Generate an explanation for the given claim using the provided supporting material from the paragraph. Please consider the following points while generating an output. 1) The claim will always have supporting proof in the paragraph, and the paragraph will have a clear point of view supporting the claim. 2) There can be instances where direct correlation to the claim is not available. Make use of the sentences in the paragraph to provide a corresponding output supporting the claim. 3) The explanation should be at least one and at most twelve sentences long.

Paragraph: The Advocate reports national and local politicians, law enforcement, health care experts and social services professionals attended a summit Tuesday in Baton Rouge hosted by Republican U.S. Sen. Bill Cassidy of Louisiana. They agreed providing mental health services to keep patients out of emergency rooms and jail is vital, but the speakers said it must be a bottom-up effort. Cynthia Kemp says she had worked toward better service in Arlington, Virginia, roughly a decade ago, raising about $800,000 for a jail diversion program and crisis intervention team. She’s now with the federal Substance Abuse and Mental Health Services Administration. Cassidy says communities need to leverage local money to collect federal grant assistance. ___ Information from: The Advocate, http://theadvocate.com Claim: Mental health care summit: Local officials must lead effort.
Federal officials say Louisiana leaders must take the lead in addressing mental health care for their own communities.

Paragraph: The study tracked about 20,000 severely obese patients with Type 2 diabetes. Those who had weight loss surgery had a 40 percent lower chance of developing a heart attack or stroke in the five years following surgery compared to those who got usual care with diabetes medicines or insulin. For every 1,000 patients in the study who had surgery there were roughly 20 heart attacks or strokes compared to 40 such events per 1,000 who got regular care. More than 30 million Americans have diabetes, mostly Type 2 where the body loses the ability to produce or use insulin to turn food into energy. Other research has shown obesity surgery can reverse and even prevent diabetes. Taken together, it means doctors should discuss weight loss surgery more often, said study co-author Dr. David Arterburn of Kaiser Permanente Washington Health Research Institute in Seattle. Doctors usually mention insulin and pills, “but it’s not always brought up that weight loss surgery is another available treatment option,” Arterburn said. Researchers analyzed records from four U.S. health care systems: HealthPartners in Minnesota and Kaiser Permanente in Washington state, Northern California and Southern California. Results were published Tuesday in the Journal of the American Medical Association. The study can’t prove cause and effect because patients weren’t randomly assigned to get surgery. The researchers tried to match patients for gender, age, blood sugar levels and other factors. But other things they didn’t account for could have contributed to the surgery patients’ better results. Everyone in the study had a BMI, or body mass index, of at least 35. For instance, someone who is 5-foot-8-inches and weighs 230 pounds has a BMI of 35. Of the more than 5,300 who had surgery, most had gastric bypass, the most common type of stomach-shrinking operation. Some had gastric sleeve or gastric band procedures. The rest, nearly 15,000 people, had usual care. Obesity surgery can cost $20,000 to $25,000. Insurers are increasingly covering it, but some impose strict limits. The new findings suggest insurance coverage should be expanded for the right patients, Dr. Sayeed Ikramuddin of the University of Minnesota wrote in an accompanying editorial. Surgery is thought to help by affecting hormones, gut bacteria and other substances that affect how the body handles insulin and blood sugar. Weight loss without surgery also helps, but is difficult for many people to achieve. Most weight loss surgery today is done through small incisions. The dangers are similar to other surgeries, including a small chance of life-threatening complications, and some people need to have their surgeries repeated. ___ Follow AP Medical Writer Carla K. Johnson on Twitter: @CarlaKJohnson ___ The Associated Press Health &amp; Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. Claim: Obesity surgery may lower heart attack danger in diabetics.
Obesity surgery may dramatically lower the danger of heart attacks and strokes in patients with diabetes, new research suggests, reinforcing evidence that benefits extend beyond weight loss.

Paragraph: Karen Sage of Austin, facing a Tuesday runoff with Mindy Montford of Austin for the Democratic nod for a judgeship, touts her experience as a prosecutor overseeing a new unit focused on defendants with mental illness. With no Republican opponent in November, the winner of the runoff will likely be a shoo-in for Travis County’s 299th state District Court judgeship. In a mailer sent to voters April 3, Sage celebrates the new program, saying that jail “time for non-violent, mentally ill offenders has been reduced by 50 percent.”We wondered if Sage’s statement—echoed in a TV ad she debuted Wednesday—reflects reality. Sage’s campaign initially referred us to Rosemary Lehmberg, the Travis County district attorney. Lehmberg confirmed that she asked Sage, an assistant district attorney, to helm the felony mental health unit, which was started in January 2009. Claire Dawson-Brown, the DA’s director of strategic prosecutions, said a magistrate started handling a special docket comprised of “mental health” defendants in late April 2009. To be in the program, Dawson-Brown said, defendants must usually be charged with a non-violent crime. They also must be diagnosed with major depression or considered bipolar, schizo-affective or schizophrenic, and seen as unstable in the jail. “It would be someone in a crisis situation,” she said, “or their mental illness is impairing their behavior.” Experts team to address the needs of the mental health inmates, Dawson-Brown said. She said participants get services they need in custody and when they return to the community. Besides Sage, who has a paralegal and a secretary, each defendant has an attorney familiar with mental health issues; she said the magistrate, a jail counselor and officials serving the local mental health and adult probation systems also play roles, with social workers sometimes getting involved. And how has the program affected jail stays? Sage said she reached her 50-percent reduction statement by comparing a baseline estimate that “mental health” inmates facing felony charges were averaging 106 days in jail before the program began to the 42-day average for participants in the program at the time she left the office in mid-December to run for judge. The decrease amounts to 60 percent. Dawson-Brown agreed that as of late 2008 and early 2009, the average Travis County jail stay for all its “mental health” defendants, including violent offenders, was 106 days. We pointed out that the baseline figure sweeps in the longer jail stays of individuals charged with violent crimes who aren’t automatically put in the new program, driving up the pre-program average and potentially skewing before and after comparisons. Dawson-Brown then gave us more detailed jail-stay information enabling an improved review of the change in average jail stays. Based on the new figures, we estimate that defendants who have been through the new program would have averaged 77 days in jail before the program began. The nitty gritty: We multiplied the number of affected defendants categorized by the level of felony they faced--ranging from first-degree felony charges to second- and third-degree felonies to state-jail felony charges--by the days that similarly charged defendants averaged in jail before the program began. Next, we totaled those defendant-days-in-jail and divided the total (19,432) by the number of defendants (253) to reach the pre-program estimate of an average of 77 days in jail. Through February, the magistrate had processed 253 defendants since the program’s start, according to Dawson-Brown, and they averaged 36 days in jail. Best we can tell, the average jail stay for defendants dropped by 41 days, or 53 percent. Claim: "Karen Sage Says that under a new program jail ""time for non-violent, mentally ill offenders has been reduced by 50 percent."

Karen Sage says jail time has been cut 50 percent for offenders in program focused on mental health