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>> WELCOME TO THIRD ANNUAL NIH

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LEAL INVESTIGATOR MEETING

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AFTERNOON SESSIONMENT MY NAME IS

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JENNIFER, GIL LIRKSSON WITH THE

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PLANNING TEAM AND WE WILL

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PROVIDE LOGISTICS SUPPORT FOR

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THE SESSION SESSION. TO ASK
QUESTIONS

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OPEN THE CHAT BOX ANT BOTTOM OF

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THE INTERFACE.  CLICK ON THE

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ICON AND THIS WILL PULL UP THE

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CHAT BOX TO RIGHT SIDE OF THE

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ZOOM INTERFACE.  USE THE RAISE

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HAND FUNCTION UNDER REACTIONS

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AND WHICH WILL UNMUTE YOU TO

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VERBALLY ASK QUESTIONS DURING

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THE Q&A PORTION OF THE SESSION.

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ADDITIONALLY WE ASK YOU SELECT

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SPEAKER VIEW OPTION ON THE RIGHT

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SIDE OF THE ZOOM INTERFACE TO

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ALLOW YOU TO SEA SPEAKERS AS HAY

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PRESENT OR SHARE INFORMATION.

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ANY TECHNICAL ASSISTANCE DURING

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THE SESSION PLEASE TYPE INTO THE

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CHAT BOX AND ONE OF OUR TECH

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ALSO RESPOND TO YOU. PLEASE BE

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AWARE TODAY'S SESSION IS BEING

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RECORDED, CLOSE CAPTIONING IS

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AVAILABLE BY CLICKING THE CC

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ICON AT THE BOTTOM OF THE

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SCREEN. ALL PHONE AND COMPUTER

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LINES HAVE BEEN MUTED AND I WILL

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NOW TURN IT TO DR. BAKER.  

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>> THANK YOU, WELCOME BACK

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EVERYONE. IT'S BEEN AN EXCITING

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AND PRODUCTIVE DAY AND A HALF SO

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FAR. I HAD A CHANCE TO VISIT A

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FEW OF YOU IN THE DISCUSSION

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SECTIONS AND POSTERS AND IT IS

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TERRIFIC TO SEE THE PROGRESS

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THAT'S BEING MADE ON SO MANY

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FRONTS. AND THE CREATIVITY AND

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DEDICATION WHICH OUR RESEARCH

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COMMUNITIED IS TACKLING THE PAIN

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AND OVERDOSE CRISES. SO NOW

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REALLY LOOKING FORWARD TO THIS

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NEXT SECTION, WHICH DR. TABAK

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ACTING DIRECTOR OF THE NATIONAL

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INSTITUTES OF HEALTH WILL LEAD.

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WE WILL HAVE THE DISTINCT HONOR

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OF HEARING FROM LEADERSHIP OF IF

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NUMBER OF OUR FEDERAL PARTNERS

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ABOUT HOW THEIR AGENCIES ARE

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TAKING ON THE OVERDOSE EPIDEMIC

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AND HOW WE ARE WORKING TOGETHER

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TO PROVIDE SOLUTIONS FOR

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(INAUDIBLE). DR. TABAK. 

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>> THANKS VERY MUCH, DR. BAKER.

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WELCOME BACK TO WHAT IS A FINAL

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PLENARY SESSION OF THE THIRD

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ANNUAL NIH HEAL INITIATIVE

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INVESTIGATOR MEETING. CERTAINLY

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I HOPE YOU HAVE HAD A

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STIMULATING AND INFORMATIVE SET

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OF EXCHANGES WITH YOUR

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COLLEAGUES DURING THE DISCUSSION

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GROUPS SO THROUGHOUT THE

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MEETING. OVER THE PAST COUPLE OF

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DAYS, YOU HAVE SEEN AND HEARD A

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LOT OF DATA THAT'S INFORMING

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WHAT WE KNOW ABOUT THE CAUSES,

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PREVENTION AND TREATMENT OF

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SUBSTANCE USE DISORDERS AND

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CHRONIC PAIN. AND YOU HAVE ALSO

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HEARD ABOUT THE MANY CHALLENGES

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FACED BY PEOPLE LIVING WITH

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THESE CONDITIONS AND THEIR

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CAREGIVERS WHO FACE MANY

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OBSTACLES. OF COURSE THE

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RESEARCH COMMUNITY CAN ONLY DO

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SO MUCH TO OVERCOME THESE

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CHALLENGES. BUT WHAT WE CAN DO

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IS TEAM WITH FEDERAL PARTNERS

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FOR DRUG APPROVALS AS WELL AS

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POLICIES AND GUIDELINES FOR

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TREATMENT AND REIMBURSEMENT AND

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HEAL REMAINS COMMITTED TO TRY TO

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MAKE CONNECTIONS BETWEEN

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RESEARCH AND PRACTICE THAT

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INVOLVES COORDINATION OF -- WITH

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THESE AGENCIES. SO TO NOT JUST

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TODAY AT THIS MEETING BUT JUST

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ABOUT EVERY WEEK IN THE MANY

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MEETINGS THAT HEAL AND NIH STAFF

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PARTICIPATE IN.  AS THIS

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INVESTIGATOR MEETING COMES THE A

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CLOSE, WE ARE GOING TO NOW SPEAK

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WITH FEDERAL COLLEAGUES ABOUT

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THE RELATIONSHIP BETWEEN

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RESEARCH AND PREVENTION AND

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TREATMENT COMMUNITIES FOCUSED ON

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FINDING SCIENTIFIC SOLUTIONS TO

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THE CURRENT CRISES. JOINING ME

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THIS AFTERNOON ARE THREE

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INDIVIDUALS WHO HAVE HIGH STAKES

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IN ADDRESSING THE OPIOID AND

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PAIN CRISIS. DR. CALIFF TOOK

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OVER POSITION OF COMMISSIONER OF

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FOOD AND DRUGS AT THE U.S. FOOD

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AND DRUG ADMINISTRATION IN

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FEBRUARY OF THIS YEAR. MANY OF

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YOU KNOW THIS IS ACTUALLY DR.

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CALIFF'S SECOND TOUR IN THIS

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POSITION HAVING ALREADY SERVED

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AS FDA COMMISSIONER FROM

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FEBRUARY 2016 THROUGH JANUARY

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2017. DR. CALIFF HAD A LONG

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DISTINGUISHED CAREER, A CLINICAL

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RESEARCH IS RECOGNIZED EXPERT IN

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HOW -- HEALTH OUTCOMES RESEARCH

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AND HEALTHCARE QUALITY, HE

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SERVED AS PROFESSOR OF MEDICINE

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AND VICE CHANCELLOR FOR CLINICAL

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TRANSLATIONAL RESEARCH AT DUKE. 

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AND WAS HEAD OF MEDICAL STRATEGY

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AND SENIOR ADVISOR AT ALPHABET

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INC.. ALSO ON OUR PANEL IS DR.

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DEB HOURY, ACTING PRINCIPLE

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DEPUTY DIRECTOR AND DIRECTOR OF

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THE NATIONAL CENTER FOR INJURY

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PREVENTION AND CONTROL AT THE

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CENTERS FOR DISEASE CONTROL AND

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PREVENTION. HER OFFICE AMONG

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NUMEROUS OTHER FUNCTIONS

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PROVIDES SUPPORT FOR KEY

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PROGRAMS THAT AIDS STATES

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PREVENTING PRESCRIPTION DRUG

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OVERDOSES, OFFERING RESOURCES

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AND DIRECT SUPPORT OF THE CDC TO

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ADVANCE PROMISING PREVENTION

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STRATEGIES PRIOR TO JOINING THE

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CDC DR. HOURY GATHERED EXTENSIVE

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EXPERIENCE AT THE FRONT LINES OF

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THE HEALTHCARE SYSTEM AS AN

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EMERGENCY DEPARTMENT PHYSICIAN

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AND RESEARCHER. FINALLY I

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WELCOME ALSO DR. MIRIAM RITTMON,

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SENT SECRETARY FOR MENTAL HEALTH

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AND SUBSTANCE USE IN THE U.S.

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DEPARTMENT OF HEALTH AND HUMAN

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SERVICES AND ADMINISTRATOR OF

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THE SUBSTANCE ABUSE AND MENTAL

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HEALTH SERVICES ADMINISTRATION

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BEFORE JOINING SAMSA SHE HELD

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SEVERAL POSITIONS AT THE

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CONNECTICUT DEPARTMENT OF MENTAL

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HEALTH AND ADDICTION SERVICES

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AND WAS ON THE FACULTY FOR MANY

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YEARS AT YALE UNIVERSITY.  

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DURING HER CAREER IN THE

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BEHAVIORAL HEALTH FIELD DR.

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DELPHIN RITTMON GAINED EXTENSIVE

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EXPERIENCE IN DESIGN EVALUATION

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AND ADMINISTRATION OF MENTAL

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HEALTH, SUBSTANCE USE AND

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PREVENTION SERVICES AND SYSTEMS.

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SO WHAT BETTER WAY TO SHAPE OUR

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DISCUSSION TODAY THAN TO TAKE

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CORRECTIONS DIRECTLY FROM THE

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HEAL RESEARCH COMMUNITY, SO

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DURING THIS SESSION WE WILL

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ADDRESS SOME OF THOSE QUESTIONS,

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COMMENTS AND CONCERNS BUT BEFORE

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THAT WE WOULD LIKE TO HEAR FROM

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YOU ABOUT HOW YOUR AGENCY IS

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TAKING ON THIS EPIDEMIC UNDER

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THE NEW HHS OVERDOSE PREVENTION

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STRATEGY. IF WE MAY I WOULD LIKE

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TO BEGIN WITH DR. HOURY. DEB, IF

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YOU WOULD LIKE TO BEGIN, PLEASE.

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>> THANKS SO MUCH, GREAT TO BE

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WITH YOU VIRTUALLY TODAY BEFORE

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THIS SESSION, REBECCA AND I WERE

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TALKING AND I REMEMBER

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PRESENTING TO THIS GROUP IN

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PERSON BEFORE AND HOPEFULLY WE

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WILL GET TO THAT AGAIN SOON. BUT

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NIH HEAL INITIATIVE JUST PLAYS

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SUCH AN INSTRUMENTAL ROLE

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COMBATING THE DRUG OVERDOSE

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EPIEPIDEMIC AND ENDING ADDICTION

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LONG TERM. YOUR WORK IN THIS

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PROGRAM IS SO IMPORTANT AND I

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HAVE BEEN VALUABLE. --

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INVALUABLE. AS I KNOW YOU KNOW,

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DRUG OVERDOSE DEATHS WERE GOING

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UP PRE-PANDEMIC AND CERTAINLY

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ACCELERATED DURING THE PANDEMIC

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RISING NEARLY 30%. WE CONTINUE

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TO SEE RECORD NUMBERS OF

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OVERDOSE DEATHS. CDC WORKED HARD

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WITH PARTNERS SUCH AS YOU AS

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WELL AS FEDERAL PARTNERS TO

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PREVENT SUBSTANCE USE DISORDER

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OVERDOSE. SUPPORT RAPID RESPONSE

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AND REACH PEOPLE WHO ARE

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STRUGGLING WITH SUBSTANCE USE AN

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LINK TO LIFE SAVING SERVICES

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AMID THE PANDEMIC. WE HAVE ALSO

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SEEN CHANGES TO POLICIES TO HELP

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INDIVIDUALS OBTAIN TREATMENT AND

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RESOURCES. AN EXAMPLE IS

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TOGETHER WITH SAMSA WE ANNOUNCE

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FEDERAL FUNDING MAYBE USED TO

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PURCHASE RAPID TEST STRIPS IN AN

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EFFORT TO CURB THE DRAMATIC

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SPIKE IN DRUG OVERDOSE DEATHS.  

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AS MENTIONED HHS RECENTLY

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RELEASED ITS OVERDOSE PREVENTION

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STRATEGY WHICH FULLY ADDRESSES

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THE SPECTRUM OF DRUG USE AN

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ADDICTION THAT CAN RESULT IN

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OVER DOSE AND DEATH. CDC WAS

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PROUD TO BE CALIBRATOR DURING

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THE DEVELOPMENT OF THE STRATEGY

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AND OUR WORK WITHIN CDN

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COMPLIMENTS HHS STRATEGY

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SUPPORTING OUR NEED TO EVOLVE

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WITH THE DRUG CRISIS AS WE

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ENSURE ACTIVITIES ARE BEING

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IMPLEMENT WITH THE HEALTH EQUITY

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LENS. PROGRAMS ACROSS THE CDC

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HAVE FOCUSED ON THINGS SUCH AS

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OPIOID USE DISORDER, HEPATITIS,

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AND HIV INFECTIONS ASSOCIATED

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DRUG USE AND NEONATAL ABSTINENCE

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SYNDROME. OVERDOSE PREVENTION

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EFFORTS ARE CURRENTLY

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PRIORITIZED IN FIVE STRATEGIC

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AREAS, WHICH INCLUDE BUILDING

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STATE TRIBAL LOCAL AND

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TERRITORIAL CAPACITY. SUPPORTING

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PROVIDERS, HEALTH SYSTEMS PAYERS

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AND EMPLOYERS, PARTNERING WITH

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PUBLIC SAFETY AND COMMUNITY

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ORGANIZATIONS. RAISING PUBLIC

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AWARENESS AND REDUCING STIGMA
STIGMA.

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AND MONITORING ANALYZING AND

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COMMUNICATING TRENDS TO DRIVE

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ACTION.  WE ARE CURRENTLY

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SUPPORTING 47 STATES, DC,

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TERRITORIES AND HIGH BURDEN

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COUNTIES THROUGH THE ACTION DATA

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PROGRAM. WHAT I FIND INNOVATIVE

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ABOUT THIS IS RECIPIENTS COLLECT

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TIMELY DATA ON OVERDOSES AND

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THEN USE THESE DATA TO INFORM

257
00:09:23,440 --> 00:09:25,960
PREVENTION EFFORTS. AN EXAMPLE

258
00:09:25,960 --> 00:09:27,640
OF THIS IS JEFFERSON COUNTY

259
00:09:27,640 --> 00:09:28,880
RECEIVED REAL TIME OVERDOSE DATA

260
00:09:28,880 --> 00:09:32,560
AND USE THESE TO DEPLOY RAPID

261
00:09:32,560 --> 00:09:35,640
RESPONSE TEAMS TO LOCAL YARRS

262
00:09:35,640 --> 00:09:37,320
EXPERIENCING OUTBREAKS.  WE ALSO

263
00:09:37,320 --> 00:09:39,080
REALIZING THE IMPACT THE

264
00:09:39,080 --> 00:09:40,560
PANDEMIC HAD ON OUR HEALTH

265
00:09:40,560 --> 00:09:42,040
DEPARTMENT ANNOUNCE ADDITIONAL

266
00:09:42,040 --> 00:09:43,920
FOURTH YEAR OF LEVEL FUNDING FOR

267
00:09:43,920 --> 00:09:46,800
OUR RECIPIENTS AND WITH THIS

268
00:09:46,800 --> 00:09:48,840
ADDITION WE EXPANDED THE SCOPE

269
00:09:48,840 --> 00:09:50,080
OF THE PROGRAM TO DISCUSS

270
00:09:50,080 --> 00:09:51,440
POLYSUBSTANCE USE AS WELL AS

271
00:09:51,440 --> 00:09:55,880
ELICIT STIMULUS.  STIMULANTS. WE

272
00:09:55,880 --> 00:09:58,040
ALSO DEVELOPED HARM REDUCTION

273
00:09:58,040 --> 00:09:59,160
RESOURCE GUIDE TO PROVIDE

274
00:09:59,160 --> 00:10:01,040
GUIDANCE ON RECIPIENTS ON WHAT

275
00:10:01,040 --> 00:10:04,800
WERE ALLOWING ACTIVITIES SUCH AS

276
00:10:04,800 --> 00:10:07,120
OVERDISEDUCATION, PURCHASING

277
00:10:07,120 --> 00:10:08,680
DISTRIBUTING FENTANYL TEST

278
00:10:08,680 --> 00:10:11,240
STRIPS AN EDUCATION ON SAFER

279
00:10:11,240 --> 00:10:13,120
DRUG USE PRACTICES AMONG OTHER

280
00:10:13,120 --> 00:10:15,240
STRATEGIES.  AT CDC TIMELY DATA

281
00:10:15,240 --> 00:10:18,360
IS REALLY IMPORTANT. WE

282
00:10:18,360 --> 00:10:19,920
COORDINATE THROUGH PARTNERS SUCH

283
00:10:19,920 --> 00:10:20,880
AS LAW ENFORCEMENT AND PUBLIC

284
00:10:20,880 --> 00:10:23,440
HEALTH AND HEALTHCARE PROVIDERS.

