Welcome

I am pleased to welcome members of the National Advisory Mental Health Council (NAMHC), speakers and guests to our 229th meeting. In this report I will share with you information about new and ongoing initiatives at the National Institutes of Health (NIH) and the National Institute of Mental Health (NIMH).

Budget

As Fiscal Year (FY) 2011 is coming to close, NIMH is on track to fund 460 new and competing research project grants, which is well below the mean of the past 5 years. On February 14, 2011, the President submitted his FY 2012 budget request to Congress. The FY 2012 request for NIMH is $1.517 billion, an increase of $27.5 million, or 1.84 percent over the FY 2010 level and 2.64 percent over the FY 2011 level. The Budget Control Act, enacted on August 2, 2011, subsequently capped FY 2012 discretionary spending for non-security agencies at the FY 2011 enacted level, which is below the President’s FY 2012 budget request and nearly 1.0 percent below the FY2010 budget. The Senate Appropriations Committee has held a hearing and markup session on the President’s budget request for NIH, while the House Appropriations Committee has done neither. The Senate mark for NIH is $30.5 billion, a decrease of $190 million, or 0.6 percent below the full year FY 2011 Continuing Resolution (CR). We do not know when a final FY 2012 appropriation will be determined, although our fiscal year begins October 1. As in FY 2011, we expect to enter the fiscal year under a short-term CR.

NIH-Wide Updates

National Center for Advancing Translational Science (NCATS)

The NIH Director has proposed a new institute to accelerate translational science. If approved by Congress, NCATS will be launched in FY 2012. Initially, NCATS will consolidate several NIH preclinical programs, including the National Center for Chemical Genomics, with the national clinical research effort known as the the Clinical Translational Science Awards (CTSAs). The mission of NCATS is to catalyze the development of innovative methods and technologies that will enhance the development, testing, and implementation of diagnostics and therapeutics across a wide range of human diseases and conditions. NCATS will support studies on the discipline of translation, such as efforts to re-engineer the drug development pipeline or to develop better tools for predictive toxicology. The President described the importance of NCATS in his speech on September 16, 2011. A search is underway for a Director of NCATS, co-chaired by the Directors of NIMH and NHGRI.

Diversity of the Biomedical Workforce
A recent paper published in Science (Ginther et al, 2011) described the results of an NIH-funded study of the ethnic and racial diversity of NIH grantees between FY 2000 and FY 2006. The study, limited to PhDs applying for R01 grants, found that 1.4 percent of over 40,000 applicants self-identified as Black, 3.2 percent as Hispanic, 16.2 percent as Asian, and 69.9 percent as White. There were significant differences in award probability by race and ethnicity, with applications from black investigators 13.2 percent less likely to be awarded. Controlling for university of the applicant, the applicant’s educational background, country of origin, training, previous research awards, and publication record did not eliminate this disparity. Indeed, after controlling for these confounds, Black applicants remained 10 percentage points less likely to be funded. In a policy paper in the same issue of Science, NIH Director Francis Collins, M.D., Ph.D. and Deputy Director Lawrence Tabak, D.D.S., Ph.D. discussed their concerns about these findings and suggested several remedies to this apparent disparity in funding, such as the Early Career Reviewer program to include more minority scientists on review panels. A new task force of the Advisory Committee of the Director will propose specific plans and policies to ensure the diversity of the biomedical workforce.

Department of Health and Human Services Seeking Comment on Possible Changes to the Human Subjects Regulations
The U.S. Department of Health and Human Services (HHS) has announced that the Federal government is contemplating various ways of enhancing the regulations overseeing research on human subjects. Before making changes to the regulations, which have been in place since 1991 and are often referred to as the Common Rule, the government is seeking the public's input on an array of issues related to the ethics, safety, and oversight of human research. The changes under consideration can be found in an Advance Notice of Proposed Rulemaking (ANPRM), Human Subjects Research Protections: Enhancing Protections for Research Subjects and Reducing Burden, Delay, and Ambiguity for Investigators, published in the July 25 Federal Register. The proposed changes are designed to strengthen protections for research participants. For more information, go to: ANPRM for Revision to Common RuleExternal Link: Please review our disclaimer..

Financial Conflict of Interest
HHS issued a final rule in the Federal Register that amends the Public Health Service (PHS) regulations on Responsibility of Applicants for Promoting Objectivity in Research for which PHS Funding is Sought (42 C.F.R. Part 50, Subpart F) and Responsible Prospective Contractors (45 C.F.R. Part 94). Since dissemination of these regulations in 1995, the growing complexity of biomedical and behavioral research; the increased interaction among Government, research Institutions, and the private sector in attaining common public health goals while meeting public expectations for research integrity; as well as increased public scrutiny, have all raised questions as to whether a more rigorous approach to Investigator disclosure, institutional management of financial conflicts and federal oversight is required.

