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Update from the Division of Epidemiology, Services and Prevention Research

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 Abuse Department of Health and Human Services. DESPR provides a foundation for NIDA’s

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Update from the Division of Epidemiology, Services and Prevention Research

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  1. 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 Abuse Department of Health and Human Services

  2. DESPR provides a foundation for NIDA’s Public Health Mission.

  3. DESPR will improve the nation’s public health by promoting integrated approaches to understand and addressinteractions 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.

  4. DESPR Organization EPIDEMIOLOGY RESEARCH BRANCH ANALYTIC UNIT WORKGROUPS AIDS/HIV Health Disparities Translational Research Research Training SERVICES RESEARCH BRANCH PREVENTION RESEARCH BRANCH OFFICE OF THE DIRECTOR

  5. DESPR: Five Year Goals • Measurably impact public health prevention and treatment outcomes • Demonstrate the role of interactions between intrapersonal and environmental factors with each other and with genetic factors • Develop transdisciplinary research teams to better elucidate this chronic condition, its prevention and treatment

  6. Priority Areas for NIDA • Prevention Research(Children/Adolescents) • Genetics • Development • Environment • Co-morbidity • Treatment Interventions • New Targets & New Strategies • HIV/AIDS Research

  7. Preventing and Treating Drug Abuse and Addiction Require Multi-Pronged Approaches DRUGS OF ABUSE genome social protein expression Behavior neuronal circuits

  8. Distribution of Selected Drug Abuse Related Variables by Race/Ethnicity

  9. FY 2004 RFAs/Contracts • Prevention and Treatment of Drug Abuse in Primary Care Settings • FY04 $3.0m RFA with SAMHSA and AHRQ • Environment-Gene Interaction Studies • FY04 $2.0m RFA • Young Adult Prevention • FY04 $1.5m RFA, meeting January 2004 • HIV/AIDS Among Drug Users in Criminal Justice • FY04 $1.5m RFA • Studying CSAP’s Strategic Prevention Plan • FY04 $2.5m IAA, meeting March 2004

  10. 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

  11. Themes for DESPR in FY 2005 • Maximize Return on Investment • Rethink the Social Environment 3. New Issues in the Emerging HIV/AIDS - Drug Abuse Nexus 4. Translational Research

  12. What are we doing to develop and promote these themes? Workgroups, Meetings, Publications, etc.

  13. Social Epi Genetic Epi Summer-Fall 2004: Identification of datasets/studies ripe for nesting December 2004: Special Supplement AJPM Spring 2005: Midsize meeting Summer-Fall 2004: Portfolio & literature review Fall 2004: Small meeting Spring 2005: Phenotype Special Issue JSA Neuroscience Transdisciplinary Meeting Fall 2005 Social Epi Genetic Epi Rethinking the Social Environment: Integrating Social and Genetic Epidemiology With Neuroscience Future Initiative

  14. Community Bedside Bench

  15. Community Bedside Bench Interagency Collaborations are indispensable

  16. DHHS NIH SAMHSA NIDA NIDA Collaborations to Translate Research Findings Into Relevant Clinical Practice

  17. Science to Services Cycle Collaboration Research & Development Monitoring & Feedback Capacity-Building Commitment Dissemination & Implementation

  18. Community Bedside Bench Working in “Real-World Settings” is key.

  19. Testing the Commuties That Care (CTC) Prevention System Research Centers Coordinating Center

  20. Community Bedside Bench Developing the Health Services Research Program

  21. Rec #1: Defining Health Services Research A multidisciplinary field that examines how: social factors, financing systems, organizational structures and processes, health technologies, and personal beliefs and behaviors access to and utilization of healthcare, quality and cost of healthcare, and our health and well-being. affect Ultimately, the goals of health services research are to identify the most effective ways to organize, manage, finance, and deliver high quality care.

  22. Division of Epidemiology, Services and Prevention Research Providing a foundation for NIDA’s public health mission.

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