285
00:10:23,440 --> 00:10:25,640
OUR DRUG OVERDOSE SURVEILLANCE

286
00:10:25,640 --> 00:10:29,520
AND EPI SYSTEM OR DOSE PULLS

287
00:10:29,520 --> 00:10:30,880
TOGETHER ELECTRONIC HEALTH

288
00:10:30,880 --> 00:10:32,840
RECORD DATA TO IDENTIFY

289
00:10:32,840 --> 00:10:35,480
OUTBREAKS AND PROVIDE

290
00:10:35,480 --> 00:10:36,960
SITUATIONAL AWARENESS.  LAST

291
00:10:36,960 --> 00:10:38,080
WEEK WE RELEASED OUR NEW

292
00:10:38,080 --> 00:10:39,880
DASHBOARD WHICH INCLUDES DATA

293
00:10:39,880 --> 00:10:43,240
FROM 42 STATES INCLUDING D.C. ON

294
00:10:43,240 --> 00:10:45,440
ALL DRUG OPIOID HEROIN AND

295
00:10:45,440 --> 00:10:46,640
STIMULANT OVERDOSES AND WILL

296
00:10:46,640 --> 00:10:48,320
CONTINUE TO BE UPDATE WITH

297
00:10:48,320 --> 00:10:51,120
NEWEST DATA EACH MONTH. WE ARE

298
00:10:51,120 --> 00:10:52,640
ALSO EXPLORING DATA SCIENCE

299
00:10:52,640 --> 00:10:54,600
METHODS TO FACILITATE REAL TIME

300
00:10:54,600 --> 00:10:57,520
DATA, AS WELL AS PREDICTIVE

301
00:10:57,520 --> 00:10:58,560
ANALYTICS AND THINGS SUCH AS

302
00:10:58,560 --> 00:11:00,560
CLOUD BASED TECHNOLOGIES TO

303
00:11:00,560 --> 00:11:03,000
IMPROVE ACCESS TIMELINESS OF

304
00:11:03,000 --> 00:11:04,360
INJURY HEALTH DATA SETS AND

305
00:11:04,360 --> 00:11:07,840
EXTERNAL DATA SETS SUCH AS

306
00:11:07,840 --> 00:11:10,480
TWITTER AND REDDIT. WE KNOW

307
00:11:10,480 --> 00:11:11,680
STIGMA RELATED TO USING DRUGS

308
00:11:11,680 --> 00:11:13,720
CAN BE A SIGNIFICANT BARRIER TO

309
00:11:13,720 --> 00:11:15,640
GETTING HELP AND COMBATING

310
00:11:15,640 --> 00:11:17,560
STIGMA IS A KEY COMPONENT OF THE

311
00:11:17,560 --> 00:11:19,200
HHS OVERDOSE PREVENTION

312
00:11:19,200 --> 00:11:21,120
STRATEGY. WE RECENT WILL I

313
00:11:21,120 --> 00:11:22,440
LAUNCHED SEVERAL EDUCATION

314
00:11:22,440 --> 00:11:23,520
CAMPAIGNS INTENDED TO REACH

315
00:11:23,520 --> 00:11:26,720
YOUNG ADULTS 18-34 AND PROVIDE

316
00:11:26,720 --> 00:11:28,200
INFORMATION ABOUT THE PREVALENCE

317
00:11:28,200 --> 00:11:30,760
AN DANGERS OF FENTANYL, RISKS

318
00:11:30,760 --> 00:11:32,640
AND CONSEQUENCES OF MIXING

319
00:11:32,640 --> 00:11:34,560
DRUGS, AS WELL AS THE LIFE

320
00:11:34,560 --> 00:11:36,320
SAVING POWER OF NALOXONE AND

321
00:11:36,320 --> 00:11:38,440
REDUCING STIGMA AROUND DRUG USE

322
00:11:38,440 --> 00:11:40,440
TO SUPPORT TREATMENT AND

323
00:11:40,440 --> 00:11:41,560
RECOVERY. WE WORK DIRECTLY WITH

324
00:11:41,560 --> 00:11:43,520
YOUNG ADULTS WHO REPORTED DRUG

325
00:11:43,520 --> 00:11:45,360
USE, AS WELL AS PEER RECOVERY

326
00:11:45,360 --> 00:11:46,800
PROFESSIONALS TO DEVELOP THESE

327
00:11:46,800 --> 00:11:50,640
CAMPAIGNS.  MANY OF YOU ARE

328
00:11:50,640 --> 00:11:53,320
HOPEFULLY AWARE THAT WE ARE

329
00:11:53,320 --> 00:11:56,200
UPDATING OUR 2016 GUIDELINES,

330
00:11:56,200 --> 00:11:57,640
THE DRAFT GUIDELINE WAS POSTED

331
00:11:57,640 --> 00:11:59,640
IN THE FEDERAL REGISTER WHICH

332
00:11:59,640 --> 00:12:01,880
CLOSED EVENTUALLY AFTER A 60 DAY

333
00:12:01,880 --> 00:12:04,400
PUBLIC COMMENT PERIOD. MORE THAN

334
00:12:04,400 --> 00:12:05,520
4,000 COMMENTS WE LOOK FORWARD

335
00:12:05,520 --> 00:12:08,520
TO INCORPORATING IN THIS. HI DID

336
00:12:08,520 --> 00:12:12,040
WANT TO THANK NIH ANIDA SAMSHA

337
00:12:12,040 --> 00:12:13,920
FDA AND IHS FOR SERVING ON

338
00:12:13,920 --> 00:12:15,400
FEDERAL ADVISORY COMMITTEE FOR

339
00:12:15,400 --> 00:12:16,480
THIS IMPORTANT EFFORT. OUR GOAL

340
00:12:16,480 --> 00:12:18,480
IS TO RELEASE THIS GUIDELINE IN

341
00:12:18,480 --> 00:12:21,880
LATE 2022. FINALLY I WANT TO

342
00:12:21,880 --> 00:12:24,440
MENTION THAT MUCH OF OUR WORK IN

343
00:12:24,440 --> 00:12:26,440
RECENT YEARS IS FOCUSED ON

344
00:12:26,440 --> 00:12:27,800
THINGS SUCH AS EXPANDING

345
00:12:27,800 --> 00:12:29,400
TREATMENT AND HARM REDUCTION BUT

346
00:12:29,400 --> 00:12:32,640
WE CANNOT LOSE SITE OF THE

347
00:12:32,640 --> 00:12:33,240
IMPORTANCE OF REVENGES AND ONE

348
00:12:33,240 --> 00:12:34,760
OF THE WAYS WE HAVE DOING THIS

349
00:12:34,760 --> 00:12:37,040
IS THROUGH OUR MANAGEMENT DRUG

350
00:12:37,040 --> 00:12:38,200
FREE COMMUNITIES PROGRAM,

351
00:12:38,200 --> 00:12:40,560
DIRECTED BY ONDCP THIS PROGRAM

352
00:12:40,560 --> 00:12:42,600
FROM SLIDES GRANTS TO COMMUNITY

353
00:12:42,600 --> 00:12:45,680
COALITIONS TO ESTABLISH AND

354
00:12:45,680 --> 00:12:48,120
STRENGTHEN LOCAL PARTNERS TO

355
00:12:48,120 --> 00:12:49,360
IMPLEMENT LOCAL USE PREVENTION

356
00:12:49,360 --> 00:12:52,240
AND MORE THAN 700 COMMUNITY

357
00:12:52,240 --> 00:12:53,600
COALITIONS ARE PARTICIPATING IN

358
00:12:53,600 --> 00:12:55,720
THIS PROGRAM AND CREATING THAT

359
00:12:55,720 --> 00:12:57,400
INFRASTRUCTURE TO REDUCE NEW

360
00:12:57,400 --> 00:12:58,800
SUBSTANCE USE. DURING THE

361
00:12:58,800 --> 00:13:00,560
COVID-19 PANDEMIC, WE HAVE SEEN

362
00:13:00,560 --> 00:13:04,520
REALLY INNOVATIVE NEW PROGRAMS

363
00:13:04,520 --> 00:13:07,960
SUCH AS PARTNERSHIP FOR DRUG

364
00:13:07,960 --> 00:13:09,840
FREE ST. JOSEPH COUNTY WORK WITH

365
00:13:09,840 --> 00:13:12,520
YOUTH ON A VIDEO CONTEST AND RED

366
00:13:12,520 --> 00:13:13,760
CARPET EVENT, BUILT A

367
00:13:13,760 --> 00:13:15,640
PARTNERSHIP WITH LOCAL TV KNEW

368
00:13:15,640 --> 00:13:17,840
STATIONS REALLY PREVENTING

369
00:13:17,840 --> 00:13:20,320
STRESS AND UNDERAGE DRINKING. SO

370
00:13:20,320 --> 00:13:21,920
IN CLOSING I WANT TO UNDERSCORE

371
00:13:21,920 --> 00:13:23,640
NEED FOR HOLISTIC APPROACH TO

372
00:13:23,640 --> 00:13:25,880
ADDRESSING THE EVOLVING

373
00:13:25,880 --> 00:13:26,720
ESCALATING OVERDOSE CRISIS, WE

374
00:13:26,720 --> 00:13:29,240
HAVE TO FOCUS ON TREATMENT

375
00:13:29,240 --> 00:13:30,520
RECOVERY AND HARM REDUCTION

376
00:13:30,520 --> 00:13:32,440
WHILE ALSO MAKING CRITICAL

377
00:13:32,440 --> 00:13:33,840
INVESTMENTS IN UPSTREAM

378
00:13:33,840 --> 00:13:35,440
PREVENTION THAT PROTECT AGAINST

379
00:13:35,440 --> 00:13:37,400
SUBSTANCE USE INITIATION IN THE

380
00:13:37,400 --> 00:13:39,040
FIRST PLACE. I WOULD LIKE TO

381
00:13:39,040 --> 00:13:41,000
THANK NIH NIDA AND MY

382
00:13:41,000 --> 00:13:42,680
CO-PANELISTS FOR THEIR CONTINUED

383
00:13:42,680 --> 00:13:44,040
PARTNERSHIP AS WE WORK TO

384
00:13:44,040 --> 00:13:45,640
PREVENT DRUG OVERDOSE AND

385
00:13:45,640 --> 00:13:47,120
IMPACTS OF SUBSTANCE USE. LOOK

386
00:13:47,120 --> 00:13:50,040
FORWARD TO TODAY'S DISCUSSION.  

387
00:13:50,040 --> 00:13:51,960
>> THANK YOU SO MUCH FOR THAT

388
00:13:51,960 --> 00:13:54,480
COMPREHENSIVE OVERVIEW. AND IN

389
00:13:54,480 --> 00:13:58,040
THE CHAT BOX ARE KUDOS ABILITY

390
00:13:58,040 --> 00:13:59,480
YOUR FOCUS ON PREVENTION SO

391
00:13:59,480 --> 00:14:02,600
PROBABLY STARTING POINT TO

392
00:14:02,600 --> 00:14:04,080
CONVERSATION TO FOLLOW. NEXT WE

393
00:14:04,080 --> 00:14:08,440
WILL HEAR FROM DR. CALIFF.  

394
00:14:08,440 --> 00:14:10,120
>> THANKS, LARRY, GOOD TO BE

395
00:14:10,120 --> 00:14:12,240
WITH YOU. I AM ON SECOND TOUR

396
00:14:12,240 --> 00:14:14,600
BUT EARLY ON SECOND TOUR. WHAT

397
00:14:14,600 --> 00:14:16,400
I'M GOING TO SAY TODAY PARTLY

398
00:14:16,400 --> 00:14:20,920
REFLECTS MY OWN OPINION AND

399
00:14:20,920 --> 00:14:23,000
PARTLY DEPTH OF UPDATING ABOUT

400
00:14:23,000 --> 00:14:25,000
WHAT'S HAPPENED SINCE 2016 AT

401
00:14:25,000 --> 00:14:28,360
THE FDA ON THIS TOPIC. FIRST A

402
00:14:28,360 --> 00:14:30,040
BRIEF UPDATE ON MY HISTORY

403
00:14:30,040 --> 00:14:33,240
RELATED TO THIS. THAT WILL

404
00:14:33,240 --> 00:14:34,600
FLAVOR SOME OF OUR REMARKS. I

405
00:14:34,600 --> 00:14:37,440
WAS INVOLVED 20 YEARS IN THE

406
00:14:37,440 --> 00:14:41,120
NIDA NETWORK PRACTICAL CLINICAL

407
00:14:41,120 --> 00:14:43,240
TRIALS AND LEARNED A LOT AND

408
00:14:43,240 --> 00:14:44,440
ABOUT THE DIFFERENCE BETWEEN

409
00:14:44,440 --> 00:14:46,000
WHAT Y'ALL FACE AND DOING

410
00:14:46,000 --> 00:14:47,440
RESEARCH AND WHAT I WAS USED TO

411
00:14:47,440 --> 00:14:51,240
IN THE TRADITIONAL SETTING OF

412
00:14:51,240 --> 00:14:54,680
CARDIOVASCULAR DISEASE AND OTHER

413
00:14:54,680 --> 00:14:59,120
I WOULD SAY MORE STRICTLY

414
00:14:59,120 --> 00:15:00,480
MEDICAL PROBLEMS. I THEN WAS

415
00:15:00,480 --> 00:15:02,200
VERY INVOLVED IN STARTUP OF THE

416
00:15:02,200 --> 00:15:05,600
NIH COLLABORATORY AND PCORNET I

417
00:15:05,600 --> 00:15:07,280
REGARD AS PRECURSORS TO THE HEAL

418
00:15:07,280 --> 00:15:10,240
INITIATIVE IN MANY WAYS. I WAS

419
00:15:10,240 --> 00:15:12,920
EXCITED WHEN I READ ON THE HEAL

420
00:15:12,920 --> 00:15:14,280
INITIATIVE THE LAST COUPLE OF

421
00:15:14,280 --> 00:15:16,240
DAYS GETTING READY FOR THIS

422
00:15:16,240 --> 00:15:20,680
MEETING. THIS IDEA OF DOING

423
00:15:20,680 --> 00:15:22,480
PRACTICAL STUDIES ANSWERING

424
00:15:22,480 --> 00:15:23,720
CRITICAL QUESTIONS BRIDGING

425
00:15:23,720 --> 00:15:25,160
RESEARCH AND CLINICAL PRACTICE

426
00:15:25,160 --> 00:15:27,040
TO ME THAT IS THE GREATEST NEED

427
00:15:27,040 --> 00:15:28,920
OUR COUNTRY HAS RIGHT NOW. WE

428
00:15:28,920 --> 00:15:35,840
ARE DARN GOOD IN BASIC SCIENCE,

429
00:15:35,840 --> 00:15:37,080
WE ARE GOOD EARLY PHASE RESEARCH

430
00:15:37,080 --> 00:15:38,680
WE HAVE A LONG WAY TO GO IN THIS

431
00:15:38,680 --> 00:15:41,000
AREA AND GLAD YOU ARE FEELING

432
00:15:41,000 --> 00:15:46,000
THAT NICHE. DURING MY SOJOURN AT

433
00:15:46,000 --> 00:15:48,600
ALPHABET WE START AD NOT FOR

434
00:15:48,600 --> 00:15:52,240
PROFIT IN DAYTON OHIO WHICH DID

435
00:15:52,240 --> 00:15:57,560
STEM TO STERN PEOPLE COMING OFF

436
00:15:57,560 --> 00:15:59,160
ADDICTIVE TREATMENT TO --

437
00:15:59,160 --> 00:16:02,360
SUBSTANCE ABUSE OR SUBSTANCE USE

438
00:16:02,360 --> 00:16:04,680
DISORDER, ALL THE WAY OUT TO

439
00:16:04,680 --> 00:16:06,920
GETTING JOBS AND SURVIVING IN

440
00:16:06,920 --> 00:16:10,000
THE COMMUNITY. AND DEALING WITH

441
00:16:10,000 --> 00:16:13,640
THE LEGAL SYSTEM. I HAD VERY

442
00:16:13,640 --> 00:16:15,440
PRACTICAL IMMERSION END DATE

443
00:16:15,440 --> 00:16:17,000
WITH HIGHEST RATE OF DEATH PER

444
00:16:17,000 --> 00:16:21,800
POPULATION AT THE TIME THAT WE

445
00:16:21,800 --> 00:16:23,600
STARTED. AS I CAME BACK TO THE

446
00:16:23,600 --> 00:16:26,800
FDA AND AS SOME OF YOU MAY HAVE

447
00:16:26,800 --> 00:16:29,200
NOTICED, OPIOID WAS A MAJOR OR

448
00:16:29,200 --> 00:16:31,080
DEAL FOR ME DURING THE

449
00:16:31,080 --> 00:16:32,880
CONFIRMATION PROCESS BECAUSE

450
00:16:32,880 --> 00:16:34,640
THERE IS A HISTORY HERE THAT

451
00:16:34,640 --> 00:16:37,240
EVERYONE IS AWARE OF THAT WE ARE

452
00:16:37,240 --> 00:16:39,200
HAVING TO DEAL WITH. BUT I WAS

453
00:16:39,200 --> 00:16:40,800
GLAD TO SEE STRATEGIES THAT ARE

454
00:16:40,800 --> 00:16:44,360
IN PLAY AND I WAS EXCITED TO

455
00:16:44,360 --> 00:16:49,360
HEAR ABOUT DETAILS OF THE NIH

456
00:16:49,360 --> 00:16:51,920
FRAMEWORK WHICH WE ARE ALL

457
00:16:51,920 --> 00:16:55,680
ADHERING TO IN THIS PRESENTATION

458
00:16:55,680 --> 00:16:58,240
FOR GOOD REASON. GOING TO REF A

459
00:16:58,240 --> 00:16:59,400
COUPLE OF THINGS HERE WHICH

460
00:16:59,400 --> 00:17:00,200
MAYBE IMPORTANT AS YOU LOOK AT

461
00:17:00,200 --> 00:17:03,840
THE HEAL NETWORK AND THINGS THAT

462
00:17:03,840 --> 00:17:05,400
NEED TO BE THAT MAY NEED

463
00:17:05,400 --> 00:17:07,880
PARTICULAR ATTENTION.

464
00:17:07,880 --> 00:17:09,120
REMEMBERING THAT FDA THERE WAS

465
00:17:09,120 --> 00:17:11,720
OLD SAYING IN GOD WE TRUST ALL

466
00:17:11,720 --> 00:17:15,360
OTHERS MUST BRING DATA. NOW

467
00:17:15,360 --> 00:17:17,160
BECAUSE DATA ARE UBIQUITOUS, YOU

468
00:17:17,160 --> 00:17:18,920
CAN GET DATA FOR NOTHING NOW IT

469
00:17:18,920 --> 00:17:20,960
IS IN GOD WE TRUST ALL OTHERS

470
00:17:20,960 --> 00:17:25,480
MUST BRING RELIABLE EVIDENCE. SO

471
00:17:25,480 --> 00:17:27,560
I THINK WE ARE AWASH WITH DATA.

