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Minority Health Disparities at NIDA. Lula Beatty, Ph.D. Special Populations Office/Office of the Director National Advisory Council on Drug Abuse September 21, 2005 . SPO Staff . Ana Anders Pamela Goodlow Flair Lindsey LeKhessa Doctor. Objectives .

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minority health disparities at nida

Minority Health Disparities at NIDA

Lula Beatty, Ph.D.

Special Populations Office/Office of the Director

National Advisory Council on Drug Abuse

September 21, 2005

spo staff
SPO Staff
  • Ana Anders
  • Pamela Goodlow
  • Flair Lindsey
  • LeKhessa Doctor
objectives
Objectives
  • To describe the need for minority and health disparity programs in drug abuse research
  • To discuss NIDA’s approach to addressing racial/ethnic minority and health disparities needs in drug abuse research
  • To present NIDA’s major minority and health disparity programs and activities
  • To identify challenges in developing and implementing minority health disparity programs
slide4
Need
  • Public Health/Science Need
  • Science Workforce Need
  • Adherence/Cooperation with Policy Need
public health science need
Public Health/Science Need
  • Limited information on drug abuse in racial/ethnic minority populations
  • Severe, long-term consequences of drug abuse and addiction experienced by racial/ethnic minority populations
  • Not enough specific knowledge to inform prevention and treatment
science workforce
Science Workforce
  • Not enough racial/ethnic minority researchers in drug abuse/addiction research
  • Not enough racial/ethnic minority researchers conducting drug abuse/addiction research in racial/ethnic minority populations
  • Not enough drug abuse/addiction researchers conducting research on drug abuse research in racial/ethnic minority populations
adherence with goals and policies
Adherence with Goals and Policies
  • Congressional Directives/Interest
  • White House/Departmental Initiatives
    • E.g., Tribal Colleges and Universities

Hispanic Plan of Excellence

  • NIDA Initiatives
    • E.g., African American Initiative
    • HBCU
nida s responsibility
NIDA’s Responsibility
  • NIDA is chief architect and supporter of the U.S. and world’s research on the health aspects of drug abuse and addiction
  • About ¾ of HIV/AIDS behavioral research is federally funded – NIDA, NIMH, CDC (Semaan et al., 2002)
  • Must stimulate and increase the scientific knowledge base on drug abuse and addiction needed for all population groups
special populations office created in 1993 to
Special Populations Office Created in 1993 To:
  • Encourage and enable minority scientists participation in drug abuse research
  • Encourage increased research on drug abuse in minority populations in NIDA divisions
through
Through
  • Stimulating and encouraging, e.g.,
    • Presentations
    • Publications
  • Providing research experiences and preparation for research careers, e.g.,
    • Diversity supplements
  • Providing research opportunities and support, e.g.,
    • MIDARP
    • HBCU Recruited Scientist
spo s major programs initiatives
SPO’s Major Programs/Initiatives
  • Diversity (Minority) Supplement Program
  • Summer Research with NIDA
  • HBCU Initiative
  • Research Development Seminar Series
  • Minority Institutions’ Drug Abuse Research Program
spo s major programs initiatives1
SPO’s Major Programs/Initiatives
  • Health Disparities Strategic Plan
  • African American Initiative
  • Expert Racial/Ethnic Minority Work Groups
    • National Hispanic Science Network
  • Southern Africa Initiative
other programs efforts
Other Programs/Efforts
  • Minority Training and Recruitment Program (IRP)
  • Co-sponsored Programs
diversity minority supplements
Diversity (Minority) Supplements
  • Research Supplements to Promote Diversity in Health-Related Research

http://grants2.nih.gov/grants/guide/pa-files/PA-05-015.html

  • Diversity PA includes

A. individuals from underrepresented racial and ethnic groups;

B. individuals with disabilities; and

C. individuals from socially, culturally, economically, or educationally disadvantaged backgrounds that have inhibited their ability to pursue a career in health-related research.

