1
00:00:05,000 --> 00:00:08,120
>> WELCOME TO THE 266TH MEETING

2
00:00:08,120 --> 00:00:12,920
OF THE NATIONAL ADVISORY MENTAL

3
00:00:12,920 --> 00:00:15,400
HEALTH COUNCIL, I'M JOSH GORDON,

4
00:00:15,400 --> 00:00:17,320
DIRECTOR OF NIMH, AND I WOULD

5
00:00:17,320 --> 00:00:19,320
LIKE TO THANK YOU FOR JOIN US

6
00:00:19,320 --> 00:00:21,880
TODAY BOTH MEMBERS OF THE

7
00:00:21,880 --> 00:00:25,680
COUNCIL HERE AND NIMH STAFF, NIH

8
00:00:25,680 --> 00:00:27,520
STAFF AS WELL AS MEMBERS OF THE

9
00:00:27,520 --> 00:00:29,920
PUBLIC WHO ARE VIEWING THIS ON

10
00:00:29,920 --> 00:00:31,120
VIDEOCAST. OUR COUNCIL MEETING

11
00:00:31,120 --> 00:00:34,120
IS A TIME FOR INFORMATION

12
00:00:34,120 --> 00:00:35,920
EXCHANGE BETWEEN THE INSTITUTE,

13
00:00:35,920 --> 00:00:38,960
COUNCIL MEMBERS, MEMBERS OF THE

14
00:00:38,960 --> 00:00:39,920
PUBLIC AND IT IS AN OPPORTUNITY

15
00:00:39,920 --> 00:00:43,200
FOR US TO SHARE NEWS AND PLANS

16
00:00:43,200 --> 00:00:46,160
FOR THE FUTURE AS WELL AS TO

17
00:00:46,160 --> 00:00:48,680
PROVIDE FEEDBACK ON THOSE PLANS

18
00:00:48,680 --> 00:00:52,000
AND ON OTHER ISSUES. AT OUR

19
00:00:52,000 --> 00:00:54,160
MEETING TODAY WE WELCOME SEVEN

20
00:00:54,160 --> 00:00:57,320
NEW MEMBERS TO OUR COUNCIL. TED

21
00:00:57,320 --> 00:01:00,280
ABEL, PAMELA COLLINS, MARGUERITA

22
00:01:00,280 --> 00:01:05,400
LIGHTFOOT, JOEL NIGG PATRICIA

23
00:01:05,400 --> 00:01:07,800
CAPERO AND BRIAN ROTH. WELCOME.

24
00:01:07,800 --> 00:01:10,480
WE HAD AN OPPORTUNITY AT CLOSED

25
00:01:10,480 --> 00:01:11,760
SESSION YESTERDAY TO INTRODUCE

26
00:01:11,760 --> 00:01:14,440
EACH OTHER SO WE WON'T GO

27
00:01:14,440 --> 00:01:16,960
THROUGH IT TODAY BUT ENCOURAGE

28
00:01:16,960 --> 00:01:19,480
COUNCIL MEMBERS THEY MAKE

29
00:01:19,480 --> 00:01:22,480
COMMENT DURING THE OPEN COMMENT

30
00:01:22,480 --> 00:01:24,360
SESSION WITH THEIR NAMES AND

31
00:01:24,360 --> 00:01:25,360
INSTITUTIONS BEFORE THEY MAKE

32
00:01:25,360 --> 00:01:26,360
THOSE COMMENTS OR ASK QUESTIONS.

33
00:01:26,360 --> 00:01:27,920
WE HAVE FOUR MEMBERS RETIRING

34
00:01:27,920 --> 00:01:36,800
FROM OUR COUNCIL. CHERYL KING,

35
00:01:36,800 --> 00:01:37,720
YAEL NIV, KNEEL RISCH AND

36
00:01:37,720 --> 00:01:40,160
BRANDON STAGLIN STAGLIN.
CONGRATULATIONS

37
00:01:40,160 --> 00:01:41,720
FOR YOUR RETIREMENT, THANK YOU

38
00:01:41,720 --> 00:01:43,680
FOR YOUR SERVICE OVER THE YEARS

39
00:01:43,680 --> 00:01:45,120
AND AS CUSTOMARY WE'LL GIVE YOU

40
00:01:45,120 --> 00:01:47,360
THE OPPORTUNITY TO MAKE COMMENTS

41
00:01:47,360 --> 00:01:50,800
GIVE US ADVICE, ADVICE TO NEW

42
00:01:50,800 --> 00:01:55,160
MEMBERS OF THE COUNCIL, AND JUST

43
00:01:55,160 --> 00:01:55,720
VARIOUS POINTS DURING THE

44
00:01:55,720 --> 00:01:59,840
MEETING. BEFORE WE MOVE ON TO

45
00:01:59,840 --> 00:02:00,720
THE BUSINESS OF THE MEETING I

46
00:02:00,720 --> 00:02:03,120
WANT TO REMIND US ALL OF A FEW

47
00:02:03,120 --> 00:02:05,440
LOGISTICAL ITEMS. FIRST AS I

48
00:02:05,440 --> 00:02:07,120
MENTIONED THIS OPEN SESSION IS

49
00:02:07,120 --> 00:02:09,680
BEING VIDEOCAST BROADLY TO THE

50
00:02:09,680 --> 00:02:11,080
NIH COMMUNITY AND TO VIEWING

51
00:02:11,080 --> 00:02:12,760
PUBLIC ALLOWING PEOPLE TO WATCH

52
00:02:12,760 --> 00:02:14,680
AND LISTEN REMOTELY. THIS

53
00:02:14,680 --> 00:02:15,640
MEETING IS ALSO BEING RECORDED

54
00:02:15,640 --> 00:02:19,280
TO ALLOW VIEW ON DEMAND.  

55
00:02:19,280 --> 00:02:20,320
THEREFORE, WE WANT TO MAKE SURE

56
00:02:20,320 --> 00:02:22,600
TO REMIND YOU OF A FEW

57
00:02:22,600 --> 00:02:24,800
PROCEDURES WE DO ON ZOOM TO MAKE

58
00:02:24,800 --> 00:02:27,200
SURE THAT PEOPLE OBSERVING CAN

59
00:02:27,200 --> 00:02:28,160
HEAR YOU AND SEE YOU

60
00:02:28,160 --> 00:02:30,280
APPROPRIATELY.  WE ENCOURAGE

61
00:02:30,280 --> 00:02:31,520
COUNCIL MEMBERS TO KEEP THEIR

62
00:02:31,520 --> 00:02:34,320
VIDEO ON THROUGHOUT THE MEETING.

63
00:02:34,320 --> 00:02:36,480
BUT ASK NIMH STAFF DIVISION

64
00:02:36,480 --> 00:02:37,920
DIRECTOR ET CETERA TO USE VIDEO

65
00:02:37,920 --> 00:02:41,480
ONLY WHEN PRESENTING. WE ASKNA

66
00:02:41,480 --> 00:02:42,760
YOU PLEASE UNMUTE YOUR

67
00:02:42,760 --> 00:02:44,560
MICROPHONE WHEN SPEAKING, MUTE

68
00:02:44,560 --> 00:02:46,480
YOUR MICROPHONE WHEN NOT

69
00:02:46,480 --> 00:02:47,800
SPEAKING. FOR ANY COUNCIL

70
00:02:47,800 --> 00:02:50,720
MEMBERS OR OTHERS WHO ARE USING

71
00:02:50,720 --> 00:02:52,400
PHONE AUDIO, PLEASE KNOW THAT

72
00:02:52,400 --> 00:02:54,120
YOU CAN PRESS "*" 6 TO MUTE OR

73
00:02:54,120 --> 00:02:56,320
UNMUTE.  WE ALSO ASK COUNCIL

74
00:02:56,320 --> 00:02:57,520
MEMBERS TO UNMUTE TO MAKE A

75
00:02:57,520 --> 00:02:59,160
COMMENT OR ASK A QUESTION RATHER

76
00:02:59,160 --> 00:03:01,560
THAN USE THE CHAT FUNCTION.

77
00:03:01,560 --> 00:03:04,000
PLEASE RESERVE CHAT USE FOR

78
00:03:04,000 --> 00:03:06,200
CONTACTING THE NIMH ZOOM HOST

79
00:03:06,200 --> 00:03:07,960
FOR ANY TECHNICAL ISSUES,

80
00:03:07,960 --> 00:03:09,680
ANYTHING ENTERED IN THE CHAT BOX

81
00:03:09,680 --> 00:03:10,920
WILL BE IN THE PERMANENT RECORD

82
00:03:10,920 --> 00:03:14,000
OF THE SESSION. WHEN WE CALL FOR

83
00:03:14,000 --> 00:03:15,720
A VOTE WE WILL ASK COUNCIL

84
00:03:15,720 --> 00:03:18,320
MEMBERS TO USE THE RAISE HAND

85
00:03:18,320 --> 00:03:21,360
FUNCTION AT THE BOTTOM OF YOUR

86
00:03:21,360 --> 00:03:22,720
WINDOW TO VOTE. IT COULD BE

87
00:03:22,720 --> 00:03:24,480
LOCATED ACTUALLY AT THE BOTTOM

88
00:03:24,480 --> 00:03:26,720
OF THE MENU OR IN THE ZOOM

89
00:03:26,720 --> 00:03:29,320
PARTICIPANT MENU OR BOTH. VOTING

90
00:03:29,320 --> 00:03:30,440
COUNCIL MEMBERS ON THE PHONE

91
00:03:30,440 --> 00:03:31,920
UNMUTE BY PRESSING STAR 6 SO WE

92
00:03:31,920 --> 00:03:35,320
CAN CAPTURE YOUR VOICE VOTE. IF

93
00:03:35,320 --> 00:03:36,720
YOU EXPERIENCE CONNECTIVITY

94
00:03:36,720 --> 00:03:37,960
ISSUES YOU NEED TO CALL IN,

95
00:03:37,960 --> 00:03:39,600
PLEASE REFER TO YOUR PERSONAL

96
00:03:39,600 --> 00:03:41,520
ZOOM ITINERARY FOR THE OPEN

97
00:03:41,520 --> 00:03:45,680
SESSION DETAILS. WITH THAT, I'LL

98
00:03:45,680 --> 00:03:47,760
PROCEED TO THE BUSINESS OF THE

99
00:03:47,760 --> 00:03:49,480
MEETING. AND FIRST ORDER IS TO

100
00:03:49,480 --> 00:03:50,320
ASK FOR COMMENTS OR CORRECTIONS

101
00:03:50,320 --> 00:03:52,920
TO MINUTES FROM OUR SEPTEMBER

102
00:03:52,920 --> 00:03:54,600
2021 MEETING, COPIES OF THOSE

103
00:03:54,600 --> 00:03:55,800
MINUTES WERE PROVIDED IN ADVANCE

104
00:03:55,800 --> 00:03:57,480
OF THE MEETING ANDLY ASK TRACY

105
00:03:57,480 --> 00:04:01,000
TO TAKE OVER THAT FUNCTION AND

106
00:04:01,000 --> 00:04:02,680
ASK FOR A VOTE TO APPROVE THEM.

107
00:04:02,680 --> 00:04:03,160
TRACY.

108
00:04:03,160 --> 00:04:06,600
>> ALL RIGHT. SO IF THERE ARE NO

109
00:04:06,600 --> 00:04:07,800
CORRECTIONS I WOULD LIKE TO ASK

110
00:04:07,800 --> 00:04:11,400
FOR A MOTION FOR APPROVAL OF THE

111
00:04:11,400 --> 00:04:14,520
SEPTEMBER 2021 COUNCIL MINUTES.

112
00:04:14,520 --> 00:04:16,920
I SEE MOTION AND SECOND, SO ALL

113
00:04:16,920 --> 00:04:19,560
THOSE IN FAVOR OF ACCEPTING THE

114
00:04:19,560 --> 00:04:23,280
MINUTES AS PROVIDED. .

115
00:04:23,280 --> 00:04:26,760
ALL RIGHT. GREAT. LOOKS LIKE WE

116
00:04:26,760 --> 00:04:27,880
HAVE JUST ABOUT EVERYONE. IF YOU

117
00:04:27,880 --> 00:04:30,160
WANT TO PUT YOUR HANDS DOWN NOW

118
00:04:30,160 --> 00:04:32,160
I'LL ASK IF ANYONE IS OPPOSED TO

119
00:04:32,160 --> 00:04:33,840
ACCEPTING THE MINUTES AS

120
00:04:33,840 --> 00:04:38,760
PROVIDED. ALL RIGHT. ANY

121
00:04:38,760 --> 00:04:41,640
ABSTENTIONS? OKAY. PAMELA

122
00:04:41,640 --> 00:04:43,720
ABSTAIN. THANK YOU. WE WILL

123
00:04:43,720 --> 00:04:44,720
PROCEED WITH THOSE MINUTES.

124
00:04:44,720 --> 00:04:47,240
THANK YOU. .

125
00:04:47,240 --> 00:04:49,640
>> THE NEXT ORDER OF BUSINESS IS

126
00:04:49,640 --> 00:04:53,200
THE NIMH DIRECTORS REPORT BY

127
00:04:53,200 --> 00:04:54,800
YOURS TRULY. I'M GOING TO SHARE

128
00:04:54,800 --> 00:04:57,480
MY POWERPOINT. AND I'M GOING TO

129
00:04:57,480 --> 00:04:58,920
TRY TO PUT IN PRESENTER VIEW,

130
00:04:58,920 --> 00:05:01,440
LET ME KNOW ARE YOU SEEING THE

131
00:05:01,440 --> 00:05:04,440
CORRECT VIEW? 

132
00:05:04,440 --> 00:05:06,120
>> LOOKS GOOD, JOSH.

133
00:05:06,120 --> 00:05:09,000
>> OKAY. GREAT.  SO IT IS MY

134
00:05:09,000 --> 00:05:12,200
PLEASURE TO WELCOME YOU ALL HERE

135
00:05:12,200 --> 00:05:15,000
TO THIS FEBRUARY 2022 ADDITION

136
00:05:15,000 --> 00:05:18,520
OF THE NHC. I'M AS USUAL GOING

137
00:05:18,520 --> 00:05:21,120
TO TALK TO YOU ABOUT SOME OF THE

138
00:05:21,120 --> 00:05:24,320
NEWS TO KNOW FROM THE NIMH, WE

139
00:05:24,320 --> 00:05:25,360
WILL TALK ABOUT CONGRESSIONAL

140
00:05:25,360 --> 00:05:27,400
AND OTHER INTERACTIONS WITH

141
00:05:27,400 --> 00:05:29,280
NIMH, GIVE YOU AN UPDATE AS TO

142
00:05:29,280 --> 00:05:31,360
THE BUDGET AND APPROPRIATIONS

143
00:05:31,360 --> 00:05:33,840
PROCESS. SOME UPDATES FROM THE

144
00:05:33,840 --> 00:05:35,520
NIH BROADLY, SOME NEWS FROM

145
00:05:35,520 --> 00:05:38,200
WITHIN THE NIMH AND THEN END

146
00:05:38,200 --> 00:05:39,720
WITH A FEW HIGHLIGHTS FROM THE

147
00:05:39,720 --> 00:05:41,720
SCIENCE BEING CONDUCTED REALLY

148
00:05:41,720 --> 00:05:43,000
AROUND THE GLOBE SUPPORTED BY

149
00:05:43,000 --> 00:05:44,000
THE NATIONAL INSTITUTE OF MENTAL

150
00:05:44,000 --> 00:05:47,120
HEALTH. TERMS OF CONGRESSIONAL

151
00:05:47,120 --> 00:05:48,400
INTERACTIONS. WE HAVE HAD A

152
00:05:48,400 --> 00:05:49,880
NUMBER OF INTERACTIONS, IT'S

153
00:05:49,880 --> 00:05:51,720
BEEN VERY ACTIVE, MUCH OF IT

154
00:05:51,720 --> 00:05:53,080
VIRTUAL AS YOU MIGHT IMAGINE IN

155
00:05:53,080 --> 00:05:56,480
THE AGE OF COVID.  ON NOVEMBER

156
00:05:56,480 --> 00:05:59,360
2ND, 2021, NIMH STAFF REACHED

157
00:05:59,360 --> 00:06:00,560
SENATOR BROWN'S STAFF ON

158
00:06:00,560 --> 00:06:02,320
PARTICIPATION BY ADOLESCENCE IN

159
00:06:02,320 --> 00:06:03,160
CLINICAL TRIALS, VERY IMPORTANT

160
00:06:03,160 --> 00:06:04,920
ISSUE ESPECIALLY IN THIS STAGE

161
00:06:04,920 --> 00:06:06,720
WHERE THERE IS A LOT OF CONCERN

162
00:06:06,720 --> 00:06:08,160
ABOUT CHILD AND ADOLESCENT

163
00:06:08,160 --> 00:06:09,400
MENTAL HEALTH IN THE CONTEXT OF

164
00:06:09,400 --> 00:06:12,200
THE COVID PANDEMIC. ON DECEMBER

165
00:06:12,200 --> 00:06:16,720
15, 2021, NIMH DEPUTY DIRECTOR

166
00:06:16,720 --> 00:06:19,760
SHELLEY AND STAFF -- AND NIMHD

167
00:06:19,760 --> 00:06:21,480
NATIONAL INSTITUTE OF MINORITY

168
00:06:21,480 --> 00:06:22,800
HEALTH AND HEALTH DISPARITIES

169
00:06:22,800 --> 00:06:25,080
DEPUTY DIRECTOR MONICA WEB

170
00:06:25,080 --> 00:06:26,720
COOPER BRIEFED STAFF FROM THE

171
00:06:26,720 --> 00:06:29,320
SENATE EDUCATIONS LABOR AND

172
00:06:29,320 --> 00:06:31,120
PENSIONS COMMITTEE ON MENTAL

173
00:06:31,120 --> 00:06:32,040
HEALTH DISORDER SEARCH INCLUDING

174
00:06:32,040 --> 00:06:33,840
PEDIATRIC MENTAL HEALTH AND

175
00:06:33,840 --> 00:06:36,920
HEALTH DISPARITIES.  ON JANUARY

176
00:06:36,920 --> 00:06:40,160
21ST OF THIS YEAR, JUST TEN DAYS

177
00:06:40,160 --> 00:06:44,160
AGO, NIMH STAFF BRIEFED

178
00:06:44,160 --> 00:06:45,200
REPRESENTATIVE BARE'S STAFF ON

179
00:06:45,200 --> 00:06:47,640
RESEARCH INTO EARLY PSYCHOSIS,

180
00:06:47,640 --> 00:06:51,400
IMPORTANT PRIORITY FOR NIMH AND

181
00:06:51,400 --> 00:06:53,440
COMMUNITY AT LARGE. THESE

182
00:06:53,440 --> 00:06:55,000
INTERACTION INFORM CONGRESS AS

183
00:06:55,000 --> 00:06:58,680
THEY DECIDE HOW TO INFLUENCE

184
00:06:58,680 --> 00:07:00,880
NIMH POLICY AND TO GIVE US THE

185
00:07:00,880 --> 00:07:02,600
FUNDS NECESSARY TO CARRY OUT THE

186
00:07:02,600 --> 00:07:05,320
RESEARCH THAT WE ARE ALL SO

187
00:07:05,320 --> 00:07:06,800
EXCITED ABOUT. WHAT DO WE DO

188
00:07:06,800 --> 00:07:08,280
WITH THOSE MONEYS? THE VAST

189
00:07:08,280 --> 00:07:10,520
MAJORITY GOES AWAY TO OTHER

190
00:07:10,520 --> 00:07:13,120
INSTITUTIONS IN THE FORM OF

191
00:07:13,120 --> 00:07:15,400
RESEARCH GRANTS AND WHAT YOU CAN

192
00:07:15,400 --> 00:07:17,600
SEE HERE IS THE SUCCESS RATES,

193
00:07:17,600 --> 00:07:19,480
NUMBERS APPLICATIONS NUMBER OF

194
00:07:19,480 --> 00:07:20,880
APPLICATIONS FUNDED AND OVERALL

195
00:07:20,880 --> 00:07:24,280
SUCCESS RATES FOR NIMH OVER THE

196
00:07:24,280 --> 00:07:26,960
PAST SIX YEARS WITH THE NUMBERS

197
00:07:26,960 --> 00:07:28,520
FROM 2021 NOT QUITE YET FINAL,

198
00:07:28,520 --> 00:07:30,800
IT TAKES A WHILE TO FINALIZE OUT

199
00:07:30,800 --> 00:07:32,560
AND MAKE SURE WE HAVE ALL OUR

200
00:07:32,560 --> 00:07:34,680
EYES DOTTED AND Ts CROSSED

201
00:07:34,680 --> 00:07:36,760
FROM THE PREVIOUS FISCAL YEAR. 

202
00:07:36,760 --> 00:07:40,320
BUT WHAT YOU CAN SEE IS A UP AND

203
00:07:40,320 --> 00:07:41,480
DOWN BUT OVERALL SLIGHT GROWTH

204
00:07:41,480 --> 00:07:44,240
IN THE NUMBER OF APPLICATIONS TO

205
00:07:44,240 --> 00:07:46,640
NIMH FOR RESEARCH GRANTS. AND

206
00:07:46,640 --> 00:07:48,520
MODEST INCREASE IN THE NUMBER OF

207
00:07:48,520 --> 00:07:49,120
GRANTS WE HAVE BEEN ABLE TO

208
00:07:49,120 --> 00:07:51,800
FUND. OVER THESE PAST SIX YEARS

209
00:07:51,800 --> 00:07:55,320
WE ARE KEEPING A RELATIVELY

210
00:07:55,320 --> 00:07:56,680
FAIRLY CONSTANT SUCCESS RATE IN

211
00:07:56,680 --> 00:07:58,960
THE LOW 20s. MEANING THAT IF

212
00:07:58,960 --> 00:08:00,720
YOU APPLY FOR A GRANT YOU HAVE

213
00:08:00,720 --> 00:08:03,800
ABOUT A 22% CHANCE OF GETTING

214
00:08:03,800 --> 00:08:07,520
THAT GRANT AND THAT'S OBVIOUSLY

215
00:08:07,520 --> 00:08:09,840
LOVE TO REACH MORE BUT THAT IS

216
00:08:09,840 --> 00:08:12,880
WHAT OUR BUDGET ENABLED US TO

217
00:08:12,880 --> 00:08:15,720
DO. AS MOST OF YOU KNOW, AT NIMH

218
00:08:15,720 --> 00:08:17,560
THE GRANTS THAT PEER REVIEW AND

219
00:08:17,560 --> 00:08:20,520
THOSE PEER REVIEW PANELS GIVE US

220
00:08:20,520 --> 00:08:22,760
A SCORE THAT COMES TO NIMH

221
00:08:22,760 --> 00:08:23,680
PROGRAM STAFF THAT MAKE

222
00:08:23,680 --> 00:08:26,320
RECOMMENDATIONS TO ME AND WE

223
00:08:26,320 --> 00:08:28,080
MAKE RECOMMENDATIONS -- REQUEST

224
00:08:28,080 --> 00:08:29,840
FOR CONCURRENCE FROM THIS

225
00:08:29,840 --> 00:08:34,080
COUNCIL. AND AS MANY OF YOU

226
00:08:34,080 --> 00:08:37,120
KNOW, THE REVIEW SCORES, WE

227
00:08:37,120 --> 00:08:38,600
DON'T HAVE A SPECIFIC CUT OFF,

228
00:08:38,600 --> 00:08:40,520
WE TRY TO LOOK HOW GRANTS FIT IN

229
00:08:40,520 --> 00:08:43,000
WITH OUR PRIORITIES WITH THE

230
00:08:43,000 --> 00:08:46,000
NIMH STRATEGIC PLAN, AND WHAT --

231
00:08:46,000 --> 00:08:47,800
ASPECT TO SUPPORT WORK FORCE

232
00:08:47,800 --> 00:08:49,440
DIVERSITY AMONG OTHER

233
00:08:49,440 --> 00:08:50,720
PRIORITIES. AND WE DECIDE

234
00:08:50,720 --> 00:08:52,160
INDIVIDUALLY ON EACH AND EVERY

235
00:08:52,160 --> 00:08:53,360
GRANT WHETHER TO -- WHETHER TO

236
00:08:53,360 --> 00:08:54,720
SUPPLY -- WHETHER TO FUND THAT

237
00:08:54,720 --> 00:08:56,800
GRANT OR NOT.  THIS IS THE END

238
00:08:56,800 --> 00:08:58,080
RESULT OF THAT PROCESS FOR THE

239
00:08:58,080 --> 00:09:00,320
PREVIOUS FISCAL YEAR. 2021. WHAT

240
00:09:00,320 --> 00:09:02,680
YOU CAN SEE IN LIGHT BLUE ARE

241
00:09:02,680 --> 00:09:04,480
GRANTS FUNDED IN DARK BLUE AND

242
00:09:04,480 --> 00:09:06,760
GRANTS THAT WERE NOT FUNDEDED.
AND

243
00:09:06,760 --> 00:09:09,120
YOU SEE ON THE BOTTOM THE

244
00:09:09,120 --> 00:09:10,720
PERCENTILE SCORE FOR GRANTS THAT

245
00:09:10,720 --> 00:09:12,120
RECEIVE PERCENTILE SCORE THAT IS

246
00:09:12,120 --> 00:09:13,840
ASSIGNED BY REVIEW PANEL SO YOU

247
00:09:13,840 --> 00:09:15,320
CAN SEE IF YOU ARE IN THE TOP

248
00:09:15,320 --> 00:09:16,840
TEN PERCENT OF GRANTS EVALUATED

249
00:09:16,840 --> 00:09:19,760
BY REVIEW PANELS, HAS HIGH RATE

250
00:09:19,760 --> 00:09:22,520
OF SUCCESS IN TERMS OF ACHIEVEK

251
00:09:22,520 --> 00:09:24,360
NIMH FUNDING. AND THERE IS A

252
00:09:24,360 --> 00:09:26,040
GRAY ZONE AROUND 13 PERCENTILE

253
00:09:26,040 --> 00:09:27,720
UP TO 30TH PERCENTILE WHERE WE

254
00:09:27,720 --> 00:09:28,760
ARE MAKING A LOT OF

255
00:09:28,760 --> 00:09:32,000
INDIVIDUALIZED DECISIONS ON

256
00:09:32,000 --> 00:09:32,640
WHETHER TO OPPORTUNITY GRANTS OR

257
00:09:32,640 --> 00:09:34,000
NOT BUT TEND TO FUND MOST GRANTS

258
00:09:34,000 --> 00:09:35,840
THAT SCORE UNDERNEATH 20TH

259
00:09:35,840 --> 00:09:37,640
PERCENTILE AND AS MANY AS WE CAN

260
00:09:37,640 --> 00:09:42,320
IN THE 20TH TO 30TH RANGE. IN

261
00:09:42,320 --> 00:09:44,560
TERMS OF THE BUDGET THESE ARE

262
00:09:44,560 --> 00:09:46,920
DOLLARS THAT WE HAVE BEEN

263
00:09:46,920 --> 00:09:49,840
APPROPRIATAPPROPRIATED BY
CONGRESS IN

264
00:09:49,840 --> 00:09:52,200
LIGHT BLUE AND ADJUST FOR

265
00:09:52,200 --> 00:09:53,040
INFLATION IN DARK BLUE, WHAT WE

266
00:09:53,040 --> 00:09:54,960
HAVE BEEN TALKING FOR SEVERAL

267
00:09:54,960 --> 00:09:55,880
YEARS, CONGRESS HAS BEEN

268
00:09:55,880 --> 00:09:57,920
CONSISTENTLY INCREASING THE NIH

269
00:09:57,920 --> 00:10:00,520
BUDGET AND THE NIMH BUDGET SINCE

270
00:10:00,520 --> 00:10:03,120
REALLY SINCE 2015. AND THOSE

271
00:10:03,120 --> 00:10:05,680
CONSISTENT INCREASES HAVE

272
00:10:05,680 --> 00:10:07,520
RESULTED IN AN INCREASE BUYING

273
00:10:07,520 --> 00:10:09,120
POWER IN TERMS OF INFLATION

274
00:10:09,120 --> 00:10:11,040
ADJUSTED DOLLARS SUCH THAT WE

275
00:10:11,040 --> 00:10:13,480
ARE NOW ABLE TO FUND MORE

276
00:10:13,480 --> 00:10:15,040
RESEARCH IN PLACE ADJUSTED

277
00:10:15,040 --> 00:10:17,440
DOLLARS THAN WE WERE BACK IN

278
00:10:17,440 --> 00:10:18,640
2010, WHICH IS A NICE RECOVERY

279
00:10:18,640 --> 00:10:20,400
FROM A PERIOD OF STAGNATION THAT

280
00:10:20,400 --> 00:10:22,480
PRECEDED THAT 2015. WE ARE VERY

281
00:10:22,480 --> 00:10:23,920
PLEASE WITH THIS, ABLE TO REACH

282
00:10:23,920 --> 00:10:25,800
DEEPER INTO OUR GRANT

283
00:10:25,800 --> 00:10:27,280
APPLICATIONS THAN OTHERWISE. AND

284
00:10:27,280 --> 00:10:29,920
WE HOPE TO RECEIVE ANOTHER

285
00:10:29,920 --> 00:10:33,920
INCREASE THIS YEAR. IN TERMS OF

286
00:10:33,920 --> 00:10:36,440
THE 2022 BUDGET, WE KNOW THAT IN

287
00:10:36,440 --> 00:10:37,280
DECEMBER 3, PRESIDENT BIDEN

288
00:10:37,280 --> 00:10:39,640
SIGNED THE FURTHER EXPANDING

289
00:10:39,640 --> 00:10:41,040
GOVERNMENT FUNDING ACT, A

290
00:10:41,040 --> 00:10:42,720
CONTINUING RESOLUTION THAT

291
00:10:42,720 --> 00:10:44,840
EXTENDED THE FISCAL YEAR 2021

292
00:10:44,840 --> 00:10:46,400
SPENDING LEVELS THROUGH FEBRUARY

293
00:10:46,400 --> 00:10:48,160
18 OF THIS YEAR. AND WE ARE

294
00:10:48,160 --> 00:10:50,440
HOPING THAT IN FEBRUARY WE WILL

295
00:10:50,440 --> 00:10:52,560
RECEIVE OUR FULL YEAR

296
00:10:52,560 --> 00:10:53,720
APPROPRIATIONS WITH REGARD TO

297
00:10:53,720 --> 00:10:57,880
THAT, THE HOUSE PASSED A BUDGET

298
00:10:57,880 --> 00:11:00,720
BILL SOMETIME AGO AND ON OCTOBER

299
00:11:00,720 --> 00:11:02,080
18 SENATE APPROPRIATIONS

300
00:11:02,080 --> 00:11:03,520
COMMITTEE RELEASED THE TEXT OF

301
00:11:03,520 --> 00:11:05,000
THEIR VERSION OF THAT BUDGET

302
00:11:05,000 --> 00:11:08,160
BILL. THAT TEXT INCLUDES A 12%

303
00:11:08,160 --> 00:11:10,120
INCREASE FOR NIH AND 5.5%

304
00:11:10,120 --> 00:11:13,200
INCREASE FOR NIMH INCLUDING $25

305
00:11:13,200 --> 00:11:14,400
MILLION SPECIFICALLY TO EXPAND

306
00:11:14,400 --> 00:11:16,120
RESEARCH ON MENTAL HEALTH IMPACT

307
00:11:16,120 --> 00:11:18,240
OF THE COVID-19 PANDEMIC. SO WE

308
00:11:18,240 --> 00:11:20,560
ARE HOPEFUL THAT SOME VERSION OF

309
00:11:20,560 --> 00:11:21,960
THE HOUSE OR SENATE BILLS WILL

310
00:11:21,960 --> 00:11:24,440
BE PASSED AND WOULD BE ABLE TO

311
00:11:24,440 --> 00:11:25,680
REACH MORE GRANTS THIS YEAR THAN

312
00:11:25,680 --> 00:11:29,960
WE WOULD OTHERWISE.  THAT IS THE

313
00:11:29,960 --> 00:11:32,320
NEWS IN TERMS OF LEGISLATIVE

314
00:11:32,320 --> 00:11:33,760
OVERSIGHT BUDGET APPROPRIATIONS.