472
00:17:27,560 --> 00:17:28,800
WE ARE SHORT ON RELIABLE

473
00:17:28,800 --> 00:17:32,240
EVIDENCE.  THE SECOND THICK IS,

474
00:17:32,240 --> 00:17:33,920
I THINK WE ARE ALL FAMILIAR WITH

475
00:17:33,920 --> 00:17:35,920
THE CONSTRUCT THAT WE HAVE

476
00:17:35,920 --> 00:17:37,400
IDEAS, WE DO CLINICAL TRIALS WE

477
00:17:37,400 --> 00:17:39,440
SORT OUT WHAT WORKS AND WHAT

478
00:17:39,440 --> 00:17:41,720
DOESN'T. WE DEVELOP CLINICAL

479
00:17:41,720 --> 00:17:43,120
PRACTICE GUIDELINES AND GLAD THE

480
00:17:43,120 --> 00:17:44,640
UPDATING IS GOING ON AND I HOPE

481
00:17:44,640 --> 00:17:46,440
AS YOU SUCCEED IN THE HEAL

482
00:17:46,440 --> 00:17:47,680
NETWORK WE'LL HAVE TO HAVE

483
00:17:47,680 --> 00:17:50,880
UPDATES EVERY YEAR BECAUSE THE

484
00:17:50,880 --> 00:17:51,560
EVIDENCE WILL GROW

485
00:17:51,560 --> 00:17:52,640
SUBSTANTIALLY. THEN WE HAVE

486
00:17:52,640 --> 00:17:54,520
QUALITY MEASURES AND THOSE LEAD

487
00:17:54,520 --> 00:17:55,640
TO BETTER OUTCOMES AND IF WE

488
00:17:55,640 --> 00:17:57,920
HAVE A GOOD MEASUREMENT SYSTEM

489
00:17:57,920 --> 00:18:01,240
WE FIND HOLES IN THE PROCESS

490
00:18:01,240 --> 00:18:02,520
THAT NEED TO BE PLUGGED BY MORE

491
00:18:02,520 --> 00:18:07,240
RESEARCH. I WOULD ARGUE IN THIS

492
00:18:07,240 --> 00:18:10,320
FIELD YOU ARE IN SOME WAYS

493
00:18:10,320 --> 00:18:13,000
PIONEERS BECAUSE WHILE NIDA

494
00:18:13,000 --> 00:18:15,160
NETWORK GOES BACK AWAYS IT WAS

495
00:18:15,160 --> 00:18:16,440
TOUGH SLEDDING BECAUSE OF THE

496
00:18:16,440 --> 00:18:18,400
RESOURCES THAT WERE IN SHORT

497
00:18:18,400 --> 00:18:20,320
SUPPLY. AND NOW IS OUR TIME TO

498
00:18:20,320 --> 00:18:22,240
GET THIS RIGHT. THE FINAL

499
00:18:22,240 --> 00:18:23,880
CONCEPT IS TIME ORIENTATION

500
00:18:23,880 --> 00:18:26,240
WHICH IS AN ISSUE I HAD TO TALK

501
00:18:26,240 --> 00:18:27,360
ABOUT A LOT DURING THE

502
00:18:27,360 --> 00:18:28,840
CONFIRMATION, DEALING WITH ACUTE

503
00:18:28,840 --> 00:18:30,680
PAIN IS ONE THING, DEALING WITH

504
00:18:30,680 --> 00:18:31,840
CHRONIC PAIN AND ALL THE ISSUES

505
00:18:31,840 --> 00:18:35,960
THAT ARE INVOLVED, ALSO WITH

506
00:18:35,960 --> 00:18:37,200
ADDICTION IS A WHOLE DIFFERENT

507
00:18:37,200 --> 00:18:40,080
STORY AND WE NEED METHODS AND

508
00:18:40,080 --> 00:18:41,160
APPROACHES AND GLAD TO SEE YOU

509
00:18:41,160 --> 00:18:44,240
ARE WORKING ON THAT. SO QUICKLY,

510
00:18:44,240 --> 00:18:47,360
PREVENTION. I THINK WE ALL AGREE

511
00:18:47,360 --> 00:18:50,960
WE CAN PREVENT PROBLEM IN THE

512
00:18:50,960 --> 00:18:54,040
FIRST PLACE AND IN THAT AREA I

513
00:18:54,040 --> 00:18:55,760
WOULD SINGLE OUT NON-ADDICTIVE

514
00:18:55,760 --> 00:18:57,320
PAIN TREATMENT AND I HAVE TO SAY

515
00:18:57,320 --> 00:18:59,120
ALTHOUGH I KNOW A LOT OF WORK IS

516
00:18:59,120 --> 00:19:00,600
BEING DONE, WE ARE JUST NOT

517
00:19:00,600 --> 00:19:04,400
GETTING WHERE WE NEED TO GO. AND

518
00:19:04,400 --> 00:19:06,080
PART OF IT REALLY HAS TO DO WITH

519
00:19:06,080 --> 00:19:07,760
THE WAY THE PHARMACEUTICAL

520
00:19:07,760 --> 00:19:10,040
INDUSTRY WORKS AND IT IS UPON US

521
00:19:10,040 --> 00:19:12,240
AT THE FDA TO TRY TO FIGURE OUT

522
00:19:12,240 --> 00:19:15,600
HOW TO INCENTIVIZE MORE

523
00:19:15,600 --> 00:19:17,120
INVESTMENT IN THIS AREA BECAUSE

524
00:19:17,120 --> 00:19:19,160
IT IS NOT AN AREA THAT IS THE

525
00:19:19,160 --> 00:19:21,840
INVESTMENT OF CHOICE FOR VENTURE

526
00:19:21,840 --> 00:19:25,080
CAPITALIST OR OTHERS FUNDING

527
00:19:25,080 --> 00:19:27,920
MEDICAL TREATMENTS. I DON'T WANT

528
00:19:27,920 --> 00:19:28,840
TO GIVE SHORT SLIVE TO

529
00:19:28,840 --> 00:19:29,760
BEHAVIORAL TREATMENT, THE MORE

530
00:19:29,760 --> 00:19:31,960
EFFECTIVE ON BEHAVIORAL

531
00:19:31,960 --> 00:19:33,400
TREATMENT THE LESS MEDICINE

532
00:19:33,400 --> 00:19:34,880
WE'LL NEED SO WE ARE FOR THAT

533
00:19:34,880 --> 00:19:38,560
BUT THAT IS NOT PRIMARILY IN THE

534
00:19:38,560 --> 00:19:40,160
FDA JURISDICTION. WE HAVE A

535
00:19:40,160 --> 00:19:43,240
NUMBER OF ISSUES RELATED TO TO

536
00:19:43,240 --> 00:19:44,960
PRESCRIBER EDUCATION, YOU CAN'T

537
00:19:44,960 --> 00:19:46,640
GET MORE PRACTICAL THAN THE

538
00:19:46,640 --> 00:19:48,440
QUESTION, WHAT WORKS, FOR

539
00:19:48,440 --> 00:19:49,800
PRESCRIBER EDUCATION? I HAD

540
00:19:49,800 --> 00:19:51,360
CLOSE RELATIVES IN THE LAST YEAR

541
00:19:51,360 --> 00:19:53,960
WHO GOT 30 DAYS OPIOIDS FROM

542
00:19:53,960 --> 00:19:55,800
MINOR SURGERY, THAT IS DESPITE

543
00:19:55,800 --> 00:19:57,280
ALL THE EFFORTS THAT HAVE GONE

544
00:19:57,280 --> 00:20:00,880
INTO IT. AND EVERY CONGRESS

545
00:20:00,880 --> 00:20:04,800
PERSON I KNOW IS ON OUR CASE

546
00:20:04,800 --> 00:20:05,440
ABOUT BETTER EDUCATION, WE NEED

547
00:20:05,440 --> 00:20:08,080
HELP IN KNOWING WHAT KIND OF

548
00:20:08,080 --> 00:20:09,320
EDUCATION IS GOING TO WORK. I

549
00:20:09,320 --> 00:20:13,080
DON'T KNOW ABOUT THE OTHERS OF

550
00:20:13,080 --> 00:20:16,400
YOU BUT I WILL SAY BEFORE MY

551
00:20:16,400 --> 00:20:18,040
LAST YEAR AT FDA I WAS A BUSY

552
00:20:18,040 --> 00:20:19,000
PRACTITIONER AND I GOT

553
00:20:19,000 --> 00:20:20,560
PROFESSIONAL CLICKING THROUGH

554
00:20:20,560 --> 00:20:21,680
EDUCATIONAL PROGRAMS WHILE

555
00:20:21,680 --> 00:20:23,960
WATCHING BASKETBALL GAMES AND

556
00:20:23,960 --> 00:20:25,440
OTHER THINGS THAT WERE GOING ON.

557
00:20:25,440 --> 00:20:27,760
SO GOING TO BE EFFECTIVE, WE

558
00:20:27,760 --> 00:20:29,280
ACTUALLY NEED EMPIRICAL RESEARCH

559
00:20:29,280 --> 00:20:33,880
TO FIGURE OUT WHAT IS EFFECTIVE.

560
00:20:33,880 --> 00:20:36,640
WE GOT TO FIGURE OUT NON-USE

561
00:20:36,640 --> 00:20:38,600
OPIOIDS, WE'LL HEAR FROM THE FDA

562
00:20:38,600 --> 00:20:42,280
SHORTLY, A SET OF A
ALTERNATIVES. 

563
00:20:42,280 --> 00:20:43,560
WE NEED TO KNOW WHICH ARE BEST

564
00:20:43,560 --> 00:20:46,600
BECAUSE OUR SOCIETY IS A WASH.

565
00:20:46,600 --> 00:20:48,840
THEN ONE I WONDERED ABOUT A LOT

566
00:20:48,840 --> 00:20:50,240
20 YEARS AGO WAS NETWORK IT IS

567
00:20:50,240 --> 00:20:54,000
REALLY ESSENTIAL NOW, HOW DO WE

568
00:20:54,000 --> 00:20:57,040
DO RESEARCH IN THE ELICIT WORLD?

569
00:20:57,040 --> 00:20:59,120
WE HAVE TEENAGERS NOW WHO CAN

570
00:20:59,120 --> 00:21:02,280
GET ON THE INTERNET AND ORDER A

571
00:21:02,280 --> 00:21:04,360
MAIL ORDER FENTANYL OFTEN

572
00:21:04,360 --> 00:21:05,200
THINKING THEY ARE ORDERING

573
00:21:05,200 --> 00:21:06,480
SOMETHING ELSE. WE DON'T KNOW

574
00:21:06,480 --> 00:21:10,400
MUCH ABOUT HOW THIS WORLD

575
00:21:10,400 --> 00:21:12,240
OPERATES I GOT EXPOSED TO NEW

576
00:21:12,240 --> 00:21:13,600
TERMS IN MY LAST ORIENTATION

577
00:21:13,600 --> 00:21:17,680
WITH DEA LAST WEEK ABOUT THE

578
00:21:17,680 --> 00:21:21,400
ECONOMICS OF DRUG DEALERS WHICH

579
00:21:21,400 --> 00:21:22,840
LIKE A WHOLE FIELD THAT WILL

580
00:21:22,840 --> 00:21:29,120
HAVE TO EVOLVE. THEN THERE IS

581
00:21:29,120 --> 00:21:31,120
HARM REDUCTION, ACCESS TO

582
00:21:31,120 --> 00:21:33,120
NALOXONE, EVERYONE WILL TALK

583
00:21:33,120 --> 00:21:34,960
ABOUT OUT OF ALL OPTIONS WE HAVE

584
00:21:34,960 --> 00:21:37,000
THERE ARE ROAD BLOCKS AN HURDLES

585
00:21:37,000 --> 00:21:38,560
ALONG THE WAY, THE MORE WE KNOW

586
00:21:38,560 --> 00:21:41,800
ABOUT WHAT IS MOST EFFECTIVE AND

587
00:21:41,800 --> 00:21:43,440
WORKS THE BETTER IT WILL BE LIKE

588
00:21:43,440 --> 00:21:45,160
FOR EXAMPLE IF WE MAKE

589
00:21:45,160 --> 00:21:46,640
INJECTIONS AVAILABLE OVER THE

590
00:21:46,640 --> 00:21:50,440
COUNTER WE BY LAW HAVE TO HAVE

591
00:21:50,440 --> 00:21:51,960
EVIDENCE THE PERSON USING IT

592
00:21:51,960 --> 00:21:54,320
ACTUALLY IS LIKELY TO BE ABLE TO

593
00:21:54,320 --> 00:21:58,760
USE IT. CORRECTLY. THE RISK

594
00:21:58,760 --> 00:22:00,360
BENEFIT FRAMEWORK ALLUDED TO IN

595
00:22:00,360 --> 00:22:01,600
DISCUSSION PAPERS I READ ABOUT

596
00:22:01,600 --> 00:22:05,280
HOW DO WE ASSESS RISK TO SOCIETY

597
00:22:05,280 --> 00:22:09,440
FROM PRESCRIPTION GIVEN TO AN

598
00:22:09,440 --> 00:22:11,560
INDIVIDUAL? NATIONAL ACADEMIES

599
00:22:11,560 --> 00:22:13,360
HAS GIVEN US A GOOD FRAMEWORK

600
00:22:13,360 --> 00:22:15,240
FOR THAT, WE ARE WORKING FROM A

601
00:22:15,240 --> 00:22:17,240
DRAFT GUIDANCE NOW BUT WE NEED

602
00:22:17,240 --> 00:22:18,240
EMPIRICAL EVIDENCE HOW TO MAKE

603
00:22:18,240 --> 00:22:21,680
THAT ASSESSMENT FOR THE FUTURE. 

604
00:22:21,680 --> 00:22:25,080
THEN THE LAST TWO TREATMENT

605
00:22:25,080 --> 00:22:26,360
RECOVERY SUPPORT. I WOULD SAY WE

606
00:22:26,360 --> 00:22:29,240
NEED A HOST OF VERY PRACTICAL

607
00:22:29,240 --> 00:22:31,000
CLINICAL TRIALS AND I WOULD

608
00:22:31,000 --> 00:22:32,720
POINT TO CLUSTER RANDOMIZATION

609
00:22:32,720 --> 00:22:34,600
IS A METHOD I WOULD HOPE WE USE

610
00:22:34,600 --> 00:22:36,640
A LOT OF, I WAS EXCITED TO HEAR

611
00:22:36,640 --> 00:22:40,400
ABOUT THE MANY, MANY COMMUNITY

612
00:22:40,400 --> 00:22:42,240
NETWORKS THAT CDC IS PUTTING

613
00:22:42,240 --> 00:22:43,440
TOGETHER BUT THEY ARE GOING TO

614
00:22:43,440 --> 00:22:44,800
RIGHT NOW I WOULD SAY FROM MY

615
00:22:44,800 --> 00:22:46,120
EXPERIENCE IN THE NOT FOR PROFIT

616
00:22:46,120 --> 00:22:50,440
THE LAST FEW YEARS THERE ARE

617
00:22:50,440 --> 00:22:51,960
THOUSANDS OF IDEAS AND BELIEFS

618
00:22:51,960 --> 00:22:53,640
BUT NOT MUCH EVIDENCE ABOUT WHAT

619
00:22:53,640 --> 00:22:55,480
COMBINATION OF FACTORS IS GOING

620
00:22:55,480 --> 00:22:58,480
TO BE MOST EFFECTIVE IN THE

621
00:22:58,480 --> 00:23:00,040
COMMUNITY AND THE JOB IN THE

622
00:23:00,040 --> 00:23:01,840
COMMUNITY THAT'S NOT FDA PRIMARY

623
00:23:01,840 --> 00:23:04,320
BUT THE BEAR JOB IS DONE EASIER

624
00:23:04,320 --> 00:23:05,640
OUR JOB WOULD BE IN GIVEN WHAT I

625
00:23:05,640 --> 00:23:07,520
HAVE LEARNED THE FIRST AGO WEEKS

626
00:23:07,520 --> 00:23:09,000
HERE AT FDA WELCOME MAKING OUR

627
00:23:09,000 --> 00:23:12,120
JOB EASIER. SO WITH THAT, I WILL

628
00:23:12,120 --> 00:23:14,120
CLOSE AND LOOK FORWARD TO THE

629
00:23:14,120 --> 00:23:14,600
DISCUSSION.

630
00:23:14,600 --> 00:23:16,800
>> THANKS VERY MUCH FOR THOSE

631
00:23:16,800 --> 00:23:18,680
OBSERVATIONS AND WE ALL AIM TO

632
00:23:18,680 --> 00:23:20,640
MAKE YOUR JOB MUCH EASIER

633
00:23:20,640 --> 00:23:23,200
INDEED. SO FINALLY WE WOULD LIKE

634
00:23:23,200 --> 00:23:26,080
TO HEAR FROM DR. DELPHIN RITTMON

635
00:23:26,080 --> 00:23:26,320
PLEASE.

636
00:23:26,320 --> 00:23:28,680
>> THANK YOU SO MUCH. GOOD

637
00:23:28,680 --> 00:23:30,160
AFTERNOON, EVERYONE. I JUST WANT

638
00:23:30,160 --> 00:23:32,840
TO SAY SPECIAL THANK YOU TO THE

639
00:23:32,840 --> 00:23:34,560
NIH TEAM FOR INVITATION TO BE

640
00:23:34,560 --> 00:23:36,600
HERE AND FOR CONVENING US. FOR

641
00:23:36,600 --> 00:23:37,240
THIS REALLY IMPORTANT

642
00:23:37,240 --> 00:23:39,640
DISCUSSION.  AND I DO HAVE TO

643
00:23:39,640 --> 00:23:41,320
SAY I'M DELIGHTED TO BE JOINED

644
00:23:41,320 --> 00:23:44,120
BY MY COLLEAGUES AT CDC AND FDA

645
00:23:44,120 --> 00:23:47,840
AS WELL. AS PART OF THE HEAL

646
00:23:47,840 --> 00:23:50,320
INITIATIVE SAMSA IS ENGAGED WITH

647
00:23:50,320 --> 00:23:52,840
NIH AND NIDA FOR THE LAST THREE

648
00:23:52,840 --> 00:23:55,480
YEARS. SO WE SO APPRECIATE THIS

649
00:23:55,480 --> 00:23:57,000
COLLABORATION WITH NIH AND NIDA

650
00:23:57,000 --> 00:24:00,120
AND REALLY THE FULL CONSORTIUM

651
00:24:00,120 --> 00:24:03,880
OF GRANTEES FROM OHIO, KENTUCKY,

652
00:24:03,880 --> 00:24:07,240
NEW YORK, MASSACHUSETTS, AS WELL

653
00:24:07,240 --> 00:24:09,800
AS THE DATA COORDINATING CENTER

654
00:24:09,800 --> 00:24:12,160
AND NIDA. SO I WANT TO THANK ALL

655
00:24:12,160 --> 00:24:14,640
OF PARTNERS ON THIS PROJECT WHO

656
00:24:14,640 --> 00:24:16,120
HAVE WORKED ON THIS STUDY DURING

657
00:24:16,120 --> 00:24:17,800
A PARTICULARLY DIFFICULT TIME.

658
00:24:17,800 --> 00:24:21,240
WE KNOW CONDUCTING RESEARCH MANY

659
00:24:21,240 --> 00:24:23,080
THE MIDST OF A PANDEMIC HAS

660
00:24:23,080 --> 00:24:24,360
CHALLENGES SO SPECIAL THANK YOU

661
00:24:24,360 --> 00:24:26,240
ALSO TO ALL THE PARTNERS. WE

662
00:24:26,240 --> 00:24:28,440
KNOW THE GOAL OF THE HEAL

663
00:24:28,440 --> 00:24:30,400
COMMUNITY STUDIES IS ESSENTIALLY

664
00:24:30,400 --> 00:24:32,600
TO TEST INTEGRATED SET OF

665
00:24:32,600 --> 00:24:34,040
EVIDENCE BASED PRACTICES WITH

666
00:24:34,040 --> 00:24:35,960
THE AIM OF REDUCING OPIOID

667
00:24:35,960 --> 00:24:37,440
RELATED DEATH AND HOPEFULLY THAT

668
00:24:37,440 --> 00:24:39,640
IS THE GOAL. THIS IS

669
00:24:39,640 --> 00:24:41,880
PARTICULARLY IMPORTANT TO SAMSA

670
00:24:41,880 --> 00:24:44,240
AS RESEARCH GENERATED FROM THIS

671
00:24:44,240 --> 00:24:46,360
PROJECT, ULTIMATELY WILL HELP TO

672
00:24:46,360 --> 00:24:48,080
INFORM EVIDENCE BASED PRACTICES

673
00:24:48,080 --> 00:24:51,040
AND INTERVENTIONS THAT WE

674
00:24:51,040 --> 00:24:52,240
ULTIMATELY IMPLEMENT AND EVEN

675
00:24:52,240 --> 00:24:54,920
SCALE UP. SO AS A SERVICE

676
00:24:54,920 --> 00:24:57,400
DELIVERY AGENCY, SAMSA

677
00:24:57,400 --> 00:25:00,240
APPRECIATES AND USES THE

678
00:25:00,240 --> 00:25:02,160
RESEARCH THAT IS DEVELOPED

679
00:25:02,160 --> 00:25:03,840
THROUGH NIH AGAIN TO AMPLIFY

680
00:25:03,840 --> 00:25:07,840
EVIDENCE BASED PRACTICES FOR

681
00:25:07,840 --> 00:25:09,000
IMPLEMENTATION. IN ADDITION TO

682
00:25:09,000 --> 00:25:11,120
THE HEAL COMMUNITY

683
00:25:11,120 --> 00:25:12,440
COLLABORATIONS, WITH SAMSA I

684
00:25:12,440 --> 00:25:14,040
ALSO WANT TO HIGHLIGHT SOME OF

685
00:25:14,040 --> 00:25:15,400
OUR PRIORITIES AND NEW

686
00:25:15,400 --> 00:25:16,840
INITIATIVES RELATED TO

687
00:25:16,840 --> 00:25:19,480
ADDRESSING THE OPIOID EPIDEMIC.

688
00:25:19,480 --> 00:25:23,040
AND OVERDOSE CONCERNS. THAT MAY

689
00:25:23,040 --> 00:25:24,840
BE HELPFUL FOR FOLKS TO HEAR

690
00:25:24,840 --> 00:25:26,720
ABOUT AS WELL. SO ESSENTIALLY TO

691
00:25:26,720 --> 00:25:29,000
FRAME SOME OF SAMSA PRIORITIES

692
00:25:29,000 --> 00:25:30,800
AS WE THINK ABOUT ADDRESSING

693
00:25:30,800 --> 00:25:32,360
OPIOID AND OVERDOSE MORE

694
00:25:32,360 --> 00:25:34,400
GENERALLY, I WILL BRIEFLY

695
00:25:34,400 --> 00:25:37,040
REFERENCE THE HHS OVERDOSE

696
00:25:37,040 --> 00:25:39,440
PREVENTION STRATEGY SECRETARY

697
00:25:39,440 --> 00:25:41,480
BECERRA RELEASED LAST FALL. THIS

698
00:25:41,480 --> 00:25:42,840
STRATEGY WAS DESIGNED TO

699
00:25:42,840 --> 00:25:44,520
INCREASE ACCESS TO REALLY A FULL

700
00:25:44,520 --> 00:25:46,920
RANGE OF SERVICES FOR

701
00:25:46,920 --> 00:25:48,480
INDIVIDUALS THAT USE SUBSTANCES,

702
00:25:48,480 --> 00:25:50,600
THAT ULTIMATELY CAUSE OVERDOSE.

703
00:25:50,600 --> 00:25:52,280
I HAVE TO SAY IT WAS SUCH A

704
00:25:52,280 --> 00:25:54,520
VALUABLE COLLABORATION ACROSS

705
00:25:54,520 --> 00:25:56,720
HHS IN TERMS OF MULTIPLE

706
00:25:56,720 --> 00:25:58,200
AGENCIES US WORKING TOGETHER AND

707
00:25:58,200 --> 00:25:59,840
THINKING STRATEGIZING TOGETHER

708
00:25:59,840 --> 00:26:03,360
AROUND HOW WE CAN ADDRESS THE

709
00:26:03,360 --> 00:26:05,040
TRENDS WE ARE SEEING AS RELATES

710
00:26:05,040 --> 00:26:07,200
TO OVERDOSE. THE OVERDOSE

711
00:26:07,200 --> 00:26:09,880
PREVENTION STRATEGY PRIORITIZES

712
00:26:09,880 --> 00:26:13,440
FOUR KEY TARGET AREAS. SO

713
00:26:13,440 --> 00:26:14,520
PRIMARY PREVENTION, HARM

714
00:26:14,520 --> 00:26:15,680
REDUCTION, EVIDENCE BASED

715
00:26:15,680 --> 00:26:18,560
TREATMENT, AND RECOVERY SUPPORT.

716
00:26:18,560 --> 00:26:20,080
ABSOLUTELY I WOULD SAY REFLECTS

717
00:26:20,080 --> 00:26:22,000
THE BIDEN HARRIS ADMINISTRATION

718
00:26:22,000 --> 00:26:24,440
OF MAXIMIZING HEALTH EQUITY.

