National Institute of Mental Health

1

• National Institute of Mental Health
• Office for Special Populations and Office of
  Rural Mental Health Research
• Orientation
• to
• The Hispanic Association of Colleges and
  Universities
• Neuroscience Center
• Bethesda, MD
• July 26, 2006

Robert A. Mays, Jr., Ph.D., MSW Deputy Chief,
Office of Rural Mental Health Research and
Program Director, Research Training/Infrastructure
Office for Special Populations,
NIMH 301.443.2847 Rmays_at_mail.nih.gov
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National Institute of Mental Health

• Mission Statement
• The mission of NIMH is to reduce the burden of
  mental illness through research on the mind,
  brain, and behavior. NIMH takes the lead in
  understanding the impact of behavior on HIV
  transmission and pathogenesis, and in developing
  effective behavioral preventive interventions.
• The NIMH conducts a wide range of research,
  research training, and research capacity
  development, as well as, public information
  outreach and dissemination to fulfill its
  mission.

3
National Institute of Mental Health

• The NIMH Directors Page
• http//www.nimh.nih.gov/about/director.cfm
• Research Priorities and Strategic Plans
• supporting basic science discoveries
• translating these discoveries into new
  interventions that will relieve the suffering of
  people with mental disorders and
• ensuring that new approaches can be used for
  diverse populations and in diverse settings.
• http//www.nimh.nih.gov/strategic/strategicplanme
  nu.cfm
• Research Funding
• NIMH Reorganized Programs Effective October 2004
• http//www.nimh.nih.gov/researchfunding/reorganiz
  ation.cfm
• National Advisory Mental Health Council Reports
  http//www.nimh.nih.gov/council/advis.cfm

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Who/What is a Project Officer/Program Director?

• Project Officer/Program Director
• is a scientist and administrator
• manages grants, contracts, cooperative agreements
• identifies needs in scientific areas
• identifies scientific areas of special interest
  and communicates interest
• reports on scientific progress and program
  accomplishments

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Who/What is a Scientific Review Administrator?

• Scientific Review Administrator
• is a scientist and administrator
• manages the review of grants, contracts,
  cooperative agreements
• appoints members to initial review groups/study
  sections/special emphasis panels
• responds to questions about review at Advisory
  Councils and Board meetings
• if Referral Officer, refers applications to study
  section for review and to Institute for
  acceptance into program

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National Institute of Mental Health

• Organization
• Office of The Director (OD)
• Office for Special Populations (OD/OSP)
• Office of Rural Mental Health Research (OD/OMHR)
• Office of Science Policy, Planning and
  Communications
• Offices on AIDS Global Mental Health Resource
  Management Prevention Constituency Relations
  and Public Liaison and
• Diversity and Employee Advocacy Programs
• Division of Extramural Activities (DEA)
• Division of Neuroscience and Basic Behavioral
• Science (DNBBS)
• Division of Adult Translational Research and
  Treatment Development (DATR)
• Division of Pediatric Translational Research and
  Treatment Prevention (DPTR)
• Division of AIDS and Health and Behavior Research
  (DAHBR)
• Division of Services and Intervention Research
  (DSIR)

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Associate Director for Special Populations
Congressionally Mandated

• Mission
• Develop and coordinate research policies and
  programs to assure increased emphasis on the
  mental health needs of women and minority
  populations support programs of basic and
  applied social and behavioral science research on
  the mental health problems of women and
  minorities study the effects of discrimination
  on institutions and individuals, including
  majority institutions and individuals support
  and develop research designed to eliminate
  institutional discrimination and provide
  increased emphasis on the concerns of women and
  minority populations in the Institutes training,
  service delivery, and research programs.

