Update from the Division of Epidemiology, Services and Prevention Research
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Transcript of Update from the Division of Epidemiology, Services and Prevention Research
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Update from the Division of
Epidemiology, Services and
Prevention Research
Wilson M. Compton, M.D., M.P.E.Director, Division of Epidemiology, Services and Prevention Research
National Institute on Drug AbuseDepartment of Health and Human Services
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DESPR provides a foundation for NIDA’s Public Health Mission.
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DESPR will improve the nation’s public health by promoting integrated approaches
to understand and address interactions between individuals and environments
that contribute to the continuum of problems
related to drug use.
Our goal is to develop scientific knowledge with clear application to practice and public policy.
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DESPR Organization
OFFICE OF THE DIRECTOR
EPIDEMIOLOGY RESEARCH
BRANCH
ANALYTIC UNIT
WORKGROUPSAIDS/HIV
Health DisparitiesTranslational Research
Research TrainingPREVENTION RESEARCH
BRANCH
SERVICES RESEARCH
BRANCH
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DESPR: Five Year Goals
1. Measurably impact public health prevention and treatment outcomes
2. Demonstrate the role of interactions between intrapersonal and environmental factors with each other and with genetic factors
3. Develop transdisciplinary research teams to better elucidate this chronic condition, its prevention and treatment
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Priority Areas for NIDA
• Prevention Research (Children/Adolescents)
– Genetics– Development– Environment– Co-morbidity
• Treatment Interventions – New Targets & New Strategies
• HIV/AIDS Research
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Preventing and Treating Drug Abuse and Addiction Require Multi-Pronged Approaches
DRUGS OF ABUSEgenome
protein expression
neuronal circuits
social
Behavior
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Distribution of Selected Drug Abuse Related Variables by Race/Ethnicity
70 74 65
35 26
11 1116
4350
12 11 15 18 236 5 4 3 1
0%
20%
40%
60%
80%
100%
Popula
tion
Lifetim
e Use
Abuse
/Dep
ende
nt
Prisone
rs
IDUs
w/ HIV
-AID
S
White Black Hispanic Other
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FY 2004 RFAs/Contracts
1. Prevention and Treatment of Drug Abuse in Primary Care Settings
FY04 $3.0m RFA with SAMHSA and AHRQ
2. Environment-Gene Interaction StudiesFY04 $2.0m RFA
3. Young Adult PreventionFY04 $1.5m RFA, meeting January 2004
4. HIV/AIDS Among Drug Users in Criminal JusticeFY04 $1.5m RFA
5. Studying CSAP’s Strategic Prevention PlanFY04 $2.5m IAA, meeting March 2004
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Environmental Challenges/Opportunities
• New NIDA Organization
• Budget flattening
• NIH Roadmap
• Improved Collaborations with SAMHSA, DOJ and Education
• At Other ICs:– NIMH reduced support of longitudinal studies
– NIAAA re-organization of Services Research
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Themes for DESPR in FY 2005
3. New Issues in the Emerging HIV/AIDS - Drug Abuse Nexus
2. Rethink the Social Environment
1. Maximize Return on Investment
4. Translational Research
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What are we doing to develop and promote these
themes?
Workgroups, Meetings, Publications, etc.
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Rethinking the Social Environment: IntegratingSocial and Genetic Epidemiology With Neuroscience
Future Initiative
Summer-Fall 2004:Identification of datasets/studies ripe for nestingDecember 2004:Special Supplement AJPMSpring 2005:Midsize meeting
Social Epi
Summer-Fall 2004: Portfolio & literature review Fall 2004:Small meetingSpring 2005: Phenotype Special Issue JSA
Genetic Epi
Social Epi Genetic Epi
Neuroscience
Transdisciplinary MeetingFall 2005
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BenchBench
BedsideBedside
CommunityCommunity
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Interagency Collaborations
are indispensable
BenchBench
BedsideBedside
CommunityCommunity
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DHHSDHHS
NIDANIDA
SAMHSASAMHSA
NIHNIH
Collaborations to Translate Research Findings Into Relevant Clinical PracticeCollaborations to Translate Research
Findings Into Relevant Clinical Practice
NIDANIDA
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Capacity-Building
Capacity-Building
Col
lab
orat
ion
Col
lab
orat
ion
Commitment
Commitment
Mon
itori
ng &
Feed
back
Research &
Developm
ent
Dissemination & Implementation
Science to Services CycleScience to Services CycleScience to Services CycleScience to Services Cycle
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Working in “Real-World Settings”
is key.
BenchBench
BedsideBedside
CommunityCommunity
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Research Centers Research Centers Coordinating Center Coordinating Center
Testing the Commuties That Care (CTC) Prevention System
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Developing the Health Services Research
Program
BenchBench
BedsideBedside
CommunityCommunity
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A multidisciplinary field that examines how:
Rec #1: Defining Health Services Research
access to and utilization of healthcare,
quality and cost of healthcare, and
our health and well-being.
Ultimately, the goals of health services research are to identify the most effective ways to organize, manage,
finance, and deliver high quality care.
social factors,
financing systems,
organizational structures and processes,
health technologies, and
personal beliefs and behaviors
affect
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Division of Epidemiology, Services and Prevention Research
Providing a foundation for NIDA’s public health mission.