719
00:26:24,440 --> 00:26:25,920
ALSO FOR UNDERSERVED

720
00:26:25,920 --> 00:26:28,360
POPULATIONS. ALSO USING THE BEST

721
00:26:28,360 --> 00:26:29,840
AVAILABLE DATA AND EVIDENCE TO

722
00:26:29,840 --> 00:26:32,520
INFORM POLICY AND ACTION,

723
00:26:32,520 --> 00:26:34,240
INTEGRATION OF SUBSTANCE USE

724
00:26:34,240 --> 00:26:35,640
DISORDER INTO OTHER TYPES OF

725
00:26:35,640 --> 00:26:37,560
HEALTHCARE AND SOCIAL SERVICES,

726
00:26:37,560 --> 00:26:38,920
AND AS WE HAVE HEARD REDUCING

727
00:26:38,920 --> 00:26:40,480
STIGMA IS A KEY PART OF STRATEGY

728
00:26:40,480 --> 00:26:44,240
AS WELL. SO I WANT TO TALK ABOUT

729
00:26:44,240 --> 00:26:46,280
TWO IMPORTANT POLICY CHANGES

730
00:26:46,280 --> 00:26:49,840
SAMSA PUT IN PLACE. RELATED TO

731
00:26:49,840 --> 00:26:52,240
THIS. FROM A PREVENTION

732
00:26:52,240 --> 00:26:53,640
PERSPECTIVE. IN APRIL LAST YEAR

733
00:26:53,640 --> 00:26:56,240
WE ANNOUNCED AND DR. HOURY

734
00:26:56,240 --> 00:26:58,400
MENTIONED THIS, THAT OUR GRANT

735
00:26:58,400 --> 00:27:01,360
FUNDS COULD BE USED TO PURCHASE

736
00:27:01,360 --> 00:27:02,240
FENTANYL TEST STRIPS. THERE'S

737
00:27:02,240 --> 00:27:04,200
QUITE A BIT OF ADVOCACY AROUND

738
00:27:04,200 --> 00:27:06,840
THIS SO GRANT FUNDS CAN BE USED

739
00:27:06,840 --> 00:27:07,840
TO PURCHASE FENTANYL TEST

740
00:27:07,840 --> 00:27:09,440
STRIPS. ULTIMATELY THE GOAL OF

741
00:27:09,440 --> 00:27:13,720
THIS POLICY IS TO REDUCE

742
00:27:13,720 --> 00:27:15,400
DRAMATIC SPIKE IN DEATHS THAT WE

743
00:27:15,400 --> 00:27:17,840
HAVE LARGELY DRIVEN BY THE

744
00:27:17,840 --> 00:27:20,320
SYNTHETIC OPIOID INCLUDING

745
00:27:20,320 --> 00:27:23,400
ELICITLY MANUFACTURED FENTANYL.

746
00:27:23,400 --> 00:27:24,960
SAMHSA, THIS POLICY CHANGE

747
00:27:24,960 --> 00:27:27,720
APPLIES TO ALL FEDERAL GRANTS AS

748
00:27:27,720 --> 00:27:29,840
LODGE AS PURCHASE OF THE

749
00:27:29,840 --> 00:27:30,920
FENTANYL TEST STRIPS IS

750
00:27:30,920 --> 00:27:31,560
CONSISTENT WITH PURCHASE OF THE

751
00:27:31,560 --> 00:27:35,160
PROGRAM. -- PURPOSE OF THE

752
00:27:35,160 --> 00:27:39,120
PROGRAM. LAST YEAR ALSO SAMHSA

753
00:27:39,120 --> 00:27:41,840
WITH HHS ANNOUNCED THAT WE WOULD

754
00:27:41,840 --> 00:27:46,160
EXEMPT ELIGIBLE PROVIDERS FOR

755
00:27:46,160 --> 00:27:46,640
THE EIGHT HOUR WAIVERRED

756
00:27:46,640 --> 00:27:48,840
TRAINING TO TREAT UP TO 30

757
00:27:48,840 --> 00:27:54,080
PATIENTS WITH BUPRENORPHINE. WE

758
00:27:54,080 --> 00:27:56,440
FOUND PROVIDERS INCLUDING

759
00:27:56,440 --> 00:27:57,560
PHYSICIAN, PHYSICIAN SENTEDS

760
00:27:57,560 --> 00:28:01,360
NURSE PRACTICERS, CLINICAL NURSE

761
00:28:01,360 --> 00:28:03,360
PRACTITIONERS, CERTIFIED NURSE

762
00:28:03,360 --> 00:28:04,760
ANESTHESIOLOGISTS AND MIDWIVES

763
00:28:04,760 --> 00:28:06,440
HAVE TO NOTIFY GOVERNMENT OF

764
00:28:06,440 --> 00:28:08,440
THEIR INTENT TO PRESCRIBE

765
00:28:08,440 --> 00:28:09,840
BUPRENORPHINE BUT DON'T HAVE TO

766
00:28:09,840 --> 00:28:14,560
COMPLETE THE TRAINING WE HAVE

767
00:28:14,560 --> 00:28:16,040
BEEN HEARING AND ADVOCATING THAT

768
00:28:16,040 --> 00:28:18,720
THAT IS A BARRIER. SO THIS

769
00:28:18,720 --> 00:28:21,680
POLICY HELPS TO AND GOAL IS TO

770
00:28:21,680 --> 00:28:24,560
REVIEWS BARRIERS FOR PRESCRIBING

771
00:28:24,560 --> 00:28:25,640
BUPRENORPHINE TO INDIVIDUALS

772
00:28:25,640 --> 00:28:27,840
WITH OPIOID USE DISORDER AND

773
00:28:27,840 --> 00:28:30,880
EXPAND THE NUMBER OF PROVIDERS

774
00:28:30,880 --> 00:28:32,640
THAT ARE PRESCRIBING. WE HAVE

775
00:28:32,640 --> 00:28:33,880
SEEN THAT, WE HAVE SEEN OVER

776
00:28:33,880 --> 00:28:36,640
10,000 ADDITIONAL PROVIDERS THAT

777
00:28:36,640 --> 00:28:38,000
ARE NOW PRESCRIBING SINCE THIS

778
00:28:38,000 --> 00:28:43,320
WAS PUT IN PLACE. KEY INITIATIVE

779
00:28:43,320 --> 00:28:45,240
TO TALK ABOUT IS OUR WORK

780
00:28:45,240 --> 00:28:47,080
RELATED TO HARM REDUCTION, HARM

781
00:28:47,080 --> 00:28:49,240
REDUCTION PROGRAM AND DR. HOURY

782
00:28:49,240 --> 00:28:51,040
MENTIONED THIS AS WELL. AS YOU

783
00:28:51,040 --> 00:28:53,040
KNOW WE RECENTLY AND WE ARE

784
00:28:53,040 --> 00:28:56,960
THRILLED TO RELEASE NEW FUNDING

785
00:28:56,960 --> 00:28:59,640
OPPORTUNITY HARM REDUCTION GRANT

786
00:28:59,640 --> 00:29:01,960
OPPORTUNITY, THAT'S $30 MILLION

787
00:29:01,960 --> 00:29:03,800
OVER THREE YEARS, $10 MILLION A

788
00:29:03,800 --> 00:29:06,680
YEAR. WE ANTICIPATE MAKING 25

789
00:29:06,680 --> 00:29:08,120
AWARDS. SO THESE RESOURCES CAN

790
00:29:08,120 --> 00:29:12,760
BE USED TO PURCHASE AND SUPPORT

791
00:29:12,760 --> 00:29:14,760
HARM REDUCTION EFFORTS COMMUNE

792
00:29:14,760 --> 00:29:17,360
-- AT THE COMMUNITY LEVEL TO

793
00:29:17,360 --> 00:29:18,600
INCLUDE SERVICE PROGRAMS AND

794
00:29:18,600 --> 00:29:21,640
OTHER HARM REDUCTION SERVICES.

795
00:29:21,640 --> 00:29:23,320
IN TERMS OF SAMHSA FOCUS ON

796
00:29:23,320 --> 00:29:24,880
EVIDENCE BASED PRACTICES I WANT

797
00:29:24,880 --> 00:29:27,040
TO HIGH LIGHT OUR EVIDENCE BASED

798
00:29:27,040 --> 00:29:29,200
PRACTICE RESOURCE CENTER. THE

799
00:29:29,200 --> 00:29:31,240
21ST CENTURY CURES ACT.

800
00:29:31,240 --> 00:29:33,120
ESSENTIALLY DIRECTED SAMHSA TO

801
00:29:33,120 --> 00:29:35,640
PROMOTE ACCESSIBLE RELIABLE

802
00:29:35,640 --> 00:29:37,440
VALID INFORMATION ON EVIDENCE

803
00:29:37,440 --> 00:29:40,160
BASED PROGRAMS AND PRACTICES AND

804
00:29:40,160 --> 00:29:42,280
THE SHARE INFORMATION ON

805
00:29:42,280 --> 00:29:43,440
STRENGTH OF THE EVIDENCE AID

806
00:29:43,440 --> 00:29:44,440
SOCIALIATED WITH THE PROGRAMS

807
00:29:44,440 --> 00:29:47,640
AND PRACTICES. SO WE HAVE

808
00:29:47,640 --> 00:29:48,880
DEVELOPED THE EVIDENCE BASED

809
00:29:48,880 --> 00:29:51,800
PRACTICE RESOURCE CENTER, WHICH

810
00:29:51,800 --> 00:29:54,640
ESSENTIALLY PROVIDES BEHAVIORAL

811
00:29:54,640 --> 00:29:55,760
HEALTH INFORMATION ON EVIDENCE

812
00:29:55,760 --> 00:29:58,400
BASED PROGRAMS AND PRACTICES, AT

813
00:29:58,400 --> 00:30:03,400
THE STATE LOCAL AND FOR

814
00:30:03,400 --> 00:30:05,080
COMMUNITIES NON-PROFIT ENTITIES

815
00:30:05,080 --> 00:30:06,320
AND OTHER ENTITIES AS WELL SO

816
00:30:06,320 --> 00:30:10,320
THAT IS A RESOURCE THAT

817
00:30:10,320 --> 00:30:11,520
AVAILABLE. LASTLY I WANT TO

818
00:30:11,520 --> 00:30:13,120
MENTION A KEY INITIATIVE AT

819
00:30:13,120 --> 00:30:14,680
SAMHSA THAT IS INFORMED -- THAT

820
00:30:14,680 --> 00:30:16,040
IS ALSO PART OF THE OVERDOSE

821
00:30:16,040 --> 00:30:17,320
PREVENTION STRATEGY AS RELATES

822
00:30:17,320 --> 00:30:19,680
TO RECOVERY. WE RECENT WILL I

823
00:30:19,680 --> 00:30:22,000
ANNOUNCED OUR OFFICE RECOVERY,

824
00:30:22,000 --> 00:30:23,440
AND GOAL OF THIS OFFICE AND WE

825
00:30:23,440 --> 00:30:25,440
ARE THRILLED ABOUT THIS, THE

826
00:30:25,440 --> 00:30:28,040
GOAL IS TO ENSURE THAT RECOVERY

827
00:30:28,040 --> 00:30:29,920
IS PART OF THE GUIDING

828
00:30:29,920 --> 00:30:31,840
PRINCIPLES OF SAMHSA'S POLICIES,

829
00:30:31,840 --> 00:30:34,280
PROGRAMS, SERVICES, AND TO

830
00:30:34,280 --> 00:30:36,840
ENSURE ALSO INDIVIDUALS IN

831
00:30:36,840 --> 00:30:39,080
RECOVERY ARE AND LIVED

832
00:30:39,080 --> 00:30:40,880
EXPERIENCE ARE PART OF OUR

833
00:30:40,880 --> 00:30:43,200
STAKEHOLDER AND AGENCY

834
00:30:43,200 --> 00:30:44,440
ACTIVITIES. SO IN CONCLUSION I

835
00:30:44,440 --> 00:30:46,520
WANT TO END BY SAYING AGAIN

836
00:30:46,520 --> 00:30:48,080
THANK YOU TO NIH FOR INVITING

837
00:30:48,080 --> 00:30:50,080
SAMHSA TO BE PART OF TODAY'S

838
00:30:50,080 --> 00:30:52,440
HEAL INVESTIGATOR MEETING. AND

839
00:30:52,440 --> 00:30:54,680
SAY WE SO LOOK FORWARD TO

840
00:30:54,680 --> 00:30:55,840
CONTINUED COLLABORATION WITH

841
00:30:55,840 --> 00:30:58,800
BOTH FEDERAL AND NON-FEDERAL

842
00:30:58,800 --> 00:31:00,440
PARTNERS AS WE WORK TO REDUCE

843
00:31:00,440 --> 00:31:02,160
OVERDOSE DEATH. SO THANK YOU.  

844
00:31:02,160 --> 00:31:05,440
>> WELL, THANK YOU AND I MUST

845
00:31:05,440 --> 00:31:09,120
SAY THE THREE OF YOU HAVE DONE A

846
00:31:09,120 --> 00:31:12,640
SUPERB JOB OF OUTLINING MANY KEY

847
00:31:12,640 --> 00:31:17,440
ISSUES. I DO HAVE A SERIES OF

848
00:31:17,440 --> 00:31:19,160
QUESTIONS TO GENERATE BIT MORE

849
00:31:19,160 --> 00:31:22,920
DISCUSSION WHICH ARE DERIVED

850
00:31:22,920 --> 00:31:25,240
FROM COMMENTS MADE BY THE

851
00:31:25,240 --> 00:31:26,200
INVESTIGATORS DURING THE THE

852
00:31:26,200 --> 00:31:28,520
COURSE OF THE MEETING AND YOU

853
00:31:28,520 --> 00:31:30,400
ALL MIGHT WANT TO TURN ON YOUR

854
00:31:30,400 --> 00:31:31,800
CHAT FUNCTION BECAUSE THERE ARE

855
00:31:31,800 --> 00:31:35,120
MORE QUESTIONS COMING AS WE ARE

856
00:31:35,120 --> 00:31:36,920
SPEAKING AND SO YOU MAY WANT TO

857
00:31:36,920 --> 00:31:38,400
SEE THOSE AS WELL AND HOPEFULLY

858
00:31:38,400 --> 00:31:40,720
WE CAN GET SOME OF THOSE AS

859
00:31:40,720 --> 00:31:43,760
WELL. SO MAYBE JUST TO TRY TO

860
00:31:43,760 --> 00:31:45,840
PICK SOME THINGS CERTAINLY

861
00:31:45,840 --> 00:31:47,840
ALLUDED TO BUT PERHAPS YOU CAN

862
00:31:47,840 --> 00:31:50,880
ELABORATE A LITTLE BIT MORE

863
00:31:50,880 --> 00:31:53,240
ABOUT, SO I GUESS THIS ONE

864
00:31:53,240 --> 00:31:56,640
MOSTLY FOR DEB AND ROB BUT

865
00:31:56,640 --> 00:31:59,880
MIRIAM FEEL FREE. WE ALL KNOW

866
00:31:59,880 --> 00:32:01,480
ADOLESCENTS AND YOUNG ADULTHOOD

867
00:32:01,480 --> 00:32:08,080
ARE KEY PERIODS FOR INTERVENTION

868
00:32:08,080 --> 00:32:10,040
WHEN INDIVIDUALS HAVE SUBSTANCE

869
00:32:10,040 --> 00:32:10,880
USE DISORDERS BUT TREATMENT

870
00:32:10,880 --> 00:32:15,120
OPTIONS AND UPTAKE ARE LIMITED

871
00:32:15,120 --> 00:32:19,320
FOR YOUTH. YOUTH. YOUTH. I
APPRECIATE

872
00:32:19,320 --> 00:32:20,320
UNDERSTANDING YOUR PERSPECTIVES

873
00:32:20,320 --> 00:32:21,480
WHAT WE CAN DO TO CHANGE THAT.

874
00:32:21,480 --> 00:32:23,680
FOR EXAMPLE, MORE STUDIES OF

875
00:32:23,680 --> 00:32:25,960
DRUG SAFETY IN ADOLESCENCE? NEED

876
00:32:25,960 --> 00:32:27,160
PUBLISHED GUIDELINES FOR

877
00:32:27,160 --> 00:32:29,000
TREATING OPIOID USE DISORDER IN

878
00:32:29,000 --> 00:32:30,440
ADOLESCENCE? WHAT ARE SOME OF

879
00:32:30,440 --> 00:32:33,280
THE THINGS YOU THINK ARE

880
00:32:33,280 --> 00:32:34,800
REQUIRED HERE?

881
00:32:34,800 --> 00:32:36,400
>> COULDN'T BE MORE TIMELY,

882
00:32:36,400 --> 00:32:38,040
THERE IS A REPORT I THINK IN

883
00:32:38,040 --> 00:32:40,600
JAMA TODAY ABOUT A VERY

884
00:32:40,600 --> 00:32:43,200
SUBSTANTIAL INCREASE IN OVERDOSE

885
00:32:43,200 --> 00:32:48,400
DEATH AND TEENAGERS. AS I

886
00:32:48,400 --> 00:32:49,880
MENTION IN MY INTERACTIONS WITH

887
00:32:49,880 --> 00:32:51,240
THE DA I LEARN MORE ABOUT THE

888
00:32:51,240 --> 00:32:54,360
WAY THIS IS HAPPENING WHICH I

889
00:32:54,360 --> 00:32:55,840
THINK WE SHOULD BE VERY

890
00:32:55,840 --> 00:32:58,560
CONCERNED ABOUT. BOTTOM LINE IS,

891
00:32:58,560 --> 00:33:02,040
WE NEED EVIDENCE. THE NETWORK I

892
00:33:02,040 --> 00:33:04,000
HOPE WILL LAUNCH STUDIES

893
00:33:04,000 --> 00:33:07,800
SPECIFICALLY ORIENTED TO THE

894
00:33:07,800 --> 00:33:10,440
QUESTIONS ABOUT AT LESS SENTS.

895
00:33:10,440 --> 00:33:12,320
THE FDA IS LIMITED BY THE DATA

896
00:33:12,320 --> 00:33:15,320
THAT IT HAS IN TERMS OF THINGS

897
00:33:15,320 --> 00:33:18,640
LIKE DRUG LABELS, ET CETERA. BUT

898
00:33:18,640 --> 00:33:20,000
I WOULD ALSO MENTION I THINK YOU

899
00:33:20,000 --> 00:33:23,240
ARE GOING TO FIND A LOT OF PULL

900
00:33:23,240 --> 00:33:25,600
THROUGH BY FDA NOW ENCOURAGING

901
00:33:25,600 --> 00:33:26,920
PEOPLE TO DEVELOP EVIDENCE

902
00:33:26,920 --> 00:33:29,240
AROUND USE OF PARTICULAR

903
00:33:29,240 --> 00:33:30,720
PRODUCTS. IN ADDITION TO THAT I

904
00:33:30,720 --> 00:33:32,240
THINK MY TWO COLLEAGUES HAVE

905
00:33:32,240 --> 00:33:34,120
MAJOR ROLES TO PLAY BECAUSE A

906
00:33:34,120 --> 00:33:36,360
LOT OF THIS IS NOT BIOLOGICAL

907
00:33:36,360 --> 00:33:39,080
ISSUE IT IS AN ISSUE OF SOCIAL

908
00:33:39,080 --> 00:33:40,640
CIRCUMSTANCES PEOPLE ARE IN.

909
00:33:40,640 --> 00:33:42,680
>> INDEED.  DEB, WOULD YOU LIKE

910
00:33:42,680 --> 00:33:43,840
TO ADD ON, PLEASE?