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National Institute of Mental HealthSpecial
Populations Program Organization
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• Office for Special Populations and Office of
  Rural Mental Health Research
• Director for Special Populations Ernest
  Marquez, Ph.D.
• and Acting Director, Office of Rural
• Mental Health Research
• Deputy Director for Special Populations
  Sherman Ragland, MSW
• Chief, Office of Rural Mental Health
• Research Anthony Pollitt, Ph.D.
• Deputy Chief, Office of Rural Mental
• Health Research Robert Mays, Ph.D., MSW
• Chief, Womens Mental Health Programs
  Catherine Roca, M.D.
• Deputy Chief, Womens Mental Health
• Programs Kathy OLeary, MSW

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Research Scientist Development One Step at a
Time!
Faculty
TenureR01 Mentor
New Faculty
K01, R21, R03
Post-Doc
e.g.Fellowship, Training Grant, Diversity
Supplements
e.g. Training Grants, Fellowships Diversity
Supplements
Graduate
Undergrad
e.g. Supplements, T34 COR Stipends
High School
e.g. Collaborative Networks, R25 COR Stipends
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National Institute of Mental HealthResearch
Training and Career Development Timetable
Approx. Stage of Research Training and
Development
Mechanism of Support

Predoctoral Institutional Training Grant (T32)
GRADUATE/ MEDICAL STUDENT
Predoctoral Individual NRSA (F31) Predoctoral
Individual MD/PhD NRSA (F30) Dissertation
Research Grant (R36)
Postdoctoral Institutional Training Grant (T32)
Postdoctoral Individual NRSA (F32)
POST DOCTORAL/ CLINICAL RESIDENCY
Mentored Research Scientist Development Award
(K01) Mentored Clinical Scientist Development
Award (K08) Mentored Patient-Oriented Research
Career Development Award (K23) Scientist
Development Award for New Minority Faculty (K01)
B/Start (R03)
EARLY
Small Grant (R03)
Exploratory/Developmental Grant (R21/R34)
Research Project Grant (R01)
Independent Scientist Award (K02)
MIDDLE
CAREER
Midcareer Investigator Award in Patient-Oriented
Research (K24)
http//www.nimh.nih.gov/researchfunding/training.c
fm
SENIOR
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OSP Mental Health Research Training and
Infrastructure Grants and Research Supplements

• T34 Career Opportunities in Research Education
  and Training (COR) Honors Undergraduate Program
• R25 Career Opportunities in Research Education
  and Training (COR) Honors High School Program
• R24 Minority Research Infrastructure Support
  Program
• Research Supplements to Promote Diversity in
  Health-Related Research (PA-05-015)

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Career Opportunities in Research Education and
Training (COR) Honors Undergraduate Research
Training Grant (T34) PAR-01-008 Annual
Submission May 10

• Provide research education and mentorship
• Awarded to four-year public or private
  institutions
• Must have 50 gt racial and ethnic minority
  students
• Limited to four to ten Juniors and Seniors 3.0 gt
  GPA
• 300K in Direct Costs annually five year
  renewals
• Stipend (10.2K) and partial tuition/fees
• Stipend support cannot exceed two years.
• Tuition and fees 100 of first 3K and 60 of
  costs
• Up to 50 effort of personnel some
  secretarial/lab support
• Consultants, travel, research supplies, computer
  time, publication costs for trainee papers
• Actual Facilities and Administrative cost or 8
  of Direct Costs which ever is less

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NIMH COR Institutions

• T34 COR Locations Program
  Directors
• Grambling State U. Stacey Duhon, Ph.D.
• Hampton University Nancy Duncan, Ph.D.
• Howard University Lloyd Sloan, Ph.D.
• Jackson State U. Pamela Banks, Ph.D.
• Morehouse College M. Weber-Levine,
  Ph.D.
• Clark Atlanta University
• Spelman College Karen Brakke, Ph.D.
• Morris Brown
• Morgan State U. Terra
  Bowen-Reid, Ph.D.
• SUNY, Old Westbury Steven
  Pryor, Ph.D.

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NIMH COR Institutions

• T34 COR Locations Program Directors
• Hunter College
  V. Quinones-Jenab, Ph.D
• Mercy College
  James Towey, Ph.D.
• San Francisco State U. Sacha Bunge, Ph.D.
• Cal State U., Northridge Carrie Saetermoe, Ph.D.
• Cal State U., Long Beach Chi-An Chun, Ph.D.
• San Diego State U. Theresa Cronan,
  Ph.D.