After considering all public comments, HHS developed the final rule resulting in major changes to the 1995 regulations. The 2011 Final Rule includes a de minimis threshold of $5,000 for disclosure (generally applies to payments for services and/or equity interests, including any equity interest in non-publicly traded entities); disclosure of all significant financial interests (SFI) related to the Investigator’s institutional responsibilities; and an expanded definition of income excluded from the disclosure requirement. Additional changes pertain to the types of SFI excluded from the disclosure requirement; travel reimbursements and sponsored travel; more detailed reporting of financial conflict of interest (FCOI) by the Institution to the PHS Awarding Component; new disclosure and FCOI reporting requirements involving Subrecipient Institutions/Investigators; public accessibility; FCOI training for Investigators; and retrospective review in cases of non-compliance with the regulations. Additional information regarding these important changes to FCOI rules, including compliance dates and a comparison of the 1995 regulations can be found in NIH Guide Notice NOT-OD-11-109.

NIH Director’s Pioneer Awards
On September 20, 2011, Dr. Collins announced the 2011 recipients of the NIH Pioneer Awards. The Pioneer Award, inaugurated in 2004, aims to stimulate high-risk, high-impact medical research, by providing up to $500,000 per year for five years to a highly select group of individuals who have the potential to make extraordinary contributions to medical research. The 2011 Pioneer award recipients include:

NIH Common Fund Programs and Initiatives
The NIH Roadmap is a trans-NIH effort to support innovative science, stimulate interdisciplinary research and reshape clinical research to accelerate medical discovery and improve public health. Roadmap programs span all areas of health and disease research and boundaries of NIH Institutes and Centers (ICs). These are programs that might not otherwise be supported by the NIH ICs because of their scope. Roadmap Programs are expected to have exceptionally high potential to transform the manner in which biomedical research is conducted. They are also expected to be short term, 5–10 year programs. This incubator space time frame is intended to allow the major roadblocks that were defined for each program to be overcome, thereby stimulating further research conducted through the ICs.

NIMH Updates

Changes in the NIMH Division of Intramural Research Program
The Division of Intramural Research (DIRP) is searching for a new Scientific Director. Dr. Richard Nakamura who led this program for nearly 5 years has been asked by Dr. Collins to serve as Acting Director of the Center for Scientific Review. In addition, Dr. Daniel Weinberger, who led the largest research program within the DIRP, departed in August, 2011. The DIRP is now down to 47 principal investigators, a decrease of 35% over the past decade. Importantly, 10 of the DIRP scientists are outstanding tenure track investigators, who have arrived in the past decade. Dr. Phil Wang is serving as Acting Scientific Director for the DIRP, with assistance from Dr. Rajesh Ranganathan and an administrative team assembled to help with the transition to new leadership.

White House Names NIMH a “Champion of Change” for Its Suicide Prevention Efforts
The National Institute of Mental Health (NIMH) was named by the White House as a “Champion of Change” on August 25, 2011, for its efforts in supporting research on suicide prevention. Jane Pearson, Ph.D., and Kevin Quinn, Ph.D., of NIMH accepted the award at a ceremony and roundtable event at the White House where they joined White House policy officials and others for a discussion of suicide prevention best practices. In addition to NIMH, the Suicide Prevention Resource Center (SPRC); Suicide Prevention Action Network; SAVE Foundation; the American Foundation for Suicide Prevention; National Suicide Prevention Lifeline; Blue Star Families; the Gay, Lesbian, and Straight Education Network (GLSEN); the Creative Coalition; and the Trevor Project, all of whom are dedicated to preventing suicide, were honored.

Grand Challenges in Global Mental Health Initiative
On July 7, 2011 the journal Nature published the results of the Grand Challenges in Global Mental Health Initiative, led by NIMH and the Global Alliance for Chronic Diseases. This initiative led to identification of the top 40 barriers to better mental health around the world. Similar to past grand challenges, which focused on infectious diseases and chronic, non-communicable diseases, this initiative seeks to build a community of funders dedicated to supporting research that will significantly improve the lives of people living with mental, neurological and substance-use (MNS) disorders within the next 10 years.

NIMH Outreach Partnership Program Solicitation
The NIMH Outreach Partnership Program recently issued a solicitation for the selection of Outreach Partners in 26 states. Outreach Partners are selected through a competitive review process involving NIMH and other Federal agency staff and external experts in public education, health communications, disparities and community-based research. NIMH has received 48 proposals and plans to conduct review calls during the weeks of September 19 and September 26. Selection of Outreach Partners will be made by NIMH OPP staff based on reviewers’ scores and comments. The new Outreach Partners will begin their contract term (12 months with the potential for two option years) in January, 2012.