911
00:33:43,840 --> 00:33:48,480
>> YES, I WOULD SAY ROB TO THAT

912
00:33:48,480 --> 00:33:49,720
PERFECTLY, THANK YOU. I THINK

913
00:33:49,720 --> 00:33:51,360
FOR ME IT IS ABOUT PRIMARY

914
00:33:51,360 --> 00:33:53,080
PREVENTION ASPECT, NO JUST

915
00:33:53,080 --> 00:33:54,480
FOCUSING ON THE TREATMENT OF THE

916
00:33:54,480 --> 00:33:55,840
YOUTH BUT HOW WE LOOK AT THINGS

917
00:33:55,840 --> 00:33:58,040
LIKE ADVERSE CHILDHOOD

918
00:33:58,040 --> 00:33:59,280
EXPERIENCES SO THEY CAN PREVENT

919
00:33:59,280 --> 00:34:00,320
THIS FROM HAPPENING IN THE FIRST

920
00:34:00,320 --> 00:34:03,440
PLACE AN THOSE WHO EXPERIENCED

921
00:34:03,440 --> 00:34:05,080
HOW WE MITIGATE CONSEQUENCES

922
00:34:05,080 --> 00:34:07,080
BECAUSE WE KNOW THERE'S THAT

923
00:34:07,080 --> 00:34:08,560
LINK BETWEEN MULTIPLE ACES AND

924
00:34:08,560 --> 00:34:09,960
SUBSTANCE USE PROBLEMS AND

925
00:34:09,960 --> 00:34:11,840
MENTAL HEALTH PROBLEMS SO REALLY

926
00:34:11,840 --> 00:34:15,280
LOOKING HOW WE CAN INTERVENE IS

927
00:34:15,280 --> 00:34:18,200
HELPFUL. WE ALLOWED A LOT OF

928
00:34:18,200 --> 00:34:20,360
OVERDOSE GRANT RECIPIENTS TO

929
00:34:20,360 --> 00:34:22,720
REALLY FOCUS ON ACES AND MORE

930
00:34:22,720 --> 00:34:26,040
THAN HALF CURRENTLY ARE. I THINK

931
00:34:26,040 --> 00:34:27,680
THINGS LIKE EVEN DURING THE

932
00:34:27,680 --> 00:34:28,800
PANDEMIC WE HAVE SEEN

933
00:34:28,800 --> 00:34:29,840
STRENGTHENING FAMILIES BEING

934
00:34:29,840 --> 00:34:31,560
IMPLEMENTED VIRTUALLY. WITH KIDS

935
00:34:31,560 --> 00:34:33,840
WHO REALLY BUILD THAT RESILIENCE

936
00:34:33,840 --> 00:34:35,480
BUILD THAT CONNECTEDNESS,

937
00:34:35,480 --> 00:34:36,640
LOOKING AT MODELS LIKE

938
00:34:36,640 --> 00:34:37,960
COMMUNITIES THAT CARE AS WELL

939
00:34:37,960 --> 00:34:39,600
AND EMPOWERING YOUTH TO LOOK AT

940
00:34:39,600 --> 00:34:41,000
WHAT INTERVENTIONS AND

941
00:34:41,000 --> 00:34:42,520
STRATEGIES DO THEY WANT TO

942
00:34:42,520 --> 00:34:44,720
IMPLEMENT IN THEIR COMMUNITY.

943
00:34:44,720 --> 00:34:48,040
THEN MAKING SURE THAT EVEN

944
00:34:48,040 --> 00:34:50,240
THINGS LIKE STRENGTHENING SAFE

945
00:34:50,240 --> 00:34:52,240
STABLE NURTURING RELATIONSHIPS

946
00:34:52,240 --> 00:34:54,600
BETWEEN A CARING ADULT AND YOUTH

947
00:34:54,600 --> 00:34:56,040
OR CHILD REALLY BUILD THAT AND

948
00:34:56,040 --> 00:34:58,440
WE HAVE A TECHNICAL PACKAGE OR

949
00:34:58,440 --> 00:35:00,040
SERIES OF STRATEGIES ON OUR

950
00:35:00,040 --> 00:35:01,880
WEBSITE, REALLY FOCUSED ON

951
00:35:01,880 --> 00:35:05,040
PREVENTING ACES AND ALL FOCUS ON

952
00:35:05,040 --> 00:35:06,280
THINGS LIKE SOCIAL EMOTIONAL

953
00:35:06,280 --> 00:35:08,520
LEARNING BUT ALSO THINGS LIKE

954
00:35:08,520 --> 00:35:10,320
SOCIAL DETERMINANTS OF HEALTH.

955
00:35:10,320 --> 00:35:11,560
POLICIES AROUND EARNED INCOME

956
00:35:11,560 --> 00:35:13,320
TAX, CHILD CARE STRATEGIES TO

957
00:35:13,320 --> 00:35:17,240
LAY THOSE FOUNDATIONS, SO I

958
00:35:17,240 --> 00:35:18,280
THINK TREATMENT IS IMPORTANT

959
00:35:18,280 --> 00:35:19,840
LINKAGE TO CARE BUT CERTAINLY

960
00:35:19,840 --> 00:35:22,200
PRIMARY PREVENTION IS IN MY MIND

961
00:35:22,200 --> 00:35:23,200
ALWAYS IMPORTANT TO KEEP AT

962
00:35:23,200 --> 00:35:24,360
TABLE. THANKS.

963
00:35:24,360 --> 00:35:26,400
>> THANK YOU. MIRIAM, ANYTHING

964
00:35:26,400 --> 00:35:27,760
TO ADD ON THIS TOPIC?

965
00:35:27,760 --> 00:35:29,880
>> YEAH. I AGREE, THE PRIMARY

966
00:35:29,880 --> 00:35:31,520
PREVENTION PIECE IS SO

967
00:35:31,520 --> 00:35:34,840
IMPORTANT. I SO APPRECIATED WHEN

968
00:35:34,840 --> 00:35:36,640
THROUGH FOR EXAMPLE OUR

969
00:35:36,640 --> 00:35:38,360
STRATEGIC PREVENTION FRAMEWORK

970
00:35:38,360 --> 00:35:40,920
COMMUNITIES TO INCLUDE SCHOOLS

971
00:35:40,920 --> 00:35:41,840
AND STUDENTS WITHIN SCHOOLS

972
00:35:41,840 --> 00:35:46,040
DEVELOP PREVENTION MESSAGING.

973
00:35:46,040 --> 00:35:46,920
AROUND SUBSTANCE USE.  THOSE ARE

974
00:35:46,920 --> 00:35:49,400
OFTEN THE MOST POWERFUL

975
00:35:49,400 --> 00:35:50,280
STRATEGIES AND TOOLS AROUND

976
00:35:50,280 --> 00:35:52,520
PREVENTION. I REMEMBER ONE

977
00:35:52,520 --> 00:35:53,640
CAMPAIGN THAT SO STUCK WITH ME

978
00:35:53,640 --> 00:35:57,440
OVER THE YEARS AROUND --

979
00:35:57,440 --> 00:35:59,520
REDUCING VAPING WITHIN SCHOOLS

980
00:35:59,520 --> 00:36:01,280
SO THE KIDS WOULD STAND AT THE

981
00:36:01,280 --> 00:36:02,520
DOOR AS STUDENTS BEING LED OUT

982
00:36:02,520 --> 00:36:04,560
AND GIVE OUT BUBBLES AND THE

983
00:36:04,560 --> 00:36:06,600
BUBBLES WOULD SAY BLOW BUBBLES

984
00:36:06,600 --> 00:36:09,280
NOT SMOKE. SO THINGS LIKE THAT,

985
00:36:09,280 --> 00:36:11,880
CATCHY BUT THEY MAKE A

986
00:36:11,880 --> 00:36:14,040
DIFFERENCE. THE OTHER THING

987
00:36:14,040 --> 00:36:16,480
IMPORTANT AS WELL IS TRAINING

988
00:36:16,480 --> 00:36:21,040
AND EDUCATION OF TEACHERS AND

989
00:36:21,040 --> 00:36:22,720
SCHOOL PERSONNEL TO IDENTIFY

990
00:36:22,720 --> 00:36:24,840
RECOGNIZE WHEN A STUDENT IS

991
00:36:24,840 --> 00:36:25,800
STRUGGLING WHETHER FROM MENTAL

992
00:36:25,800 --> 00:36:27,600
HEALTH OR SUBSTANCE USE

993
00:36:27,600 --> 00:36:29,240
CHALLENGES SO MENTAL HEALTH

994
00:36:29,240 --> 00:36:33,000
AWARENESS TRAINING CAN TRAIN

995
00:36:33,000 --> 00:36:34,800
PERSONNEL TO IDENTIFY WHEN A

996
00:36:34,800 --> 00:36:38,280
STUDENT IS STRUGGLING PROJECT

997
00:36:38,280 --> 00:36:41,680
AWARE GRANT SAME THING, TRAINS

998
00:36:41,680 --> 00:36:43,200
TEACHERS OTHER SCHOOL PERSONNEL

999
00:36:43,200 --> 00:36:44,840
AND WORKS TO LINK STUDENTS TO

1000
00:36:44,840 --> 00:36:47,600
SERVICES AND SUPPORTS. AND

1001
00:36:47,600 --> 00:36:49,240
ULTIMATELY IF A STUDENT IS

1002
00:36:49,240 --> 00:36:50,720
CONNECTED EARLY THAT CAN HELP IN

1003
00:36:50,720 --> 00:36:52,960
TERMS OF OVERALL TRAJECTORY OF

1004
00:36:52,960 --> 00:36:54,840
WHAT THEY ARE EXPERIENCING IN

1005
00:36:54,840 --> 00:36:56,480
TERMS OF GETTING HELP. SO JUST A

1006
00:36:56,480 --> 00:36:58,760
FEW AREAS THAT CAN MAKE AN

1007
00:36:58,760 --> 00:37:00,240
IMPACT AND THAT ARE IMPORTANT.

1008
00:37:00,240 --> 00:37:02,440
>> THANK YOU. WHILE YOU HAVE THE

1009
00:37:02,440 --> 00:37:04,840
THE MICROPHONE LET ME START WITH

1010
00:37:04,840 --> 00:37:07,040
YOU, MIRIAM, BECAUSE -- AND YOU

1011
00:37:07,040 --> 00:37:11,200
HAVE ALLUDED TO THIS ALREADY.

1012
00:37:11,200 --> 00:37:14,160
THE INTERSECTION BETWEEN YEPED

1013
00:37:14,160 --> 00:37:14,840
YOU INVOLVE OVERDOSE AMONG YOUTH

1014
00:37:14,840 --> 00:37:21,000
AND MENTAL HEALTH PROBLEMS. WE

1015
00:37:21,000 --> 00:37:23,200
KNOW COMBINATION OF AD VERSION

1016
00:37:23,200 --> 00:37:24,840
CHILDHOOD EXPERIENCES TRAUMA,

1017
00:37:24,840 --> 00:37:27,840
ANXIETY DEPRESSION, NOT BEING IN

1018
00:37:27,840 --> 00:37:29,720
SCHOOL, TRAINING PROGRAM, ALL

1019
00:37:29,720 --> 00:37:32,000
THESE THINGS FACTOR IN. HOW DOES

1020
00:37:32,000 --> 00:37:34,080
THIS INFORM THE PROGRAM AND

1021
00:37:34,080 --> 00:37:35,640
POLICIES THAT YOU ARE ENGAGED

1022
00:37:35,640 --> 00:37:38,000
WITH AT SAMHSA?

1023
00:37:38,000 --> 00:37:44,720
>> ALL OF THIS INFORMS WORK ONE

1024
00:37:44,720 --> 00:37:46,520
THING WE APPRECIATE HEARING FROM

1025
00:37:46,520 --> 00:37:49,120
STAKEHOLDERS AND WE HAVE A

1026
00:37:49,120 --> 00:37:51,480
NUMBER OF LIVELY ADVISORY

1027
00:37:51,480 --> 00:37:53,560
COMMITTEES BUT ALSO REGULARLY

1028
00:37:53,560 --> 00:37:56,760
WILL HOLD ROUND TABLE

1029
00:37:56,760 --> 00:37:58,040
DISCUSSIONS OR HOURS WITH

1030
00:37:58,040 --> 00:37:59,120
VARIOUS STAKEHOLDER GROUPS AND

1031
00:37:59,120 --> 00:38:00,600
SOME OF THE GOAL IS TO REALLY BE

1032
00:38:00,600 --> 00:38:03,480
ABLE TO GET THAT INPUT TO THEN

1033
00:38:03,480 --> 00:38:04,520
HAVE IN A ADDITION TO WHAT WE

1034
00:38:04,520 --> 00:38:06,840
SEE FROM RESEARCH AND SEEING

1035
00:38:06,840 --> 00:38:08,040
FROM OTHER GRANT PROGRAMS, HAVE

1036
00:38:08,040 --> 00:38:12,360
ALL OF THAT INFORM PROGRAMS AND

1037
00:38:12,360 --> 00:38:14,760
INITIATIVES WE PUT IN PLACE.

1038
00:38:14,760 --> 00:38:15,840
ULTIMATELY THAT HEALTHCARE

1039
00:38:15,840 --> 00:38:18,080
INTEGRATION PIECE, LOOKING AT

1040
00:38:18,080 --> 00:38:19,040
INCORPORATING THROUGH WHEN WE

1041
00:38:19,040 --> 00:38:22,680
CAN MENTAL HEALTH AND STONNS

1042
00:38:22,680 --> 00:38:25,880
USE, APPROACHES STRATEGIES.

1043
00:38:25,880 --> 00:38:27,640
TRAINING PEOPLE NOT ONLY TO

1044
00:38:27,640 --> 00:38:29,520
IDENTIFY MENTAL HEALTH

1045
00:38:29,520 --> 00:38:30,800
CHALLENGES BUT SIGNS AND

1046
00:38:30,800 --> 00:38:31,600
SYMPTOMS A STUDENT MIGHT BE

1047
00:38:31,600 --> 00:38:34,640
USING SUBSTANCES, CAN ALSO HELP

1048
00:38:34,640 --> 00:38:35,920
WITH CONNECTING A STUDENT TO

1049
00:38:35,920 --> 00:38:39,560
SERVICES AN SUPPORTS.  

1050
00:38:39,560 --> 00:38:40,800
>> DIDN'T ANYTHING TO ADD IN

1051
00:38:40,800 --> 00:38:42,640
THIS TOPIC? 

1052
00:38:42,640 --> 00:38:44,440
>> MIRIAM COVERED, I THINK THE

1053
00:38:44,440 --> 00:38:46,000
ONE THING I WOULD ADD IS

1054
00:38:46,000 --> 00:38:47,120
IMPORTANCE OF TRAUMA INFORMED

1055
00:38:47,120 --> 00:38:49,120
CARE BECAUSE THAT IS REALLY

1056
00:38:49,120 --> 00:38:51,880
IMPORTANT AS IF A CHILD IS

1057
00:38:51,880 --> 00:38:53,640
EXPERIENCING DRUG USE IN THE

1058
00:38:53,640 --> 00:38:54,920
HOME, THEY MIGHT NOT HAVE DONE

1059
00:38:54,920 --> 00:38:56,920
THEIR HOME WORK, MIGHT HAVE THE

1060
00:38:56,920 --> 00:38:59,040
SAME SET OF CLOTHES ON SO MAKING

1061
00:38:59,040 --> 00:39:02,080
SURE THERE IS A HANDLE WITH CARE

1062
00:39:02,080 --> 00:39:05,480
PROGRAM AND PANELISTS ARE

1063
00:39:05,480 --> 00:39:07,440
FAMILIAR WITH HAVING HOLISTIC

1064
00:39:07,440 --> 00:39:08,720
APPROACH TO CHILDREN AND YOUTH

1065
00:39:08,720 --> 00:39:09,400
AND THESE CIRCUMSTANCES.

1066
00:39:09,400 --> 00:39:15,240
>> THANK YOU. LET'S SWITCH GEARS

1067
00:39:15,240 --> 00:39:20,600
ROB TO ASK YOU THE FOLLOWING. 

1068
00:39:20,600 --> 00:39:23,000
AND ALL OF YOU MENTIONED

1069
00:39:23,000 --> 00:39:27,320
STIGMATIZATION THAT OCCURS.

1070
00:39:27,320 --> 00:39:29,720
GIVEN LONG STAND ACCESS ISSUES

1071
00:39:29,720 --> 00:39:32,640
AND STIGMATIZATION, IS FDA

1072
00:39:32,640 --> 00:39:33,840
CONSIDERING ALTERNATIVE MODELS

1073
00:39:33,840 --> 00:39:38,280
FOR PRESCRIBING MEDICATIONS FOR

1074
00:39:38,280 --> 00:39:40,600
YEPED YOU USE DISORDER FOR

1075
00:39:40,600 --> 00:39:43,560
EXAMPLE INCREASE FLEXIBILITY

1076
00:39:43,560 --> 00:39:45,320
WITH TICK HOME METHADONE OFFICE

1077
00:39:45,320 --> 00:39:49,040
OR PHARMACY BASED DISPENSAL

1078
00:39:49,040 --> 00:39:50,680
MOBILE UNITS OR ADDING

1079
00:39:50,680 --> 00:39:52,600
BUPRENORPHINE TO LIST OF

1080
00:39:52,600 --> 00:39:57,640
ESSENTIAL MEDICATIONS AMONG

1081
00:39:57,640 --> 00:40:04,560
OTHER THINGS. SHORT ANSWER YES,

1082
00:40:04,560 --> 00:40:06,040
LONG ANSWER IS MAN THIS IS

1083
00:40:06,040 --> 00:40:07,720
COMPLICATED BECAUSE IT IS AT THE

1084
00:40:07,720 --> 00:40:10,560
INTERFACE OF FDA AUTHORITY AND

1085
00:40:10,560 --> 00:40:13,800
PRACTICE OF HEALTHCARE SO

1086
00:40:13,800 --> 00:40:14,800
EVERYBODY IN THIS PANEL HAS

1087
00:40:14,800 --> 00:40:17,040
SOMETHING TO SAY. BUT I WANT TO

1088
00:40:17,040 --> 00:40:20,000
COME BACK TO WHAT I SAID AT THE

1089
00:40:20,000 --> 00:40:21,120
BEGINNING. IF EVIDENCE IS

1090
00:40:21,120 --> 00:40:22,440
GENERATED AHEAD OF TIME IT IS

1091
00:40:22,440 --> 00:40:25,440
HARD FOR PEOPLE THAT BELIEVE OR

1092
00:40:25,440 --> 00:40:28,080
DON'T BELIEVE TO ARGUE ABOUT.

1093
00:40:28,080 --> 00:40:29,680
GENERAL THING THAT I HAVE

1094
00:40:29,680 --> 00:40:32,840
RELEARNED IN 2022 THAT I LEARNED

1095
00:40:32,840 --> 00:40:34,840
IN 2016, THE AMOUNT OF HEAT

1096
00:40:34,840 --> 00:40:38,400
EMITTED AROUND AN FDA DECISION

1097
00:40:38,400 --> 00:40:42,000
IS PROPORTIONAL TO QUALITY OF

1098
00:40:42,000 --> 00:40:43,680
EVIDENCE IF YOU GUYS BRING THE

1099
00:40:43,680 --> 00:40:45,360
EVIDENCE IN ON HEAL, THEN WE

1100
00:40:45,360 --> 00:40:46,640
WILL KNOW WHICH OF THESE

1101
00:40:46,640 --> 00:40:47,880
DIFFERENT ALTERNATIVE APPROACH

1102
00:40:47,880 --> 00:40:49,440
ARE LIKELY TO WORK IN THE FACE

1103
00:40:49,440 --> 00:40:51,320
OF FOR EXAMPLE, ALTERNATIVE

1104
00:40:51,320 --> 00:40:54,200
PRESCRIBERS WHERE THE MEDICAL

1105
00:40:54,200 --> 00:40:59,120
SOCIETIES WILL GO TO EXTREME

1106
00:40:59,120 --> 00:41:03,120
LENGTHS TO BLOCK THAT. HOME

1107
00:41:03,120 --> 00:41:04,240
METHADONE THERE'S A SET OF

1108
00:41:04,240 --> 00:41:06,040
PEOPLE OPPOSED TO THAT FOR A

1109
00:41:06,040 --> 00:41:08,480
VARIETY OF REASONS BUT SHOWS IT

1110
00:41:08,480 --> 00:41:10,360
WORKS AND BENEFITS OUTWEIGH THE

1111
00:41:10,360 --> 00:41:11,840
RISKS, IT GETS EASIER SO THIS IS

1112
00:41:11,840 --> 00:41:15,080
A TREMENDOUS PLACE FOR THE HEAL

1113
00:41:15,080 --> 00:41:17,680
INITIATIVE TO PLAY A ROLE. WE

1114
00:41:17,680 --> 00:41:20,560
WILL ENCOURAGE RESEARCH WITH

1115
00:41:20,560 --> 00:41:21,440
EVERYTHING WE CAN POSSIBLY DO AT

1116
00:41:21,440 --> 00:41:25,440
FDA.  

1117
00:41:25,440 --> 00:41:30,160
>> DEB, YOU INDICATED CDC IS IN

1118
00:41:30,160 --> 00:41:33,240
THE PROCESS OF UPDATING OPIOID

1119
00:41:33,240 --> 00:41:36,200
PRESCRIBING GUIDELINES. CAN WE

1120
00:41:36,200 --> 00:41:38,640
GET A SNEAK PREVIEW, WHAT ARE

1121
00:41:38,640 --> 00:41:41,880
THE CHANGES UNDER CONSIDERATION?