315
00:11:33,760 --> 00:11:35,960
NOW LET'S TALK ABOUT THE NIH,

316
00:11:35,960 --> 00:11:37,280
THE BIGGEST NEWS THAT HAPPENS

317
00:11:37,280 --> 00:11:38,520
SINCE THE LAST COUNCIL SESSION

318
00:11:38,520 --> 00:11:41,480
YOU KNOW ABOUT, ON DECEMBER 19,

319
00:11:41,480 --> 00:11:43,000
2021, FRANCIS COLLINS STEPPED

320
00:11:43,000 --> 00:11:44,880
DOWN FROM HIS ROLE AS DIRECTOR

321
00:11:44,880 --> 00:11:48,120
OF THE NIH AND MORE PERSONALLY

322
00:11:48,120 --> 00:11:50,280
FROM HIS ROLE AS MY BOSS. I

323
00:11:50,280 --> 00:11:52,200
REALLY ENJOYED TREMENDOUSLY

324
00:11:52,200 --> 00:11:55,200
WORKING WITH DR. COLLINS OVER

325
00:11:55,200 --> 00:11:56,520
THE YEARS SINCE HE OFFERED ME

326
00:11:56,520 --> 00:12:01,280
THIS POSITION IN 2016. AND HE

327
00:12:01,280 --> 00:12:02,760
HAS BEEN INCREDIBLE MENTOR,

328
00:12:02,760 --> 00:12:03,920
FRIEND AND WONDERFUL LEADER FOR

329
00:12:03,920 --> 00:12:09,880
THE NIH. AMONG MANY

330
00:12:09,880 --> 00:12:11,040
ACCOMPLISHMENTS INCLUDE

331
00:12:11,040 --> 00:12:12,600
INITIATING THE BRAIN INITIATIVE

332
00:12:12,600 --> 00:12:14,280
WHICH IS INSTRUMENTAL IN

333
00:12:14,280 --> 00:12:16,720
REVOLUTIONIZING THE TECHNOLOGIES

334
00:12:16,720 --> 00:12:18,520
WE BRING TO BARE TO ADDRESS

335
00:12:18,520 --> 00:12:20,360
NEUROBIOLOGY UNDERLYING MENTAL

336
00:12:20,360 --> 00:12:22,880
ILLNESS AND OTHER ILLNESSES OF

337
00:12:22,880 --> 00:12:26,360
THE BRAIN. OTHER INITIATIVES CAN

338
00:12:26,360 --> 00:12:27,520
UP INCLUDE THE ALL OF US PROGRAM

339
00:12:27,520 --> 00:12:28,960
WHICH WE AT NIH WORK WITH TO TRY

340
00:12:28,960 --> 00:12:30,520
TO EXPAND OUR UNDERSTANDING OF

341
00:12:30,520 --> 00:12:32,320
THE BEHAVIORAL UNDERPINNINGS OF

342
00:12:32,320 --> 00:12:34,640
MENTAL HEALTH. AS WELL AS THE

343
00:12:34,640 --> 00:12:39,040
HEAL INITIATIVE MULTI-FACETED

344
00:12:39,040 --> 00:12:41,040
INITIATIVE AIMING TO ESTABLISH A

345
00:12:41,040 --> 00:12:42,120
RESEARCH BASE TO COUNTER THE

346
00:12:42,120 --> 00:12:43,920
EFFECTS OF THE SEEMINGLY

347
00:12:43,920 --> 00:12:46,000
UNRELENTING EFFECTS OF THE

348
00:12:46,000 --> 00:12:48,440
ONGOING OPIOID EPIDEMIC. AND

349
00:12:48,440 --> 00:12:50,400
THEN OF COURSE THE RESPONSE, THE

350
00:12:50,400 --> 00:12:52,640
NIH WIDE RESPONSE WHICH NIMH

351
00:12:52,640 --> 00:12:54,240
PROUDLY PARTICIPATED IN, TO THE

352
00:12:54,240 --> 00:12:57,200
COVID PANDEMIC. DR. COLLINS ALSO

353
00:12:57,200 --> 00:12:58,160
ADDRESSED POLICIES AND

354
00:12:58,160 --> 00:13:01,400
ACTIVITIES TO REDUCE SEXUAL

355
00:13:01,400 --> 00:13:03,520
HARASSMENT, TO MAKE NIH AND

356
00:13:03,520 --> 00:13:07,320
WIDER SCIENTIFIC WORK FORCE A

357
00:13:07,320 --> 00:13:07,920
INCLUSIVE ENVIRONMENT AND

358
00:13:07,920 --> 00:13:09,560
ADDRESS ISSUES OF STRUCTURAL

359
00:13:09,560 --> 00:13:11,000
RACISM WITHIN THE BIOMEDICAL

360
00:13:11,000 --> 00:13:12,480
RESEARCH COMMUNITY ALL WHICH ARE

361
00:13:12,480 --> 00:13:14,400
ONGOING ENTERPRISES AND SPEAKING

362
00:13:14,400 --> 00:13:16,800
OF ONGOING I'M PLEASED THAT DR.

363
00:13:16,800 --> 00:13:18,800
LARRY TABAK WHO HAS BEEN

364
00:13:18,800 --> 00:13:20,720
PRINCIPLE DEPUTY DIRECTOR FOR AS

365
00:13:20,720 --> 00:13:22,040
LONG AS I HAVE KNOWN HIM, AS

366
00:13:22,040 --> 00:13:25,720
LONG AS I HAVE KNOWN THE NIH,

367
00:13:25,720 --> 00:13:28,240
HAS BEEN THE DEPUTY DIRECTOR

368
00:13:28,240 --> 00:13:31,600
ASSUMED THE ACTING DIRECTOR ON

369
00:13:31,600 --> 00:13:33,920
DR. COLLINS DEPARTURE AND WILL

370
00:13:33,920 --> 00:13:34,880
CONTINUE THAT ROLE UNTIL A

371
00:13:34,880 --> 00:13:36,440
SUCCESSOR IS NAMED AN CONFIRMED

372
00:13:36,440 --> 00:13:39,640
BY THE SENATE.  OTHER NIH

373
00:13:39,640 --> 00:13:41,880
LEADERSHIP NEWS, OF PARTICULAR

374
00:13:41,880 --> 00:13:44,720
RELEVANCE THE NIMH IS BILL

375
00:13:44,720 --> 00:13:46,280
RILEY, DIRECTOR OF NIH OFFICE OF

376
00:13:46,280 --> 00:13:47,280
BEHAVIORAL AND SOCIAL SCIENCE

377
00:13:47,280 --> 00:13:48,720
RESEARCH AND NIH ASSOCIATE

378
00:13:48,720 --> 00:13:49,920
DIRECTOR FOR BEHAVIORAL SOCIAL

379
00:13:49,920 --> 00:13:51,920
SCIENCE RESEARCH IS RETIRED AND

380
00:13:51,920 --> 00:13:53,280
SINCE SEPTEMBER 30TH BUT IT WAS

381
00:13:53,280 --> 00:13:55,920
AS OF DECEMBER 30TH, NOT

382
00:13:55,920 --> 00:13:58,120
SEPTEMBER 30TH. BILL HAS BEEN A

383
00:13:58,120 --> 00:13:59,680
COLLEAGUE, A REAL FRIEND AND

384
00:13:59,680 --> 00:14:01,440
PARTNER IN MANY IMPORTANT

385
00:14:01,440 --> 00:14:03,960
INITIATIVES THAT AIM TO ADDRESS

386
00:14:03,960 --> 00:14:05,720
THE BEHAVIORAL SOCIAL SCIENCE

387
00:14:05,720 --> 00:14:07,120
MANIFESTATIONS OF ILLNESSES

388
00:14:07,120 --> 00:14:09,680
ACROSS THE SPECTRUM, OF COURSE

389
00:14:09,680 --> 00:14:12,080
BUT ESPECIALLY TRUE FOR MENTAL

390
00:14:12,080 --> 00:14:13,880
ILLNESS AND FOR OTHER AREAS

391
00:14:13,880 --> 00:14:16,240
UNDER NIMH'S PURVIEW. HIS

392
00:14:16,240 --> 00:14:18,240
DEPUTY, CHRISTINE HUNTER WILL BE

393
00:14:18,240 --> 00:14:20,680
SERVING AS ACTING DIRECTOR OF

394
00:14:20,680 --> 00:14:22,480
OBSSR WHILE SEARCH IS ONGOING.

395
00:14:22,480 --> 00:14:25,480
I'M PROUD TO BE ABLE TO CO-LEAD

396
00:14:25,480 --> 00:14:28,560
THE SEARCH FOR A NEW DIRECTOR OF

397
00:14:28,560 --> 00:14:29,840
OBSSR, THAT SEARCH IS WELL

398
00:14:29,840 --> 00:14:30,640
UNDERWAY SO IF YOU ARE

399
00:14:30,640 --> 00:14:31,720
INTERESTED IN APPLYING FOR THE

400
00:14:31,720 --> 00:14:38,200
JOB LET ME KNOW. ON DECEMBER 2,

401
00:14:38,200 --> 00:14:40,880
2021 PRESIDENT BIDEN CAME TO NIH

402
00:14:40,880 --> 00:14:42,000
IN DURING THAT VISIT HE

403
00:14:42,000 --> 00:14:43,320
ANNOUNCED ADMINISTRATION ACTIONS

404
00:14:43,320 --> 00:14:45,640
FOR BATTLING COVID-19 OVER THE

405
00:14:45,640 --> 00:14:47,120
WINTER MONTHS. ACTIONS INCLUDING

406
00:14:47,120 --> 00:14:49,520
EXPANDING TESTING, KEEPING

407
00:14:49,520 --> 00:14:51,520
SCHOOLS OPEN, PROTECTING

408
00:14:51,520 --> 00:14:52,720
ECONOMIC RECOVERY AND MORE.

409
00:14:52,720 --> 00:14:54,520
THESE ACTS HAVE BECOME ALL MORE

410
00:14:54,520 --> 00:14:56,200
IMPORTANT IN THE CONTEXT OF THE

411
00:14:56,200 --> 00:14:57,000
WAVE WE HAVE BEEN EXPERIENCING

412
00:14:57,000 --> 00:15:01,880
THE LAST SIX WEEKS OR SO WITH

413
00:15:01,880 --> 00:15:04,720
OMICRON VARIANT. AND WE ARE

414
00:15:04,720 --> 00:15:06,640
EXCITED TO HAVE -- TO HOST HIM

415
00:15:06,640 --> 00:15:10,320
HERE AT NIH AND TO HAVE HIM

416
00:15:10,320 --> 00:15:13,200
VISIT NOT HIS FIRST VISIT AS

417
00:15:13,200 --> 00:15:14,560
PRESIDENT AND WE ARE PLEASED HE

418
00:15:14,560 --> 00:15:18,760
IS ABLE TO MAKE ANOTHER ONE. OUR

419
00:15:18,760 --> 00:15:21,960
SECRETARY HHS SECRETARY XAVIER

420
00:15:21,960 --> 00:15:24,320
BECRRA IN ADDITION TO DEPUTY

421
00:15:24,320 --> 00:15:25,400
SECRETARY ANDREA PALM ALSO

422
00:15:25,400 --> 00:15:28,320
VISITED THE NIH SINCE THE LAST

423
00:15:28,320 --> 00:15:29,920
COUNCIL MEETING, THEY SPOKE TO

424
00:15:29,920 --> 00:15:31,920
PATIENTS SATISFY AND LEADERSHIP

425
00:15:31,920 --> 00:15:33,040
FOCUSED ON NUMBER OF DIFFERENT

426
00:15:33,040 --> 00:15:34,840
ISSUES INCLUDING VISITING THE

427
00:15:34,840 --> 00:15:36,560
NIH CLINICAL CENTER, WHERE THEY

428
00:15:36,560 --> 00:15:38,000
LEARNED ABOUT CUTTING EDGE

429
00:15:38,000 --> 00:15:42,280
CANCER RESEARCH, AND TOURING THE

430
00:15:42,280 --> 00:15:43,640
VACCINE RESEARCH CENTER WHICH

431
00:15:43,640 --> 00:15:45,720
PLAYED SUCH AN IMPORTANT ROLE IN

432
00:15:45,720 --> 00:15:46,200
CORONA VIRUS VACCINE

433
00:15:46,200 --> 00:15:50,120
DEVELOPMENT. MOVING ON FROM

434
00:15:50,120 --> 00:15:54,840
PEOPLE TO IDEAS.  MANY OF YOU

435
00:15:54,840 --> 00:15:56,680
KNOW NIMH IS WORKING FOR

436
00:15:56,680 --> 00:15:57,560
FOUNDATION FOR NATIONAL

437
00:15:57,560 --> 00:15:58,560
INSTITUTES OF HEALTH AND

438
00:15:58,560 --> 00:16:00,480
ACCELERATED MEDICINES

439
00:16:00,480 --> 00:16:02,040
PARTNERSHIP PROGRAM TO INITIATE

440
00:16:02,040 --> 00:16:06,960
A PROGRAM CALLED AND

441
00:16:06,960 --> 00:16:08,200
SCHIZOPHRENIA. NIH IS ENGAGE

442
00:16:08,200 --> 00:16:09,360
WITH NUMBER OF INSTITUTES ACROSS

443
00:16:09,360 --> 00:16:10,440
THE NATIONAL INSTITUTES OF

444
00:16:10,440 --> 00:16:11,440
HEALTH WITH FOUNDATION ON

445
00:16:11,440 --> 00:16:14,920
ANOTHER ACCELERATING MEDICINES

446
00:16:14,920 --> 00:16:16,120
PARTNERSHIP WITH THE BESPOKE

447
00:16:16,120 --> 00:16:17,920
GENE THERAPY CONSORTIUM TO

448
00:16:17,920 --> 00:16:18,920
ACCELERATE GENE THERAPIES FOR

449
00:16:18,920 --> 00:16:20,320
RARE DISEASE, INCLUDING

450
00:16:20,320 --> 00:16:21,120
NEURODEVELOPMENTAL DISORDERS AND

451
00:16:21,120 --> 00:16:24,040
OTHERS. NIH AND PARTNERS PLAN TO

452
00:16:24,040 --> 00:16:26,360
CONTRIBUTE APPROXIMATELY $76

453
00:16:26,360 --> 00:16:27,920
MILLION OVER FIVE YEARS TO

454
00:16:27,920 --> 00:16:29,240
OPTIMIZE AND STREAMLINE GENE

455
00:16:29,240 --> 00:16:30,920
THERAPY DEVELOPMENT PROCESS. IN

456
00:16:30,920 --> 00:16:32,320
ORDER TO HELP BUILD UNMET

457
00:16:32,320 --> 00:16:33,400
MEDICAL NEEDS OF PEOPLE WITH

458
00:16:33,400 --> 00:16:35,120
RARE DISEASES.  THIS IS REALLY

459
00:16:35,120 --> 00:16:38,920
IMPORTANT INITIATIVE ADDRESSING

460
00:16:38,920 --> 00:16:40,120
TECHNOLOGICAL INNOVATIONS THAT

461
00:16:40,120 --> 00:16:42,200
CAN HELP PEOPLE BUT WHICH

462
00:16:42,200 --> 00:16:43,680
BECAUSE THESE DISEASES ARE SO

463
00:16:43,680 --> 00:16:44,560
RARE ARE OFTEN DIFFICULT TO

464
00:16:44,560 --> 00:16:47,320
APPLY. SO WE HOPE TO BE ABLE TO

465
00:16:47,320 --> 00:16:48,920
MAKE PROGRESS ACROSS A BROAD

466
00:16:48,920 --> 00:16:52,840
RANGE OF MEDICAL NEEDS WITH THIS

467
00:16:52,840 --> 00:16:57,480
COLLABORATIVE AND PARTNERSHIP.

468
00:16:57,480 --> 00:16:59,760
AS YOU KNOW UNDER DR. COLLINS

469
00:16:59,760 --> 00:17:01,480
LEADERSHIP AND CONTINUING UNDER

470
00:17:01,480 --> 00:17:05,760
DR. TABAK, THE NIH HAS BEEN

471
00:17:05,760 --> 00:17:08,440
SUPPORTING THE UNITE INITIATIVE

472
00:17:08,440 --> 00:17:10,240
AN INITIATIVE THAT REALLY

473
00:17:10,240 --> 00:17:13,200
MULTI-FACETED AND AIMES TO

474
00:17:13,200 --> 00:17:15,720
INCREASE THE INCLUSIVITY AND

475
00:17:15,720 --> 00:17:17,400
EQUITY AND DIVERSITY WITHIN THE

476
00:17:17,400 --> 00:17:19,320
NIH WORK FORCE AS WELL AS WITHIN

477
00:17:19,320 --> 00:17:21,880
THE WIDER SCIENTIFIC WORK FORCE.

478
00:17:21,880 --> 00:17:26,320
ONE OF THE MORE COMPELLING

479
00:17:26,320 --> 00:17:27,840
RECENT INITIATIVES LAUNCHED OUT

480
00:17:27,840 --> 00:17:30,120
OF UNITE IS THE TOGETHER WE ARE

481
00:17:30,120 --> 00:17:31,120
STRONGER INITIATIVE WITH POWER

482
00:17:31,120 --> 00:17:33,080
OF INCLUSIVE WORKPLACE

483
00:17:33,080 --> 00:17:35,960
RECOGNITION PROJECT. WHICH WILL

484
00:17:35,960 --> 00:17:37,840
DIVERSIFY THE PORTRAITURE AND

485
00:17:37,840 --> 00:17:39,160
ART WORK THROUGHOUT NIH

486
00:17:39,160 --> 00:17:40,720
BUILDINGS AND DIGITAL SPACES SO

487
00:17:40,720 --> 00:17:44,160
THAT ALL CAN SEE THEIR ROLE AND

488
00:17:44,160 --> 00:17:45,520
THEIR POTENTIAL ROLE IN THE

489
00:17:45,520 --> 00:17:48,120
BIOMEDICAL RESEARCH ENTERPRISE

490
00:17:48,120 --> 00:17:50,160
AND IN A WAY THAT CELEBRATES THE

491
00:17:50,160 --> 00:17:51,280
RICH DIVERSITY OF OUR NIH WORK

492
00:17:51,280 --> 00:17:58,320
FORCE. ANOTHER NIH WIDE

493
00:17:58,320 --> 00:17:59,760
INITIATIVE THAT NIMH HAS BEEN

494
00:17:59,760 --> 00:18:02,440
PLAYING AN IMPORTANT ROLE IS IN

495
00:18:02,440 --> 00:18:05,320
IS AN EFFORT ALSO INSPIRED BY

496
00:18:05,320 --> 00:18:11,400
UNITE INITIATIVE TO ADVANCE THE

497
00:18:11,400 --> 00:18:12,720
RESEARCH INTO HEALTH DISPARITIES

498
00:18:12,720 --> 00:18:14,920
AND PROMOTE HEALTH EQUITY. THE

499
00:18:14,920 --> 00:18:19,480
COMMON FUND WHICH IS A FUND

500
00:18:19,480 --> 00:18:21,160
ADMINISTERD BY THE NIH DIRECTOR

501
00:18:21,160 --> 00:18:24,440
HAS JUST AGREED LAST WEEK TO

502
00:18:24,440 --> 00:18:26,120
FUND A LARGE MULTI-FACETED

503
00:18:26,120 --> 00:18:28,640
INITIATIVE FOCUSED ON STRUCTURAL

504
00:18:28,640 --> 00:18:30,600
DETERMINANTS OF HEALTH

505
00:18:30,600 --> 00:18:33,320
INEQUALITIES CALLED COMPASS OR

506
00:18:33,320 --> 00:18:34,280
COMMUNITY PARTNERS TODAY VANCE

507
00:18:34,280 --> 00:18:35,720
SCIENCE FOR SOCIETY. I WITH

508
00:18:35,720 --> 00:18:38,720
SEVERAL FELLOW INSTITUTE

509
00:18:38,720 --> 00:18:41,560
DIRECTORS AND MANY FANTASTIC

510
00:18:41,560 --> 00:18:43,240
SCIENTISTS FROM ACROSS THE

511
00:18:43,240 --> 00:18:45,520
EXTRAMURAL SIDE OF THE VARIOUS

512
00:18:45,520 --> 00:18:47,240
INSTITUTES INVOLVED, HAVE

513
00:18:47,240 --> 00:18:50,120
DESIGNED A PROGRAM WE THINK IS

514
00:18:50,120 --> 00:18:53,720
GOING TO TRANSFORM THE LANDSCAPE

515
00:18:53,720 --> 00:18:56,920
FOR HEALTH EQUITY RESEARCH

516
00:18:56,920 --> 00:18:58,520
THROUGHOUT NIH. THIS COMPASS

517
00:18:58,520 --> 00:19:00,680
INITIATIVE WILL BE COMPRISED OF

518
00:19:00,680 --> 00:19:02,840
COMMUNITY BASED PARTNERSHIPS,

519
00:19:02,840 --> 00:19:05,120
THAT WILL STUDY INTERVENTIONS

520
00:19:05,120 --> 00:19:06,120
THAT TARGET STRUCTURAL

521
00:19:06,120 --> 00:19:07,960
DETERMINANTS OF HEALTH INEQUITY.

522
00:19:07,960 --> 00:19:09,880
WHICH INVOLVE MORE THAN JUST

523
00:19:09,880 --> 00:19:12,120
HEALTHCARE SYSTEM BUT RANGE OF

524
00:19:12,120 --> 00:19:12,920
DIFFERENT CONDITIONS THAT SHAPE

525
00:19:12,920 --> 00:19:14,920
THE WAY PEOPLE ARE BORN, WAY

526
00:19:14,920 --> 00:19:16,880
THEY LIVE, WAY THEY LEARN, WORK,

527
00:19:16,880 --> 00:19:20,360
PLAY, WORSHIP AND AGE. AND THESE

528
00:19:20,360 --> 00:19:23,520
STRUCTURAL DETERMINANTS WILL BE

529
00:19:23,520 --> 00:19:24,400
ADDRESSED THROUGH INTERVENTIONS

530
00:19:24,400 --> 00:19:27,880
THAT ARE AIMED AT REDUCING THEIR

531
00:19:27,880 --> 00:19:29,720
IMPACTS ON ADVERSE HEALTH

532
00:19:29,720 --> 00:19:31,640
OUTCOMES. THE COMMUNITY BASED

533
00:19:31,640 --> 00:19:33,320
PARTNERSHIPS WILL BE ORGANIZED

534
00:19:33,320 --> 00:19:35,720
INTO A HUB AND SPOKE LIKE

535
00:19:35,720 --> 00:19:38,920
STRUCTURES WITH THE HUBS BEING

536
00:19:38,920 --> 00:19:40,280
ACADEMIC PARTNERSHIPS TO ENSURE

537
00:19:40,280 --> 00:19:41,520
THE COMMUNITY BASED ORGANIZES

538
00:19:41,520 --> 00:19:43,640
RUNNING THE INTERVENTIONS ARE

539
00:19:43,640 --> 00:19:44,920
EQUIPPED AND TRAINED TO BE ABLE

540
00:19:44,920 --> 00:19:47,800
TO CONDUCT THE RESEARCH AND THE

541
00:19:47,800 --> 00:19:51,120
RIGOROUS REPRODUCIBLE WAY AND

542
00:19:51,120 --> 00:19:51,880
SUPPORTED WITH ALL NECESSARY

543
00:19:51,880 --> 00:19:52,720
SUPPORTSES THEY NEED TO BE ABLE

544
00:19:52,720 --> 00:19:54,520
TO CONDUCT THAT RESEARCH.

545
00:19:54,520 --> 00:19:57,400
MEANWHILE VARIOUS HUBS AND

546
00:19:57,400 --> 00:19:58,840
SPOKES WILL BE CONTRIBUTING

547
00:19:58,840 --> 00:20:01,360
THEIR DATA TO COORDINATE -- DATA

548
00:20:01,360 --> 00:20:03,160
COORDINATION CENTER. IT WILL BE

549
00:20:03,160 --> 00:20:04,720
DOING MORE THAN COORDINATING

550
00:20:04,720 --> 00:20:08,360
DATA, THEY WILL BE SETTING

551
00:20:08,360 --> 00:20:10,840
COMMON DATA ELEMENTS TO ENSURE

552
00:20:10,840 --> 00:20:12,600
DATA FROM THE VARIOUS

553
00:20:12,600 --> 00:20:14,360
INTERVENTIONS THAT ARE BEING

554
00:20:14,360 --> 00:20:16,320
STUDIED CAN BE INTEGRATED INTO A

555
00:20:16,320 --> 00:20:19,800
LARGER HOLE AND CAN BE USED TO

556
00:20:19,800 --> 00:20:21,920
FOSTER IMPLEMENTATION OF THESE

557
00:20:21,920 --> 00:20:24,160
INTERVENTIONS WHEN EFFICACIOUS

558
00:20:24,160 --> 00:20:26,120
THROUGHOUT THE UNITED STATES.

559
00:20:26,120 --> 00:20:27,360
THE COORDINATION CENTER WILL BE

560
00:20:27,360 --> 00:20:29,520
PARTNERED WITH NATIONAL HEALTH

561
00:20:29,520 --> 00:20:31,080
EQUITY RESEARCH ASSEMBLY,

562
00:20:31,080 --> 00:20:33,120
ASSEMBLY OF COMMUNITY MEMBERS

563
00:20:33,120 --> 00:20:34,920
ACADEMICS, POLICY MAKERS, THAT

564
00:20:34,920 --> 00:20:36,600
WILL ENSURE THAT THE RESEARCH

565
00:20:36,600 --> 00:20:38,240
BEING CONDUCTED THROUGHOUT THE

566
00:20:38,240 --> 00:20:40,560
PROJECT MEETS THE NEEDS OF THE

567
00:20:40,560 --> 00:20:42,080
WIDER COMMUNITIES AND STAKE

568
00:20:42,080 --> 00:20:43,520
HOLDERS INVOLVED.  THIS IS AN

569
00:20:43,520 --> 00:20:45,000
EXCITING PARTNERSHIP, WE LOOK

570
00:20:45,000 --> 00:20:46,080
FORWARD TO TELLING YOU MORE

571
00:20:46,080 --> 00:20:54,120
ABOUT IT OVER THE COMING YEARS. 

572
00:20:54,120 --> 00:20:56,560
ANOTHER IMPORTANT NIH WIDE

573
00:20:56,560 --> 00:20:59,520
ACTIVITY THAT NIMH IS EMBEDD IN

574
00:20:59,520 --> 00:21:01,120
IS NIH RECOVERY INITIATIVE, AN

575
00:21:01,120 --> 00:21:04,160
INITIATIVE THAT AIMS TO STUDY

576
00:21:04,160 --> 00:21:05,840
LONG COVID SO CALLED LONG COVID

577
00:21:05,840 --> 00:21:08,400
OR POST ACUTE SEQUELAE OF

578
00:21:08,400 --> 00:21:11,360
COVID-19, NOT JUST STUDY BUT

579
00:21:11,360 --> 00:21:12,280
DEVELOP AND TEST INTERVENTIONS

580
00:21:12,280 --> 00:21:14,120
AIMED AT REDUCING THE ADVERSE

581
00:21:14,120 --> 00:21:17,120
IMPACTS OF THAT SYNDROME. THE

582
00:21:17,120 --> 00:21:18,840
NIH RECOVERY INITIATIVE

583
00:21:18,840 --> 00:21:20,920
LAUNCHED, SPENT NEARLY $570

584
00:21:20,920 --> 00:21:22,520
MILLION TO BUILD A NATIONAL

585
00:21:22,520 --> 00:21:24,640
STUDY POPULATION OF DIVERSE

586
00:21:24,640 --> 00:21:25,960
RESEARCH VOLUNTEERS AND SUPPORT

587
00:21:25,960 --> 00:21:28,120
LARGE SCALE STUDIES BOTH ON THE

588
00:21:28,120 --> 00:21:30,040
EFFECT AND OF INTERVENTION SO WE

589
00:21:30,040 --> 00:21:32,600
ARE PLEASED TO HAVE BEEN ABLE TO

590
00:21:32,600 --> 00:21:33,840
HELP LAUNCH THIS INITIATIVE

591
00:21:33,840 --> 00:21:35,240
THAT'S BEING LED BY NUMBER OF MY

592
00:21:35,240 --> 00:21:37,040
COLLEAGUES INCLUDING WALTER

593
00:21:37,040 --> 00:21:41,800
KORESHETS OF NINDS.  SPEAKING OF

594
00:21:41,800 --> 00:21:43,600
PARTNERSHIPS WITH NINDS, AND

595
00:21:43,600 --> 00:21:44,760
OTHER INSTITUTES, I WANTED TO

596
00:21:44,760 --> 00:21:46,120
GIVE YOU A COUPLE OF UPDATES

597
00:21:46,120 --> 00:21:49,040
FROM THE BRAIN RESEARCH

598
00:21:49,040 --> 00:21:52,040
INITIATIVE, THE BRAIN RESEARCH

599
00:21:52,040 --> 00:21:54,320
THROUGH ADVANCING INNOVATIVE

600
00:21:54,320 --> 00:21:54,920
NEUROTECHNOLOGIES INITIATIVE.