slide15

Consortium on Minority Concerns

Jean Lud Cadet, M.D., IRP

Dorynne Czechowicz, M.D., DCNDBT

Lynda Erinoff, AIDS

Dionne Jones, Ph.D., DESPR

Catherine Mills, GMB

Amrat Patel, Ph.D., DPMCDA

Pushpa Thadani, Ph.D., DBNBR

Don Vereen, M.D., OD

Lula Beatty, SPO

Ana Anders, SPO

Pamela Goodlow, SPO

slide16

Minority Supplement Awards

New & Continuing FY 1994 – FY 2005

slide17

New Minority Supplement Awards

FY 1994 – FY 2004

Gender, Level of Support & Ethnicity

minority supplement recipients applying to nih 1995 and 2000
Minority Supplement Recipients Applying to NIH: 1995 and 2000
  • 72 recipients
  • No. and percent who submitted applications to NIH: 27, 37.5%
  • No. and percent of applicants awarded NIH grants: 12, 44.4%
  • No. and percent of grantees published (PubMed): 8, 66.7% of those with grants
summer research with nida
Summer Research with NIDA
  • Created in 1997 to provide research experiences for high school and undergraduate students requiring more support from PIs
  • Provides additional mentoring and logistics assistance
  • Initially supported as pilot project by Office of Research on Minority Health (NCMHD)
  • NIDA supported as part of Diversity (Minority) Supplement Program funds
midarp
MIDARP
  • Capacity development program, provides
    • Institutional resources and support
    • Faculty development
    • Student development
    • Research support
  • New MIDARP announcement in 2005: http://grants2.nih.gov/grants/guide/pa-files/PAR-05-069.htmle-released
midarp1
MIDARP
  • Improved MIDARP reviews
    • NIDA reviewed
    • Stable group of reviewers
    • Clear SRA instructions
    • All applications reviewed (no unscored)
current midarp programs
Current MIDARP Programs
  • Current programs in DBNBR and DESPR
    • Florida International
    • U. Central de Caribe
    • Hunter College
    • SUNY, Old Westbury
    • Morgan State
    • Hampton U.
    • Charles Drew
midarp research examples
MIDARP Research Examples
  • Inter-generational transmission of drug use between Cuban mothers and daughters (FIU)
  • Effects of drug use on the immunology system and patterns of health care among HIV seronegative and seropositive drug abusers (U. Central de Caribe)
  • Neurobiology of drug addiction and impulsive behavior (Hunter)
  • Investigation of the opioid-immune-stress relationship (SUNY, Old Westbury)
  • Elucidate the underlying biochemical mechanisms associated with the neurotoxicity of methamphetamine (Hampton)
seminar series
Seminar Series
  • Technical assistance program established in 1980s for underrepresented scientists who are ready to apply for independent awards
  • Must have written concept
  • Provides science and proposal development lectures, small group discussion, and one-on-one mentoring in two-session seminars (about 6 months apart)
seminar series1
Seminar Series
  • Mentoring provided by staff and extramural scientists
  • Second session centers on mock review led by NIDA SRA
  • Expectation is that application will be submitted within 6 – 12 months after last session
seminar series outcomes
Seminar Series Outcomes
  • In early years, success rate reported at over 80%
  • A number of participants have become NIDA and other NIH grantees
hbcu initiative selected activities and programs
HBCU Initiative:Selected Activities and Programs
  • HBCU Supplements
  • Support annual Lonnie E. Mitchell HBCU conference on substance abuse (CSAT is lead)
  • HBCU Technical Assistance Program
  • Center on Drug Abuse Research Program (Howard University)
  • HBCU Recruited Scientist Award
historically black colleges and universities recruited scientist
Historically Black Colleges and Universities Recruited Scientist
  • Capacity development effort at HBCU: Recruit an experienced researcher to develop research program
  • Three programs:
    • Allyn Howlett, NC Central
    • Dorothy Browne, Morgan State
    • Kathy Sanders Phillips, Howard
  • Faculty and student development, e.g.,
    • NC Central established training links with Wake Forest
    • Morgan established links with Hopkins
historically black colleges and universities recruited scientist1
Historically Black Colleges and Universities Recruited Scientist
  • Each has secured other NIH research support, e.g.,
    • National Health Disparities Center awards from NCMHD
    • NIDA’s Health Disparities grant and supplement
    • MIDARP
  • Staff/Postdoc have secured NIH awards
  • Have secured other sponsored support
  • Publications
slide33