1122
00:41:41,880 --> 00:41:43,600
>> I CAN GIVE YOU SNEAK PREVIEW

1123
00:41:43,600 --> 00:41:47,040
WHAT IT WAS GOING INTO PUBLIC

1124
00:41:47,040 --> 00:41:48,040
COMMENT BECAUSE CERTAINLY WE

1125
00:41:48,040 --> 00:41:52,240
WILL SEE WHAT THEMES AND

1126
00:41:52,240 --> 00:41:53,240
SUGGESTIONS THAT COME OUT OF

1127
00:41:53,240 --> 00:41:54,960
COMMENTS WE RECEIVE. WE LOOK AT

1128
00:41:54,960 --> 00:41:56,280
BROADENING FOCUS PAST CHRONIC

1129
00:41:56,280 --> 00:41:58,760
PAIN TO ALSO INCLUDE ACUTE AND

1130
00:41:58,760 --> 00:42:02,280
SUB ACUTE PAIN. AND BROADEN TO

1131
00:42:02,280 --> 00:42:03,720
MORE PROVIDERS AND OUTPATIENT

1132
00:42:03,720 --> 00:42:07,600
SETTINGS.  ONE THING I THOUGHT

1133
00:42:07,600 --> 00:42:10,040
WAS HELPFUL AS CLINICIAN IS MUCH

1134
00:42:10,040 --> 00:42:12,840
MORE SPECIFIC INFORMATION ON

1135
00:42:12,840 --> 00:42:14,840
TYPES AND MOVES OF NON-OPIOID

1136
00:42:14,840 --> 00:42:16,280
MEDICATIONS AND NON-MEDICATIONS

1137
00:42:16,280 --> 00:42:19,400
FOR DIFFERENT TYPES OF ACUTE

1138
00:42:19,400 --> 00:42:20,240
CHRONIC PAIN AND MORE

1139
00:42:20,240 --> 00:42:21,960
INFORMATION ON TAPERING AND US

1140
00:42:21,960 --> 00:42:22,920
CONTINUATION BECAUSE THAT WASN'T

1141
00:42:22,920 --> 00:42:24,960
AS MUCH PRESENT IN THE FINAL --

1142
00:42:24,960 --> 00:42:27,600
OR IN THE FIRST GUIDELINES. THEN

1143
00:42:27,600 --> 00:42:29,240
BECAUSE OUR GUIDELINES TEND TO

1144
00:42:29,240 --> 00:42:31,080
BE LONG, WE WANT TO CHANGE SOME

1145
00:42:31,080 --> 00:42:33,440
OF THE FORMATTING INCLUDING

1146
00:42:33,440 --> 00:42:35,440
OPENING BOX CLEARLY SET OUT UP

1147
00:42:35,440 --> 00:42:38,440
FRONT WHAT THIS IS AND IS NOT.

1148
00:42:38,440 --> 00:42:41,240
TO REALLY ALLOW US TO PROVIDE

1149
00:42:41,240 --> 00:42:42,240
THAT MORE SPECIFIC GUIDANCE

1150
00:42:42,240 --> 00:42:43,600
AROUND WHAT THIS IS AND IS NOT

1151
00:42:43,600 --> 00:42:45,680
AND WE PROVIDE RECOMMENDATIONS

1152
00:42:45,680 --> 00:42:48,200
TO AVOID MISAPPLICATION.  

1153
00:42:48,200 --> 00:42:51,960
>> GIVE MY COLLEAGUES A HEADS UP

1154
00:42:51,960 --> 00:42:52,800
WE ARE GETTING CLOSE TO TIME, IF

1155
00:42:52,800 --> 00:42:55,000
YOU WOULD REVIEW THE CHAT BOX

1156
00:42:55,000 --> 00:42:58,160
AND FIND YOUR FAVORITE QUESTION

1157
00:42:58,160 --> 00:43:01,200
TO ANSWER BUT I WILL IMPOSE UPON

1158
00:43:01,200 --> 00:43:04,040
YOU MIRIAM TO ASK IF YOU CAN

1159
00:43:04,040 --> 00:43:05,880
SPEAK TO ISSUES RELATED TO

1160
00:43:05,880 --> 00:43:11,360
STIGMATIZATION.  WE ALL ALLUDED

1161
00:43:11,360 --> 00:43:14,400
TO IT, WE KNOW IT IS IMPORTANT

1162
00:43:14,400 --> 00:43:16,080
PROBLEM. WHAT RESEARCH IS NEEDED

1163
00:43:16,080 --> 00:43:19,520
TO BETTER INFORM THE APPROACHES

1164
00:43:19,520 --> 00:43:21,040
GOING FORWARD?

1165
00:43:21,040 --> 00:43:22,240
>> I SO APPRECIATE THAT

1166
00:43:22,240 --> 00:43:23,360
QUESTION. IT IS SUCH AN

1167
00:43:23,360 --> 00:43:26,800
IMPORTANT AREA WHERE WE ARE MORE

1168
00:43:26,800 --> 00:43:29,920
RESEARCH IS NEEDED HERE. WE

1169
00:43:29,920 --> 00:43:31,640
OFTEN SAY WE KNOW STIGMA IS SUCH

1170
00:43:31,640 --> 00:43:33,960
A BARRIER TO CARE AND STIGMA CAN

1171
00:43:33,960 --> 00:43:40,600
BE A BARRIER TO HELP SEEKING BUT

1172
00:43:40,600 --> 00:43:43,520
ALSO IN TERMS PRESCRIBING

1173
00:43:43,520 --> 00:43:45,280
PRACTICES. TO THE EXTENT WE ARE

1174
00:43:45,280 --> 00:43:49,000
ABLE TO ENHANCE PROVIDER

1175
00:43:49,000 --> 00:43:51,960
EDUCATION AND INCREASE OF VALUE

1176
00:43:51,960 --> 00:43:54,080
OF MEDICATION ASSISTED TREATMENT

1177
00:43:54,080 --> 00:43:56,400
THAT CAN REDUCE MISINFORMATION

1178
00:43:56,400 --> 00:43:58,280
OR MISUNDERSTANDING AROUND WHAT

1179
00:43:58,280 --> 00:44:01,400
MAT IS OR ISN'T AND WILL

1180
00:44:01,400 --> 00:44:02,480
POTENTIALLY REDUCE POTENTIAL

1181
00:44:02,480 --> 00:44:04,360
STIGMA. THERE IS A GOOD BIT OF

1182
00:44:04,360 --> 00:44:06,680
STIGMA IN THE FIELD THAT MET IS

1183
00:44:06,680 --> 00:44:10,280
REPLACING ONE MEDICATION OR ONE

1184
00:44:10,280 --> 00:44:19,680
DRIVE WITH ANOTHER SO I THINK

1185
00:44:19,680 --> 00:44:20,960
BREAKING DOWN STIGMA AND

1186
00:44:20,960 --> 00:44:22,320
CHANGING PEOPLE'S PERCEPTIONS

1187
00:44:22,320 --> 00:44:24,320
AND HOW THE CHANGE PERCEPTIONS

1188
00:44:24,320 --> 00:44:25,800
ULTIMATELY FLOW INTO PRACTICE

1189
00:44:25,800 --> 00:44:28,520
AND BEHAVIOR. AGAIN WHETHER IT

1190
00:44:28,520 --> 00:44:34,440
BE HELP SEEKING OR A PROVIDER

1191
00:44:34,440 --> 00:44:36,920
BEHAVIORS OR EVEN COMMUNITY OR

1192
00:44:36,920 --> 00:44:38,640
FAMILY BEHAVIORS ABOUT SUBSTANCE

1193
00:44:38,640 --> 00:44:41,040
USE AND TREATMENT. THIS IS AN

1194
00:44:41,040 --> 00:44:42,360
AREA JUST THAT SO MUCH MORE

1195
00:44:42,360 --> 00:44:45,160
RESEARCH IS NEEDED TO BETTER

1196
00:44:45,160 --> 00:44:48,360
UNDERSTAND HOW WE STIGMA BLAST

1197
00:44:48,360 --> 00:44:51,640
AND HOW WE ULTIMATELY CHANGE

1198
00:44:51,640 --> 00:44:55,440
PRACTICE ALONG WITH BELIEFS.  

1199
00:44:55,440 --> 00:44:57,400
>> THANK YOU SO MUCH. I DON'T

1200
00:44:57,400 --> 00:44:59,040
THINK IF DEB OR ROB YOU HAD A

1201
00:44:59,040 --> 00:45:00,200
CHANCE TO FIND A FAVORITE

1202
00:45:00,200 --> 00:45:01,280
QUESTION YOU WOULD LIKE TO

1203
00:45:01,280 --> 00:45:03,040
ADDRESS, THERE ARE MANY, AND WE

1204
00:45:03,040 --> 00:45:05,680
WON'T GET TO ALL BUT DEB HAVE

1205
00:45:05,680 --> 00:45:08,840
YOU FOUND ONE YOU WOULD LIKE TO

1206
00:45:08,840 --> 00:45:09,240
SPEAK TO?

1207
00:45:09,240 --> 00:45:11,520
>> LOOKS LIKE ALMOST ALL OF OUR

1208
00:45:11,520 --> 00:45:13,400
DIRECTED TO ROB SO I WILL LET

1209
00:45:13,400 --> 00:45:19,360
HIM PICK ONE. 

1210
00:45:19,360 --> 00:45:21,040
>> THERE ARE SOME GREAT

1211
00:45:21,040 --> 00:45:22,480
QUESTIONS, SO MAYBE WHAT I WILL

1212
00:45:22,480 --> 00:45:25,600
DO IS QUICKLY SAY OBJECT

1213
00:45:25,600 --> 00:45:27,200
QUESTION OF HOW DO YOU GET

1214
00:45:27,200 --> 00:45:28,640
ACCELERATED PATHWAY THERE IS A

1215
00:45:28,640 --> 00:45:31,240
NEW GUIDANCE OUT, A DRAFT

1216
00:45:31,240 --> 00:45:32,520
GUIDANCE ON ACUTE PAIN,

1217
00:45:32,520 --> 00:45:34,880
DIRECTIONS IN THERE ABOUT WHO TO

1218
00:45:34,880 --> 00:45:35,960
CONTACT, I WOULD URGE YOU TO DO

1219
00:45:35,960 --> 00:45:39,520
IT, THERE'S GOING TO BE

1220
00:45:39,520 --> 00:45:44,200
ENCOURAGEMENT AT FDA TO FIND BUT

1221
00:45:44,200 --> 00:45:45,520
YOU STILL HAVE TO MAKE THE U

1222
00:45:45,520 --> 00:45:49,200
CASE TO MAKE THE CRITERIA BUT

1223
00:45:49,200 --> 00:45:51,000
ENCOURAGEMENT TO MEET CRITERIA.

1224
00:45:51,000 --> 00:45:52,240
METHAMPHETAMINES IS NOT JUST

1225
00:45:52,240 --> 00:45:53,680
OPIOIDS.  WE ARE SEEING ABILITY

1226
00:45:53,680 --> 00:45:56,160
TO MASS PRODUCE VERY HIGH

1227
00:45:56,160 --> 00:45:59,080
POTENCY METHAMPHETAMINES NOW IN

1228
00:45:59,080 --> 00:46:00,280
THESE CHEMICAL FACTORIES IS A

1229
00:46:00,280 --> 00:46:03,680
HUGE ISSUE. THE SECOND ONE JOBS

1230
00:46:03,680 --> 00:46:07,240
TO MENTION, I DON'T KNOW THE

1231
00:46:07,240 --> 00:46:09,640
ANSWER. BUT WE HAVE TO SUMMON

1232
00:46:09,640 --> 00:46:11,560
THE ISSUE WITH TOBACCO. THE WAY

1233
00:46:11,560 --> 00:46:12,880
THE LAW WORKS STATUTE SAYS

1234
00:46:12,880 --> 00:46:14,800
ASSESS RISKS AND BENEFITS OF THE

1235
00:46:14,800 --> 00:46:15,920
PERSON THE INTENDED USE FOR

1236
00:46:15,920 --> 00:46:17,440
PERSON FOR WHOM THE DRUG IS

1237
00:46:17,440 --> 00:46:20,000
PRESCRIBED. WITH OPIOIDS WE HAVE

1238
00:46:20,000 --> 00:46:22,520
GOT THAT EQUATION PLUS WHAT DOES

1239
00:46:22,520 --> 00:46:23,800
IT MEAN WITH DIVERSION AND OTHER

1240
00:46:23,800 --> 00:46:27,040
THINGS THAT HAPPEN TO THE REST

1241
00:46:27,040 --> 00:46:28,680
OF SOCIETY. WHEN A NEW PRODUCT

1242
00:46:28,680 --> 00:46:30,640
COMES ALONG WE ARE GOING TO HAVE

1243
00:46:30,640 --> 00:46:32,440
TO MAKE THAT ASSESSMENT IF THE

1244
00:46:32,440 --> 00:46:33,560
DRAFT GUIDANCE GOES THROUGH

1245
00:46:33,560 --> 00:46:35,440
WHICH I'M VERY MUCH IN FAVOR OF

1246
00:46:35,440 --> 00:46:37,480
BUT IT IS A RESEARCH QUESTION AS

1247
00:46:37,480 --> 00:46:38,800
TO HOW YOU GET THE BEST

1248
00:46:38,800 --> 00:46:40,400
ESTIMATE. AND LET ME TELL YOU WE

1249
00:46:40,400 --> 00:46:42,000
HAVE EXACTLY THE SAME ISSUE BE

1250
00:46:42,000 --> 00:46:43,040
TOBACCO PRODUCTS WHERE WE HAVE

1251
00:46:43,040 --> 00:46:46,360
TO MAKE THAT SAME JUDGMENT. FOR

1252
00:46:46,360 --> 00:46:49,000
THE PROXIMAL PART WE HAVE AN

1253
00:46:49,000 --> 00:46:50,960
EMPIRICAL EXERCISE WHERE WE CAN

1254
00:46:50,960 --> 00:46:53,280
GET THE ANSWER. FOR SOCIETAL

1255
00:46:53,280 --> 00:46:55,400
EFFECTS OVER TIME WE NEED A WAY

1256
00:46:55,400 --> 00:46:56,840
TO ESTIMATE AND GET BETTER AT

1257
00:46:56,840 --> 00:46:59,480
IT. 

1258
00:46:59,480 --> 00:47:02,560
>> THANK YOU FOR THAT. SO I WILL

1259
00:47:02,560 --> 00:47:05,640
JUST COMMENT, DR. HAGERTY POINTS

1260
00:47:05,640 --> 00:47:07,440
OUT BUBBLES MAYBE GOOD BUT

1261
00:47:07,440 --> 00:47:08,880
ANOTHER STRATEGY THAT CONNECTS

1262
00:47:08,880 --> 00:47:10,480
KIDS WITH THEIR FUTURES IS

1263
00:47:10,480 --> 00:47:11,840
POSITIVE GREETING AT THE DOOR --

1264
00:47:11,840 --> 00:47:13,040
WITH TEACHERS IS POSITIVE

1265
00:47:13,040 --> 00:47:15,680
GREETING AT THE DOOR. SO

1266
00:47:15,680 --> 00:47:16,120
CORRECT.

1267
00:47:16,120 --> 00:47:17,040
>> YES.

1268
00:47:17,040 --> 00:47:19,480
>> NO QUESTION ABOUT THAT. I

1269
00:47:19,480 --> 00:47:20,640
DON'T SPEAK FROM PERSONAL

1270
00:47:20,640 --> 00:47:23,560
EXPERIENCE, I LIVE VICARIOUSLY,

1271
00:47:23,560 --> 00:47:26,600
MY WIFE OF NUMBER OF YEARS IS A

1272
00:47:26,600 --> 00:47:28,080
ELEMENTARY SCHOOLTEACHER SO I

1273
00:47:28,080 --> 00:47:30,320
CAN TELL YOU I HAVE OBSERVED

1274
00:47:30,320 --> 00:47:32,440
THIS FIRSTHAND. ANY LAST WORDS

1275
00:47:32,440 --> 00:47:34,640
THAT ANY OF YOU WOULD LIKE TO

1276
00:47:34,640 --> 00:47:36,440
MAKE BECAUSE I KNOW WE ARE JUST

1277
00:47:36,440 --> 00:47:38,920
ABOUT AT TIME AND I'M SENSITIVE

1278
00:47:38,920 --> 00:47:40,600
TO YOUR SCHEDULES. BUT IF THERE

1279
00:47:40,600 --> 00:47:43,040
ARE ANY FINAL WORDS CERTAINLY

1280
00:47:43,040 --> 00:47:44,440
ARE WELCOME AT THIS POINT. 

1281
00:47:44,440 --> 00:47:47,760
>> I WILL SAY THIS IS GOD'S

1282
00:47:47,760 --> 00:47:51,600
WORK. WE ARE INDEBTED TO THOSE

1283
00:47:51,600 --> 00:47:53,080
OF YOU ON THE NETWORK DOING THE

1284
00:47:53,080 --> 00:47:55,240
WORK AND WE'LL DO EVERYTHING WE

1285
00:47:55,240 --> 00:47:56,440
CAN TO SUPPORT AT THE FDA.

1286
00:47:56,440 --> 00:47:58,280
>> THANK YOU SO MUCH.

1287
00:47:58,280 --> 00:48:00,480
>> I WOULD LIKE TO ADD,

1288
00:48:00,480 --> 00:48:01,520
CERTAINLY DON'T HESITATE TO

1289
00:48:01,520 --> 00:48:04,040
REACH OUT IF FOLKS NEED ANY

1290
00:48:04,040 --> 00:48:05,720
RESOURCE, RELATED TO ANY OF OUR

1291
00:48:05,720 --> 00:48:08,840
PROGRAMS OR SERVICES OR SUPPORTS

1292
00:48:08,840 --> 00:48:11,360
OR CERTAINLY CHECK OUT OUR

1293
00:48:11,360 --> 00:48:12,920
WEBSITE OR EVEN REACH OUT TO US

1294
00:48:12,920 --> 00:48:15,040
DIRECTLY. DEFINITELY THINK OF US

1295
00:48:15,040 --> 00:48:16,760
AS RESOURCE AND PARTNER IN THE

1296
00:48:16,760 --> 00:48:18,120
WORK YES DOING TOGETHER. THANK

1297
00:48:18,120 --> 00:48:18,280
YOU.

1298
00:48:18,280 --> 00:48:19,080
>> THANK YOU.

1299
00:48:19,080 --> 00:48:21,240
>> I WOULD SAY DITTO. WE LEARN

1300
00:48:21,240 --> 00:48:23,400
FROM ALL OF YOU ON THE GROUND,

1301
00:48:23,400 --> 00:48:24,640
IN PARTICULAR WE SEE THIS

1302
00:48:24,640 --> 00:48:26,240
EVOLVING EPIDEMIC, PLEASE REACH

1303
00:48:26,240 --> 00:48:27,640
OUT AND LET US KNOW HOW WE CAN

1304
00:48:27,640 --> 00:48:31,200
SUPPORT YOU AND WORK TOGETHER.  

1305
00:48:31,200 --> 00:48:33,440
>> THANK YOU TO MY COLLEAGUES,

1306
00:48:33,440 --> 00:48:35,320
DEB, ROB AND MIRIAM, I REALLY

1307
00:48:35,320 --> 00:48:37,040
THANK YOU SO MUCH FOR SPENDING

1308
00:48:37,040 --> 00:48:39,640
TIME WITH US TODAY AND WITH OUR

1309
00:48:39,640 --> 00:48:44,880
RESEARCH COMMUNITY AND PATIENT

1310
00:48:44,880 --> 00:48:46,480
GROUPS. THANK YOU AND WE ARE

1311
00:48:46,480 --> 00:48:48,040
GOING TO GIVE YOU BACK TWO

1312
00:48:48,040 --> 00:48:50,040
MINUTES OF YOUR LIVES. THANKS

1313
00:48:50,040 --> 00:48:52,640
ALL VERY, VERY MUCH. I WILL TURN

1314
00:48:52,640 --> 00:48:58,280
THIS BACK TO DR. BAKER. 

1315
00:48:58,280 --> 00:48:59,560
>> THANK YOU VERY MUCH, DR.

