Mt. Hood

IOM Report: 10 Years After & More Coming Mitch Greenlick, Ph.D. Oregon State Representative April 21, 2010

Bridging the Gap Between Practice and Research: Forging Partnerships with Community-Based Drug and Alcohol Treatment Sara Lamb, Merwyn Greenlick, and Dennis McCarty, Editors Institute of Medicine 1998

Findings and Recommendations Strategies for: – Linking research and practice – Linking research findings, policy development, and treatment implementation – Knowledge development – Dissemination and knowledge transfer – Consumer participation – Training for consumer-based research collaboration

The First Recommendation The National Institute on Drug Abuse and the Center for Substance Abuse Treatment should support the development of an infrastructure to facilitate research within a network of community-based treatment programs.

The Second Recommendation The National Institute on Drug Abuse and the National Institute on Alcohol Abuse should develop research initiatives to foster studies that include community-based treatment programs as full partners.

Issues Raised by Recommendation 2 Include treatment staff in the development of research initiatives and review of proposals Require assessment of burden of proposed research on treatment program and subjects Assess relevance and practicality for CBO implementation of proposed research Require active, early, and permanent participation of treatment staff in the development, implementation, and interpretation of research studies.

What Does the Future Hold Translational research: bench to bedside to community Community-participatory research Increased demand for evidenced-based practices by policy makers Comparative effectiveness research Increased recognition of the social costs of substance abuse.

Translational Research To improve human health, scientific discoveries must be translated into practical applications. Such discoveries typically begin at “the bench” with basic research — in which scientists study disease at a molecular or cellular level — then progress to the clinical level, or the patient's “bedside.”

Comparative Effectiveness Research Comparative effectiveness research is designed to inform health-care decisions by providing evidence on the effectiveness, benefits, and harms of different treatment options. The evidence is generated from research studies that compare drugs, medical devices, tests, surgeries, or ways to deliver health care

Steps Involved in Comparative Effectiveness Research Identify new and emerging clinical interventions. Review and synthesize current medical research. Identify gaps between existing medical research and the needs of clinical practice. Promote and generate new scientific evidence and analytic tools. Train and develop clinical researchers. Translate and disseminate research findings to diverse stakeholders. Reach out to stakeholders via a citizens forum.

Elements of the CTN Produce Perfect Setting to Move Forward Community participation in research Multicenter controlled-trial approach Potential for comparative effectiveness research Ability to move into policy transformation Trained researchers and research-trained treatment personal