan Phan, MD: He said, "There comes a time when we need to stop just pulling people out of the river. We need to go upstream and find out why they're falling in." We won't be able to bend the curve on the growing number of deaths of despair until we go upstream to better understand the risks and the protective factors. The river metaphor is very, very helpful and inspires my team and our collaborators to better understand what's happening. [Text on screen: Our River Feeling well Languishing Suicide Overdose Death] K. Luan Phan, MD: So this is our river, this is what it looks like, and this is what moving upstream might look like. Of course, we've already mentioned suicide and overdose deaths. There are many, many other chronic deaths from heart disease, from cancer because of alcohol abuse, because of dependence on nicotine. [Text on screen: Our River Feeling well Languishing Causes and Risk Factors: Adverse Life Events, Trauma, Impoverished, Environment, Loneliness, Drug Exposure, Poor Coping Skills, Altered Biology-Brain, Genetic Loading Mental Illnesses: Depression, Anxiety, PTSD, Addiction, Bipolar, Psychosis Suicide Overdose Death] K. Luan Phan, MD: We also know what are the major illnesses in my field that are relevant. We have some idea about what are the main candidates that increase substantially and clearly the risk of these illnesses. But what we don't know and perhaps what's most important is exactly what are the right targets to have the biggest impact. In that way, we remain uninformed. I believe that if we were able to target those who are doing well despite adversity, we can not only improve mental health, we can improve all other forms of physical health. [Text on screen: SOAR STUDY Biological: Brain Structure & Function, Stress Biomarkers, Physical Health, Genes Psychological: Emotion, Cognition, Behavior, Personality Social: Family, Friends, Neighborhood, Work Experience & Time & Change] K. Luan Phan, MD: The SOAR Study will examine biological, psychological, and social factors across generations. These domains have been studied, however they've been studied separately in different labs, in different institutions with different individuals in a single point in time. This siloed approach has slowed our progress. Our team here at The Ohio State University is proud to be collaborating with so many scientists and clinicians across the state of Ohio, many of whom are here either virtually or in person, to officially launch this first study. After this conference, we will have a working meeting. We've assembled an alliance over the past year and bringing on board even more partners across the state, especially in clinical settings as we translate discoveries into clinical practice. [Text on screen: SOAR NETWORK Clinical and Research Collaboration Committed partnerships across Ohio will be critical for success and implementation of a new ecosystem of research and care] K. Luan Phan, MD: Only with this collaboration across the entire state, across all of our many universities that Dr. Warner alluded to and Governor DeWine mentioned in specifics, SOAR is more than just a study. It will bring new and effective ways to intervene earlier and prevent illness and its worsening. [Text on screen: SOAR STUDY Bring Science to the People Representing the diversity of Ohioans across the entire state] K. Luan Phan, MD: Moreover, SOAR will bring science to the people by using mobile units to meet them where they live. We want to include Ohioans across our entire state to represent our diversity. Ohio represents a microcosm of our country. What we learn here can be disseminated and scaled broadly. Other states will not only want to copy and adopt what we have done, they will be compelled to do so. [Text on screen: SOAR STUDY Wellness Survey: 15,000 Ohioans Brain Health Phenotyping: 3,600 Ohioans Families, Multi-Generational, Longitudinal] K. Luan Phan, MD: To make it more granular, these are the first two initial studies of SOAR, a SOAR wellness survey that will collect important insights about real-life experience of our Ohioans from 15,000 of our citizens. I want to give you a brand new update that came this morning. We launched a survey, thanks to the leadership and the team at CHRR, 10 days ago. It went out to 300,000 Ohioans based on their addresses to cover all 88 counties. 10 days later, we have 3,000 completed hour-long surveys. 