1316
00:48:59,560 --> 00:49:00,720
TABAK, THANK YOU TO THE

1317
00:49:00,720 --> 00:49:02,720
PANELISTS AND ALL OF YOU WHO

1318
00:49:02,720 --> 00:49:03,720
SUBMITTED REALLY GOOD QUESTIONS

1319
00:49:03,720 --> 00:49:06,000
IN THE CHAT AND IN ADVANCE OF

1320
00:49:06,000 --> 00:49:08,320
THE MEETING. IT IS REALLY

1321
00:49:08,320 --> 00:49:09,560
IMPRESSIVE ALL THE DIFFERENT

1322
00:49:09,560 --> 00:49:10,920
ACTIVITIES UNDERWAY AND ALL

1323
00:49:10,920 --> 00:49:14,040
THESE AGENCIES. AND WE REALLY

1324
00:49:14,040 --> 00:49:15,960
ARE PLEASED TO BE IN A POSITION

1325
00:49:15,960 --> 00:49:18,000
TO GENERATE THAT EVIDENCE TO

1326
00:49:18,000 --> 00:49:19,040
INFORM THE CHANGES NEEDED

1327
00:49:19,040 --> 00:49:21,720
CHANGES TO PRACTICE AND SHARING

1328
00:49:21,720 --> 00:49:23,720
OF NEW WAYS OF APPROACHING THE

1329
00:49:23,720 --> 00:49:26,680
PAIN AND OPIOID ADDITION CRISIS.

1330
00:49:26,680 --> 00:49:27,720
SO THANK YOU VERY MUCH. DR.

1331
00:49:27,720 --> 00:49:29,840
TABAK, WOULD YOU LIKE TO SAY

1332
00:49:29,840 --> 00:49:31,440
SOME FINAL WORDS? BEFORE WE GET

1333
00:49:31,440 --> 00:49:37,800
TO THE END OF THE MEETING? 

1334
00:49:37,800 --> 00:49:39,400
>> I THINK THAT IS PROBABLY

1335
00:49:39,400 --> 00:49:42,800
APPROPRIATE GIVEN THE TIME. I

1336
00:49:42,800 --> 00:49:46,000
KNOW THAT IT HAS BEEN A VERY

1337
00:49:46,000 --> 00:49:49,600
INTENSE COUPLE OF DAYS FOR ALL

1338
00:49:49,600 --> 00:49:51,760
OUR PARTICIPANTS. BUT I DO HOPE

1339
00:49:51,760 --> 00:49:56,320
EVERYBODY AGREES THAT THE

1340
00:49:56,320 --> 00:49:57,800
MEETING HAS BEEN AN OUTSTANDING

1341
00:49:57,800 --> 00:50:00,840
SHOWCASE OF HOW HARD EVERYBODY

1342
00:50:00,840 --> 00:50:05,160
IS WORKING ON THESE IMPORTANT

1343
00:50:05,160 --> 00:50:07,000
PROBLEMS AND TOWARDS ADVANCING

1344
00:50:07,000 --> 00:50:09,560
THE HEAL MISSION.  WE ARE MAKING

1345
00:50:09,560 --> 00:50:12,440
REALLY GOOD PROGRESS BUT AS YOU

1346
00:50:12,440 --> 00:50:14,680
ALL UNDERSTAND, THERE'S SO MUCH

1347
00:50:14,680 --> 00:50:17,160
MORE TO BE DONE TO ADDRESS BOTH

1348
00:50:17,160 --> 00:50:22,040
PAIN AND OPIOID CRISIS. THE

1349
00:50:22,040 --> 00:50:25,120
PANDEMIC CONTINUES TO THROW US

1350
00:50:25,120 --> 00:50:26,720
CHALLENGES, BUT THIS IS JUST

1351
00:50:26,720 --> 00:50:32,080
SUCH A REMARKABLY RESOURCEFUL

1352
00:50:32,080 --> 00:50:33,120
COMMUNITY, YOU HAVE SHOWN TIME

1353
00:50:33,120 --> 00:50:37,040
AND AGAIN YOU CAN MEET THE

1354
00:50:37,040 --> 00:50:39,880
MOMENT AND ARE READY FOR

1355
00:50:39,880 --> 00:50:41,560
WHATEVER COMES NEXT. I HOPE YOU

1356
00:50:41,560 --> 00:50:43,120
APPRECIATE THE STRUCTURE AND THE

1357
00:50:43,120 --> 00:50:44,880
TOPICS OF THE MEETING THIS YEAR

1358
00:50:44,880 --> 00:50:49,400
REFLECT THE PRIORITIES

1359
00:50:49,400 --> 00:50:50,080
MEANINGFUL PARTICIPANTS OF

1360
00:50:50,080 --> 00:50:51,040
INDIVIDUALS WITH LIVED

1361
00:50:51,040 --> 00:50:56,000
EXPERIENCE. YOU HEARD AN EYE

1362
00:50:56,000 --> 00:50:57,080
OPENING CONVERSATION WITH THE

1363
00:50:57,080 --> 00:50:59,800
HEAL COMMUNITY PARTNER COMMITTEE

1364
00:50:59,800 --> 00:51:06,240
AND NIH LEADERS AND WE WERE VERY

1365
00:51:06,240 --> 00:51:10,240
FORTUNATE TO HAVE INSIGHTFUL

1366
00:51:10,240 --> 00:51:14,800
CANDID SESSION BETWEEN -- I

1367
00:51:14,800 --> 00:51:19,400
APOLOGIZE IF I MISPRONOUNCE THE

1368
00:51:19,400 --> 00:51:21,760
NAME, (INDISCERNIBLE) AND NOVA

1369
00:51:21,760 --> 00:51:24,400
VOLKOW ABOUT REALITIES OF LIVING

1370
00:51:24,400 --> 00:51:25,320
WITH PAIN AND ADDICTION IN THE

1371
00:51:25,320 --> 00:51:28,120
UNITED STATES.  THE SECOND THING

1372
00:51:28,120 --> 00:51:30,640
OF COURSE IS TEAM WORK. THIS

1373
00:51:30,640 --> 00:51:32,840
YEAR'S MEETING WAS NOTABLE FOR

1374
00:51:32,840 --> 00:51:34,920
THE INTEGRATED APPROACH TO

1375
00:51:34,920 --> 00:51:38,120
TALKING ABOUT THE SCIENCE THAT

1376
00:51:38,120 --> 00:51:40,440
WE ARE DOING. PATIENTS AND

1377
00:51:40,440 --> 00:51:44,040
DISEASES DON'T FALL INTO MEAT

1378
00:51:44,040 --> 00:51:45,840
BUCKETS SO AS A RESEARCH

1379
00:51:45,840 --> 00:51:47,960
COMMUNITY, WE NEED TO CONTINUE

1380
00:51:47,960 --> 00:51:51,440
TO LOOK AT THE BIG PICTURE AND

1381
00:51:51,440 --> 00:51:53,920
NOT AN INDIVIDUAL INSTITUTES AND

1382
00:51:53,920 --> 00:51:55,840
CENTERS OR SPECIFIC RESEARCH

1383
00:51:55,840 --> 00:51:59,640
PROJECTS AND I HAVE TO SAY I'M

1384
00:51:59,640 --> 00:52:01,480
REALLY HARDENED AND IMPRESSED BY

1385
00:52:01,480 --> 00:52:03,160
HOW THIS COMMUNITY IS EVOLVING

1386
00:52:03,160 --> 00:52:06,880
TO A MUCH MORE COLLABORATIVE

1387
00:52:06,880 --> 00:52:08,440
APPROACH EACH TIME WE GATHER WE

1388
00:52:08,440 --> 00:52:12,320
SEE MORE AND MORE EVIDENCE OF

1389
00:52:12,320 --> 00:52:14,600
THAT. THIRD IS THE SYNERGY

1390
00:52:14,600 --> 00:52:16,240
ACROSS GOVERNMENT AND

1391
00:52:16,240 --> 00:52:18,040
COMMUNITIES. SEVERAL SESSIONS

1392
00:52:18,040 --> 00:52:20,360
HELP US COME UP WITH NEW IDEAS.

1393
00:52:20,360 --> 00:52:22,400
ABOUT HOW WE MIGHT WORK TOGETHER

1394
00:52:22,400 --> 00:52:25,640
AT MULTIPLE LEVELS. OUR FEDERAL

1395
00:52:25,640 --> 00:52:28,360
PARTNERS GATHERED TO SHARE THEIR

1396
00:52:28,360 --> 00:52:30,240
EXPERIENCES, THEY ANSWERED SOME

1397
00:52:30,240 --> 00:52:31,920
QUESTIONS, AND I HOPE YOU HAVE

1398
00:52:31,920 --> 00:52:35,040
HEARD UNIFORMLY THEIR PLEDGE TO

1399
00:52:35,040 --> 00:52:37,880
ALIGN TOWARD OUR COMMON GOAL OF

1400
00:52:37,880 --> 00:52:40,560
ENDING ADDICTION LONG TERM. THIS

1401
00:52:40,560 --> 00:52:43,480
IS GOING TO BE ESPECIALLY

1402
00:52:43,480 --> 00:52:46,600
IMPORTANT AS MORE AND MORE HEAL

1403
00:52:46,600 --> 00:52:49,560
DATA COMES ONLINE THE MEANINGFUL

1404
00:52:49,560 --> 00:52:50,920
PARTNERSHIPS WITH OTHER AGENCY

1405
00:52:50,920 --> 00:52:53,040
STATES AND COMMUNITY

1406
00:52:53,040 --> 00:52:53,920
ORGANIZATIONS WILL BE ESSENTIAL

1407
00:52:53,920 --> 00:52:56,360
TO BRING RESEARCH TO LIFE FOR

1408
00:52:56,360 --> 00:52:59,120
THE BENEFIT OF THE MILLIONS WHO

1409
00:52:59,120 --> 00:53:01,800
NEED IT. FOURTH OF COURSE IS THE

1410
00:53:01,800 --> 00:53:04,040
PATIENT ENGAGEMENT. WE KNOW THE

1411
00:53:04,040 --> 00:53:06,480
VOICE OF LIVED EXPERIENCE MUST

1412
00:53:06,480 --> 00:53:09,040
BE ACCOMPANIED BY ACTION AND

1413
00:53:09,040 --> 00:53:12,320
HEAL IS AN AGENCY LEADER IN THIS

1414
00:53:12,320 --> 00:53:14,240
AREA. KEEPING US HONEST ARE THE

1415
00:53:14,240 --> 00:53:16,440
HEAL COMMUNITY PARTNER COMMITTEE

1416
00:53:16,440 --> 00:53:20,240
MEMBERS. IN ADDITION TO THE MANY

1417
00:53:20,240 --> 00:53:23,000
COMMUNITY ADVISORY BOARDS THAT

1418
00:53:23,000 --> 00:53:26,360
ARE ACROSS THE HEAL RESEARCH

1419
00:53:26,360 --> 00:53:28,760
PROGRAMS. FINALLY, IN ADDITION

1420
00:53:28,760 --> 00:53:31,960
TO RECOGNIZING THE HARD WORK AND

1421
00:53:31,960 --> 00:53:33,400
ALL OF YOUR EACH DOING TO

1422
00:53:33,400 --> 00:53:35,840
ADDRESS A VERY SERIOUS PUBLIC

1423
00:53:35,840 --> 00:53:43,760
HEALTH CHALLENGE, I DO WANT TO

1424
00:53:43,760 --> 00:53:45,080
END MY BRIEF REMARKS BY THANKING

1425
00:53:45,080 --> 00:53:47,000
DR. REBECCA BAKER AND HER ENTIRE

1426
00:53:47,000 --> 00:53:50,200
TIME FOR ALL THAT YOU DO. SO

1427
00:53:50,200 --> 00:53:53,120
UNTIL MENTION WEEK, NEXT WE'RE

1428
00:53:53,120 --> 00:53:56,200
YEAR, WHICH HOPEFULLY WHICH WILL

1429
00:53:56,200 --> 00:53:59,600
BE TOGETHER IN PERSON KEEP UP

1430
00:53:59,600 --> 00:54:01,240
THE GREAT WORK AND WITH THAT

1431
00:54:01,240 --> 00:54:04,280
TURN IT OVER TO DR. BAKER.

1432
00:54:04,280 --> 00:54:07,640
REBECCA BACK TO YOU. 

1433
00:54:07,640 --> 00:54:08,840
>> THANK YOU VERY MUCH, LARRY,

1434
00:54:08,840 --> 00:54:14,560
THANK YOU FOR AMAZING SUMMARY OF

1435
00:54:14,560 --> 00:54:16,160
RICH AND DEEP SET OF DISCUSSIONS

1436
00:54:16,160 --> 00:54:21,200
AND MEANING. I HAVE SLIDES TO

1437
00:54:21,200 --> 00:54:22,960
PROVIDE. NOT SURE I WANT TO GO

1438
00:54:22,960 --> 00:54:26,440
THROUGH IN TOO MUCH DAY TAIL

1439
00:54:26,440 --> 00:54:27,520
BECAUSE YOU PROVIDED EXCELLENT

1440
00:54:27,520 --> 00:54:30,160
SUMMARY OF WHAT WE DISCUSSED SO

1441
00:54:30,160 --> 00:54:34,600
PERHAPS WE CAN ADVANCE A LITTLE

1442
00:54:34,600 --> 00:54:36,520
BIT -- THESE ARE THEMES WE JUST

1443
00:54:36,520 --> 00:54:40,040
HEARD ABOUT. WE ALSO ASKED YOU

1444
00:54:40,040 --> 00:54:44,000
TO TELL US WHAT WAS MOST

1445
00:54:44,000 --> 00:54:45,280
IMPORTANT ABOUT WORK TOGETHER IN

1446
00:54:45,280 --> 00:54:46,640
HEAL AND WHAT YOU HEARD ABOUT IN

1447
00:54:46,640 --> 00:54:49,400
THE MEETING AND YOU CAN SEE

1448
00:54:49,400 --> 00:54:50,680
THOSE. AND I DON'T WANT TO SKIP

1449
00:54:50,680 --> 00:54:54,840
ON THE WORD CLOUD HERE,. NOTHING

1450
00:54:54,840 --> 00:54:56,720
IS SURPRISE BUT BIGGEST WORD IS

1451
00:54:56,720 --> 00:54:59,600
COLLABORATION. SO I WILL TAKE

1452
00:54:59,600 --> 00:55:02,760
THAT AS A CONTINUED ENDORSEMENT

1453
00:55:02,760 --> 00:55:04,440
FOR OUR EFFORTS TO PULL ALL OF

1454
00:55:04,440 --> 00:55:08,720
YOU TOGETHER TO SHARE DATA TO

1455
00:55:08,720 --> 00:55:09,440
INTEGRATE TREATMENT TO SUPPORT

1456
00:55:09,440 --> 00:55:11,240
PEOPLE IN RECOVERY BUT CONTINUE

1457
00:55:11,240 --> 00:55:12,920
TO BUILD CONNECTIONS BETWEEN

1458
00:55:12,920 --> 00:55:14,160
DISCIPLINES BETWEEN SECTORS

1459
00:55:14,160 --> 00:55:15,280
BETWEEN DIFFERENT RESEARCHERS

1460
00:55:15,280 --> 00:55:16,760
AND DIFFERENT RESEARCH EQUITIES

1461
00:55:16,760 --> 00:55:20,840
AND CAPABILITIES.  NEXT SLIDE

1462
00:55:20,840 --> 00:55:25,840
PLEASE.  WE HEARD FROM ALL

1463
00:55:25,840 --> 00:55:30,000
LEVELS OF FEDERAL LEADERSHIP

1464
00:55:30,000 --> 00:55:30,560
FROM ASSISTANT SECRETARY FOR

1465
00:55:30,560 --> 00:55:34,320
HEALTH AND DIRECTOR OF THE OITCP

1466
00:55:34,320 --> 00:55:37,000
AND THE WHITE HOUSE AND WE HEARD

1467
00:55:37,000 --> 00:55:40,440
ABOUT THE MANY COMPLIMENTARY

1468
00:55:40,440 --> 00:55:41,640
WAYS THE GOVERNMENT IS TAKING ON

1469
00:55:41,640 --> 00:55:43,240
THE NATIONAL CRISIS AND SOME OF

1470
00:55:43,240 --> 00:55:46,640
THE TRENDS THAT INFORM OUR WORK.

1471
00:55:46,640 --> 00:55:49,920
I THINK THIS QUOTE FROM ADMIRAL

1472
00:55:49,920 --> 00:55:52,320
LEVINE AT THE BOTTOM, ALL

1473
00:55:52,320 --> 00:55:53,680
AMERICANS DESERVE ACCESS TO

1474
00:55:53,680 --> 00:55:55,040
TIMELY EFFECTIVE TREATMENTS AND

1475
00:55:55,040 --> 00:55:57,120
SERVICE AND THAT GOES NOT JUST

1476
00:55:57,120 --> 00:55:58,480
FOR OPIOID MISUSE OPIOID

1477
00:55:58,480 --> 00:56:00,160
ADDICTION SUBSTANCE USE

1478
00:56:00,160 --> 00:56:03,360
DISORDERS, BUT ALSO FOR PAIN. SO

1479
00:56:03,360 --> 00:56:07,560
THIS IS RDD TO OUR PATIENTS TO

1480
00:56:07,560 --> 00:56:09,200
PROVIDE TREATMENTS AND SERVICE

1481
00:56:09,200 --> 00:56:10,640
IN AN EVIDENCE BASED WAY AND WE

1482
00:56:10,640 --> 00:56:11,600
ARE WORKING ON IT AS A

1483
00:56:11,600 --> 00:56:16,200
COLLABORATIVE. THE COMMUNITY

1484
00:56:16,200 --> 00:56:17,480
PARTNER COMMITTEE TOLD US ABOUT

1485
00:56:17,480 --> 00:56:20,600
THE IMPORTANCE OF BUILDING TRUST

1486
00:56:20,600 --> 00:56:21,880
HOW NAVIGATORS AND COMMUNITY

1487
00:56:21,880 --> 00:56:23,080
ENGAGEMENT DO THAT AN PLEASE DO

1488
00:56:23,080 --> 00:56:26,280
TAKE THE SURVEY. SO WE CAN LEARN

1489
00:56:26,280 --> 00:56:28,000
MORE WHAT WORKED FOR YOU IN YOUR

1490
00:56:28,000 --> 00:56:30,680
RESEARCH AND THEN WHAT YOU WISH

1491
00:56:30,680 --> 00:56:33,640
YOU COULD DO WITH ADDITIONAL

1492
00:56:33,640 --> 00:56:35,280
RESOURCES AND SUPPORT FROM NIH

1493
00:56:35,280 --> 00:56:38,160
TO CONTINUE TO BUILD OUT TRUST

1494
00:56:38,160 --> 00:56:41,920
TO BUILD THAT CONNECTION. WITH

1495
00:56:41,920 --> 00:56:46,360
PEOPLE. AT THE INTERSECTION OF

1496
00:56:46,360 --> 00:56:47,880
PAIN OPIOID USE GUESS DISORDER

1497
00:56:47,880 --> 00:56:50,360
THIS IS WHAT HEAL IS ABOUT WHERE

1498
00:56:50,360 --> 00:56:53,320
WE STARTED BRINGING RESEARCH

1499
00:56:53,320 --> 00:56:53,960
COMMUNITIES OF PAIN AND

1500
00:56:53,960 --> 00:56:56,400
SUBSTANCE USE DISORDER SCIENCE

1501
00:56:56,400 --> 00:57:00,880
TOGETHER THE ADDRESS THIS PUBLIC

1502
00:57:00,880 --> 00:57:02,240
HEALTH CRISIS.  IT IS NOT EASY.

