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National Advisory Council on Drug Abuse NIDA Director’s Report to the February 14, 2001 Budget Update Shaping the Research Agenda Initiative Implementation Closing the “Great Divide” (a.k.a. Bridging the “Disconnect”) NIDA Director’s Report to the

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National Advisory Council

on Drug Abuse

NIDA Director’s Report to the

February 14, 2001


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Budget Update

Shaping the Research Agenda

Initiative Implementation

Closing the “Great Divide”

(a.k.a. Bridging the “Disconnect”)

NIDA Director’s Report to the

National Advisory Council on Drug Abuse


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Budget Update

NIDA Director’s Report to the

National Advisory Council on Drug Abuse


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2000Actual

1999Actual

2001Approp.

$428,490

$468,758

$535,931

$217,898

$244,902

$188,919

$686,656

$780,833

$617,409

+12.4%

+13.7%

+14.0%

NIDA BUDGET

(Thousands)

NonAIDSAIDSTOTALIncrease Over Prior Year


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2000Actual

1999Actual

2001Approp.

791

847

917

338

355

372

1129

1249

1337

38%

35%

34%

NIDA BUDGET IMPACT

Number of Research Project Grants

(Excluding SBIR)

Noncompeting

Awards Competing

AwardsTOTAL RPGs

Success Rate


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National Institute of

Biomedical Imaging and

Bioengineering Establishment Act

(H.R. 1795)


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Budget Update

Shaping the Research Agenda

NIDA Director’s Report to the

National Advisory Council on Drug Abuse


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Society for Neuroscience 2000 Events:

NIDA Neuroscience: Current Status

And Future Directions

Cellular and Molecular Mechanisms

Of Synaptic Vesicle Trafficking

Cross-Sensitization Between Drugs:

A Behavioral and Neural Basis for “Gateway”?

Minority Scholars: Research and Funding

Opportunities at the National Institute on

Drug Abuse


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DRUG ABUSE

ADDICTION

and

Problems of Global Proportions


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Normal Control

Methamphetamine User

Pacific Regional Research Conference

On Methamphetamine and Other

Amphetamine-Type Stimulants


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Developing NIDA’s Plan for

International Research


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We Need YOUR Help!

Developing NIDA’s Plan for

International Research

Any Volunteers?


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Budget Update

Shaping the Research Agenda

Initiative Implementation

NIDA Director’s Report to the

National Advisory Council on Drug Abuse


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Epidemiology

Treatment

Neuroscience

Behavioral

Science

Risk and

Resilience

Prevention

AIDS and

Other Medical

Consequences

Children and

Adolescents

Health

Disparities

Increased Dollars Are Allowing

Us To Expand Efforts in Virtually

All of Our Priority Areas!


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New RFAs

“The Transition from Drug Use to Addiction: Unearthing

the Switch”

“Tools for Insertional Mutagenesis in the Mouse”

(with numerous other NIH Institutes)

“The Next Generation of Drug Abuse Prevention Research”

“HIV/AIDS and Drug Use Among Adolescents”

“Health and Developmental Consequences of Prenatal

Exposure to Methamphetamine”


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New RFAs (con’t)

“Research on GHB and Its Precursors”

“Services Research on the National Drug Abuse Treatment

Clinical Trials Network”

“International Studies on Drug Abuse and HIV/AIDS”

“Health Disparities: Drug Use and Its Adverse Behavioral,

Social, Medical, and Mental Health Consequences”

“Responding to Club Drugs and Other Emerging and

Current Drug Abuse Trends”

“Therapeutic Community Research”



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Prevention

Epidemiology

Treatment

Neuroscience

Behavioral

Science

Risk and

Resilience

AIDS and

Other Medical

Consequences

Children and

Adolescents

Health

Disparities



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National Prevention

Research Conference

August 9-10, 2001


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Health

Disparities

Epidemiology

Treatment

Neuroscience

Behavioral

Science

Risk and

Resilience

Prevention

AIDS and

Other Medical

Consequences

Children and

Adolescents


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AARSG

NHSNDA

APIRSG

NARSG

Combined Workgroup Meeting

November 30, 2000


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NHSNDA

on

ational

ispanic

cience

etwork

rug

buse

First Steering Committee Meeting

January 18-19, 2001


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National Drug Abuse Treatment Clinical Trials Network

Treatment

Risk and

Resilience

Health

Disparities

Epidemiology

Neuroscience

Behavioral

Science

Risk and

Resilience

Prevention

AIDS and

Other Medical

Consequences

Children and

Adolescents

Health

Disparities


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Let’s talk about

Treatment:


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Child Care

Services

Vocational Services

Family

Services

Detoxification

Housing / Transportation Services

Intake Processing /

Assessment

Mental Health Services

Behavioral Therapy and Counseling

Substance Use

Monitoring

Treatment Plan

Self-Help / Peer Support Groups

Clinical and Case Management

Pharmacotherapy

Financial Services

Medical

Services

Continuing Care

Legal Services

Educational Services

AIDS / HIV Services

Components of Comprehensive

Drug Abuse Treatment


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We’re Beginning to Understand

the “Black Box”

of Drug Addiction Treatment


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Induction

Behavioral

Strategies

Family &

Friends

Detoxification

Early

Engagement

Early

Recovery

Motiv

Patient

Attributes

at Intake

Program

Participation

Behavioral

Change

Drug

Use

Drug

Use

Program

Characteristics

Counselor

Attributes

& Skills

Crime

Crime

Therapeutic

Relationship

Psycho-Social

Change

Social

Relations

Social

Relations

Posttreatment

Posttreatment

Enhanced

Counseling

Social Skills

Training

Treatment Process and Outcomes Model

Personal Health Services

Supportive

Networks

Sufficient

Retention

Social Support Services

Simpson, 2001 (Addiction)


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RESEARCH

PRACTICE

NIDA Treatment Initiative

Blending

and


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National Drug Abuse Treatment Clinical Trials Network

The CTN Has

Nearly Tripled in Size!


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Northwest Node

Oregon Health

Sciences University

New England Node

Yale University

NYC East Side Node

NY University/NY VA Med Ctr

Delaware Valley Node

University of PA

Mid-Atlantic Node

Johns Hopkins University

Medical College of VA

Pacific Node

UCLA

National Drug Abuse Treatment

Clinical Trials Network


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Great Lakes Regional Node

Wayne State University

Ohio Valley Node

University of Cincinnati

Rocky Mountain Node

University of Colorado

Health Sciences Center

Southeastern Node

Medical University of

South Carolina

Florida Node

University of Miami

National Drug Abuse Treatment

Clinical Trials Network

Northwest Node

Oregon Health

Sciences University

New England Node

Yale University

NYC East Side Node

NY University/NY VA Med Ctr

Delaware Valley Node

University of PA

Mid-Atlantic Node

Johns Hopkins University

Medical College of VA

Pacific Node

UCLA


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Pacific Northwest Node

University of Washington

Great Lakes Regional Node

Wayne State University

Long Island

Regional Node

NY State Psych Inst

Ohio Valley Node

University of Cincinnati

Rocky Mountain Node

University of Colorado

Health Sciences Center

North Carolina Node

Duke University

Southeastern Node

Medical University of

South Carolina

Florida Node

University of Miami

National Drug Abuse Treatment

Clinical Trials Network

Northwest Node

Oregon Health

Sciences University

New England Node

Yale University

NYC East Side Node

NY University/NY VA Med Ctr

Delaware Valley Node

University of PA

Mid-Atlantic Node

Johns Hopkins University

Medical College of VA

Pacific Node

UCLA


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NIDA/Managed Behavioral

Healthcare Summit

December 1, 2000


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Percentage of Male Arrestees

Testing Positive for Any Drug in 1998

100

90

80

70

60

Atlanta

Birmingham

Chicago

Cleveland

Dallas

Denver

Detroit

Ft. Lauderdale

Houston

Indianapolis

Los Angeles

Miami

Minneapolis

New Orleans

New York City

Omaha

Philadelphia

Phoenix

Portland

St. Louis

Salt Lake City

San Diego

Seattle

Washington DC

50

40

30

20

10

0

Source: 1998 Arrestee Drug Abuse Monitoring Program (ADAM)

Drug Use Correlates with Crime


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We Need to

Treat Addicted Offenders or

They Will Be Back!



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CRIMINAL JUSTICE

HEALTH

We Are Moving Toward

A Better Blending of

and

Approaches to Addressing

Drug Abuse and Addiction


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Percentage of Correctional Facilities Providing

Substance Abuse Treatment, 1997

100

94%

90

80

70

61%

60

Percent

50

40%

40

37%

34%

30

20

10

0

Total

Federal

State

Jail

Juvenile

(n=7,539)

(n=129)

(n=1,183)

(n=3,114)

(n=3,113)

Source: SAMHSA, Substance Abuse Treatment in Adult and Juvenile Correctional Facilities:

Findings from the Uniform Facility Data Set 1997 Survey of Correctional Facilities, 2000.


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The Problem is…

We Don’t Know Much About

the Quality of the Programs

Being Used…

Or the Number of Slots

Being Provided


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The Problem is…

If Treatment Access and Quality Are Inadequate It Won’t Work!


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We Need to Make Sure That the

Blending of Health and Criminal Justice Approaches Is Not A Failed Experiment!


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We Need a Council Subcommittee

To Define NIDA’s Research Agenda,

Rapid Action Mechanisms, and Role

….Any Volunteers!


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Budget Update

Shaping the Research Agenda

Initiative Implementation

Closing the “Great Divide”

(a.k.a. Bridging the “Disconnect”)

NIDA Director’s Report to the

National Advisory Council on Drug Abuse


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Reality

Perception

Perception

The “Great Divide”

We Need To Close It!



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Science in the NEWS

Turning Scientific

Breakthroughs

Science NEWS

Into



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Prescription Drugs Initiative

Launch -- April 10, 2001


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MDMA Research Conference

July 19-20, 2001


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NIDA

NATIONAL INSTITUTE ON DRUG ABUSE

NIDA’s Website Has A New Look!

www.drugabuse.gov


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