for Substance Abuse Prevention, respectively, and were located within the Substance Abuse and Mental Health Services Administration (SAMHSA) of the Department of Health and Human Services, along with the newly created Center for Mental Health Services. Concerns about the separation of research and practice led to language in the Act that required the three research institutes to allocate 15 percent of their research portfolio to health services research. The conference committee report on the legislation also requested a national plan for services research from the National Advisory Council on Alcohol Abuse and Alcoholism. The report identified eight areas where health services research was needed (Subcommittee on Health Services Research, 1997):

    1.  

    analyses of the organization and financing of treatment for alcohol dependence;

    2.  

    studies on the influence of managed care;

    3.  

    investigations on access to care and utilization of services;

    4.  

    assessments of treatment outcomes, effectiveness and the cost-effectiveness of care;

    5.  

    studies of prevention services;

    6.  

    development of improved research methods and databases;

    7.  

    strategies for the dissemination of research results; and

    8.  

    workforce analyses, reviews of training needs, and assessments of the peer review process.

    NIAAA's recommendations for health services research should facilitate continued development of research and practice collaborations. Another recent IOM report similarly stresses the importance of collaborative research linkages with managed care and community-based organizations to promote quality improvement in behavioral health care (IOM, 1997b). A similar set of priorities from NIDA would be helpful. Because services research is still emerging on treatment and prevention for alcohol and drug abuse and dependence, influences on policy and practice have been limited and there is much to be learned.

    MODELS FOR COLLABORATION

    Collaboration between research and practice takes many forms in the substance abuse treatment field and a number of collaboration models that impressed the committee are presented below. Arthur J. Schut, President of the Iowa Substance Abuse Program Director's Association, introduced the committee to the Iowa Consortium that brings together treatment providers, policymakers, and researchers based in each of the state's major universities to collaborate on research initiatives. The consortium facilitates the



    The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
    Copyright © National Academy of Sciences. All rights reserved.
    Terms of Use and Privacy Statement