1 00:00:05,800 --> 00:00:08,680 WELCOME TO THE NATIONAL 2 00:00:08,680 --> 00:00:11,840 INSTITUTES OF HEALTH, NIH HEAL 3 00:00:11,840 --> 00:00:14,040 INITIATIVES AUGUST MEETING OF 4 00:00:14,040 --> 00:00:18,280 THE MULTI-DISCIPLINARY WORKING 5 00:00:18,280 --> 00:00:19,720 GROUP SO HAPPY TO SEE THE FACES 6 00:00:19,720 --> 00:00:21,760 OF THE MULTI-DISCIPLINARY 7 00:00:21,760 --> 00:00:24,600 WORKING GROUP NUMBERS AND HEAL 8 00:00:24,600 --> 00:00:30,040 LEADERSHIP ALREADY ON. I THINK 9 00:00:30,040 --> 00:00:32,480 WE WILL GIVE EVERYONE ANOTHER 10 00:00:32,480 --> 00:00:39,000 MOMENT TO JOIN. CAROL MAY I YOU 11 00:00:39,000 --> 00:00:42,960 TO RUN THROUGH THE ROLL OF THE 12 00:00:42,960 --> 00:00:44,280 MULTI-DISCIPLINARY WORKING GROUP 13 00:00:44,280 --> 00:00:46,440 MEMBERS AND TURN VIDEO AND AUDIO 14 00:00:46,440 --> 00:00:48,440 ON AND FEW WORDS OF WELCOME TO 15 00:00:48,440 --> 00:00:49,520 MAKE SURE WE CAN HEAR YOU LOUD 16 00:00:49,520 --> 00:00:53,640 AND CLEAR. I SEE DR. TABAK IS 17 00:00:53,640 --> 00:00:54,880 NOW ON SO WE CAN GET STARTED. 18 00:00:54,880 --> 00:01:01,640 >>GOOD MORNING, EVERYBODY. 19 00:01:01,640 --> 00:01:04,760 >>DO YOU WANT ME TOE CALL ROLL 20 00:01:04,760 --> 00:01:05,880 NOW? 21 00:01:05,880 --> 00:01:07,920 >>I'M SORRY, REBECCA DO YOU 22 00:01:07,920 --> 00:01:10,640 WANT ME TO BEGIN OR ROLL CALL? 23 00:01:10,640 --> 00:01:13,160 >>I WANTED TO WAIT UNTIL WE 24 00:01:13,160 --> 00:01:14,960 HAVE YOU TO BEGIN BUT WE SHOULD 25 00:01:14,960 --> 00:01:17,840 START WITH ROLL CALL. 26 00:01:17,840 --> 00:01:18,640 SPEAKER5: ABSOLUTELY. THANK YOU. 27 00:01:18,640 --> 00:01:25,840 >>OKAY. SO DR. GARLAN GARLAND. 28 00:01:25,840 --> 00:01:27,520 >>GOOD TO SEE EVERYONE. 29 00:01:27,520 --> 00:01:28,200 >>DR. HARRIS. 30 00:01:28,200 --> 00:01:31,680 >>GOOD MORNING. 31 00:01:31,680 --> 00:01:33,760 >>DR. HENRY. 32 00:01:33,760 --> 00:01:36,160 >>GOOD MORNING, EVERYONE. 33 00:01:36,160 --> 00:01:40,120 >>DR. DONFRIO. 34 00:01:40,120 --> 00:01:40,960 >>GOOD MORNING. 35 00:01:40,960 --> 00:01:41,560 >>DR. JONES. 36 00:01:41,560 --> 00:01:43,120 >>GOOD MORNING. 37 00:01:43,120 --> 00:01:48,080 >>DR. DEBARR. 38 00:01:48,080 --> 00:01:51,240 >>NICE TO SEE EVERYBODY. 39 00:01:51,240 --> 00:01:53,400 >>BEASLEY. 40 00:01:53,400 --> 00:01:55,560 >>GOOD MORNING, EVEN. 41 00:01:55,560 --> 00:02:00,880 >>DR. HENRY. 42 00:02:00,880 --> 00:02:04,320 >>GOOD MORNING, AGAIN. 43 00:02:04,320 --> 00:02:09,520 >>SORRY. DR. SMITH. 44 00:02:09,520 --> 00:02:12,320 >>YES, I SEE YOU TOO. 45 00:02:12,320 --> 00:02:14,480 >>GOOD MORNING. DR. JERNIGAN. 46 00:02:14,480 --> 00:02:20,000 >>HI. HI, EVERYBODY. 47 00:02:20,000 --> 00:02:22,200 >>EVERYONE WHOSE VIDEO IS ON, I 48 00:02:22,200 --> 00:02:27,440 THINK WE CAN GET STARTED. 49 00:02:27,440 --> 00:02:29,360 >>I SEE THE PROBLEM I WAS 50 00:02:29,360 --> 00:02:29,680 MISLABELED. 51 00:02:29,680 --> 00:02:40,080 >>BUT YOU CORRECTED YOURSELF. 52 00:02:40,080 --> 00:02:42,360 >>ARE THERE MEMBERS OF THE HEAL 53 00:02:42,360 --> 00:02:43,600 MULTI-DISALLYNARY WORKING GROUP 54 00:02:43,600 --> 00:02:45,600 WHO HAVE NOT SAID GOOD MORNING 55 00:02:45,600 --> 00:02:46,640 -- DISCIPLINARY WORKING GROUP 56 00:02:46,640 --> 00:02:49,200 WHO HAVE NOT SAID GOOD MORNING 57 00:02:49,200 --> 00:02:49,560 YET? 58 00:02:49,560 --> 00:02:54,440 >>REBECCA NOT SURE ABOUT IC 59 00:02:54,440 --> 00:02:56,560 DIRECTOR, I JOINED A MINUTE 60 00:02:56,560 --> 00:02:58,640 LATE. NICE TO BE HERE. 61 00:02:58,640 --> 00:03:00,720 >>WE CAN WELCOME MEMBERS OF THE 62 00:03:00,720 --> 00:03:01,960 HEAL EXECUTIVE COMMITTEE. DR. 63 00:03:01,960 --> 00:03:03,880 KOROSHETZ. 64 00:03:03,880 --> 00:03:05,200 >>GOOD MORNING, FOLKS. 65 00:03:05,200 --> 00:03:09,160 >>DR. VOLKOW. 66 00:03:09,160 --> 00:03:11,440 >>GOOD MORNING, EVERYONE. 67 00:03:11,440 --> 00:03:12,200 >>DR. (INAUDIBLE). 68 00:03:12,200 --> 00:03:14,480 >>GOOD MORNING, I'M BACK. SEEM 69 00:03:14,480 --> 00:03:17,800 TO HAVE DROPPED OFF. 70 00:03:17,800 --> 00:03:28,400 >>DID I MISS ANYONE? I SAW ALAN 71 00:03:28,400 --> 00:03:29,480 APPEAR WHILE SAYING GOOD 72 00:03:29,480 --> 00:03:34,520 MORNING. GOOD MORNING, ALAN. I 73 00:03:34,520 --> 00:03:36,560 WILL NOW TURN IT TO DR. TABAK, 74 00:03:36,560 --> 00:03:40,320 THE ACTING NIH DIRECTOR TO START 75 00:03:40,320 --> 00:03:41,480 OFF OUR MEETING. 76 00:03:41,480 --> 00:03:45,120 >>THANKS VERY MUCH, REBECCA. I 77 00:03:45,120 --> 00:03:47,520 JUST WANTED TO BEGIN BY ONCE 78 00:03:47,520 --> 00:03:50,960 AGAIN THANKING YOU PERSONALLY 79 00:03:50,960 --> 00:03:52,920 AND THE ENTIRE HEAL TEAM FOR ALL 80 00:03:52,920 --> 00:03:55,040 THE THINGS YOU HAVE BEEN DOING 81 00:03:55,040 --> 00:03:56,520 WITH THE PROGRAM. I KNOW THERE 82 00:03:56,520 --> 00:04:01,080 ARE MANY COMMUNITIES THEY CROSS 83 00:04:01,080 --> 00:04:04,520 THE NATION COUNTING ON THIS 84 00:04:04,520 --> 00:04:08,560 EFFORT. YOU ARE PROVIDING THEM 85 00:04:08,560 --> 00:04:11,080 SOME HOPE. AS THIS GROUP KNOWS 86 00:04:11,080 --> 00:04:14,120 TOO WELL, THE OPIOID CRISIS IS 87 00:04:14,120 --> 00:04:18,320 DYNAMIC, IT CONTINUES TO CHANGE 88 00:04:18,320 --> 00:04:25,320 WITH DRUG SUPPLIES EVER 89 00:04:25,320 --> 00:04:28,160 MORPHING, OVERDOSES FROM 90 00:04:28,160 --> 00:04:33,240 FENTANYL AND XYLOZENE AND 91 00:04:33,240 --> 00:04:34,720 STIMULANTS UNFORTUNATELY 92 00:04:34,720 --> 00:04:36,640 CONTINUE THE RISE. IN TERMS OF 93 00:04:36,640 --> 00:04:39,120 FEDERAL RESPONSE HAS BEEN, HEAL 94 00:04:39,120 --> 00:04:41,400 OF COURSE IS AN INITIATIVE THAT 95 00:04:41,400 --> 00:04:46,160 SPANS ACROSS THE AGENCY AND WE 96 00:04:46,160 --> 00:04:51,440 ARE NOW AT A POINT WHERE IT 97 00:04:51,440 --> 00:04:55,440 BENEFITS FROM MOST OF THE INPUT, 98 00:04:55,440 --> 00:04:59,640 MOST NIH INSTITUTES AND CENTERS 99 00:04:59,640 --> 00:05:01,080 WE ALSO WORK CLOSELY WITH 100 00:05:01,080 --> 00:05:05,240 FEDERAL PARTNERS, CDC CMS FDA, 101 00:05:05,240 --> 00:05:07,480 SAMHSA AND DEA. WE MEET MONTHLY 102 00:05:07,480 --> 00:05:10,360 WITH THE FEDERAL AGENCIES 103 00:05:10,360 --> 00:05:11,760 THROUGH THE DEPARTMENTS 104 00:05:11,760 --> 00:05:15,560 BEHAVIORAL HEALTH COORDINATING 105 00:05:15,560 --> 00:05:19,240 COUNCIL. LAST TIME WE MET I TOLD 106 00:05:19,240 --> 00:05:21,560 YOU ABOUT A FEW NEW FDA 107 00:05:21,560 --> 00:05:23,040 APPROVALS THAT HOLD GREAT 108 00:05:23,040 --> 00:05:27,040 PROMISE TO SAVE LIVES, MARCH OF 109 00:05:27,040 --> 00:05:28,400 23 THE FIRST OVER THE COUNTER 110 00:05:28,400 --> 00:05:33,280 OPIOID REVERSAL AGENT, MARCH OF 111 00:05:33,280 --> 00:05:38,200 -- MAY OF 23 NASAL SPRAY, A NEW 112 00:05:38,200 --> 00:05:40,600 PRESCRIPTION OPIOID REVERSAL 113 00:05:40,600 --> 00:05:43,600 OPTION, THEN ALSO IN MAY OF 23 114 00:05:43,600 --> 00:05:46,480 AN EXTENDED RELEASE 115 00:05:46,480 --> 00:05:49,480 BUPRENORPHINE INJECTION. OTHER 116 00:05:49,480 --> 00:05:52,880 AGENCIES ARE ACTIVELY ENGAGED 117 00:05:52,880 --> 00:05:54,520 AND THINKS SINCE OUR LAST 118 00:05:54,520 --> 00:06:00,120 MEETING FOR EXAMPLE, DEA IS 119 00:06:00,120 --> 00:06:02,680 WORKING MULTIPLE WAYS TO TRACK 120 00:06:02,680 --> 00:06:04,560 FENTANYL, THEY ARE USING AI, 121 00:06:04,560 --> 00:06:07,440 USING SOCIAL MEDIA, THEY ARE 122 00:06:07,440 --> 00:06:10,800 MONITORING CRYPTO CURRENCY WHICH 123 00:06:10,800 --> 00:06:13,760 APPARENTLY IS IN USE BY THE 124 00:06:13,760 --> 00:06:16,760 CARTELS. THE WHITE HOUSE 125 00:06:16,760 --> 00:06:19,640 RELEASED AN ACTION PLAN TO 126 00:06:19,640 --> 00:06:21,440 ATTEMPT TO LIMIT THE SPREAD AND 127 00:06:21,440 --> 00:06:28,880 IMPACT OF ZYLOZENE STREET NAME 128 00:06:28,880 --> 00:06:30,760 TRANK DOPE, THERE IS A GOAL TO 129 00:06:30,760 --> 00:06:33,720 REDUCE THE DEATHS BY 15% OVER 130 00:06:33,720 --> 00:06:35,920 THE NEXT TWO YEARS AND SIX POINT 131 00:06:35,920 --> 00:06:38,160 PLAN ISSUED BY THE WHITE HOUSE 132 00:06:38,160 --> 00:06:39,920 DRUG CONTROL OFFICE TO SCALE UP 133 00:06:39,920 --> 00:06:41,600 TESTING TREATMENT AND EFFORTS TO 134 00:06:41,600 --> 00:06:45,120 INTERCEPT ILLEGAL SHIPMENTS OF 135 00:06:45,120 --> 00:06:47,280 ZYLOZENE BEING MIXED INTO 136 00:06:47,280 --> 00:06:49,840 FENTANYL AS WELL AS OTHER 137 00:06:49,840 --> 00:06:51,840 ILLICIT OPIOIDS. TELEHEALTH 138 00:06:51,840 --> 00:06:53,240 RULES THAT WERE EXPANDED DURING 139 00:06:53,240 --> 00:06:57,360 THE PANDEMIC ARE STILL IN PLACE. 140 00:06:57,360 --> 00:07:02,080 THE PUBLIC COMMENT PERIOD ON RFI 141 00:07:02,080 --> 00:07:03,320 WHETHER OR NOT TO CONTINUE TO 142 00:07:03,320 --> 00:07:05,320 ALLOW PRESCRIBING OF CONTROLLED 143 00:07:05,320 --> 00:07:06,360 MEDICATIONS THROUGH TELEMEDICINE 144 00:07:06,360 --> 00:07:09,400 IS EXTENDED UNTIL NOVEMBER. WE 145 00:07:09,400 --> 00:07:12,560 HAVE GOTTEN OVER 38,000 COMMENTS 146 00:07:12,560 --> 00:07:21,400 INTO THE DEA ABOUT THIS ISSUE. 147 00:07:21,400 --> 00:07:22,520 THAT IS A RECORD NUMBER OF 148 00:07:22,520 --> 00:07:24,360 COMMENTS. THE WORK WE DO HERE AT 149 00:07:24,360 --> 00:07:29,240 NIH AND OTHER AGENCIES HAVE BEEN 150 00:07:29,240 --> 00:07:31,280 INFORMING THIS POLICY, I THINK 151 00:07:31,280 --> 00:07:32,600 BY MOST ACCOUNTS RESEARCH 152 00:07:32,600 --> 00:07:36,600 SUPPORT IT IS SAFETY AND 153 00:07:36,600 --> 00:07:39,720 EFFECTIVENESS OFFER TELEHEALTH 154 00:07:39,720 --> 00:07:41,080 PRESCRIBING BUPRENORPHINE AND 155 00:07:41,080 --> 00:07:42,320 METHADONE. PLEASE STAY TUNE. 156 00:07:42,320 --> 00:07:49,840 THIS IS A VERY FLUID STATE 157 00:07:49,840 --> 00:07:51,200 OBVIOUSLY. FDA ISSUED DRAFT 158 00:07:51,200 --> 00:07:53,840 GUIDANCE FOR RESEARCHERS 159 00:07:53,840 --> 00:07:55,960 INVESTIGATING PSYCHODELLIC DRUG 160 00:07:55,960 --> 00:07:57,200 AS POTENTIAL TREATMENT FOR 161 00:07:57,200 --> 00:07:59,640 MEDICAL CONDITIONS SUCH AS 162 00:07:59,640 --> 00:08:01,040 PSYCHIATRIC OR SUBSTANCE USE 163 00:08:01,040 --> 00:08:07,960 DISORDERS. I WANT TO BRIEFLY 164 00:08:07,960 --> 00:08:11,640 MENTION ADMINISTRATIVE CHANGES 165 00:08:11,640 --> 00:08:14,520 FOR HEAL BY MANY MEASURES, HOPE 166 00:08:14,520 --> 00:08:18,680 YOU AGREE HEAL IS A VERY SUCC 167 00:08:18,680 --> 00:08:21,680 SUCCESSFUL PROGRAM IT HAS 168 00:08:21,680 --> 00:08:23,160 ACHIEVED CUTTING EDGE SCIENTIFIC 169 00:08:23,160 --> 00:08:25,200 GOALS AND ADMINISTRATIVELY THIS 170 00:08:25,200 --> 00:08:29,000 PROGRAM IS QUITE WELL ORGANIZED 171 00:08:29,000 --> 00:08:30,800 AND WE ACHIEVED AS A MENTIONED A 172 00:08:30,800 --> 00:08:33,440 FEW MOMENTS AGO ENGAGEMENT OF 173 00:08:33,440 --> 00:08:35,080 MULTIPLE INSTITUTES CENTERS AND 174 00:08:35,080 --> 00:08:40,120 OFFICES ACROSS NIH. PROGRAM HAS 175 00:08:40,120 --> 00:08:41,240 SUFFICIENTLY MATURED TO ALLOW US 176 00:08:41,240 --> 00:08:43,120 TO MOVE THE DAY TO DAY 177 00:08:43,120 --> 00:08:44,200 ADMINISTRATION OF HEAL ACTIVITY 178 00:08:44,200 --> 00:08:47,400 THE OFFICE OF THE DIRECTOR. TO 179 00:08:47,400 --> 00:08:48,720 THE RELEVANT INSTITUTES AND 180 00:08:48,720 --> 00:08:52,200 CENTERS WHERE APPROPRIATIONS 181 00:08:52,200 --> 00:08:55,320 HAVE ALWAYS BEEN AS DECIDED BY 182 00:08:55,320 --> 00:08:56,880 THE CONGRESS. HEAL STAFF WILL BE 183 00:08:56,880 --> 00:09:01,360 MOVING TO EITHER NINDS OR NIDA 184 00:09:01,360 --> 00:09:03,560 AS A RESULT OF DAY TO DAY HEAL 185 00:09:03,560 --> 00:09:04,640 ADMINISTRATIVE FUNCTIONS WILL BE 186 00:09:04,640 --> 00:09:14,040 CARRIED OUT AT THE IC LEVEL. OUR 187 00:09:14,040 --> 00:09:15,920 INTENTION IS TO MAINTAIN THE 188 00:09:15,920 --> 00:09:17,560 HEAL BRAND AND STRATEGY. AND 189 00:09:17,560 --> 00:09:19,760 THIS SHOULD BE NOTICEABLE TO 190 00:09:19,760 --> 00:09:20,360 PARTNERS AND OTHERS INTERESTED 191 00:09:20,360 --> 00:09:24,840 IN OUR WORK. THIS IS CRITICAL 192 00:09:24,840 --> 00:09:26,160 BECAUSE I SAID MANY TIMES THE 193 00:09:26,160 --> 00:09:31,400 WORK THAT WE ARE ALL DOING IS 194 00:09:31,400 --> 00:09:34,000 URGENT AND WE DON'T WANT TO SLOW 195 00:09:34,000 --> 00:09:35,800 DOWN AND THINK THE 196 00:09:35,800 --> 00:09:37,120 ADMINISTRATIVE SHIFTS MAY ENABLE 197 00:09:37,120 --> 00:09:40,080 A SPEEDING OF WORK WITH PERHAPS 198 00:09:40,080 --> 00:09:46,280 SOME ENHANCED EFFICIENCIES. WE 199 00:09:46,280 --> 00:09:47,520 CONTINUE TO LOOK FOR YOUR GROUP 200 00:09:47,520 --> 00:09:49,280 AND OTHERS FOR GUIDANCE AND 201 00:09:49,280 --> 00:09:49,960 STEWARDSHIP ON THE HEAL 202 00:09:49,960 --> 00:09:53,360 INVESTMENT WHICH IS SUBSTANTIAL 203 00:09:53,360 --> 00:09:55,120 OVER THE NEXT COUPLE OF DAYS YOU 204 00:09:55,120 --> 00:09:56,960 WILL HEAR PROJECTS AND PROGRAMS, 205 00:09:56,960 --> 00:10:00,200 AS ALWAYS WE WANT YOUR 206 00:10:00,200 --> 00:10:02,720 UNVARNISHED VIEW ABOUT THEIR 207 00:10:02,720 --> 00:10:04,480 VALUE. THE NEW APPROACHES 208 00:10:04,480 --> 00:10:07,520 PROPOSED ARE INTENDED TO ADDRESS 209 00:10:07,520 --> 00:10:08,800 KEY GAPS PAIN MANAGEMENT 210 00:10:08,800 --> 00:10:10,520 SOLUTIONS FOR UNDERSERVED 211 00:10:10,520 --> 00:10:12,080 POPULATIONS FOR EXAMPLE, MEETING 212 00:10:12,080 --> 00:10:13,640 THE NEEDS OF PATIENTS ON LONG 213 00:10:13,640 --> 00:10:19,720 TERM OPIOIDS. INDIVIDUALS IN 214 00:10:19,720 --> 00:10:22,440 RURAL AREAS AND WITH SICKLE CELL 215 00:10:22,440 --> 00:10:27,640 DISEASE. EACH BRINGING THEIR OWN 216 00:10:27,640 --> 00:10:29,200 UNIQUE COMPLICATED ISSUES. WE 217 00:10:29,200 --> 00:10:31,680 WANT TO ENSURE QUALITY AND 218 00:10:31,680 --> 00:10:32,920 RELIABILITY OF ADDICTION CARE. 219 00:10:32,920 --> 00:10:34,960 WE WANT TO CONTINUE TO DEVELOP 220 00:10:34,960 --> 00:10:38,520 PRECISE OUTCOME MEASURES FOR 221 00:10:38,520 --> 00:10:39,280 HUMAN PAIN. PREPONDERANCE OF THE 222 00:10:39,280 --> 00:10:40,200 EVIDENCE WE CONTINUE TO 223 00:10:40,200 --> 00:10:43,640 ACCELERATE THE PATH TO 224 00:10:43,640 --> 00:10:44,680 COMMERCIALIZATION FORM BASIC AND 225 00:10:44,680 --> 00:10:45,840 TRANSLATIONAL WORK FUNDED BY THE 226 00:10:45,840 --> 00:10:53,360 HEAL INITIATIVE. SO JUST TO SUM 227 00:10:53,360 --> 00:10:56,080 UP THE CRISIS OF UNDERTREATED 228 00:10:56,080 --> 00:10:58,520 PAIN OF SUBSTANCE USE AND 229 00:10:58,520 --> 00:11:00,600 OVERDOSE CONTINUES OUR FULL 230 00:11:00,600 --> 00:11:01,800 ATTENTION, DEDICATION, 231 00:11:01,800 --> 00:11:05,960 CREATIVITY. RESEARCH DOES GIVE 232 00:11:05,960 --> 00:11:08,800 PEOPLE HOPE. I HOPE Y'ALL AGREE 233 00:11:08,800 --> 00:11:11,880 THROUGH SCIENCE AND EMPOWERING 234 00:11:11,880 --> 00:11:13,760 COMMUNITIES HEAL IS REALLY 235 00:11:13,760 --> 00:11:15,200 MAKING A DIFFERENCE IN THE LIVES 236 00:11:15,200 --> 00:11:16,760 OF MANY PEOPLE ACROSS THE 237 00:11:16,760 --> 00:11:19,720 COUNTRY. I WANT TO THANK YOU 238 00:11:19,720 --> 00:11:22,560 AGAIN FOR YOUR TIME AND YOUR 239 00:11:22,560 --> 00:11:24,360 TALENT AND OF COURSE YOUR 240 00:11:24,360 --> 00:11:28,400 CANDOR. WE DO LISTEN TO YOUR 241 00:11:28,400 --> 00:11:30,880 CONCERNS AND YOUR ADVICE. WE 242 00:11:30,880 --> 00:11:33,920 CERTAINLY RELY ON YOU HELP 243 00:11:33,920 --> 00:11:36,320 ENSURE WE ARE ON THE BEST PATH 244 00:11:36,320 --> 00:11:37,680 FORWARD TO ACHIEVE OUR MISSION 245 00:11:37,680 --> 00:11:39,960 OF ENDING ADDICTION LONG TERM. 246 00:11:39,960 --> 00:11:43,120 SO WITH THAT, I WILL TURN THE 247 00:11:43,120 --> 00:11:44,480 PODIUM BACK TO YOU, REBECCA. 