Recent NIH and NIMH Meetings of Interest

National Association for Rural Mental Health 2011 Annual Conference
NIMH sponsored a federal grant information session, led by P. Kim Pham, Ph.D. at the National Association for Rural Mental Health’s (NARMH) 2011 Annual Conference, in Dubuque, Iowa from June 22-25. The NARMH annual meeting focuses on rural and frontier mental health practice, research and public policy issues. The conference brings together rural clinicians, administrators, consumers, researchers and policy-makers.

Navigating Your Way through a Successful Research Career
ORDGMH hosted a workshop at the Neuroscience Center in Rockville, Maryland from July 5-6, 2011 entitled, Navigating Your Way through a Successful Research Career. Organized by LeShawndra Price, Ph.D., the workshop was designed to provide early stage investigators from diverse backgrounds with the tools necessary to continue along the path of competitive research support and transition to independence. The participants were recipients of NIMH Diversity Supplements and Re-Entry Supplements as well as trainees in the Intramural Research Program. NIMH staff and extramural research faculty led the participants through a series of sessions focused on leadership, key skills for success as a researcher, transitioning to independence, understanding NIMH and the grants review process, maintaining work-life balance, and articulating career goals and the steps needed to achieve them.

Improving Care for Child and Adult Behavioral Clients with Suicidal Ideation and Behavior in Emergency Department Settings Conference
On July 26–28, 2011, staff from the Division of Services and Intervention Research (DSIR) partnered with the Substance Abuse and Mental Health Services Administration (SAMHSA), representatives from the Institute for Behavioral Healthcare Improvement and the Department of Veterans Affairs (VA) in the planning and coordination of a meeting to discuss suicide prevention in Emergency Department (ED) settings. The conference was held in conjunction with the National Suicide Prevention Center Lifeline Crisis Centers Conference. The goal of the meeting was to review the empirical basis and consider best practices for the assessment and care of children and adults with suicidal thoughts and behaviors who present to hospital EDs/urgent care settings. Related goals were to (1) identify the specific practices that not only lead to improve clinical outcomes, but also improve the satisfaction of clients and staff; and (2) identify ways to encourage the development of improvements in ED operations through the use of these practices. In order to achieve these goals, meeting participants represented an array of backgrounds/disciplines, including researchers, program administrators, policy makers, direct service providers and consumers.

NIMH Mental Health Services Research Conference
The Services Research and Clinical Epidemiology Branch of DSIR hosted its 21st conference from July 27-28, 2011 at the Omni Shoreham Hotel in Washington, D.C. Conference chairs Susan Azrin, Ph.D. and Beverly Pringle, Ph.D. of NIMH, Jürgen Unützer, M.D., M.P.H., M.A. of the University of Washington School of Medicine and Ramesh Raghavan, M.D., Ph.D. of Washington University at St. Louis welcomed more than 300 participants to the meeting, including the nation’s leading mental health services researchers and leadership from NIMH and other NIH institutes and Federal agencies. The conference theme Improving Public Health in an Era of ChangeExternal Link: Please review our disclaimer. emphasized the essential nature of mental health to overall well-being, challenging participants to maximize the public health impact of their mental health services research.

NIMH Alliance for Research Progress
The Institute convened its fifteenth meeting of the NIMH Alliance for Research Progress (the Alliance) on July 29, 2011. The Alliance is a group of leaders from patient and family-related advocacy organizations directly concerned with brain disorders including, but not limited to, schizophrenia, borderline personality disorder, depression, eating disorders, bipolar disorder and autism. This group meets twice a year to provide Alliance members with the opportunity to learn about scientific advances in mental health research, to discuss important information related to changes in the field and to engage in day-long direct dialogue with NIMH leadership through which they provide crucial input and feedback for the Institute. Presentations included a research update from Dr. Insel, mental health issues in the media, how to establish a learning mental health care system, strategic approaches to addressing drug discovery challenges and new initiatives to advance translational research.

NIH Training Institute in Dissemination and Implementation Research in Health (TIDIRH)
In an effort to increase field capacity for dissemination and implementation (D&I) research, the Office of Behavioral and Social Science Research (OBSSR), National Cancer Institute, NIMH and the VA sponsored a week-long summer training D&I instituteExternal Link: Please review our disclaimer. in August 2011. Faculty and guest lecturers consisted of practitioners and teachers in theory, as well as implementation and evaluation approaches to D&I research. Top experts in the field, they led the creation of partnerships and multi-level transdisciplinary research teams and research design, methods and analyses appropriate for D&I investigations.

Autism Sequencing Consortium
On September 9, 2011, the NIMH Office of Genomics Research Coordination (OGRC) hosted a meeting to discuss the current state of autism spectrum disorder (ASD) genetics research and to develop recommendations for areas of future scientific focus. The Autism Sequencing Consortium comprises major national and international advocacy groups, funders, and researchers with the goal to support and conduct research to unravel the molecular constituents of ASD.

