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 Public Health Mission. 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. DESPR Organization EPIDEMIOLOGY RESEARCH BRANCH OFFICE OF THE DIRECTOR ANALYTIC UNIT SERVICES RESEARCH BRANCH WORKGROUPS AIDS/HIV Health Disparities Translational Research Research Training PREVENTION RESEARCH BRANCH 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 Priority Areas for NIDA • Prevention Research (Children/Adolescents) – – – – Genetics Development Environment Co-morbidity • Treatment Interventions – New Targets & New Strategies • HIV/AIDS Research Preventing and Treating Drug Abuse and Addiction Require Multi-Pronged Approaches genome protein expression DRUGS OF ABUSE social Behavior neuronal circuits Distribution of Selected Drug Abuse Related Variables by Race/Ethnicity 100% 11 11 12 11 80% 4 3 1 15 18 23 5 6 16 60% 43 40% 74 70 50 65 20% 35 26 0% p Po n io t a ul fe Li tim e U se A White bu /D e s e ep nt e nd Black is Pr s er n o ID Hispanic U s /H w Other -A IV ID S 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 Studies FY04 $2.0m RFA 3. Young Adult Prevention FY04 $1.5m RFA, meeting January 2004 4. HIV/AIDS Among Drug Users in Criminal Justice FY04 $1.5m RFA 5. Studying CSAP’s Strategic Prevention Plan FY04 $2.5m IAA, meeting March 2004 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 Themes for DESPR in FY 2005 1. Maximize Return on Investment 2. Rethink the Social Environment 3. New Issues in the Emerging HIV/AIDS - Drug Abuse Nexus 4. Translational Research What are we doing to develop and promote these themes? Workgroups, Meetings, Publications, etc. Rethinking the Social Environment: Integrating Social and Genetic Epidemiology With Neuroscience Social Epi Genetic Epi Summer-Fall 2004: Identification of datasets/studies ripe for nesting December 2004: Neuroscience Special Supplement AJPM Spring 2005: Midsize meeting Summer-Fall 2004: Portfolio & literature review Fall 2004: Small meeting Spring 2005: Phenotype Special Issue JSA Fall 2005 Social Epi Transdisciplinary Meeting Future Initiative Genetic Epi Community Bedside Bench Community Bedside Bench Interagency Collaborations are indispensable DHHS NIH SAMHSA NIDA Collaborations to Translate Research Findings Into Relevant Clinical Practice Science to Services Cycle Community Bedside Bench Working in “RealWorld Settings” is key. Testing the Commuties That Care (CTC) Prevention System Research Centers Coordinating Center Community Bedside Bench Developing the Health Services Research Program Rec #1: Defining Health Services Research A multidisciplinary field that examines how: social factors, financing systems, access to and utilization of healthcare, organizational structures and processes, quality and cost of healthcare, and health technologies, and affect our health and well-being. personal beliefs and behaviors Ultimately, the goals of health services research are to identify the most effective ways to organize, manage, finance, and deliver high quality care. Division of Epidemiology, Services and Prevention Research Providing a foundation for NIDA’s public health mission.