248 00:11:44,480 --> 00:11:46,080 THANK YOU. 249 00:11:46,080 --> 00:11:50,640 >>THANK YOU, DR. TABAK. I SEE 250 00:11:50,640 --> 00:11:53,760 DR. NUNEZ HAS JOINED US WHILE WE 251 00:11:53,760 --> 00:11:55,440 WERE GETTING STARTED. WOULD YOU 252 00:11:55,440 --> 00:11:57,200 LIKE TO SAY HELLO, GOOD MORNING, 253 00:11:57,200 --> 00:12:04,760 DR. NUNEZ? UH-OH. I PUT YOU ON 254 00:12:04,760 --> 00:12:06,880 THE SPOT. I'M SORRY. I WILL 255 00:12:06,880 --> 00:12:08,320 JUST WAVE AT YOU AND SAY GOOD 256 00:12:08,320 --> 00:12:11,440 MORNING. ALSO WE HAVE DR. JOENY 257 00:12:11,440 --> 00:12:13,440 (INAUDIBLE) HEAL EXECUTIVE 258 00:12:13,440 --> 00:12:15,960 COMMITTEE REPRESENTING NCATS, 259 00:12:15,960 --> 00:12:19,720 JUST A MOMENT, JONI. I THINK WE 260 00:12:19,720 --> 00:12:22,200 CAN AT THIS TIME TURN IT OVER TO 261 00:12:22,200 --> 00:12:24,240 DR.S KOROSHETZ AND VOLKOW WHO 262 00:12:24,240 --> 00:12:28,520 WILL BE SHARING THEIR PLANS FOR 263 00:12:28,520 --> 00:12:30,080 THE NEXT PHASE OF HEAL AND 264 00:12:30,080 --> 00:12:31,480 ASKING FOR YOUR INPUT AND 265 00:12:31,480 --> 00:12:34,560 DISCUSSION. NORA, I BELIEVE YOU 266 00:12:34,560 --> 00:12:35,480 ARE GOING FIRST. 267 00:12:35,480 --> 00:12:37,920 >>THANKS REBECCA VERY MUCH AND 268 00:12:37,920 --> 00:12:39,440 I ALSO WANT TO THANK JUST LIKE 269 00:12:39,440 --> 00:12:40,920 LARRY DID EVERYONE AT THE 270 00:12:40,920 --> 00:12:44,360 MULTI-DISCIPLINARY WORKING GROUP 271 00:12:44,360 --> 00:12:47,960 BECAUSE THIS HAS BEEN YOUR INPUT 272 00:12:47,960 --> 00:12:51,880 HAS BEEN VERY USEFUL HELPING 273 00:12:51,880 --> 00:12:53,200 IDENTIFY WHAT MAYBE PRIORITIES 274 00:12:53,200 --> 00:12:54,160 AND HOW TO ACCELERATE THE 275 00:12:54,160 --> 00:13:00,240 SCIENCE. FROM THE BEGINNING NIDA 276 00:13:00,240 --> 00:13:03,200 HAS BEEN ADDRESSING MAJOR 277 00:13:03,200 --> 00:13:04,560 CHALLENGES WITH OVERDOSE CRISIS 278 00:13:04,560 --> 00:13:10,720 AND THROUGH THE HEAL WE HAVE 279 00:13:10,720 --> 00:13:13,320 BEEN ABLE TO EXPAND THE SPEED 280 00:13:13,320 --> 00:13:14,920 AND DEPTH TO DEAL WITH EM. 281 00:13:14,920 --> 00:13:16,280 THIS THE EFFORTS HAVE BEEN 282 00:13:16,280 --> 00:13:17,640 FOCUSED FROM INCEPTION ON 283 00:13:17,640 --> 00:13:18,920 HELPING TO DEVELOP MEDICATIONS 284 00:13:18,920 --> 00:13:23,280 AND THERAPEUTICS THAT ARE MORE 285 00:13:23,280 --> 00:13:24,440 EFFECTIVE PROVIDE ALTERNATIVES 286 00:13:24,440 --> 00:13:25,800 FOR PEOPLE THAT DON'T JUST 287 00:13:25,800 --> 00:13:29,120 RESPOND TO ONE. WE FOCUS VERY 288 00:13:29,120 --> 00:13:33,840 MUCH THROUGHOUT ALL THE EFFORTS 289 00:13:33,840 --> 00:13:35,080 ENSURING MEDICATIONS AND 290 00:13:35,080 --> 00:13:36,120 TREATMENT THAT HAVE SHOWN 291 00:13:36,120 --> 00:13:38,680 EVIDENCE OF EVE DA SID DO SHOW 292 00:13:38,680 --> 00:13:40,680 EVIDENCE OF EFFECTIVENESS WHEN 293 00:13:40,680 --> 00:13:41,840 TAKING ADVANTAGE OF THE CLINICAL 294 00:13:41,840 --> 00:13:45,520 TRIAL NETWORK TO DO SO. WE PRY I 295 00:13:45,520 --> 00:13:46,600 DON'T HAVE ADVERTISE THROUGH THE 296 00:13:46,600 --> 00:13:48,920 FUNDING COMING THROUGH THE HEAL 297 00:13:48,920 --> 00:13:54,520 TO ENSURE IMPLEMENTATION 298 00:13:54,520 --> 00:13:55,960 RESEARCH AND ENGAGING WITH 299 00:13:55,960 --> 00:13:57,280 COMMUNITIES NORMALLY NOT THE 300 00:13:57,280 --> 00:14:01,560 TARGET OF THE NIH. LIKE THE 301 00:14:01,560 --> 00:14:03,240 NETWORK RESEARCH THAT ENABLED US 302 00:14:03,240 --> 00:14:05,440 TO PERMEATE AND DEVELOP 303 00:14:05,440 --> 00:14:09,720 STRATEGIES TO TREAT PEOPLE THAT 304 00:14:09,720 --> 00:14:11,520 ARE IN JAIL OR RELEASED FROM 305 00:14:11,520 --> 00:14:12,680 JAIL AND SIGNIFICANTLY CHANGE 306 00:14:12,680 --> 00:14:17,120 THE CULTURE OF THOSE PRACTICES. 307 00:14:17,120 --> 00:14:20,120 WE PRIORITIZED ALL ALONG AND 308 00:14:20,120 --> 00:14:21,360 STRENGTHENING THAT WITH 309 00:14:21,360 --> 00:14:23,480 RESOURCES FROM HEAL. VERY MUCH 310 00:14:23,480 --> 00:14:25,680 THE WHOLE AREA OF PREVENTION 311 00:14:25,680 --> 00:14:26,960 BECAUSE AT THE END OF THE DAY 312 00:14:26,960 --> 00:14:28,960 THIS IS LIKELY TO BE 313 00:14:28,960 --> 00:14:30,200 INTERVENTION THAT WILL HAVE THE 314 00:14:30,200 --> 00:14:36,280 LARGEST INSIGHT. -- IMPACT. WE 315 00:14:36,280 --> 00:14:40,560 HAVE COME TO RECOGNIZE ISSU ISSF 316 00:14:40,560 --> 00:14:42,240 COMORBIDITY. PAIN IS A KEY 317 00:14:42,240 --> 00:14:44,280 PLAYER IN THE OVERDOSE CRISIS. 318 00:14:44,280 --> 00:14:46,160 BUT IT IS ALSO COMPOUNDED BY 319 00:14:46,160 --> 00:14:50,440 OTHER ASSOCIATED CONDITIONS 320 00:14:50,440 --> 00:14:51,760 NOTABLY MENTAL HEALTH CONDITIONS 321 00:14:51,760 --> 00:14:53,880 AND FREQUENCY CO-MORBID 322 00:14:53,880 --> 00:14:55,600 SUBSTANCE USE ACTUALLY OCCURS. 323 00:14:55,600 --> 00:14:59,320 IN THIS PROCESS THROUGHOUT THESE 324 00:14:59,320 --> 00:15:03,240 FIVE YEARS OF HEAL, WE ENGAGE 325 00:15:03,240 --> 00:15:05,920 PARTNERSHIPS WITH MULTIPLE 326 00:15:05,920 --> 00:15:08,200 INSTITUTES THAT HAVE REALLY 327 00:15:08,200 --> 00:15:09,800 ENRICHED THE ABILITY TO DEVELOP 328 00:15:09,800 --> 00:15:15,160 AND ACCELERATE THE SCIENCE. 329 00:15:15,160 --> 00:15:16,720 WHEN WE PLAN TO MOVE THE NEW 330 00:15:16,720 --> 00:15:24,640 PHASE OF HEAL CALLING IT 2.0. TO 331 00:15:24,640 --> 00:15:25,840 GENERATE HEAL IN NIDA, THE 332 00:15:25,840 --> 00:15:27,040 DIRECTORS OF IT TO TAKE 333 00:15:27,040 --> 00:15:30,080 ADVANTAGE OF THE STRUCTURE THAT 334 00:15:30,080 --> 00:15:31,440 EXCEEDS EXPERTISE THE INSTITUTE 335 00:15:31,440 --> 00:15:33,640 WHICH ACTUALLY WAS THE ONE THAT 336 00:15:33,640 --> 00:15:36,480 WAS LEADING BASICALLY THE 337 00:15:36,480 --> 00:15:39,640 PROJECTS THAT RELATE TO OPIOID 338 00:15:39,640 --> 00:15:41,320 USE DISORDER TREATMENT AND 339 00:15:41,320 --> 00:15:42,480 OVERDOSE REVERSAL IMPLEMENTATION 340 00:15:42,480 --> 00:15:49,160 SCIENCES. WE WILL ENGAGE AUTISM 341 00:15:49,160 --> 00:15:51,120 WHO HAVE BEEN PARTICIPATING AND 342 00:15:51,120 --> 00:15:52,880 THERE WILL BE MONTHLY MEETINGS, 343 00:15:52,880 --> 00:15:56,280 UPDATES WILL BE MADE TO ENSURE 344 00:15:56,280 --> 00:15:56,840 THERE SHAH PARTICIPATION AND 345 00:15:56,840 --> 00:16:01,680 DIALOGUE. ALL THESE WILL BE DONE 346 00:16:01,680 --> 00:16:04,160 IN PARTNERSHIP WITH EQUIVALENT 347 00:16:04,160 --> 00:16:06,720 OF IT AT NINDS WILL BE LIKE 348 00:16:06,720 --> 00:16:10,280 WALTER. AT THE END OF THE DAY WE 349 00:16:10,280 --> 00:16:12,400 WILL BE NIDA WILL TAKE THE 350 00:16:12,400 --> 00:16:14,280 RESPONSIBILITY TO ENSURE AND YOU 351 00:16:14,280 --> 00:16:17,400 HAVE OUR COMMITMENT THAT THE 352 00:16:17,400 --> 00:16:19,040 PROJECTS WILL CONTINUE, WE WILL 353 00:16:19,040 --> 00:16:20,360 CONTINUE TO ACCELERATE THE 354 00:16:20,360 --> 00:16:22,640 SCIENCE, MAXIMIZE RESOURCES, AND 355 00:16:22,640 --> 00:16:26,200 HAVE THE FLEXIBILITY TO ACTUALLY 356 00:16:26,200 --> 00:16:28,040 CHANGE THE LANDSCAPE OF THE 357 00:16:28,040 --> 00:16:30,920 OVERDOSE CRISIS WHILE ENSURING 358 00:16:30,920 --> 00:16:32,520 OF COURSE WE ARE WORKING WITH 359 00:16:32,520 --> 00:16:34,640 THE RELEVANT AGENCIES. SO THE 360 00:16:34,640 --> 00:16:36,320 MULTI-DISCIPLINARY WORKING GROUP 361 00:16:36,320 --> 00:16:38,560 WILL BE PART OF ALL THESE 362 00:16:38,560 --> 00:16:40,440 ENDEAVOR AND I LOOK FORWARD TO 363 00:16:40,440 --> 00:16:43,080 MULTIPLE INTERACTIONS. SO NOW I 364 00:16:43,080 --> 00:16:53,520 PASS IT BY TO YOU WALTER. 365 00:16:58,720 --> 00:17:01,000 >>THANKS, NORA AND REBECCA. THE 366 00:17:01,000 --> 00:17:02,240 MAIN POINT I WANT TO MAKE IS 367 00:17:02,240 --> 00:17:05,440 THAT I THINK THE TRANSITION OF 368 00:17:05,440 --> 00:17:11,000 THE OPERATIONS FROM DR. TABAK'S 369 00:17:11,000 --> 00:17:15,760 SOURCE OF INSTITUTES SHOULD BE 370 00:17:15,760 --> 00:17:17,200 COMPLETELY UNIMPORTANT TO THE 371 00:17:17,200 --> 00:17:19,040 OUTSIDE WORLD, IT IS BASICALLY 372 00:17:19,040 --> 00:17:23,840 JUST ANOTHER WAY OF OPERATING 373 00:17:23,840 --> 00:17:26,440 AND NORA AND I CERTAINLY WORKED 374 00:17:26,440 --> 00:17:27,760 IN THIS SPACE WITH OTHER 375 00:17:27,760 --> 00:17:29,520 PROGRAMS VERY SIMILAR WITH BRAIN 376 00:17:29,520 --> 00:17:30,160 INITIATIVE CERTAINLY THE 377 00:17:30,160 --> 00:17:37,360 BIGGEST. SO I THINK IN TERMS OF 378 00:17:37,360 --> 00:17:40,280 PAIN SIDE OF THINGS, I JUST SAY 379 00:17:40,280 --> 00:17:43,320 WE ARE COMMITTED TO MAKING HEAL 380 00:17:43,320 --> 00:17:47,200 HEALTHY WHOLE AND ACTUALLY 381 00:17:47,200 --> 00:17:49,920 BECAUSE THERE IS NO INSTITUTE 382 00:17:49,920 --> 00:17:53,000 FOR PAIN THE HEAL INITIATIVE IS 383 00:17:53,000 --> 00:17:56,000 JUST A FANTASTIC OPPORTUNITY TO 384 00:17:56,000 --> 00:18:01,480 MOVE PAIN SCIENCE FORWARD. FOR 385 00:18:01,480 --> 00:18:03,160 PAIN RESEARCH IT IS JUST AMAZING 386 00:18:03,160 --> 00:18:05,080 WHAT WE HAVE BEEN ABLE TO DO. WE 387 00:18:05,080 --> 00:18:07,440 COULDN'T HAVE DONE IT WITHOUT 388 00:18:07,440 --> 00:18:11,720 HEAL AND LEADERSHIP WE GOT FROM 389 00:18:11,720 --> 00:18:16,120 DR. COLLINS TABAK AND BAKER. SO 390 00:18:16,120 --> 00:18:18,640 GOING FORWARD THE PLAN ON THE 391 00:18:18,640 --> 00:18:20,840 PAIN SIDE IS TO BASICALLY WORK 392 00:18:20,840 --> 00:18:23,520 AS WE DO SAY IN BRAIN OR 393 00:18:23,520 --> 00:18:24,840 BLUEPRINT NEUROSCIENCE, SO IT IS 394 00:18:24,840 --> 00:18:28,400 AN IC LED GOVERNANCE MODEL, THE 395 00:18:28,400 --> 00:18:31,680 IDEA THERE IS THAT YOU REALLY 396 00:18:31,680 --> 00:18:36,000 CAN LEVERAGE THE SCIENTIFIC 397 00:18:36,000 --> 00:18:39,000 MULTIPLE INSTITUTES AND THEN USE 398 00:18:39,000 --> 00:18:39,920 ADMINISTRATIVE INFRASTRUCTURE 399 00:18:39,920 --> 00:18:43,640 THAT NIDA AND NINDS HAVE SLOTTED 400 00:18:43,640 --> 00:18:46,080 IN THE OPERATIONAL PIECES. BUT 401 00:18:46,080 --> 00:18:47,840 THE SCIENCE WAS THE MOST 402 00:18:47,840 --> 00:18:48,720 IMPORTANT PIECE SO WE CONTINUE 403 00:18:48,720 --> 00:18:50,840 TO HAVE THE SCIENCE TEAMS, 404 00:18:50,840 --> 00:18:52,360 CONTINUE TO WORK ON NEW 405 00:18:52,360 --> 00:18:56,160 INITIATIVES, MANAGING PROGRAMS, 406 00:18:56,160 --> 00:19:01,480 THE PROGRAMS ARE MANAGED BY THE 407 00:19:01,480 --> 00:19:05,320 INSTITUTES. THEN THE IC 408 00:19:05,320 --> 00:19:09,560 DIRECTORS AS NORA MENTIONED WITH 409 00:19:09,560 --> 00:19:11,000 EQUITIES IN HEAL OUD AND PAIN 410 00:19:11,000 --> 00:19:12,360 WILL CONTINUE TO HAVE A KEY ROLE 411 00:19:12,360 --> 00:19:14,520 IN THE HEAL GOVERNANCE. SO THE 412 00:19:14,520 --> 00:19:18,480 IC DIRECTORS WILL BE MEETING ON 413 00:19:18,480 --> 00:19:21,040 A FREQUENT BASIS AND THE PAIN 414 00:19:21,040 --> 00:19:23,360 SIDE WE HAVE BEEN ABLE TO EXPAND 415 00:19:23,360 --> 00:19:25,600 NUMBER OF ICs THAT WILL BE 416 00:19:25,600 --> 00:19:28,040 COMING INTO THE EXECUTIVE 417 00:19:28,040 --> 00:19:29,280 COMMITTEE THAT WILL THEN HAVE 418 00:19:29,280 --> 00:19:32,240 VOTING POWER WHAT WE ACTUALLY DO 419 00:19:32,240 --> 00:19:36,960 AND ALSO BE LOOKING ON AN ALMOST 420 00:19:36,960 --> 00:19:39,080 CONTINUOUS BASIS LIKE REBECCA'S 421 00:19:39,080 --> 00:19:40,400 TEAM DID ON WHAT IS GOING ON AT 422 00:19:40,400 --> 00:19:49,280 HEAL. SOD WE HAVE NIAMS, LINDS 423 00:19:49,280 --> 00:19:56,640 SHY, NCCIH ARENA, NLM IS ALSO 424 00:19:56,640 --> 00:19:59,280 JOINING, PATTY BRENNAN IS GREAT 425 00:19:59,280 --> 00:20:02,240 AT BIOINFORMATICS AND NIDDK WILL 426 00:20:02,240 --> 00:20:04,480 JOIN, ABDOMINAL PAIN AND 427 00:20:04,480 --> 00:20:06,280 DIABETIC NEUROPATHY PAIN, DR. 428 00:20:06,280 --> 00:20:09,120 HODES FROM THE AGING INSTITUTE, 429 00:20:09,120 --> 00:20:10,600 PAIN AND AGE IS CERTAINLY A BIG 430 00:20:10,600 --> 00:20:15,040 PROBLEM. WE WOULD LIKE TO LIKE 431 00:20:15,040 --> 00:20:17,080 WITH ANY PROGRAMS TAKE ADVANTAGE 432 00:20:17,080 --> 00:20:18,240 OF SOME OF THE WORK THAT CAN BE 433 00:20:18,240 --> 00:20:21,240 DONE IN THE CLINICAL CENTER SO 434 00:20:21,240 --> 00:20:25,120 THAT CAN -- KIM GILLMAN RUNS THE 435 00:20:25,120 --> 00:20:30,000 CLINICAL CENTER, BRUCE TROMBURG 436 00:20:30,000 --> 00:20:33,880 FROM NIDID, THE NEW DIRECTOR OF 437 00:20:33,880 --> 00:20:36,320 OBSSR AND DR. CLAYTON FROM 438 00:20:36,320 --> 00:20:39,840 OFFICE OF WOMEN'S HEALTH. SO WE 439 00:20:39,840 --> 00:20:43,120 PLAN TO MEET ON A REGULAR BASIS 440 00:20:43,120 --> 00:20:46,240 ONCE EVERY MONTH TO GET 441 00:20:46,240 --> 00:20:49,560 OPERATIONALIZE THIS, WE USUALLY 442 00:20:49,560 --> 00:20:51,040 HAVE A COUPLE OF IC DIRECTORS 443 00:20:51,040 --> 00:20:52,720 WORKING DAY TO DAY, WEEK TO WEEK 444 00:20:52,720 --> 00:20:53,680 AT LEAST PREPARING FOR THE 445 00:20:53,680 --> 00:20:56,400 MONTHLY MEETINGS. SO I WILL 446 00:20:56,400 --> 00:20:59,320 CHAIR THAT WITH ONE OR TWO OTHER 447 00:20:59,320 --> 00:21:00,600 IC MEMBERS AND EVERYONE WILL GET 448 00:21:00,600 --> 00:21:06,720 A CHANCE TO PITCH IN. AS NORA 449 00:21:06,720 --> 00:21:07,720 MENTIONED THERE WILL BE JOINT 450 00:21:07,720 --> 00:21:08,960 MEETING OF PAIN GROUP AND THE 451 00:21:08,960 --> 00:21:10,600 HEAL GROUP TO ADVISE ON THE 452 00:21:10,600 --> 00:21:15,000 CROSS CUTTING PROGRAMS AND 453 00:21:15,000 --> 00:21:16,200 KEEPING THE HEAL BRAND OUT THERE 454 00:21:16,200 --> 00:21:19,840 AND SACRED, PLANNING THE SCIENCE 455 00:21:19,840 --> 00:21:21,960 THAT CROSS CUTS BETWEEN PAIN AND 456 00:21:21,960 --> 00:21:23,880 OPIOID OVERUSE DISORDER, THINGS 457 00:21:23,880 --> 00:21:28,000 LIKE THE DATA ECOSYSTEM, THE 458 00:21:28,000 --> 00:21:29,000 COMMUNICATION DISSEMINATION PART 459 00:21:29,000 --> 00:21:33,800 OF HEAL, CROSS CUTTING PROGRAM 460 00:21:33,800 --> 00:21:37,880 THAT THE BIGGER JOINT GROUPS 461 00:21:37,880 --> 00:21:42,080 WILL OVERSEE NWG AND THE HEAL 462 00:21:42,080 --> 00:21:42,840 PARTNERSHIP COMMITTEE AND THE 463 00:21:42,840 --> 00:21:44,400 HEAL PI MEETINGS. SO THE PLAN IS 464 00:21:44,400 --> 00:21:50,080 TO DO EXACTLY WHAT HAS BEEN DONE 465 00:21:50,080 --> 00:21:54,920 BEFORE, AND OVER TIME WORKING AS 466 00:21:54,920 --> 00:21:56,280 ALWAYS TO TRY TO IMPROVE THINGS 467 00:21:56,280 --> 00:21:57,760 SO INPUT IS REALLY IMPORTANT AS 468 00:21:57,760 --> 00:22:04,520 IT HAS BEEN IN THE PAST. BUT 469 00:22:04,520 --> 00:22:06,440 MAYBE MORE IMPORTANT IN THE 470 00:22:06,440 --> 00:22:10,080 FUTURE AS IT GETS TO MORE 471 00:22:10,080 --> 00:22:14,200 DISSEMINATED MULTI-IC OPERATION. 