Prevention and Treatment of Alcohol Problems Research Opportunities (1990) / Chapter Skim
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16 Supporting the Scientific Infrastructure for Treatment Research
16 Supporting the Scientific Infrastructure for Treatment Research
Pages 313-322
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From page 313... ...
This cutback has already resulted in the closing of alcohol treatment programs that were linked to important NIAAA- and VA-funded research. Moreover, the new impediments that have been raised to the admission to VA hospitals of non-se~vice-connected or indigent veterans will have a disastrous effect on a number of major clinical and basic alcohol research programs.
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From page 314... ...
existing and new treatment strategies in well-controlled designs." Because of the need to develop large subject samples, NIDA urged applicants to "consider the advantages of coordination between related studies, and between Centers doing similar work." NIDA emphasized its interest in developing treatment process as well as outcome data; it also urged the funded centers to develop research training opportunities. In some respects, the new NIDA program is modeled after NIAAA's highly successful, but more broadly based, alcohol research centers program.
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From page 315... ...
The committee commends the recent policy decision to set aside 5 to 15 percent of funds within block grants to evaluate alcohol and drug abuse treatment programs and to determine the quality and appropriateness of various forms of treatment (including the effect of living in the types of housing provided in these programs)
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From page 316... ...
Experience at NIH suggests that the cooperative agreement is an especially useful instrument for the rapid transfer of knowledge from research to clinical practice. Examples of cooperative agreements include the new network of AIDS clinical studies being funded by the National Institute on Allergy and Infectious Disease and the Clinical Trials Cooperative Groups supported by the National Cancer Institute (NCI)
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From page 317... ...
Table 1~1. Distinguishing Between Grants and Cooperative Agreements Element Grant Cooperative Agreement Intent Support or stimulation to Support or stimulation to accomplish a accomplish a public purpose public purpose Scope of work Any program activity Any program activity eligible under eligible under NIH/ADAMHA legislation NIHJADAMHA legislation Initiation Applicant initiated; may be Awarding a component initiated through an in response to an RFA or RFA or PA PA NIH/ADAMHA role Normal programmatic and Normal stewardship responsibilities plus administrative stewardship substantial programmatic involvement responsibilities; no during performance of award substantial programmatic involvement Examples of staff Providing technical Participating in the design of activities participation assistance at the recipient's request Close monitoring of an Advising in the selection of contractors, external organization trainees, staff, etc.
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From page 318... ...
These include not only research grants, training grants, the Alcohol Research Centers program, and cooperative agreements but also planning panels, expert committee meetings, research conferences, technical reviews, bilateral international agreements, interagency agreements, contracts, and the intramural research program. NIAAA is also using a developmental grant mechanism (R21)
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From page 319... ...
Insurance companies and state, not-for-profit, and proprietary alcoholism treatment programs all have a stake in treatment outcome research.
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From page 320... ...
· The program to use funds appropriated in the 1986 Anti-Drug Abuse Act to support controlled trials of alcohol and cocaine treatment should be stabilized, extended, and used as a model for the evaluation of all federally supported treatment initiatives. Similarly, the recent decision to allocate a percentage of block grant funds to evaluation provides an opportunity to advance carefully designed process and outcome evaluation as an integral component of treatment programs supported by the federal government and implemented at the state level.
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From page 321... ...
Drug Abuse Treatment Evaluation: Strategies, Progress and Prosper is. National Institute on Drug Abuse Monograph Series, vol.
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