Closing the Gaps: Reducing Disparities in Mental Health Treatment through Engagement
On September 12-13, ORDGMH hosted a workshop at the Bethesda Hyatt entitled Closing the Gaps: Reducing Disparities in Mental Health Treatment through Engagement. Organized by Dana March, Ph.D. (ORDGMH) and Denise Juliano-Bult (DSIR), the goal of this meeting was to inform NIMH’s strategic investments in research to address mental health treatment disparities. ORDGMH solicited a wide range of ideas from a group of thought leaders regarding critical gaps in evidence, measurement issues, requirements for adaptation and scale-up of evidence-based interventions, and the prioritization of needs.

Twin Research Consortium
On September 15, 2011, OGRC hosted the third biannual meeting of the Twin Research Consortium (TRC). The TRC comprises Dutch and U.S. scientists who collaborate on studies that leverage the resources of the Netherlands Twin Registry (NTR) and similar longitudinal cohorts for a variety of genetic studies. This registry is of exceptional value, providing biospecimens from monozygotic and dizygotic twins with extensive phenotypic characterization and potential for longitudinal genetic studies. NTR biospecimens and associated phenotypes have been submitted to the NIMH Center for Collaborative Genomic Studies on Mental Disorders as a resource to the global investigator community. Discussions focused on the results and publication plans from investigations of existing projects, and on the development of a roadmap for possible future studies.

Grantee Awards and Honors

NIMH Staff News

Arrivals/Moves

Deaths

National Institute of Mental Health FY 2011 Full Year C.R.

 NIMH FY 2011 Mechanism Table (Formulation)
 (dollars in thousands) 
 FY 2010 Actual
 Non-AIDSAIDSTotal
 No.AmountNo.AmountNo.Amount
RPGs      
Noncompeting1,380552,93617093,9101,550646,846
Admin. Suppl(58)6,431(14)4,193(72)10,624
Competing489199,3736632,960555232,333
Subtotal1,869758,740236131,0632,105889,803
       
SBIR/STTR7428,623164,8369033,459
Subtot.,RPG1,943787,363252135,8992,195923,262
       
       
Research Centers5691,802818,86864110,670
       
Other:      
Careers34353,925538,35739662,282
Coop. Clin. Res 485 00485
Other9727,811173,77411431,585
Subtot., Other44082,2217012,13151094,352
       
Total Res.Grants2,439961,386330166,8982,7691,128,284
       
Research Training:FTTP FTTP FTTP 
       
Individual27510,487301,05830511,545
Institutional60628,068743,68368031,751
Total Training88138,5551044,74198543,296
       
R&D Contracts12962,924118,17614071,100
Included SBIR(2)(1,051) (68)(2)(1,119)
Total, Extramural 1,062,865 179,815 1,242,680
       
 FTEs: FTEs: FTEs: 
Intramural Res367171,72633,169370174,895
       
Res. Mgmt. & Supp23563,756158,04125071,797
       
       
Total, NIMH6021,298,34718191,0256201,489,372
 NIMH FY 2011 Mechanism Table (Formulation)
 (dollars in thousands) 
 FY 2011 Continuing Resolution
 Non-AIDSAIDSTotal
 No.AmountNo.AmountNo.Amount
RPGs      
Noncompeting1,399583,98517296,3831,571680,368
Admin. Suppl(48)15,984(8)1,471(56)17,455
Competing399155,4737230,249471185,722
Subtotal1,798755,442244128,1032,042883,545
       
SBIR/STTR7529,310124,9488734,258
Subtot.,RPG1,873784,752256133,0512,129917,804
       
       
Research Centers5487,486919,81863107,304
       
Other:      
Careers32851,612589,22138660,833
Coop. Clin. Res      
Other8624,658184,18610428,844
Subtot., Other41476,2707613,40749089,677
       
Total Res.Grants2,341948,508341166,2762,6821,114,785
       
Research Training:FTTP FTTP FTTP 
       
Individual2409,3322283226210,164
Institutional60728,616723,62667932,242
Total Training84737,948944,45894142,406
       
R&D Contracts12968,707117,34114076,048
Included SBIR()() (51)()(51)
Total, Extramural 1,055,163 178,075 1,233,238
       
 FTEs: FTEs: FTEs: 
Intramural Res365166,81733,078368169,895
       
Res. Mgmt. & Supp24465,965118,19425574,159
       
       
Total, NIMH6091,287,94514189,3476231,477,292

Future Council Meetings

  • May 30, 2013
    Registration
  • September 19, 2013
  • January 23, 2014
  • May 22, 2014
  • September 18, 2014
  • February 6, 2015
  • May 29, 2015
  • September 11, 2015