472 00:22:14,200 --> 00:22:15,880 THE OTHER THING TO MENTION IS 473 00:22:15,880 --> 00:22:18,400 THAT WE ARE TRYING TO RUN THE 474 00:22:18,400 --> 00:22:20,760 PAIN SIDE IS TO INTEGRATE MORE 475 00:22:20,760 --> 00:22:24,320 WITH WHAT WE CALL NIH PAIN 476 00:22:24,320 --> 00:22:26,680 CONSORTIUM. I DON'T KNOW PEOPLE 477 00:22:26,680 --> 00:22:28,800 KNOW ABOUT THIS, BUT THIS WAS 478 00:22:28,800 --> 00:22:34,320 ESTABLISHED A LONG TIME AGO AND 479 00:22:34,320 --> 00:22:36,800 ALL MEMBERS OF THE LEADERSHIP 480 00:22:36,800 --> 00:22:39,120 COMMITTEE ARE ON THE PAIN 481 00:22:39,120 --> 00:22:43,320 EXECUTIVE COMMITTEE AS WELL. 482 00:22:43,320 --> 00:22:44,760 -REPRESENTS 19 NIH INSTITUTES 483 00:22:44,760 --> 00:22:50,240 AND CENTERS. WE ARE HOPING TO 484 00:22:50,240 --> 00:22:52,000 MAYBE HIT THE BUTTON AGAIN, 485 00:22:52,000 --> 00:22:59,560 SOMETHING IS NOT SHOWING. GO 486 00:22:59,560 --> 00:23:01,880 BACK. THE HEAL PAIN CONSORTIUM 487 00:23:01,880 --> 00:23:04,040 IS THE OPPORTUNITY TO GET INPUT 488 00:23:04,040 --> 00:23:06,400 FROM ALL THE INSTITUTES EVEN 489 00:23:06,400 --> 00:23:08,280 THOSE WHOSE IC DIRECTORS REALLY 490 00:23:08,280 --> 00:23:10,720 CAN'T TAKE PART OF THE EXECUTIVE 491 00:23:10,720 --> 00:23:13,440 COMMITTEE BECAUSE OF THE FINE 492 00:23:13,440 --> 00:23:18,760 CONSTRAINTS, LIKE DR. GIBBONS, 493 00:23:18,760 --> 00:23:23,160 NHLBI, SICKLE CELL PAIN, DR. 494 00:23:23,160 --> 00:23:24,800 BERGNOLI NCI CANCER PAIN BUT ALL 495 00:23:24,800 --> 00:23:26,600 THE INSTITUTES CAN MEET AND HAVE 496 00:23:26,600 --> 00:23:28,040 THEIR REPRESENTATIVES UNDERSTAND 497 00:23:28,040 --> 00:23:32,520 WHAT IS GOING ON AT HEAL AND 498 00:23:32,520 --> 00:23:34,880 GIVE HEAL THEIR THOUGHTS ABOUT 499 00:23:34,880 --> 00:23:38,480 WHAT WE CAN DO THAT IMPACT THEIR 500 00:23:38,480 --> 00:23:40,560 MISSION. OF COURSE THE PROGRAMS 501 00:23:40,560 --> 00:23:43,360 THEMSELVES ARE RUN OUT OF 502 00:23:43,360 --> 00:23:44,880 MULTIPLE INSTITUTES WITH THE 503 00:23:44,880 --> 00:23:47,680 PROGRAM DIRECTORS GRANT HERE AND 504 00:23:47,680 --> 00:23:50,880 THERE, SO WE -- AND ALSO TO 505 00:23:50,880 --> 00:23:51,800 BRING IN PROGRAM PEOPLE FROM THE 506 00:23:51,800 --> 00:23:53,920 INSTITUTES TO WORK IN HEAL, THIS 507 00:23:53,920 --> 00:23:55,760 WILL BE A WAY FOR THOSE WHO 508 00:23:55,760 --> 00:23:57,560 CAN'T MAKE AN EXECUTIVE 509 00:23:57,560 --> 00:23:59,640 COMMITTEE TO BE REALLY 510 00:23:59,640 --> 00:24:01,440 INTEGRATED INTO WHAT HEAL IS 511 00:24:01,440 --> 00:24:07,240 DOING. NEXT SLIDE. SO THE 512 00:24:07,240 --> 00:24:08,040 THOUGHT IS THE REPRESENTATIVES 513 00:24:08,040 --> 00:24:09,720 OF THE PAIN CONSORTIUM WILL 514 00:24:09,720 --> 00:24:13,040 SERVE BETWEEN THE LINK BETWEEN 515 00:24:13,040 --> 00:24:14,800 HEAL AND INSTITUTE, THE BANK 516 00:24:14,800 --> 00:24:16,680 CONSORTIUM REPRESENTATIVES WILL 517 00:24:16,680 --> 00:24:19,440 MANAGE YOUR PROJECTS OR ADVISE 518 00:24:19,440 --> 00:24:26,360 HEAL TEAMS, THE PROGRAMS HAVE 519 00:24:26,360 --> 00:24:28,040 FOLLOWING THE INSTITUTE AND THE 520 00:24:28,040 --> 00:24:29,560 HEAL PAIN CONSORTIUM WILL SERVE 521 00:24:29,560 --> 00:24:31,680 AS A VOICE BETWEEN THE HEAL AND 522 00:24:31,680 --> 00:24:32,800 THE EXECUTIVE COMMITTEE 523 00:24:32,800 --> 00:24:34,160 PROPOSING AND DESIGNING NEW 524 00:24:34,160 --> 00:24:36,080 INITIATIVES. 525 00:24:36,080 --> 00:24:37,440 SO WE ARE TAKING THE LESSONED 526 00:24:37,440 --> 00:24:41,200 LEARNED AT HEAL AND JUST TRYING 527 00:24:41,200 --> 00:24:45,920 TO STRENGTHEN THE SCIENTIFIC AND 528 00:24:45,920 --> 00:24:48,480 MANAGEMENT EXPERTISE WE HAVE 529 00:24:48,480 --> 00:24:50,000 ACROSS MULTIPLE INSTITUTES 530 00:24:50,000 --> 00:24:51,680 INVOLVED IN PAIN. SO LOOKING 531 00:24:51,680 --> 00:24:56,800 FORWARD TO THIS, I THINK IT IS 532 00:24:56,800 --> 00:24:58,600 EXCITING OPPORTUNITY, THE 533 00:24:58,600 --> 00:24:59,960 STRENGTH AND THE PAIN SIDE OF 534 00:24:59,960 --> 00:25:02,960 THE HEAL AND THE WORK, CONTINUE 535 00:25:02,960 --> 00:25:07,920 TO WORK WITH NIDA AND THE OUD 536 00:25:07,920 --> 00:25:11,240 TEAM ON THE OVERALL AIM OF HEAL 537 00:25:11,240 --> 00:25:16,560 WHICH IS TO REDUCE OPIOID USE 538 00:25:16,560 --> 00:25:20,480 DISORDER AND DEATH FROM THE PAIN 539 00:25:20,480 --> 00:25:22,960 SIDE THE L IN HEAL STANDS FOR 540 00:25:22,960 --> 00:25:25,960 LONG TERM. I THINK PEOPLE AGREE 541 00:25:25,960 --> 00:25:29,720 THE LESS WE CAN GET OPIOIDS USE 542 00:25:29,720 --> 00:25:32,960 FOR PAIN DIMINISHED AND MEDICAL 543 00:25:32,960 --> 00:25:35,640 CARE WE ARE NEVER GOING TO GET. 544 00:25:35,640 --> 00:25:38,000 AND NEVER GOING TO SOLVE THIS 545 00:25:38,000 --> 00:25:40,200 PROBLEM IN THE LODGE RUN. THAT'S 546 00:25:40,200 --> 00:25:42,000 WHAT -- LONG RUN. THAT IS WHAT I 547 00:25:42,000 --> 00:25:43,280 WANTED THE SHARE WITH PEOPLE AT 548 00:25:43,280 --> 00:25:44,440 THIS POINT. LOTS OF THINGS IN 549 00:25:44,440 --> 00:25:47,240 THE AIR BECAUSE THIS IS A 550 00:25:47,240 --> 00:25:49,080 DEMOCRATIC PROCESS AND WE GET 551 00:25:49,080 --> 00:25:50,280 INPUT FROM ALL THE DIFFERENT 552 00:25:50,280 --> 00:25:56,000 ICs NOW. 553 00:25:56,000 --> 00:25:57,840 >>THANK YOU, WALTER. THANK YOU, 554 00:25:57,840 --> 00:26:04,360 NORA. ARE THERE QUESTIONS FROM 555 00:26:04,360 --> 00:26:05,200 THE EXECUTIVE COMMITTEE 556 00:26:05,200 --> 00:26:06,400 SPECIFICALLY ABOUT WHAT YOU 557 00:26:06,400 --> 00:26:07,960 HEARD. QUESTIONS FROM THE 558 00:26:07,960 --> 00:26:08,880 EXECUTIVE COMMITTEE, QUESTIONS 559 00:26:08,880 --> 00:26:10,440 FROM THE MULTI-DISCIPLINARY 560 00:26:10,440 --> 00:26:11,640 WORKING GROUP ABOUT WHAT YOU 561 00:26:11,640 --> 00:26:13,360 JUST HEARD IN TERMS OF THE 562 00:26:13,360 --> 00:26:14,560 ORGANIZATIONAL PLAN GOING 563 00:26:14,560 --> 00:26:20,200 FORWARD? 564 00:26:20,200 --> 00:26:22,160 >>HOPEFULLY YOU WON'T NOTICE 565 00:26:22,160 --> 00:26:32,680 ANYTHING. ALAN IS BITING HIS 566 00:26:40,520 --> 00:26:42,560 FINGERNAILS. 567 00:26:42,560 --> 00:26:46,800 >>I'M SCRATCHING MY TEETH. 568 00:26:46,800 --> 00:26:51,840 THAT'S WHAT I TOLD MY FATHER. 569 00:26:51,840 --> 00:26:53,440 >>-- YOU HAVE YOUR HAND RAISE. 570 00:26:53,440 --> 00:26:56,160 >>SORRY GUYS, FUN TO BE TRIPLE 571 00:26:56,160 --> 00:26:58,000 BOOKED. BUT I HAD BROUGHT THIS 572 00:26:58,000 --> 00:26:59,480 UP BEFORE, I THINK IT IS A 573 00:26:59,480 --> 00:27:03,920 FABULOUS TIME IN OUR HISTORY AND 574 00:27:03,920 --> 00:27:08,800 TO LAUNCH FROM THE PROGRAM TO BE 575 00:27:08,800 --> 00:27:13,720 ENGAGED IN A REFRESH MODE OF A 576 00:27:13,720 --> 00:27:17,440 STRATEGIC PLAN FOR BOTH ENTITIES 577 00:27:17,440 --> 00:27:18,760 THAT ALLOW US TO THINK 578 00:27:18,760 --> 00:27:20,680 DIFFERENTLY AND MOVE AHEAD IN A 579 00:27:20,680 --> 00:27:23,480 DIFFERENT WAY OR REPEAT BEST 580 00:27:23,480 --> 00:27:26,240 PRACTICES. I THINK -- I'M HOPING 581 00:27:26,240 --> 00:27:31,720 THAT IS ACTUALLY POSSIBLE. 582 00:27:31,720 --> 00:27:34,640 >>I AGREE COMPLETELY. MY 583 00:27:34,640 --> 00:27:35,880 PERSPECTIVE IS IN GENERAL WHICH 584 00:27:35,880 --> 00:27:39,080 IS LOOKING AND BE SELF-CRITICAL 585 00:27:39,080 --> 00:27:41,920 DETERMINING WHETHER THE SHAH 586 00:27:41,920 --> 00:27:42,920 OPTIMAL AND THIS OPPORTUNITY OF 587 00:27:42,920 --> 00:27:44,800 MOVING. INDEED, IT IS GOING TO 588 00:27:44,800 --> 00:27:46,840 -- TO ME ONE OF THE KEY ASPECTS 589 00:27:46,840 --> 00:27:49,480 ABOUT ALL OF THIS IS THE 590 00:27:49,480 --> 00:27:52,080 OVERDOSE CRISIS IS MOVING SO 591 00:27:52,080 --> 00:27:53,800 FAST, WE HAVE NOT BEEN ABLE TO 592 00:27:53,800 --> 00:27:56,800 CONTAIN IT. BECAUSE OF THIS 593 00:27:56,800 --> 00:28:00,120 MOVING PART IT IS CRUCIAL WE 594 00:28:00,120 --> 00:28:02,680 BASICALLY EVALUATING WHERE WE -- 595 00:28:02,680 --> 00:28:04,800 WHERE THERE MAY BE GAPS AND 596 00:28:04,800 --> 00:28:05,920 WHERE WE CAN ACTUALLY STRENGTHEN 597 00:28:05,920 --> 00:28:08,080 AND FORM PARTNERSHIPS. SO I 598 00:28:08,080 --> 00:28:10,480 THINK THIS IS A KEY COMPONENT TO 599 00:28:10,480 --> 00:28:12,800 ENSURE THAT WE WILL BE 600 00:28:12,800 --> 00:28:15,280 SUCCESSFUL IN ADDRESSING THE 601 00:28:15,280 --> 00:28:15,600 CRISIS. 602 00:28:15,600 --> 00:28:23,160 >>THANK YOU. 603 00:28:23,160 --> 00:28:26,800 >>OTHER QUESTIONS? 604 00:28:26,800 --> 00:28:27,880 >>CHRIS HAND HER HAND UP. 605 00:28:27,880 --> 00:28:37,520 >>HI, CHRIS, GOOD MORNING. I 606 00:28:37,520 --> 00:28:38,840 UNDERSTAND THE SHIFT AND THERE'S 607 00:28:38,840 --> 00:28:40,360 DISCUSSION AND PLANNING AMONG 608 00:28:40,360 --> 00:28:41,680 AND BETWEEN THE INSTITUTES AND 609 00:28:41,680 --> 00:28:43,160 OFFICE OF THE DIRECTOR. ONE OF 610 00:28:43,160 --> 00:28:49,480 THE MAJOR SUCCESSES OF HEAL, IN 611 00:28:49,480 --> 00:28:52,560 MY OPINION IS I CAN SPEAK 612 00:28:52,560 --> 00:28:53,640 OBVIOUSLY BETTER ON THE PAIN 613 00:28:53,640 --> 00:28:54,320 SIDES BECAUSE THAT IS WHAT I 614 00:28:54,320 --> 00:28:56,760 HAVE BEEN INVOLVED FOR THE LAST 615 00:28:56,760 --> 00:28:58,240 25 YEARS BUT THE FACT FOR THE 616 00:28:58,240 --> 00:29:00,520 FIRST TIME IN HISTORY HAVE ALL 617 00:29:00,520 --> 00:29:02,320 OF THE INSTITUTES AND OFFICES AT 618 00:29:02,320 --> 00:29:05,160 THE NIH WORKING TOGETHER 619 00:29:05,160 --> 00:29:06,520 COLLABORATIVELY ON PAIN THAT IS 620 00:29:06,520 --> 00:29:10,000 ONE THING. THE SECOND IS THIS 621 00:29:10,000 --> 00:29:12,320 ALSO COMING TOGETHER OF THE SUD 622 00:29:12,320 --> 00:29:14,720 AND PAIN COMMUNITIES WHICH 623 00:29:14,720 --> 00:29:15,400 HISTORICALLY IN THE PAST HAVE 624 00:29:15,400 --> 00:29:19,520 BEEN DISPARATE AND ALMOST PINNED 625 00:29:19,520 --> 00:29:21,880 US AGAINST ONE ANOTHER. SO I 626 00:29:21,880 --> 00:29:24,120 JUST WANT TO EMPHASIZE, AND SURE 627 00:29:24,120 --> 00:29:26,560 THIS IS AT THE TOP OF EVERYONE'S 628 00:29:26,560 --> 00:29:28,880 MIND AS YOU MOVE TO THE NEW 629 00:29:28,880 --> 00:29:30,360 STRUCTURE Z THAT IT IS REALLY 630 00:29:30,360 --> 00:29:31,680 IMPORTANT TO CONTINUE TO 631 00:29:31,680 --> 00:29:33,520 COLLABORATE IN THOSE WAYS. AND 632 00:29:33,520 --> 00:29:38,640 ALSO TO COMMUNICATE TO THE 633 00:29:38,640 --> 00:29:42,200 SCIENTIFIC CLINICAL PATIENT 634 00:29:42,200 --> 00:29:43,520 COMMUNITIES THAT IT IS NOT GOING 635 00:29:43,520 --> 00:29:45,080 BACK TO BUSINESS AS USUAL BEFORE 636 00:29:45,080 --> 00:29:46,480 WHERE THIS INSTITUTE DOES THIS 637 00:29:46,480 --> 00:29:47,520 AND THAT INSTITUTE DOES THIS AND 638 00:29:47,520 --> 00:29:49,000 THERE IS NO COLLABORATION 639 00:29:49,000 --> 00:29:52,200 BETWEEN THE SUD AND THE PAIN 640 00:29:52,200 --> 00:29:54,880 COMMUNITIES. FROM THE VANTAGE 641 00:29:54,880 --> 00:29:56,960 POINT OF NIH MIGHT SAY I DON'T 642 00:29:56,960 --> 00:29:58,360 SEE HOW THAT IS POSSIBLE BUT 643 00:29:58,360 --> 00:29:59,600 BEING IN THESE COMMUNITIES FOR A 644 00:29:59,600 --> 00:30:02,760 LONG TIME AND THE WAY THE NIH IS 645 00:30:02,760 --> 00:30:03,960 STRUCTURE FOR BETTER OR FOR 646 00:30:03,960 --> 00:30:06,000 WORSE, IT IS A VERY REAL 647 00:30:06,000 --> 00:30:07,800 PERCEPTION. HASN'T BEEN THAT 648 00:30:07,800 --> 00:30:08,800 LONG THESE COMMUNITYINGS HAVE 649 00:30:08,800 --> 00:30:11,440 BEEN WORKING TOGETHER. AND IT 650 00:30:11,440 --> 00:30:13,320 TAKES TIME TO BUILD 651 00:30:13,320 --> 00:30:14,160 COLLABORATION AN TRUST AMONG 652 00:30:14,160 --> 00:30:16,040 THOSE COMMUNITIES AND WE WANT TO 653 00:30:16,040 --> 00:30:17,240 MAKE SURE WE ARE CAREFUL ABOUT 654 00:30:17,240 --> 00:30:18,440 COMMUNICATING THAT THIS IS STILL 655 00:30:18,440 --> 00:30:21,080 THE WAY HEAL IS GOING TO 656 00:30:21,080 --> 00:30:22,520 FUNCTION MOVING FORWARD 657 00:30:22,520 --> 00:30:23,640 IRRESPECTIVE WHERE THIS 658 00:30:23,640 --> 00:30:25,440 COMMITTEE LIES OR THAT COMMITTEE 659 00:30:25,440 --> 00:30:27,400 LIES OR WHATEVER, THE NEW 660 00:30:27,400 --> 00:30:29,200 STRUCTURE WILL BE WITHIN HEAL. 661 00:30:29,200 --> 00:30:30,880 AND FINALLY I WANT TO THANK 662 00:30:30,880 --> 00:30:35,800 REBECCA FOR YOUR LEADERSHIP, 663 00:30:35,800 --> 00:30:37,320 THIS HAS BEEN AN AMAZING PROCESS 664 00:30:37,320 --> 00:30:37,920 AND COMMITTEE TO BE INVOLVED 665 00:30:37,920 --> 00:30:40,880 WITH. MANY OF US HAVE SERVED ON 666 00:30:40,880 --> 00:30:43,320 A NUMBER OF FEDERAL COMMITTEES 667 00:30:43,320 --> 00:30:44,560 AND SOMETIMES WE FEEL LIKE WE 668 00:30:44,560 --> 00:30:47,760 ARE JUST KIND OF THERE. AND HEAL 669 00:30:47,760 --> 00:30:49,080 HAS BEEN SO DIFFERENT IN THAT 670 00:30:49,080 --> 00:30:53,680 RESPECT WHERE REALLY FEEL THAT 671 00:30:53,680 --> 00:30:56,720 YOU AND THE ENTIRE TEAM HAVE 672 00:30:56,720 --> 00:30:59,960 REALLY BEEN VERY CAREFUL TO 673 00:30:59,960 --> 00:31:01,400 SOLICIT OUR OPINIONS AND NOT 674 00:31:01,400 --> 00:31:03,520 JUST HEAR US BUT ACT ON THEM. 675 00:31:03,520 --> 00:31:04,960 THERE'S SO MANY THINGS INCLUDING 676 00:31:04,960 --> 00:31:06,600 THE PATIENT AND COMMUNITY 677 00:31:06,600 --> 00:31:08,080 ENGAGEMENT SIDE OF HEAL THAT I 678 00:31:08,080 --> 00:31:09,600 HAVE SEEN COME TO FRUITION OVER 679 00:31:09,600 --> 00:31:11,960 THE LAST FEW YEARS. SO I JUST 680 00:31:11,960 --> 00:31:14,240 WANT TO REALLY THANK YOU FOR 681 00:31:14,240 --> 00:31:15,680 YOUR TERRIFIC LEADERSHIP AND 682 00:31:15,680 --> 00:31:17,800 BRINGING HEAL TO WHERE IT IS 683 00:31:17,800 --> 00:31:21,520 TODATODAY. THIS HAS BEEN AN AMAG 684 00:31:21,520 --> 00:31:23,760 PROCESS AND INITIATIVE TO BE 685 00:31:23,760 --> 00:31:34,200 INVOLVED WITH. THANK YOU. 686 00:31:35,200 --> 00:31:37,320 >>I ALMOST LOWERED MY HAND 687 00:31:37,320 --> 00:31:39,800 BECAUSE CHRIS SAID IT 688 00:31:39,800 --> 00:31:40,920 ARTICULATELY, I THINK THAT 689 00:31:40,920 --> 00:31:42,160 COLLABORATIVE WHAT I OBSERVED AS 690 00:31:42,160 --> 00:31:43,440 WELL AND WORKING IN THESE 691 00:31:43,440 --> 00:31:45,440 INTERFACES THAT REALLY MATTER 692 00:31:45,440 --> 00:31:47,800 BETWEEN -- AND I WOULD ADD 693 00:31:47,800 --> 00:31:49,640 MENTAL HEALTH TO THAT TOO, WE 694 00:31:49,640 --> 00:31:50,960 HAVE COME FULL CIRCUMSTANCE 695 00:31:50,960 --> 00:31:51,880 MILLION THAT WAY. AS WELL AS 696 00:31:51,880 --> 00:31:53,640 REBECCA, I THINK YOUR ROLE. I 697 00:31:53,640 --> 00:31:54,760 WAS JUST CURIOUS WHAT THIS 698 00:31:54,760 --> 00:32:00,280 MOVING INTO THE ICs AND THAT 699 00:32:00,280 --> 00:32:01,960 MAKES SENSE THE LEADERSHIP 700 00:32:01,960 --> 00:32:06,360 APPRECIATES THAT DESCRIPTION. 701 00:32:06,360 --> 00:32:07,360 REBECCA, IF YOU CONTINUE MANY 702 00:32:07,360 --> 00:32:08,840 THE ROLE THAT YOU HAVE OR HOW 703 00:32:08,840 --> 00:32:15,200 THAT WILL BE STRUCTURED? 