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NIMH COR Institutions

• T34 COR Locations Program Directors
• Cal State U., Los Angeles Thanh Tran,
  Ph.D
• University of Puerto Rico,
• Rio Piedras
  Guillermo Bernal, Ph.D.
• Long Island University Carol Magai,
  Ph.D.
• University of New Mexico, Phillip
  May, Ph.D.
• Albuquerque
• University of Texas, El Paso Michael
  Zarate, Ph.D.
• University of Nebraska,
• Lincoln Les Whitbeck, Ph.D.

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R25 High School Opportunities in Research
Education (COR) Training Program (PAR)-01-009
Annual application May 10

• Model, mentor, and teach mental health research
  to high school students
• Sponsored by an Undergraduate COR T34
• Five year grant up to 35K per year to the T34
  COR
• Total of six Junior and Seniors with 3.0 gt GPAs
• Stipend up to 2K per AY or summer session
• Personnel, consultants, travel, supplies
• Facilities and Administrative costs or 8 of
  Direct Cost
• which ever is less

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R25 High School Opportunities in Research
Education (COR) Training Program Institutions

• High School COR Sites Program
  Directors
• Howard University Lloyd Sloan, Ph.D.
• Jackson State U. Pamela Banks, Ph.D.
• U. of Puerto Rico,
• Rio Piedras W.
  Arocho-Rodriquez, Ph.D.
• SUNY, Old Westbury Steven Pryor,
  Ph.D.
• Cal Sate U. Northridge Sherry Span,
  Ph.D.

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R24 Minority Research Infrastructure Support
Program (M-RISP) PAR 01-029

• Increase the capacity to conduct mental health
  research
• An Infrastructure Development Plan (100K)
• Two or more Independent Research Projects (60K)
• 400K annually in Direct Costs for three years
• Five year competitive renewals
• Institutions with 30 gt racial/ethnic minority
  students
• and past three years with efforts to increase
• Annual Submission June 1

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M-RISP Institutions

• M-RISP Location
  Principal Investigator
• Lehman College Bronx, NY Kevin
  Sailor, Ph.D.
• Howard University Lloyd Sloan, Ph.D.
• University of Puerto Rico,
• Rio Piedras Guillermo Bernal, Ph.D.
• University of Puerto Rico Nidza Lugo,
  Ph.D.
• Medical Sciences Campus
• U. Texas, El Paso Michael Zarate, Ph.D
• University of Hawaii
• John A. Burns School of Medicine Naleen
  Andrade, Ph.D.

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M-RISP Institutions

• M-RISP Location Principal Investigator
• Meharry Medical College James Townsel, Ph.D.
• Tennessee State U. Baqar Husaini,
  Ph.D.
• Chicago State U. Esther Jenkins, Ph.D.
• SUNY at Old Westbury George
  Stefano, Ph.D.
• San Francisco State U. Rafael Diaz, Ph.D.
• Howard University John Massari, Ph.D
• Medical School

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M-RISP Institutions

• M-RISP Location Principal Investigator
• University of Texas,
• San Antonio
  Raymond Garza, Ph.D.
• San Diego State University Theresa Cronan,
  Ph.D.
• California State University, John Jung, Ph.D.
• Long Beach
• California State University, Carrie
  Saetermoe, Ph.D.
• Northridge

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Research Supplements to Promote Diversity in
Health-Related Research (PA-05-015)

• Used to attract and encourage individuals, or
  modify resources to an existing grant
• Support attached to an existing award
• Requested by the Principal Investigator
• Awarded to the Institution
• Principal Investigators of Research Grant
  Mechanisms R01,R10, R18, R22, R24, R35, R37,
  P01, P30, P40,
• P41, P50, P51, P60, U01, U10, U19, U41, U42, or
  U54
• Exceptions can be made to eligibility
  requirements
• Funding decision take approximately six to eight
  weeks
• Usually one research supplement per grant

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Diversity Supplements

• For all stages of the research career from high
  school to assistant professor/research associate
• Support for Minority, Disadvantaged and Disabled
  individuals
• Additional funds are awarded to a Principal
  Investigator to include a minority or
  disadvantaged individual on their NIH funded
  project
• Great way to join a research project and
  successful research team
• Also, provides funds for equipment to allow
  reasonable accommodations for the disabled
  individual