10 Leading Causes for Blacks, 2001

Black White AI A/PI

Diseases of heart 1 1 1 2

Malignant neoplasms 2 2 2 1

Cerebrovascular disease 3 3 5 3

Accidents 4 5 3 4

Diabetes mellitus 5 6 4 5

Assault 6 19 11 10

(Homicide)

HIV disease 7 22 16 24

Chronic lower 8 4 7 6

Respiratory diseases

Nephritis, nephrotic 9 9 10 9

Syndrome and nephrosis

Septicemia 10 11 12 11

slide35

Reported AIDS Cases and Rates Among Female Adults

and Adolescents, by Race/Ethnicity, 2002, US

Rate (per

100,000

population)

%

Number

Race/Ethnicity

2.2

1,928

18

White, not Hispanic

Black, not Hispanic

7,326

67

49.1

Hispanic

1,556

14

11.2

68

<1

1.3

Asian/Pacific Islander

American Indian/

<1

Alaska Native

4.4

42

Total*

10,930

Note. Excludes persons from US dependencies, possessions and associated nations.

* Total includes 10 persons of unknown race.

some criminal justice facts from blankenship et al 2005
Some Criminal Justice Facts(from Blankenship et al., 2005)
  • In 2003 Blacks were 5 times more likely than whites to be in jail; true for males and females
  • In 2003 39% of jail inmates were Black
  • In 2003, 12.8% of all Black males aged 25-29 were in prison or jail (compared to 1.6% of white males
  • In 1999, 40% of all juveniles in facilities were Black; 52% were there for drug offenses
some criminal justice facts from blankenship et al 20051
Some Criminal Justice Facts(from Blankenship et al., 2005)
  • Between 1980 and 1995, drug offenders in state prisons increased 1000%, 1 out of 4
  • Drug offenders account for more than 80% of the total growth in the federal inmate population
  • 42% of federal inmates in for drugs are Black
  • 30% of U.S. persons on probation are Black (drug offenses account for ¼ of probation offenses)
  • 41% of persons on parole are Black
iguchi rand 2005 rate of yearly prison admissions for a drug offense per 100 000 adults by race
Iguchi, Rand, 2005. Rate of yearly prison admissions for a drug offense per 100,000 adults, by race
why is criminalization a public health research issue
Why Is Criminalization A Public Health Research Issue
  • Prisons and jails are major providers of drug treatment, notably Cook and Los Angeles Counties
  • Correctional facilities provide other health assessments and care, e.g., HIV
  • Correctional facilities are high risk settings for promoting/encouraging risky behaviors
  • Highest behavioral risk takers may be are under supervision
  • Drug courts, growing alternative to incarceration, is treatment option that needs to be further explored esp. for Blacks
african american initiative
African American Initiative
  • Out of great concern about the disproportionate consequences of drug abuse on the African American population especially in the rates of HIV/AIDS and criminal justice involvement,
  • Director initiated activity to identify ways in which NIDA can become more strategic and supportive of efforts to ameliorate HIV/AIDS and criminal justice consequences of drug abuse in the African American population.
african american initiative1
African American Initiative
  • NIDA-wide committee established
  • Committee charged to present Director with a set of recommendations addressing research needs and priorities, research training, collaborations, and outreach and dissemination activities.
  • Portfolio analysis done
  • Expert meeting held in October 2004 to assess status of the field
slide44
Steve Belenko

Faye Belgrave

Kim Blankenship

Ronald Braithwaite

Lawrence S. Brown

Victoria Cargill

Karen Freeman-Wilson

Robert Fullilove

James Griffin

Martin Iguchi

Kevin Knight

Vickie Mays

George W. Roberts

Pamela Rodriguez

Claire E. Sterk

Carolyn A. Stroman

Faye Taxman

David Vlahov

Wendee Wechsberg

Gail Wyatt

Reducing HIV/AIDS and Criminal Justice Involvement in African Americans as a Consequence of Drug AbuseOctober 12-13, 2005
african american initiative2
African American Initiative
  • $500,000 supplement program established; 44 applications received; six awards made
  • Two Program Announcements are in process for FY 06: Criminal Justice and HIV/AIDS with Office on AIDS
  • Special Issue of Journal of Health Care for the Poor and Underserved to be published in November, 2005
membership african american initiative committee
Membership: African American Initiative Committee