704 00:32:15,200 --> 00:32:17,800 >>I WILL NOT, DR. VOLKOW AND 705 00:32:17,800 --> 00:32:19,080 KOROSHETZ AND SEEN YOUR STAFF 706 00:32:19,080 --> 00:32:20,720 WILL BE COORDINATING 707 00:32:20,720 --> 00:32:21,800 MULTI-DISCIPLINARY WORKING 708 00:32:21,800 --> 00:32:23,240 GROUP. SOME OF THE HEAL TEAM 709 00:32:23,240 --> 00:32:25,480 WILL BE MOVING TO THOSE ICs TO 710 00:32:25,480 --> 00:32:29,240 ASSIST THEM. I HAVE LOVED 711 00:32:29,240 --> 00:32:32,720 WORKING WITH ALL OF YOU. I LOVED 712 00:32:32,720 --> 00:32:34,240 HEARING YOUR IDEAS. I WOULD 713 00:32:34,240 --> 00:32:37,480 SUGGEST NORA AND WALTER KIND OF 714 00:32:37,480 --> 00:32:40,320 SPEAK TO HOW THE INTEGRATION AND 715 00:32:40,320 --> 00:32:44,360 THE WAYS THAT WE WERE ABLE TO 716 00:32:44,360 --> 00:32:47,480 BUILD CONNECTEDNESS BETWEEN 717 00:32:47,480 --> 00:32:49,280 PAIN, ADDICTION, MENTAL HEALTH 718 00:32:49,280 --> 00:32:50,360 AND THE DIFFERENT SCIENTIFIC 719 00:32:50,360 --> 00:32:52,760 ASPECTS THAT FEED INTO THOSE 720 00:32:52,760 --> 00:32:54,440 WILL BE SUSTAINED INTO THE NEXT 721 00:32:54,440 --> 00:32:58,400 PHASE. FOR ME IT WAS JUST SUCH A 722 00:32:58,400 --> 00:33:00,240 TREAT WORKING WITH ALL OF YOU 723 00:33:00,240 --> 00:33:01,520 FROM THE BEGINNING OF HEAL WHEN 724 00:33:01,520 --> 00:33:02,840 WE HAD A SKELETON, WHAT WE 725 00:33:02,840 --> 00:33:06,280 WANTED TO DO, FLESHING THAT OUT 726 00:33:06,280 --> 00:33:09,680 INTO THE AS SAID, MORE MATURE 727 00:33:09,680 --> 00:33:11,800 FRAMEWORK WE HAVE NOW. IT IS UP 728 00:33:11,800 --> 00:33:13,680 TO ALL OF YOU TO CARRY IT 729 00:33:13,680 --> 00:33:15,040 FORWARD. SO I WILL DEFER TO 730 00:33:15,040 --> 00:33:19,400 WALTER AND NORA. IN ADDRESSING 731 00:33:19,400 --> 00:33:22,120 THAT. 732 00:33:22,120 --> 00:33:27,960 >>REBECCA, THANKS. I THINK 733 00:33:27,960 --> 00:33:29,960 STAFF COMMENDS WERE BEING MADE. 734 00:33:29,960 --> 00:33:31,920 I THINK CERTAINLY IT HAS BECOME 735 00:33:31,920 --> 00:33:34,400 CLEAR AND EVIDENT THAT THERE HAS 736 00:33:34,400 --> 00:33:37,320 BEEN BASICALLY ALMOST NO 737 00:33:37,320 --> 00:33:38,680 COMMUNICATION IN TERMS OF 738 00:33:38,680 --> 00:33:40,080 PATIENT GROUPS AND INDIVIDUALS 739 00:33:40,080 --> 00:33:42,880 AFFECTED BY PAIN OR SUBSTANCE 740 00:33:42,880 --> 00:33:44,760 USE DISORDER. AS A RESULT OF 741 00:33:44,760 --> 00:33:47,840 THAT, THAT HAS LED TO A MISSING 742 00:33:47,840 --> 00:33:52,320 OPPORTUNITY OF ACTUALLY 743 00:33:52,320 --> 00:33:53,040 EXPANDING TREATMENT AND 744 00:33:53,040 --> 00:33:54,680 PREVENTION OF PAIN AND SUBSTANCE 745 00:33:54,680 --> 00:33:58,200 USE DISORDER. I THINK THAT THE 746 00:33:58,200 --> 00:34:02,000 EXTENT TO WHICH ACTUALLY NIDA 747 00:34:02,000 --> 00:34:03,800 FROM MANY DECADES HAS BEEN 748 00:34:03,800 --> 00:34:07,320 INVOLVED WITH PAIN, WITH 749 00:34:07,320 --> 00:34:08,880 BASICALLY THE INSTITUTE IN TERMS 750 00:34:08,880 --> 00:34:11,320 OF DOLLAR AMOUNT, IN ABSOLUTE 751 00:34:11,320 --> 00:34:13,320 TERMS WE ARE AT THE TOP. BECAUSE 752 00:34:13,320 --> 00:34:15,760 IT IS CRUCIAL AND WE BELIEVE IT 753 00:34:15,760 --> 00:34:17,880 I THINK WHAT HEAL HAVE ENABLED 754 00:34:17,880 --> 00:34:20,400 US TO DO AND MANY OTHER 755 00:34:20,400 --> 00:34:20,920 INSTITUTES THAT HAVE BEEN 756 00:34:20,920 --> 00:34:23,480 ENGAGED WITH PAIN. BUT BECAUSE 757 00:34:23,480 --> 00:34:26,160 THERE WASN'T AN INSTITUTE AT NIH 758 00:34:26,160 --> 00:34:28,480 THAT DEAL WITH PAIN, THERE WAS 759 00:34:28,480 --> 00:34:33,400 THE OPPORTUNITY OF STRUCTURE AS 760 00:34:33,400 --> 00:34:34,880 COMMON STRATEGIC GOAL THAT COULD 761 00:34:34,880 --> 00:34:36,160 STRENGTHEN WHAT WE WERE DOING ON 762 00:34:36,160 --> 00:34:38,440 THE ONE HAND. IMPORTANTLY THE 763 00:34:38,440 --> 00:34:39,720 RESOURCES THAT WERE GIVEN FOR 764 00:34:39,720 --> 00:34:42,880 PAIN WERE RELATIVELY 765 00:34:42,880 --> 00:34:45,040 CONSTRAINED. THAT LIMITED OUR 766 00:34:45,040 --> 00:34:48,680 ABILITY TO REALLY MAKE A LARGE 767 00:34:48,680 --> 00:34:50,280 MARK ON HEAL HAVE CHANGED THAT 768 00:34:50,280 --> 00:34:53,960 DRAMATICALLY. NOT JUST BECAUSE 769 00:34:53,960 --> 00:34:56,960 HE HAS BROUGHT DOLLARS BUT WHAT 770 00:34:56,960 --> 00:34:59,400 WE HAS DONE IS CREATE THAT 771 00:34:59,400 --> 00:35:01,040 PATIENT FORWARD THAT VOICE THAT 772 00:35:01,040 --> 00:35:01,960 RECOGNITION THAT COMMUNICATION 773 00:35:01,960 --> 00:35:05,600 IS FUNDAMENTAL. THE STRUCTURES 774 00:35:05,600 --> 00:35:07,480 THAT CURRENTLY EXIST DURING HEAL 775 00:35:07,480 --> 00:35:12,080 WILL BE CONTINUED IN THESE NEW 776 00:35:12,080 --> 00:35:14,880 HEAL 2.0. WE ARE ALSO GOING TO 777 00:35:14,880 --> 00:35:18,080 SORT OF ANOTHER ASPECT THAT HAS 778 00:35:18,080 --> 00:35:21,000 BEEN TOO VERY KNOWLEDGEABLE ON 779 00:35:21,000 --> 00:35:21,920 HEAL AND HASN'T BEEN BROUGHT UP 780 00:35:21,920 --> 00:35:23,880 BUT WILL CONTINUE TO 781 00:35:23,880 --> 00:35:25,600 INCREASINGLY PLAY A KEY IMPACT 782 00:35:25,600 --> 00:35:28,680 IS THAT DATA SCIENCE AND 783 00:35:28,680 --> 00:35:30,440 ACTUALLY THE NETWORKING THAT 784 00:35:30,440 --> 00:35:33,080 CURRENTLY EXISTS THROUGH THE 785 00:35:33,080 --> 00:35:36,120 DATA ECOSYSTEM THAT WILL ALLOW 786 00:35:36,120 --> 00:35:40,000 US TO MAXIMIZE INFORMATION. SO 787 00:35:40,000 --> 00:35:41,760 THAT IN TURN IS A WAY THAT WE 788 00:35:41,760 --> 00:35:45,840 CAN USE FOR COMMUNICATION AND 789 00:35:45,840 --> 00:35:47,240 DISSEMINATION AND STICKING FOR 790 00:35:47,240 --> 00:35:48,440 OPPORTUNITIES THAT CAN BRING 791 00:35:48,440 --> 00:35:52,440 OTHER PLAYERS INTO THE GAME SO I 792 00:35:52,440 --> 00:35:55,440 COMPLETELY AGREE THIS ELEMENT IS 793 00:35:55,440 --> 00:35:56,880 FUNDAMENTAL AND I ALSO 794 00:35:56,880 --> 00:35:57,680 COMPLETELY AGREE THAT WE ARE 795 00:35:57,680 --> 00:36:01,320 GOING TO HAVE TO GO AND TACKLE 796 00:36:01,320 --> 00:36:02,400 UP FRONT COMPLEX CONDITIONS OF 797 00:36:02,400 --> 00:36:04,400 EVERY DAY LIFE WHICH ENGAGE 798 00:36:04,400 --> 00:36:07,120 PATIENTS WITH MULTIPLE 799 00:36:07,120 --> 00:36:09,920 COMORBIDITIES AND CONDITIONS. 800 00:36:09,920 --> 00:36:11,960 LIKE PAIN AND ALL THE PATIENTS 801 00:36:11,960 --> 00:36:13,400 THAT SUFFER BUT IT GOES BEYOND 802 00:36:13,400 --> 00:36:15,240 THAT, AND THAT REQUIRES 803 00:36:15,240 --> 00:36:17,800 ABSOLUTELY THAT WE COLLABORATE 804 00:36:17,800 --> 00:36:19,840 BUT AS WALTER SAID WE HAVE DONE 805 00:36:19,840 --> 00:36:22,160 THAT IN MULTIPLE PROJECTS, IT IS 806 00:36:22,160 --> 00:36:23,280 NOT THAT WE -- THE SENSE THAT 807 00:36:23,280 --> 00:36:25,840 THE INSTITUTES ARE WORKING IN 808 00:36:25,840 --> 00:36:27,920 SILOS, IT DOES REFLECT THE 809 00:36:27,920 --> 00:36:29,680 REALITY OF WHAT HAPPENS. 810 00:36:29,680 --> 00:36:32,120 OBVIOUSLY WHEN YOU HAVE 811 00:36:32,120 --> 00:36:33,320 RESOURCES THAT MAXIMIZE WHAT YOU 812 00:36:33,320 --> 00:36:36,120 CAN DO IN THIS COLLABORATIVE 813 00:36:36,120 --> 00:36:37,680 ENTERPRISES, I WOULD ALSO 814 00:36:37,680 --> 00:36:39,560 WELCOME TO HEAR WHAT WILL WALTER 815 00:36:39,560 --> 00:36:43,120 HAS TO SAY TOO. 816 00:36:43,120 --> 00:36:48,080 >>I JUST WANT TO SAY AS YOU 817 00:36:48,080 --> 00:36:50,720 HEARD REBECCA IS NOT GOING TO 818 00:36:50,720 --> 00:36:53,360 STAY ON. THAT IS GOING TO BE A 819 00:36:53,360 --> 00:36:56,440 REAL PROBLEM FOR ME AND NORA. 820 00:36:56,440 --> 00:37:01,680 SHE IS REALLY BEEN THE GLUE THAT 821 00:37:01,680 --> 00:37:02,760 COULDS EVERYTHING TOGETHER AND 822 00:37:02,760 --> 00:37:05,640 CAN IMAGINE CAN ALL THE ICs 823 00:37:05,640 --> 00:37:08,520 INVOLVED, HOLDING IT TOGETHER IS 824 00:37:08,520 --> 00:37:14,480 REALLY HARD. BUT SHE DID IT. 825 00:37:14,480 --> 00:37:19,280 LARRY, FRANCIS, EVERYTHING WENT 826 00:37:19,280 --> 00:37:26,280 REALLY SMOOTHLY. SO (INAUDIBLE) 827 00:37:26,280 --> 00:37:28,280 COULDN'T JOIN THE PAIN TEAM BUT 828 00:37:28,280 --> 00:37:33,000 SURE SHE WILL DO EVEN GREATER 829 00:37:33,000 --> 00:37:34,560 THINGS, HATS OFF TO REBECCA AND 830 00:37:34,560 --> 00:37:36,120 HER TEAM WE GOT SOME OF THE 831 00:37:36,120 --> 00:37:37,560 MEMBERS OF HER TEAM TO COME 832 00:37:37,560 --> 00:37:41,120 OVER. SO WE HAVE SOME -- WE HAVE 833 00:37:41,120 --> 00:37:43,800 CONTINUITY THERE A LOT OF THE 834 00:37:43,800 --> 00:37:50,000 ISSUES. REALLY GRATEFUL TO THEM 835 00:37:50,000 --> 00:37:55,280 WE JUST HAVE TO WORK HARD TO 836 00:37:55,280 --> 00:37:58,080 MAKE HER PROUD. THIS IS A GREAT, 837 00:37:58,080 --> 00:38:01,360 AS I SAID FOR PAIN. THERE IS 838 00:38:01,360 --> 00:38:03,480 NOTHING LIKE IT, IT IS THE 839 00:38:03,480 --> 00:38:06,480 GREATEST THING TO HAPPEN TO PAIN 840 00:38:06,480 --> 00:38:08,240 RESEARCH. WE CALL IT REALLY 841 00:38:08,240 --> 00:38:10,440 CLOSE TO OUR HEARTS AND WE WILL 842 00:38:10,440 --> 00:38:12,520 -- CERTAINLY NINDS AND OTHER 843 00:38:12,520 --> 00:38:15,640 INSTITUTES ON THE PAIN SIDE WILL 844 00:38:15,640 --> 00:38:18,640 BE REALLY ROLLING UP THEIR 845 00:38:18,640 --> 00:38:22,600 SLEEVES AND REALLY MOVING THINGS 846 00:38:22,600 --> 00:38:26,200 FORWARD IN THE NEW RENDITION. 847 00:38:26,200 --> 00:38:27,760 THANKS SO MUCH TO REBECCA FOR 848 00:38:27,760 --> 00:38:33,440 SURE. 849 00:38:33,440 --> 00:38:36,080 >>THANK YOU, WALTER. PATRICE, 850 00:38:36,080 --> 00:38:36,440 YOU ARE NEXT. 851 00:38:36,440 --> 00:38:38,600 >>THANK YOU, AND FIRST OF ALL 852 00:38:38,600 --> 00:38:43,680 LET ME ADD TO THOSE KUDOS TO 853 00:38:43,680 --> 00:38:47,120 REBECCA. I ALSO ALMOST LOWERED 854 00:38:47,120 --> 00:38:49,960 MY HAND BECAUSE CHRIS AND LYNN 855 00:38:49,960 --> 00:38:52,960 MADE THE POINTS SO I WILL JUST 856 00:38:52,960 --> 00:38:55,520 SAY AGAIN IT SEEMS TO ME THIS IS 857 00:38:55,520 --> 00:38:57,360 PERFECTLY REASONABLE EVOLUTION 858 00:38:57,360 --> 00:39:00,040 BECAUSE REALLY WHAT YOU WANT TO 859 00:39:00,040 --> 00:39:02,240 DO IS STAND UP SOMETHING AND IN 860 00:39:02,240 --> 00:39:04,920 THE NEXT PHASE IS MAKING SURE IT 861 00:39:04,920 --> 00:39:07,880 IS INTEGRATED INTO MY WORDS, DNA 862 00:39:07,880 --> 00:39:10,400 OF THE WORK AND THE DNA OF THE 863 00:39:10,400 --> 00:39:12,080 ORGANIZATION AND AT LEAST THAT 864 00:39:12,080 --> 00:39:17,520 IS WHAT I'M HEARING IS THE GOAL. 865 00:39:17,520 --> 00:39:19,400 BUT TO WALTER AND NORA. SO WHEN 866 00:39:19,400 --> 00:39:22,640 WE FIVE YEARS FROM NOW H I'M 867 00:39:22,640 --> 00:39:26,120 SURE YOU PROBABLY HAVE NOT DUG 868 00:39:26,120 --> 00:39:27,680 DEEP ON THIS YET AND YOU WILL 869 00:39:27,680 --> 00:39:28,840 AND MAYBE THIS SOMETHING YOU CAN 870 00:39:28,840 --> 00:39:31,440 SHARE AT A LATER MEETING BUT 871 00:39:31,440 --> 00:39:37,000 FIVE YEARS FROM NOW HOW WILL YOU 872 00:39:37,000 --> 00:39:38,760 KNOW THAT THE GOALS YOU ARE 873 00:39:38,760 --> 00:39:41,200 SETTING FORTH FOR 2.0 HAVE BEEN 874 00:39:41,200 --> 00:39:42,840 MET. SO AGAIN, IF THAT IS 875 00:39:42,840 --> 00:39:43,680 SOMETHING I KNOW THAT THAT IS 876 00:39:43,680 --> 00:39:44,840 SOMETHING THAT YOU ARE THINKING 877 00:39:44,840 --> 00:39:46,520 ABOUT. BECAUSE THAT IS WHAT 878 00:39:46,520 --> 00:39:48,640 Y'ALL DO IN YOUR EVERY DAY, YOU 879 00:39:48,640 --> 00:39:51,480 ARE VERY ACCOMPLISHED. BUT MAYBE 880 00:39:51,480 --> 00:39:54,640 IN ANOTHER MEETING WE CAN THINK 881 00:39:54,640 --> 00:39:56,880 ABOUT WHEN WE AGAIN GET TOGETHER 882 00:39:56,880 --> 00:39:59,000 IN FIVE YEARS, MAY NOT BE THIS 883 00:39:59,000 --> 00:39:59,920 PARTICULAR GROUP BUT WHEN YOU 884 00:39:59,920 --> 00:40:02,360 LOOK BACK ON THIS IN FIVE YEARS 885 00:40:02,360 --> 00:40:07,600 AND SAY YES 2.0 IS GOING EXACTLY 886 00:40:07,600 --> 00:40:11,800 OR MAYBE NOT EXACTLY BUT AS WE 887 00:40:11,800 --> 00:40:15,440 EXPECTED, HOW WE THINKING ABOUT 888 00:40:15,440 --> 00:40:17,840 THAT? 889 00:40:17,840 --> 00:40:20,280 >>BASICALLY ABSOLUTELY, I THINK 890 00:40:20,280 --> 00:40:23,040 THAT WE WILL ADDRESS THAT IN 891 00:40:23,040 --> 00:40:24,800 ANOTHER ONE BUT HANKS SO MUCH 892 00:40:24,800 --> 00:40:26,200 FOR BRINGING IT UP. WE HAVE TO 893 00:40:26,200 --> 00:40:27,760 KEEP OUR EYE ON THE WORK. 894 00:40:27,760 --> 00:40:28,520 ABSOLUTELY. 895 00:40:28,520 --> 00:40:32,840 >>NORA, WALTER, CAN I -- 896 00:40:32,840 --> 00:40:33,320 (OVERLAPPING SPEAKERS) 897 00:40:33,320 --> 00:40:36,200 >>PATRICE, JUST SIMPLE, I'M A 898 00:40:36,200 --> 00:40:40,720 VERY SIMPLE PERSON. THE JOB IS 899 00:40:40,720 --> 00:40:46,960 TO GET MORE EFFICIENT WITH PAIN 900 00:40:46,960 --> 00:40:48,080 MEDS TO THE PEOPLE WHO ARE 901 00:40:48,080 --> 00:40:49,520 SUFFERING THE PAIN SO THEY DON'T 902 00:40:49,520 --> 00:40:51,880 GO TO OPIOIDS NEEDLESSLY. THAT'S 903 00:40:51,880 --> 00:40:55,360 NUMBER ONE. NUMBER TWO IS 904 00:40:55,360 --> 00:40:57,560 UNDERSTANDING HOW WE USE A TOOL 905 00:40:57,560 --> 00:41:01,000 WE HAVE NOW TO GET BETTER 906 00:41:01,000 --> 00:41:02,320 MANAGEMENT OF PAIN AND REDUCE 907 00:41:02,320 --> 00:41:05,760 THE RISK OF 'DICTION. THOSE ARE 908 00:41:05,760 --> 00:41:09,080 THE TWO THINGS THAT IF WE DON'T 909 00:41:09,080 --> 00:41:11,600 -- IT IS NOT HOE WE MAKE IT 910 00:41:11,600 --> 00:41:12,920 COMPLICATED, I THINK WE CAN 911 00:41:12,920 --> 00:41:15,800 REALLY LOSE SIGHT BUT THAT HAS 912 00:41:15,800 --> 00:41:17,120 GOT TO BE WHAT WE DO. WE DON'T 913 00:41:17,120 --> 00:41:18,640 DO THAT, IT IS A HARD PROBLEM. 914 00:41:18,640 --> 00:41:22,240 THESE ARE NOT EASY PROBLEMS. 915 00:41:22,240 --> 00:41:24,640 THERE IS A REASON WHY NONE OF 916 00:41:24,640 --> 00:41:25,560 THE DRUG COMPANIES ARE DOING 917 00:41:25,560 --> 00:41:27,880 THIS IN TERMS OF DEVELOPING NEW 918 00:41:27,880 --> 00:41:29,480 THERAPIES ANY MORE. IT IS REALLY 919 00:41:29,480 --> 00:41:31,840 UP TO US NOW TO DO THAT. IN 920 00:41:31,840 --> 00:41:35,360 TERMS OF HELPING -- PROVIDING 921 00:41:35,360 --> 00:41:36,960 THE INFORMATION FOR PHYSICIANS 922 00:41:36,960 --> 00:41:39,760 HOW TO MANAGE PATIENTS WITH 923 00:41:39,760 --> 00:41:42,040 CHRONIC PAIN, HOW WE MANAGE 924 00:41:42,040 --> 00:41:46,800 ACUTE PAIN SO THEY DON'T BECOME 925 00:41:46,800 --> 00:41:49,160 NEEDLESSLY EXPOSED TO OPIOIDS IS 926 00:41:49,160 --> 00:41:50,560 SOMETHING THERE SYSTEM ALL 927 00:41:50,560 --> 00:41:52,240 DOABLE NOW BUT IT IS NOT EASY 928 00:41:52,240 --> 00:41:53,240 BECAUSE DIFFERENT SEGMENTS OF 929 00:41:53,240 --> 00:41:54,880 THE POPULATION IS DIFFERENT 930 00:41:54,880 --> 00:41:58,680 CONDITIONS, DIFFERENT TYPES OF 931 00:41:58,680 --> 00:42:01,040 PATIENTS, AND ALL THE SOCIAL 932 00:42:01,040 --> 00:42:02,640 FACTORS THAT COME IN BUT THOSE 933 00:42:02,640 --> 00:42:05,520 ARE THE KIND OF THINGS THAT I 934 00:42:05,520 --> 00:42:07,640 THINK WE CAN NEGOTIATE AND GET 935 00:42:07,640 --> 00:42:11,400 TO THE GOAL WE ARE AFTER. BUT TO 936 00:42:11,400 --> 00:42:13,960 ME THE GOAL NEVER CHANGES, IT IS 937 00:42:13,960 --> 00:42:16,320 ALWAYS THAT ULTIMATE SINGULAR 938 00:42:16,320 --> 00:42:20,160 FOCUS ON IMPROVING PAIN 939 00:42:20,160 --> 00:42:22,600 MANAGEMENT SO PEOPLE ARE NOT 940 00:42:22,600 --> 00:42:25,120 SUFFERING, THAT THEIR FUNCTION 941 00:42:25,120 --> 00:42:29,760 IS OPTIMIZED. AND THAT MEANS 942 00:42:29,760 --> 00:42:33,400 RISK OF ADDICTION INVOLVED. 943 00:42:33,400 --> 00:42:36,960 ANYWAY, I'M HAPPY IF THERE IS 944 00:42:36,960 --> 00:42:40,800 MORE NUANCES THAT I SHOULD 945 00:42:40,800 --> 00:42:41,520 CONSIDER. 