for categorizing research approaches, which is presented in Chapter 6 .

In the course of its analysis, the committee discovered that cross-disciplinary research that traverses the biomedical-behavioral boundaries to examine the relationships among the brain, behavior, and HIV is underway at NIAAA, NIDA, and NIMH. However, although increased attention is being paid to links between the biological and the psychological aspects of HIV/AIDS on the individual level, very little research has been conducted on the social factors and context in which individuals contract, transmit, and experience the disease. Chapter 6 elucidates this analysis of the balance among research perspectives in the three institutes' portfolios. The management of the AIDS programs of the institutes is also discussed, with respect to specific budgets for AIDS and non-AIDS research and the organizational structure of each institute's AIDS program.

Finally, in Chapter 7, the relationship between the AIDS research programs of NIAAA, NIDA, and NIMH and the services programs formerly at ADAMHA and now at SAMHSA (as well as relevant programs elsewhere in PHS) is discussed. With respect to AIDS prevention and intervention, it is very important to disseminate research findings to the field as quickly and as effectively as possible. At the same time, service providers often are in a unique position to discover new, researchable questions. How these two worlds of researchers and service providers interact—including how the federal agencies responsible for research and service programs coordinate their activities—is of great concern to all those involved.

This report presents both an overview of salient research on mental health, substance abuse, and other behavioral factors associated with AIDS, and an analysis of the context in which that research has taken place. It aims to provide a critical assessment—and an appreciation—of the efforts of the federal research enterprise to respond to and anticipate new directions in an epidemic that has burst quickly upon the scene and has already wreaked havoc on individuals, families, and communities around the world.



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