1503
00:57:02,240 --> 00:57:03,560
THE PATIENT POPULATIONS HAVE A

1504
00:57:03,560 --> 00:57:06,440
LOT IN COMMON. SOMETIMES THEY

1505
00:57:06,440 --> 00:57:09,840
ARE THE SAME INDIVIDUALS BUT WE

1506
00:57:09,840 --> 00:57:11,720
HAVE BIG CHALLENGES AND

1507
00:57:11,720 --> 00:57:14,280
ADDRESSING THOSE CHALLENGES AND

1508
00:57:14,280 --> 00:57:17,040
THOSE ARE NOT LIMITED TO ACCESS

1509
00:57:17,040 --> 00:57:18,640
AND PSYCHOLOGICAL MENTAL HEALTH

1510
00:57:18,640 --> 00:57:20,600
FACTORS CO-OCCURRING CONDITION,

1511
00:57:20,600 --> 00:57:21,200
REQUIRES INTEGRATED TREATMENT

1512
00:57:21,200 --> 00:57:22,240
AND FORTUNATELY WE HAVE SOME

1513
00:57:22,240 --> 00:57:23,720
RESEARCH UNDERWAY TO BEGIN TO

1514
00:57:23,720 --> 00:57:26,440
ADDRESS THAT. BUT I THINK IT IS

1515
00:57:26,440 --> 00:57:28,600
A CALL TO ALL OF YOU AND YOUR

1516
00:57:28,600 --> 00:57:30,400
PHASES OF RESEARCH TO THINK

1517
00:57:30,400 --> 00:57:31,840
ABOUT WHAT QUESTION AM I NOT

1518
00:57:31,840 --> 00:57:33,840
ASKING HOW CAN I INCORPORATE THE

1519
00:57:33,840 --> 00:57:36,440
WHOLE PERSON INTO MY RESEARCH

1520
00:57:36,440 --> 00:57:39,240
THAT I MIGHT NOT HAVE BEEN

1521
00:57:39,240 --> 00:57:40,440
PREPARED TO DO AND CAN I GET

1522
00:57:40,440 --> 00:57:49,080
SUPPORT FROM HEAL TO DO BETTER. 

1523
00:57:49,080 --> 00:57:50,840
I THINK IN ADVANCING RESEARCH TO

1524
00:57:50,840 --> 00:57:52,560
PRACTICE THIS IS WHAT WE JUST

1525
00:57:52,560 --> 00:57:54,240
HEARD ABOUT FROM OUR FEDERAL

1526
00:57:54,240 --> 00:57:56,920
PARTNERS, HOW DO WE TAKE THESE

1527
00:57:56,920 --> 00:57:58,160
REALLY COMPLICATED QUESTIONS AT

1528
00:57:58,160 --> 00:58:01,920
THE INTERSECTION OF SCIENCE AND

1529
00:58:01,920 --> 00:58:03,240
HEALTHCARE AND HUMAN HEALTH AND

1530
00:58:03,240 --> 00:58:05,800
TURN THEM INTO SET OF EVIDENCE

1531
00:58:05,800 --> 00:58:08,880
BASED TOOLS. SO WE LEARNED ABOUT

1532
00:58:08,880 --> 00:58:10,920
A FEW ASPECTS OF THE HEAL

1533
00:58:10,920 --> 00:58:13,600
INITIATIVE DOING THIS -- MAKING

1534
00:58:13,600 --> 00:58:14,160
PROGRESS, UNDERSTANDING HOW

1535
00:58:14,160 --> 00:58:16,680
ACCESS TO MEDICATIONS FOR

1536
00:58:16,680 --> 00:58:20,440
TREATMENT USE DISORDER CAN

1537
00:58:20,440 --> 00:58:22,440
REDUCE RECIDIVISM IN PRISON AND

1538
00:58:22,440 --> 00:58:25,760
JAIL POPULATIONS, HOW I LOVED

1539
00:58:25,760 --> 00:58:28,120
THAT PRESENTATION FROM THE HEAL

1540
00:58:28,120 --> 00:58:29,680
COMMUNITY STUDY I'M FROM

1541
00:58:29,680 --> 00:58:31,360
MASSACHUSETTS ORIGINALLY SO MY

1542
00:58:31,360 --> 00:58:33,320
HEART SWELLED IN SEEING

1543
00:58:33,320 --> 00:58:34,320
COMMUNICATION CHAMPIONS TARGETED

1544
00:58:34,320 --> 00:58:40,400
TO LOCAL COMMUNITIES AND THAT IN

1545
00:58:40,400 --> 00:58:41,840
ACCORDANCE BUILDING MESSAGES

1546
00:58:41,840 --> 00:58:43,640
TOGETHER WITH THAT USER IS NOT

1547
00:58:43,640 --> 00:58:46,080
UNLIKE PATIENT ENGAGEMENT, IT

1548
00:58:46,080 --> 00:58:47,760
KEEPS US HONEST AND GIVES

1549
00:58:47,760 --> 00:58:49,440
REALITY CHECK WHAT IS MEANINGFUL

1550
00:58:49,440 --> 00:58:51,880
AND CUT THROUGH THE NOISE TO

1551
00:58:51,880 --> 00:58:53,440
REDUCE SOME OF THESE STIGMAS AND

1552
00:58:53,440 --> 00:58:55,760
CHANGE HOW PEOPLE GO ABOUT

1553
00:58:55,760 --> 00:58:57,320
SEEKING TREATMENT FOR OPIOID USE

1554
00:58:57,320 --> 00:58:58,680
DISORDER AND PREVENTING

1555
00:58:58,680 --> 00:59:00,840
OVERDOSES.S. AND WORKING WITH

1556
00:59:00,840 --> 00:59:02,840
HEALTHCARE SYSTEMS, HEALTHCARE

1557
00:59:02,840 --> 00:59:04,520
PROVIDERS, TO EMBRACE FULL SET

1558
00:59:04,520 --> 00:59:07,160
OF TOOLS WE HAVE FOR PAIN

1559
00:59:07,160 --> 00:59:09,200
MANAGEMENT, MAKING EASIER FOR

1560
00:59:09,200 --> 00:59:09,920
PATIENTS TO CHOOSE SAFE

1561
00:59:09,920 --> 00:59:10,920
EFFECTIVE TREATMENT THAT WILL

1562
00:59:10,920 --> 00:59:18,720
WORK FOR THEM. THE THEMES WE

1563
00:59:18,720 --> 00:59:20,800
HAVE TOUCHED ON SO I WON'T GO

1564
00:59:20,800 --> 00:59:23,280
INTO TOO MUCH DETAIL. IT IS

1565
00:59:23,280 --> 00:59:26,160
IMPORTANT TO REMEMBER AND AGAIN

1566
00:59:26,160 --> 00:59:28,520
PHIL RUTHERFORD REMINDED US NOT

1567
00:59:28,520 --> 00:59:31,120
EVERYTHING WORKS FOR EVERYONE.

1568
00:59:31,120 --> 00:59:32,920
OUR RESEARCH NEEDS TO INCLUDE

1569
00:59:32,920 --> 00:59:34,600
DIVERSE POPULATIONS BUT WE ALSO

1570
00:59:34,600 --> 00:59:37,720
NEED TO TARGET OUR INTERVENTIONS

1571
00:59:37,720 --> 00:59:39,080
FOR THOSE DISTINCT POPULATION

1572
00:59:39,080 --> 00:59:42,040
GROUPS AND REALLY UNDERSTAND

1573
00:59:42,040 --> 00:59:42,840
BUILD EVIDENCE AROUND WHAT IS

1574
00:59:42,840 --> 00:59:49,120
GOING TO WORK FOR THEM.  WE

1575
00:59:49,120 --> 00:59:54,680
HEARD A REALLY INTERESTING FEAR

1576
00:59:54,680 --> 00:59:57,240
SIDE CHAT BETWEEN (INAUDIBLE)

1577
00:59:57,240 --> 00:59:59,960
AND MORE RA VOLKOW ABOUT

1578
00:59:59,960 --> 01:00:01,440
IMPORTANCE OF COMMUNICATION AND

1579
01:00:01,440 --> 01:00:03,200
EMPATHY, A THEME FOR HEALING WE

1580
01:00:03,200 --> 01:00:04,440
TALKED ABOUT LAST YEAR WITH

1581
01:00:04,440 --> 01:00:05,760
SURGEON GENERAL BUT IT WAS

1582
01:00:05,760 --> 01:00:10,240
ESPECIALLY POWERFUL COMING FROM

1583
01:00:10,240 --> 01:00:14,400
MY MAKE TREATMENT NORMAL AND

1584
01:00:14,400 --> 01:00:15,760
UNDERSTAND PEOPLE WITH SUBSTANCE

1585
01:00:15,760 --> 01:00:17,920
USE DISORDER ARE PEOPLE TOO, WE

1586
01:00:17,920 --> 01:00:19,440
KNOW THIS BUT IT CAN BE EASY TO

1587
01:00:19,440 --> 01:00:23,000
FORGET IN THE CONTEXT OF TRIAL,

1588
01:00:23,000 --> 01:00:25,240
OR -- ON ELECTRONIC HEALTH

1589
01:00:25,240 --> 01:00:26,840
RECORD AND AS POLICY ADVANCES

1590
01:00:26,840 --> 01:00:29,680
AND RESEARCH SUPPORTS IT, THIS

1591
01:00:29,680 --> 01:00:30,760
IS POWERFUL MESSAGE FOR ALL OF

1592
01:00:30,760 --> 01:00:37,920
US.  WE HAVE AN AMAZING

1593
01:00:37,920 --> 01:00:39,040
PRESENTATION FROM THE FOLKS

1594
01:00:39,040 --> 01:00:40,600
WORKING ON THE HEAL DATA

1595
01:00:40,600 --> 01:00:42,920
ECOSYSTEM AND ALL OF ITS

1596
01:00:42,920 --> 01:00:44,720
COMPONENT PARTS. THE -- WE HAVE

1597
01:00:44,720 --> 01:00:50,240
AN INCREDIBLE USE CASE FOR HEAL,

1598
01:00:50,240 --> 01:00:51,440
LAUNCHING TOGETHER COMING ON

1599
01:00:51,440 --> 01:00:52,920
BOARD RIGHT WHEN A TIME WE FACE

1600
01:00:52,920 --> 01:00:54,040
URGENT PUBLIC HEALTH CRISIS AND

1601
01:00:54,040 --> 01:00:55,720
WE HAVE A LOT OF RESOURCES THE

1602
01:00:55,720 --> 01:00:57,440
ADDRESS IT SO TAKE PART TO PUT

1603
01:00:57,440 --> 01:00:59,400
YOUR DATA INTO THE PLATFORM

1604
01:00:59,400 --> 01:01:02,680
LEARN ABOUT HOW YOU CAN MAKE

1605
01:01:02,680 --> 01:01:06,040
YOUR DATA FAIR AND TURN TO US SO

1606
01:01:06,040 --> 01:01:10,520
WE CAN HELP YOU HOWEVER WE CAN. 

1607
01:01:10,520 --> 01:01:15,080
NEXT SLIDE PLEASE.  'ALLY

1608
01:01:15,080 --> 01:01:16,200
IMPORTANT ASPECT OF HEAL THAT

1609
01:01:16,200 --> 01:01:17,880
SOMETIMES IS NEGLECTED BUT WE

1610
01:01:17,880 --> 01:01:20,600
WERE REMINDED FORCEFULLY BY DR.

1611
01:01:20,600 --> 01:01:22,040
CALIFF, WE NEED NEW OPTIONS AS

1612
01:01:22,040 --> 01:01:23,040
MUCH AS HARM REDUCTION AND

1613
01:01:23,040 --> 01:01:25,480
TRANSLATION OF RESEARCH TO

1614
01:01:25,480 --> 01:01:26,880
PRACTICE PRIA EVENTUAL OVERDOSE

1615
01:01:26,880 --> 01:01:28,120
NOW WE STILL NEED ADDITIONAL

1616
01:01:28,120 --> 01:01:29,440
OPTIONS FOR PEOPLE BOTH PEOPLE

1617
01:01:29,440 --> 01:01:32,280
WITH SUBSTANCE USE DISORDER AND

1618
01:01:32,280 --> 01:01:35,840
PEOPLE WITH PAIN. SO THAT

1619
01:01:35,840 --> 01:01:36,920
TRANSLATIONAL RESEARCH WE HAVE

1620
01:01:36,920 --> 01:01:39,840
IN THESE AREAS IS GOING TO BE

1621
01:01:39,840 --> 01:01:43,640
PART OF THESE COLLECTIVE

1622
01:01:43,640 --> 01:01:45,760
SCIENTIFIC SOLUTIONS. NEXT SLIDE

1623
01:01:45,760 --> 01:02:01,320
PLEASE.  AND IN TODAY'S

1624
01:02:01,320 --> 01:02:06,680
DISCUSSION GROUPS WE GOT INTO

1625
01:02:06,680 --> 01:02:07,880
EVEN MORE KNOTTY AREAS WHERE

1626
01:02:07,880 --> 01:02:08,800
ADDITIONAL EVIDENCE IS

1627
01:02:08,800 --> 01:02:11,320
ESPECIALLY NEEDED IN THE AREA OF

1628
01:02:11,320 --> 01:02:14,440
POLYSUBSTANCE USE, HOW CAN

1629
01:02:14,440 --> 01:02:16,000
SCREENING BE A TOOL WE MAKE

1630
01:02:16,000 --> 01:02:17,760
BROADER USE OF SO THAT WE ARE

1631
01:02:17,760 --> 01:02:20,760
NOT JUST FOLLOWING ONE SUBSTANCE

1632
01:02:20,760 --> 01:02:23,240
USE DISORDER ANOTHER PATTERN OF

1633
01:02:23,240 --> 01:02:25,320
RISKY SUBSTANCE USE BUT PREVENT

1634
01:02:25,320 --> 01:02:27,360
BEFORE IT GETS TOO BAD AND

1635
01:02:27,360 --> 01:02:28,480
INTERVENE WHEN WE HAVE THE

1636
01:02:28,480 --> 01:02:29,840
OPPORTUNITY. INCREASE

1637
01:02:29,840 --> 01:02:31,080
SPECIFICITY OF TREATMENT, USE

1638
01:02:31,080 --> 01:02:33,320
THE POWER OF ALL BIOLOGICAL

1639
01:02:33,320 --> 01:02:35,880
UNDERSTANDING WE ARE BUILDING.  

1640
01:02:35,880 --> 01:02:38,320
ENHANCE COMMUNITY FOCUSED

1641
01:02:38,320 --> 01:02:41,160
APPROACHES, SHARING DATA IN A

1642
01:02:41,160 --> 01:02:42,920
REALLY RICH AND

1643
01:02:42,920 --> 01:02:45,680
MULTI-DIRECTIONAL WAY, SO NOT

1644
01:02:45,680 --> 01:02:47,720
JUST ALONG SINGLE LINE BUT

1645
01:02:47,720 --> 01:02:48,800
EMBRACING INPUT AT THE

1646
01:02:48,800 --> 01:02:50,800
BEGINNING, MIDDLE AND EVEN AFTER

1647
01:02:50,800 --> 01:02:52,360
STUDY AND UNDERSTANDING HOW

1648
01:02:52,360 --> 01:02:54,120
TRANSLATION IS A BIG PART OF

1649
01:02:54,120 --> 01:02:55,800
WHAT WE SEEK TO ACCOMPLISH

1650
01:02:55,800 --> 01:02:58,160
THROUGH OUR COLLECTIVE WORK, ALL

1651
01:02:58,160 --> 01:03:00,600
OUR STUDIES ARE GOOD BUT

1652
01:03:00,600 --> 01:03:01,760
TRANSLATION OF HAIR FINDINGS

1653
01:03:01,760 --> 01:03:04,000
INTO PRACTICE IS GOING TO BE HOW

1654
01:03:04,000 --> 01:03:08,080
WE MAKE AN IMPACT FOR PATIENTS

1655
01:03:08,080 --> 01:03:09,160
FAMILIES CAREGIVERS IN NINES. SO

1656
01:03:09,160 --> 01:03:15,440
NEXT SLIDE PLEASE.  THIS FEELS

1657
01:03:15,440 --> 01:03:16,920
LIKE JUST A MOMENT TO GO BEFORE

1658
01:03:16,920 --> 01:03:18,720
WE HEARD FROM FEDERAL PARTNERS

1659
01:03:18,720 --> 01:03:20,600
ABOUT IMPORTANCE OF

1660
01:03:20,600 --> 01:03:22,600
COLLABORATION, YOU HEARD THEM

1661
01:03:22,600 --> 01:03:24,200
SAY HOW IMPORTANT THE WORK ALL

1662
01:03:24,200 --> 01:03:27,880
OF YOU ARE DOING TO INFORM

1663
01:03:27,880 --> 01:03:31,000
PRACTICE TO INFORM NEEDED

1664
01:03:31,000 --> 01:03:34,000
REGULATORY POLICY AND GOVERNMENT

1665
01:03:34,000 --> 01:03:36,320
ACTIONS AND SO THE NEED FOR

1666
01:03:36,320 --> 01:03:37,680
RESEARCH IS CLEAR FORTUNATELY WE

1667
01:03:37,680 --> 01:03:41,160
HAVE A TERRIFIC TEAM AND ALL OF

1668
01:03:41,160 --> 01:03:43,400
YOU BUT THERE SEEM TO BE MANY

1669
01:03:43,400 --> 01:03:44,520
ACTIVITIES UNDERWAY THAT ARE

1670
01:03:44,520 --> 01:03:47,720
GOING TO AID OUR PATH FROM

1671
01:03:47,720 --> 01:03:49,360
INNOVATION TO IMPROVEMENTS FOR

1672
01:03:49,360 --> 01:03:50,920
PATIENTS AND WE WILL KEEP

1673
01:03:50,920 --> 01:03:51,960
CALLING ON FEDERAL PARTNERS TO

1674
01:03:51,960 --> 01:03:56,360
WORK WITH US TO BRING THOSE

1675
01:03:56,360 --> 01:04:01,400
FORWARD WITHOUT DELAY. AS YOU

1676
01:04:01,400 --> 01:04:03,600
HEARD FROM DR. TABAK WE FRAMED

1677
01:04:03,600 --> 01:04:05,560
THIS AGENDA AROUND THE

1678
01:04:05,560 --> 01:04:06,680
PRIORITIES FOR US BUT YOU CAN

1679
01:04:06,680 --> 01:04:09,040
FIND THEM IN OUR OPEN FUNDING

1680
01:04:09,040 --> 01:04:11,200
OPPORTUNITIES. SO HERE IS PAGE

1681
01:04:11,200 --> 01:04:11,800
WITH SOME OF THE OPPORTUNITIES

1682
01:04:11,800 --> 01:04:14,960
THAT ARE OUT NOW. I THINK WHAT

1683
01:04:14,960 --> 01:04:16,040
EARLIER YESTERDAY -- EARLIER IN

1684
01:04:16,040 --> 01:04:18,640
THE MEETING WE TALKED HOW THERE

1685
01:04:18,640 --> 01:04:19,840
ARE OVER 40 FUNDING

1686
01:04:19,840 --> 01:04:23,360
OPPORTUNITIES COMING OUT IN HEAL

1687
01:04:23,360 --> 01:04:24,920
INITIATIVE IT IS RICH TO TAP FOR

1688
01:04:24,920 --> 01:04:26,360
YOUR ONGOING RESEARCH IN

1689
01:04:26,360 --> 01:04:27,600
BUILDING THE COMMUNITIES THAT

1690
01:04:27,600 --> 01:04:31,800
YOU ALL LEAD.  PLEASE LOOK AT

1691
01:04:31,800 --> 01:04:33,720
WHAT IS ON LINE NOW. THERE IS A

1692
01:04:33,720 --> 01:04:35,520
SCREEN SHOT HERE OF THE OPEN

1693
01:04:35,520 --> 01:04:37,880
FUNDING OPPORTUNITY THIS IS

1694
01:04:37,880 --> 01:04:41,040
SEARCHABLE SO GO IN AND LOOK FOR

1695
01:04:41,040 --> 01:04:43,120
THINGS THAT FIT BEST WITH WHAT

1696
01:04:43,120 --> 01:04:44,640
YOU WOULD LIKE THE STUDY MORE

1697
01:04:44,640 --> 01:04:45,760
ABOUT OR RESEARCH EXPERTISE

1698
01:04:45,760 --> 01:04:52,320
LIES.  HERE IS HOW YOU CAN

1699
01:04:52,320 --> 01:04:55,640
SEARCH POST YOUR KEY WORD IN

1700
01:04:55,640 --> 01:04:57,560
RIGHT THERE, ONE MORE SLIDE.  WE

1701
01:04:57,560 --> 01:04:59,680
HAVE ADDITIONAL RESEARCH

1702
01:04:59,680 --> 01:05:00,800
OPPORTUNITIES COMING SOON AND

1703
01:05:00,800 --> 01:05:01,720
MORE INFORMATION ABOUT THESE

1704
01:05:01,720 --> 01:05:02,000
CONDITION FOUND ON THE RESEARCH

1705
01:05:02,000 --> 00:00:00,000
CONCEPTS PAGE.