601
00:21:54,920 --> 00:21:55,760
THIS IS SUPPORTED BY

602
00:21:55,760 --> 00:21:58,440
APPROPRIATIONS TO EACH OF NINE

603
00:21:58,440 --> 00:22:00,680
DIFFERENT INSTITUTES ACROSS THE

604
00:22:00,680 --> 00:22:03,080
NIH AND ALSO SEPARATE

605
00:22:03,080 --> 00:22:06,200
APPROPRIATIONS THROUGH THE CURES

606
00:22:06,200 --> 00:22:07,760
ACT. A COUPLE OF UPDATES FROM

607
00:22:07,760 --> 00:22:09,440
THIS PROGRAM, SIX BRAIN

608
00:22:09,440 --> 00:22:10,720
INITIATIVE FUNDED SCIENTISTS

609
00:22:10,720 --> 00:22:12,320
SELECTED TO THE NIH HIGH RISK

610
00:22:12,320 --> 00:22:17,120
HIGH REWARD RESEARCH PROGRAMS.

611
00:22:17,120 --> 00:22:19,400
AND REALLY THE BRAIN HAS BECOME

612
00:22:19,400 --> 00:22:23,640
A LEADER ENSURING EFFORTS TO

613
00:22:23,640 --> 00:22:24,920
ENHANCE WORK FORCE DIVERSITY AS

614
00:22:24,920 --> 00:22:26,000
BRAIN INITIATIVE APPLICANTS ARE

615
00:22:26,000 --> 00:22:28,000
REQUIRED TO SUBMIT A PLAN FOR

616
00:22:28,000 --> 00:22:29,560
ENHANCING DIVERSE PERSPECTIVES

617
00:22:29,560 --> 00:22:30,880
ALONG WITH RESEARCH PLANS FOR

618
00:22:30,880 --> 00:22:32,560
GRANT APPLICATIONS AND WE ARE

619
00:22:32,560 --> 00:22:34,800
FOLLOWING CLOSELY THE EFFICACY

620
00:22:34,800 --> 00:22:37,120
OF THIS PROCEDURE IN TERMS OF

621
00:22:37,120 --> 00:22:39,640
ENHANCING DIVERSITY AND HOPE TO

622
00:22:39,640 --> 00:22:43,440
DOCK THIS AT NIMH SOON. IN TERMS

623
00:22:43,440 --> 00:22:45,360
OF SCIENCE NEWS COMING OUT OF

624
00:22:45,360 --> 00:22:47,400
THE BRAIN, IN OCTOBER A REAL

625
00:22:47,400 --> 00:22:50,880
BLOCKBUSTER EVENT HAPPENED, THE

626
00:22:50,880 --> 00:22:53,320
NIH FUNDED BRAIN INITIATIVE CELL

627
00:22:53,320 --> 00:22:54,920
CENSUS NETWORK PUBLISHED ATLAS

628
00:22:54,920 --> 00:22:58,720
OF THE MOTOR CORTEX, THIS

629
00:22:58,720 --> 00:23:00,520
COLLABORATIVE WORK ENGAGED MORE

630
00:23:00,520 --> 00:23:03,000
THAN 250 SCIENTISTS AT NEARLY 50

631
00:23:03,000 --> 00:23:04,320
INSTITUTIONS, RESULTED IN

632
00:23:04,320 --> 00:23:06,440
SIMULTANEOUS PUBLICATION OF OVER

633
00:23:06,440 --> 00:23:10,560
20 DIFFERENT DOCUMENTS. AND A

634
00:23:10,560 --> 00:23:11,760
DROVE OF DATA DISSECTING THE

635
00:23:11,760 --> 00:23:12,520
MANY DIFFERENT CELL TYPES THAT

636
00:23:12,520 --> 00:23:16,320
MAKE UP THE MOTOR CORTEX. THIS

637
00:23:16,320 --> 00:23:18,720
PILOT PROJECT SETS A PATH WHICH

638
00:23:18,720 --> 00:23:20,040
WE CAN UNDERSTAND DIVERSITY OF

639
00:23:20,040 --> 00:23:21,720
CELL TYPES UNDERLYING CORTICAL

640
00:23:21,720 --> 00:23:23,920
REGIONS AND INDEED OTHER REGIONS

641
00:23:23,920 --> 00:23:26,920
OF THE BRAIN. ACROSS MULTIPLE

642
00:23:26,920 --> 00:23:28,920
SPECIES. AND LAYS FOUNDATION TO

643
00:23:28,920 --> 00:23:32,120
UNDERSTAND THEIR FUNCTIONAL

644
00:23:32,120 --> 00:23:33,840
IMPACT. WE ARE EXCITED ABOUT THE

645
00:23:33,840 --> 00:23:35,680
FIRST EFFORT BY DICCN AND LOOK

646
00:23:35,680 --> 00:23:39,040
FORWARD TO MORE IN THE FUTURE.  

647
00:23:39,040 --> 00:23:41,360
SO FROM THE NIH LET'S TURN TO

648
00:23:41,360 --> 00:23:43,880
NIMH TO GIVE YOU SOME NIMH NEWS

649
00:23:43,880 --> 00:23:49,040
TO KNOW. WE CONTINUE TO BE

650
00:23:49,040 --> 00:23:50,800
INVOLVED IN MESSAGING AND

651
00:23:50,800 --> 00:23:55,200
RESEARCH IN RESPONSE TO COVID-19

652
00:23:55,200 --> 00:23:56,480
COVID-19. WE HAVE PUT OUT A

653
00:23:56,480 --> 00:23:59,400
NUMBER OF DIFFERENT MESSAGES

654
00:23:59,400 --> 00:24:01,840
WHETHER IT BE DIRECTORS MESSAGE

655
00:24:01,840 --> 00:24:03,720
FROM MYSELF OR PUBLIC SERVICE

656
00:24:03,720 --> 00:24:04,920
MESSAGING HELPING CHILDREN

657
00:24:04,920 --> 00:24:06,800
ADOLESCENTS COPE WITH COVID-19

658
00:24:06,800 --> 00:24:09,880
DIRECTING THE PUBLIC TO

659
00:24:09,880 --> 00:24:13,720
RESOURCES THEY CAN USE. WE KNOW

660
00:24:13,720 --> 00:24:14,920
THAT YOUTH MENTAL HEALTH IS

661
00:24:14,920 --> 00:24:16,080
PARTICULARLY AT RISK IN THIS

662
00:24:16,080 --> 00:24:18,520
PANDEMIC AND WE WANT TO HELP

663
00:24:18,520 --> 00:24:19,640
PARTICIPATE IN WHATEVER EFFORTS

664
00:24:19,640 --> 00:24:20,360
ARE NECESSARY TO COUNTER THAT

665
00:24:20,360 --> 00:24:25,120
THREAT.  WE HAVE ALSO RELEASED

666
00:24:25,120 --> 00:24:27,960
TWO NOTICES WITH REGARD TO --

667
00:24:27,960 --> 00:24:31,640
NOTICE OF SPECIAL INTEREST,

668
00:24:31,640 --> 00:24:35,480
THREE, AND NOTICES CALLING FOR

669
00:24:35,480 --> 00:24:37,040
RESEARCH ON COVID-19 MENTAL

670
00:24:37,040 --> 00:24:38,640
HEALTH IMPACT, ENCOURAGE THOSE

671
00:24:38,640 --> 00:24:40,080
OF YOU IN THE FIELD WHO ARE

672
00:24:40,080 --> 00:24:41,600
INTERESTED IN THIS TO LOOK AT

673
00:24:41,600 --> 00:24:46,560
THOSE NOTICES. AND TO APPLY FOR

674
00:24:46,560 --> 00:24:48,320
FUNDS FOR -- TO UNDERSTAND AND

675
00:24:48,320 --> 00:24:49,840
TO MITIGATE MENTAL HEALTH IMPACT

676
00:24:49,840 --> 00:24:52,960
OF COVID-19. WE ARE NOT THE ONLY

677
00:24:52,960 --> 00:24:54,320
ONES TO RECOGNIZE THE IMPORTANCE

678
00:24:54,320 --> 00:24:56,240
OF YOUTH MENTAL HEALTH IN THIS

679
00:24:56,240 --> 00:24:58,920
AGE, ONE OF THE MOST IMPORTANT

680
00:24:58,920 --> 00:24:59,920
MEMBERS OF THE GOVERNMENT IN

681
00:24:59,920 --> 00:25:01,280
TERMS OF SAFEGUARDING OUR HEALTH

682
00:25:01,280 --> 00:25:03,760
IS THE SURGEON GENERAL AND DR.

683
00:25:03,760 --> 00:25:06,760
VIVEK MURTHY AND OFFICE RELEASED

684
00:25:06,760 --> 00:25:07,920
A U.S. SURGEON GENERAL'S

685
00:25:07,920 --> 00:25:09,000
ADVISORY DESCRIBING THE IMPACT

686
00:25:09,000 --> 00:25:10,560
OF THE PANDEMIC ON YOUTH MENTAL

687
00:25:10,560 --> 00:25:12,800
HEALTH, THIS IS A DOCUMENT THAT

688
00:25:12,800 --> 00:25:14,520
IS REALLY AN OUTSTANDING

689
00:25:14,520 --> 00:25:15,960
DOCUMENT, I ENCOURAGE THOSE OF

690
00:25:15,960 --> 00:25:19,640
YOU INTERESTED TO READ IT. FULLY

691
00:25:19,640 --> 00:25:21,160
EXPLICATES THE THREATS TO YOUTH

692
00:25:21,160 --> 00:25:24,720
MENTAL HEALTH POSED BY PANDEMIC.
PANDEMIC.

693
00:25:24,720 --> 00:25:26,160
AND IT WILL SERVE AS A GUIDE TO

694
00:25:26,160 --> 00:25:27,920
TRYING TO REDUCE THOSE IMPACTS

695
00:25:27,920 --> 00:25:29,120
THROUGH CARE AND RESEARCH

696
00:25:29,120 --> 00:25:36,760
THROUGH THE FUTURE. BEFORE WE

697
00:25:36,760 --> 00:25:38,720
TURN TO INDIVIDUAL NIH STAFF

698
00:25:38,720 --> 00:25:41,200
NIMH STAFF ONE MORE PIECE OF

699
00:25:41,200 --> 00:25:44,160
NEWS OF INTEREST TO THE

700
00:25:44,160 --> 00:25:47,720
COMMUNITY, THE IACC HAS HELD TWO

701
00:25:47,720 --> 00:25:49,960
VIRTUAL MEETINGS SINCE

702
00:25:49,960 --> 00:25:51,280
REINSTANTIATED LAST SUMMER AND

703
00:25:51,280 --> 00:25:52,920
OFFICE OF AUTISM RESEARCH

704
00:25:52,920 --> 00:25:54,280
COORDINATION ISSUED REQUEST FOR

705
00:25:54,280 --> 00:25:55,320
INFORMATION TO INFORM DEVELOP OF

706
00:25:55,320 --> 00:25:57,160
THE THE NEXT VERSION OF THE IACC

707
00:25:57,160 --> 00:25:58,680
STRATEGIC PLAN, ENCOURAGE YOU

708
00:25:58,680 --> 00:26:03,080
VISIT THE IACC WEBSITE, TO TO

709
00:26:03,080 --> 00:26:04,960
FIND OUT MORE INFORMATION ABOUT

710
00:26:04,960 --> 00:26:06,120
THESE EFFORTS AND LOOK FORWARD

711
00:26:06,120 --> 00:26:07,640
TO LEARNING MORE FROM OUR

712
00:26:07,640 --> 00:26:09,480
VARIOUS STAKEHOLDER COMMUNITY

713
00:26:09,480 --> 00:26:12,320
MEMBERS ON THE IACC. NOW LET'S

714
00:26:12,320 --> 00:26:15,120
TURN TO NIMH STAFF. FIRST WE TRY

715
00:26:15,120 --> 00:26:16,600
WHERE WE CAN TO CELEBRATE HONORS

716
00:26:16,600 --> 00:26:19,120
AND AWARDS AND TWO MEMBERS

717
00:26:19,120 --> 00:26:20,280
RECEIVED TWO OF THE MEMBERS OF

718
00:26:20,280 --> 00:26:21,840
OUR INTRAMURAL RESEARCH PROGRAM

719
00:26:21,840 --> 00:26:24,160
HAVE RECENTLY RECEIVED VERY HIGH

720
00:26:24,160 --> 00:26:25,920
ACCOLADES INDEED.  DR. ELIZABETH

721
00:26:25,920 --> 00:26:27,920
MURRAY, CHIEF OF THE SECTION ON

722
00:26:27,920 --> 00:26:29,640
NEUROBIOLOGY LEARNING AM MEMORY

723
00:26:29,640 --> 00:26:32,080
AND LABORATORY OF

724
00:26:32,080 --> 00:26:33,120
NEUROPSYCHOLOGY RESEARCH

725
00:26:33,120 --> 00:26:35,480
PROGRAM, RECEIVED THE GOLDMAN

726
00:26:35,480 --> 00:26:36,720
RAKIC PRIZE FOR OUTSTANDING

727
00:26:36,720 --> 00:26:37,840
ACHIEVEMENT IN COGNITIVE

728
00:26:37,840 --> 00:26:42,880
RESEARCH AND DR. LESLIE

729
00:26:42,880 --> 00:26:44,080
UNGERLEIDER, CHIEF OF LABORATORY

730
00:26:44,080 --> 00:26:48,440
BRAIN AND COGNITION AND NIMH IRP

731
00:26:48,440 --> 00:26:53,280
RECEIVED A SITE FOR SOCIETY FOR

732
00:26:53,280 --> 00:26:55,400
NEUROSCIENCE PATRICIA HALL HONOR

733
00:26:55,400 --> 00:26:58,240
AWARD.  OTHER NEWS INCLUDE

734
00:26:58,240 --> 00:26:59,400
RECRUITMENTS YOU HEARD YESTERDAY

735
00:26:59,400 --> 00:27:00,680
IN CLOSE SESSION FOR COUNCIL

736
00:27:00,680 --> 00:27:02,000
MEMBER OF MANY DEVELOPMENTS OVER

737
00:27:02,000 --> 00:27:04,040
THE LAST YEAR IN THE INTRAMURAL

738
00:27:04,040 --> 00:27:05,080
RESEARCH PROGRAM, ONE OF THE

739
00:27:05,080 --> 00:27:09,200
MOST RECENT DR. SYLVIA LOPED

740
00:27:09,200 --> 00:27:11,280
GUZMAN JOINED THE PROGRAM AS A

741
00:27:11,280 --> 00:27:12,560
TENURE TRACK INVESTIGATOR AND

742
00:27:12,560 --> 00:27:14,080
CHIEF OF THE UNIT ON

743
00:27:14,080 --> 00:27:15,120
COMPUTATIONAL DECISION ON

744
00:27:15,120 --> 00:27:17,160
NEUROSCIENCE. REALLY EXCITED

745
00:27:17,160 --> 00:27:19,320
PERSONALLY DR. GUZMAN JOINED US

746
00:27:19,320 --> 00:27:22,840
BEEFING UP OUR CLINICAL AND OUR

747
00:27:22,840 --> 00:27:23,920
COMPUTATIONAL EFFORTS WITHIN THE

748
00:27:23,920 --> 00:27:28,040
INTRAMURAL RESEARCH PROGRAM. NOW

749
00:27:28,040 --> 00:27:31,200
ON TO BITTERSWEET NEWS WE HAVE

750
00:27:31,200 --> 00:27:35,720
RETIREMENTS TO TELL YOU ABOUT.  

751
00:27:35,720 --> 00:27:36,800
FIRST I WANT TO MENTION THE

752
00:27:36,800 --> 00:27:40,360
FIRST PUBLIC ANNOUNCEN'T, DR.

753
00:27:40,360 --> 00:27:42,760
ROBERT HEINSSEN DIRECTOR OF

754
00:27:42,760 --> 00:27:43,840
DIVISION OF SERVICE AND

755
00:27:43,840 --> 00:27:45,280
INTERVENTION RESEARCH SINCE 2009

756
00:27:45,280 --> 00:27:46,680
WILL STEP DOWN FROM THAT ROLE IN

757
00:27:46,680 --> 00:27:53,120
JUNE OF 2022. DR. HEINSSEN HAS

758
00:27:53,120 --> 00:27:56,760
BEEN A REMARKABLE LEADER KNOWN

759
00:27:56,760 --> 00:27:59,240
FAR AND WIDE FOR HIS EFFORTS ON

760
00:27:59,240 --> 00:28:01,480
KEY INITIATIVES AIMED AT EARLY

761
00:28:01,480 --> 00:28:03,240
PSYCHOSIS FIRST EPISODE

762
00:28:03,240 --> 00:28:06,200
PSYCHOSIS, SUICIDE PREVENTION

763
00:28:06,200 --> 00:28:07,080
AND PRAYD BY IMPLEMENTATION OF

764
00:28:07,080 --> 00:28:08,000
EVIDENCE BASE SERVICES IN REAL

765
00:28:08,000 --> 00:28:10,520
WORLD SETTINGS SETTINGS. HE WAS
PRINCIPLE

766
00:28:10,520 --> 00:28:12,320
ARCHITECT OF EARLY PSYCHOSIS IN

767
00:28:12,320 --> 00:28:15,960
PREVENTION NETWORK OR EPI NET

768
00:28:15,960 --> 00:28:17,920
FOR PEOPLE WITH SERIOUS MENTAL

769
00:28:17,920 --> 00:28:19,720
ILLNESS. HIS LEADERSHIP PLAYED

770
00:28:19,720 --> 00:28:22,040
AN IMPORTANT ROLE IN

771
00:28:22,040 --> 00:28:24,920
TRANSFORMING THE CARE OF FIRST

772
00:28:24,920 --> 00:28:26,000
PSYCHOSIS THROUGHOUT THE UNITED

773
00:28:26,000 --> 00:28:28,120
STATES BY ENSURING THAT

774
00:28:28,120 --> 00:28:29,200
COORDINATED SPECIALTY CARE IS

775
00:28:29,200 --> 00:28:32,520
AVAILABLE TO THOUSANDS OF

776
00:28:32,520 --> 00:28:34,160
INDIVIDUALS THROUGHOUT THE

777
00:28:34,160 --> 00:28:36,240
COUNTRY. HIS LEADERSHIP

778
00:28:36,240 --> 00:28:38,400
PROMOTING EVIDENCE BASED PERSON

779
00:28:38,400 --> 00:28:39,000
CENTERED TREATMENT FOR SERIOUS

780
00:28:39,000 --> 00:28:43,520
MENTAL ILLNESS IS REALLY

781
00:28:43,520 --> 00:28:44,800
UNPARALLELED HE WON MANY

782
00:28:44,800 --> 00:28:46,000
AREGARDS FOR SERVICE INCLUDING

783
00:28:46,000 --> 00:28:47,440
THE 2019 DISTINGUISHED SERVICE

784
00:28:47,440 --> 00:28:49,280
AWARD FOR NATIONAL ALLIANCE ON

785
00:28:49,280 --> 00:28:51,160
MENTAL ILLNESS AND PERSONALLY I

786
00:28:51,160 --> 00:28:53,080
HAVE TO SAY BOB HAS BEEN

787
00:28:53,080 --> 00:28:57,400
TREMENDOUS MENTOR AN ADVISOR TO

788
00:28:57,400 --> 00:28:59,360
ME TEACH ME AS MUCH AS I CAN

789
00:28:59,360 --> 00:29:00,960
LEARN ABOUT INTERVENTION

790
00:29:00,960 --> 00:29:02,240
RESEARCH, SERVICES RESEARCH,

791
00:29:02,240 --> 00:29:02,920
IMPLEMENTATION RESEARCH, AND

792
00:29:02,920 --> 00:29:10,320
MORE. AND HOW WE CAN DO OUR BEST

793
00:29:10,320 --> 00:29:12,600
TO ENSURE NIMH RESEARCH HAS

794
00:29:12,600 --> 00:29:14,320
PUBLIC HEALTH IMPACT SO I WANT

795
00:29:14,320 --> 00:29:17,480
TO THANK BOB PERSONALLY FOR BOB,

796
00:29:17,480 --> 00:29:21,800
YOU FOR YOUR SERVICE, IT IS

797
00:29:21,800 --> 00:29:23,360
REMARKABLE WORKING WITH YOU, I

798
00:29:23,360 --> 00:29:24,360
WILL ENJOY CONTINUING TO WORK

799
00:29:24,360 --> 00:29:26,160
WITH YOU, AS YOU KNOW ALTHOUGH

800
00:29:26,160 --> 00:29:30,520
HE'S STEPPING DOWN FROM HIS

801
00:29:30,520 --> 00:29:31,280
DIRECTORSHIP OF THE DIVISION HE

802
00:29:31,280 --> 00:29:32,640
WILL JOIN MY OFFICE OFFICE OF

803
00:29:32,640 --> 00:29:34,160
DIRECTOR SERVING AS SENIOR

804
00:29:34,160 --> 00:29:38,560
ADVISOR SPECIFICALLY IN THESE

805
00:29:38,560 --> 00:29:40,520
AREAS ENSURING THE PUBLIC HEALTH

806
00:29:40,520 --> 00:29:42,320
IMPACT OF NIMH RESEARCH. A

807
00:29:42,320 --> 00:29:43,600
NATIONAL SEARCH FOR REPLACEMENT

808
00:29:43,600 --> 00:29:44,760
WILL BEGIN SOON. IF YOU ARE

809
00:29:44,760 --> 00:29:49,320
INTERESTED IN THAT, COME AND

810
00:29:49,320 --> 00:29:55,880
TALK TO ME. THERE'S OTHER STAFF

811
00:29:55,880 --> 00:29:56,720
TRANSITIONS, FOUR MEMBERS

812
00:29:56,720 --> 00:29:58,080
RETIRED IN THE LAST SEVERAL

813
00:29:58,080 --> 00:30:03,120
MONTHS INCLUDING BARBARA LIPSKA,

814
00:30:03,120 --> 00:30:06,120
ROBERT COX. CHRISTIAN GRILLON

815
00:30:06,120 --> 00:30:08,840
AND CAROLYN BEEBE SMITH. ALL

816
00:30:08,840 --> 00:30:10,240
OUTSTANDING CONTRIBUTORS TO THE

817
00:30:10,240 --> 00:30:11,560
PROGRAM IN A MYRIAD OF WAYS TO

818
00:30:11,560 --> 00:30:13,000
SCIENCE THAT WE DO AND THEY WILL

819
00:30:13,000 --> 00:30:18,640
BE MISSED. ALSO MISSED ARE TWO

820
00:30:18,640 --> 00:30:20,320
NIMH LISTENING TERM STAFF WHO

821
00:30:20,320 --> 00:30:23,120
PASSED AWAY IN THE LAST SEVERAL

822
00:30:23,120 --> 00:30:26,560
MONTHS. MORT MISHKIN FORMER

823
00:30:26,560 --> 00:30:29,800
CHIEF OF THE NIMH LABORATORY OF

824
00:30:29,800 --> 00:30:31,000
NEUROPSYCHOLOGY AND GIANT IN

825
00:30:31,000 --> 00:30:32,840
COGNITIVE NEUROSCIENCE PASSED

826
00:30:32,840 --> 00:30:34,520
AWAY AFTER A LONG AND SUCCESSFUL

827
00:30:34,520 --> 00:30:38,280
CAREER THAT INCLUDED ELECTION

828
00:30:38,280 --> 00:30:39,960
NATIONAL ACADEMY OF SCIENCE,

829
00:30:39,960 --> 00:30:43,000
ACADEMY OF MEDICINE AND NUMEROUS

830
00:30:43,000 --> 00:30:45,520
OTHER ACCOLADES AND AWARDS.

831
00:30:45,520 --> 00:30:46,440
DAVID SCHORR FORMER ACTING

832
00:30:46,440 --> 00:30:48,400
DIRECTOR OF DSIR AND FORMER

833
00:30:48,400 --> 00:30:49,720
ACTING DIRECTOR OF DIVISION AND

834
00:30:49,720 --> 00:30:50,800
CLINICAL TREATMENT RESEARCH ALSO

835
00:30:50,800 --> 00:30:53,160
PASSED RECENTLY. HE BEGAN AS A

836
00:30:53,160 --> 00:30:54,920
RESEARCHER BUT LATER TOOK ON

837
00:30:54,920 --> 00:30:56,920
NUMBER OF DIFFERENT ROLES

838
00:30:56,920 --> 00:30:58,600
THROUGHOUT NIMH INCLUDING

839
00:30:58,600 --> 00:31:00,200
ASSOCIATE DIRECTOR FOR CLINICAL

840
00:31:00,200 --> 00:31:01,240
RESEARCH IN THE INTRAMURAL

841
00:31:01,240 --> 00:31:02,040
RESEARCH PROGRAM. HIS

842
00:31:02,040 --> 00:31:04,720
CONTRIBUTIONS TO NIMH RESEARCH

843
00:31:04,720 --> 00:31:06,400
HAVE BEEN RECOGNIZED TO MANY

844
00:31:06,400 --> 00:31:09,320
AWARDS INCLUDING NAMI EXEMPLARY

845
00:31:09,320 --> 00:31:10,920
PSYCHIATRIST AWARD. HE WILL BE

846
00:31:10,920 --> 00:31:12,040
REMEMBERED FOR LIFE LONG

847
00:31:12,040 --> 00:31:13,720
COMMITMENT TO ADVANCING

848
00:31:13,720 --> 00:31:16,280
BIOETHICS AND IMPROVING THE

849
00:31:16,280 --> 00:31:24,560
ETHICS OF RESEARCH PARTICIPANTS.

850
00:31:24,560 --> 00:31:27,600
NOW WE CAN TURN TO SCIENCE

851
00:31:27,600 --> 00:31:28,720
HIGHLIGHTS, WHAT IS EXCITING

852
00:31:28,720 --> 00:31:30,560
WHAT IS NEW IN TERMS OF WHAT

853
00:31:30,560 --> 00:31:37,440
NIMH HAS BEEN SUPPORTING.  FOR

854
00:31:37,440 --> 00:31:38,880
COLOR YOU SHOULD KNOW DIVISIONS

855
00:31:38,880 --> 00:31:39,800
EACH COMPETE WITH NUMBER OF

856
00:31:39,800 --> 00:31:41,320
DIFFERENT NOMINATIONS AND

857
00:31:41,320 --> 00:31:41,880
THERE'S ALWAYS TOO MUCH GOOD

858
00:31:41,880 --> 00:31:45,280
SCIENCE TO HIGHLIGHT I DO MY

859
00:31:45,280 --> 00:31:46,640
BEST TO TRY TO PROVIDE

860
00:31:46,640 --> 00:31:48,200
REPRESENTATIVES SAMPLING OF WHAT

861
00:31:48,200 --> 00:31:49,880
IS GOING ON SO I HAVE THREE

862
00:31:49,880 --> 00:31:52,240
BRIEF STORIES TO TELL YOU ABOUT

863
00:31:52,240 --> 00:31:55,040
TODAY THAT WE ARE EXCITED ABOUT.

