NIDA Director’s Report to the National Advisory Council on Drug Abuse National Advisory Council on...

NIDA Director’s Report to theNIDA Director’s Report to the

National Advisory Council on Drug Abuse

February 14, 2001February 14, 2001

NIDA Director’s Report to the National Advisory Council on Drug Abuse

Budget UpdateBudget Update

Shaping the Research AgendaShaping the Research Agenda

Initiative ImplementationInitiative Implementation

Closing the “Great Divide”(a.k.a. Bridging the “Disconnect”)Closing the “Great Divide”(a.k.a. Bridging the “Disconnect”)

NIDA BUDGETNIDA BUDGET(Thousands)(Thousands)

NonAIDSNonAIDS

AIDSAIDS

TOTALTOTAL

Increase OverIncrease Over Prior Year Prior Year

NonAIDSNonAIDS

AIDSAIDS

TOTALTOTAL

Increase OverIncrease Over Prior Year Prior Year

1999Actual1999

Actual

$428,490$428,490

$188,919$188,919

$617,409$617,409

+14.0%+14.0%

2000Actual2000

Actual

$468,758$468,758

$217,898$217,898

$686,656$686,656

+12.4%+12.4%

$535,931$535,931

$244,902$244,902

2001Approp.

$780,833$780,833

+13.7%+13.7%

NIDA BUDGET IMPACTNIDA BUDGET IMPACTNumber of Research Project GrantsNumber of Research Project Grants

Noncompeting Noncompeting Awards Awards

CompetingCompeting AwardsAwards

TOTAL RPGsTOTAL RPGs

Success RateSuccess Rate

Noncompeting Noncompeting Awards Awards

CompetingCompeting AwardsAwards

TOTAL RPGsTOTAL RPGs

Success RateSuccess Rate

1999Actual1999

Actual

791791

338338

11291129

34%34%

(Excluding SBIR)(Excluding SBIR)2000

Actual2000

Actual

847847

355355

12491249

38%38%

2001Approp.

917917

372372

13371337

35%35%

National Institute of Biomedical Imaging and

Bioengineering Establishment Act(H.R. 1795)

National Institute of Biomedical Imaging and

Bioengineering Establishment Act(H.R. 1795)

Society for Neuroscience 2000 Events: Society for Neuroscience 2000 Events:

NIDA Neuroscience: Current StatusAnd Future DirectionsNIDA Neuroscience: Current StatusAnd Future Directions

Cellular and Molecular MechanismsOf Synaptic Vesicle TraffickingCellular and Molecular MechanismsOf Synaptic Vesicle Trafficking

Cross-Sensitization Between Drugs:A Behavioral and Neural Basis for “Gateway”? Cross-Sensitization Between Drugs:A Behavioral and Neural Basis for “Gateway”?

Minority Scholars: Research and FundingOpportunities at the National Institute onDrug Abuse

Problems of Global Proportions Problems of Global Proportions

Normal ControlNormal Control

Methamphetamine UserMethamphetamine User

Pacific Regional Research ConferenceOn Methamphetamine and OtherAmphetamine-Type Stimulants

Developing NIDA’s Plan forInternational Research

We Need YOUR Help!We Need YOUR Help!

Any Volunteers?Any Volunteers?

NeuroscienceNeuroscience

Risk and Resilience

Children and Adolescents

AIDS andOther Medical

Consequences

BehavioralScience

EpidemiologyEpidemiologyTreatmentTreatment

PreventionPrevention

Health Disparities

Increased Dollars Are AllowingUs To Expand Efforts in VirtuallyAll of Our Priority Areas!

New RFAs New RFAs

“The Transition from Drug Use to Addiction: Unearthing the Switch”“The Transition from Drug Use to Addiction: Unearthing the Switch”

“The Next Generation of Drug Abuse Prevention Research”“The Next Generation of Drug Abuse Prevention Research”

“Health and Developmental Consequences of Prenatal Exposure to Methamphetamine”“Health and Developmental Consequences of Prenatal Exposure to Methamphetamine”

“Tools for Insertional Mutagenesis in the Mouse” (with numerous other NIH Institutes)“Tools for Insertional Mutagenesis in the Mouse” (with numerous other NIH Institutes)

“HIV/AIDS and Drug Use Among Adolescents”“HIV/AIDS and Drug Use Among Adolescents”