20% of the goal already achieved in 10 days. This speaks to not only the power of Ohioans, but how passionate they are in the need for solutions. This is also covering almost 30 counties, Governor, 30 counties have been covered so far in 10 days. The second study is a deeper dive into the brain and the brain's health to collect and evaluate data from approximately 3,600 members in 1,200 Ohio families. This comprehensive approach brings the breadth and depth necessary to discover those modifiable factors in the individual, in the group, in the community that convey risk and resilience. By studying families across generations, this is the only way that we can break the chain of mental illness and substance use disorders. It will lead new strategies on how to build resilience so that Ohioans can bounce back, adapt, and even thrive despite that adversity so that they can live their life to their fullest potential. There've been many, many supporters in the community and across Ohio that we hope to grow who appreciate the importance of building resilience. Amongst them are Jay and Jeanie Schottenstein, who in 2021, that important year, gave our university, our college of medicine and the medical center, a $10 million gift to form the Jeffrey Schottenstein Program for Resilience. We hope that that's just the beginning. SOAR begins already, but there's no end in sight. Like Framingham, we intend that SOAR goes on for decades, engages more and more Ohioans so that we can follow that first set of teens who walked into our study in December as they graduate, as they find work, as they build families, as they grow old. In doing so, SOAR will eventually offer something much needed, a new roadmap, a new playbook for developing better treatments and cures that will improve lives and save lives. I want to welcome our state partner in this endeavor, the director of the Ohio Department of Mental Health and Addiction Services, LeeAnne Cornyn, to the stage. Thanks very much. [Text on screen: LeeAnne Cornyn Director of the Ohio Department of Mental Health and Addiction Services] LeeAnne Cornyn: Thanks, Dr. Phan. Good morning, everyone. I am honored to be here to celebrate this announcement and important research. Today is possible because of a vision, that of Governor DeWine's for strengthening Ohio's behavioral health system and that of Dr. Phan, that we should and could get upstream to identify root causes of mental illness and addiction. Because of this visionary leadership, we're here today and able to announce that Ohio is once again leading the nation in investments in research and learnings that can be translated into practice to deliver faster and better care for Ohioans. We know mental illness and substance use disorder are preventable, treatable, and people can and do recover. And there are many Ohio resources available such as 988, the Suicide and Crisis Lifeline, and still, as Dr. Phan mentioned, 19 Ohioans die prematurely every day from unintentional overdose and suicide. What the SOAR Study has the potential to show is why evidence-based practices are working for some Ohioans and not for others. We applaud Governor DeWine for championing innovation and research in behavioral healthcare, and we thank the General Assembly for this investment. Our role at Ohio MHAS is to work hand in hand with The Ohio State University Wexner Medical Center and College of Medicine, and all of our other research partners serving as a champion, a guide, a connector through the State of Ohio Action for Resiliency or SOAR Network. As Governor DeWine mentioned, the network was created at his request in our most recent operating budget and is being led by Ohio MHAS's deputy director of innovation, Nikki Reiss. It brings together state agencies, stakeholders, and academic researchers across the state on the strategic research agenda and priority areas for innovation investment. Through the SOAR network, we'll do three key things. First, we'll document existing research to determine what is currently being studied about the root causes of mental illness and addiction, and pull them into a single location which hasn't ever really been done before. Second, we'll determine gaps in that existing research and with guidance from subject matter experts, we'll prioritize areas of applied research and innovation that are most able to directly impact the lives of Ohioans. And finally, we'll fund research and promising ideas to bring innovative practices to Ohioans as quickly as possible. The Network will also guide the creation and management of a data set for use by researchers as well as our state and local government partners. Ultimately, through the network and alongside the study, we will harness the expertise of the best minds across the state and the nation to get to the root causes of mental illness and addiction. We'll uncover biological and environmental resiliency factors. We'll develop new ways of preventing and treating mental illness and addiction. We'll train Ohio's behavioral health workforce in best practices and will improve outcomes for Ohio's diverse people and communities. This research will help families across Ohio better understand their risk factors, how to prevent the onset of behavioral health illnesses, and if needed, identify the best treatment for them. In short, it creates opportunity to better understand the most critical issues for Ohio's communities and people, find evidence of what's working, and put solutions into practice faster, and we are so excited to get to work with Dr. Phan and the team. Thank you, and I will turn it back over to Ohio State. Speaker 6: Thank you. This concludes our announcement today. Thank you, everyone, for coming, and we will have a few of our speakers available for reporters to talk to afterward. Thank you so much. [Text on screen: The Ohio State University Wexner Medical Center go.osu.edu/soarstudy]