864
00:31:55,040 --> 00:31:56,400
IT IS UNFORTUNATE THAT I DON'T

865
00:31:56,400 --> 00:31:57,720
HAVE ENOUGH TIME TO TELL YOU

866
00:31:57,720 --> 00:31:59,560
ABOUT ALL THE MANY HUNDREDS OF

867
00:31:59,560 --> 00:32:02,880
THE MORE NOMINATIONS.  ONE OF

868
00:32:02,880 --> 00:32:03,800
THE THINGS WE ARE DEEPLY

869
00:32:03,800 --> 00:32:07,000
INTERESTED IN AT NIMH IS

870
00:32:07,000 --> 00:32:10,120
UNDERSTANDING THE --

871
00:32:10,120 --> 00:32:11,520
UNDERSTANDING BEHAVIOR, HOW IT

872
00:32:11,520 --> 00:32:15,240
RATES TO MENTAL ILLNESS AND

873
00:32:15,240 --> 00:32:16,800
IMPORTANTLY ONE ADVANCE IN OUR

874
00:32:16,800 --> 00:32:18,760
ABILITY TO UNDERSTAND BEHAVIOR

875
00:32:18,760 --> 00:32:20,800
HAS BEEN APPLICATION OF

876
00:32:20,800 --> 00:32:22,520
COMPUTATIONAL TOOLS TO DISSECT

877
00:32:22,520 --> 00:32:24,040
BEHAVIOR INTO COMPONENT PARTS

878
00:32:24,040 --> 00:32:25,600
AND USE THAT DISSECTION TO MAP

879
00:32:25,600 --> 00:32:27,400
THE COMPONENT PARTS OF BEHAVIOR

880
00:32:27,400 --> 00:32:33,480
ON TO BRAIN FUNCTION. THIS PAPER

881
00:32:33,480 --> 00:32:37,120
BY SOOJUMG NA AND MANY OTHER

882
00:32:37,120 --> 00:32:38,760
COLLEAGUES IS REALLY A SHINING

883
00:32:38,760 --> 00:32:41,320
EXAMPLE OF THAT EFFORT. ONE OF

884
00:32:41,320 --> 00:32:43,320
THE MAIN THINGS WE NEED TO

885
00:32:43,320 --> 00:32:44,920
UNDERSTAND IN -- IF WE ARE TO BE

886
00:32:44,920 --> 00:32:46,920
ABLE TO HELP THOSE WITH MENTAL

887
00:32:46,920 --> 00:32:49,120
ILLNESS IS SOCIAL FUNCTION. MANY

888
00:32:49,120 --> 00:32:50,560
DIFFERENT MENTAL ILLNESSES

889
00:32:50,560 --> 00:32:52,120
AFFECT OUR ABILITY TO FUNCTION

890
00:32:52,120 --> 00:32:53,280
WITHIN THE COMPLEX SOCIAL

891
00:32:53,280 --> 00:32:54,520
ENVIRONMENT IN WHICH WE LIVE AND

892
00:32:54,520 --> 00:32:56,160
OF COURSE THOSE COMPLEX

893
00:32:56,160 --> 00:32:58,640
ENVIRONMENTS ARE ALSO A SOURCE

894
00:32:58,640 --> 00:33:00,640
OF STRESS AND RISK FACTORS FOR

895
00:33:00,640 --> 00:33:03,120
MENTAL ILLNESS AND WE ALL KNOW

896
00:33:03,120 --> 00:33:04,600
THIS BECAUSE OF OUR OWN

897
00:33:04,600 --> 00:33:07,720
EMOTIONAL REACTIONS TO THE

898
00:33:07,720 --> 00:33:09,080
DECREASES IN SOCIAL

899
00:33:09,080 --> 00:33:09,640
CONNECTEDNESS WE HAVE ALL

900
00:33:09,640 --> 00:33:11,840
EXPERIENCED IN THE CONTEXT OF

901
00:33:11,840 --> 00:33:12,960
THE PANDEMIC. SO UNDERSTANDING

902
00:33:12,960 --> 00:33:14,640
THE NEURAL MECHANISMS BY WHICH

903
00:33:14,640 --> 00:33:16,640
WE NAVIGATE THIS COMPLEX SOCIAL

904
00:33:16,640 --> 00:33:19,520
WORLD IS A KEY GOAL OF NIMH

905
00:33:19,520 --> 00:33:20,880
RESEARCH, THIS PAPER TRIES TO DO

906
00:33:20,880 --> 00:33:24,480
IT.  THEY DO IT BY TAKING ONE

907
00:33:24,480 --> 00:33:27,160
ASPECT OF THE SOCIAL

908
00:33:27,160 --> 00:33:28,080
ENVIRONMENT, AND TRYING DODIE

909
00:33:28,080 --> 00:33:30,720
SECOND IT DOWN.  THAT AS SPECK

910
00:33:30,720 --> 00:33:34,160
IS OUR ABILITY TO PREDICT PEOPLE

911
00:33:34,160 --> 00:33:36,880
AROUND US ARE GOING TO DO IN

912
00:33:36,880 --> 00:33:38,480
RESPONSE TO OUR OWN SOCIAL

913
00:33:38,480 --> 00:33:40,320
ACTIONS. THEY DO THIS BY

914
00:33:40,320 --> 00:33:42,960
STUDYING A TASK U CALLED THE

915
00:33:42,960 --> 00:33:44,120
SOCIAL CONTROL ABILITY TASK. IN

916
00:33:44,120 --> 00:33:46,120
THIS TASK, YOU ARE PLAYING A

917
00:33:46,120 --> 00:33:49,400
GAME AND THE GAME THAT YOU PLAY

918
00:33:49,400 --> 00:33:51,320
IS THAT YOU ARE WORKK WITH A

919
00:33:51,320 --> 00:33:53,480
GROUP, A TEAM, TEAM A IN THIS

920
00:33:53,480 --> 00:33:54,880
CASE IS SHOWN ON THE LEFT SIDE

921
00:33:54,880 --> 00:33:58,560
OF THE GRAPH AND THAT TEAM

922
00:33:58,560 --> 00:34:01,080
RECEIVES ON EACH OF MANY TRIALS,

923
00:34:01,080 --> 00:34:04,520
40 TRIALS OR SO, RECEIVES A $20

924
00:34:04,520 --> 00:34:06,520
REWARD. AND THAT TEAM THEN

925
00:34:06,520 --> 00:34:08,160
PROPOSES TO SHARE SOME AMOUNT OF

926
00:34:08,160 --> 00:34:10,960
THAT REWARD WITH YOU. IN THIS

927
00:34:10,960 --> 00:34:15,240
CASE EXAMPLE, THE MEMBER SAYS I

928
00:34:15,240 --> 00:34:16,720
GOT 20 BUCKS I WILL SHARE FIVE

929
00:34:16,720 --> 00:34:18,400
WITH YOU. AND YOU CAN EITHER

930
00:34:18,400 --> 00:34:20,080
ACCEPT THAT, 5 BECAUSE YOU FEEL

931
00:34:20,080 --> 00:34:21,520
IT IS FAIR, YOU DESERVE THAT $5

932
00:34:21,520 --> 00:34:22,960
OR REJECT IT BECAUSE YOU FEEL

933
00:34:22,960 --> 00:34:25,920
LIKE YOU KNOW WHAT, I DON'T -- I

934
00:34:25,920 --> 00:34:27,720
DESERVE MORE OF THE $5. WE WORK

935
00:34:27,720 --> 00:34:28,880
TOGETHER TO GET THAT REWARD AND

936
00:34:28,880 --> 00:34:31,320
YOU SHOULD GIVE ME MORE THAN $5.

937
00:34:31,320 --> 00:34:32,600
IF YOU ACCEPT IT YOU RECEIVE IF

938
00:34:32,600 --> 00:34:34,960
YOU REJECT YOU DON'T. AND THEN

939
00:34:34,960 --> 00:34:36,320
YOU RATE HOW YOU FEEL AFTER THAT

940
00:34:36,320 --> 00:34:37,440
WHATEVER YOU EXPERIENCE AND THEN

941
00:34:37,440 --> 00:34:41,000
THE NEXT TRIAL HAPPENS.  AND YOU

942
00:34:41,000 --> 00:34:42,360
DO THIS FOR 40 TRIALS. THE

943
00:34:42,360 --> 00:34:44,040
REASON THIS IS A SOCIAL GAME IS

944
00:34:44,040 --> 00:34:45,680
BECAUSE MEMBERS OF THE TEAM A

945
00:34:45,680 --> 00:34:47,040
THEY DON'T ACTUALLY GET THE

946
00:34:47,040 --> 00:34:49,040
REWARD UNLESS YOU SHARE IT WITH

947
00:34:49,040 --> 00:34:51,040
THEM. SO THEY HAVE AN INCENTIVE

948
00:34:51,040 --> 00:34:52,320
TO TRY THE GIVE A FAIR AMOUNT OF

949
00:34:52,320 --> 00:34:53,720
THE REWARD AND ENOUGH FOR YOU TO

950
00:34:53,720 --> 00:34:57,840
ACCEPT IT, BUT NOT ENOUGH THAT

951
00:34:57,840 --> 00:34:59,600
-- BUT AS LITTLE AS YOU WILL

952
00:34:59,600 --> 00:35:00,960
ACCEPT SO THEY CAN KEEP AS MUCH

953
00:35:00,960 --> 00:35:01,840
AS POSSIBLE SO IT IS A LITTLE

954
00:35:01,840 --> 00:35:05,840
BIT OF A COMPETITIVE GAME, A

955
00:35:05,840 --> 00:35:07,520
LITTLE BIT OF A COOPERATIVE

956
00:35:07,520 --> 00:35:09,880
GAME, DEPENDENT AND COOPERATIVE

957
00:35:09,880 --> 00:35:11,320
INSTINCTS SORT OF FACE OFF

958
00:35:11,320 --> 00:35:12,560
AGAINST EACH OTHER, YOU CAN

959
00:35:12,560 --> 00:35:13,880
COLLABORATE WITH THEM AND TAKE A

960
00:35:13,880 --> 00:35:15,440
LOW AMOUNT BUT THAT MEANS YOU

961
00:35:15,440 --> 00:35:16,960
WON'T GET MUCH OVER TIME.

962
00:35:16,960 --> 00:35:18,240
THERE'S TWO VERSIONS OF THE GAME

963
00:35:18,240 --> 00:35:20,600
THESE PEOPLE PLAY. FIRST THE

964
00:35:20,600 --> 00:35:23,000
THING THAT THEY DON'T KNOW WHILE

965
00:35:23,000 --> 00:35:24,760
PLAYING IT BUT YOU KNOW AS THE

966
00:35:24,760 --> 00:35:27,000
EXPERIMENTER IS THAT TEAM A AND

967
00:35:27,000 --> 00:35:30,440
TEAM B WILL EACH PLAY 40 TRIALS,

968
00:35:30,440 --> 00:35:31,840
THEY ARE DIFFERENT. IN TEAM A

969
00:35:31,840 --> 00:35:33,840
WHAT YOU DO WHETHER TO ACCEPT OR

970
00:35:33,840 --> 00:35:35,080
REJECT EACH OFFER AFFECTS WHAT'S

971
00:35:35,080 --> 00:35:38,360
GOING TO HAPPEN NEXT. AND IN

972
00:35:38,360 --> 00:35:39,800
BLOCK 2 WHATEVER YOU DO IT

973
00:35:39,800 --> 00:35:41,640
DOESN'T MATTER THE PLAYERS FROM

974
00:35:41,640 --> 00:35:43,480
TEAM B ARE GOING TO IGNORE WHAT

975
00:35:43,480 --> 00:35:45,800
YOU DO AND DECIDE TO ACCEPT OR

976
00:35:45,800 --> 00:35:49,400
RE-- TO OFFER YOU $15 OR $12 OR

977
00:35:49,400 --> 00:35:51,240
WHATEVER, REGARDLESS OF WHAT YOU

978
00:35:51,240 --> 00:35:53,320
DO. OF COURSE, THERE IS NOT ANY

979
00:35:53,320 --> 00:35:54,920
REAL TEAM A OR B, IT IS JUST A

980
00:35:54,920 --> 00:35:56,200
COMPUTER PLAYING ON THE OTHER

981
00:35:56,200 --> 00:35:57,480
SIDE. THAT'S THE OTHER THING YOU

982
00:35:57,480 --> 00:35:58,320
DON'T KNOW WHEN PLAYING THIS

983
00:35:58,320 --> 00:36:01,120
GAME.  THAT ENABLES THE

984
00:36:01,120 --> 00:36:04,000
EXPERIMENTERS TO SET UP A

985
00:36:04,000 --> 00:36:05,960
CONTROLLABLE TASK WHERE THE

986
00:36:05,960 --> 00:36:07,120
INDIVIDUAL PLAY IN THE GAME HAS

987
00:36:07,120 --> 00:36:08,280
AN IMPACT ON THE OFFERS THAT

988
00:36:08,280 --> 00:36:10,480
COME IN THE FUTURE. AS OPPOSED

989
00:36:10,480 --> 00:36:14,040
TO AN UNCONTROLLABLE TASK WHERE

990
00:36:14,040 --> 00:36:16,600
NO MATTER WHAT YOU'LL GET THE

991
00:36:16,600 --> 00:36:17,920
SAME SET OF AWARDS. THE CONTROL

992
00:36:17,920 --> 00:36:21,520
IS A VERY SIMPLE RULE, IF YOU

993
00:36:21,520 --> 00:36:22,920
REJECT AN OFFER THEN THE NEXT

994
00:36:22,920 --> 00:36:24,520
OFFER WILL BE A LITTLE HIGHER.

995
00:36:24,520 --> 00:36:26,520
THAT MAKES SENSE, RIGHT? IF YOU

996
00:36:26,520 --> 00:36:28,160
REJECT YOUR $5 OFFER THE TEAM

997
00:36:28,160 --> 00:36:30,080
DOESN'T GET THE $15 SO THEY WILL

998
00:36:30,080 --> 00:36:31,840
GIVE YOU A LITTLE BIT MORE NEXT

999
00:36:31,840 --> 00:36:33,160
TIME SO THEY GET TO KEEP SOME OF

1000
00:36:33,160 --> 00:36:37,280
THE REWARD.  IF YOU ACCEPT THE

1001
00:36:37,280 --> 00:36:38,640
OFFER THE TEAM WILL REDUCE

1002
00:36:38,640 --> 00:36:40,520
AMOUNT OF NEXT OFFER ON THE NEXT

1003
00:36:40,520 --> 00:36:42,160
TRIAL. THAT MAKES SENSE ALSO.

1004
00:36:42,160 --> 00:36:43,840
OH, YOU WERE WILLING TO TAKE $5?

1005
00:36:43,840 --> 00:36:45,640
SEE IF YOU WILL TAKE 4 BECAUSE

1006
00:36:45,640 --> 00:36:47,440
THAT ENABLES THEM TO KEEP MORE

1007
00:36:47,440 --> 00:36:49,400
OF THAT $20 REWARD. SO AGAIN

1008
00:36:49,400 --> 00:36:55,200
THERE'S TWO SETS OF TRIALS HERE,

1009
00:36:55,200 --> 00:36:56,640
ONE WHICH BEHAVIOR AS YOU AS

1010
00:36:56,640 --> 00:36:57,760
INDIVIDUAL PLAY IN THE GAME

1011
00:36:57,760 --> 00:36:59,480
EFFECTS WHAT HAPPENS NEXT AND

1012
00:36:59,480 --> 00:37:00,640
ANOTHER WHERE BEHAVIOR DOES NOT

1013
00:37:00,640 --> 00:37:04,520
AFFECT WHAT HAPPENS NEXT. SO

1014
00:37:04,520 --> 00:37:06,120
WHAT WILL THIS TELL US ABOUT

1015
00:37:06,120 --> 00:37:06,920
SOCIAL BEHAVIOR?

1016
00:37:06,920 --> 00:37:07,560
THESE INVESTIGATORS WERE TRYING

1017
00:37:07,560 --> 00:37:10,920
TO FIGURE OUT HOW WE AS HUMAN

1018
00:37:10,920 --> 00:37:13,120
BEINGS MAKE PREDICTIONS ABOUT

1019
00:37:13,120 --> 00:37:15,320
WHAT IS GOING TO HAPPEN NEXT IN

1020
00:37:15,320 --> 00:37:16,600
A SOCIAL SITUATION. WE DO THIS

1021
00:37:16,600 --> 00:37:18,360
ALL THE TIME. WE ARE TALKING

1022
00:37:18,360 --> 00:37:21,560
WITH SOMEONE WE CARE ABOUT, WE

1023
00:37:21,560 --> 00:37:24,920
ARE NEGOTIATING WHO IS GOING TO

1024
00:37:24,920 --> 00:37:27,080
COOK DINNER. WE SAY WELL IF I

1025
00:37:27,080 --> 00:37:28,440
COMPLIMENT THEM ON THEIR COOKING

1026
00:37:28,440 --> 00:37:30,160
MAYBE THAT WILL MAKE THEM MORE

1027
00:37:30,160 --> 00:37:32,000
LIKELY TO COOK DINNER FOR ME

1028
00:37:32,000 --> 00:37:33,600
TONIGHT. AND NEGOTIATING A

1029
00:37:33,600 --> 00:37:34,840
NUMBER OF DIFFERENT SOCIAL

1030
00:37:34,840 --> 00:37:36,160
SITUATIONS SO HOW DO WE DO THAT?

1031
00:37:36,160 --> 00:37:38,560
WHAT ARE THE NEURAL MECHANISMS

1032
00:37:38,560 --> 00:37:41,920
THAT UNDERLINE OUR ABILITY TO

1033
00:37:41,920 --> 00:37:43,640
WHAT'S GOING TO HAPPEN BASED

1034
00:37:43,640 --> 00:37:45,120
UPON OUR OWN SOCIAL ACTS. THAT

1035
00:37:45,120 --> 00:37:46,880
IS WHAT WE STUDY HERE T. FIRST

1036
00:37:46,880 --> 00:37:49,160
STEP IS DESIGN THE TASK THE

1037
00:37:49,160 --> 00:37:50,680
SECOND STEP IS TO MODEL THE TASK

1038
00:37:50,680 --> 00:37:54,160
WITH A MATHEMATICAL ALGORITHM

1039
00:37:54,160 --> 00:37:56,960
THAT BASICALLY SAYS OH, ME AS A

1040
00:37:56,960 --> 00:37:58,560
PERSON PLAYING THIS GAME HOW DO

1041
00:37:58,560 --> 00:38:01,920
I DECIDE WHAT TO DO? ONE IS THAT

1042
00:38:01,920 --> 00:38:03,520
I LOOK FORWARD TO THE VERY NEXT

1043
00:38:03,520 --> 00:38:06,480
TRIAL AND SAY IF I REJECT THEM,

1044
00:38:06,480 --> 00:38:09,160
WHAT HAPPENS ON THE NEXT TRIAL?

1045
00:38:09,160 --> 00:38:12,040
THAT WOULD BE A ONE STEP MODEL.

1046
00:38:12,040 --> 00:38:14,280
I AS AN ACTOR PLAYING THIS GAME

1047
00:38:14,280 --> 00:38:16,480
AM GOING TO THINK ONE STEP

1048
00:38:16,480 --> 00:38:17,680
AHEADS AND TRY TO FIGURE OUT

1049
00:38:17,680 --> 00:38:19,760
WHAT REWARD I MIGHT GET, ONE

1050
00:38:19,760 --> 00:38:21,200
STEP AHEAD AND THEN DECIDE WHAT

1051
00:38:21,200 --> 00:38:23,920
TO DO ON THE CURRENT TRIAL. 

1052
00:38:23,920 --> 00:38:25,520
THERE'S OTHER MODELS, THERE'S

1053
00:38:25,520 --> 00:38:26,720
MODELS THAT SAY FORGET WHAT WILL

1054
00:38:26,720 --> 00:38:27,720
HAPPEN IN THE FUTURE, JUST

1055
00:38:27,720 --> 00:38:29,520
DECIDE IF YOU WANT THAT $5 OR

1056
00:38:29,520 --> 00:38:32,000
NOT.  THAT WOULD BE A ZERO STEP

1057
00:38:32,000 --> 00:38:33,920
MODEL. OR YOU COULD LOOK FORWARD

1058
00:38:33,920 --> 00:38:36,120
THREE OR FOUR STEPS YOU CAN SAY

1059
00:38:36,120 --> 00:38:37,120
WELL WHAT HAPPENS ON THE NEXT

1060
00:38:37,120 --> 00:38:38,440
TRIAL AND THE NEXT TRIAL AFTER

1061
00:38:38,440 --> 00:38:39,600
THAT, AND NEXT TRIAL AFTER THAT.

1062
00:38:39,600 --> 00:38:41,120
THAT WOULD BE A TWO STEP OF

1063
00:38:41,120 --> 00:38:43,680
THREE STEP OR FOUR STEP MODEL. 

1064
00:38:43,680 --> 00:38:45,400
SO THEN THE INVESTIGATORS ASKED

1065
00:38:45,400 --> 00:38:48,960
IF I MODEL INDIVIDUAL HUMANS

1066
00:38:48,960 --> 00:38:53,000
BEHAVIOR ON THIS TEST, ON THIS

1067
00:38:53,000 --> 00:38:54,680
TASK, AND MODEL LOOKS FORWARD

1068
00:38:54,680 --> 00:38:56,320
ONE STEP VERSUS LOOKS FORWARD

1069
00:38:56,320 --> 00:38:57,800
TWO STEPS, WHAT MODEL PERFORMS

1070
00:38:57,800 --> 00:39:00,400
WELL IN TERMS OF PREDICTK WHAT

1071
00:39:00,400 --> 00:39:04,000
HUMANS ACTUALLY DO. IN OTHER

1072
00:39:04,000 --> 00:39:05,720
WORDS, THE INVESTIGATORS ARE

1073
00:39:05,720 --> 00:39:08,560
TRYING TO FIGURE OUT BASED ON

1074
00:39:08,560 --> 00:39:09,960
COMPUTATIONAL MODEL HOW MANY

1075
00:39:09,960 --> 00:39:11,800
STEPS AHEAD THE AVERAGE PERSON

1076
00:39:11,800 --> 00:39:16,000
PLAYING THIS TASK THINKS TURNS

1077
00:39:16,000 --> 00:39:17,480
OUT IT IS TWO STEPS AHEAD.  BEST

1078
00:39:17,480 --> 00:39:18,800
ANSWER, YOU GET THE BEST

1079
00:39:18,800 --> 00:39:20,040
PREDICTION WHEN THE COMPUTER

1080
00:39:20,040 --> 00:39:22,720
MODEL TRIES TO PREDICT OUT AHEAD

1081
00:39:22,720 --> 00:39:24,680
TWO STEPS IN ADVANCE, GET THE

1082
00:39:24,680 --> 00:39:26,040
BEST PREDICTION OF HUMAN

1083
00:39:26,040 --> 00:39:27,720
BEHAVIOR BY THINKING TWO STEPS

1084
00:39:27,720 --> 00:39:30,840
AHEAD.  NOW, THAT IS

1085
00:39:30,840 --> 00:39:32,480
INTERESTING. SO THAT TELLS US

1086
00:39:32,480 --> 00:39:34,920
SOMETHING ABOUT THE

1087
00:39:34,920 --> 00:39:38,360
PSYCHOLOGICAL METHODOLOGY WE USE

1088
00:39:38,360 --> 00:39:41,120
TO TRY TO WITHIN THE CONFINES OF

1089
00:39:41,120 --> 00:39:43,560
THE TASK PREDICT MY SOCIAL

1090
00:39:43,560 --> 00:39:44,880
BEHAVIOR AFFECT IS GOING TO HAVE

1091
00:39:44,880 --> 00:39:46,400
ON OTHER PEOPLE'S SOCIAL

1092
00:39:46,400 --> 00:39:48,520
BEHAVIORS. NOW WE CAN ASK WELL,

1093
00:39:48,520 --> 00:39:52,400
WHAT IN THE BRAIN CON FIRMS OR

1094
00:39:52,400 --> 00:39:53,920
DENY THIS IS TWO STEP MODEL OR

1095
00:39:53,920 --> 00:39:55,440
WHERE IN THE BRAIN IS THIS TWO

1096
00:39:55,440 --> 00:39:58,440
STEP MODEL BEING INSTANTIATED? 

1097
00:39:58,440 --> 00:39:59,680
ACTUALLY THESE INVESTIGATORS

1098
00:39:59,680 --> 00:40:00,960
CLEVERLY LOOK AT BOTH OF THOSE

1099
00:40:00,960 --> 00:40:03,320
THINGS AT THE SAME TIME. THEY

1100
00:40:03,320 --> 00:40:04,320
TOOK NEURAL ACTIVITY, SO THEY

1101
00:40:04,320 --> 00:40:08,360
PUT PEOPLE IN THIS TASK IN THE

1102
00:40:08,360 --> 00:40:11,360
SCANNER AND THEY ASKED WHERE IN

1103
00:40:11,360 --> 00:40:16,320
THE BRAIN CAN WE FIND EVIDENCE

1104
00:40:16,320 --> 00:40:17,800
OF MODELS OF DIFFERENT STEPS.

1105
00:40:17,800 --> 00:40:20,800
WHERE DOES NEURAL ACTIVITY LOOK

1106
00:40:20,800 --> 00:40:23,120
LIKE IT IS WORKING ON A ZERO

1107
00:40:23,120 --> 00:40:24,960
STEP MODEL, ONE STEP, TWO STEP

1108
00:40:24,960 --> 00:40:26,640
OR THREE STEP MODEL, ET CETERA.

1109
00:40:26,640 --> 00:40:28,640
WHAT THEY FOUND IS THAT THERE IS

1110
00:40:28,640 --> 00:40:31,200
ONE PLACE IN THE BRAIN THAT

1111
00:40:31,200 --> 00:40:33,080
APPEARS DOING ANY FORWARD

1112
00:40:33,080 --> 00:40:35,040
THINKING THAT APPEARS TO BE

1113
00:40:35,040 --> 00:40:36,280
CORRESPONDING WITH NEURAL

1114
00:40:36,280 --> 00:40:38,040
ACTIVITY WE EXPECT BASED UPON

1115
00:40:38,040 --> 00:40:42,200
ANY GIVEN MODEL. THAT IS THE

1116
00:40:42,200 --> 00:40:43,680
VENTRAL MEDIAL PREFRONTAL CORTEX

1117
00:40:43,680 --> 00:40:45,280
HERE IN THE FRONT OF THE BRAIN.

1118
00:40:45,280 --> 00:40:47,680
AND IMPORTANTLY THAT PART OF THE

1119
00:40:47,680 --> 00:40:53,720
BRAIN IS NOT ACTIVE WITH 0 STEP

1120
00:40:53,720 --> 00:40:56,920
MODEL 1 OR 3 STEP MODEL, IT IS

1121
00:40:56,920 --> 00:40:59,840
ACTIVE ONLY TWO TWO STEP MODEL.

1122
00:40:59,840 --> 00:41:01,120
SO INTERESTING EXPERIMENT, WE

1123
00:41:01,120 --> 00:41:03,520
ARE TRYING TO USE A MATHEMATICAL

1124
00:41:03,520 --> 00:41:08,520
MODEL TO PREDICT HOW HUMANS

1125
00:41:08,520 --> 00:41:09,520
BEHAVE THEN LOOK IN THE BRAIN

1126
00:41:09,520 --> 00:41:11,720
AND SEE DOES THE BRAIN BEEHIVE

1127
00:41:11,720 --> 00:41:12,880
LIKE THAT TWO STEP MODEL

1128
00:41:12,880 --> 00:41:14,000
PREDICTS LIKE THAT MODEL

1129
00:41:14,000 --> 00:41:16,040
PREDICTS AND THE ANSWER IS IT

1130
00:41:16,040 --> 00:41:17,360
DOES, IT ALSO PROVIDES

1131
00:41:17,360 --> 00:41:18,560
INFORMATION WHERE IN THE BRAIN

1132
00:41:18,560 --> 00:41:19,400
THOSE COMPUTATIONS ARE TAKING

1133
00:41:19,400 --> 00:41:24,480
PLACE.  THIS IS FANTASTIC USE OF

1134
00:41:24,480 --> 00:41:25,760
COMPUTATIONAL NEUROSCIENCE TO

1135
00:41:25,760 --> 00:41:28,120
DISSECT PHENOTYPES AN

1136
00:41:28,120 --> 00:41:28,920
IMPORTANTLY, IT REQUEST HAVE

1137
00:41:28,920 --> 00:41:31,640
CLINICAL RELEVANCE, WE CAN TRY

1138
00:41:31,640 --> 00:41:37,040
TO UNDERSTAND WHETHER ASSESSMENT

1139
00:41:37,040 --> 00:41:39,040
OF PREDICTIONS OF FUTURE DURING

1140
00:41:39,040 --> 00:41:40,680
THE SOCIAL INTERACTIONS IS

1141
00:41:40,680 --> 00:41:42,920
IMPAIRED IN DISORDER WHERE

1142
00:41:42,920 --> 00:41:44,920
INDIVIDUALS HAVE CHALLENGES WITH

1143
00:41:44,920 --> 00:41:48,040
SOCIAL BEHAVIORS. AND THEN WE

1144
00:41:48,040 --> 00:41:49,320
CAN ALSO ASK WHETHER THIS PART

1145
00:41:49,320 --> 00:41:51,120
OF THE BRAIN IS IMPAIRED AS WELL

1146
00:41:51,120 --> 00:41:52,480
DURING THE THOSE MOMENTS. SO I

1147
00:41:52,480 --> 00:41:55,320
THINK IT IS AN EXCITING

1148
00:41:55,320 --> 00:41:57,720
DEVELOPMENT BASIC NEUROSCIENCE.