946 00:42:41,520 --> 00:42:43,720 >>SO JUST A POINT ON THE -- I 947 00:42:43,720 --> 00:42:48,840 WANT US TO PUT US ON THE SPOT 948 00:42:48,840 --> 00:42:50,480 WALTER AND MYSELF, PATRICE 949 00:42:50,480 --> 00:42:52,040 COMMENT IS RELEVANT, WE HAVE 950 00:42:52,040 --> 00:42:53,080 MORE RELEVANCE IN TERMS OF WHAT 951 00:42:53,080 --> 00:42:54,160 WE EXPECT FOR THE DIFFERENT 952 00:42:54,160 --> 00:42:56,800 LEVELS SO REDUCING PAIN WHAT 953 00:42:56,800 --> 00:42:59,080 DOES THAT MEAN IN TERMS OF 954 00:42:59,080 --> 00:43:00,840 ACTUALLY HOW DO WE REDUCE 955 00:43:00,840 --> 00:43:04,080 ADDICTION. HOW DO WE TREAT, HOW 956 00:43:04,080 --> 00:43:07,280 DO WE CHANGE, HOW WE DO 957 00:43:07,280 --> 00:43:09,520 PREVENTION, BEING ABLE FOR ALL. 958 00:43:09,520 --> 00:43:11,160 I THINK OF THE 959 00:43:11,160 --> 00:43:12,200 MULTI-DISCIPLINARY WORKING 960 00:43:12,200 --> 00:43:13,640 GROUP, WE ARE IN THISSING TO AND 961 00:43:13,640 --> 00:43:16,640 GET YOUR PERSPECTIVE ALSO. SO I 962 00:43:16,640 --> 00:43:17,440 APOLOGIZE, RENA. 963 00:43:17,440 --> 00:43:20,840 >>I'M AS COMPLEX AS WALTER IS 964 00:43:20,840 --> 00:43:21,800 SIMPLE AND PROBABLY AS COMPLEX 965 00:43:21,800 --> 00:43:24,240 AS CONDITIONS WE ARE CONCERNED 966 00:43:24,240 --> 00:43:26,840 ABOUT. SO I WANT US TO BE 967 00:43:26,840 --> 00:43:29,480 THINKING INSITUATION WITH OTHER 968 00:43:29,480 --> 00:43:32,920 VERY RELATED HEALTH CONDITIONS. 969 00:43:32,920 --> 00:43:34,400 AND I HENCE WOULD ENVISION 970 00:43:34,400 --> 00:43:37,160 SOMETHING LIKE REBECCA IN A ROLE 971 00:43:37,160 --> 00:43:41,760 THAT WOULD ALLOW FOR SUCH 972 00:43:41,760 --> 00:43:44,520 INTEGRATION TO WITH MENTAL 973 00:43:44,520 --> 00:43:46,120 HEALTH ITSELF. THAT FIELD AS YOU 974 00:43:46,120 --> 00:43:48,880 KNOW IS SO BADLY NEEDS ATTENTION 975 00:43:48,880 --> 00:43:52,160 AND IS A PRIORITY FOR THIS 976 00:43:52,160 --> 00:43:54,160 PRESENCE AN THIS TIME WE LIVE 977 00:43:54,160 --> 00:43:55,840 ENOUGH. IT IS RELATED TO SO MANY 978 00:43:55,840 --> 00:44:00,600 OTHER ASPECTS OF HUMAN 979 00:44:00,600 --> 00:44:02,080 CONDITIONS TODAY. I WOULD LIKE 980 00:44:02,080 --> 00:44:04,880 US TO BE THINKING OR ADVOCATING 981 00:44:04,880 --> 00:44:06,040 PROPOSITIONING, WHATEVER YOU 982 00:44:06,040 --> 00:44:08,560 WANT TO CALL IT WITH SUCH A ROLE 983 00:44:08,560 --> 00:44:10,200 THAT WOULD ALLOW US TO KEEP THE 984 00:44:10,200 --> 00:44:13,120 HISTORY AND CREATE NEW FUTURES 985 00:44:13,120 --> 00:44:16,240 FOR US THAT WE HADN'T ENVISIONED 986 00:44:16,240 --> 00:44:19,000 IN THE PAST. AND USING SOMEONE 987 00:44:19,000 --> 00:44:20,440 -- NOT USING BUT TAKING 988 00:44:20,440 --> 00:44:21,560 ADVANTAGE OR LEVERAGING FROM 989 00:44:21,560 --> 00:44:24,880 SOMEONE LIKE REBECCA. TO BE 990 00:44:24,880 --> 00:44:26,000 CREATING THAT INTEGRATED ROLE 991 00:44:26,000 --> 00:44:29,560 BECAUSE I SEE THAT IS THE FUTURE 992 00:44:29,560 --> 00:44:35,240 OF OUR WORK. THAT IS MY SPIEL 993 00:44:35,240 --> 00:44:37,600 AND I WILL GET OUT OF HERE. 994 00:44:37,600 --> 00:44:39,640 >>WALLY YOUR HAND IS RAISED. 995 00:44:39,640 --> 00:44:43,640 >>YES. TO THAT END PERHAPS IN 996 00:44:43,640 --> 00:44:47,160 THE NEXT SIX MONTHS WALTER AND 997 00:44:47,160 --> 00:44:52,560 NORA CAN BRING BACK A DRAFT OF A 998 00:44:52,560 --> 00:44:54,600 STRATEGIC PLAN WITH PROCESSES 999 00:44:54,600 --> 00:44:57,200 AND OUTCOME GOALS FOR US TO 1000 00:44:57,200 --> 00:45:01,200 COMMENT ON AND CRITIQUE. AND WE 1001 00:45:01,200 --> 00:45:04,120 CAN PUBLISH THAT SO THAT THE 1002 00:45:04,120 --> 00:45:06,840 PUBLIC WILL KNOW HOW WE WILL 1003 00:45:06,840 --> 00:45:12,840 KNOW WHETHER WE SUCCEEDED. 1004 00:45:12,840 --> 00:45:15,920 >>THAT IS A CHALLENGE, NORA, 1005 00:45:15,920 --> 00:45:16,360 WALTER? 1006 00:45:16,360 --> 00:45:18,960 >>I LIKE IT IT. I LIKE IT. I TK 1007 00:45:18,960 --> 00:45:23,680 THIS IS -- WE HAVE A TREMENDOUS 1008 00:45:23,680 --> 00:45:25,080 RESPONSIBILRESPONSIBILITY. AND P 1009 00:45:25,080 --> 00:45:25,960 SUMMARIZING THE GOAL OF WHAT IT 1010 00:45:25,960 --> 00:45:28,000 IS WE ARE DOING. IT IS VERY 1011 00:45:28,000 --> 00:45:31,200 COMPLEX, AS WALTER WAS SAYING, 1012 00:45:31,200 --> 00:45:32,680 EVEN THOUGH SIMPLE GOAL TO END 1013 00:45:32,680 --> 00:45:34,320 ADDICTION LONG TERM, OF COURSE 1014 00:45:34,320 --> 00:45:37,400 IT SOUNDS BEAUTIFUL BUT HOW DO 1015 00:45:37,400 --> 00:45:38,560 YOU IMPLEMENT THAT INTO REALITY 1016 00:45:38,560 --> 00:45:41,800 THAT IS NOT FANTASY. AND TO ME 1017 00:45:41,800 --> 00:45:43,880 WANTING TO BE VERY CONCRETE, 1018 00:45:43,880 --> 00:45:46,440 WHAT ARE THE STEPS THAT LEADS US 1019 00:45:46,440 --> 00:45:47,880 TO APPROACH THAT AND WHAT 1020 00:45:47,880 --> 00:45:51,160 ACTUALLY ARE THE METRICS. AND 1021 00:45:51,160 --> 00:45:54,880 THE IDEAL AND THEN WHAT ARE SORT 1022 00:45:54,880 --> 00:45:59,240 OF OTHER INTERMEDIATE STEPS. I 1023 00:45:59,240 --> 00:46:03,880 LIKE IT. WE WILL -- IT DOES HELP 1024 00:46:03,880 --> 00:46:04,800 US BECAUSE OBVIOUSLY WE WORK 1025 00:46:04,800 --> 00:46:06,200 WITH ADDICTION, WE WORK WITH 1026 00:46:06,200 --> 00:46:07,320 TREATMENT, WITH EVERYTHING THAT 1027 00:46:07,320 --> 00:46:09,640 WE DO WITH HEAL. IT IS 1028 00:46:09,640 --> 00:46:12,880 INTEGRATED. BUT ULTIMATELY, 1029 00:46:12,880 --> 00:46:17,320 DECISIONS IN TERMS OF FUNDS 1030 00:46:17,320 --> 00:46:20,680 ALLOCATED THROUGH THE CLUSTER OF 1031 00:46:20,680 --> 00:46:24,040 HEAL FUNDS VERSUS OTHERS THAT 1032 00:46:24,040 --> 00:46:25,120 ARE O THE INSTITUTE 1033 00:46:25,120 --> 00:46:27,680 STRATEGICALLY HOW WE ENSURE THAT 1034 00:46:27,680 --> 00:46:32,080 WE ARE MAXIMIZING THE GOAL 1035 00:46:32,080 --> 00:46:34,520 REVERSING THIS OVERDOSE, THAT 1036 00:46:34,520 --> 00:46:36,840 REPORTS INTERVENTIONS ACTUALLY A 1037 00:46:36,840 --> 00:46:38,680 YEAR MORE TOWARDS 1038 00:46:38,680 --> 00:46:39,360 IMPLEMENTATION, CLINICAL 1039 00:46:39,360 --> 00:46:40,760 SOLUTIONS AS OPPOSED TO 1040 00:46:40,760 --> 00:46:43,560 FUNDAMENTAL SCIENCE. SO IT WILL 1041 00:46:43,560 --> 00:46:45,400 ALSO BE VALUABLE FOR US TO HAVE 1042 00:46:45,400 --> 00:46:50,400 IT SO I LIKE IT. I WANT US TO 1043 00:46:50,400 --> 00:46:53,160 GET ON THE RADAR. SIX MONTHS TO 1044 00:46:53,160 --> 00:46:54,960 ME SEEMS REASONABLE. BUT I DON'T 1045 00:46:54,960 --> 00:46:57,240 KNOW WALTER, IS THIS TOO -- ARE 1046 00:46:57,240 --> 00:46:59,920 YOU ON BOARD ON THIS? 1047 00:46:59,920 --> 00:47:04,120 >>WELL, WE HAVE TALKED ABOUT 1048 00:47:04,120 --> 00:47:06,120 PAIN OF DEVELOPING THE STRATEGIC 1049 00:47:06,120 --> 00:47:10,160 PLAN FOR HEAL. WE DO HAVE -- WE 1050 00:47:10,160 --> 00:47:11,520 HAVE YOU ADD STRATEGIC PLAN TO 1051 00:47:11,520 --> 00:47:12,560 YOUR INSTITUTE WE HAVE NATIONAL 1052 00:47:12,560 --> 00:47:13,880 PAIN STRATEGY PUT TOGETHER YEARS 1053 00:47:13,880 --> 00:47:18,640 AGO. WHICH IS WHAT I DO, THAT'S 1054 00:47:18,640 --> 00:47:20,200 BEEN THE BIBLE FOR ME. BUT 1055 00:47:20,200 --> 00:47:22,440 ACTUALLY WE ARE PLANNING TO DO 1056 00:47:22,440 --> 00:47:26,680 ON THE PAIN SIDE. 1057 00:47:26,680 --> 00:47:31,240 >>I THINK ALAN HAD HIS HAND 1058 00:47:31,240 --> 00:47:31,720 RAISED. 1059 00:47:31,720 --> 00:47:33,640 >>JUST TO SAY THANK YOU TO 1060 00:47:33,640 --> 00:47:35,920 REBECCA TO BEGIN WITH. AND WE 1061 00:47:35,920 --> 00:47:38,040 WILL MISS YOU. THAT'S THE 1062 00:47:38,040 --> 00:47:39,320 SIMPLEST ANSWER. WE SHOULD 1063 00:47:39,320 --> 00:47:40,840 FIGURE OUT HOW REBECCA KICKED 1064 00:47:40,840 --> 00:47:42,240 THE HABIT AND MAYBE WE WILL 1065 00:47:42,240 --> 00:47:47,160 LEARN SOMETHING. IF YOU ARE ABLE 1066 00:47:47,160 --> 00:47:49,200 TO GIVE THIS UP. ON A MORE 1067 00:47:49,200 --> 00:47:50,920 SERIOUS NOTE FROM THE 1068 00:47:50,920 --> 00:47:51,640 DISCUSSION, DIFFERENT THINGS 1069 00:47:51,640 --> 00:47:57,200 COME TO MIND WITH THE HEAL 1070 00:47:57,200 --> 00:48:01,480 MOVING INTO THE INSTITUTES, I 1071 00:48:01,480 --> 00:48:02,800 KNOW WE HAVE TO SEPARATE 1072 00:48:02,800 --> 00:48:07,240 TRADITIONAL FUNDING, ENTERPRISE, 1073 00:48:07,240 --> 00:48:08,880 WITH HEAL FUNDING BUT IT IS HARD 1074 00:48:08,880 --> 00:48:10,880 TO IMAGINE WE HAVE TO SEPARATE 1075 00:48:10,880 --> 00:48:14,320 THE SCIENCE AND IDEAS. IT IS 1076 00:48:14,320 --> 00:48:16,320 GOING TO BE SO MUCH CLOSER TO 1077 00:48:16,320 --> 00:48:17,720 WHAT THE INSTITUTE IS FUNDING 1078 00:48:17,720 --> 00:48:20,160 THROUGH TRADITIONAL STUDY 1079 00:48:20,160 --> 00:48:24,120 SECTIONS. THE ISSUE, IS THERE 1080 00:48:24,120 --> 00:48:26,000 OVERLAP, IS THERE MUCH IN SOME 1081 00:48:26,000 --> 00:48:28,200 OPINION BETTER WORK COMING FROM 1082 00:48:28,200 --> 00:48:30,000 SOME INDIVIDUAL PROPOSALS 1083 00:48:30,000 --> 00:48:31,200 THROUGH THE NIH, TRADITIONAL 1084 00:48:31,200 --> 00:48:35,480 SYSTEM OR VICE VERSA? AND HOW TO 1085 00:48:35,480 --> 00:48:36,720 INTEGRATE THOSE TWO TO MAKE -- 1086 00:48:36,720 --> 00:48:38,600 TO IMPROVE THE SCIENCE COMING 1087 00:48:38,600 --> 00:48:41,360 OUT OF THE INDIVIDUAL LABS? THEY 1088 00:48:41,360 --> 00:48:42,680 ARE SEPARATED. I KNOW THEY ARE 1089 00:48:42,680 --> 00:48:45,240 SEPARATED ON A FUNDING BASIS. IN 1090 00:48:45,240 --> 00:48:46,360 A STRATEGIC FUND MAYBE THERE IS 1091 00:48:46,360 --> 00:48:50,320 SOME WAY TO TRY TO GET SOME 1092 00:48:50,320 --> 00:48:52,320 BENEFIT FROM THE FACT THAT IT IS 1093 00:48:52,320 --> 00:48:57,160 MUCH CLOSER TO HOME NOW. THE 1094 00:48:57,160 --> 00:49:00,160 OTHER ISSUE, THIS IS REALLY OFF 1095 00:49:00,160 --> 00:49:02,440 THE WALL. IT IS OUT OF IGNORANCE 1096 00:49:02,440 --> 00:49:04,000 THAT I ASK THIS QUESTION, COMING 1097 00:49:04,000 --> 00:49:05,600 FROM SAN FRANCISCO IT IS A HUGE 1098 00:49:05,600 --> 00:49:06,480 QUESTION. EVERYONE THINK IT IS 1099 00:49:06,480 --> 00:49:08,000 CITY IS FALLING APART. IT IS 1100 00:49:08,000 --> 00:49:10,840 NOT. BUT DO WE HAVE A HOMELESS 1101 00:49:10,840 --> 00:49:14,680 CRISIS? YOU BET WE WE DO. THERE 1102 00:49:14,680 --> 00:49:16,480 ARE FRIENDS OF MINE WORKING WITH 1103 00:49:16,480 --> 00:49:18,480 THE IS CITY ON THE HOMELESS 1104 00:49:18,480 --> 00:49:21,920 THING. WHAT I LEARNED IS MANY 1105 00:49:21,920 --> 00:49:25,240 HOMELESS PEOPLE ACTUALLY BEGAN 1106 00:49:25,240 --> 00:49:26,800 PEOPLE WHO ARE QUITE WELL OFF. 1107 00:49:26,800 --> 00:49:29,000 AT HOMES, FAMILIES, AND BECAUSE 1108 00:49:29,000 --> 00:49:30,560 OF THE PANDEMIC OR WHATEVER THEY 1109 00:49:30,560 --> 00:49:32,440 LOST THEIR JOBS AND WITHIN SIX 1110 00:49:32,440 --> 00:49:34,800 MONTHS TO A YEAR THEY ARE ON THE 1111 00:49:34,800 --> 00:49:37,840 STREET. THEN THEY END UPTURNING 1112 00:49:37,840 --> 00:49:42,640 TO OPIOIDS. TO WHAT EXTENT IF 1113 00:49:42,640 --> 00:49:48,280 AT ALL DOES HEAL LOOK AT 1114 00:49:48,280 --> 00:49:50,480 HOMELESSNESS AS A DRIVER OR IS 1115 00:49:50,480 --> 00:49:51,320 THAT HANDLED BY SOME INSTITUTE 1116 00:49:51,320 --> 00:49:53,440 OR SOME OTHER ENTITY AT THE NIH 1117 00:49:53,440 --> 00:49:55,120 OR IS IT SOMETHING THAT WE 1118 00:49:55,120 --> 00:49:57,120 SHOULD REALLY CONSIDER AS PART 1119 00:49:57,120 --> 00:49:59,600 OF THIS CHICKEN AND EGG, WHAT IS 1120 00:49:59,600 --> 00:50:01,280 THE INITIATORS? WE KNOW FENTANYL 1121 00:50:01,280 --> 00:50:03,280 CROSSING THE BORDER IS IMPORTANT 1122 00:50:03,280 --> 00:50:05,600 BUT WE CAN'T STOP FENTANYL 1123 00:50:05,600 --> 00:50:07,000 CROSSING THE BORDER BUT TO GET 1124 00:50:07,000 --> 00:50:10,400 TO THE ACTUAL LOCAL DRIVERS, 1125 00:50:10,400 --> 00:50:12,000 PSYCHOLOGY OF THIS, MAYBE WE ARE 1126 00:50:12,000 --> 00:50:14,600 DOING IT ALREADY, I DON'T KNOW. 1127 00:50:14,600 --> 00:50:17,160 MY LAST QUESTION IS ONE BECAUSE 1128 00:50:17,160 --> 00:50:19,760 I STILL I'M A SCIENTIST, I DON'T 1129 00:50:19,760 --> 00:50:21,400 THINK IT HAS EVER COME UP AND I 1130 00:50:21,400 --> 00:50:23,880 DON'T UNDERSTAND THIS. WE HEAR 1131 00:50:23,880 --> 00:50:27,440 ABOUT CRANK AND XYLOZE IN,E. I 1132 00:50:27,440 --> 00:50:29,760 HOPE THE TWO ANTAGONISTS BLOCK 1133 00:50:29,760 --> 00:50:32,560 THE EFFECTS. WHY DO WE HEAR 1134 00:50:32,560 --> 00:50:34,880 NARCAN AND EVERY OPIOID 1135 00:50:34,880 --> 00:50:36,240 ANTAGONIST BUT NOT ABOUT THE TWO 1136 00:50:36,240 --> 00:50:37,960 ANTAGONIST? 1137 00:50:37,960 --> 00:50:39,920 >>ALAN, THANKS FOR BRINGING 1138 00:50:39,920 --> 00:50:41,600 THAT -- THE HOMELESSNESS PROBLEM 1139 00:50:41,600 --> 00:50:42,920 AND THANKS FOR TESTIMONY LAST 1140 00:50:42,920 --> 00:50:44,200 QUESTION, LET ME JUMP AT THE 1141 00:50:44,200 --> 00:50:48,640 LAST QUESTION BECAUSE IT IS 1142 00:50:48,640 --> 00:50:50,480 EASIER. ZEAL SCENE IS 1143 00:50:50,480 --> 00:50:55,200 (INAUDIBLE) IT MAKESES SENSE 1144 00:50:55,200 --> 00:50:56,640 ALPHA 2 ANTAGONIST REVERSES THE 1145 00:50:56,640 --> 00:51:00,560 EFFECTS. WHEN YOU GET BOTH 1146 00:51:00,560 --> 00:51:05,000 FENTANYL AND XYLOSENE YOU CAN 1147 00:51:05,000 --> 00:51:07,600 REVERSE IT LIKE THAT. THE ISSUE 1148 00:51:07,600 --> 00:51:10,320 IS WHY WE DO IT IS -- WHAT 1149 00:51:10,320 --> 00:51:11,760 HAPPENS WHEN YOU GIVE NALOXONE 1150 00:51:11,760 --> 00:51:15,360 TO A PERSON THAT IS PHYSICALLY 1151 00:51:15,360 --> 00:51:17,360 DEPENDENT THEY ARE GOING TO GO 1152 00:51:17,360 --> 00:51:20,360 THROUGH ACUTE OPIOID WITHDRAWAL 1153 00:51:20,360 --> 00:51:23,960 WITH STIMULATION OF HYDRO GENEIC 1154 00:51:23,960 --> 00:51:25,240 SYSTEM. SO AMPLIFYING THAT, THAT 1155 00:51:25,240 --> 00:51:28,280 IS THE REASON WHY IT IS NOT 1156 00:51:28,280 --> 00:51:29,880 AUTOMATIC. IF YOU ARE IN A 1157 00:51:29,880 --> 00:51:30,880 CIRCUMSTANCE WHERE YOU KNOW A 1158 00:51:30,880 --> 00:51:32,240 PERSON DOES NOT HAVE OPIOID 1159 00:51:32,240 --> 00:51:34,560 PHYSICAL DEPENDENCE, ABSOLUTELY 1160 00:51:34,560 --> 00:51:36,720 GIVEN ALPHA 2 ANTAGONIST BECAUSE 1161 00:51:36,720 --> 00:51:38,680 YOU WILL ACCELERATE THE 1162 00:51:38,680 --> 00:51:40,560 RECOVERY. THE PROBLEM IS MOST 1163 00:51:40,560 --> 00:51:42,040 OVERDOSES ARE GOING TO BE ON 1164 00:51:42,040 --> 00:51:46,280 PHYSICALLY DEPENDENT PEOPLE. SO 1165 00:51:46,280 --> 00:51:49,680 CURRENTLY WE ARE PRIORITIZING 1166 00:51:49,680 --> 00:51:50,960 THIS AND WE HAVE (INAUDIBLE) TO 1167 00:51:50,960 --> 00:51:52,760 TRY TO ADDRESS WHAT IS IT WE 1168 00:51:52,760 --> 00:51:55,840 KNOW ABOUT THE COMBINATION OF 1169 00:51:55,840 --> 00:51:58,920 FENTANYL AND EX,YLOSENE NOT JUST 1170 00:51:58,920 --> 00:52:00,440 TO THE OVER DOSE BUT THE 1171 00:52:00,440 --> 00:52:01,480 CLINICAL PRESENTATION. AND THERE 1172 00:52:01,480 --> 00:52:05,800 ARE MANY CHALLENGES BUT FIRST IT 1173 00:52:05,800 --> 00:52:07,160 IS NOT CLEAR CUT EVIDENCE THAT 1174 00:52:07,160 --> 00:52:10,000 THE COMBINATION IS MORE 1175 00:52:10,000 --> 00:52:11,600 DELETERIOUS. IN FACT TWO PAPERS 1176 00:52:11,600 --> 00:52:13,720 HAVE COME UP IN THE PAST THREE 1177 00:52:13,720 --> 00:52:16,200 OR FOUR MONTHS THAT HAVE SHOWN 1178 00:52:16,200 --> 00:52:20,200 PEOPLE WITH FENTANYL AND 1179 00:52:20,200 --> 00:52:21,560 XYLOSENE WERE LESS LIKELY TO END 1180 00:52:21,560 --> 00:52:26,440 UP WITH FATAL OVERDOSES. SO IT 1181 00:52:26,440 --> 00:52:29,120 IS NOT SORT OF DYNAMICS ABOUT 1182 00:52:29,120 --> 00:52:30,600 WHAT MAYBE DRIVING THIS, ARE 1183 00:52:30,600 --> 00:52:33,560 THEY CONSUMING LESS FENTANYL AND 1184 00:52:33,560 --> 00:52:35,480 THIS OTHERWISE OR 1185 00:52:35,480 --> 00:52:36,480 PHARMACOLOGICAL PROPERTIES WE 1186 00:52:36,480 --> 00:52:38,480 DON'T UNDERSTAND OR IS THIS IS A 1187 00:52:38,480 --> 00:52:40,080 (INAUDIBLE). SO BOTTOM LINE, WE 1188 00:52:40,080 --> 00:52:43,160 NEED TO CHARACTERIZE BETTER THIS 1189 00:52:43,160 --> 00:52:46,560 PRESENTATION. SO IT IS AN AREA 1190 00:52:46,560 --> 00:52:49,240 OF HIGH PRIORITY, NOT JUST IN 1191 00:52:49,240 --> 00:52:54,400 TERMS OF NIDA ITSELF BUT ACROSS 1192 00:52:54,400 --> 00:52:56,120 AGENCIES AND WE ARE, WHOING WITH 1193 00:52:56,120 --> 00:52:57,640 THEM TO HELP DEVELOP GUIDELINES 1194 00:52:57,640 --> 00:52:59,240 AMONG THE BIG CHALLENGES WHICH 1195 00:52:59,240 --> 00:53:00,840 RELATES TO YOUR FIRST QUESTION, 1196 00:53:00,840 --> 00:53:02,400 SO YOU DON'T FEEL THAT I HAVE 1197 00:53:02,400 --> 00:53:07,680 FORGOTTEN IT, IS THIS 1198 00:53:07,680 --> 00:53:09,320 (INAUDIBLE) GROW RAPIDLY THAT, 1199 00:53:09,320 --> 00:53:10,880 ARE NOT JUST OBSERVED IN THE 1200 00:53:10,880 --> 00:53:13,320 PLACE WHERE PEOPLE ARE INJECTED. 