New RFAs (con’t) New RFAs (con’t)

“Research on GHB and Its Precursors”“Research on GHB and Its Precursors”

“International Studies on Drug Abuse and HIV/AIDS”“International Studies on Drug Abuse and HIV/AIDS”

“Responding to Club Drugs and Other Emerging and Current Drug Abuse Trends”“Responding to Club Drugs and Other Emerging and Current Drug Abuse Trends”

“Therapeutic Community Research”“Therapeutic Community Research”

“Services Research on the National Drug Abuse Treatment Clinical Trials Network”“Services Research on the National Drug Abuse Treatment Clinical Trials Network”

“Health Disparities: Drug Use and Its Adverse Behavioral, Social, Medical, and Mental Health Consequences”“Health Disparities: Drug Use and Its Adverse Behavioral, Social, Medical, and Mental Health Consequences”

What Else Are We Doing?What Else Are We Doing?

Risk and Resilience

Consequences

BehavioralScience

Health Disparities

Currently Being Updated

National PreventionResearch ConferenceNational Prevention

Research Conference

August 9-10, 2001August 9-10, 2001

Risk and Resilience

Consequences

BehavioralScience

HealthDisparities

Combined Workgroup MeetingNovember 30, 2000

First Steering Committee MeetingJanuary 18-19, 2001

ationalational ispanicispanic ciencecience etworketworkrugrug

busebuse

Risk and Resilience

Health Disparities

Consequences

BehavioralScience

EpidemiologyEpidemiology

PreventionPreventionRisk and

ResilienceRisk and

Resilience

Health Disparities

National Drug Abuse Treatment Clinical Trials Network

TreatmentTreatment

Let’s talk aboutTreatment:

Intake Processing / Assessment

Treatment Plan

Pharmacotherapy

Continuing Care

Clinical and Case Management

Self-Help / Peer Support Groups

Behavioral Therapy and Counseling

Substance Use Monitoring

Detoxification

Components of ComprehensiveComponents of Comprehensive Drug Abuse TreatmentDrug Abuse Treatment

Child Care Services

Vocational Services

Medical Services

Educational ServicesAIDS / HIV

Services

Family Services

Financial Services

Legal Services

Mental Health Services

Housing / Transportation

Services

We’re Beginning to Understandthe “Black Box”

of Drug Addiction Treatment

We’re Beginning to Understandthe “Black Box”

of Drug Addiction Treatment

Simpson, 2001 (Addiction)Simpson, 2001 (Addiction)

Treatment Process and Outcomes ModelTreatment Process and Outcomes ModelTreatment Process and Outcomes ModelTreatment Process and Outcomes Model

EnhancedEnhancedCounselingCounseling

BehavioralBehavioralStrategiesStrategies

Social SkillsSocial SkillsTrainingTraining

Family &Family &FriendsFriends

SupportiveSupportiveNetworksNetworks

InductionInduction Personal Health ServicesPersonal Health Services

Social Support ServicesSocial Support Services

SufficientSufficientRetentionRetentionSufficientSufficientRetentionRetention

PosttreatmentPosttreatmentPosttreatmentPosttreatment

DrugDrugUseUse

CrimeCrimeCrimeCrime

SocialSocialRelationsRelations

Early Early EngagementEngagement

ProgramProgramParticipationParticipation

TherapeuticTherapeuticRelationshipRelationship

Early Early RecoveryRecovery

BehavioralBehavioralChangeChange

Psycho-SocialPsycho-SocialChangeChange

PatientPatientAttributesAttributesat Intakeat Intake

MotivMotivMotivMotiv

ProgramProgramCharacteristicsCharacteristics

CounselorCounselorAttributesAttributes& Skills& Skills

PosttreatmentPosttreatmentPosttreatmentPosttreatment

DrugDrugUseUse

CrimeCrimeCrimeCrime

SocialSocialRelationsRelations

DetoxificationDetoxification

RESEARCHRESEARCH andand

BlendingBlending

PRACTICEPRACTICE

NIDA Treatment InitiativeNIDA Treatment Initiative

National Drug Abuse Treatment Clinical Trials NetworkNational Drug Abuse Treatment Clinical Trials Network

The CTN Has Nearly Tripled in Size!