1149
00:41:57,720 --> 00:41:58,920
NEXT FROM BASIC NEUROSCIENCE WE

1150
00:41:58,920 --> 00:42:01,600
ARE GOING TO TURN TO DEPRESSION

1151
00:42:01,600 --> 00:42:03,440
CARE AND DEPRESSION CARE IN THE

1152
00:42:03,440 --> 00:42:04,680
GLOBAL SETTING DEPRESSION CARE

1153
00:42:04,680 --> 00:42:07,600
IN THE GLOBAL SETTING IN THE

1154
00:42:07,600 --> 00:42:11,040
SETTING OF HIV. LESSONS LEARNED

1155
00:42:11,040 --> 00:42:15,960
FROM GENERALIZABLE. THIS STUDY

1156
00:42:15,960 --> 00:42:18,600
BY STEVEN AND JOHN AND

1157
00:42:18,600 --> 00:42:19,640
COLLABORATORS IS SUPPORTED BY

1158
00:42:19,640 --> 00:42:22,320
OUR DIVISION OF AIDS RESEARCH,

1159
00:42:22,320 --> 00:42:23,760
ASKED A REALLY IMPORTANT

1160
00:42:23,760 --> 00:42:26,440
QUESTION. WE KNOW THERE IS A LOT

1161
00:42:26,440 --> 00:42:27,760
OF CO-MORBIDITY BETWEEN

1162
00:42:27,760 --> 00:42:30,800
INDIVIDUALS WHO HAVE HIV AND

1163
00:42:30,800 --> 00:42:32,720
DEPRESSION. AND THE QUESTION IS,

1164
00:42:32,720 --> 00:42:35,920
IF WE TREAT THAT DEPRESSION, AND

1165
00:42:35,920 --> 00:42:37,720
IF WE TREAT IT ACTUALLY IN A

1166
00:42:37,720 --> 00:42:41,520
SUSTAINABLE WAY THAT IS USING

1167
00:42:41,520 --> 00:42:44,560
PSYCHOTHERAPY, COGNITIVE

1168
00:42:44,560 --> 00:42:45,640
BEHAVIORAL THERAPY DELIVERED BY

1169
00:42:45,640 --> 00:42:47,200
CLINIC NURSES BECAUSE THAT IS

1170
00:42:47,200 --> 00:42:50,280
GENERAL CLINIC NURSES NOT

1171
00:42:50,280 --> 00:42:51,280
SPECIFIC MENTAL HEALTHCARE

1172
00:42:51,280 --> 00:42:52,880
PROVIDERS, CAN WE IMPROVE NOT

1173
00:42:52,880 --> 00:42:54,720
ONLY DEPRESSION BUT ALSO THE

1174
00:42:54,720 --> 00:42:55,840
ADHERENCE TO THEIR HIV

1175
00:42:55,840 --> 00:42:58,600
MEDICATIONS.  SO THAT WE CAN

1176
00:42:58,600 --> 00:43:00,560
ENSURE THAT THEY WILL GET NOT

1177
00:43:00,560 --> 00:43:02,600
ONLY GET WELL FROM DEPRESSION

1178
00:43:02,600 --> 00:43:06,080
BUT ALSO THAT THEY WILL BE ABLE

1179
00:43:06,080 --> 00:43:10,560
TO ACHIEVE LOWER VIRAL LOAD AND

1180
00:43:10,560 --> 00:43:14,720
LONGER TERM PHYSICAL HEALTH. SO

1181
00:43:14,720 --> 00:43:16,360
THE ANSWER TO THIS QUESTION AS

1182
00:43:16,360 --> 00:43:18,640
YOU MIGHT GUESS BY FACT I'M

1183
00:43:18,640 --> 00:43:19,840
HIGHLIGHTING IS YES, INDEED YOU

1184
00:43:19,840 --> 00:43:21,720
CAN DO THAT. AND IN FACT YOU

1185
00:43:21,720 --> 00:43:25,240
HAVE TO DO IT.  IN ORDER TO

1186
00:43:25,240 --> 00:43:28,320
LOWER YOUR HIV LOAD AND ENSURE

1187
00:43:28,320 --> 00:43:30,760
ADHERENCE TO HIV CARE. AND THE

1188
00:43:30,760 --> 00:43:32,320
EXPERIMENT IS SUCH THEY TOOK A

1189
00:43:32,320 --> 00:43:34,240
NUMBER OF INDIVIDUALS WHO HAD

1190
00:43:34,240 --> 00:43:37,520
BOTH DEPRESSION AND WERE HIV

1191
00:43:37,520 --> 00:43:39,320
POSITIVE. THEY ASSESS THEM WITH

1192
00:43:39,320 --> 00:43:41,880
NUMBER OF DIFFERENT MEASURES

1193
00:43:41,880 --> 00:43:45,000
INCLUDING -- AND VIRAL LOAD. AT

1194
00:43:45,000 --> 00:43:46,720
BASELINE AND THEN THEY RANDOMIZE

1195
00:43:46,720 --> 00:43:48,520
THEM TO EITHER TREATMENT AS

1196
00:43:48,520 --> 00:43:53,280
USUAL BY TYPICALLY INVOLVED AN

1197
00:43:53,280 --> 00:43:56,320
IMPRESSIVE MEDICATION OR

1198
00:43:56,320 --> 00:43:58,120
REFERRAL TO PSYCHIATRIC CARE,

1199
00:43:58,120 --> 00:43:59,720
BUT WHICH IS REALLY CHALLENGING

1200
00:43:59,720 --> 00:44:02,120
AND DIFFICULT TO ACHIEVE IN

1201
00:44:02,120 --> 00:44:04,840
THESE GLOBAL SETTINGS. OR

1202
00:44:04,840 --> 00:44:06,920
ADDITION A COGNITIVE BEHAVIORAL

1203
00:44:06,920 --> 00:44:09,800
THERAPY ADMINISTERED BY GENERAL

1204
00:44:09,800 --> 00:44:13,280
CLINIC NURSES. THE RESULTS WERE

1205
00:44:13,280 --> 00:44:15,280
PRETTY SUBSTANTIAL, THAT IS THAT

1206
00:44:15,280 --> 00:44:16,560
TREATMENT WITH COGNITIVE

1207
00:44:16,560 --> 00:44:18,920
BEHAVIORAL THERAPY LOWERED YOUR

1208
00:44:18,920 --> 00:44:21,160
HAMD SCORES, IMPROVED DEPRESSION

1209
00:44:21,160 --> 00:44:23,280
MUCH MORE ROBUSTLY THAN DID

1210
00:44:23,280 --> 00:44:24,680
TREATMENT AS USUAL.  AND VIRAL

1211
00:44:24,680 --> 00:44:26,000
LOAD ALSO DROPPED.  AND THIS WAS

1212
00:44:26,000 --> 00:44:28,720
TRUE BOTH AT FOUR MONTHS AND

1213
00:44:28,720 --> 00:44:31,920
EXTENDED OUT TO A YEAR. HERE IS

1214
00:44:31,920 --> 00:44:33,000
THE DATA GRAPHICALLY SO YOU CAN

1215
00:44:33,000 --> 00:44:35,080
SEE THAT PEOPLE IMPROVE THEIR

1216
00:44:35,080 --> 00:44:43,720
ADHERENCE, SORRY THAT'S THE

1217
00:44:43,720 --> 00:44:46,120
HAMD. HERE WE IMPROVED BY

1218
00:44:46,120 --> 00:44:47,320
PHYSICAL MONITORING PILL

1219
00:44:47,320 --> 00:44:48,480
DISPENSER. YOU CAN SEE ADHERENCE

1220
00:44:48,480 --> 00:44:51,120
IN THE COGNITIVE BEHAVIOR

1221
00:44:51,120 --> 00:44:52,840
THERAPY GROUP WAS BETTER THAN

1222
00:44:52,840 --> 00:44:54,240
TREATMENT AS USUAL. THAT IS TRUE

1223
00:44:54,240 --> 00:44:55,480
AT FOUR MONTHS AND ALSO TRUE OUT

1224
00:44:55,480 --> 00:45:01,720
AT ONE YEAR. THE END RESULT OF

1225
00:45:01,720 --> 00:45:03,880
VIRAL LOAD BETTER 4, 8, 12

1226
00:45:03,880 --> 00:45:04,920
MONTHS AFTER DELIVERY OF

1227
00:45:04,920 --> 00:45:06,640
COGNITIVE BEHAVIORAL THERAPY. SO

1228
00:45:06,640 --> 00:45:08,520
IMPORTANT FOR TWO REASONS, ONE

1229
00:45:08,520 --> 00:45:10,000
WITHIN THE SETTING AND IN THE

1230
00:45:10,000 --> 00:45:11,600
CONTEXT OF HIV TREATING THE

1231
00:45:11,600 --> 00:45:14,520
DEPRESSION IMPROVE MANAGEMENT OF

1232
00:45:14,520 --> 00:45:17,200
THIS CHRONIC HEALTH CONDITION

1233
00:45:17,200 --> 00:45:18,880
AND ALSO IT SHOWED THE PATHWAY

1234
00:45:18,880 --> 00:45:21,880
TO IMPLEMENTATION OF THIS

1235
00:45:21,880 --> 00:45:23,920
DELIVERY THROUGH NON-SPECIALIST

1236
00:45:23,920 --> 00:45:25,360
CARE WHICH COULD BE EXPANDED TO

1237
00:45:25,360 --> 00:45:28,120
MANY OTHER PLACES IN THE UNITED

1238
00:45:28,120 --> 00:45:29,440
STATES AS ELSEWHERE WHERE

1239
00:45:29,440 --> 00:45:30,600
SPECIALLY HEALTHCARE MENTAL

1240
00:45:30,600 --> 00:45:31,560
HEALTH CAN BE CHALLENGING TO

1241
00:45:31,560 --> 00:45:42,080
FIND. LET'S TURN BACK TO MENTAL

1242
00:45:42,080 --> 00:45:43,280
HEALTH, WORK FUNDED BY DIVISION

1243
00:45:43,280 --> 00:45:45,280
OF TRANSLATIONAL SCIENCE --

1244
00:45:45,280 --> 00:45:51,680
RESEARCH, AND LET'S TURN TO A

1245
00:45:51,680 --> 00:45:53,360
THERAPY ON THE CUTTING EDGE,

1246
00:45:53,360 --> 00:45:55,840
DEEP BRAIN THERAPY, DEEP BRAIN

1247
00:45:55,840 --> 00:45:57,520
STIMULATION FOR OBSESSIVE

1248
00:45:57,520 --> 00:45:59,400
COMPULSIVE DISORDER. THIS PAPER

1249
00:45:59,400 --> 00:46:01,080
IS NOT IS MUCH ABOUT THERAPY BUT

1250
00:46:01,080 --> 00:46:04,040
FIGURING WAYS TO ENHANCE IT, IT

1251
00:46:04,040 --> 00:46:10,240
COMES FROM NICOLE AND DAVID

1252
00:46:10,240 --> 00:46:11,440
WARTON AND COLLEAGUES. THEY ARE

1253
00:46:11,440 --> 00:46:13,120
TAKING INDIVIDUALS WHO HAVE DEEP

1254
00:46:13,120 --> 00:46:14,960
BRAIN STIMULATERS IMPLANTED TO

1255
00:46:14,960 --> 00:46:17,280
TREAT OBSESSIVE COMPULSIVE

1256
00:46:17,280 --> 00:46:19,520
DISORDER AND ASK THEM TO RELEARN

1257
00:46:19,520 --> 00:46:21,000
ANYTHING ABOUT ACTIVITY PATTERNS

1258
00:46:21,000 --> 00:46:23,040
IN THE BRAIN TO ENABLE US TO

1259
00:46:23,040 --> 00:46:24,200
IMPROVE ON OUR CURRENT ABILITY

1260
00:46:24,200 --> 00:46:27,320
TO TREAT THESE INDIVIDUALS.  SO

1261
00:46:27,320 --> 00:46:28,880
THEY TOOK A NUMBER OF FOLKS WHO

1262
00:46:28,880 --> 00:46:30,440
HAD THESE STILL LAYS FOR IMPLANT

1263
00:46:30,440 --> 00:46:33,160
NOD THE BRAIN, ONLY STIMULATORS

1264
00:46:33,160 --> 00:46:35,160
IN BRAIN THROUGH VISUALATIONS

1265
00:46:35,160 --> 00:46:36,160
ESTABLISH WHERE IN THE BRAIN

1266
00:46:36,160 --> 00:46:38,160
ELECTRODES ARE. AND THESE

1267
00:46:38,160 --> 00:46:39,520
ELECTRODES NOT ONLY ALLOW

1268
00:46:39,520 --> 00:46:41,080
STIMULATION BUT ALSO ALLOW

1269
00:46:41,080 --> 00:46:45,960
REPORTING.  SO THEY TOOK

1270
00:46:45,960 --> 00:46:48,200
MULTI-SIDE ELECTROPHYSIOLOGICAL

1271
00:46:48,200 --> 00:46:49,600
REPORTINGS FROM THESE DEEP BRAIN

1272
00:46:49,600 --> 00:46:51,120
REGIONS IN INDIVIDUALS WITH

1273
00:46:51,120 --> 00:46:52,360
OBSESSIVE COMPULSIVE DISORDER

1274
00:46:52,360 --> 00:46:57,400
AND THIS IS A TECHNIQUE PAPER TO

1275
00:46:57,400 --> 00:46:59,040
DESCRIBE WHAT THEY CAN DO AND IT

1276
00:46:59,040 --> 00:47:00,120
IS ASTOUNDING WHAT THEY CAN DO.

1277
00:47:00,120 --> 00:47:01,680
THEY COUPLE THE RECORDINGS NOT

1278
00:47:01,680 --> 00:47:03,320
JUST THE RECORDINGS THEMSELVES

1279
00:47:03,320 --> 00:47:06,040
BUT WITH VIDEO OBSERVATIONS OF

1280
00:47:06,040 --> 00:47:11,000
THE INDIVIDUALS AS THEY ARE

1281
00:47:11,000 --> 00:47:12,160
UNDERGOING DEEP BRAIN

1282
00:47:12,160 --> 00:47:13,920
STIMULATION EXPERIENCING VARIOUS

1283
00:47:13,920 --> 00:47:16,200
EXTERNAL STIMULI. THEY CAN

1284
00:47:16,200 --> 00:47:17,480
MONITOR THINGS LIKE THE VELOCITY

1285
00:47:17,480 --> 00:47:20,120
OF THE HEAD MOVEMENT, THE

1286
00:47:20,120 --> 00:47:22,200
AMPLITUDE OF THE STIMULATION,

1287
00:47:22,200 --> 00:47:23,320
THE ELECTRICAL ACTIVITY AT TIPS

1288
00:47:23,320 --> 00:47:27,680
OF THE ELECTRODES, AND ALSO THE

1289
00:47:27,680 --> 00:47:29,720
AFFECT EXPRESSED BY THEIR FACES

1290
00:47:29,720 --> 00:47:32,120
DETERMINED AUTOMATICALLY BY A

1291
00:47:32,120 --> 00:47:34,920
DEEP LEARNING ALGORITHM. THEN

1292
00:47:34,920 --> 00:47:37,520
THEY CAN MAP THESE VARIOUS

1293
00:47:37,520 --> 00:47:39,480
QUANTITIES THEY CAN

1294
00:47:39,480 --> 00:47:40,400
SIMULTANEOUSLY MEASURE ON TO

1295
00:47:40,400 --> 00:47:41,960
EACH OTHER SO THEY CAN LOOK AT

1296
00:47:41,960 --> 00:47:42,960
ALL THOSE THINGS BUT THEY CAN

1297
00:47:42,960 --> 00:47:44,880
ALSO LOOK AT SELF-REPORTED

1298
00:47:44,880 --> 00:47:48,720
INTENSITY OF OCD SYMPTOMS. THEY

1299
00:47:48,720 --> 00:47:55,120
CAN CORRELATE THESE VARIOUS

1300
00:47:55,120 --> 00:47:55,680
VARIOUSELECTRO PHYSIOLOGICAL

1301
00:47:55,680 --> 00:47:57,080
PARAMETERS AND LOOK AT THEIR

1302
00:47:57,080 --> 00:47:57,920
RELATIONSHIP BETWEEN THESE

1303
00:47:57,920 --> 00:47:58,880
DIFFERENT PARAMETERS YOU CAN

1304
00:47:58,880 --> 00:48:00,440
MEASURE LIKE AFFECT OR LIKE SELF

1305
00:48:00,440 --> 00:48:03,120
REPORTED SYMPTOMS, AND SHOW

1306
00:48:03,120 --> 00:48:04,520
CORRELATION. FOR EXAMPLE, THEY

1307
00:48:04,520 --> 00:48:06,880
ARE SHOWING RELATIONSHIP BETWEEN

1308
00:48:06,880 --> 00:48:09,120
ACTIVITY IN DIFFERENT FREQUENCY

1309
00:48:09,120 --> 00:48:11,440
RANKS HERE DELTA THETA ALPHA

1310
00:48:11,440 --> 00:48:13,400
THETA, THESE ARE FREQUENCY RANKS

1311
00:48:13,400 --> 00:48:14,840
IN LOCAL ACTIVITY GOING UP AND

1312
00:48:14,840 --> 00:48:16,120
DOWN AND UP AND DOWN IN

1313
00:48:16,120 --> 00:48:17,360
DIFFERENT SPEEDS OVER TIME. AND

1314
00:48:17,360 --> 00:48:19,600
THE INTENSITY OF THE OCD

1315
00:48:19,600 --> 00:48:22,200
SYMPTOMS. AND WHILE THESE ARE

1316
00:48:22,200 --> 00:48:23,720
TANTALIZING THERE IS NOT ENOUGH

1317
00:48:23,720 --> 00:48:25,320
DATA YET IN THIS PAPER TO MAKE

1318
00:48:25,320 --> 00:48:26,880
ANY FIRM CONCLUSIONS BUT THE

1319
00:48:26,880 --> 00:48:28,720
POWER OF THIS TECHNIQUE TO BE

1320
00:48:28,720 --> 00:48:31,400
ABLE TO MAP DEEP ACTIVITY IN THE

1321
00:48:31,400 --> 00:48:34,360
BRAIN SIMULTANEOUSLY WITH DEEP

1322
00:48:34,360 --> 00:48:36,040
UNDERSTANDING OF THE BEHAVIOR

1323
00:48:36,040 --> 00:48:40,920
AND AFFECTIVE STATE OF

1324
00:48:40,920 --> 00:48:43,760
INDIVIDUAL, GIVES HOPE FOR THE

1325
00:48:43,760 --> 00:48:44,720
FUTURE TO CUSTOMIZE TREATMENT

1326
00:48:44,720 --> 00:48:45,920
FOR FOLKS AND MAKE SURE

1327
00:48:45,920 --> 00:48:47,360
TREATMENT IS TARGETING SYMPTOMS

1328
00:48:47,360 --> 00:48:51,440
IN A PERSONALIZED WAY.  SO THOSE

1329
00:48:51,440 --> 00:48:52,680
ARE THE HIGHLIGHTS I HAVE FOR

1330
00:48:52,680 --> 00:48:54,200
YOU. I WILL CLOSE WITH OUR

1331
00:48:54,200 --> 00:48:55,880
VISION, WE ENVISION A WORLD

1332
00:48:55,880 --> 00:48:57,680
MENTAL ILLNESS ARE PREVENT AND

1333
00:48:57,680 --> 00:49:00,000
CURE AND THE MISSION TO

1334
00:49:00,000 --> 00:49:01,240
TRANSFORM THE UNDERSTANDING AND

1335
00:49:01,240 --> 00:49:02,240
TREATMENT OF THOSE ILLNESSES TO

1336
00:49:02,240 --> 00:49:03,840
CLINICAL RESEARCH, PAVING THE

1337
00:49:03,840 --> 00:49:04,920
WAY FOR PREVENTION RECOVERY AND

1338
00:49:04,920 --> 00:49:07,880
CURE. AND OPEN IT UP WE DO HAVE

1339
00:49:07,880 --> 00:49:10,720
ABOUT TEN OR 15 MINUTES, SAY TEN

1340
00:49:10,720 --> 00:49:11,880
BECAUSE I WANT TO ENTER TUESDAY

1341
00:49:11,880 --> 00:49:13,800
A SPECIAL GUEST AT THE END. TEN

1342
00:49:13,800 --> 00:49:16,440
MINUTES FOR QUESTIONS.  

1343
00:49:16,440 --> 00:49:21,920
BRANDONICS I THINK YOBRANDON,
YOU ARE THE 
FIRST, GO

1344
00:49:21,920 --> 00:49:22,280
AHEAD.

1345
00:49:22,280 --> 00:49:24,120
>> THANKS, JOSH. GREAT

1346
00:49:24,120 --> 00:49:24,840
PRESENTATION.  EXCITING SCIENCE

1347
00:49:24,840 --> 00:49:27,520
YOU SHOWED AND GREAT

1348
00:49:27,520 --> 00:49:28,600
DEVELOPMENTS ARE GREAT TO HEAR

1349
00:49:28,600 --> 00:49:31,320
ABOUT. I WANT TO CONGRATULATE

1350
00:49:31,320 --> 00:49:34,880
AND THANKS BOB HEISSMAN FOR HIS

1351
00:49:34,880 --> 00:49:36,280
SERVICE AS DEPUTY DIRECTOR.

1352
00:49:36,280 --> 00:49:37,400
GREAT TO WORK WITH YOU OVER E

1353
00:49:37,400 --> 00:49:39,360
THE YEARS, YOU ARE A HERO FOR ME

1354
00:49:39,360 --> 00:49:41,480
AND MANY I KNOW AND SERVICES

1355
00:49:41,480 --> 00:49:42,400
INTERVENTION RESEARCH. QUESTION

1356
00:49:42,400 --> 00:49:46,000
FOR YOU JOSH, OR BOB WHOEVER

1357
00:49:46,000 --> 00:49:48,120
WANTS TO ANSWER, NOW THAT BOB IS

1358
00:49:48,120 --> 00:49:52,120
STEPPING DOWN FROM THAT ROLE,

1359
00:49:52,120 --> 00:49:54,400
BEENING SEEN YOUR ADVISOR AS

1360
00:49:54,400 --> 00:49:56,280
DIRECTOR DO YOU ENVISION THIS

1361
00:49:56,280 --> 00:49:59,000
EARLY PSYCHOSIS AND CLINICAL

1362
00:49:59,000 --> 00:50:00,920
PROGRAMS THAT ARE UNDERWAY RIGHT

1363
00:50:00,920 --> 00:50:03,960
NOW SUCH AS THE EPI NET AND THE

1364
00:50:03,960 --> 00:50:05,720
ACCELERATED MEDICINES

1365
00:50:05,720 --> 00:50:07,040
PARTNERSHIP IN SCHIZOPHRENIA

1366
00:50:07,040 --> 00:50:08,920
WILL CONTINUE TO GROW SIMILAR

1367
00:50:08,920 --> 00:50:10,680
PROGRAMS THEY CONTINUE TO GROW

1368
00:50:10,680 --> 00:50:14,160
UNDER THE AGENDA OF NIMH IN

1369
00:50:14,160 --> 00:50:15,360
COMING YEARS? 

1370
00:50:15,360 --> 00:50:18,320
>> GREAT QUESTION, THANKS,

1371
00:50:18,320 --> 00:50:23,920
BRANDON. THANKS FOR UNDERSCORING

1372
00:50:23,920 --> 00:50:24,920
WHAT IMPORTANT MEMBER OF OUR

1373
00:50:24,920 --> 00:50:27,360
COMMUNITY BOB HAS BEEN. THE

1374
00:50:27,360 --> 00:50:28,240
QUICK ANSWER TO YOUR QUESTION

1375
00:50:28,240 --> 00:50:30,120
IS, THERE'S NOT GOING TO BE ANY

1376
00:50:30,120 --> 00:50:33,120
CHANGE IN OUR -- FROM THE PRIOR

1377
00:50:33,120 --> 00:50:35,520
WHICH WE REPRESENT EPI NET AND

1378
00:50:35,520 --> 00:50:36,480
OTHER EFFORTS UNDERSTANDING AN

1379
00:50:36,480 --> 00:50:38,360
TREATING SERIOUS MENTAL ILLNESS.

1380
00:50:38,360 --> 00:50:41,280
IN FACT, BOB'S PURVIEW IS REALLY

1381
00:50:41,280 --> 00:50:43,320
GOING TO BE IN THIS SPECIAL

1382
00:50:43,320 --> 00:50:45,880
ADVISORY ROLE, WORKING ON

1383
00:50:45,880 --> 00:50:48,800
ENSURING THE SUSTAINABILITY OF

1384
00:50:48,800 --> 00:50:51,240
THESE PROGRAMS AND SPECIFICALLY

1385
00:50:51,240 --> 00:50:54,480
AROUND EPI NET. ENSURING THEIR

1386
00:50:54,480 --> 00:50:56,400
IMPACT BY HE'S GOING TO BE

1387
00:50:56,400 --> 00:50:57,840
WORKING HAND IN HAND WITH OTHER

1388
00:50:57,840 --> 00:50:58,680
FEDERAL AGENCIES TO MAKE SURE

1389
00:50:58,680 --> 00:50:59,880
THEY UNDERSTAND THE QUALITY OF

1390
00:50:59,880 --> 00:51:01,120
EVIDENCE COMING OUT OF THESE

1391
00:51:01,120 --> 00:51:02,240
PROGRAMS. AND THAT THAT EVIDENCE

1392
00:51:02,240 --> 00:51:07,160
IS USED TO EXPAND SERVICES AND

1393
00:51:07,160 --> 00:51:09,320
THE EFFICACY OF SERVICES OFFERED

1394
00:51:09,320 --> 00:51:10,040
THROUGHOUT THE UNITED STATES AND

1395
00:51:10,040 --> 00:51:13,520
PUBLIC MENTAL HEALTH. SO IT IS A

1396
00:51:13,520 --> 00:51:14,800
REALLY IMPORTANT ROLE THAT BOB

1397
00:51:14,800 --> 00:51:16,000
WILL TRANSITION TO AND LOOK

1398
00:51:16,000 --> 00:51:17,040
FORWARD TO TELLING YOU MORE

1399
00:51:17,040 --> 00:51:18,840
ABOUT IT AS THINGS MOVE ON.

1400
00:51:18,840 --> 00:51:22,920
THANKS, BRANDON.  

1401
00:51:22,920 --> 00:51:24,840
>> THANKS FOR SHARING SUCH A

1402
00:51:24,840 --> 00:51:26,000
RICH UPDATE. --

1403
00:51:26,000 --> 00:51:28,000
>> YOU KNOW WHAT, LET ME

1404
00:51:28,000 --> 00:51:29,640
INTERRUPT. BRANDON WOULD YOU

1405
00:51:29,640 --> 00:51:32,560
TAKE A MOMENT TO INTRODUCE

1406
00:51:32,560 --> 00:51:35,720
YOURSELF FOR THE PUBLIC?

1407
00:51:35,720 --> 00:51:38,520
>> GOOD POINT. I'M BRANDON

1408
00:51:38,520 --> 00:51:41,880
STAGLIN PRESIDENT OF ONE MIND.  

1409
00:51:41,880 --> 00:51:45,200
>> THANKS, CHERYL YOUR NAME AND

1410
00:51:45,200 --> 00:51:45,560
AFFILIATION.

1411
00:51:45,560 --> 00:51:47,360
>> CHERYL KING, PROFESSOR AT

1412
00:51:47,360 --> 00:51:49,000
MICHIGAN MEDICINE. THANKS AGAIN

1413
00:51:49,000 --> 00:51:50,440
FOR THE RICH UPDATE AND FOR THE

1414
00:51:50,440 --> 00:51:52,120
SCIENCE HIGHLIGHTS. I THINK

1415
00:51:52,120 --> 00:51:53,520
THAT'S ALWAYS A BONUS THAT WE

1416
00:51:53,520 --> 00:51:55,920
GET AT THESE MEETINGS. BRINGING

1417
00:51:55,920 --> 00:51:58,160
THOSE TO OUR ATTENTION. I ALSO

1418
00:51:58,160 --> 00:52:01,520
WANT TO HAVE A SHOUT OUT TO BOB,

1419
00:52:01,520 --> 00:52:03,400
BOB I THINK I, I THINK MANY OF

1420
00:52:03,400 --> 00:52:07,080
US HAVE REALLY APPRECIATED YOUR

1421
00:52:07,080 --> 00:52:08,240
STRATEGIC DIRECTION BUT ALSO

1422
00:52:08,240 --> 00:52:09,880
JUST YOUR POSITIVE ENERGY AND

1423
00:52:09,880 --> 00:52:12,160
YOUR POSITIVE SPIRIT ABOUT IT

1424
00:52:12,160 --> 00:52:14,520
ALL, IT IS JUST REALLY BEEN A

1425
00:52:14,520 --> 00:52:17,680
JOY TO HAVE SOME INTERACTIONS

1426
00:52:17,680 --> 00:52:18,720
AND KNOW YOU HAVE BEEN AT THE

1427
00:52:18,720 --> 00:52:20,920
HELM OF -- FOR THIS RESEARCH. T

1428
00:52:20,920 --> 00:52:24,040
MY QUESTION IS REALLY ABOUT

1429
00:52:24,040 --> 00:52:27,120
RESOURCES.  AND I WANT YOUR

1430
00:52:27,120 --> 00:52:28,520
OPINION ON SOMETHING, JOSH.

1431
00:52:28,520 --> 00:52:30,640
BECAUSE WHEN WE CONSIDER OUR

1432
00:52:30,640 --> 00:52:33,520
ENGAGEMENT OF SCIENTISTS, WE ARE

1433
00:52:33,520 --> 00:52:35,200
REALLY A NATIONAL RESOURCE AND

1434
00:52:35,200 --> 00:52:37,560
OUR URGENCY TO MOVE SCIENCE

1435
00:52:37,560 --> 00:52:39,040
FORWARD, I'M WONDERING WHAT YOUR

1436
00:52:39,040 --> 00:52:40,960
THOUGHTS ARE, ON WHAT WOULD BE

1437
00:52:40,960 --> 00:52:43,280
AN IDEAL FUNDING LEVEL BECAUSE

1438
00:52:43,280 --> 00:52:45,160
THROUGH MY MANY YEARS OF

1439
00:52:45,160 --> 00:52:47,720
REVIEWING NIMH GRANTS, I THINK I

1440
00:52:47,720 --> 00:52:50,360
HAVE BEEN STRUCK THAT REALLY A

1441
00:52:50,360 --> 00:52:52,480
SUBSTANTIAL PROPORTION ARE QUITE

1442
00:52:52,480 --> 00:52:54,360
STRONG AND YES THEY MADE

1443
00:52:54,360 --> 00:52:58,240
BENEFITS FROM SOME MINOR TWEAKS

1444
00:52:58,240 --> 00:53:00,000
AND REVISIONS BUT THAT WOULDN'T

1445
00:53:00,000 --> 00:53:00,760
NECESSARILY REQUIRE THE

1446
00:53:00,760 --> 00:53:02,400
SCIENTISTS TIME, THE DELAYS TO

1447
00:53:02,400 --> 00:53:04,680
MOVING A SCIENCE FORWARD Z THAT

1448
00:53:04,680 --> 00:53:07,080
IT TAKES WHEN SOMEONE HAS TO

1449
00:53:07,080 --> 00:53:09,480
REVISE AN APPLICATION, MAJOR

1450
00:53:09,480 --> 00:53:12,080
EFFORT AND TIME FOR ENTIRE TEAM

1451
00:53:12,080 --> 00:53:16,240
AND RESUBMIT IT 8 TO 10 MONTHS

1452
00:53:16,240 --> 00:53:18,720
LATER. SO WHAT MIGHT BE IDEAL

1453
00:53:18,720 --> 00:53:19,960
FROM YOUR PERSPECTIVE OR YOUR

1454
00:53:19,960 --> 00:53:23,800
THOUGHTS ON THAT.  

1455
00:53:23,800 --> 00:53:25,160
>> PUT ME IN A CHALLENGING

1456
00:53:25,160 --> 00:53:26,360
POSITION BUT I APPRECIATE THE

1457
00:53:26,360 --> 00:53:28,400
CHALLENGE. IT IS BECAUSE IT IS

1458
00:53:28,400 --> 00:53:30,480
NOT OUR JOB ESPECIALLY WHILE

1459
00:53:30,480 --> 00:53:31,160
APPROPRIATION PROCESS CONTINUES

1460
00:53:31,160 --> 00:53:35,280
TO REPRESENT WHAT WE CONSIDER AN

1461
00:53:35,280 --> 00:53:37,120
IDEAL FUNDING FOR OUR AGENCIES

1462
00:53:37,120 --> 00:53:40,720
TO CONGRESS. SO LET ME JUST

1463
00:53:40,720 --> 00:53:42,760
SLIGHTLY AMEND -- ANSWER IN A

1464
00:53:42,760 --> 00:53:44,440
WAY THAT IS PROBABLY NOT WHAT

1465
00:53:44,440 --> 00:53:47,320
YOU WANT ME TO SAY BUT LET ME

1466
00:53:47,320 --> 00:53:48,920
SAY THAT NO QUESTION IN MY MIND

1467
00:53:48,920 --> 00:53:51,520
WE CAN DOUBLE THE NUMBER OF

1468
00:53:51,520 --> 00:53:53,520
GRANTS WE FUND AND STILL FUND

1469
00:53:53,520 --> 00:53:54,520
OUTSTANDING SCIENCE.  LET ME PUT

1470
00:53:54,520 --> 00:53:58,440
IT THAT WAY. WHEN WE FUND --

1471
00:53:58,440 --> 00:54:00,800
WHEN I SAY WE ARE FUNDING 22%

1472
00:54:00,800 --> 00:54:01,760
WHICH LAST YEAR THAT IS THE

1473
00:54:01,760 --> 00:54:03,400
NUMBER I THINK I SHOWED LAST

1474
00:54:03,400 --> 00:54:04,840
YEAR SUCCESS RATES, THAT DOESN'T

1475
00:54:04,840 --> 00:54:06,520
MEAN WE ARE FUNDING 22ERS

1476
00:54:06,520 --> 00:54:11,240
PERCENTILE, IT IS ACTUALLY LOWER

1477
00:54:11,240 --> 00:54:12,760
THAN THAT BECAUSE FUNDING COUNTS

1478
00:54:12,760 --> 00:54:13,760
MULTIPLE GRANTS AND DIFFERENT

1479
00:54:13,760 --> 00:54:15,720
THINGS FUNDED DIFFERENT WAYS. SO

1480
00:54:15,720 --> 00:54:20,240
WE CAN EASILY DOUBLE THE NUMBER

1481
00:54:20,240 --> 00:54:21,880
OF GRANTS WITHOUT AFFECTING THE

1482
00:54:21,880 --> 00:54:23,720
QUALITY. THERE ARE MANY IN THE

1483
00:54:23,720 --> 00:54:24,320
SCIENTIFIC COMMUNITY WHO POINT

1484
00:54:24,320 --> 00:54:26,160
OUT WHAT YOU JUST POINTED OUT

1485
00:54:26,160 --> 00:54:27,360
THERE, MANY EXCELLENT IDEAS AND

1486
00:54:27,360 --> 00:54:30,080
OF COURSE THE COST TO SCIENTISTS

1487
00:54:30,080 --> 00:54:32,800
HAVING TO REPEAT. I SEE THAT

1488
00:54:32,800 --> 00:54:36,720
COST ALL THE TIME. I SEE IT WHEN

1489
00:54:36,720 --> 00:54:38,800
I SAY YES TO ONE GRANT AND NO TO

1490
00:54:38,800 --> 00:54:40,000
ANOTHER BECAUSE WE CAN'T REACH

1491
00:54:40,000 --> 00:54:41,560
THAT NEXT GRANT AND THEN SEEING

1492
00:54:41,560 --> 00:54:43,040
THAT GRANT COME IN, THE NEXT

1493
00:54:43,040 --> 00:54:47,320
YEAR, AND IT DOES WELL AGAIN AND

1494
00:54:47,320 --> 00:54:50,000
THEN WHY DIDN'T WE JUST FUND IT

1495
00:54:50,000 --> 00:54:52,520
LAST YEAR? THIS IS A TREMENDOUS

1496
00:54:52,520 --> 00:54:53,920
COST TO SCIENCE, I WILL AGREE

1497
00:54:53,920 --> 00:54:55,960
WITH YOU AND I THINK I WILL

1498
00:54:55,960 --> 00:55:04,680
LEAVE IT AT THAT. AND LEAVE AT

1499
00:55:04,680 --> 00:55:06,040
THAT AND SOME OTHER TIME I MIGHT

1500
00:55:06,040 --> 00:55:08,160
GIVE YOU WHAT MY IDEAL WOULD BE.