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Diversity Supplements

• High School Students
• 3K for student for summer experience, or 6.25
  hourly part-time
• Two year program encouraged
• Equivalence of two three-month, full-time periods
  desired
• Undergraduate Students
• Student salary should be consistent with
  institutional salary policy
• Hourly rate more than 8.00 needs justification
• Additional 200.00 per month for travel and
  supplies
• Three full months of effort expected for at least
  two
• years

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Diversity Supplements

• Post-Baccalaureate and Post-Masters Degree
  Students
• Recent graduates to spend up to two years in
  mental health related research while applying for
  graduate/medical/dental or other schools
• Student salary should be consistent with
  institutional salary policy
• Should not exceed graduate student salary, an
  additional 3K per year can be requested for
  supplies and travel, but no equipment purchases.
• Graduate Research Assistants
• Students enrolled in masters or doctoral degree
  programs in biomedical, behavioral, clinical,
  social sciences, and medical school
• Compensation may include tuition remission
  in-lieu of wages
• Salary can not exceed first year postdoctoral
  comparable work
• Additional 4K per year for supplies and travel,
  but no equipment

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Diversity Supplements

• Individuals in Postdoctoral Training
• Participate in ongoing research that develops a
  productive researcher
• Encouraged to apply for independent support
  before end of supplement no support if on a
  research or training grant
• Work with predoctoral mentor usually not
  approved salary can not exceed 50K per year
• Additional 6K per year for supplies and travel,
  but no equipment
• Investigators Developing Independent Research
  Careers
• Support to staff and faculty with doctoral a
  degree
• R01, P01, P50, G12, K01, K02, K07, K08, K12
  ineligible
• Short-term full-time (3-5 months per year) for
  four years
• Long-term minimum 30 effort per year for four
  years
• Salary consistent with institutional policy
• 10K per year for supplies and travel, equipment
  with NIH approval

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SUPPLEMENTS TO PROMOTE REENTRY INTO BIOMEDICAL
AND BEHAVIORAL RESEARCH CAREERS PA-04-126

• Returning Investigators
• Individuals with at least two years postdoctoral
  research experience eligible for doctoral
  research staff/faculty positions before departure
• Women and men who departed to care for children,
  parents, or other family responsibilities
  relocation with spouse, partner, or close family
  member non-research endeavors to retire debts
  incurred during training interruption due to
  incapacitating illness or injury
• Not intended for career changes for individuals
  without prior research training
• Full or part-time participation, but part-time
  not less than 50 effort candidate should not be
  engaged in full-time paid research
• Salaries consistent with institutional policy
• 10K per year for supplies and travel, equipment
  with NIH approval
• Early coordination with NIMH Program Official
  recommended

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ReEntry Supplements

• Additional funds are awarded to a Principal
  Investigator to include a researcher on their
  existing project who has been out of a research
  career for 8 years or less due to health or life
  choices (e.g. parenting)
• For postdoctoral and investigator level
  candidates
• Great way to join a research project and
  successful research team and to get funds for a
  promising research who has taken time off to
  raise a family, deal with a major illness or
  family obligation.

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Information on Potential Parent Grants for
Supplemental Grant Applications

• Search CRISP (Computer Retrieval Information on
  Specific Projects) for abstracts of funded
  projects that would be eligible for a supplement
  opportunities on the NIH website.
• http//www. crisp.cit.nih.gov/
• Contact Institutes (i.e. Program Officers) to
  learn how supplements are evaluated/awarded and
  areas of program priority practices and program
  interests vary
• http//www.nimh.nih.gov/grants/supplement.cfm

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NIH Loan Repayment Programs

• For health professionals conducting research and
  the LRP repays up to 35,000 of educational loans
• Must be U.S. citizen, national or permanent
  resident
• Must have advanced degree
• Must be affiliated with NIH as postdoc, K
  awardee, first-time PI on R01, R03, R21 or U01,
  or first-time director on certain sub-projects
• More information at http//grants.nih.gov/grants/g
  uide/notice-files/NOT-OD-01-064.html

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Extramural Loan Repayment Programs

• For health professionals conducting research in
  non-profit institutions
• Clinical Research LRP
• Pediatric Research LRP
• Contraception Infertility Research LRP
• Health Disparities Research LRP
• Clinical Research LRP for Individuals from
  Disadvantaged Backgrounds