New England NodeYale University

New England NodeYale UniversityNYC East Side Node

NY University/NY VA Med CtrNYC East Side Node

NY University/NY VA Med Ctr

Delaware Valley NodeUniversity of PA

Mid-Atlantic NodeJohns Hopkins University

Medical College of VA

Northwest NodeOregon Health

Sciences University

Pacific NodeUCLA

Sciences University

Pacific NodeUCLA

Florida NodeUniversity of Miami

Rocky Mountain NodeUniversity of Colorado Health Sciences Center

Southeastern NodeMedical University of

South Carolina

Ohio Valley NodeUniversity of Cincinnati

Great Lakes Regional NodeWayne State University

NYC East Side NodeNY University/NY VA Med Ctr

Pacific NodeUCLA

Pacific Northwest NodeUniversity of Washington

Long Island Regional Node

NY State Psych Inst

Long Island Regional Node

NY State Psych Inst

North Carolina NodeDuke University

Sciences University

Florida NodeUniversity of Miami

Rocky Mountain NodeUniversity of Colorado Health Sciences Center

South Carolina

Ohio Valley NodeUniversity of Cincinnati

Great Lakes Regional NodeWayne State University

NYC East Side NodeNY University/NY VA Med Ctr

NIDA/Managed BehavioralHealthcare Summit

December 1, 2000December 1, 2000

100100

Percentage of Male ArresteesTesting Positive for Any Drug in 1998

Source: 1998 Arrestee Drug Abuse Monitoring Program (ADAM)Source: 1998 Arrestee Drug Abuse Monitoring Program (ADAM)

Drug Use Correlates with CrimeDrug Use Correlates with Crime

We Need toTreat Addicted Offenders or

They Will Be Back!

We Need toTreat Addicted Offenders or

They Will Be Back!

The Good News…The Good News…

Approaches to Addressing Drug Abuse and AddictionApproaches to Addressing Drug Abuse and Addiction

We Are Moving TowardA Better Blending of

Percentage of Correctional Facilities ProvidingSubstance Abuse Treatment, 1997

Source: SAMHSA, Substance Abuse Treatment in Adult and Juvenile Correctional Facilities:Findings from the Uniform Facility Data Set 1997 Survey of Correctional Facilities, 2000.Source: SAMHSA, Substance Abuse Treatment in Adult and Juvenile Correctional Facilities:Findings from the Uniform Facility Data Set 1997 Survey of Correctional Facilities, 2000.

100100

TotalTotal FederalFederal StateState JailJail JuvenileJuvenile

(n=7,539)(n=7,539) (n=129)(n=129) (n=1,183)(n=1,183) (n=3,114)(n=3,114) (n=3,113)(n=3,113)

40%40%

94%94%

61%61%

34%34%37%37%

We Don’t Know Much Aboutthe Quality of the Programs

Being Used…

We Don’t Know Much Aboutthe Quality of the Programs

Being Used…

Or the Number of Slots Being Provided

The Problem is…The Problem is…

If Treatment Access and Quality Are Inadequate It Won’t Work!If Treatment Access and Quality Are Inadequate It Won’t Work!

The Problem is…The Problem is…

We Need to Make Sure That theBlending of Health and Criminal Justice Approaches Is Not A Failed Experiment!

We Need a Council SubcommitteeTo Define NIDA’s Research Agenda,Rapid Action Mechanisms, and Role

….Any Volunteers!….Any Volunteers!

Closing the “Great Divide”(a.k.a. Bridging the “Disconnect”)Closing the “Great Divide”(a.k.a. Bridging the “Disconnect”)

RealityReality

PerceptionPerceptionPerceptionPerception

We Need To Close It!We Need To Close It!

The “Great Divide”The “Great Divide”

“Lets replace ideology with biology”“Lets replace ideology with biology”

Abigail Trafford 2001Abigail Trafford 2001

Turning Scientific Breakthroughs

IntoInto

Science in the NEWS

Science NEWSScience NEWS

April 4, 2001April 4, 2001

Launch -- April 10, 2001Launch -- April 10, 2001

Prescription Drugs InitiativePrescription Drugs Initiative

July 19-20, 2001July 19-20, 2001MDMA Research ConferenceMDMA Research Conference

www.drugabuse.govwww.drugabuse.gov

NIDANIDA NATIONAL INSTITUTE

ON DRUG ABUSE NATIONAL INSTITUTE

ON DRUG ABUSE

NIDA’s Website Has A New Look!NIDA’s Website Has A New Look!

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