1501
00:55:08,160 --> 00:55:10,400
THANKS, CHERYL.  

1502
00:55:10,400 --> 00:55:14,960
>> THANKS SO MUCH, MY NAME IS

1503
00:55:14,960 --> 00:55:16,720
TEDDY ABEL, UNIVERSITY OF IOWA.

1504
00:55:16,720 --> 00:55:18,040
I APPRECIATE ALL THAT NIH HAS

1505
00:55:18,040 --> 00:55:19,920
DONE AND GRATEFUL FOR PREVIOUS

1506
00:55:19,920 --> 00:55:22,440
COUNCIL MEMBERS BRANDON STEPPING

1507
00:55:22,440 --> 00:55:23,520
OFF, I HAVE BEEN ON SOME PUBLIC

1508
00:55:23,520 --> 00:55:26,280
MEETINGS AND AS CHAIR OF BSCN

1509
00:55:26,280 --> 00:55:28,880
HEARD YOUR COMMENTS AND I

1510
00:55:28,880 --> 00:55:31,720
APPRECIATE THEM. I'M A PARENT OF

1511
00:55:31,720 --> 00:55:33,560
A 22-YEAR-OLD MAN ON AUTISM

1512
00:55:33,560 --> 00:55:34,560
SPECTRUM SO I DON'T HAVE THAT

1513
00:55:34,560 --> 00:55:35,920
PERSONAL EXPERIENCE BUT I HAVE

1514
00:55:35,920 --> 00:55:37,960
THAT AS FAMILY MEMBER SO I

1515
00:55:37,960 --> 00:55:38,640
APPRECIATE ALL YOU CONTRIBUTED

1516
00:55:38,640 --> 00:55:40,720
TO YOU ARE DISCONDUCT. GRATEFUL

1517
00:55:40,720 --> 00:55:41,720
FOR THAT. THE QUESTION I HAVE

1518
00:55:41,720 --> 00:55:47,520
FOR YOU, JOSH IS THINKING

1519
00:55:47,520 --> 00:55:48,960
ORIGINS OF MENTAL ILLNESS. IT

1520
00:55:48,960 --> 00:55:50,520
RELATES A LITTLE BIT TO THE

1521
00:55:50,520 --> 00:55:51,600
QUESTION BECAUSE THE OTHER ISSUE

1522
00:55:51,600 --> 00:55:57,560
WITH OUR GRANTS IS THEY ARE FIVE

1523
00:55:57,560 --> 00:55:59,240
YEARS LONG OR FOUR YEARS LONG OR

1524
00:55:59,240 --> 00:56:00,920
TRAINING GRANT IS TWO YEARS LONG

1525
00:56:00,920 --> 00:56:03,200
BUT MENTAL ILLNESS DEVELOPS

1526
00:56:03,200 --> 00:56:04,200
PRE-CLINICALLY IN SOME CASES

1527
00:56:04,200 --> 00:56:10,000
OVER DECADES.  OR EVEN BACK IN

1528
00:56:10,000 --> 00:56:12,200
UTERO IN THE CASE OF AUTISM

1529
00:56:12,200 --> 00:56:13,920
SPECTRUM DISORDERS. I WONDER IF

1530
00:56:13,920 --> 00:56:17,120
YOU COULD HIGHLIGHT SOME OF WHAT

1531
00:56:17,120 --> 00:56:18,720
IS BEING DONE TO LOOK INK TO

1532
00:56:18,720 --> 00:56:21,680
THOSE PROCESSES A LOT 06 WHAT

1533
00:56:21,680 --> 00:56:23,360
YOU TALK ABOUT ARE OBVIOUSLY CUT

1534
00:56:23,360 --> 00:56:25,320
EDGE RESOURCES BUT PROBABLY NOT

1535
00:56:25,320 --> 00:56:27,480
GOING TO BE DOING THESE

1536
00:56:27,480 --> 00:56:30,800
IMPLANTATIONS IN MANY PATIENTS. 

1537
00:56:30,800 --> 00:56:32,120
I CAN'T IMAGINE PATIENTS BEING

1538
00:56:32,120 --> 00:56:34,440
ABLE TO DO THIS TWO STEP SOCIAL

1539
00:56:34,440 --> 00:56:37,640
TASK TO FIGURE OUT WHAT IS GOING

1540
00:56:37,640 --> 00:56:39,200
ON AND WHAT IS ALTERED ABOUT

1541
00:56:39,200 --> 00:56:42,400
NEURAL CONNECTIONS.  COULD YOU

1542
00:56:42,400 --> 00:56:43,960
UPDATE WHERE WE ARE ON DEVELOP

1543
00:56:43,960 --> 00:56:45,480
MN TALL ORIGINS OF MENTAL

1544
00:56:45,480 --> 00:56:50,280
ILLNESS? 

1545
00:56:50,280 --> 00:56:55,160
>> 

1546
00:56:55,160 --> 00:56:56,760
>> I FEEL LIKE IT'S SOFTBALL

1547
00:56:56,760 --> 00:57:00,520
QUESTION.  LET ME FRAME THE

1548
00:57:00,520 --> 00:57:01,440
QUESTION -- THE RESPONSE IN

1549
00:57:01,440 --> 00:57:03,320
CONTEXT AND GIVE COUPLE OF EXAM.

1550
00:57:03,320 --> 00:57:05,880
LIKE YOU REQUESTED.  WE DO OUR

1551
00:57:05,880 --> 00:57:08,880
BEST EFFORTS TO FUND LONG TYLED

1552
00:57:08,880 --> 00:57:09,680
IN STUDIES. AT THE SAME TIME WE

1553
00:57:09,680 --> 00:57:10,360
DON'T WANT TO HAVE SOMETHING

1554
00:57:10,360 --> 00:57:12,080
THAT WE START UM AND THEN END UP

1555
00:57:12,080 --> 00:57:13,720
HAVING TO SUPPORT IT JUST

1556
00:57:13,720 --> 00:57:14,920
BECAUSE IT IS A LONGITUDINAL

1557
00:57:14,920 --> 00:57:16,640
STUDY SO WE TRIED TO BE

1558
00:57:16,640 --> 00:57:17,960
STRATEGIC IN TERMS OF WHERE WE

1559
00:57:17,960 --> 00:57:23,560
MAKE LONGITUDINAL INVESTMENTS.  

1560
00:57:23,560 --> 00:57:26,000
MANY ARE GIVEN IN FIVE YEAR

1561
00:57:26,000 --> 00:57:26,920
INCREMENTS AND MIGHT BE

1562
00:57:26,920 --> 00:57:28,360
SUPPORTED 5, 10, 15 YEARS AN HEN

1563
00:57:28,360 --> 00:57:30,560
NOT.  WE CAN'T SUPPORT ANYTHING

1564
00:57:30,560 --> 00:57:31,800
LONGER THAN FIVE THOUGH MANY

1565
00:57:31,800 --> 00:57:33,120
THINGS WE SET UP WITH THE IDEA

1566
00:57:33,120 --> 00:57:34,120
OF GOING TO SUPPORT THEM FOR

1567
00:57:34,120 --> 00:57:38,080
LONGER.  OUR MOST LONGITUDINAL

1568
00:57:38,080 --> 00:57:41,880
EFFORTS ARE FOCUSED IN THE

1569
00:57:41,880 --> 00:57:42,960
DEVELOPMENTAL SPACE. SO WE DON'T

1570
00:57:42,960 --> 00:57:46,920
HAVE A LOT OF FRAMINGHAM HART

1571
00:57:46,920 --> 00:57:49,000
STUDY WHERE WE FOLLOW AS ADULTS

1572
00:57:49,000 --> 00:57:51,280
50 YEARS BUT WE DO TRY TO SET UP

1573
00:57:51,280 --> 00:57:52,560
LONGITUDINAL STUDIES THAT SPAN

1574
00:57:52,560 --> 00:57:55,200
PERIODS OF HIGH RISK, PERIODS OF

1575
00:57:55,200 --> 00:57:57,640
TRANSITION, LIKE ADOLESCENCE,

1576
00:57:57,640 --> 00:57:58,960
EARLY CHILDHOOD, ET CETERA.  AND

1577
00:57:58,960 --> 00:58:01,720
WE TRY TO INFUSE THEM WITH DATA

1578
00:58:01,720 --> 00:58:04,160
COLLECTING AND SHARING

1579
00:58:04,160 --> 00:58:05,720
REQUIREMENTS THAT ARE ENSURE

1580
00:58:05,720 --> 00:58:07,360
THAT THAT DATA CAN BE USED BY

1581
00:58:07,360 --> 00:58:09,160
OTHERS, CAN BE LINKED ACROSS

1582
00:58:09,160 --> 00:58:11,360
TIME, THAT PEOPLE CAN BE

1583
00:58:11,360 --> 00:58:12,520
RECONTACTED, ET CETERA. ONE OF

1584
00:58:12,520 --> 00:58:14,200
THE MORE AGONIZING DECISIONS WE

1585
00:58:14,200 --> 00:58:15,680
HAVE HAVE TO MAKE IS WHAT TO DO

1586
00:58:15,680 --> 00:58:17,200
WHEN LONGITUDINAL STUDY COMES

1587
00:58:17,200 --> 00:58:19,240
BACK IN FOR RENEWAL AND IT

1588
00:58:19,240 --> 00:58:21,120
DOESN'T ACHIEVE AN EXCELLENT

1589
00:58:21,120 --> 00:58:22,320
SCORE AND WE HAVE TO DECIDE DO

1590
00:58:22,320 --> 00:58:23,920
WE STOP THIS STUDY, DO WE

1591
00:58:23,920 --> 00:58:26,920
CONTINUE IT. AND WE OFTEN TRY TO

1592
00:58:26,920 --> 00:58:29,000
FUND CONTINUATION, LET THEM COME

1593
00:58:29,000 --> 00:58:30,600
BACK IN ET CETERA SO WE DON'T

1594
00:58:30,600 --> 00:58:31,920
LOSE THE LONGITUDINAL ASPECT.

1595
00:58:31,920 --> 00:58:34,040
THAT IS A LITTLE CONTEXT TO IT. 

1596
00:58:34,040 --> 00:58:35,120
OBVIOUSLY TWO OF THE BIGGER

1597
00:58:35,120 --> 00:58:36,240
PROGRAMS THAT WE ARE ENGAGED

1598
00:58:36,240 --> 00:58:38,360
WITH IN THIS SPACE RIGHT NOW,

1599
00:58:38,360 --> 00:58:39,920
ARE THE ADOLESCENT BRAIN

1600
00:58:39,920 --> 00:58:41,760
COGNITIVE DEVELOPMENT STUDY OR

1601
00:58:41,760 --> 00:58:49,120
ABCD STUDY, AND ITS EARLIER

1602
00:58:49,120 --> 00:58:56,440
NEWER HEALTHY BRAIN AND

1603
00:58:56,440 --> 00:58:58,640
COGNITIVE STUDY. A B C D WILL

1604
00:58:58,640 --> 00:59:00,560
FLUE, STARTED FOUR YEARS AGO,

1605
00:59:00,560 --> 00:59:03,280
FOLLOWED CHILDREN FROM NINE TO

1606
00:59:03,280 --> 00:59:05,000
19. WITH SERIAL BRAIN SCANS,

1607
00:59:05,000 --> 00:59:06,920
BEHAVIORAL EVALUATION, CLINICAL

1608
00:59:06,920 --> 00:59:10,960
EVALUATION, PARENT EVALUATION.

1609
00:59:10,960 --> 00:59:11,640
EVALUATION OF SOCIAL

1610
00:59:11,640 --> 00:59:12,760
DETERMINANTS OF STRESS WITH

1611
00:59:12,760 --> 00:59:14,440
COVID-19 REALLY TRYING TO GET A

1612
00:59:14,440 --> 00:59:18,800
WRAP AROUND PICTURE OF THESE

1613
00:59:18,800 --> 00:59:20,360
KIDS AS BRAINS DEVELOP AND

1614
00:59:20,360 --> 00:59:21,360
IMPACT AND COUNCIL MEMBERS AND

1615
00:59:21,360 --> 00:59:23,440
OTHERS ENGAGED AND INVOLVED WITH

1616
00:59:23,440 --> 00:59:25,640
A THE B C D STUDY.  THE SIZE IS

1617
00:59:25,640 --> 00:59:27,640
SIGNIFICANT, 12,000 CHILDREN.  

1618
00:59:27,640 --> 00:59:28,840
AND WE SHOULD BE ABLE TO GET

1619
00:59:28,840 --> 00:59:30,480
SOME ANSWERS, IT IS NOT TARGETED

1620
00:59:30,480 --> 00:59:40,120
AT ILLNESS PER SE. I WILL

1621
00:59:40,120 --> 00:59:41,680
CAPTURE DEVELOPMENTAL ILLNESS

1622
00:59:41,680 --> 00:59:44,400
SUBSTANCE USE, ET CETERA.  SO A

1623
00:59:44,400 --> 00:59:45,480
TREMENDOUS RESOURCE, ALL THAT

1624
00:59:45,480 --> 00:59:47,360
DATA IS PUBLISHED AS YOU ANOA

1625
00:59:47,360 --> 00:59:49,920
AVAILABLE FOR RESEARCHERS TO

1626
00:59:49,920 --> 00:59:52,080
USE.  A SIMILAR STUDY WE ARE

1627
00:59:52,080 --> 00:59:53,600
JUST GETTING OFF THE GROUND, THE

1628
00:59:53,600 --> 00:59:54,720
PLANNING GRANTS WENT OUT, THE

1629
00:59:54,720 --> 00:59:58,280
NEW GRANTS ARE COMING IN FOR I

1630
00:59:58,280 --> 00:59:59,600
CAN'T REMEMBER IF THEY ARE

1631
00:59:59,600 --> 01:00:02,040
FUNDED YET BUT TO INITIATE

1632
01:00:02,040 --> 01:00:04,320
STUDY, THIS WILL TRACK CHILDREN

1633
01:00:04,320 --> 01:00:08,560
A FEW PRE-NATALLY BUT MOSTLY

1634
01:00:08,560 --> 01:00:10,280
POSTNATALLY FOR THE FIRST TEN

1635
01:00:10,280 --> 01:00:11,840
YEARS OF LIFE OVERLAPPING WITH

1636
01:00:11,840 --> 01:00:15,120
THE AGE RANGE A B C D STUDY. IT

1637
01:00:15,120 --> 01:00:17,200
IS A LITTLE SMALLER IN SCOPE,

1638
01:00:17,200 --> 01:00:19,280
SEVERAL THOUSAND CHILDREN BUT A

1639
01:00:19,280 --> 01:00:20,600
LITTLE BIT DENSER BECAUSE IN

1640
01:00:20,600 --> 01:00:22,120
CHILDREN THINGS ARE IN LITTLE

1641
01:00:22,120 --> 01:00:23,280
KIDS THINGS ARE HAPPENING FASTER

1642
01:00:23,280 --> 01:00:25,520
SO WE TRY TO SCAN THEM MORE

1643
01:00:25,520 --> 01:00:26,600
OFTEN, GET ASSESSMENTS MORE

1644
01:00:26,600 --> 01:00:30,440
OFTEN. SO BETWEEN THOSE WE WILL

1645
01:00:30,440 --> 01:00:31,760
GET GOOD UNDERSTANDING. THERE

1646
01:00:31,760 --> 01:00:33,480
ARE OTHER LONGITUDINAL STUDYS WE

1647
01:00:33,480 --> 01:00:34,280
SUPPORT ARE DISEASE SPECIFIC. WE

1648
01:00:34,280 --> 01:00:37,600
HAVE SOME IN THE ADHD AREA, SOME

1649
01:00:37,600 --> 01:00:39,120
IN ANXIETY AND STRESS AND

1650
01:00:39,120 --> 01:00:46,360
DEPRESSION. MOST ARE ADOLESCENT

1651
01:00:46,360 --> 01:00:48,800
AGE RANGE. WE TRY TO SUPPORT

1652
01:00:48,800 --> 01:00:51,400
LONGITUDINAL STUDIES WHERE WE

1653
01:00:51,400 --> 01:00:52,640
CAN, AND DESPITE LIMITATIONS OF

1654
01:00:52,640 --> 01:01:00,200
THE FIVE YEAR CYCLE. 

1655
01:01:00,200 --> 01:01:04,000
>> THIS IS HONGKUI ZENG EYE

1656
01:01:04,000 --> 01:01:05,320
INSTITUTE FOR BRAIN SCIENCE. AS

1657
01:01:05,320 --> 01:01:08,560
A MEMBER OF THE BRAIN INITIATIVE

1658
01:01:08,560 --> 01:01:13,000
CELL CENSUS NETWORK BICCN WITH A

1659
01:01:13,000 --> 01:01:16,000
U 19 GRANT FROM NIHH I WANT TO

1660
01:01:16,000 --> 01:01:18,120
SAY THANK YOU FOR MENTIONING THE

1661
01:01:18,120 --> 01:01:19,800
LAND MARK PUBLICATION PACKAGE

1662
01:01:19,800 --> 01:01:23,120
FROM BICCN. BACK IN OCTOBER IN

1663
01:01:23,120 --> 01:01:25,720
NATURE ON THE ATLASES OF

1664
01:01:25,720 --> 01:01:32,320
MAMMALIAN MOTOR CORTEX. MY

1665
01:01:32,320 --> 01:01:34,480
QUESTION FOR YOU IS WHAT IS THE

1666
01:01:34,480 --> 01:01:38,400
LOCK TERM STRATEGY FOR NIH BRAIN

1667
01:01:38,400 --> 01:01:40,320
INITIATIVE OR JUST NIH IN

1668
01:01:40,320 --> 01:01:42,120
GENERAL, IN MAINTAINING THIS

1669
01:01:42,120 --> 01:01:43,840
TREMENDOUS RESOURCE FOR THE

1670
01:01:43,840 --> 01:01:45,920
COMMUNITY? AS YOU KNOW, WE ARE

1671
01:01:45,920 --> 01:01:47,520
ALREADY PROCEEDING AS YOU

1672
01:01:47,520 --> 01:01:50,640
MENTIONED, FROM MOTOR CORTEX TO

1673
01:01:50,640 --> 01:01:53,600
GENERATE CELL TYPE ATLAS FOR THE

1674
01:01:53,600 --> 01:01:55,920
ENTIRE BRAIN STARTING WITH MOUSE

1675
01:01:55,920 --> 01:01:57,680
AND HOPEFULLY VERY SOON IN HUMAN

1676
01:01:57,680 --> 01:02:01,520
BRAIN AS WELL. IT IS GOING TO BE

1677
01:02:01,520 --> 01:02:03,280
MULTI-DIMENSIONAL MULTI-MODEL OF

1678
01:02:03,280 --> 01:02:05,240
THE DIFFERENT NEURONAL AND

1679
01:02:05,240 --> 01:02:06,200
NON-NEURONAL CELL TYPES OF THE

1680
01:02:06,200 --> 01:02:08,520
BRAIN. WE THINK IT IS REALLY A

1681
01:02:08,520 --> 01:02:10,920
TREMENDOUS RESOURCE THAT WILL

1682
01:02:10,920 --> 01:02:12,800
ACCELERATE THE PROGRESS IN THE

1683
01:02:12,800 --> 01:02:18,600
NEUROSCIENCE FIELD.  IN THE

1684
01:02:18,600 --> 01:02:20,280
FUNDING MECHANISMS WE SEE THAT

1685
01:02:20,280 --> 01:02:21,360
AND FUNDS GO TO GENERATING

1686
01:02:21,360 --> 01:02:25,640
CREATING THE DATABAS DATABASES
WEB

1687
01:02:25,640 --> 01:02:26,800
PORTALS SUPPORTING MAINTAINING

1688
01:02:26,800 --> 01:02:28,640
THE DATA IS USUALLY

1689
01:02:28,640 --> 01:02:30,240
SIGNIFICANTLY LOWER THAN THE

1690
01:02:30,240 --> 01:02:35,560
DATA GENERATION PART. SO JUST

1691
01:02:35,560 --> 01:02:37,600
WONDER HOW WOULD YOUR

1692
01:02:37,600 --> 01:02:42,760
ORGANIZATION, NIMH AND OTHER

1693
01:02:42,760 --> 01:02:45,760
INSTITUTIONS, PUTTING EFFORT

1694
01:02:45,760 --> 01:02:46,840
MAINTAINING RESOURCES FOR THE

1695
01:02:46,840 --> 01:02:47,880
COMMUNITY LONG TERM?

1696
01:02:47,880 --> 01:02:49,320
>> GREAT QUESTION, WE DON'T HAVE

1697
01:02:49,320 --> 01:02:53,800
ALL THE ANSWERS FOR YET.  THE

1698
01:02:53,800 --> 01:03:00,080
DATA RESOURCES ARE SUPPORTED BY

1699
01:03:00,080 --> 01:03:01,520
GRANTS FUNDING THAT DATA TO BE

1700
01:03:01,520 --> 01:03:03,600
COLLECTED AND SHARED

1701
01:03:03,600 --> 01:03:07,080
STANDARDIZED AN SHARED.  WE ARE

1702
01:03:07,080 --> 01:03:08,520
CLEARLY GOING TO NEED TO FIND

1703
01:03:08,520 --> 01:03:09,960
LONG TERM SUSTAINABLE WAY OF

1704
01:03:09,960 --> 01:03:11,440
CONTINUING ACCESS TO THAT DATA

1705
01:03:11,440 --> 01:03:16,600
FAR INTO FUTURE.  I WOULD LOVE

1706
01:03:16,600 --> 01:03:18,920
TO SAY WE HAVE EXAMPLES FROM

1707
01:03:18,920 --> 01:03:20,320
OTHER AREAS OF SCIENCE WHICH

1708
01:03:20,320 --> 01:03:22,520
WITH WE DO. PARTIALLY IN THE

1709
01:03:22,520 --> 01:03:23,760
SENSE WE HAVE WONDERFUL

1710
01:03:23,760 --> 01:03:24,840
DATABASES IN GENOMICS AND OTHER

1711
01:03:24,840 --> 01:03:26,080
AREAS THAT CARRY DATA FORWARD

1712
01:03:26,080 --> 01:03:28,280
INTO THE FUTURE, BUT WE ARE

1713
01:03:28,280 --> 01:03:29,600
STILL WORKING OUT HOW WE ARE

1714
01:03:29,600 --> 01:03:31,120
GOING TO BE ABLE TO SUSTAIN AS

1715
01:03:31,120 --> 01:03:33,080
THE DATA LEVELS INCREASE. JUST

1716
01:03:33,080 --> 01:03:34,520
ONE QUICK EXAMPLE I'M SURE YOU

1717
01:03:34,520 --> 01:03:36,680
ARE AWARE, WE ARE GOING TO BE

1718
01:03:36,680 --> 01:03:40,560
PIVOTING MANY OF OUR POSTMORTEM

1719
01:03:40,560 --> 01:03:44,640
DISEASE STUDIES TO INSIST OUR

1720
01:03:44,640 --> 01:03:46,680
INVESTIGATORS USE SINGLE CELL

1721
01:03:46,680 --> 01:03:47,760
TYPE ANALYSES BECAUSE WE THINK

1722
01:03:47,760 --> 01:03:50,000
THAT IS GOING TO BARE FRUIT. SO

1723
01:03:50,000 --> 01:03:51,800
WE CAN ENVISION A TIME WHERE THE

1724
01:03:51,800 --> 01:03:53,880
DATA COMING IN FROM BICCN WILL

1725
01:03:53,880 --> 01:03:55,680
BE DWARFED BY THE DATA THAT COME

1726
01:03:55,680 --> 01:03:57,360
FOR DISEASE STUDIES, TO TRY TO

1727
01:03:57,360 --> 01:03:59,280
UNDERSTAND THE MOLECULAR

1728
01:03:59,280 --> 01:04:00,920
CONSEQUENCES OF -- AND

1729
01:04:00,920 --> 01:04:03,160
CONTRIBUTORS TO DISEASE. SO HOW

1730
01:04:03,160 --> 01:04:05,000
ARE WE GOING TO SUSTAIN THE

1731
01:04:05,000 --> 01:04:06,960
EXISTING DATA AND BUILD LARGER

1732
01:04:06,960 --> 01:04:08,720
DATABASES, I THINK THERE IS A

1733
01:04:08,720 --> 01:04:09,480
COMMITMENT ON PART OF THE

1734
01:04:09,480 --> 01:04:10,440
INSTITUTES TO SUPPORT IT, THERE

1735
01:04:10,440 --> 01:04:12,040
IS A COMMITMENT ON PART OF

1736
01:04:12,040 --> 01:04:13,360
BUILDING ONE TO SUPPORT IT. THAT

1737
01:04:13,360 --> 01:04:14,800
IS THE CENTRAL NIH

1738
01:04:14,800 --> 01:04:15,680
ADMINISTRATION AND WE WILL

1739
01:04:15,680 --> 01:04:16,520
FIGURE HOW TO DO IT ALONG THE

1740
01:04:16,520 --> 01:04:19,640
WAY.  BUT I CAN'T SAY WE HAVE A

1741
01:04:19,640 --> 01:04:22,200
MAP TOWARDS LONG TERM

1742
01:04:22,200 --> 01:04:22,840
SUSTAINABILITY AT THIS TIME,

1743
01:04:22,840 --> 01:04:23,640
UNDERSTANDING THE IMPORTANCE WE

1744
01:04:23,640 --> 01:04:26,320
DON'T HAVE THAT MAP YET.  PAMELA

1745
01:04:26,320 --> 01:04:30,720
AND THEN WE'LL MOVE ON. I WANT

1746
01:04:30,720 --> 01:04:31,920
TO GIVE YOU A HEADS UP MY

1747
01:04:31,920 --> 01:04:32,920
THOUGHT IS BECAUSE I KNOW YOU

1748
01:04:32,920 --> 01:04:34,040
HAVE TO LEAVE EARLY THAT YOU

1749
01:04:34,040 --> 01:04:35,800
MIGHT AFTER THE CONCLUSION OF

1750
01:04:35,800 --> 01:04:37,600
THIS DISCUSSION GIVE US YOUR

1751
01:04:37,600 --> 01:04:38,760
ADVICE AND CONSENT RIGHT BEFORE

1752
01:04:38,760 --> 01:04:41,440
WE BREAK. SOUND GOOD? OKAY.

1753
01:04:41,440 --> 01:04:43,520
PAMELA, GO AHEAD.  

1754
01:04:43,520 --> 01:04:45,000
>> I'M PAMELA COLLINS FROM THE

1755
01:04:45,000 --> 01:04:47,080
UNIVERSITY OF WASHINGTON. AND I

1756
01:04:47,080 --> 01:04:48,720
WANT TO ADD MY THANKS AND

1757
01:04:48,720 --> 01:04:52,000
CONGRATULATIONS TO BOB HEINSEN

1758
01:04:52,000 --> 01:04:53,800
WHOM I LEARNED A LOT AS

1759
01:04:53,800 --> 01:04:55,000
COLLEAGUE AND RESEARCHER IN THE

1760
01:04:55,000 --> 01:04:56,040
FIELD.  CONGRATULATIONS, BOB. I

1761
01:04:56,040 --> 01:04:58,120
WAS REALLY EXCITED TO SEE THE

1762
01:04:58,120 --> 01:04:59,720
COMMON FUND COMPASS INITIATIVE,

1763
01:04:59,720 --> 01:05:01,360
THIS IS JUST A CRITICAL APPROACH

1764
01:05:01,360 --> 01:05:03,320
TO UNDERSTANDING COMMUNITY

1765
01:05:03,320 --> 01:05:04,120
NEEDS, STRUCTURAL AND SYSTEMIC

1766
01:05:04,120 --> 01:05:05,920
SOURCES OF INEQUITY, AND I THINK

1767
01:05:05,920 --> 01:05:08,120
ONE OF THE BEST WAYS TO DEVELOP

1768
01:05:08,120 --> 01:05:09,280
PERSON CENTERED INTERVENTIONS. 

