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National Institute of Mental HealthNational Institute of Mental Health

Office for Special Populations and Office of Rural Mental Health ResearchOffice for Special Populations and Office of Rural Mental Health Research

OrientationOrientation

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The Hispanic Association of Colleges and UniversitiesThe Hispanic Association of Colleges and Universities

Neuroscience CenterNeuroscience Center

Bethesda, MDBethesda, MD

July 26, 2006July 26, 2006

National Institute of Mental HealthNational Institute of Mental Health

Office for Special Populations and Office of Rural Mental Health ResearchOffice for Special Populations and Office of Rural Mental Health Research

OrientationOrientation

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The Hispanic Association of Colleges and UniversitiesThe Hispanic Association of Colleges and Universities

Neuroscience CenterNeuroscience Center

Bethesda, MDBethesda, MD

July 26, 2006July 26, 2006

Robert A. Mays, Jr., Ph.D., MSWDeputy Chief, Office of Rural Mental Health Research and Program Director, Research Training/InfrastructureOffice for Special Populations, NIMH301.443.2847Rmays@mail.nih.gov

National Institute of Mental HealthNational Institute of Mental Health

Mission StatementMission Statement

The mission of NIMH is to The mission of NIMH is to reduce the burden of mental reduce the burden of mental illness through researchillness through research on the mind, brain, and on the mind, brain, and behavior. NIMH takes the lead in understanding the behavior. NIMH takes the lead in understanding the impact of behavior on HIV transmission and impact of behavior on HIV transmission and pathogenesis, and in developing effective behavioral pathogenesis, and in developing effective behavioral preventive interventions. preventive interventions.

The NIMH conducts The NIMH conducts a wide range of researcha wide range of research, research , research training, and research capacity development, as well training, and research capacity development, as well as, as, public information outreach and disseminationpublic information outreach and dissemination to to fulfill its mission.fulfill its mission.

National Institute of Mental HealthNational Institute of Mental HealthNational Institute of Mental HealthNational Institute of Mental Health

The NIMH Director’s PageThe NIMH Director’s Pagehttp://www.nimh.nih.gov/about/director.cfm

Research Priorities and Strategic PlansResearch Priorities and Strategic Plans• supporting basic science discoveriessupporting basic science discoveries• translating these discoveries into new interventions that translating these discoveries into new interventions that

will relieve the suffering of people with mental disorders; will relieve the suffering of people with mental disorders; and and

• ensuring that new approaches can be used for diverse ensuring that new approaches can be used for diverse populations and in diverse settings.populations and in diverse settings.http://www.nimh.nih.gov/strategic/strategicplanmenu.cfm

Research Funding:Research Funding:NIMH Reorganized Programs Effective October 2004NIMH Reorganized Programs Effective October 2004

http://www.nimh.nih.gov/researchfunding/reorganization.cfmNational Advisory Mental Health Council Reports National Advisory Mental Health Council Reports

http://www.nimh.nih.gov/council/advis.cfm

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

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

National Institute of Mental HealthNational Institute of Mental HealthOrganizationOrganization

Office of The Director (OD)Office of The Director (OD) Office for Special Populations (OD/OSP)Office for Special Populations (OD/OSP) Office of Rural Mental Health Research (OD/OMHR)Office of Rural Mental Health Research (OD/OMHR) Office of Science Policy, Planning and CommunicationsOffice of Science Policy, Planning and Communications Offices on AIDS; Global Mental Health; Resource Management; Offices on AIDS; Global Mental Health; Resource Management;

Prevention; Constituency Relations and Public Liaison; and Prevention; Constituency Relations and Public Liaison; and Diversity and EmployeeDiversity and Employee Advocacy ProgramsAdvocacy Programs

Division of Extramural Activities (DEA)Division of Extramural Activities (DEA)Division of Neuroscience and Basic Behavioral Division of Neuroscience and Basic Behavioral Science (DNBBS)Science (DNBBS)Division of Adult Translational Research and Treatment Development Division of Adult Translational Research and Treatment Development

(DATR)(DATR)Division of Pediatric Translational Research and Treatment Prevention Division of Pediatric Translational Research and Treatment Prevention

(DPTR)(DPTR)Division of AIDS and Health and Behavior Research (DAHBR)Division of AIDS and Health and Behavior Research (DAHBR)Division of Services and Intervention Research (DSIR)Division of Services and Intervention Research (DSIR)

Associate Director for Special Populations: Associate Director for Special Populations: Congressionally MandatedCongressionally Mandated

Associate Director for Special Populations: Associate Director for Special Populations: Congressionally MandatedCongressionally Mandated