1201 00:53:13,320 --> 00:53:14,920 AND NOT NECESSARILY JUST 1202 00:53:14,920 --> 00:53:18,560 OBSERVING PEOPLE THAT TAKE 1203 00:53:18,560 --> 00:53:20,560 XYLOSENE BY INJECTION. SO THEY 1204 00:53:20,560 --> 00:53:22,760 ARE DIFFERENT FROM REGULAR 1205 00:53:22,760 --> 00:53:24,600 DETERMINE TO LOGICAL ISSUES THAT 1206 00:53:24,600 --> 00:53:26,800 WE SEE WITH PEOPLE INJECTING 1207 00:53:26,800 --> 00:53:28,160 DRUGS, THEY ARE NOT TYPICALLY 1208 00:53:28,160 --> 00:53:29,800 INFECTED BUT OF COURSE THEY CAN 1209 00:53:29,800 --> 00:53:32,000 GET INFECTED. AND GUESS WHAT, IN 1210 00:53:32,000 --> 00:53:34,320 TERMS OF THERAPEUTIC 1211 00:53:34,320 --> 00:53:35,520 INTERVENTIONS WHAT CONDITIONS WE 1212 00:53:35,520 --> 00:53:37,560 ARE OBSERVING IS IT IS VERY 1213 00:53:37,560 --> 00:53:38,640 DIFFICULT TO MANAGE THEM. AND IF 1214 00:53:38,640 --> 00:53:42,080 YOU HAVE A HOMELESS PERSON YOU 1215 00:53:42,080 --> 00:53:43,840 MAY IMAGINE HOW IMPOSSIBLE IT IS 1216 00:53:43,840 --> 00:53:45,480 TO TRY FOR THEM TO FOLLOW-UP 1217 00:53:45,480 --> 00:53:49,120 PROCEDURES. SO NOT SURPRISING, 1218 00:53:49,120 --> 00:53:51,000 WE ARE SEEING THE WORST OUTCOMES 1219 00:53:51,000 --> 00:53:52,440 AMONG HOMELESS PEOPLE WITH 1220 00:53:52,440 --> 00:53:54,320 RESPECT TO CLINICAL OUTCOMES BUT 1221 00:53:54,320 --> 00:53:57,040 ALSO OVERDOSE MORTALITY. SO IF 1222 00:53:57,040 --> 00:53:58,400 YOU LOOK IN THE UNITED STATES 1223 00:53:58,400 --> 00:54:01,000 WHERE IS THE GROUP WITH HIGHEST 1224 00:54:01,000 --> 00:54:02,160 MORTALITY OVERALL, THOSE ARE 1225 00:54:02,160 --> 00:54:04,800 PEOPLE THAT ARE HOMELESS. AND 1226 00:54:04,800 --> 00:54:08,080 LOOK AT THE RESEARCH INVOLVEMENT 1227 00:54:08,080 --> 00:54:11,480 OVERALL HOMELESS POPULATION, YOU 1228 00:54:11,480 --> 00:54:14,120 CAN IDENTIFY GIGANTIC GAP AREA. 1229 00:54:14,120 --> 00:54:15,680 THAT NIDA IS THE MAIN INSTITUTE 1230 00:54:15,680 --> 00:54:17,920 DOING WORK WITH HOMELESSNESS AND 1231 00:54:17,920 --> 00:54:19,480 HAS BEEN DOING THAT, THAT DOES 1232 00:54:19,480 --> 00:54:22,160 NOT NECESSARILY MEAN THAT THAT 1233 00:54:22,160 --> 00:54:23,960 IS SUFFICIENT, FAR FROM IT. IN 1234 00:54:23,960 --> 00:54:26,800 FACT AN AREA WE HAVE BEEN AIMING 1235 00:54:26,800 --> 00:54:28,760 RESEARCHERS TO LOOK INTO AND 1236 00:54:28,760 --> 00:54:30,760 PRIORITIZE EXPLICITLY STATING IS 1237 00:54:30,760 --> 00:54:32,560 THE NEED TO DEVELOP RESEARCH 1238 00:54:32,560 --> 00:54:35,000 PROGRAMMING HOMELESS POPULATION 1239 00:54:35,000 --> 00:54:36,640 BECAUSE AMONG OTHER THINGS FOR 1240 00:54:36,640 --> 00:54:38,200 EXAMPLE, ONE OF THE MOST 1241 00:54:38,200 --> 00:54:40,080 VULNERABLE HOMELESS POPULATIONS 1242 00:54:40,080 --> 00:54:43,200 THAT WE HAVE IS WOMEN. WOMEN 1243 00:54:43,200 --> 00:54:44,640 WITH CHILDREN CAN END UP 1244 00:54:44,640 --> 00:54:47,520 HOMELESS SO THEY HAVE THE REALLY 1245 00:54:47,520 --> 00:54:50,080 EXTREMELY DIFFICULT CHALLENGE TO 1246 00:54:50,080 --> 00:54:51,840 MOVE FORWARD. HOMELESSNESS IS 1247 00:54:51,840 --> 00:54:54,080 EVERYWHERE, IT IS AFFECTING ALL 1248 00:54:54,080 --> 00:54:57,640 RACE AND ETHNIC GROUPS. I JUST 1249 00:54:57,640 --> 00:54:59,200 CAME FROM TRIBAL RESERVATIONS 1250 00:54:59,200 --> 00:55:02,600 AND I WAS BASICALLY MIND BLOWN 1251 00:55:02,600 --> 00:55:03,840 BY HOW MANY AMERICAN INDIANS AND 1252 00:55:03,840 --> 00:55:07,360 ALASKA NATIVES ARE NOW ACTUALLY 1253 00:55:07,360 --> 00:55:09,160 HOMELESS. GLAD YOU BROUGHT IT UP 1254 00:55:09,160 --> 00:55:11,240 BECAUSE IT BRINGS IT TO THE 1255 00:55:11,240 --> 00:55:12,160 FOREFRONT OF THE 1256 00:55:12,160 --> 00:55:13,640 MULTI-DISCIPLINARY WORKING GROUP 1257 00:55:13,640 --> 00:55:15,400 THAT WE NEED TO TACKLE IT. 1258 00:55:15,400 --> 00:55:17,920 500,000 PEOPLE ARE HOMELESS IN 1259 00:55:17,920 --> 00:55:19,440 THE UNITED STATES. THEY ARE 1260 00:55:19,440 --> 00:55:23,240 EXTREMELY HIGH RATES OF OVERDOSE 1261 00:55:23,240 --> 00:55:26,720 DEATH, DRUGS AND ALSO DEATH FROM 1262 00:55:26,720 --> 00:55:29,680 VIOLENCE. THE HOMELESSNESS 1263 00:55:29,680 --> 00:55:34,560 POPULATION CAN FACILITATED THE 1264 00:55:34,560 --> 00:55:36,200 FUSION OF METHAMPHETAMINE 1265 00:55:36,200 --> 00:55:39,120 BECAUSE MANY TIMES USE 1266 00:55:39,120 --> 00:55:40,200 METHAMPHETAMINE TO STAY AWAKE 1267 00:55:40,200 --> 00:55:41,400 BECAUSE THEY DON'T HAVE A 1268 00:55:41,400 --> 00:55:43,520 PROTECTED SPACE. SO IT IS A VERY 1269 00:55:43,520 --> 00:55:45,080 CHALLENGING AND SERIOUS AND I 1270 00:55:45,080 --> 00:55:47,640 THINK IT WOULD -- IT'S -- I 1271 00:55:47,640 --> 00:55:49,840 IMAGINE IT IS OUR RESPONSIBILITY 1272 00:55:49,840 --> 00:55:51,720 TO DEVELOP SCIENCE TO HELP 1273 00:55:51,720 --> 00:55:53,280 ADDRESS THE CHALLENGES OF TAKING 1274 00:55:53,280 --> 00:55:56,520 CARE OF PEOPLE THAT ARE 1275 00:55:56,520 --> 00:55:57,680 EXTRAORDINARY VULNERABLE. 1276 00:55:57,680 --> 00:56:00,880 >>NORA, IN HEARING AN AREA OF 1277 00:56:00,880 --> 00:56:02,200 FOCUS FOR THE STRATEGIC PLAN 1278 00:56:02,200 --> 00:56:03,840 THAT WE ARE GOING TO DELIVER TO 1279 00:56:03,840 --> 00:56:05,520 TO THE MULTI-DISCIPLINARY 1280 00:56:05,520 --> 00:56:07,440 WORKING GROUP IN SIX MONTHS, I 1281 00:56:07,440 --> 00:56:12,240 ALSO WONDER IF YOU -- AND WALTER 1282 00:56:12,240 --> 00:56:13,600 PERHAPS OTHER MEMBERS OF THE 1283 00:56:13,600 --> 00:56:14,720 EXECUTIVE COMMITTEE WHO ARE 1284 00:56:14,720 --> 00:56:16,800 PRESENT COULD SPEAK TO ALAN'S 1285 00:56:16,800 --> 00:56:18,840 VERY ASTUTE POINT ABOUT THE TYPE 1286 00:56:18,840 --> 00:56:20,640 OF SCIENTIFIC THAT GETS FUNDED 1287 00:56:20,640 --> 00:56:22,760 THROUGH THE BASIS OF THE ICs. 1288 00:56:22,760 --> 00:56:24,400 THE TYPES OF SCIENCE THAT WE 1289 00:56:24,400 --> 00:56:26,560 HAVE SOUGHT TO FUND THROUGH 1290 00:56:26,560 --> 00:56:28,880 HEAL. WHAT MAKES THEM DIFFERENT 1291 00:56:28,880 --> 00:56:32,200 AND HOW THAT DIFFERENCE WILL BE 1292 00:56:32,200 --> 00:56:33,640 SUSTAINED BUT ALSO EVOLVE WITH 1293 00:56:33,640 --> 00:56:36,320 THE EVOLVING CRISIS. 1294 00:56:36,320 --> 00:56:38,240 >>I THINK THAT THAT WOULD BE 1295 00:56:38,240 --> 00:56:40,360 ONE OF THE ASPECTS AS I MENTION 1296 00:56:40,360 --> 00:56:41,920 BEFORE. BUT IN TERMS OF THE 1297 00:56:41,920 --> 00:56:47,200 STRATEGIC PLAN OVERALL WE HAVE A 1298 00:56:47,200 --> 00:56:48,720 STRATEGIC SCIENCE TIME, THE 1299 00:56:48,720 --> 00:56:51,840 ISSUE IS HOW THIS IS DEFINED FOR 1300 00:56:51,840 --> 00:56:55,440 PAIN WHERE THERE IS NO PAIN 1301 00:56:55,440 --> 00:56:56,360 INSTITUTE MAYBE DIFFERENT FOR 1302 00:56:56,360 --> 00:56:58,640 ALL THERE IS. SO ONE OF THE 1303 00:56:58,640 --> 00:57:01,280 ELEMENTS HAS BEEN EASIER FOR US 1304 00:57:01,280 --> 00:57:03,080 THE DIFFERENCE IS BASIC 1305 00:57:03,080 --> 00:57:04,400 FUNDAMENTAL SCIENCE THAT WE DO 1306 00:57:04,400 --> 00:57:08,440 AT THE INSTITUTE TO HELP US 1307 00:57:08,440 --> 00:57:09,360 ANSATE EFFECT OF DRUGS IN THE 1308 00:57:09,360 --> 00:57:11,120 BRAIN AND ADDICTION BUT HELP 1309 00:57:11,120 --> 00:57:13,160 IDENTIFY TARGETS FOR TREATMENT 1310 00:57:13,160 --> 00:57:16,360 WHETHER MEDICATIONS OR NEURAL 1311 00:57:16,360 --> 00:57:20,240 MODERATION. -- MODULATION. THAT 1312 00:57:20,240 --> 00:57:22,000 BASIC SCIENCE FUNDING OVERALL 1313 00:57:22,000 --> 00:57:25,120 SIMPLER TO PUT ON THE PATH. BUT 1314 00:57:25,120 --> 00:57:26,320 ALAN WAS ALSO COMMENTING WE 1315 00:57:26,320 --> 00:57:28,240 DON'T WANT TO CREATE ARTIFICIAL 1316 00:57:28,240 --> 00:57:29,880 AREAS WHERE THEY DON'T EXIST. 1317 00:57:29,880 --> 00:57:32,000 AND THAT IS WHY THE CLINICAL 1318 00:57:32,000 --> 00:57:34,840 TRIAL NETWORK BASICALLY IS NOT 1319 00:57:34,840 --> 00:57:35,520 DIFFERENTIATING THIS IS HEAL AND 1320 00:57:35,520 --> 00:57:36,560 THIS IS NOT HEAL BECAUSE THE 1321 00:57:36,560 --> 00:57:37,200 STRUCTURES AREN'T THERE AND 1322 00:57:37,200 --> 00:57:38,880 WHICH WANT TO MAXIMIZE AND 1323 00:57:38,880 --> 00:57:40,960 TREATING ADDICTION OVERALL IS 1324 00:57:40,960 --> 00:57:42,720 VERY, VERY RELEVANT. SO THERE 1325 00:57:42,720 --> 00:57:46,080 WILL BE AREAS WHERE THIS IS MUCH 1326 00:57:46,080 --> 00:57:50,720 SIMPLER THAN OTHERS AND NOT 1327 00:57:50,720 --> 00:57:52,120 SIMPLE BECAUSE THAT STRUCTURE 1328 00:57:52,120 --> 00:57:55,520 ITSELF DOES NOT ALLOW TO THIS 1329 00:57:55,520 --> 00:57:56,120 COMPARTMENTALIZATION THAT WILL 1330 00:57:56,120 --> 00:57:58,360 BE ARTIFICIAL AND WILL MAKE US 1331 00:57:58,360 --> 00:58:00,760 MUCH LESS EFFICIENT. SO IT IS AN 1332 00:58:00,760 --> 00:58:02,480 ISSUE OF THINKING 1333 00:58:02,480 --> 00:58:04,840 PROGRAMATICALLY TO MAXIMIZE 1334 00:58:04,840 --> 00:58:06,960 RESOURCES AND AT THE END OF THE 1335 00:58:06,960 --> 00:58:08,600 DAY ACCELERATING THE SCIENCE IN 1336 00:58:08,600 --> 00:58:11,640 WAYS THAT MAKE A DIFFERENCE TO 1337 00:58:11,640 --> 00:58:15,560 ADDRESSING THE OVERDOSE CRISIS. 1338 00:58:15,560 --> 00:58:20,760 >>THE PAIN SIDE, WE HAVE TO DO 1339 00:58:20,760 --> 00:58:21,960 THIS STRATEGIC PLAN JUST FOR 1340 00:58:21,960 --> 00:58:23,840 THAT PURPOSE ALAN, TO REALLY 1341 00:58:23,840 --> 00:58:25,760 IDENTIFY WHAT IS HEAL, WHAT 1342 00:58:25,760 --> 00:58:27,160 BELONGS TO THE INSTITUTES. WE 1343 00:58:27,160 --> 00:58:30,200 DON'T WANT TO HAPPEN IS HAVE 1344 00:58:30,200 --> 00:58:32,720 INSTITUTES DOWNLOADING THE PAIN 1345 00:58:32,720 --> 00:58:35,000 RESEARCH TO HEAL. WE WANT THE 1346 00:58:35,000 --> 00:58:36,800 INSTITUTES TO DO RESEARCH ON 1347 00:58:36,800 --> 00:58:38,040 CONDITIONS PAINFUL CONDITIONS 1348 00:58:38,040 --> 00:58:41,120 THAT ARE IN THEIR INSTITUTE BUT 1349 00:58:41,120 --> 00:58:43,440 TO DO THE MULTI-DISCIPLINARY 1350 00:58:43,440 --> 00:58:46,800 STUFF THAT CAN ONLY BE DONE IN 1351 00:58:46,800 --> 00:58:48,280 HEAL IS WHAT I THINK IS THE KEY 1352 00:58:48,280 --> 00:58:52,080 CHARACTERISTIC OF THAT. SO ONE 1353 00:58:52,080 --> 00:58:54,840 BIG EXAMPLE IS THE WORK THAT 1354 00:58:54,840 --> 00:58:57,480 LINDSEY AND ALAN AND RENA HAVE 1355 00:58:57,480 --> 00:59:00,800 BEEN DOING ON THE WHOLE JOINT 1356 00:59:00,800 --> 00:59:05,200 AND MULTIPLE DIFFERENT 1357 00:59:05,200 --> 00:59:06,360 INSTITUTES WE ARE INTERESTED IN 1358 00:59:06,360 --> 00:59:11,520 THE NERVES AND MUSCULOSKELETAL 1359 00:59:11,520 --> 00:59:12,800 SYSTEM, THE CARTILAGE, THAT 1360 00:59:12,800 --> 00:59:14,360 PROGRAM COULD NEVER BE DONE 1361 00:59:14,360 --> 00:59:15,760 WITHOUT HEAL SO IT IS A GREAT 1362 00:59:15,760 --> 00:59:18,080 EXAMPLE OF A PROGRAM THAT IS 1363 00:59:18,080 --> 00:59:21,240 INHERENTLY MULTI-DISCIPLINARY AS 1364 00:59:21,240 --> 00:59:22,440 RELIANT ON SOMETHING LIKE HEAL 1365 00:59:22,440 --> 00:59:25,360 TO GET ACCOMPLISHED. THOSE ARE 1366 00:59:25,360 --> 00:59:26,480 THE KIND OF THINGS THAT WE 1367 00:59:26,480 --> 00:59:29,160 SHOULD BE DOING IN ADDITION TO 1368 00:59:29,160 --> 00:59:30,080 THOSE THINGS LIKE THERAPY 1369 00:59:30,080 --> 00:59:31,880 DEVELOPMENT WHICH IS WHAT HEAL 1370 00:59:31,880 --> 00:59:36,080 WAS STARTED FOR, AND FOR DOING 1371 00:59:36,080 --> 00:59:37,600 RESEARCH TO INFORM PHYSICIANS 1372 00:59:37,600 --> 00:59:40,480 AND PATIENTS ON BEST MANAGEMENT 1373 00:59:40,480 --> 00:59:48,280 AND PAN CONDITIONS. SO NIDA IS 1374 00:59:48,280 --> 00:59:50,560 A WHOLE INSTITUTE FOR DRUG ABUSE 1375 00:59:50,560 --> 00:59:54,880 AND OPIOID OVERUSE DISORDER. WE 1376 00:59:54,880 --> 00:59:59,520 HAVE PAIN DISTRIBUTED ACROSS 20 1377 00:59:59,520 --> 01:00:02,320 INSTITUTES. WE HAVE A LITTLE BIT 1378 01:00:02,320 --> 01:00:06,440 OF A DIFFERENT ROADMAP TO PUT 1379 01:00:06,440 --> 01:00:10,200 OUT THERE FOR ALL THE OTHER 1380 01:00:10,200 --> 01:00:13,960 INSTITUTES THAT FALL INTO AND 1381 01:00:13,960 --> 01:00:14,480 ADVANCING HEAL. 1382 01:00:14,480 --> 01:00:17,240 >>WALTER, I SEE BOTH LINDSEY 1383 01:00:17,240 --> 01:00:19,120 AND ALAN HAVE THEIR HANDS RAISED 1384 01:00:19,120 --> 01:00:21,600 AND I KNOW THEY WILL HAVE A LOT 1385 01:00:21,600 --> 01:00:23,800 OF CONTRIBUTIONS TO MAKE BOTH IN 1386 01:00:23,800 --> 01:00:25,480 THE STRATEGIC PLAN AND IN THIS 1387 01:00:25,480 --> 01:00:26,600 DISCUSSION BUT I WOULD RECALL 1388 01:00:26,600 --> 01:00:30,200 WHAT YOU HEARD FROM LYNN AND 1389 01:00:30,200 --> 01:00:32,280 PATRICE AND CHRIS ABOUT THE 1390 01:00:32,280 --> 01:00:33,480 INTEGRATION SO STRATEGIC PLAN 1391 01:00:33,480 --> 01:00:37,560 FOR HEAL CAN'T JUST BE ONE PAIN 1392 01:00:37,560 --> 01:00:38,960 PLAN AND ONE ADDICTION PLAN BUT 1393 01:00:38,960 --> 01:00:41,200 IT DOES HAVE TO INCORPORATE THE 1394 01:00:41,200 --> 01:00:44,960 CROSS CUTTING AND OVERALL 1395 01:00:44,960 --> 01:00:46,160 ELEMENTS OF HEAL THAT WE BUILT 1396 01:00:46,160 --> 01:00:48,600 OVER THE PAST FIVE YEARS. SO I 1397 01:00:48,600 --> 01:00:50,160 WILL JUST ADD THAT IN AS MY 1398 01:00:50,160 --> 01:00:51,480 PERSONAL REMINDER AND THEN HAND 1399 01:00:51,480 --> 01:00:56,720 IT TO YOU, LINDSEY. 