1769
01:05:09,280 --> 01:05:11,840
T SO IN ADDITION TO THE COMMON

1770
01:05:11,840 --> 01:05:14,320
FUND INVESTMENT, HOW CAN NIMH

1771
01:05:14,320 --> 01:05:15,240
LEAD THE SCIENCE AROUND

1772
01:05:15,240 --> 01:05:16,040
COMMUNITY PART ENTREPRENEUR

1773
01:05:16,040 --> 01:05:18,000
RESEARCH AND MENTAL HEALTH? AND

1774
01:05:18,000 --> 01:05:19,240
WHERE DOES THE INSTITUTE STAND

1775
01:05:19,240 --> 01:05:22,000
ON THESE APPROACHES RIGHT NOW IN

1776
01:05:22,000 --> 01:05:23,880
THIS BODY OF RESEARCH? 

1777
01:05:23,880 --> 01:05:25,760
>> SO WE ARE ENTIRELY SUPPORTIVE

1778
01:05:25,760 --> 01:05:28,160
I WOULD SAY IS WHERE WE STAND AS

1779
01:05:28,160 --> 01:05:29,880
YOU KNOW PAMELA, WE ARE IN THE

1780
01:05:29,880 --> 01:05:32,400
PROCESS OF FINALIZING A

1781
01:05:32,400 --> 01:05:33,880
RECRUITMENT OF NEW DIRECTOR OF

1782
01:05:33,880 --> 01:05:35,280
OFFICE OF DISPARITIES RESEARCH

1783
01:05:35,280 --> 01:05:38,840
AND WORK FORCE DIVERSITY. AND WE

1784
01:05:38,840 --> 01:05:41,440
HAVE SOME FUNDS HELD ASIDE TO

1785
01:05:41,440 --> 01:05:42,560
SUPPORT INITIATIVES THAT THAT

1786
01:05:42,560 --> 01:05:43,720
NEW DIRECTOR WILL BRING MANY IN

1787
01:05:43,720 --> 01:05:46,320
THE COMING YEAR AND YEAR OR TWO.

1788
01:05:46,320 --> 01:05:49,400
AND BEYOND THAT. AND ONE OF THE

1789
01:05:49,400 --> 01:05:51,680
THINGS WE HAVE BEEN RECRUITING

1790
01:05:51,680 --> 01:05:53,760
FOR AS SOMEONE FAMILIAR WITH AND

1791
01:05:53,760 --> 01:05:56,080
ENGAGED IN COMMUNITY BASED

1792
01:05:56,080 --> 01:05:57,640
RESEARCH COMMUNITY PARTICIPATORY

1793
01:05:57,640 --> 01:06:00,240
RESEARCH IN THE AREA OF HEALTH

1794
01:06:00,240 --> 01:06:03,320
EQUITY. SO I THINK WE CAN LOOK

1795
01:06:03,320 --> 01:06:05,200
FOR AN EXPANSION OF THAT KIND OF

1796
01:06:05,200 --> 01:06:08,280
WORK AT NIMH. WE STILL AND

1797
01:06:08,280 --> 01:06:10,160
ACTUALLY THE COMPASSS INITIATIVE

1798
01:06:10,160 --> 01:06:11,600
IS IN VIEW WITH A FOCUS ON

1799
01:06:11,600 --> 01:06:13,600
MECHANISM. WE WANT TO UNDERSTAND

1800
01:06:13,600 --> 01:06:15,240
THE DETERMINANTS OF HEALTH

1801
01:06:15,240 --> 01:06:16,680
INEQUITIES AND TARGET THOSE

1802
01:06:16,680 --> 01:06:18,960
DETERMINANTS WITH INTERVENTIONS.

1803
01:06:18,960 --> 01:06:29,080
BUT WITH A BROADER WE ALSO SHARE

1804
01:06:29,080 --> 01:06:30,520
A FOCUS ON INTERVENTION. WE

1805
01:06:30,520 --> 01:06:31,280
DON'T THINK IT IS GOOD ENOUGH

1806
01:06:31,280 --> 01:06:33,360
THE LOOK AT THE PROBLEM, WE WANT

1807
01:06:33,360 --> 01:06:36,320
OUR INVESTIGATORS TO BE AT LEAST

1808
01:06:36,320 --> 01:06:37,960
MOVING TOWARDS THAT MECHANISTIC

1809
01:06:37,960 --> 01:06:39,720
DISSECTION WITH THE EYE OF

1810
01:06:39,720 --> 01:06:41,000
INTERVENTIONS IN MIND. WE

1811
01:06:41,000 --> 01:06:42,440
RECOGNIZE THAT THERE WILL BE

1812
01:06:42,440 --> 01:06:44,400
STAGE THAT -- AND THIS IS

1813
01:06:44,400 --> 01:06:46,120
BIGGEST CHALLENGE WE NEED TO

1814
01:06:46,120 --> 01:06:48,200
FIND WAYS TO SUPPORT PEOPLE WHO

1815
01:06:48,200 --> 01:06:51,000
ARE A DEVELOPING THOSE COMMUNITY

1816
01:06:51,000 --> 01:06:52,520
BASED RELATIONSHIPS AND THAT IS

1817
01:06:52,520 --> 01:06:54,720
AT THE HEART OF COMPASSS

1818
01:06:54,720 --> 01:06:55,920
INITIATIVE, THE FIRST TWO YEARS

1819
01:06:55,920 --> 01:06:57,600
ARE PLANNING PHASES THAT SUPPORT

1820
01:06:57,600 --> 01:06:59,120
COMMUNITY BASED ORGANIZATIONS TO

1821
01:06:59,120 --> 01:07:00,800
WORK WITH COMMUNITY MEMBERS TO

1822
01:07:00,800 --> 01:07:02,000
FIGURE OUT WHAT ARE THE PROBLEMS

1823
01:07:02,000 --> 01:07:03,560
THEY WANT TO ADDRESS, AND WHAT

1824
01:07:03,560 --> 01:07:04,680
ARE THE INTERVENTIONS THEY WANT

1825
01:07:04,680 --> 01:07:06,360
TO BRING TO BARE AND THEN AFTER

1826
01:07:06,360 --> 01:07:08,320
THAT TWO YEAR PERIOD, THEY WILL

1827
01:07:08,320 --> 01:07:11,200
BE APPLYING THOSE INTERVENTIONS

1828
01:07:11,200 --> 01:07:14,480
IN A STUDY. SO WE MAY CHOOSE A

1829
01:07:14,480 --> 01:07:17,720
MODEL LIKE THAT. BUT WE

1830
01:07:17,720 --> 01:07:19,120
DEFINITELY PLAN ON INCREASING

1831
01:07:19,120 --> 01:07:19,800
OUR INVESTMENT IN COMMUNITY

1832
01:07:19,800 --> 01:07:24,320
BASED INTERVENTIONS.  NOT THAT

1833
01:07:24,320 --> 01:07:25,920
WE DON'T HAVE ANY NOW, WE

1834
01:07:25,920 --> 01:07:27,120
STARTED IN MANY IN THE GLOBAL

1835
01:07:27,120 --> 01:07:29,600
SETTING AND LOCAL HERE AT NIMH

1836
01:07:29,600 --> 01:07:31,600
AND WE WANT WHEN YOU ARE HERE

1837
01:07:31,600 --> 01:07:34,320
AND WE WANT TO EXPAND UPON THAT.
THAT.

1838
01:07:34,320 --> 01:07:36,640
SO THANK YOU VERY MUCH FOR THE

1839
01:07:36,640 --> 01:07:38,400
QUESTIONS. AND WE ARE GOING TO

1840
01:07:38,400 --> 01:07:39,520
-- BEFORE WE TAKE A BREAK I WANT

1841
01:07:39,520 --> 01:07:43,880
TO GIVE THE OPPORTUNITY TO YAEL

1842
01:07:43,880 --> 01:07:45,120
NIV, ONE DEPARTING COUNCIL

1843
01:07:45,120 --> 01:07:48,080
MEMBERS TO GIVE US WORDS OF

1844
01:07:48,080 --> 01:07:50,040
WISDOM AND YAEL PLEASE INTRODUCE

1845
01:07:50,040 --> 01:07:53,240
YOURSELF BEFORE YOU DO SO. 

1846
01:07:53,240 --> 01:07:56,000
>> THANK YOU SO MUCH. I'M GLAD I

1847
01:07:56,000 --> 01:07:58,000
WROTE THIS IN ADVANCE. SO I MANY

1848
01:07:58,000 --> 01:08:00,920
NAME IS YAEL NIV, I'M LEADING

1849
01:08:00,920 --> 01:08:02,640
COUNCIL MEMBER, AT PRINCETON

1850
01:08:02,640 --> 01:08:03,840
UNIVERSITY AND I'M GOING TO

1851
01:08:03,840 --> 01:08:04,800
LEAVE EARLY TODAY BECAUSE I

1852
01:08:04,800 --> 01:08:09,600
TEACH AT 3 P.M. SO HENCE

1853
01:08:09,600 --> 01:08:11,440
DEPARTING NOW BUT NOT LEAVING

1854
01:08:11,440 --> 01:08:12,880
NOW. SO I WANTED TO SAY THAT

1855
01:08:12,880 --> 01:08:14,400
IT'S BEEN SUCH A PLEA TOWER TO

1856
01:08:14,400 --> 01:08:17,040
SERVE ON THE NIMH COUNCIL, I'M

1857
01:08:17,040 --> 01:08:19,120
CONSTANTLY IN AWE OF THE DEPTH

1858
01:08:19,120 --> 01:08:20,920
AND THOUGHTFULNESS OF THE WORK

1859
01:08:20,920 --> 01:08:23,200
THAT'S BEING DONE HERE AT ALL

1860
01:08:23,200 --> 01:08:24,600
LEVELS. ONE ASPECT THAT I

1861
01:08:24,600 --> 01:08:26,480
LEARNED IF ONLY ON COUNCIL WAS

1862
01:08:26,480 --> 01:08:27,720
THE DEEP KNOWLEDGE AND

1863
01:08:27,720 --> 01:08:28,800
COMMITMENT THAT PROGRAM OFFICERS

1864
01:08:28,800 --> 01:08:31,000
HAVE TO THE PROJECTS IN THEIR

1865
01:08:31,000 --> 01:08:33,240
PORTFOLIOS. IT WAS REALLY A PLEA

1866
01:08:33,240 --> 01:08:35,080
SURE TO SEE HOW SERIOUSLY

1867
01:08:35,080 --> 01:08:36,120
CAREFULLY RESEARCH PROPOSALS ARE

1868
01:08:36,120 --> 01:08:37,000
CONSIDERED BY PROGRAM COUNCIL

1869
01:08:37,000 --> 01:08:40,880
AND LEADERSHIP. I THINK YOU

1870
01:08:40,880 --> 01:08:42,920
BROUGHT ME ON COUNCIL FOR MY

1871
01:08:42,920 --> 01:08:44,240
COMPUTATIONAL EXPERTISE BUT I

1872
01:08:44,240 --> 01:08:45,840
FEEL THAT ONE OF MY MOST

1873
01:08:45,840 --> 01:08:48,400
IMPORTANT ROLES ON COUNCIL WAS

1874
01:08:48,400 --> 01:08:50,240
TO ADD ADVOCATE BEHAVIORAL

1875
01:08:50,240 --> 01:08:51,720
RESEARCH AND RESEARCH ON

1876
01:08:51,720 --> 01:08:52,600
PSYCHOTHERAPY INTERVENTION AND

1877
01:08:52,600 --> 01:08:55,080
REMIND US OF NIMH ROLE IN

1878
01:08:55,080 --> 01:08:56,480
FIGHTING GENDER BIAS AND

1879
01:08:56,480 --> 01:08:58,400
SCIENCE. SO IN TERMS OF ADVICE

1880
01:08:58,400 --> 01:08:59,680
TO NEW COUNCIL MEMBERS I HOPE

1881
01:08:59,680 --> 01:09:01,240
SOMEONE WILL TAKE UP THIS ROLE.

1882
01:09:01,240 --> 01:09:02,360
YOU DON'T HAVE TO BE A WOMAN TO

1883
01:09:02,360 --> 01:09:05,880
DO IT.  AND MORE BROADLY I'M

1884
01:09:05,880 --> 01:09:08,320
HEARTENED TO SEE NIMH TAKE A

1885
01:09:08,320 --> 01:09:10,040
MORE ACTIVE ROLE COMBATING

1886
01:09:10,040 --> 01:09:14,160
SEXISM AND RACISM; THESE EFFORTS

1887
01:09:14,160 --> 01:09:15,640
HAVE TO BE REAL EVER DEEPER AN

1888
01:09:15,640 --> 01:09:17,560
COME FROM THE TOP AND I'M GLAD

1889
01:09:17,560 --> 01:09:19,640
THEY DO. NIMH WITH LARGE BUDGET

1890
01:09:19,640 --> 01:09:21,520
AS WE SAW TODAY NOT AS LARGE AS

1891
01:09:21,520 --> 01:09:25,960
WE WAN BUT STILL LARGE, CAN

1892
01:09:25,960 --> 01:09:28,040
CONTINUE PER WAITING HISTORIC --

1893
01:09:28,040 --> 01:09:29,360
PERPETUATING HISTORIC BIAS OR

1894
01:09:29,360 --> 01:09:31,400
WORK TO RIGHT THE WRONGS. I SEE

1895
01:09:31,400 --> 01:09:32,320
IN CLOSE SESSIONS MORE

1896
01:09:32,320 --> 01:09:34,080
REFLECTION ON THIS ISSUE AND HOW

1897
01:09:34,080 --> 01:09:37,360
THESE ISSUES ARE IMPACTED BY

1898
01:09:37,360 --> 01:09:39,360
EVERYONE OF OUR DECISIONS.  MOST

1899
01:09:39,360 --> 01:09:40,480
IMPORTANTLY, IN MY TIME ON

1900
01:09:40,480 --> 01:09:42,440
COUNCIL, WE HAVE CHANGED THE WAY

1901
01:09:42,440 --> 01:09:44,000
ADDITIONAL FUNDING TO VERY WELL

1902
01:09:44,000 --> 01:09:46,120
FUNDED LABS IS ASSESSED. I SEE

1903
01:09:46,120 --> 01:09:47,520
THIS AS A REALLY IMPORTANT STEP

1904
01:09:47,520 --> 01:09:50,040
AND WORKING AGAINST HORDING OF

1905
01:09:50,040 --> 01:09:51,080
RESOURCES. BECAUSE THE BOTTOM

1906
01:09:51,080 --> 01:09:52,800
LINE IS THAT IN ORDER TO LIFT UP

1907
01:09:52,800 --> 01:09:53,680
THOSE WHO HAVE BEEN

1908
01:09:53,680 --> 01:09:55,080
DISCRIMINATED AGAINST, THOSE WHO

1909
01:09:55,080 --> 01:09:56,600
HAVE BENEFITED FROM PRIVILEGE

1910
01:09:56,600 --> 01:09:57,920
NEED THE GIVE UP SOME OF THEIR

1911
01:09:57,920 --> 01:09:59,920
POWER.  AND THIS IS NOT TRIVIAL

1912
01:09:59,920 --> 01:10:01,080
BECAUSE MANY OF US ON COUNCIL

1913
01:10:01,080 --> 01:10:04,000
HAVE SUCCESSFUL HIGHLY FUNDED

1914
01:10:04,000 --> 01:10:05,560
LABS.  SO ALL THE MORE PROUD WE

1915
01:10:05,560 --> 01:10:07,040
CAN AS A GROUP COMMIT TO BETTER

1916
01:10:07,040 --> 01:10:08,920
SHARING OF RESOURCES.  SO THANK

1917
01:10:08,920 --> 01:10:10,560
YOU, EVERYONE. IT WAS A REALLY

1918
01:10:10,560 --> 01:10:11,680
GREAT PRIVILEGE TO GET TO KNOW

1919
01:10:11,680 --> 01:10:13,240
ALL OF YOU AND TO WORK WITH YOU

1920
01:10:13,240 --> 01:10:14,400
AND GOOD LUCK WITH IMPORTANT

1921
01:10:14,400 --> 01:10:21,800
WORK THAT LIES AHEAD.  

1922
01:10:21,800 --> 01:10:24,240
>> THANK YOU, YAEL FOR YOUR

1923
01:10:24,240 --> 01:10:25,720
ACTIVE ADVOCACY ON ALL THAT YOU

1924
01:10:25,720 --> 01:10:28,360
SAID AN MORE. AND FOR YOUR

1925
01:10:28,360 --> 01:10:29,200
ACTIVE PARTICIPATION IN THIS

1926
01:10:29,200 --> 01:10:30,560
COUNCIL THE LAST SEVERAL YEARS.

1927
01:10:30,560 --> 01:10:31,880
YOU ARE RIGHT, I BROUGHT YOU ON

1928
01:10:31,880 --> 01:10:33,640
FOR ONE REASON AND IT WAS VERY

1929
01:10:33,640 --> 01:10:37,000
PLEASED TO HAVE MULTIPLE REASONS

1930
01:10:37,000 --> 01:10:39,320
TO APPRECIATE YOUR

1931
01:10:39,320 --> 01:10:41,120
CONTRIBUTIONS. THANK YOU. OKAY.

1932
01:10:41,120 --> 01:10:42,440
WITH THAT WE ARE GOING TO TAKE A

1933
01:10:42,440 --> 01:10:43,760
BREAK WE ARE RUNNING A BIT

1934
01:10:43,760 --> 01:10:45,080
BEHIND SO WE WILL KEEP OUR BREAK

1935
01:10:45,080 --> 01:10:46,360
TO FIVE MINUTES INSTEAD OF TEN.

1936
01:10:46,360 --> 01:10:47,720
I APOLOGIZE. WE WILL COME BACK

1937
01:10:47,720 --> 01:10:51,320
AT 1:16. WE HAVE A WONDERFUL

1938
01:10:51,320 --> 01:10:53,120
GUEST TODAY. DR. ZENK FROM THE

1939
01:10:53,120 --> 01:10:53,920
NATIONAL INSTITUTE NURSING

1940
01:10:53,920 --> 01:10:55,520
RESEARCH. SEE YOU AT 1:16. 

1941
01:10:55,520 --> 01:10:57,160
>> WELCOME BACK, EVERYONE FROM

1942
01:10:57,160 --> 01:10:58,760
OUR BREAK. BOTH MEMBERS OF

1943
01:10:58,760 --> 01:11:00,120
COUNCIL AS WELL AS THOSE OF YOU

1944
01:11:00,120 --> 01:11:04,520
IN THE VIDEOCAST. I WANT TO

1945
01:11:04,520 --> 01:11:06,240
WELCOME YOU BACK AND SAY HOW

1946
01:11:06,240 --> 01:11:09,480
HONORED WE ARE TO HAVE DR.

1947
01:11:09,480 --> 01:11:10,440
SHANNON ZENK WITH US TODAY,

1948
01:11:10,440 --> 01:11:12,160
DIRECTOR OF O NATIONAL INSTITUTE

1949
01:11:12,160 --> 01:11:14,080
OF NURSING RESEARCH. DR. ZENG'S

1950
01:11:14,080 --> 01:11:15,920
RESEARCH FOCUSES ON SOCIAL

1951
01:11:15,920 --> 01:11:16,920
INEQUITIES AN HEALTH WITH THE

1952
01:11:16,920 --> 01:11:19,480
GOAL OF IDENTIFYING EFFECTIVE

1953
01:11:19,480 --> 01:11:21,160
MULTI-LEVEL APPROACH TO IMPROVE

1954
01:11:21,160 --> 01:11:23,280
HEALTH AND ELIMINATE RACIAL

1955
01:11:23,280 --> 01:11:24,840
ETHNIC AND SOCIOECONOMIC HEALTH

1956
01:11:24,840 --> 01:11:29,240
DISPARITIES.  AS NIMH CONTINUES

1957
01:11:29,240 --> 01:11:31,440
TO REEXAMINE OUR FOCUS ON SOCIAL

1958
01:11:31,440 --> 01:11:32,520
DETERMINANTS OF HEALTH, I

1959
01:11:32,520 --> 01:11:33,760
THOUGHT WE WOULD GREATLY BENEFIT

1960
01:11:33,760 --> 01:11:35,960
FROM HEARING HER INSIGHT AND

1961
01:11:35,960 --> 01:11:37,440
EXPLORE POTENTIAL FUTURE

1962
01:11:37,440 --> 01:11:39,720
PARTNERSHIPS BETWEEN NIMH AND

1963
01:11:39,720 --> 01:11:41,080
NINR, LET ME ADD WE ALREADY HAVE

1964
01:11:41,080 --> 01:11:42,760
ONE OF THOSE PARTNERSHIPS WE ARE

1965
01:11:42,760 --> 01:11:44,520
WORKING ON THAT INITIATIVE THAT

1966
01:11:44,520 --> 01:11:47,560
I JUST TOLD YOU ABOUT, COMPASSS

1967
01:11:47,560 --> 01:11:49,000
INITIATIVE HEALTH EQUITY THAT

1968
01:11:49,000 --> 01:11:50,800
JUST WAS AGREED TO BE FUNDED BY

1969
01:11:50,800 --> 01:11:55,360
THE COMMON FUND. AND DR. ZENK
IS

1970
01:11:55,360 --> 01:11:58,360
A FANTASTIC LEADER AND FANTASTIC

1971
01:11:58,360 --> 01:11:59,360
COLLEAGUE SO TANK IT AWAY. THANK

1972
01:11:59,360 --> 01:12:00,760
YOU. -- TAKE IT AWAY.

1973
01:12:00,760 --> 01:12:03,160
>> THANK YOU SO MUCH, JOSH. IT

1974
01:12:03,160 --> 01:12:05,160
REALLY IS A PLEASURE TO BE WITH

1975
01:12:05,160 --> 01:12:12,400
ALL OF YOU TODAY AND GREAT TO

1976
01:12:12,400 --> 01:12:13,360
HAVE THE OPPORTUNITY TO TALK TO

1977
01:12:13,360 --> 01:12:14,360
YOUR COUNCIL SO THANK YOU. I'M

1978
01:12:14,360 --> 01:12:17,640
EXCITED TO HEAR HA THAT NIMH IS

1979
01:12:17,640 --> 01:12:18,480
CONSIDERING ADDITIONAL RESEARCH

1980
01:12:18,480 --> 01:12:20,520
AND SOCIAL DETERMINANTS OF

1981
01:12:20,520 --> 01:12:22,280
HEALTH AND SO JUST PLEASED TO BE

1982
01:12:22,280 --> 01:12:27,600
ABLE TO SHARE A NURSING RESEARCH

1983
01:12:27,600 --> 01:12:28,480
PERSPECTIVE ON THIS FIELD OF

1984
01:12:28,480 --> 01:12:30,480
RESEARCH. BEFORE WE GET STARTED

1985
01:12:30,480 --> 01:12:31,680
LET ME TELL YOU WHAT I'LL COVER

1986
01:12:31,680 --> 01:12:41,840
TODAY.  FIRST MY CAREER PATH AND

1987
01:12:41,840 --> 01:12:44,360
IN ADDITION TO WHERE PEOPLE ARE

1988
01:12:44,360 --> 01:12:45,960
BORN PLAY LIVE WORK AND AGE. AND

1989
01:12:45,960 --> 01:12:48,520
I WILL SHARE THE WORK WE ARE

1990
01:12:48,520 --> 01:12:52,280
FUNDING WITH NINR AND SOME NIH

1991
01:12:52,280 --> 01:12:52,840
WIDE SOCIAL DETERMINANTS OF

1992
01:12:52,840 --> 01:12:54,720
HEALTH INITIATIVES. FINALLY I

1993
01:12:54,720 --> 01:12:57,120
WILL DISCUSS OUR UPCOMING

1994
01:12:57,120 --> 01:12:58,480
STRATEGIC PLAN AND WHERE WE ARE

1995
01:12:58,480 --> 01:13:01,960
HEADED UNDER MY LEADERSHIP AT

1996
01:13:01,960 --> 01:13:03,960
NINR. FIRST A LITTLE BIT ABOUT

1997
01:13:03,960 --> 01:13:07,880
ME. I BECAME INTERESTED IN

1998
01:13:07,880 --> 01:13:09,120
COMMUNITY ENVIRONMENTS AND

1999
01:13:09,120 --> 01:13:11,760
SPECIFICALLY HOW RESOURCES AND

2000
01:13:11,760 --> 01:13:13,960
RISKS WERE DISTRIBUTED ACROSS

2001
01:13:13,960 --> 01:13:15,760
COMMUNITIES AND IMPLICATION FOR

2002
01:13:15,760 --> 01:13:19,040
PEOPLE'S HEALTH WHILE PRACTICING

2003
01:13:19,040 --> 01:13:21,160
AS A NURSE IN HOME HEALTHCARE SO

2004
01:13:21,160 --> 01:13:23,880
SPENDING TIME IN PEOPLE'S HOMES

2005
01:13:23,880 --> 01:13:25,160
AND DIFFERENT COMMUNITIES I WAS

2006
01:13:25,160 --> 01:13:27,600
STRUCK BY THE TREMENDOUS

2007
01:13:27,600 --> 01:13:30,120
DIFFERENCES IN THE ENVIRONMENT

2008
01:13:30,120 --> 01:13:31,640
OF PATIENTS IN MY CASE LOAD IN

2009
01:13:31,640 --> 01:13:32,960
TERMS OF PRIVILEGE AS WELL AS

2010
01:13:32,960 --> 01:13:41,640
POVERTY.  I FOUND IT DIFFICULT

2011
01:13:41,640 --> 01:13:44,480
TO TALK TO PATIENTS ABOUT HERBAL

2012
01:13:44,480 --> 01:13:45,760
THY EATING. WHAT THEY REALLY

2013
01:13:45,760 --> 01:13:49,280
NEED IS DECENT STABLE HOUSING,

2014
01:13:49,280 --> 01:13:51,920
SAFE ENVIRONMENT AND ACCESS TO

2015
01:13:51,920 --> 01:13:53,480
AFFORDABLE FOODS NEARBY. IN

2016
01:13:53,480 --> 01:13:54,680
RESPONSE TO THOSE CLINICAL

2017
01:13:54,680 --> 01:13:55,680
OBSERVATIONS I WENT

2018
01:13:55,680 --> 01:13:57,360
BACK-TO-SCHOOL TO LEARN WHAT I

2019
01:13:57,360 --> 01:13:59,360
COULD DO TO HELP ADDRESS THOSE

2020
01:13:59,360 --> 01:14:01,680
ISSUES. AND ACTUALLY I AM NOT

2021
01:14:01,680 --> 01:14:03,320
SURE IF YOU KNOW THIS JOSH BUT

2022
01:14:03,320 --> 01:14:07,480
I'M GRATEFUL TO NIMH FOR HELPING

2023
01:14:07,480 --> 01:14:08,520
SHAPE MY INTEREST IN SOCIAL

2024
01:14:08,520 --> 01:14:11,560
DETERMINANTS OF HEALTH.  

2025
01:14:11,560 --> 01:14:13,600
SPECIFICALLY NIMH SUPPORTED

2026
01:14:13,600 --> 01:14:16,520
THREE YEARS OF MY PRE-DOCTORAL

2027
01:14:16,520 --> 01:14:20,320
TRAINING, THROUGH A T-32 ON

2028
01:14:20,320 --> 01:14:22,640
PSYCHOSOCIAL FACTORS ON MENTAL

2029
01:14:22,640 --> 01:14:24,320
HEALTH AND ILLNESS LED BY DR.

2030
01:14:24,320 --> 01:14:25,640
DAVID WILLIAMS THEN AT THE

2031
01:14:25,640 --> 01:14:27,520
UNIVERSITY OF MICHIGAN. SO I AM

2032
01:14:27,520 --> 01:14:30,840
VERY GRATEFUL TO NIM H. WITH

2033
01:14:30,840 --> 01:14:32,400
THAT SUPPORT I WAS ABLE TO

2034
01:14:32,400 --> 01:14:34,800
PARTICIPATE IN RESEARCH AS PART

2035
01:14:34,800 --> 01:14:37,520
OF THE DETROIT EPIDEMIC

2036
01:14:37,520 --> 01:14:39,680
COMMUNITY URBAN RESEARCH CENTER,

2037
01:14:39,680 --> 01:14:42,040
INCLUDING STUDIES USING STRESS

2038
01:14:42,040 --> 01:14:43,960
PROCESS MODELS TO UNDERSTAND AND

2039
01:14:43,960 --> 01:14:45,880
ADDRESS HEALTH DETERMINANTS AND

2040
01:14:45,880 --> 01:14:47,960
DISPARITIES AMONG RESIDENTS OF

2041
01:14:47,960 --> 01:14:49,360
DETROIT. SO ANOTHER CONNECTION

2042
01:14:49,360 --> 01:14:52,960
HERE IS I NOTICE THAT

2043
01:14:52,960 --> 01:14:54,680
COINCIDENTALLY YOUR NEXT SPEAKER

2044
01:14:54,680 --> 01:14:57,600
DR. ENRIQUE NEBLETT IS NOW

2045
01:14:57,600 --> 01:14:58,760
PROFESSOR AND MY FORMER

2046
01:14:58,760 --> 01:15:00,680
DEPARTMENT AT MICHIGAN, AND

2047
01:15:00,680 --> 01:15:03,160
ASSOCIATE DIRECTOR OF THE

2048
01:15:03,160 --> 01:15:06,480
DETROIT URC. SO ALL THESE

2049
01:15:06,480 --> 01:15:12,880
CONNECTIONS, JOSH. SO THROUGH

2050
01:15:12,880 --> 01:15:14,760
THE T 32 TRAINING AND OTHER

2051
01:15:14,760 --> 01:15:17,240
COURSE WORK I WAS EXPOSED TO

2052
01:15:17,240 --> 01:15:19,280
TROUBLING RESEARCH SHOWING

2053
01:15:19,280 --> 01:15:20,680
INEQUITIES BASED ON WHERE PEOPLE

2054
01:15:20,680 --> 01:15:22,280
LIVE. WHEN I WAS GOING TO SCHOOL

2055
01:15:22,280 --> 01:15:23,320
THERE WAS RELATIVELY NEW

2056
01:15:23,320 --> 01:15:26,160
RESEARCH COMING OUT BY DR.