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

M ental Health D isparitiesW om en 's M ental Health

Research Scien tist Developm en t

O ffice fo r Special Popu lations

Rural M ental Health Researc h

O ffice o f Rural M ental Health Resarch(Congres sionally M andated )

NIM HAssociate D irecto r fo r Special Popu lations

(Congres sionally M andated )

National Institute of Mental HealthNational Institute of Mental HealthSpecial Populations Program OrganizationSpecial Populations Program Organization

Office for Special Populations and Office of Rural Mental Health ResearchOffice for Special Populations and Office of Rural Mental Health Research

Director for Special PopulationsDirector for Special Populations Ernest Marquez, Ph.D. Ernest Marquez, Ph.D. and Acting Director, Office of Ruraland Acting Director, Office of RuralMental Health ResearchMental Health Research

Deputy Director for Special Populations Sherman Ragland, MSWDeputy Director for Special Populations Sherman Ragland, MSW

Chief, Office of Rural Mental HealthChief, Office of Rural Mental Health ResearchResearch Anthony Pollitt, Ph.D. Anthony Pollitt, Ph.D.

Deputy Chief, Office of Rural MentalDeputy Chief, Office of Rural MentalHealth ResearchHealth Research Robert Mays, Ph.D., MSW Robert Mays, Ph.D., MSW

Chief, Women’s Mental Health ProgramsChief, Women’s Mental Health Programs Catherine Roca, M.D. Catherine Roca, M.D.

Deputy Chief, Women’s Mental HealthDeputy Chief, Women’s Mental HealthProgramsPrograms Kathy O’Leary, MSW Kathy O’Leary, MSW

Chief, Research Scientist Development Chief, Research Scientist Development Michael Sesma, Ph.D. Michael Sesma, Ph.D.Program Program

Program Director, Research Training Program Director, Research Training and Infrastructure Robert Mays, Ph.D., MSWand Infrastructure Robert Mays, Ph.D., MSW

Social Science AnalystSocial Science Analyst Sheila Bolt Sheila Bolt Administrative Assistant (Pop Tracking)Administrative Assistant (Pop Tracking) Dawn Corbett Dawn Corbett Administrative Assistant Administrative Assistant Jeanette Smith Jeanette Smith

301.443.2847301.443.2847

e.g. Training Grants, Fellowships Diversity Supplements

e.g.Fellowship, Training Grant, Diversity Supplements

UndergradUndergrad

GraduateGraduate

Post-DocPost-Doc

New FacultyNew Faculty K01, R21, R03

FacultyFaculty TenureR01

Mentor

Research Scientist Development: One Step at a Time!Research Scientist Development: One Step at a Time!

High SchoolHigh Schoole.g. Collaborative Networks, R25 COR Stipends

e.g. Supplements, T34 COR Stipends

National Institute of Mental HealthResearch Training and Career Development Timetable

Predoctoral Individual NRSA (F31)Predoctoral Individual MD/PhD NRSA

(F30)Dissertation Research Grant (R36)

Postdoctoral Institutional Training Grant (T32)

Postdoctoral Individual NRSA (F32)

B/Start (R03) Small Grant (R03)

Research Project Grant (R01)

Independent Scientist Award (K02)

Approx. Stage of ResearchTraining and Development

Mechanism of Support

GRADUATE/MEDICALSTUDENT

POSTDOCTORAL/

CLINICALRESIDENCY

EARLY

MIDDLE

SENIOR

CA

RE

ER

Predoctoral Institutional Training Grant (T32)

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)

Midcareer Investigator Award in Patient-Oriented Research (K24)

http://www.nimh.nih.gov/researchfunding/training.cfm

Exploratory/Developmental Grant (R21/R34)

OSP – Mental Health Research Training and Infrastructure OSP – Mental Health Research Training and Infrastructure Grants and Research SupplementsGrants and Research Supplements

OSP – Mental Health Research Training and Infrastructure OSP – Mental Health Research Training and Infrastructure Grants and Research SupplementsGrants and Research Supplements

T34 Career Opportunities in Research Education and T34 Career Opportunities in Research Education and Training (COR) Honors Undergraduate ProgramTraining (COR) Honors Undergraduate Program

R25 Career Opportunities in Research Education and R25 Career Opportunities in Research Education and Training (COR) Honors High School ProgramTraining (COR) Honors High School Program

R24 Minority Research Infrastructure Support R24 Minority Research Infrastructure Support ProgramProgram

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

Provide research education and mentorship Awarded to four-year public or private institutions Must have 50% > racial and ethnic minority students Limited to four to ten Juniors and Seniors: 3.0 > 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

Career Opportunities in Research Education and Training Career Opportunities in Research Education and Training (COR) Honors Undergraduate Research Training Grant (T34) (COR) Honors Undergraduate Research Training Grant (T34)

PAR-01-008 PAR-01-008 Annual Submission: May 10Annual Submission: May 10

T34 COR LocationsT34 COR Locations Program DirectorsProgram DirectorsGrambling 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.