1400 01:00:56,720 --> 01:00:58,200 >>THANK YOU FOR YOUR HELP IN 1401 01:00:58,200 --> 01:01:01,320 THIS MORNING'S SESSION AND 1402 01:01:01,320 --> 01:01:03,480 EVERYTHING FROM THE CALL OUT TO 1403 01:01:03,480 --> 01:01:05,120 THE VALUE OF THE STRATEGIC PLAN, 1404 01:01:05,120 --> 01:01:08,920 THANK YOU TO RENA AND WALLY AND 1405 01:01:08,920 --> 01:01:11,760 OTHERS FOR RAISING THAT AGAIN AT 1406 01:01:11,760 --> 01:01:14,280 THIS JUNCTURE. ALSO APPRECIATE 1407 01:01:14,280 --> 01:01:18,400 ALAN'S POINTING TO AN OBVIOUS 1408 01:01:18,400 --> 01:01:20,960 HUGE OBSTACLE OR CONTRIBUTOR TO 1409 01:01:20,960 --> 01:01:24,480 OPIOID USE AND PAIN WHICH IS THE 1410 01:01:24,480 --> 01:01:25,680 HOMELESSNESS PROBLEM. WE CAN'T 1411 01:01:25,680 --> 01:01:27,320 SOLVE IT EXCLUSIVELY WITH NIH 1412 01:01:27,320 --> 01:01:28,680 RESEARCH WE SHOULDN'T IGNORE IT 1413 01:01:28,680 --> 01:01:30,040 EITHER. ALAN, THANK YOU FOR 1414 01:01:30,040 --> 01:01:31,080 CALLING THAT OUT AS SOMETHING 1415 01:01:31,080 --> 01:01:33,120 THAT I HOPE WE WILL TRY TO 1416 01:01:33,120 --> 01:01:37,200 TACKLE. THIS IS NOT TO SUGGEST 1417 01:01:37,200 --> 01:01:38,520 THERE AREN'T ALREADY REALLY 1418 01:01:38,520 --> 01:01:39,680 IMPORTANT EFFORTS UNDERWAY AT 1419 01:01:39,680 --> 01:01:42,560 NIDA AND NIMH BUT I HOPE WE CAN 1420 01:01:42,560 --> 01:01:43,960 EXTEND THOSE. IN TERMS OF THE 1421 01:01:43,960 --> 01:01:46,920 RELATIONSHIP BETWEEN THE 1422 01:01:46,920 --> 01:01:48,400 INSTITUTES AND HEAL AS A 1423 01:01:48,400 --> 01:01:52,120 RELATIVE NEW COMER TO THE NIH, I 1424 01:01:52,120 --> 01:01:56,080 APPRECIATE SO MUCH HAVING 1425 01:01:56,080 --> 01:01:58,440 STRUCTURE AND PROGRAMS LIKE HEAL 1426 01:01:58,440 --> 01:01:59,920 THAT HELP US RECOGNIZE 1427 01:01:59,920 --> 01:02:00,880 OPPORTUNITIES ACROSS THE 1428 01:02:00,880 --> 01:02:02,400 INSTITUTES AND CENTERS AND 1429 01:02:02,400 --> 01:02:04,000 OFFICES. BECAUSE OF ALL OF OUR 1430 01:02:04,000 --> 01:02:05,640 SHARED INTEREST. SO THIS 1431 01:02:05,640 --> 01:02:08,160 STRUCTURE HAS BEEN ENORMOUS 1432 01:02:08,160 --> 01:02:11,400 HELP. BUT I HOPE WE CAN MOVING 1433 01:02:11,400 --> 01:02:13,800 FORWARD ALSO MAKE SURE WE ARE 1434 01:02:13,800 --> 01:02:15,440 ENGAGING INVESTIGATORS THAT 1435 01:02:15,440 --> 01:02:16,960 CURRENTLY LIVE WITHIN OUR 1436 01:02:16,960 --> 01:02:17,960 INSTITUTES, WHETHER THAT IS IN 1437 01:02:17,960 --> 01:02:19,760 THE EXTRAMURAL ENVIRONMENT OR 1438 01:02:19,760 --> 01:02:22,440 THE INTRAMURAL RESEARCH 1439 01:02:22,440 --> 01:02:24,200 ENVIRONMENT. THIS STRUCTURE 1440 01:02:24,200 --> 01:02:25,760 THERE IS BROADER ENGAGEMENT FOR 1441 01:02:25,760 --> 01:02:28,920 EXAMPLE ON THE PAIN SIDE OF SO 1442 01:02:28,920 --> 01:02:31,520 MANY INSTITUTES COMMITTING VERY 1443 01:02:31,520 --> 01:02:32,920 SIGNIFICANT EFFORT TO WORK 1444 01:02:32,920 --> 01:02:34,760 TOGETHER THAT WILL HELP IDENTIFY 1445 01:02:34,760 --> 01:02:36,120 MEMBERS OF OUR COMMUNITIES THAT 1446 01:02:36,120 --> 01:02:40,440 CAN CONTRIBUTE TO THIS PROBLEM 1447 01:02:40,440 --> 01:02:42,640 THAT MIGHT NOT BE AWARE OF THIS 1448 01:02:42,640 --> 01:02:44,600 EFFORT, MIGHT NOT COME TO OUR 1449 01:02:44,600 --> 01:02:48,120 ATTENTION SO I'M HOPING MOVING 1450 01:02:48,120 --> 01:02:50,280 FORWARD WE CAN BETTER LEVERAGE 1451 01:02:50,280 --> 01:02:52,720 EFFORTS WITHIN THE INSTITUTES, 1452 01:02:52,720 --> 01:02:54,720 IDENTIFY PARTNERSHIPS ACROSS THE 1453 01:02:54,720 --> 01:02:56,040 INSTITUTES, AND FUNCTION IN THIS 1454 01:02:56,040 --> 01:02:57,160 COLLABORATIVE WAY THAT WILL BE 1455 01:02:57,160 --> 01:03:01,640 SO INCREDIBLY IMPORTANT. THANKS 1456 01:03:01,640 --> 01:03:02,640 TO EVERYBODY WHO MADE 1457 01:03:02,640 --> 01:03:03,680 APPROPRIATE AN INSPIRING 1458 01:03:03,680 --> 01:03:07,040 COMMENTS THIS MORNING. 1459 01:03:07,040 --> 01:03:08,040 >>THANKS, LINDSEY. 1460 01:03:08,040 --> 01:03:11,240 >>THANKS, LINDSEY. ALAN. 1461 01:03:11,240 --> 01:03:14,960 >>JUST WANT TO FIRST -- HELENE. 1462 01:03:14,960 --> 01:03:17,200 >>THANKS TO EVERYBODY FOR WHAT 1463 01:03:17,200 --> 01:03:19,560 THEY SAID AND I THINK WHAT IS 1464 01:03:19,560 --> 01:03:23,280 ALSO DESCRIBING ABOUT THE 1465 01:03:23,280 --> 01:03:24,480 SITUATING PAIN SIDE OF HEAL IN 1466 01:03:24,480 --> 01:03:27,360 THE CONTEXT OF PAIN CONSORTIUM. 1467 01:03:27,360 --> 01:03:29,000 THAT IS GOING TO BE REALLY 1468 01:03:29,000 --> 01:03:30,680 HELPFUL BECAUSE WE ARE ABLE TO 1469 01:03:30,680 --> 01:03:32,600 GET INPUT FROM SO MANY DIFFERENT 1470 01:03:32,600 --> 01:03:34,320 INSTITUTES AND CENTERS AT NIH, 1471 01:03:34,320 --> 01:03:36,320 NOT NECESSARILY PART OF HERE AND 1472 01:03:36,320 --> 01:03:39,480 MOW BUT CONTRIBUTE A LOT OF 1473 01:03:39,480 --> 01:03:44,440 USEFUL IDEAS AND DEVELOP NEW 1474 01:03:44,440 --> 01:03:48,000 CONCEPTS SO THIS IS GOING TO 1475 01:03:48,000 --> 01:03:48,920 MOVE INTEGRATIVE DIRECTION WHICH 1476 01:03:48,920 --> 01:03:51,120 IS A GOOD THING. VERY EXCITED 1477 01:03:51,120 --> 01:03:53,680 ABOUT THIS. 1478 01:03:53,680 --> 01:03:55,360 >>PUN INTENDED, RIGHT? 1479 01:03:55,360 --> 01:03:57,960 INTEGRATIVE. 1480 01:03:57,960 --> 01:04:01,560 >>WE LIKE TO INTEGRATE. 1481 01:04:01,560 --> 01:04:03,440 GENERALLY. IT IS A GOOD 1482 01:04:03,440 --> 01:04:07,440 DIRECTION TO GO. 1483 01:04:07,440 --> 01:04:11,960 >>ALAN, AGAIN, GO RIGHT AHEAD. 1484 01:04:11,960 --> 01:04:18,160 >>QUICK LAST QUESTION. I PEOPLE 1485 01:04:18,160 --> 01:04:20,360 JUST STARTING TO FILL OUT AN 1486 01:04:20,360 --> 01:04:22,320 RPPR ON AN R 35 COMING TO AN 1487 01:04:22,320 --> 01:04:24,520 END, VERY SAD AND IT IS RATHER 1488 01:04:24,520 --> 01:04:25,680 EXTENSIVE FORTUNATELY, WE HAVE 1489 01:04:25,680 --> 01:04:29,760 BEEN BUSY. BUT ANY RO1 WE HAVE 1490 01:04:29,760 --> 01:04:31,640 TO WRITE AN RPPR WE HAVE TO SAY 1491 01:04:31,640 --> 01:04:33,320 WHAT HAVE WE DONE, WHAT IS 1492 01:04:33,320 --> 01:04:37,400 SUCCESS? WE DO IT ON AN ANNUAL 1493 01:04:37,400 --> 01:04:38,360 BASIS. I DON'T KNOW ABOUT THE 1494 01:04:38,360 --> 01:04:41,120 HEAL GRANTS. THEY CERTAINLY 1495 01:04:41,120 --> 01:04:44,480 DON'T COME BACK TO US OR ME OR 1496 01:04:44,480 --> 01:04:46,120 THE NDWG. I THINK IT WOULD BE 1497 01:04:46,120 --> 01:04:48,600 REALLY HELPFUL TO FIND OUT WHAT 1498 01:04:48,600 --> 01:04:52,400 THE PROBLEM HAS BEEN. BUT WE GET 1499 01:04:52,400 --> 01:04:53,800 NO FEEDBACK ON THAT, NO IDEA. 1500 01:04:53,800 --> 01:04:55,760 WOULD BE MICE TO KNOW WHAT 1501 01:04:55,760 --> 01:04:58,920 WORKED AND WHAT DIDN'T. 1502 01:04:58,920 --> 01:05:01,720 >>WE CAN DO THAT. WE SHOULD BE 1503 01:05:01,720 --> 01:05:03,040 USING PART OF OUR MEETINGS TO 1504 01:05:03,040 --> 01:05:04,240 GIVE YOU A SUMMARY OF THINGS 1505 01:05:04,240 --> 01:05:06,480 THAT HAVE HAPPENED. BECAUSE WE 1506 01:05:06,480 --> 01:05:10,000 DO MONITOR CERTAINLY. THAT WOULD 1507 01:05:10,000 --> 01:05:11,120 BE A BIG ROLE FOR THE 1508 01:05:11,120 --> 01:05:13,120 HARDWORKING YOU ARE DOING FROM 1509 01:05:13,120 --> 01:05:14,640 RESPECT TO THE SCIENCE. 1510 01:05:14,640 --> 01:05:17,320 ABSOLUTELY. 1511 01:05:17,320 --> 01:05:18,840 >>I WILL TAKE THAT AS AN 1512 01:05:18,840 --> 01:05:22,880 OPPORTUNITY TO TRANSITION. THANK 1513 01:05:22,880 --> 01:05:23,960 YOU, EVERYONE FOR THE KIND 1514 01:05:23,960 --> 01:05:28,880 WORDS. ESPECIALLY IN OUR OPEN 1515 01:05:28,880 --> 01:05:30,080 SESSION FIRST THING IN THE 1516 01:05:30,080 --> 01:05:31,800 HORNING. I LOVED HEARING IT I 1517 01:05:31,800 --> 01:05:33,160 LOVED WORKING WITH YOU. WHAT YOU 1518 01:05:33,160 --> 01:05:34,240 WILL SEE IN THIS PRESENTATION 1519 01:05:34,240 --> 01:05:36,680 WHICH I WILL TRY TO GO THROUGH 1520 01:05:36,680 --> 01:05:38,640 BRIEFLY BECAUSE WE ARE QUITE 1521 01:05:38,640 --> 01:05:40,200 BEHIND IS A BRIEF OVERVIEW OF 1522 01:05:40,200 --> 01:05:42,440 WHAT HEAL HAS SOUGHT OUT TO DO 1523 01:05:42,440 --> 01:05:44,360 AND A FRAMEWORK FOR THE QUESTION 1524 01:05:44,360 --> 01:05:51,160 YOU JUST POSED, A ALAN. MOST 1525 01:05:51,160 --> 01:05:52,240 RESEARCH FIND US RIGHT NOW ARE 1526 01:05:52,240 --> 01:05:53,520 STILL UNDERWAY. WE HAVE SOME 1527 01:05:53,520 --> 01:05:56,080 STUDIES READY TO GO WITH THE 1528 01:05:56,080 --> 01:05:58,760 FIRST YEAR OF HEAL 2019 GOT OFF 1529 01:05:58,760 --> 01:06:01,080 TO A STRONG START AND WE ARE 1530 01:06:01,080 --> 01:06:03,400 ABLE TO DELIVER RESULTS BUT WE 1531 01:06:03,400 --> 01:06:05,600 HAVE A LOT OF STUDIES STILL 1532 01:06:05,600 --> 01:06:06,920 ONGOING. PARTICIPANTS STILL 1533 01:06:06,920 --> 01:06:08,480 RECRUITED. DATA STILL BEEN 1534 01:06:08,480 --> 01:06:09,960 ANALYZED. THAT MEANS WE ARE NOT 1535 01:06:09,960 --> 01:06:12,360 QUITE READY TO DELIVER WHERE WE 1536 01:06:12,360 --> 01:06:17,120 ARE IN OUR SUCCESS. FOR THE 1537 01:06:17,120 --> 01:06:20,080 FUTURE AND THE STRATEGIC PLAN, 1538 01:06:20,080 --> 01:06:21,720 THAT THE TEAM ALSO COME UP WITH, 1539 01:06:21,720 --> 01:06:22,880 THEY WILL USE AS A STARTING 1540 01:06:22,880 --> 01:06:25,640 POINT THE RESEARCH PLAN THAT WE 1541 01:06:25,640 --> 01:06:26,800 DEVELOPED FOR HEAL IN ITS FIRST 1542 01:06:26,800 --> 01:06:30,480 YEAR. AND THAT HAVE CONCRETE 1543 01:06:30,480 --> 01:06:31,720 GOALS IN TERMS OF CLINICAL 1544 01:06:31,720 --> 01:06:35,880 GUIDANCE, INDs, AND SPECIFIC 1545 01:06:35,880 --> 01:06:38,240 DELIVERABLES WE SOUGHT TO BRING 1546 01:06:38,240 --> 01:06:39,800 ABOUT THROUGH THIS RESEARCH. AS 1547 01:06:39,800 --> 01:06:41,520 Y'ALL KNOW WELL, IT GOES DEEPER 1548 01:06:41,520 --> 01:06:45,160 THAN THAT. NOT JUST TANGIBLES 1549 01:06:45,160 --> 01:06:46,440 BUT ALSO THE KNOWLEDGE BEING 1550 01:06:46,440 --> 01:06:50,800 DELIVERED TO THE COMMUNITY AND 1551 01:06:50,800 --> 01:06:52,680 TO THE NEW SOURCES OF INNOVATION 1552 01:06:52,680 --> 01:06:53,600 AND SCIENTIFIC SOLUTIONS TO THE 1553 01:06:53,600 --> 01:06:55,640 OPIOID CRISIS. SO I SECOND THAT 1554 01:06:55,640 --> 01:06:58,800 SUGGEST. -- SUGGESTION AND 1555 01:06:58,800 --> 01:07:00,080 ENCOURAGE THE TEAM GOING FORWARD 1556 01:07:00,080 --> 01:07:01,600 TO FIND WAYS EVEN WHEN RESEARCH 1557 01:07:01,600 --> 01:07:05,480 IS ONGOING TO DELIVER UPDATES TO 1558 01:07:05,480 --> 01:07:06,920 YOU AND THE MULTI-DISALLYNARY 1559 01:07:06,920 --> 01:07:08,200 WORKING GROUP, FEEDBACK AND 1560 01:07:08,200 --> 01:07:11,640 FUTURE DIRECTIONS. -- 1561 01:07:11,640 --> 01:07:12,600 MULTI-DISCIPLINARY WORKING GROUP 1562 01:07:12,600 --> 01:07:14,200 FEEDBACK AND FUTURE DIRECTIONSS 1563 01:07:14,200 --> 01:07:15,640 T I WANT TO SET THE STAGE FOR 1564 01:07:15,640 --> 01:07:17,200 THE REST OF THE TWO DAY MEETING. 1565 01:07:17,200 --> 01:07:18,760 I WILL DO IT QUICKLY. FIRST 1566 01:07:18,760 --> 01:07:20,200 SLIDE PLEASE. WHAT IS OUR 1567 01:07:20,200 --> 01:07:21,840 VISION? HELPING TO END ADDICTION 1568 01:07:21,840 --> 01:07:24,320 LONG TERM. AS NORA SAID IT IS 1569 01:07:24,320 --> 01:07:29,640 VERY AMBITIOUS. IT NECESSARILY 1570 01:07:29,640 --> 01:07:32,040 INCLUDES COMBINING THE POWER OF 1571 01:07:32,040 --> 01:07:34,880 SCIENCE AND THE STRENGTH OF OUR 1572 01:07:34,880 --> 01:07:36,200 COMMUNITY TO PROVIDE THE 1573 01:07:36,200 --> 01:07:38,760 SCIENTIFIC SOLUTIONS AND BE 1574 01:07:38,760 --> 01:07:40,240 PARTNERING, WE CAN'T DO IT 1575 01:07:40,240 --> 01:07:41,480 ALONE, WE CAN ONLY DO IT AS A 1576 01:07:41,480 --> 01:07:44,520 PIECE OF PUZZLE. AND THAT MEANS 1577 01:07:44,520 --> 01:07:46,680 WORKING TO DEVELOP SAFE 1578 01:07:46,680 --> 01:07:49,440 NON-ADDICTIVE EFFECTIVE 1579 01:07:49,440 --> 01:07:52,200 STRATEGIES TO PREVENT AND TREAT 1580 01:07:52,200 --> 01:07:56,320 PAIN USE MISUSE AND OVERDOSE. 1581 01:07:56,320 --> 01:07:59,920 WHAT HAVE WE DONE SINCE WE FIRST 1582 01:07:59,920 --> 01:08:03,920 MET AND GATHERED IN WILSON HALL 1583 01:08:03,920 --> 01:08:06,000 IN 2019? WE HAVE FUNDED TWO AND 1584 01:08:06,000 --> 01:08:07,800 A HALF MILLION DOLLARS WORTH OF 1585 01:08:07,800 --> 01:08:09,480 RESEARCH. THAT IS A LOT TO CHECK 1586 01:08:09,480 --> 01:08:11,680 UP ONGOING FORWARDS. A THOUSAND 1587 01:08:11,680 --> 01:08:15,080 RESEARCH PROJECTS. 42 DEDICATED 1588 01:08:15,080 --> 01:08:16,360 PROGRAMS, ALL 50 STATES, PER 1589 01:08:16,360 --> 01:08:19,800 CO-RICO AND INTERNATIONAL. 1590 01:08:19,800 --> 01:08:20,840 HUNDREDS OF CLINICAL TRIALS WITH 1591 01:08:20,840 --> 01:08:24,200 THE SIGNIFICANT EMPHASIS ON 1592 01:08:24,200 --> 01:08:27,680 CAUSES OF PAIN AND DISABILITY. A 1593 01:08:27,680 --> 01:08:30,240 SIGNIFICANT FOCUS ON MEDICATIONS 1594 01:08:30,240 --> 01:08:33,840 AND THERAPEUTIC TREATMENTS FOR 1595 01:08:33,840 --> 01:08:36,520 OPIOID USE DISORDER. THESE LED 1596 01:08:36,520 --> 01:08:38,160 TO OVER 40 SUBMISSIONS TO IMDs 1597 01:08:38,160 --> 01:08:40,800 TO THE FDA AND A LOT OF 1598 01:08:40,800 --> 01:08:41,880 PROMISING NEW OPTIONS FOR 1599 01:08:41,880 --> 01:08:45,760 TREATING PAIN AND ADDICTION. 1600 01:08:45,760 --> 01:08:46,920 IMPORTANTLY, WE ARE DOING THIS 1601 01:08:46,920 --> 01:08:49,080 IN PARTNERSHIP. SO WE KNOW THE 1602 01:08:49,080 --> 01:08:51,840 SCIENTISTS HAVE THIS INCREDIBLE 1603 01:08:51,840 --> 01:08:54,280 EQUITY ENERGY SPIRIT IDEAS. BUT 1604 01:08:54,280 --> 01:08:57,080 WE ARE TRYING TO GEESE THE SKINS 1605 01:08:57,080 --> 01:08:59,640 WORKING WITH FEDERAL AGENCIES, 1606 01:08:59,640 --> 01:09:00,840 WORKING WITH PARTNERS IN THE 1607 01:09:00,840 --> 01:09:02,680 PRIVATE SECTOR, WITH 1608 01:09:02,680 --> 01:09:03,680 COMMUNITIES, PEOPLE WITH LIVED 1609 01:09:03,680 --> 01:09:05,400 EXPERIENCE AND THE NETWORKS THAT 1610 01:09:05,400 --> 01:09:07,000 ARE CREATED IN ALL THOSE 1611 01:09:07,000 --> 01:09:11,840 DIFFERENT GROUPS. YOU HEARD A 1612 01:09:11,840 --> 01:09:12,960 LOT ABOUT THE DIFFERENT 1613 01:09:12,960 --> 01:09:13,960 INSTITUTES AND CENTERS INVOLVED 1614 01:09:13,960 --> 01:09:17,160 IN THE PAIN CONSORTIUM THAT ARE 1615 01:09:17,160 --> 01:09:18,440 INVOLVED IN HEAL AND GETTING 1616 01:09:18,440 --> 01:09:20,400 OVERSIGHT. HERE IS A BREAK DOWN 1617 01:09:20,400 --> 01:09:23,120 WHERE SOME OF THE HEAL FUND GO. 1618 01:09:23,120 --> 01:09:26,760 YOU CAN SEE THERE ARE LOT OF 1619 01:09:26,760 --> 01:09:28,840 DOTS BUT NINDS AND NIDA IN SOME 1620 01:09:28,840 --> 01:09:31,240 OF THE FOLKS ON THE CALL TODAY, 1621 01:09:31,240 --> 01:09:37,200 NCCIH, NCATS, NI NIAMS ARE BIT 1622 01:09:37,200 --> 01:09:38,760 HITTERS IN THE ECOSYSTEM BUT WE 1623 01:09:38,760 --> 01:09:40,120 WORK THE MAKE SURE IT IS NOT 1624 01:09:40,120 --> 01:09:41,840 JUST A VOLUME ISSUE BUT WE ARE 1625 01:09:41,840 --> 01:09:43,240 GETTING THE SCIENTIFIC 1626 01:09:43,240 --> 01:09:46,640 EXPERTISE, THE COMMUNITY 1627 01:09:46,640 --> 01:09:48,160 CONNECTIONS, AND THE 1628 01:09:48,160 --> 01:09:51,400 BIDIRECTIONAL LEARNING FROM ALL 1629 01:09:51,400 --> 01:09:52,680 OF OUR DIFFERENT CONSTITUENTS 1630 01:09:52,680 --> 01:10:00,680 WITHIN NIH. AND IN OUR RESEARCH 1631 01:10:00,680 --> 01:10:02,040 PROGRAMS WE SOUGHT TO BUILD 1632 01:10:02,040 --> 01:10:03,040 CONNECTS BETWEEN THE DIFFERENT 1633 01:10:03,040 --> 01:10:04,160 INSTITUTES AND CENTERS SO 1634 01:10:04,160 --> 01:10:05,720 FOCUSING ON THINGS THAT ARE NOT 1635 01:10:05,720 --> 01:10:07,240 JUST NECESSARILY A SIMPLE 1636 01:10:07,240 --> 01:10:10,440 INDICATION OR A SIMPLE RESEARCH 1637 01:10:10,440 --> 01:10:11,800 QUESTION, HOW CAN WE BEST MANAGE 1638 01:10:11,800 --> 01:10:13,200 THE NEEDS OF PEOPLE WITH 1639 01:10:13,200 --> 01:10:17,960 CO-OCCURRING PAIN AND ADDICTION 1640 01:10:17,960 --> 01:10:19,440 HOW WE BUILD A COMMUNITY OF 1641 01:10:19,440 --> 01:10:21,280 PRACTICE FOR TEAM BASED RESEARCH 1642 01:10:21,280 --> 01:10:23,240 THAT INCLUDES BASIC SCIENTISTS, 1643 01:10:23,240 --> 01:10:25,320 CLINICIANS AND OTHER EXPERTS. 