Update from the Division of Epidemiology, Services and Prevention Research

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 NIDAs Public
Health Mission.
3
DESPR will improve the nations 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.
4
DESPR Organization
OFFICE OF THE DIRECTOR
5
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

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 CSAPs 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

1. Maximize Return on Investment

1. 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
Rethinking the Social Environment
Integrating Social and Genetic Epidemiology With
Neuroscience
Future Initiative
14
Community
Bedside
Bench
15
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
Working in Real-World Settings is key.
19
Testing the Commuties That Care (CTC) Prevention
System
Research Centers
Coordinating Center
20
Developing the Health Services Research Program
21
(No Transcript)
22
Rec 1 Defining Health Services Research
A multidisciplinary field that examines how
access to and utilization of healthcare, quality
and cost of healthcare, and our health and
well-being.
social factors, financing systems,
organizational structures and processes, health
technologies, and personal beliefs and behaviors
affect
Ultimately, the goals of health services research
are to identify the most effective ways to
organize, manage, finance, and deliver high
quality care.
23
Division of Epidemiology, Services and Prevention
Research

• Providing a foundation for NIDAs public health
  mission.