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Future Directions in HSR: NIAAA Perspective

Future Directions in HSR: NIAAA Perspective. Mark L. Willenbring, MD Director, Division of Treatment & Recovery Research NIAAA/NlH, Bethesda, MD AHSR Meeting, 0ct 2005. Rumors. NIAAA isn’t interested in HSR (pass it on). Reorganization. New Leadership. HSR. Ready to move on.

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Future Directions in HSR: NIAAA Perspective

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  1. Future Directions in HSR: NIAAA Perspective Mark L. Willenbring, MD Director, Division of Treatment & Recovery Research NIAAA/NlH, Bethesda, MD AHSR Meeting, 0ct 2005

  2. Rumors NIAAA isn’t interested in HSR (pass it on).

  3. Reorganization

  4. New Leadership HSR

  5. Ready to move on

  6. 1. HSR has a future at NIAAA • Retirement of Division and Institute Directors • Extended period with acting ID • Reorganization & recruitment of new Division Director • Strategic planning process • Loss of Harold Perl • Hiring of new HSR program director

  7. FY 2001-05 HSR Funding Total: 39 Grants;$14,273,717 Training 5.8% Effectiveness & Outcomes 25.7% Methods 6.9% Implementation/ Organizational/ Systems 17.2% Financing & Cost 24.0% Utilization 20.3%

  8. HSR Applications and Awards (FY01–05)

  9. HSR Applications/Awards FYO1-O5 Percent of Applications Funded = 37%

  10. 2. Current activities • Increased collaboration with other NlH IC’s, federal agencies & private organizations • Working with review staff to improve review process • We are interested in your input and feedback

  11. Joint Program Announcements • PA 05-090 Methodology and Measurement in the Behavioral and Social Sciences (OBSSR, NCI, NCCAM, NHLBI, NICHD, NIEHS, NINDS, NINR, NIA, NIDCD, ODS) • PA 05-139 Health Services Research on the Prevention and Treatment of Drug and Alcohol Abuse (NIDA) • PA 05-007 Co-Occurring Mental Illness, Alcohol and/or Drug Abuse & Medical Conditions (NIMH, NIDA)

  12. Joint Program Announcements • PA 05-111 Economics of Prevention and Treatment Services for Drug and Alcohol Abuse (NIDA) • PA 05-081 Research on Emergency Medical Services for Children (NICHD, NIBIB, NIMH, NINR, AHRQ, NIOSH, MCHB) • RFA 04-003 Developing Centers on Intervention of Suicide (DCIPS) (NIMH, NIDA) • PAR-05-144 Developing Centers for Innovation in Services and Intervention Research (NIMH)

  13. Pending Program Announcements • Dissemination and Implementation Research In Health (NIMH, NCI, NIDA, NIDCD, OBSSR, NINR, NIDCR, NHLBI, ODS) • Research on Adherence to Treatment (NIMH)

  14. 3. Future priorities • Implementation research • Organizational strategies • Cost-effectiveness • Disease management models • Alcohol dependence • Medical & psychiatric co-morbidity • Quality improvement • Effects of performance indicators • Do outcomes improve?

  15. 3. Future priorities • Interventions in novel settings • Clinically relevant research • Medication treatment • Stepped care • Natural history • Treatment trajectories • Help-seeking behavior • Decisions to change • Early course-remission vs. chronicity

  16. NIAAA Contacts • Mark Willenbring, MDmlw@niaaa.nih.gov 301-443-1208 • Bob Huebner, PhDbob.huebner@mail.nih.gov 301-443-4344

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