Jean Lud Cadet, M.D., IRP

Gayathri Dowling, Ph.D., OSPC

Dionne Jones, Ph.D., DESPR

Steven Oversby, Ph.D., DPMCDA

Carmen Rosa, M.S., CTN

Paul Schnur, Ph.D., DBNBR

Donald Vereen, M.D., OD

 Lula Beatty, Chair

racial ethnic minority work groups
Racial/Ethnic Minority Work Groups
  • Groups of primarily researchers and others in drug abuse programs representing the four major racial/ethnic minority populations
  • Purpose is to provide advice and/or support to NIDA’s efforts at increasing racial/ethnic participation in research and improving research on racial/ethnic minority issues, specifically to address
    • Researcher development needs and obstacles
    • Research needs within the population
    • Barriers to research
    • Research dissemination
racial ethnic minority work work group models
Racial/Ethnic Minority Work Work Group Models
  • Advisory/Constituency Group
    • African American Researchers and Scholars
    • Native American/Alaska Natives
    • Asian Americans/Pacific Islanders
  • Contracted Services
    • National Hispanic Science Network
selected accomplishments advisory constituent groups
Selected Accomplishments: Advisory/Constituent Groups
  • Increased member involvement in NIDA and other drug abuse research
  • Mentoring, and identifying persons for NIDA programs/activities
  • Networking among/across groups
  • Presentations and Publications
african american researchers and scholars
Jean Oyemade Bailey, Ph.D.

Professor and Director

Howard University

Faye Belgrave, Ph.D.

Professor, Psychology

Virginia Commonwealth University

Ronald L. Braithwaite, Ph.D.

Professor,Morehouse School of Medicine

Lawrence Brown, M.D., M.P.H.

Senior Vice President, Addiction Research and Treatment

Corporation

Julius Debro, Ph.D.

Professor (Retired)

University of Washington

Roy Griffin

Coordinator, Health Services

Fort Worth Independent School District

Franklin Hamilton, Ph.D.

Professor, Environmental Sciences

Florida A & M

Carl Hart, Ph.D.

Assistant Professor and Research Scientist

Columbia University and New York State

Ernest Quimby, Ph.D.

Associate Professor, Sociology and Anthropology, Howard University

Daniel Sarpong, Ph.D.

Director and Senior Biostatistician

Jackson State University

Tony Strickland, Ph.D.

Behavioral Neuroscience Research Center

Charles R. Drew University

Janet Mitchell, M.D.

Addiction Research and Treatment Corp.

Kathy Sanders-Phillips, Ph.D.

Professor, Howard University

Flavia Walton, Ph.D.

Director, COSMOS Corporation

Murelle Harrison, Ph.D.

Professor/Chair, Dept. of Psychology

Southern University

African American Researchers and Scholars
native american alaska native work group
Thomas Ball, Ph.D.

Oregon Social Learning Center

LaDonna Blueeye

U. of OK

David Burgess, Ph.D.

Boston College

Raymond Daw

Na’nizhoozhi Center

Phillip Fisher, Ph.D.

Oregon Social Learning Center

Candace Fleming, Ph.D.

U. of CO Health Sciences

Center

Pamela Jumper Thurman, Ph.D.

CO State University’

Clyde McCoy, Ph.D.

U. of Miami

Leo Nolan, M.Ed.

Indian Health Service

Bernard Segal, Ph.D.

U. of Alaska, Anchorage

Sally J. Stevens, Ph.D.

U. of Arizona

Jerry Stubben, Ph.D.

Iowa State U.

Roger Dale Walker

Oregon Health & Science U.

Karina L. Walter, Ph.D.

U. of Washington

Native American/Alaska Native Work Group
asian american pacific islander researchers and scholars workgroup member list
Linda Chang, M.D.

Professor, U. of Hawaii

Denise Hien, Ph.D.

Research Scholar

Columbia University

Yih-Ing Hser, Ph.D.

Adjunct Professor

UCLA

Martin Iguchi, Ph.D.