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NIH Loan Repayment Program for Health Disparities
Research

• Pays off educational loan debt
• Maximum award is 35K per year
• 50 of awards must be made to individuals from
  health disparities populations
• Affiliation with NIH is not required
• Once accepted into program, persons must conduct
  at least two years of research relevant to health
  disparities
• http//www.lrp.nih.gov/

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Extramural Clinical Research Loan Repayment
Program for Individuals from Disadvantaged
Background

• Disadvantaged background refers to (1)
  environment that did not encourage or prepare
  person to enroll and graduate from a health
  professions school or (2) family was poor
• Two years research service is required
• Maximum of 35K per year paid to lender
• Go to www.lrp.nih.gov

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Select National Initiatives Supporting Rationale
for Diversity in Mental Health Research Careers

• Mental Health A Report of the Surgeon General
  (1999).
• Translating Behavioral Science into Action A
  Report of the National Advisory Mental Health
  Councils Behavioral Science Workgroup (1999).
• Ensuring a Strong U.S. Scientific Technical, and
  Engineering Workforce in the 21st Century, Report
  of the National Science and Technology Council
  (2000).
• Addressing the Nations Changing Needs for
  Biomedical and Behavioral Scientists, Report of
  the National Research Council (2000).
• Public Law 106-525, the Minority Health and
  Health Disparities Research and Education Act of
  2000.

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Select National Initiatives Supporting Rationale
for Diversity in Mental Health Research Careers
(Contd)

• An Investment in Americas Future Racial and
  Ethnic Diversity in Mental Health Research
  Careers A Report of the National Advisory Mental
  Health Councils Workgroup on Racial and Ethnic
  Diversity in Research Training and Health
  Disparities Research, (2000).
• Mental Health Culture, Race, and Ethnicity A
  Supplement to Mental Health A Report of the
  Surgeon General, (2001).
• Unequal Treatment Confronting Racial and Ethnic
  Disparities in Health Care A Report of the
  Institute of Medicine, (2002).
• The NIH Strategic Plan and Budget to Reduce and
  Ultimately Eliminate Health Disparities (2001 and
  2004 interim).

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• Rationale for Racial and Ethnic Diversity
• Declining birth rate and aging of current
  scientific workforce racial and ethnic
  minorities grow from 26 to 48 of the census by
  2050.
• Immigration conduit is becoming unreliable due to
  home nations efforts to attract native
  scientists working abroad (H1-B Visa).
• National Research Council and National Science
  and Technology Council reports recommend
  increased use of racial and ethnic minority
  groups to fill scientific workforce shortages.
• Pedagogical outcomes generated by diversity
  enrich the learning, research, and healthcare
  environments.
• Racial and Ethnic Diversity in Mental Health
  Research Careers, A Report of the National
  Advisory Mental Health Councils Workgroup on
  Racial and Ethnic Diversity in Research Training
  and Health Disparities Research, (2000).

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• NIMH 1999 Funding Outcomes
• African Americans, Hispanics, and American
  Indians submitted 5.2 of the applications
  received by NIMH with 3.9 funded.
• Asian American and Pacific Islanders submitted
  5.2 of the applications to NIMH with 5.5
  funded.
• NIH funded 32 and NIMH funded 27 of competing
  research applications.
• Racial and Ethnic Diversity in Mental Health
  Research Careers, A Report of the National
  Advisory Mental Health Councils Workgroup on
  Racial and Ethnic Diversity in Research Training
  and Health Disparities Research, (2000).

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NIMH Five-Year Strategic Plan for Reducing Health
Disparities

• Reducing health disparities requires multiple
  approaches therefore, the NIMH Health
  Disparities Strategic Plan encompasses these four
  Areas of Emphasis
• 1) Increase the knowledge base by which
  disparities are
• documented and understood.
• 2) Improve outcomes of interventions and
  services
• through research.
• 3) Expand institutional research
  infrastructures,
• research training, and career
  development.
• 4) Enhance public information outreach and
  dissemination.