1644 01:10:25,320 --> 01:10:28,320 HOW CAN WE LEVERAGE POTENTIAL OF 1645 01:10:28,320 --> 01:10:30,160 MED TECH FOR TREATING PAIN AND 1646 01:10:30,160 --> 01:10:31,880 ADDICTION, ALL THOSE THERAPEUTIC 1647 01:10:31,880 --> 01:10:33,520 DEVELOPMENT PROGRAMS MOVE 1648 01:10:33,520 --> 01:10:34,960 FORWARD HOW CAN WE USE DEVICES 1649 01:10:34,960 --> 01:10:38,240 AND IMAGING TO INCREASE OUR 1650 01:10:38,240 --> 01:10:39,600 UNDERSTANDING. NORA ALREADY 1651 01:10:39,600 --> 01:10:42,600 MENTIONED TRIBAL COMMUNITIES, 1652 01:10:42,600 --> 01:10:46,320 THAT IS A HUGE BOTH CHALLENGE IN 1653 01:10:46,320 --> 01:10:49,440 TERMS OF REALLY HIGH RATES OF 1654 01:10:49,440 --> 01:10:51,320 OVERDOSE BUT ALSO INCREDIBLE 1655 01:10:51,320 --> 01:10:52,640 SOURCE OF KNOWLEDGE AND INSIGHT 1656 01:10:52,640 --> 01:10:56,000 INTO THE HUMAN EXPERIENCE. AND 1657 01:10:56,000 --> 01:10:58,680 HOW WE CAN TREAT PAIN AND 1658 01:10:58,680 --> 01:11:01,320 PREVENT SUBSTANCE USE DISORDER 1659 01:11:01,320 --> 01:11:02,080 AND OVERDOSE USING THAT 1660 01:11:02,080 --> 01:11:05,320 KNOWLEDGE. CARE MODELS FOR 1661 01:11:05,320 --> 01:11:06,920 TREATING BOTH ADDICTION AND 1662 01:11:06,920 --> 01:11:09,400 MENTAL HEALTH CONDITIONS, 1663 01:11:09,400 --> 01:11:11,760 INCLUDING REALLY BUILDING ON 1664 01:11:11,760 --> 01:11:13,240 WHAT WE KNOW ABOUT PRIMARY CARE 1665 01:11:13,240 --> 01:11:15,440 AND HOW PEOPLE IN THE REAL WORLD 1666 01:11:15,440 --> 01:11:17,120 RECEIVE TREATMENT FOR THOSE 1667 01:11:17,120 --> 01:11:19,360 HEALTH CONDITIONS. LASTLY 1668 01:11:19,360 --> 01:11:21,560 BUILDING ON THE VAST ARRAY OF 1669 01:11:21,560 --> 01:11:27,920 SCIENTIFIC EXPERTISE ACROSS NIH 1670 01:11:27,920 --> 01:11:28,600 THERE IS INTERESTING SCIENCE 1671 01:11:28,600 --> 01:11:30,480 GOING ON IN THE BRAIN IN THE 1672 01:11:30,480 --> 01:11:32,280 BLOOD AND UNDERSTANDING HOW THE 1673 01:11:32,280 --> 01:11:34,800 BODY WORKS, SO HOW CAN WE USE 1674 01:11:34,800 --> 01:11:37,320 THAT TO ENHANCE EXPEDITE THE 1675 01:11:37,320 --> 01:11:40,520 DEVELOPMENT OF NEEDED TREATMENTS 1676 01:11:40,520 --> 01:11:42,680 INCLUDING ANTIBODIES AND 1677 01:11:42,680 --> 01:11:48,560 VACCINES FOR HER NGUYEN FENTA 1678 01:11:48,560 --> 01:11:53,040 FENTANYL, AND OTHER OPIOIDS. I 1679 01:11:53,040 --> 01:11:54,400 WILL START. I WILL KEEP GOING 1680 01:11:54,400 --> 01:11:55,520 WHERE WE STARTED BY ARE THE 1681 01:11:55,520 --> 01:11:57,040 PROBLEMS WE ARE SEEKING TO 1682 01:11:57,040 --> 01:11:58,320 ADDRESS THROUGH HEAL RESEARCH, 1683 01:11:58,320 --> 01:12:01,360 MANY PEOPLE WITH OPIOID USE 1684 01:12:01,360 --> 01:12:01,880 DISORDER DO T NO RECEIVE 1685 01:12:01,880 --> 01:12:03,480 APPROPRIATE TREATMENT IN SPITE 1686 01:12:03,480 --> 01:12:05,560 OF OUR LIFE SAVING INTERVENTIONS 1687 01:12:05,560 --> 01:12:08,520 AND THOSE WHO DO RECEIVE ACCESS 1688 01:12:08,520 --> 01:12:11,080 TO RECEIVE MEDICINE OFTEN DON'T 1689 01:12:11,080 --> 01:12:12,920 STAY ON LONG ENOUGH TO ACHIEVE 1690 01:12:12,920 --> 01:12:14,280 LONG TERM RECOVERY. PAIN IS 1691 01:12:14,280 --> 01:12:15,800 COMPLEX. PEOPLE EXPERIENCE PAIN 1692 01:12:15,800 --> 01:12:19,160 DIFFERENTLY. DIFFERENT TREATMENT 1693 01:12:19,160 --> 01:12:20,000 ALSO WORK DIFFERENTLY IN 1694 01:12:20,000 --> 01:12:22,120 DIFFERENT PEOPLE WITH DIFFERENT 1695 01:12:22,120 --> 01:12:26,200 PAIN CONDITIONS. THE NEED TO 1696 01:12:26,200 --> 01:12:28,240 BALANCE WHAT WE HAVE AS 1697 01:12:28,240 --> 01:12:31,080 TREATMENTS FOR PAIN INCLUDING 1698 01:12:31,080 --> 01:12:34,760 OPIOID WITH THE RISKS OF BOTH 1699 01:12:34,760 --> 01:12:37,520 OPIOIDS AS MEDICATION AND ALSO 1700 01:12:37,520 --> 01:12:39,120 RISK OF ADDICTION IN LONG TERM. 1701 01:12:39,120 --> 01:12:40,520 AND THE NEEDS OF ALL OF THE 1702 01:12:40,520 --> 01:12:46,400 DIFFERENT GROUPS NORA MENTIONED, 1703 01:12:46,400 --> 01:12:47,960 WOMEN AND MOTHERS EXPOSED TO 1704 01:12:47,960 --> 01:12:50,560 OPIOIDS, THERE IS INFANTS BORN 1705 01:12:50,560 --> 01:12:56,840 EXPOSED TO OPIOID AND OTHER -- 1706 01:12:56,840 --> 01:12:59,320 SPECIFIC POPULATIONS WITH 1707 01:12:59,320 --> 01:13:00,000 SPECIFIC NEEDS. NEXT SLIDE 1708 01:13:00,000 --> 01:13:06,040 PLEASE. SOME OF THE CROSS 1709 01:13:06,040 --> 01:13:11,480 CUTTING TOPICS BUILT AS PROGRAMS 1710 01:13:11,480 --> 01:13:12,920 ASKING QUESTION HOW CAN YOU 1711 01:13:12,920 --> 01:13:14,920 ADDRESS STIGMA HEAD ON. HOW CAN 1712 01:13:14,920 --> 01:13:16,600 YOU WORK WITH COMMUNITY 1713 01:13:16,600 --> 01:13:17,800 ORGANIZATIONS, HOW CAN YOU MEET 1714 01:13:17,800 --> 01:13:20,360 PEOPLE WHERE THEY ARE THROUGH 1715 01:13:20,360 --> 01:13:21,960 HARM REDUCTION APPROACHES AND 1716 01:13:21,960 --> 01:13:24,280 HOW CAN YOU WORK WITH THE 1717 01:13:24,280 --> 01:13:28,360 PRIVATE SECTOR AND OUR PARTNERS 1718 01:13:28,360 --> 01:13:29,360 IN PHARMACEUTICAL COMPANIES TO 1719 01:13:29,360 --> 01:13:31,680 TAKE THE MEDICATIONS WE HAVE AND 1720 01:13:31,680 --> 01:13:33,000 MAKE THEM MORE USER FRIENDLY 1721 01:13:33,000 --> 01:13:35,680 MORE EFFECTIVE. SO THIS -- I 1722 01:13:35,680 --> 01:13:38,760 THINK THERE IS A POP UP HERE, WE 1723 01:13:38,760 --> 01:13:42,960 CAN SKIP PAST THAT. HERE IS ALAN 1724 01:13:42,960 --> 01:13:44,000 YOU ASK HOW THINGS ARE GOING 1725 01:13:44,000 --> 01:13:46,200 HERE, IT IS JUST A FEW SIGNALS, 1726 01:13:46,200 --> 01:13:49,160 A FEW OF THOSE THOUSAND PLUS 1727 01:13:49,160 --> 01:13:52,120 STUDIES SOME SHOWING, I TOLD YOU 1728 01:13:52,120 --> 01:13:53,600 ABOUT THIS BEFORE HOW ACCESS TO 1729 01:13:53,600 --> 01:13:54,840 MEDICATION FOR TREATMENT OF 1730 01:13:54,840 --> 01:14:00,880 OPIOID USE DISORDER CAN REDUCE 1731 01:14:00,880 --> 01:14:02,520 REARREST, IN RURAL JAILS IN 1732 01:14:02,520 --> 01:14:04,120 MASSACHUSETTS. HOW BUPRENORPHINE 1733 01:14:04,120 --> 01:14:05,440 IS PROVIDED IN THE EMERGENCY 1734 01:14:05,440 --> 01:14:07,560 ROOM AND THE ERA OF FENTANYL, 1735 01:14:07,560 --> 01:14:12,200 DEADLY OVERDOSES. HOW WE CAN USE 1736 01:14:12,200 --> 01:14:14,880 IMAGING PATIENT SPECIFIC 1737 01:14:14,880 --> 01:14:16,280 SIGNATURES TO UNDERSTAND PAIN, 1738 01:14:16,280 --> 01:14:18,360 UNDERSTAND SEVERE PAIN, WHAT THE 1739 01:14:18,360 --> 01:14:19,560 EXPERIENCE IS AND TARGET THAT 1740 01:14:19,560 --> 01:14:21,080 FOR FUTURE PRECISION MEDICINE 1741 01:14:21,080 --> 01:14:25,200 APPROACHES. LASTLY HOW WE CARE 1742 01:14:25,200 --> 01:14:27,800 FOR INFANTS BORN EXPOSED TO 1743 01:14:27,800 --> 01:14:31,120 OPIOIDS THESE ARE AT RISK MOMS. 1744 01:14:31,120 --> 01:14:32,400 FAMILIES, HOW WE CAN PROVIDE 1745 01:14:32,400 --> 01:14:34,320 HIGH QUALITY CARE THAT EMPOWERS 1746 01:14:34,320 --> 01:14:37,800 PEOPLE AND FAMILIES AND PROVIDES 1747 01:14:37,800 --> 01:14:40,720 A LONG TERM AND HEALTHY FUTURE 1748 01:14:40,720 --> 01:14:45,000 FOR INFANTS AND CHILDREN. THERE 1749 01:14:45,000 --> 01:14:46,040 HAVE IS STILL A LOT OF WORK TO 1750 01:14:46,040 --> 01:14:49,280 DO. THANK GOODNESS THE 1751 01:14:49,280 --> 01:14:50,200 MULTI-DISCIPLINARY WORKING GROUP 1752 01:14:50,200 --> 01:14:53,080 WILL STILL BE INVOLVED IN 1753 01:14:53,080 --> 01:14:55,160 HELPING US. THE NUMBER OF 1754 01:14:55,160 --> 01:14:57,120 CHRONIC PAIN CASES IS NOT 1755 01:14:57,120 --> 01:15:00,840 GETTING PERT BETTER. THE POPULAN 1756 01:15:00,840 --> 01:15:03,080 IS AGING. WE STILL NEED TO 1757 01:15:03,080 --> 01:15:04,640 DEVELOP EFFECTIVE APPROACHES AND 1758 01:15:04,640 --> 01:15:06,920 MAKE SURE EVERYONE HAS ACCESS TO 1759 01:15:06,920 --> 01:15:09,680 THEM AND CONTINUE TO TRY THEM AS 1760 01:15:09,680 --> 01:15:10,800 THEY ARE HEALTH CHANGES OVER 1761 01:15:10,800 --> 01:15:12,600 TIME. OVERDOSE DEATHS ARE NOT 1762 01:15:12,600 --> 01:15:14,720 GOING DOWN, THEY ARE GOING UP. 1763 01:15:14,720 --> 01:15:16,600 AND AS WALTER ALLUDED TO, 1764 01:15:16,600 --> 01:15:18,280 COMPANIES ARE NOT INVESTING IN 1765 01:15:18,280 --> 01:15:21,480 THE PAIN SPACE IN SPITE OF -- IN 1766 01:15:21,480 --> 01:15:23,040 THE PAIN SPACE OR TO LESSER 1767 01:15:23,040 --> 01:15:24,520 DEGREE IN THE SUBSTANCE USE 1768 01:15:24,520 --> 01:15:27,120 DISORDER SPACE COMING UP WITH 1769 01:15:27,120 --> 01:15:28,400 THERAPEUTICS WE SO DESPERATELY 1770 01:15:28,400 --> 01:15:30,440 NEED. SO THERE IS A LOT TO DO AS 1771 01:15:30,440 --> 01:15:38,120 A HEAL COMMUNITY. SOME OF THE 1772 01:15:38,120 --> 01:15:40,160 DIRECTIONS YES TAKING TO ADDRESS 1773 01:15:40,160 --> 01:15:41,680 THOSE GAPS, YOU WILL HEAR ABOUT 1774 01:15:41,680 --> 01:15:44,320 OVER THE NEXT COUPLE OF DAYS. I 1775 01:15:44,320 --> 01:15:46,960 THINK ACTUALLY THESE YOU HEARD 1776 01:15:46,960 --> 01:15:49,960 ABOUT IN MAY INCLUDING WAYS TO 1777 01:15:49,960 --> 01:15:51,480 CARE AND PROVIDE HIGH QUALITY 1778 01:15:51,480 --> 01:15:52,480 PAIN MANAGEMENT SOLUTIONS FOR 1779 01:15:52,480 --> 01:15:55,480 PEOPLE IN RURAL POPULATIONS, 1780 01:15:55,480 --> 01:15:57,280 PEOPLE WHO ARE ALREADY ON LONG 1781 01:15:57,280 --> 01:15:58,920 TERM OPIOID THERAPY FOR PAIN AND 1782 01:15:58,920 --> 01:16:00,400 PEOPLE WITH SICKLE CELL DISEASE 1783 01:16:00,400 --> 01:16:04,720 WHO EXPERIENCE PAI PAIN. WE HAVE 1784 01:16:04,720 --> 01:16:06,280 RESEARCH COMING THROUGH ON THE 1785 01:16:06,280 --> 01:16:07,920 QUALITY AND RELIABILITY OF CARE 1786 01:16:07,920 --> 01:16:10,720 FOR SUBSTANCE USE DISORDER. WAYS 1787 01:16:10,720 --> 01:16:14,800 OF MEASURING HUMAN PAIN AND PAIN 1788 01:16:14,800 --> 01:16:18,560 CONDITIONS AND WAYS TO KEEP OUR 1789 01:16:18,560 --> 01:16:20,080 RESEARCH ENTERPRISE MOVING 1790 01:16:20,080 --> 01:16:22,920 TOWARDS COMMERCIALIZATION MOVING 1791 01:16:22,920 --> 01:16:24,760 TOWARDS ACCESSIBLE AND TANGIBLE 1792 01:16:24,760 --> 01:16:28,640 TREATMENTS FOR PEOPLE WITH PAIN, 1793 01:16:28,640 --> 01:16:33,200 THAT LITTLE STAR IS ASSIGNED TO 1794 01:16:33,200 --> 01:16:35,960 NODES THAT WE ARE HOLDING A PAIN 1795 01:16:35,960 --> 01:16:37,960 MEETING ON OCTOBER 4 AND 5 AND I 1796 01:16:37,960 --> 01:16:39,520 HOPE EVERYONE TUNES IN AND 1797 01:16:39,520 --> 01:16:40,960 PROVIDES PARTNERS TO CHAT WITH 1798 01:16:40,960 --> 01:16:44,960 AND EXPLORE POSSIBILITIES FOR 1799 01:16:44,960 --> 01:16:46,680 BRINGING THEIR IDEAS AND NEW 1800 01:16:46,680 --> 01:16:49,040 TREATMENTS INTO THE CLINIC. NEXT 1801 01:16:49,040 --> 01:16:53,240 SLIDE PLEASE. THIS IS ALWAYS A 1802 01:16:53,240 --> 01:16:54,600 TOPIC FOR DISCUSSION BUT WE 1803 01:16:54,600 --> 01:16:56,040 DON'T REALLY HAVE TIME TO DO IT 1804 01:16:56,040 --> 01:16:58,040 RIGHT NOW. HERE IS WHERE ALL OUR 1805 01:16:58,040 --> 01:17:02,240 HEAL RESOURCES GOES -- GO. BREAK 1806 01:17:02,240 --> 01:17:04,080 DOWN AS YOU CAN SEE WE PUT A TON 1807 01:17:04,080 --> 01:17:07,360 OF RESOURCES OUT THERE OVER THE 1808 01:17:07,360 --> 01:17:09,120 PAST SEVERAL YEARS IN DIFFERENT 1809 01:17:09,120 --> 01:17:10,920 AREAS OF PRE-CLINICAL AND 1810 01:17:10,920 --> 01:17:12,480 CLINICAL RESEARCH AND PAIN 1811 01:17:12,480 --> 01:17:14,480 MANAGEMENT, NEW TREATMENTS TO 1812 01:17:14,480 --> 01:17:17,560 PREVENT AND TREAT OPIOID 1813 01:17:17,560 --> 01:17:18,880 ADDICTION. CLINICAL RESEARCH AND 1814 01:17:18,880 --> 01:17:21,200 PAIN MANAGEMENT, RESEARCH ON 1815 01:17:21,200 --> 01:17:22,880 INFANTS AND CHILDREN, NOT ALL 1816 01:17:22,880 --> 01:17:24,040 THERAPEUTIC OPTIONS AND CROSS 1817 01:17:24,040 --> 01:17:25,200 CUTTING RESEARCH, YOU WILL HEAR 1818 01:17:25,200 --> 01:17:27,040 ABOUT THIS OVER THE NEXT TWO 1819 01:17:27,040 --> 01:17:29,240 DAYS AT A MORE GRANULAR LEVEL IN 1820 01:17:29,240 --> 01:17:31,600 THE CLOSED SESSION. NEXT SLIDE 1821 01:17:31,600 --> 01:17:35,080 PLEASE. OVER TIME HERE IS HOW 1822 01:17:35,080 --> 01:17:37,720 THE RESEARCH BREAKS DOWN AS A 1823 01:17:37,720 --> 01:17:39,840 BALANCE I EXPECT THAT THIS WILL 1824 01:17:39,840 --> 01:17:43,480 HIT A STEADY STATE IN THE COMING 1825 01:17:43,480 --> 01:17:45,120 YEAR OR TWO BUT WE WILL CONTINUE 1826 01:17:45,120 --> 01:17:49,560 TO BE SOURCE OF DISCUSSION AND 1827 01:17:49,560 --> 01:17:51,320 FUTURE PLANNING FOR THE HEAL 1828 01:17:51,320 --> 01:17:52,880 MULTI-DISCIPLINARY WORKING GROUP 1829 01:17:52,880 --> 01:17:54,720 AND ITS DIFFERENT INSTITUTES AND 1830 01:17:54,720 --> 01:17:57,120 CENTERS INVOLVED, IMPORTANTLY WE 1831 01:17:57,120 --> 01:17:58,600 HAVE A REALLY SIGNIFICANT 1832 01:17:58,600 --> 01:18:00,960 PORTION OF THE HEAL RESEARCH 1833 01:18:00,960 --> 01:18:02,920 PORTFOLIO THAT ADDRESSES BOTH 1834 01:18:02,920 --> 01:18:05,160 PAIN AND ADDICTION FOCUS CANNING 1835 01:18:05,160 --> 01:18:06,720 ON CO-OCCURING CONDITIONS, 1836 01:18:06,720 --> 01:18:09,280 STIGMA, INEQUITIES IN HEALTHCARE 1837 01:18:09,280 --> 01:18:11,840 P INTEGRATE VOICES, LIVED 1838 01:18:11,840 --> 01:18:14,160 EXPERIENCE, DATA DRIVEN 1839 01:18:14,160 --> 01:18:15,560 APPROACHES, TRAINING AND WORK 1840 01:18:15,560 --> 01:18:17,560 FORCE. I WILL TELL YOU MORE 1841 01:18:17,560 --> 01:18:19,960 ABOUT THE TRAINING AND WORK 1842 01:18:19,960 --> 01:18:24,040 FORCE DEVELOPMENT EFFORTS AT THE 1843 01:18:24,040 --> 01:18:24,920 BEGINNING OF OUR MEETING 1844 01:18:24,920 --> 01:18:29,320 TOMORROW. SO NEXT SLIDE PLEASE. 1845 01:18:29,320 --> 01:18:30,760 HERE WE CAN NOW TURN TO AGENDA 1846 01:18:30,760 --> 01:18:32,000 WE ARE QUITE OVERTIME AND WE 1847 01:18:32,000 --> 01:18:34,640 WILL HAVE TO FIGURE OUT HOW TO 1848 01:18:34,640 --> 01:18:36,840 GET THROUGH THE AGENDA AS WE 1849 01:18:36,840 --> 01:18:39,560 BEST CAN. BUT TODAY'S MEETING 1850 01:18:39,560 --> 01:18:41,440 WILL FOCUS ON RESEARCH UNDER 1851 01:18:41,440 --> 01:18:42,960 CONSIDERATION FOR FUNDING 1852 01:18:42,960 --> 01:18:44,560 THROUGH HEAL IN THE SPACES OF 1853 01:18:44,560 --> 01:18:46,000 PREVENTING AND TREATING OPIOID 1854 01:18:46,000 --> 01:18:48,080 MISUSE AND OVERDOSE. NOVEL 1855 01:18:48,080 --> 01:18:50,120 THERAPEUTIC OPTIONS FOR TREATING 1856 01:18:50,120 --> 01:18:51,920 OPIOID USE DISORDER AND 1857 01:18:51,920 --> 01:18:52,840 PREVENTING OVERDOSE AND 1858 01:18:52,840 --> 01:18:54,640 TRANSLATION OF RESEARCH TO 1859 01:18:54,640 --> 01:18:56,920 PRACTICE FOR TREATMENT OF OPIOID 1860 01:18:56,920 --> 01:18:59,080 ADDICTION. TOMORROW WE WILL TALK 1861 01:18:59,080 --> 01:19:00,520 ABOUT MOSTLY PRE-CLINICAL AND 1862 01:19:00,520 --> 01:19:02,520 TRANSLATIONAL RESEARCH AND PAIN 1863 01:19:02,520 --> 01:19:04,320 MANAGEMENT WITH A LITTLE BIT OF 1864 01:19:04,320 --> 01:19:05,600 THE CROSS CUTTING AND CLINICAL 1865 01:19:05,600 --> 01:19:09,280 RESEARCH INCLUDED TOO. NEXT 1866 01:19:09,280 --> 01:19:12,400 SLIDE PLEASE. I ALREADY GOT 1867 01:19:12,400 --> 01:19:19,760 THERE. SO NEXT SLIDE PLEASE. I 1868 01:19:19,760 --> 01:19:21,320 THINK WE ALREADY HAVE A LOT OF 1869 01:19:21,320 --> 01:19:23,120 DISCUSSION THAT I WILL NOW OPEN 1870 01:19:23,120 --> 01:19:27,960 IT UP FOR ANY ADDITIONAL 1871 01:19:27,960 --> 01:19:29,840 REMARKS, FACTS BEFORE WE CLOSE 1872 01:19:29,840 --> 01:19:33,360 THE OPEN SESSION AND MOVE TO 1873 01:19:33,360 --> 01:19:37,040 DISCUSSION IN THE INDIVIDUAL 1874 01:19:37,040 --> 01:19:41,040 POINTS. 1875 01:19:41,040 --> 01:19:51,560 >>OKAY. THANK YOU VERY MUCH.