UCLA School of Public Health Professor

RAND

Bosseba Kong, MSW

Mental Health Clinician

Stanilaus County Behavioral and Recovery Services

Ford Kuramoto, DSW

National Director

National Asian Pacific American Families Against Substance Abuse

Grace E. Macalino, Ph.D.

Tufts New England Medical Center (NEMC)

Tooru Nemoto, Ph.D.

Associate Professor

University of California, San Francisco

Keum Pang, Ph.D.

Professor, Howard University

Rumi Price, Ph.D.

Research Associate Professor

Washington University

Frank Wong, Ph.D.

Associate Professor

Georgetown University

Elmer Yu, M.D.

Clinical Director of General Research

University of Pennsylvania/Philadelphia VAMC

Asian American/Pacific IslanderResearchers and Scholars WorkgroupMember List
selected accomplishments national hispanic science network
Selected Accomplishments: National Hispanic Science Network
  • Annual conference on drug abuse in the Hispanic population
  • Website providing information on Hispanic drug abuse research and researchers
  • Summer research training workshop
  • Publication: National Strategic Plan on Hispanic Drug Abuse Research
nhsn 2004 steering committee
Jose Szapocznik, Ph.D., Chair, U. of Miami

Hortensia Amaro, Ph.D.

Northeastern University

Ana Mari Cauce, Ph.D.

U. of Washington

Alexander Kopelowicz, M.D.

UCLA

Joe Martinez, Ph.D.

U. of Texas, San Antonio

Patricia Molina, M.D., Ph.D.

Louisiana State U.

J. Bryan Page, Ph.D.

U. of Miami

Rafaela Robles, Ed.D

Universidad Central el Caribe, Bayamon

NHSN 2004 Steering Committee
health disparities strategic plan
Health Disparities Strategic Plan
  • NIH requirement
  • NIH plan includes each IC plan
  • NCMHD is coordinator; Determines
    • Structure/format of plan
    • Time for plan submission, review and revision
    • Submits for public response
nida s strategic plan
NIDA’s Strategic Plan
  • Developed by NIDA-wide Committee, chaired/staffed by SPO
  • Committee retained to set priorities, monitor and implement plan
nida s health disparities plan outline
NIDA’s Health Disparities Plan Outline
  • Research:

1: Epidemiology, Health Consequences, & Infectious Diseases

2: Prevention of Drug Abuse and Addiction

3: Treatment and Health Services

4: Basic and Clinical Neurosciences

  • Infrastructure
  • Public Information and Outreach
nida s strategic plan1
NIDA’s Strategic Plan
  • Developed Health Disparities Supplement Program,
    • 29 awards made (4 supported by NCMHD)
  • Committee encouraged/endorsed RFA released by DESPR/CAMCODA (resulted in 8 awards)
  • Committee explored issues:
    • Definition of health disparities
    • Coding/Reporting issues
health disparities committee
Ann Anderson, Ph.D., DPMCDAJean Lud Cadet, M.D., IRPDorynne Czechowicz, M.D., DCNDBTLynda Erinoff, AIDS Office

Joseph Frascella, Ph.D., DCNDBT Steve Gust, Ph.D.

International Office

Dionne Jones, Ph.D., DESPRGloria Lester, OPRM

Catherine Mills, GMB Cindy Miner, Ph.D., OSPCCarmen Rosa, M.S., CTNPaul Schnur, Ph.D., DBNBRDavid Shurtleff, Ph.D., DBNBRDonald Vereen, Ph.D., OD Lula Beatty, SPO, Chair Ana Anders, M.S.W., SPO

Flair Lindsey, SPO

Health Disparities Committee
health disparities conference october 24 26 2005
Health Disparities Conference, October 24-26, 2005
  • Plenary sessions on genetics, HIV/AIDS, criminal justice, structural factors
  • Workshop sessions
  • Poster sessions by new investigators and service providers
  • Travel awards
health disparities planning committee
NIDA Staff