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OSP Activities Health Disparities Research

• Ascertain that IRG memberships are diverse and
  possess expertise needed to evaluate research in
  minority populations/communities
• Facilitate development of ways to accurately
  measure extent of mental health disparities
• Find ways to augment role of pharmacogenetic and
  pharmacokinetic studies in health disparities
• Facilitate conduct of basic behavioral research
  on cultural differences in stress and coping
• Facilitate behavioral research on cultural
  differences in resilience
• Facilitate efforts to overcome health disparities
  related to health service delivery and use

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OSP Activities Health Disparities Research

• Facilitate research on health disparities related
  to treatment response, adherence, outcome, and
  quality
• Facilitate research on suicide/depression and
  other severe mental illness in minority
  populations
• Facilitate effective implementation and
  dissemination of preventive interventions for
  HIV/AIDS
• Co-fund health disparities research and
  behavioral research at minority serving
  institutions
• Determine extent and outcomes of existing health
  disparities research in NIMH.

42

• NIMH OSP Vision
• During the next five years OSP aspires to develop
  and implement research policies and programs that
  increase the Institutes emphasis on the mental
  health needs of women, racial and ethnic
  minorities, rural populations, and persons of
  Low-SES
• In that regard, we will diligently encourage
  programs of basic and applied social and
  behavioral research on the prevention, causation,
  treatment, and cure of mental illnesses that are
  disparately prevalent among women, racial and
  ethnic minorities, rural populations, and
  persons of Low-SES
• We will champion the use of goals, objectives,
  action plans, and performance outcomes as were
  work to reduce the burden of mental illness for
  all Americans.

43

• Guiding Principles of OSP Operations
• The principle business of NIMH is to support
  investigator initiated
• research and to train investigators to carry out
  the NIMH mission.
• Therefore OSP endeavors to
• Promote and use science to increase knowledge
  about the prevention,
• causation, treatment, and cure of mental
  illnesses.
• Reduce the under representation of special
  populations in the research
• arena to eliminate disparities and improve the
  health of all Americans.
• Disseminate valid and reliable knowledge to
  reduce the burden of
• mental illness for people in general and special
  populations
• specifically.
• Partner with ICs to assure effectiveness and
  efficiency, leverage
• resources, and provide quality stewardship of the
  publics resources.

44

• Office of Rural Mental Health Research
• Mandated By Congress In 1991
•  
• Senate Appropriations Committee Directed NIMH to
  Expend
•  
• 10.5 Million for Rural Mental Health Research
  and an additional 4.5 Million for Rural Native
  American and Alaska Native Research each Fiscal
  Year
•  

45

• Office of Rural Mental Health Research
• Annual Expenditures (Millions of Dollars)
• 1991 - 10 MILLION 1996 -
  32 MILLION
•  
• 1992 - 22 MILLION 1997 -
  24 MILLION
• 1993 - 17 MILLION 1998 -
  25 MILLION
•  
• 1994 - 25 MILLION 1999 -
  27 MILLION
•  
• 1995 28 MILLION 2000
  - 34 MILLION
•  
• 2001 - 33 MILLION - 91 GRANTS
• 2002 - 30 MILLLION - 79 GRANTS
• 2003 - 33.9 MILLION - 97 GRANTS
• 2004 - 34.5 MILLION - 75 GRANTS
• 2005 - 32.4 MILLION - 65 GRANTS

46

• Office of Rural Mental Health Research
• Recent Initiatives to address
• The Presidents New Freedom Commission on Mental
  Health Final Report
• Achieving the Promise Transforming Mental
  Health Care in America, July 2003
• Goal 3 Disparities in Mental Health Service are
  Eliminated
• 3.1 Improve access to quality care that is
  culturally competent.
• 3.2 Improve access to quality care in rural
  and geographically remote areas.
• Goal 6 Technology is used to Access Mental
  Health Care and Information
• 6.1 Use health technology and telehealth to
  improve access and coordination of mental health
  care, especially for Americans in remote or in
  underserved populations.
• 6.2 Develop and implement integrated
  electronic health record and personal health
  information systems.