NIMH COR InstitutionsNIMH COR Institutions

T34 COR LocationsT34 COR Locations Program DirectorsProgram 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.

NIMH COR InstitutionsNIMH COR Institutions

T34 COR LocationsT34 COR Locations Program DirectorsProgram 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.

NIMH COR InstitutionsNIMH COR Institutions

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 > 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

R25 High School Opportunities in Research Education R25 High School Opportunities in Research Education

(COR) Training Program (PAR)-01-009(COR) Training Program (PAR)-01-009

Annual application: May 1Annual application: May 100

High School COR SitesHigh School COR Sites Program DirectorsProgram 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.

R25 High School Opportunities in Research Education R25 High School Opportunities in Research Education

(COR) Training Program Institutions(COR) Training Program Institutions

Increase the capacity to conduct mental health research Increase the capacity to conduct mental health research An Infrastructure Development Plan ($100K)An Infrastructure Development Plan ($100K) TTwo or more Independent Research Projects ($60K)wo or more Independent Research Projects ($60K) 400K annually in Direct Costs for three years 400K annually in Direct Costs for three years FFive year competitive renewals ive year competitive renewals Institutions with 30% > racial/ethnic minority studentsInstitutions with 30% > racial/ethnic minority students

and past three years with efforts to increase and past three years with efforts to increase Annual Submission: June 1Annual Submission: June 1

R24 Minority Research Infrastructure Support Program R24 Minority Research Infrastructure Support Program

(M-RISP) PAR 01-029(M-RISP) PAR 01-029

M-RISP LocationM-RISP Location Principal InvestigatorPrincipal 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.

M-RISP InstitutionsM-RISP Institutions

M-RISP LocationM-RISP Location Principal InvestigatorPrincipal 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.DMedical School

M-RISP InstitutionsM-RISP Institutions

M-RISP LocationM-RISP Location Principal InvestigatorPrincipal 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

M-RISP InstitutionsM-RISP Institutions

Used to attract and encourage individuals, or modify Used to attract and encourage individuals, or modify resources to an existing grantresources to an existing grant

Support attached to an existing awardSupport attached to an existing award Requested by the Principal InvestigatorRequested by the Principal Investigator Awarded to the InstitutionAwarded to the Institution Principal Investigators of Research Grant Mechanisms: Principal Investigators of Research Grant Mechanisms:

R01,R10, R18, R22, R24, R35, R37, P01, P30, P40, R01,R10, R18, R22, R24, R35, R37, P01, P30, P40, P41, P50, P51, P60, U01, U10, U19, U41, U42, or U54P41, P50, P51, P60, U01, U10, U19, U41, U42, or U54

Exceptions can be made to eligibility requirementsExceptions can be made to eligibility requirements Funding decision take approximately six to eight weeksFunding decision take approximately six to eight weeks Usually one research supplement per grantUsually one research supplement per grant

Research Supplements to Promote Diversity Research Supplements to Promote Diversity in Health-Related Research in Health-Related Research

(PA-05-015)(PA-05-015)

Diversity SupplementsDiversity 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

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

Diversity SupplementsDiversity Supplements

Post-Baccalaureate and Post-Master’s 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 master’s 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

Diversity SupplementsDiversity 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

Diversity SupplementsDiversity Supplements

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

SUPPLEMENTS TO PROMOTE REENTRY INTO SUPPLEMENTS TO PROMOTE REENTRY INTO BIOMEDICAL AND BEHAVIORAL RESEARCH BIOMEDICAL AND BEHAVIORAL RESEARCH

CAREERSCAREERS PA-04-126PA-04-126

ReEntry SupplementsReEntry 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.

Information on Potential Parent Grants Information on Potential Parent Grants for Supplemental Grant Applicationsfor Supplemental Grant Applications

• Search CRISP (Search CRISP (CComputer omputer RRetrieval etrieval IInformation on nformation on SSpecific pecific PProjects) for abstracts of funded projects that would be rojects) for abstracts of funded projects that would be eligible for a supplement opportunities on the NIH website.eligible for a supplement opportunities on the NIH website.