Lula Beatty

LeKhessa Doctor

Pamela Goodlow

Ana Anders

Joni Rutter

Pushpa Thadani

Dionne J. Jones

Aria Davis Crump

Joseph Frascella

Gloria Lester

Carmen Rosa

Monica Jones

Mark Swieter

Suman Rao King

African American Work Group

Daniel Sarpong

Julius Debro

Janet L. Mitchell

Lawrence Brown

Asian American/Pacific Islander Work Group

Rumi Kato Price

Frank Wong

Hispanic American Work Group

Avelardo Valdez

Ana Mari Cauce

Native American/Alaska Native Work Group

Pamela Jumper Thurman

Raymond Daw

Bernard Segal

Health Disparities Planning Committee
minority recruitment and training program irp
Minority Recruitment and Training Program (IRP)
  • Summer program for persons in high school through college; some faculty support
  • About 25 students participate each summer
  • Partnered with an IRP scientist
national center on minority health and health disparities
National Center on Minority Health and Health Disparities
  • SPO is liaison to NCMHD
  • Reporting requirements
  • Cofunding
national center on minority health and health disparities support
National Center on Minority Health and Health Disparities Support

FY # of Projects $ Amount

94 5 $ 235,544

95 7 485,000

96 3 152,000

97 5 575,000

98 8 712,000

99 5 1,853,357

00 4 327,400

01 8 1,473,000

02 0 0

03 2 1,230,061

04 1 900,000

05 1 900,000

Total $8,843,362

selected nida meetings
Selected NIDA Meetings
  • Differential Drug Use, HIV/AIDS, and Related Health Outcomes among Racial and Ethnic Populations: A Knowledge Assessment Workshop, 2002 (DESPR, support from NCMHD and ORWH)
  • Methodological issues in health disparities, 2002 (DESPR)
  • July 2005 meeting with health disparities supplement and RFA grantees (DESPR and SPO)
support participate in other meetings examples
Support/Participate in Other Meetings: Examples
  • American Psychological Association
  • National Hispanic Science Network conference and training institute
  • National Asian Pacific American Families Against Substance Abuse
  • CPDD
  • Association of Black Psychologists
  • Latino Behavioral Health conference
  • HBCU Substance Abuse conference
  • American Society of Criminology
selected recent publications
Selected Recent Publications
  • Array of material developed/supported by OSPC, e.g., NA/AI and AAPI calendars, information in Spanish
  • NHSN’s Hispanic Strategic Plan, available in journal
  • Drug Use among Racial/Ethnic Minorities, revised in 2003 (DESPR was lead)
  • Methodological Challenges in Conducting Health Disparities Research, Journal of Urban Health, 2005, Dionne Jones and Aria Crump (Eds.)
  • Drug Use, HIV/AIDS, and Health Public Health Reports, Outcomes among Racial and Ethnic Populations, 2002, Dionne Jones, Arnold Mills, and Henry Francis (Eds.)
selected recent publications1
Selected Recent Publications
  • Articles by Beatty, Wheeler and Gaither (HIV Prevention Research), and Jones (HIV Risk Reduction Strategies) in Enhancing Research and Clinical Responses to HIV/AIDS in African Americans: Social, Psychological, and Contextual Issues, Journal of Black Psychology, 2004
  • Book chapter by Beatty (Changing their Minds: Drug Abuse and Addiction in Black Women) in In and Out of Our Right Minds, The Mental Health of African American Women, Brown and Keith (Eds.), 2003.
  • Weiss, S.R., Kung, H.C. & Pearson, J.L. (2003). Emerging issues in gender and ethnic differences in substance abuse and treatment. Current Women’s Health Reports, 3(3), 245-253.
selected recent publications2
Selected Recent Publications
  • Journal of Health Care for the Poor and Underserved, Beatty, Jones & Doctor (Eds.), 2005, in press.
  • Beatty, L.A., Wetherington, C.L, Jones, D.J., & Roman, A.B. (2005). Substance use and abuse in girls and women. In J. Worrell and C. D. Goodheart, Handbook of girls’ and women’s psychological health. Oxford University Press.
southern africa initiative
Southern Africa Initiative
  • Responsive to Department’s interest and call for assistance in South Africa (Binational Commission)
  • Established in 2000 (stimulated by HBCU activity)
  • Capetown meeting in Summer, 2000, attended by NIDA Director and staff and South Africa’s Deputy President and Cabinet Ministers
southern africa initiative1
Southern Africa Initiative
  • Major focus on capacity development and HIV/AIDS
  • Mutual research interests and possible generalizability particularly to African Americans and prison populations
  • Research Supplement Program
    • 11 grants supported (2001 and 2002) across divisions
    • Research addressed includes: HIV/AIDS and health in prisons, HIV prevention with women, adolescent substance use in rural areas
southern africa initiative2
Southern Africa Initiative
  • Capetown meeting in Summer, 2003 to facilitate collaborative ties between sponsors and among researchers; expand network (sponsors/participants included Ministers, Medical Research Council, HHS representative, World Health Organization, U.S. Department of State)
  • Meeting of PIs is being planned by SPO and International Office to determine next steps
selected current co sponsored programs
Selected Current Co-sponsored Programs
  • Physician Scientist Program (NCMHD)
    • Longitudinal research development program for racial/ethnic minority students (starting at 7th grade)
    • High school students placed in NIDA IRP during summer
  • Clinical Research Education and Career Development in Minority Institutions (NCRR)
  • Specialized Neuroscience Research Program (NINDS)
  • Minority Fellowship Programs (to professional associations)
  • Native American Research Centers of Health (Indian Health Service)
  • Summer Program at Harvard for Native American students