47

• Office of Rural Mental Health Research
• During 2004-2005 scientific meetings were
  conducted to address these aims
• Aim 1 Develop and implement plans to study
  the efficacy, effectiveness,
• and efficiency of eMental Health
  (use of telecommunications) as a way to
  improve access to specialized mental healthcare
  in rural,
• remote, and isolated populations
• Aim 2 Determine if the face-to-face
  therapeutic process translates via
• eMental Health
• Aim 3 Determine if individualized (culturally
  appropriate) care can be
• delivered through eMental Health
  models 
• The scientific meetings were conducted in these
  locations and hosted/co-hosted by
• Boulder City, CO (NIMH)
• Salt Lake City, UT(NIMH)

48

• Rural Mental Health Care
• Summary
• Much has been learned about the severity of the
• problem and barriers to rural care. Thus our
  Office
• has focused on interventions to enhance the
• delivery of mental health care to this population

49

• Studies Needed to Address Rural/Urban Disparities
  in Use, Quality, and Outcomes of Care
• Rost, Fortney, et.al. (Medical Care Research and
  Review, 2002) analyzed
• studies conducted between 1993 to 2000 and their
  findings informs us
• that these questions about rural populations
  should be addressed
• What Is the quality of care received by the
  severely mentally ill?
•  
• How do total out-of-pocket expenditures differ
  for rural/urban
• residents?
•  
• What role has managed care played in the delivery
  of mental health
• care?
•  
• How can rural residents be encouraged to enter
  mental health care
• treatment?

50

• Studies Needed to Address Rural/Urban Disparities
  in Use,
• Quality, and Outcomes of Care
• Can quality of rural care be enhanced by
  modifying
• successful urban models?
• Can mental health care be delivered at least as
  effectively
• through telecommunications as it can in a
  face-to-face
• encounter?
•  
• Our Funding Opportunity Announcement is available
  on the
• NIMH Website at
• http//grants1.nih.gov/grants/guide/pa-files/PA-04
  -061.html

51
For further information please contact Anthony
Pollitt, Ph.D.Office of Rural Mental Health
Research301-443-2847Apollitt_at_mail.nih.gov
52

• Actions To Promote Diversity in Mental Health
  Research
• Seek and disseminate current information to your
  constituents.
• Prepare/mentor/support a colleague/family member
  to submit research or research training
  applications.
• Participate in and encourage others to
  participate in clinical trials.
• Pursue complete information on clinical trial
  results for all participants.
• Advocate for support of your research interests.

53
Take-Home Message

• Communicate
• with NIH staff
• with potential collaborative investigators
• with institutional administrators
• http//www.nih.gov
• http//www.nimh.nih.gov
• Rmays_at_mail.nih.gov

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• Determining OSP Successes
• 1. Increased involvement in Institute mission and
  activities
• 2. Compliance with NAMHC Work Group Action Plan
• a. Track trainee outcomes
• b. Establish a national mentorship network
• c. Concentrate more new resources at post-doc
  and beyond
• d. Encourage and strengthen networks and
  partnerships
• e. Support efforts to strengthen scientific
  review groups and
• f. Annually review Action Plan and report to
  Council
• 3. Compliance with NIMH Five-Year Plan Strategic
  Plan
• 4. Compliance with Individual Employee
  Performance Plans

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• Specific Focus Areas - To be successful OSP
  must
• Serve as the Institutes (Director and Advisory
  Councils) subject matter expert for all
• Special Population matters
• Participate in Senior Leader meetings review all
  nominations, scientific publications,
• policy statements, and programmatic ventures
• At least annually inform the National Advisory
  Council on the state of the Institute
• Prepare the Strategic Plan, reports to Congress
  and lead the Institutes Health
• Disparity initiative
• Train current/future scientists to meet the
  challenges/needs of Special Populations
• Inform the public in plain language and support
  Scientific Review Group Expertise
• Monitor Recruitment and Retention Plans and
  conduct population tracking

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• Current and Future NIMH Collaborative Areas
• Conduct joint efforts to increase the
  participation of
• under represented groups in research.
• Share expertise in planning health disparity
  research meetings.
• Collaborate on clinical trial recruitment and
  retention strategies.
• Support (co-fund) undergraduate research training
  in the co-occurring
• diseases such as drug abuse and mental illness.
• Share Scientific Review Group rosters to reduce
  the burden on
• overworked individuals.
• Share senior mentorship rosters to enlarge the
  target pool.