• http://www. crisp.cit.nih.gov/

• Contact Institutes (i.e. Program Officers) to learn how Contact Institutes (i.e. Program Officers) to learn how supplements are evaluated/awarded and areas of program supplements are evaluated/awarded and areas of program priority; practices and program interests varypriority; practices and program interests vary

http://www.nimh.nih.gov/grants/supplement.cfm

NIH Loan Repayment ProgramsNIH 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/guide/notice-files/NOT-OD-01-064.html

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

Extramural Loan Repayment Programs

NIH Loan Repayment Program for Health Disparities ResearchNIH 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/

Extramural Clinical Research Loan Repayment Program for Extramural Clinical Research Loan Repayment Program for Individuals from Disadvantaged BackgroundIndividuals 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

• Mental Health: A Report of the Surgeon General (1999).

Translating Behavioral Science into Action: A Report of the National Advisory Mental Health Council’s 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 Nation’s 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.

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

An Investment in America’s Future: Racial and Ethnic Diversity in Mental Health Research Careers; A Report of the National Advisory Mental Health Council’s 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).

Select National Initiatives Supporting Rationale for Diversity in Mental Health Research Careers (Cont’d)

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 Council’s Workgroup on Racial and Ethnic Diversity in Research Training and Health Disparities Research, (2000).

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 Council’s Workgroup on Racial and Ethnic Diversity in Research Training and Health Disparities Research, (2000).

NIMH Five-Year Strategic Plan for Reducing Health Disparities

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.

OSP Activities: Health Disparities ResearchOSP 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

OSP Activities: Health Disparities ResearchOSP 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.

NIMH OSP VisionNIMH OSP Vision

During the next five years OSP aspires to develop and implement research policies and programs that increase the Institute’s 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.

Guiding Principles of OSP OperationsGuiding Principles of OSP OperationsThe 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 ofmental illness for people in general and special populationsspecifically.

Partner with ICs to assure effectiveness and efficiency, leverageresources, and provide quality stewardship of the public’s resources.

Office of Rural Mental Health ResearchOffice 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

 

Office of Rural Mental Health ResearchOffice of Rural Mental Health Research

Annual Expenditures (Millions of Dollars)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 GRANTS001 - $33 MILLION - 91 GRANTS2002 - $30 MILLLION - 79 GRANTS2002 - $30 MILLLION - 79 GRANTS 2003 - $33.9 MILLION - 97 GRANTS2003 - $33.9 MILLION - 97 GRANTS

2004 - $34.5 MILLION - 75 GRANTS2004 - $34.5 MILLION - 75 GRANTS 2005 - $32.4 MILLION - 65 GRANTS2005 - $32.4 MILLION - 65 GRANTS

Office of Rural Mental Health ResearchOffice of Rural Mental Health Research

Recent Initiatives to address:Recent Initiatives to address: The President’s New Freedom Commission on Mental Health Final ReportThe President’s 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.

Office of Rural Mental Health ResearchOffice 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);

Memphis, TN (NIMH and University of Tennessee Medical School, Memphis;

Austin, TX (NIMH);

Davis, CA (NIMH and UC Davis Medical School (S. Aquilar-Gaxiola), California Endowment & Telemedicine eHealth Center.

Rural Mental Health CareRural Mental Health Care

Summary

Much has been learned about the severity of theproblem and barriers to rural care. Thus our Office

has focused on interventions to enhance thedelivery of mental health care to this population

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 usthat 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/urbanresidents? 

What role has managed care played in the delivery of mental healthcare? 

How can rural residents be encouraged to enter mental health caretreatment?

Stigma in small towns is a major deterrent to seeking care and/orremaining in care, what methods can be used to overcome stigma?

 

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

For further information please contactFor further information please contact Anthony Pollitt, Ph.D.Anthony Pollitt, Ph.D.Office of Rural Mental Health Office of Rural Mental Health ResearchResearch301-443-2847301-443-2847Apollitt@mail.nih.gov

Actions To Promote Diversity in Mental Health ResearchActions 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.

Take-Home Message

• Communicate– with NIH staff– with potential collaborative investigators– with institutional administrators

http://www.nih.govhttp://www.nimh.nih.gov

• Rmays@mail.nih.govRmays@mail.nih.gov

Determining OSP SuccessesDetermining 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

Specific Focus Areas - Specific Focus Areas - To be successful OSP must:

Serve as the Institute’s (Director and Advisory Council’s) 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 Institute’s 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

Incorporate Languages Other Than English into the research agenda

Current and Future NIMH Collaborative AreasCurrent 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 onoverworked individuals.

Share senior mentorship rosters to enlarge the target pool.