(with NIMH and others)

  • Summer internships, e.g., HACU, NAFEO, WIN
assessment of nih minority research and training programs
Assessment of NIH Minority Research and Training Programs

National Academy of Sciences study to

  • Assess how well these NIH minority research training programs work
  • Identify characteristics of successful programs, trainees and institutions
  • Recommend strategies to render future assessments feasible
  • Provide recommendations for a coordinated trainee tracking information system
difficulties experienced
Difficulties Experienced
  • Inadequate trainee tracking data
  • Available data are not readily accessible
  • Prohibition against accessing or viewing individual trainee race and gender data
  • Lack of coordination among NIH minority research training IC representatives
conclusions
Conclusions
  • Underrepresented minorities are entering the biomedical workforce as a direct result of the NIH minority research training programs
  • Best feature is the research experience itself
  • Financial support was another best feature, though needs to be increased
  • Other positive features were opportunities to network and collaborate, prepare grant proposal
conclusions1
Conclusions
  • Mentoring needs to be improved (e.g., mundane administrative tasks)
  • Half of T32 minority postdocs reported having no mentor
  • Drop off of females at postdoc/junior faculty level
  • Look beyond training the individual fellow to effect long-term change
recommendations
Recommendations
  • By the end of 2005, the NIH director should articulate a set of clear and measurable training goals and objectives specific to minority training
  • NIH should commit to the continued funding of minority-targeted research training programs
  • The director of each IC should designate a single individual as minority research training programs coordinator for that IC by the third quarter of FY 2005
recommendations1
Recommendations
  • The NIH training director should convene a meeting of all minority training coordinators on at least a quarterly basis, beginning with the third quarter of 2005
  • The committee of minority training program coordinators should establish appropriate guidelines and measures for evaluating NIH minority research training programs
recommendations2
Recommendations
  • Further study of the relative effectiveness of minority-targeted vs. nontargeted programs should be carried out by NIH ICs under coordination from the Office of the Director
  • The director of NIH training should administer the funds for evaluation, data collection, and marketing by FY 2006
recommendations3
Recommendations
  • The general issues reviewed in this report should be revisited periodically at the NIH level with the next report submitted by 2009. The OD should take the lead.
  • NIH should develop a relational database that collects a minimum data set for all persons who received funding as trainees, fellows, research assistants, or postdoctorates, including those programs targeted to underrepresented minorities
lessons learned at nida
Lessons Learned at NIDA
  • Supportive leadership
  • Supportive colleagues
  • Greatest barrier may be mistrust of us and the process
  • Willingness to listen and ability to participate in difficult conversations (racism, oppression, review, criticism of NIDA, NIH and self)
lessons learned at nida1
Lessons Learned at NIDA
  • Takes long-term commitment
  • Requires active outreach
  • Tolerance for missteps along the way
  • Minority involvement leads to minority focused research
  • Welcoming opportunities (e.g., for people and issues)