2057
01:15:26,160 --> 01:15:28,160
ARLENE DOCUMENTING DISPARITIES

2058
01:15:28,160 --> 01:15:30,720
IN SURVIVAL AMONG AFRICAN

2059
01:15:30,720 --> 01:15:32,160
AMERICAN MEN LIVING IN DIFFERENT

2060
01:15:32,160 --> 01:15:34,960
U.S. COMMUNITIES.  SHE FOUND FOR

2061
01:15:34,960 --> 01:15:36,520
EXAMPLE THE CHANCE OF SURVIVAL

2062
01:15:36,520 --> 01:15:39,600
TO AGE 65 WAS 60% NATIONWIDE, A

2063
01:15:39,600 --> 01:15:41,240
REALLY CONCERNING STATISTIC ON

2064
01:15:41,240 --> 01:15:44,360
ITS OWN,S BUT IT WAS ONLY 50% IN

2065
01:15:44,360 --> 01:15:47,520
CENTRAL CITY DETROIT AND 37% ON

2066
01:15:47,520 --> 01:15:50,080
CHICAGO SOUTH SIDE.  TWO LOW

2067
01:15:50,080 --> 01:15:50,800
INCOME AFRICAN AMERICAN

2068
01:15:50,800 --> 01:15:53,360
COMMUNITIES.  THERE IS ALSO NEW

2069
01:15:53,360 --> 01:15:55,520
RESEARCH COMING OUT THAT FOUND

2070
01:15:55,520 --> 01:15:57,640
LIVING IN A LOW INCOME

2071
01:15:57,640 --> 01:15:59,920
NEIGHBORHOOD WAS ASSOCIATED WITH

2072
01:15:59,920 --> 01:16:02,520
WORSE HEALTH EVEN WHEN YOU

2073
01:16:02,520 --> 01:16:03,760
CONTROL FOR INCOME AND WIDE

2074
01:16:03,760 --> 01:16:05,840
VARIETY OF OTHER FACTORS. THIS

2075
01:16:05,840 --> 01:16:07,960
WAS THE CASE ACROSS A WIDE

2076
01:16:07,960 --> 01:16:11,880
VARIETY OF HEALTH OUTCOMES.  

2077
01:16:11,880 --> 01:16:12,960
AROUND THAT TIME DR. DAVID

2078
01:16:12,960 --> 01:16:15,600
WILLIAMS PROPOSED RACIAL

2079
01:16:15,600 --> 01:16:16,920
RESIDENTIAL SEGREGATION WAS A

2080
01:16:16,920 --> 01:16:18,280
FUNDAMENTAL CAUSE OF RACIAL

2081
01:16:18,280 --> 01:16:19,720
DISPARITIES IN HEALTH. SO ONE OF

2082
01:16:19,720 --> 01:16:21,080
THE QUESTIONS AT THIS TIME WAS

2083
01:16:21,080 --> 01:16:23,360
WHAT WERE THE MECHANISMS BY

2084
01:16:23,360 --> 01:16:25,640
WHICH SEGREGATION AND COMMUNITY

2085
01:16:25,640 --> 01:16:27,120
ECONOMIC CONDITIONS FOR EXAMPLE,

2086
01:16:27,120 --> 01:16:32,280
AFFECTED PEOPLE'S HEALTH HEALTH

2087
01:16:32,280 --> 01:16:33,000
AND REBUTTAL CKED TO

2088
01:16:33,000 --> 01:16:35,760
DISPARITIES. THAT LED TO FURTHER

2089
01:16:35,760 --> 01:16:38,080
OBSERVATIONS AN DISCUSSION AND I

2090
01:16:38,080 --> 01:16:38,960
HAD THE CHANCE TO SPEND TIME IN

2091
01:16:38,960 --> 01:16:40,800
DETROIT AS PART OF MY COURSE

2092
01:16:40,800 --> 01:16:49,040
WORK AND THROUGH MY WORK. I

2093
01:16:49,040 --> 01:16:50,240
HEARD PEOPLE TALK ABOUT LACK OF

2094
01:16:50,240 --> 01:16:51,600
HEALTHY FOODS IN THE LOCAL

2095
01:16:51,600 --> 01:16:53,680
COMMUNITIES AND SOME OF THE

2096
01:16:53,680 --> 01:16:55,960
OBSERVATIONS AT LOCAL STORE

2097
01:16:55,960 --> 01:16:56,880
CALLED EXTRA FOODS AT THE TIME

2098
01:16:56,880 --> 01:17:03,360
ARE DOCUMENTED IN THESE SLIDES. 

2099
01:17:03,360 --> 01:17:04,560
SO THAT LAUNCHED MY RESEARCH

2100
01:17:04,560 --> 01:17:07,280
CAREER FIRST IN DETROIT LATER

2101
01:17:07,280 --> 01:17:08,960
CHICAGO AND NATIONWIDE MY

2102
01:17:08,960 --> 01:17:10,160
COLLEAGUES FOUND LOW INCOME AND

2103
01:17:10,160 --> 01:17:11,520
AFRICAN AMERICAN COMMUNITIES

2104
01:17:11,520 --> 01:17:12,680
HAVE LESS ACCESS TO HEALTHY

2105
01:17:12,680 --> 01:17:15,160
FOODS.  FOR EXAMPLE, IN THE

2106
01:17:15,160 --> 01:17:17,320
DETROIT AREA, WE SHOWED THAT

2107
01:17:17,320 --> 01:17:18,680
SUPERMARKETS WHICH WE KNOW TEND

2108
01:17:18,680 --> 01:17:20,520
TO HAVE THE WIDEST SELECTION OF

2109
01:17:20,520 --> 01:17:23,280
HEALTHY FOODS, WERE LOCATED OVER

2110
01:17:23,280 --> 01:17:25,440
A MILE FURTHER FROM BLACK HIGH

2111
01:17:25,440 --> 01:17:28,360
POVERTY COMMUNITIES COMPARED TO

2112
01:17:28,360 --> 01:17:29,360
WHITE HIGH POVERTY COMMUNITIES. 

2113
01:17:29,360 --> 01:17:30,520
THIS WAS ONE OF THE EARLY

2114
01:17:30,520 --> 01:17:33,160
STUDIES IN THE U.S. ON FOOD

2115
01:17:33,160 --> 01:17:35,040
DESERTS.  WE ALSO FOUND MILLION

2116
01:17:35,040 --> 01:17:36,000
THY FOOD OPTIONS ARE LESS

2117
01:17:36,000 --> 01:17:37,560
AVAILABLE AT STORES AND

2118
01:17:37,560 --> 01:17:39,680
RESTAURANTS IN LOW INCOME AND

2119
01:17:39,680 --> 01:17:41,320
COMMUNITIES OF COLOR AND THAT

2120
01:17:41,320 --> 01:17:43,200
THE BALANCE OF HEALTHIER TO LESS

2121
01:17:43,200 --> 01:17:45,400
HEALTHY OPTIONS IS WORSE IN LOW

2122
01:17:45,400 --> 01:17:46,200
INCOME AFRICAN AMERICAN

2123
01:17:46,200 --> 01:17:54,120
COMMUNITIES.  RECEIVE OUR

2124
01:17:54,120 --> 01:17:55,960
RESULTS ARE STUDIED ACROSS

2125
01:17:55,960 --> 01:17:57,520
COUNTRY, NOT ONLY HEALTHY FOOD

2126
01:17:57,520 --> 01:17:59,880
RESOURCES BUT WIDE VARIETY OF

2127
01:17:59,880 --> 01:18:02,200
OTHER RESOURCINGS ARE UNEQUALLY

2128
01:18:02,200 --> 01:18:03,480
DISTRIBUTED ACROSS COMMUNITIES,

2129
01:18:03,480 --> 01:18:06,200
INCLUDING JOBS THAT PAY A LIVING

2130
01:18:06,200 --> 01:18:08,960
WAGE, GOOD SCHOOLS, MUNICIPAL

2131
01:18:08,960 --> 01:18:09,960
SERVICES LIKE GARBAGE REMOVAL

2132
01:18:09,960 --> 01:18:12,760
AND PUBLIC TRANSIT, PHARMACIES,

2133
01:18:12,760 --> 01:18:15,080
ATTRACTIVE PARKS AND GREEN

2134
01:18:15,080 --> 01:18:17,080
SPACES, DESTINATIONS AN

2135
01:18:17,080 --> 01:18:18,520
INFRASTRUCTURE, FOR WALKING AND

2136
01:18:18,520 --> 01:18:19,720
BIKING. AS WELL AS CLEAN AIR AN

2137
01:18:19,720 --> 01:18:24,640
WATER.  LIKEWISE LOW INCOME

2138
01:18:24,640 --> 01:18:27,560
COMMUNITIES ARE SUBJECTED TO

2139
01:18:27,560 --> 01:18:28,840
MORE RISESK SUCH AS GREATER

2140
01:18:28,840 --> 01:18:31,120
AVAILABLE AND MARKETING OF

2141
01:18:31,120 --> 01:18:34,800
TOBACCO, ALCOHOL AND JUNK FOOD. 

2142
01:18:34,800 --> 01:18:37,240
Z ACCESSSIVE MONITORING BY

2143
01:18:37,240 --> 01:18:38,360
POLICE AND IMMIGRATION OFFICIALS

2144
01:18:38,360 --> 01:18:40,720
POLLUTION AND TOXIC SUBSTANCES.

2145
01:18:40,720 --> 01:18:43,160
SO MY TEAM AND I HAVE SINCE

2146
01:18:43,160 --> 01:18:45,360
GENERATED EVIDENCE ON HOW

2147
01:18:45,360 --> 01:18:48,200
VARIATIONS IN FOOD AND BUILT

2148
01:18:48,200 --> 01:18:49,320
ENVIRONMENT AFFECT INDIVIDUAL

2149
01:18:49,320 --> 01:18:50,520
DIET AND PHYSICAL ACTIVITY

2150
01:18:50,520 --> 01:18:52,520
BEHAVIORS AS WELL AS OBESITY

2151
01:18:52,520 --> 01:18:55,520
RISK, AND AFRICAN AMERICAN AND

2152
01:18:55,520 --> 01:19:00,160
MULTI-ETHNIC SAMPLES. 

2153
01:19:00,160 --> 01:19:03,880
RECOGNIZING RESEARCH WAS STYMIED

2154
01:19:03,880 --> 01:19:06,320
BY LOCAL CROSS SECTIONAL STUDIES

2155
01:19:06,320 --> 01:19:08,160
WITH SAMPLE SIZES LAUNCHED AT

2156
01:19:08,160 --> 01:19:09,920
TIME OF INCEPTION WAS THE

2157
01:19:09,920 --> 01:19:11,760
LARGEST U.S. STUDY OF ITS KIND.

2158
01:19:11,760 --> 01:19:14,160
THIS STUDY INTEGRATED ELECTRONIC

2159
01:19:14,160 --> 01:19:16,040
HEALTH RECORD DATA AND

2160
01:19:16,040 --> 01:19:17,240
ADMINISTRATIVE DATA FROM THE

2161
01:19:17,240 --> 01:19:18,600
U.S. DEPARTMENT OF VETERANS

2162
01:19:18,600 --> 01:19:20,720
AFFAIRS, WITH MULTIPLE SOURCES

2163
01:19:20,720 --> 01:19:23,520
OF ENVIRONMENTAL DATA. IN OTHER

2164
01:19:23,520 --> 01:19:26,320
WORK WE EMPLOYED A CONCEPT FROM

2165
01:19:26,320 --> 01:19:28,160
BEHAVIORAL GEOGRAPHY CALLED

2166
01:19:28,160 --> 01:19:30,800
ACTIVITY SPACE TO ENRICH THE

2167
01:19:30,800 --> 01:19:31,640
CHARACTERIZATION OF

2168
01:19:31,640 --> 01:19:33,560
ENVIRONMENTAL EXPOSURES TO

2169
01:19:33,560 --> 01:19:36,440
INCLUDE PLACES WHERE PEOPLE

2170
01:19:36,440 --> 01:19:38,600
SPEND TIME NOT WHERE THEY LIVE.

2171
01:19:38,600 --> 01:19:40,320
WE HAVE EXTENDED THIS RESEARCH

2172
01:19:40,320 --> 01:19:41,840
WITH ADDITIONAL REAL TIME DATA

2173
01:19:41,840 --> 01:19:44,120
COLLECTION APPROACHES.  TO

2174
01:19:44,120 --> 01:19:45,000
BETTER UNDERSTAND WHEN IT COMES

2175
01:19:45,000 --> 01:19:47,440
TO PEOPLE'S HEALTH, OR WHOM THE

2176
01:19:47,440 --> 01:19:49,120
ENVIRONMENT MATTERS, AND UNDER

2177
01:19:49,120 --> 01:19:55,280
WHAT CONDITIONS. WE ADDRESS

2178
01:19:55,280 --> 01:19:57,360
PROBLEMS IN BEHAVIORAL WEIGHT

2179
01:19:57,360 --> 01:19:59,360
LOSS INTERVENTION, TREMENDOUS

2180
01:19:59,360 --> 01:19:59,920
VARIABILITY IN INDIVIDUAL

2181
01:19:59,920 --> 01:20:02,160
RESPONSES AND SUSTAINED

2182
01:20:02,160 --> 01:20:05,560
BEHAVIORAL HEALTH IMPROVEMENTS. 

2183
01:20:05,560 --> 01:20:06,880
EVALUATING WHETHER COMMUNITY

2184
01:20:06,880 --> 01:20:08,360
ENVIRONMENTS ALTER INTERVENTION

2185
01:20:08,360 --> 01:20:10,960
EFFECTIVENESS. SO GIVEN THEIR

2186
01:20:10,960 --> 01:20:12,760
IMPLICATIONS FOR PEOPLE'S HEALTH

2187
01:20:12,760 --> 01:20:14,520
AND HEALTH DISPARITIES AND

2188
01:20:14,520 --> 01:20:16,360
IMPORTANT QUESTION THEN IS HOW

2189
01:20:16,360 --> 01:20:19,160
CAN WE WRITE THE HISTORIC AND

2190
01:20:19,160 --> 01:20:21,320
CONTEMPORARY WRONGS OF RACISM

2191
01:20:21,320 --> 01:20:23,800
AND RACE BASED RESIDENTIAL

2192
01:20:23,800 --> 01:20:26,280
SEGREGATION THAT PRODUCE AND

2193
01:20:26,280 --> 01:20:27,960
PERPETUATE RACIAL INEQUITIES IN

2194
01:20:27,960 --> 01:20:29,160
ACCESS TO HEALTH RELEVANT

2195
01:20:29,160 --> 01:20:31,920
RESOURCES.  THERE IS A CRITICAL

2196
01:20:31,920 --> 01:20:33,560
NEED HERE FOR SCIENTIFIC

2197
01:20:33,560 --> 01:20:36,000
EVIDENCE ON WHAT POLICIES AND

2198
01:20:36,000 --> 01:20:37,120
INVESTMENT ARE EFFECTIVE AND

2199
01:20:37,120 --> 01:20:39,920
INCREASING RESOURCES AND

2200
01:20:39,920 --> 01:20:41,560
REMOVING RISKS IN IMMUNITIES OF

2201
01:20:41,560 --> 01:20:43,560
COLOR AND ULTIMATELY IMPROVING

2202
01:20:43,560 --> 01:20:44,640
HEALTH BEHAVIORS AND HEALTH

2203
01:20:44,640 --> 01:20:48,240
OUTCOMES.  THIS IS AN AREA OF

2204
01:20:48,240 --> 01:20:49,960
ACTIVE RESEARCH AND LET ME TELL

2205
01:20:49,960 --> 01:20:51,760
YOU ONE EXAMPLE OF RESERGE THAT

2206
01:20:51,760 --> 01:20:55,800
MY COLLEAGUES AND I CONDUCT --

2207
01:20:55,800 --> 01:20:57,600
RESEARCH WE CONDUCTED.  THIS IS

2208
01:20:57,600 --> 01:21:01,400
POLICY RESEARCH. THE 2009 WIC

2209
01:21:01,400 --> 01:21:04,880
FOOD PACKAGE REVISION

2210
01:21:04,880 --> 01:21:06,400
DRAMATICALLY EXPANDED HEALTHY

2211
01:21:06,400 --> 01:21:07,600
FOODS SUCH AS FRUITS AND

2212
01:21:07,600 --> 01:21:09,160
VEGETABLES IN THE PACKAGE. THE

2213
01:21:09,160 --> 01:21:10,360
FIRST CHANGE IN THE PACKAGE IN

2214
01:21:10,360 --> 01:21:13,760
DECADES.  NOW, THE REVISION WAS

2215
01:21:13,760 --> 01:21:15,200
DESIGNED TO IMPROVE THE KNEW

2216
01:21:15,200 --> 01:21:18,800
TRICKS OF WIC CLIENTS, YET THIS

2217
01:21:18,800 --> 01:21:20,480
COST NEUTRAL POLICY CHANGE WAS

2218
01:21:20,480 --> 01:21:22,680
ALSO ASSOCIATED WITH IMPROVEMENT

2219
01:21:22,680 --> 01:21:24,720
IN THE COMMUNITY ENVIRONMENT. IN

2220
01:21:24,720 --> 01:21:26,520
A STUDY OF NINE COUNTIES IN

2221
01:21:26,520 --> 01:21:28,440
NORTHERN ILLINOIS, WE FOUND

2222
01:21:28,440 --> 01:21:31,240
SMALL IMPROVEMENTS IN FRUIT AND

2223
01:21:31,240 --> 01:21:32,520
VEGETABLE AVAILABILITY AND

2224
01:21:32,520 --> 01:21:34,960
MODEST REDUCTION IN VEGETABLE

2225
01:21:34,960 --> 01:21:37,960
PRICES AT RETAILERS. STUDIES LED

2226
01:21:37,960 --> 01:21:40,640
BY OTHER TEAMS, GENERALLY FOUND

2227
01:21:40,640 --> 01:21:41,600
CONSISTENT RESULTS SO IT IS

2228
01:21:41,600 --> 01:21:44,040
STUDIES LIKE THESE THAT CAN HELP

2229
01:21:44,040 --> 01:21:45,520
US ACCUMULATE EVIDENCE ON THE

2230
01:21:45,520 --> 01:21:47,520
MOST PROMISING APPROACH TO

2231
01:21:47,520 --> 01:21:48,760
IMPROVE HEALTH AND COMMUNITIES

2232
01:21:48,760 --> 01:21:54,040
OF COLOR. SO SINCE JOINING NIH

2233
01:21:54,040 --> 01:21:54,760
ABOUT 16 MONTHS AGO I HAVE BEEN

2234
01:21:54,760 --> 01:21:56,400
WORKING TO SET UP MANY I

2235
01:21:56,400 --> 01:21:58,320
RESEARCH LAB AT THE NATIONAL

2236
01:21:58,320 --> 01:21:59,760
INSTITUTE ON MINORITY HEALTH AND

2237
01:21:59,760 --> 01:22:02,640
HEALTH DISPARITIES.  I

2238
01:22:02,640 --> 01:22:05,480
APPRECIATE OUR NATION'S CAPITOL

2239
01:22:05,480 --> 01:22:07,520
STRUGGLES WITH PERSISTENT HEALTH

2240
01:22:07,520 --> 01:22:11,280
DISPARITIES AND I'M HOPEFUL OUR

2241
01:22:11,280 --> 01:22:14,280
RESEARCH WILL SERVE THESE

2242
01:22:14,280 --> 01:22:15,600
COMMUNITIES IN NIH BACKYARD. THE

2243
01:22:15,600 --> 01:22:17,040
FOCUS WILL REMAIN ON

2244
01:22:17,040 --> 01:22:19,160
UNDERSTANDING HOW COMMUNITY

2245
01:22:19,160 --> 01:22:19,960
ENVIRONMENTS AFFECT HEALTH

2246
01:22:19,960 --> 01:22:22,520
BEHAVIORS AN OUTCOMES IN AFRICAN

2247
01:22:22,520 --> 01:22:23,760
AMERICANS BUT ALSO IN THE

2248
01:22:23,760 --> 01:22:25,640
PROCESS OF DEVELOPING A NEW LINE

2249
01:22:25,640 --> 01:22:28,600
OF RESEARCH RELATED TO CLIMATE

2250
01:22:28,600 --> 01:22:30,280
CHANGE.  INVESTIGATING

2251
01:22:30,280 --> 01:22:31,600
DETERMINANTS OF AND SECURITIES

2252
01:22:31,600 --> 01:22:33,520
IN -- DISPARITIES IN PERSONAL

2253
01:22:33,520 --> 01:22:35,880
HEAT EXPOSURE AND IMPLICATIONS

2254
01:22:35,880 --> 01:22:37,000
FOR INDIVIDUAL HEALTH. I'M

2255
01:22:37,000 --> 01:22:38,680
FORTUNATE TO WORK WITH REALLY

2256
01:22:38,680 --> 01:22:45,080
THREE TALENTED FELLOWS ALREADY. 

2257
01:22:45,080 --> 01:22:46,600
AND WE ARE LOOKING FOR A STAFF

2258
01:22:46,600 --> 01:22:48,760
SCIENTIST SO IF YOU KNOW ANYONE

2259
01:22:48,760 --> 01:22:51,960
SEND THEM OUR WAY.

2260
01:22:51,960 --> 01:22:53,520
>> LET ME TRANSITION AND TALK

2261
01:22:53,520 --> 01:22:54,720
ABOUT NURSES ABOUT NURSING AND

2262
01:22:54,720 --> 01:22:58,480
HOW ALL THIS FITS IN. NURSES ARE

2263
01:22:58,480 --> 01:23:00,760
EVERYWHERE. WE ARE IN OUR

2264
01:23:00,760 --> 01:23:04,000
HOSPITALS AND CLINICS SCHOOLS

2265
01:23:04,000 --> 01:23:05,640
AND WORKPLACES IN HOMES AND

2266
01:23:05,640 --> 01:23:07,520
CLINICAL JUSTICE SETTINGS. AND

2267
01:23:07,520 --> 01:23:10,760
THROUGHOUT OUR COMMUNITIES.

2268
01:23:10,760 --> 01:23:12,160
NURSES APPROACH PREVENTION

2269
01:23:12,160 --> 01:23:14,440
TREATMENT AND CARE HOLISTICALLY,

2270
01:23:14,440 --> 01:23:16,680
OUR FOCUS IS ON THE PERSON IN

2271
01:23:16,680 --> 01:23:18,520
THE CONTEXT OF THEIR LIVES AND

2272
01:23:18,520 --> 01:23:20,680
THE CONDITIONS IN WHICH THEY ARE

2273
01:23:20,680 --> 01:23:27,160
BORN, LIVE, WORK, PLAY AND AGE. 

2274
01:23:27,160 --> 01:23:29,200
IT IS NOT A PARTICULAR CONDITION

2275
01:23:29,200 --> 01:23:30,960
OR LIFE STAGE. A FOCUS EXTENDS

2276
01:23:30,960 --> 01:23:34,560
FROM IMPROVING THE HEALTH OF

2277
01:23:34,560 --> 01:23:35,800
INDIVIDUALS, TO THAT OF ENTIRE

2278
01:23:35,800 --> 01:23:38,960
POPULATIONS.  IT IS THAT UNIQUE

2279
01:23:38,960 --> 01:23:40,520
PERSPECTIVE THAT FORMS THE

2280
01:23:40,520 --> 01:23:41,520
FOUNDATION OF NURSING SCIENCE

2281
01:23:41,520 --> 01:23:43,960
AND WHAT WE ARE DOING AT NINR. 

2282
01:23:43,960 --> 01:23:45,360
THAT IS WHY OUR RESEARCH NEEDS

2283
01:23:45,360 --> 01:23:47,040
TO FOCUS ON THE WHOLE PICTURE OF

2284
01:23:47,040 --> 01:23:50,120
HEALTH, FROM THE BIOLOGY, OF A

2285
01:23:50,120 --> 01:23:51,920
PERSON CELLS AN GENES TO THEIR

2286
01:23:51,920 --> 01:23:54,120
WHOLE SELF FAMILY AND RESOURCES,

2287
01:23:54,120 --> 01:23:59,760
AND THE COMMUNITY AND SOCIETY IN

2288
01:23:59,760 --> 01:24:02,120
WHICH THEY LIVE. THAT

2289
01:24:02,120 --> 01:24:03,200
PERSPECTIVE INFORMS RESEARCH

2290
01:24:03,200 --> 01:24:05,120
PORTFOLIO AT N INR. CURRENTLY

2291
01:24:05,120 --> 01:24:06,840
MOST NINR RESEARCH DIRECTLY

2292
01:24:06,840 --> 01:24:11,680
INVOLVES PEOPLE. IN FACT OVER

2293
01:24:11,680 --> 01:24:12,920
75% FUNDING SUPPORTS RESERGE

2294
01:24:12,920 --> 01:24:18,400
THAT ENGAGES HUMAN PARTICIPANTS.

2295
01:24:18,400 --> 01:24:20,960
WE ARE AT THE CUTTING EDGE TO

2296
01:24:20,960 --> 01:24:22,800
MITIGATE DISPARITIES AND HEALTH

2297
01:24:22,800 --> 01:24:26,960
OUTCOMES. OVER 30% NURSE FUNDING

2298
01:24:26,960 --> 01:24:29,000
FOCUS ON RESEARCH TO ELIMINATE

2299
01:24:29,000 --> 01:24:29,960
DISPARITIES.  WE ARE COMMITTED

2300
01:24:29,960 --> 01:24:32,120
TO FUNDING UNDER-REPRESENTED

2301
01:24:32,120 --> 01:24:34,840
MINORITY SCIENTISTSS. ACCORDING

2302
01:24:34,840 --> 01:24:37,920
TO A DATA FROM RECENT NIH STUDY,

2303
01:24:37,920 --> 01:24:39,360
OVER 75% APPLICATIONS SUBMITTED

2304
01:24:39,360 --> 01:24:42,880
TO NINR FOCUS ON TOPICS ON WHICH

2305
01:24:42,880 --> 01:24:45,680
AFRICAN AMERICAN INVESTIGATORS

2306
01:24:45,680 --> 01:24:47,000
DISPROPORTIONATELY APPLY. THIS

2307
01:24:47,000 --> 01:24:48,920
IS THE SECOND HIGHEST PERCENTAGE

2308
01:24:48,920 --> 01:24:53,680
AT NIH SECOND ONLY TO NEMHD.  

2309
01:24:53,680 --> 01:24:56,080
MORE THAN A THIRD OF NINR BUDGET

2310
01:24:56,080 --> 01:24:57,600
SUPPORTS RESEARCH ON PREVENTING

2311
01:24:57,600 --> 01:24:58,760
CHRONIC CONDITION, HELPING

2312
01:24:58,760 --> 01:25:00,600
PEOPLE STAY HEALTHY AND REDUCING

2313
01:25:00,600 --> 01:25:04,000
THE RISK OF FUTURE ILLNESS. OVER

2314
01:25:04,000 --> 01:25:06,200
HALF OF OUR PREVENTION PORTFOLIO

2315
01:25:06,200 --> 01:25:09,280
INCLUDES A RANDOMIZED

2316
01:25:09,280 --> 01:25:16,800
INTERVENTION. Z A HIGHER

2317
01:25:16,800 --> 01:25:18,880
PROPORTION THAN NIH AS A WHOLE.

2318
01:25:18,880 --> 01:25:20,120
WE ARE COMMITTED TO INTERVENTION

2319
01:25:20,120 --> 01:25:26,120
RESEARCH.  AND PREPARING THE

2320
01:25:26,120 --> 01:25:27,160
NEXT GENERATION OF NURSING

2321
01:25:27,160 --> 01:25:28,960
SCIENTISTS.  AS A PERCENTAGE OF

2322
01:25:28,960 --> 01:25:30,880
OUR BUDGET NINR COMMITS FOR

2323
01:25:30,880 --> 01:25:32,160
SUPPORT TO TRAINING NEW EARLY

2324
01:25:32,160 --> 01:25:35,200
CAREER SCIENTISTS THAN NEARLY

2325
01:25:35,200 --> 01:25:36,120
ANY OTHER NIH INSTITUTE OR

2326
01:25:36,120 --> 01:25:43,960
CENTER.  SO WITH WE ARE

2327
01:25:43,960 --> 01:25:45,840
SUPPORTING A NUMBER OF STUDIES

2328
01:25:45,840 --> 01:25:46,840
EXAMINING SOCIAL DETERMINANTS OF

2329
01:25:46,840 --> 01:25:49,360
HEALTH. LET' LOOK AT A FEW

2330
01:25:49,360 --> 01:25:51,160
EXAMINING CONDITIONS.  ONE STUDY

2331
01:25:51,160 --> 01:25:52,760
EXAMINING COMMUNITY PROTECTIVE

2332
01:25:52,760 --> 01:25:55,760
FACTORS SPECIFICALLY GREEN

2333
01:25:55,760 --> 01:25:57,760
SPACE, RESIDENTIAL TREAT COVER

2334
01:25:57,760 --> 01:25:59,000
WAS ASSOCIATED WITH LOWER

2335
01:25:59,000 --> 01:26:00,520
PERCEIVED STRESS AN LOW INCOME

2336
01:26:00,520 --> 01:26:02,520
PREGNANT WOMEN AND URBAN

2337
01:26:02,520 --> 01:26:03,800
ENVIRONMENT WHO HAD HISTORY OF

2338
01:26:03,800 --> 01:26:10,520
DEPRESSION OR ANXIETY.  FURTHER

2339
01:26:10,520 --> 01:26:14,360
EVIDENCE TO GRAIN SPACES FOR

2340
01:26:14,360 --> 01:26:17,040
HEALTH ANOTHER STUDY SHOWED

2341
01:26:17,040 --> 01:26:19,960
BRAIN BASED AN BRAIN MRI

2342
01:26:19,960 --> 01:26:21,680
MEASURES AND POTENTIAL

2343
01:26:21,680 --> 01:26:25,200
MODIFICATION BY SEX AND GENOTYPE

2344
01:26:25,200 --> 01:26:27,880
A RISK FACTOR ALZHEIMER'S

2345
01:26:27,880 --> 01:26:29,960
DISEASE. THE STUDY SHOWED

2346
01:26:29,960 --> 01:26:31,760
GREATER GREEN SPACE ASSOCIATED

2347
01:26:31,760 --> 01:26:33,520
WITH LESS VENTRICULAR

2348
01:26:33,520 --> 01:26:36,000
ENLARGEMENT. HOUSING ITSELF MAY

2349
01:26:36,000 --> 01:26:37,280
BE THE MOST IMPORTANT INDICATOR

2350
01:26:37,280 --> 01:26:39,680
OF ONE'S LIVING CONDITION. IN

2351
01:26:39,680 --> 01:26:41,520
THIS AREA ONE STUDY RECENTLY

2352
01:26:41,520 --> 01:26:44,440
FUNDED BY NINR IS EXAMINING THE

2353
01:26:44,440 --> 01:26:47,480
IMPACT OF HOUSING VOUCHERS ON

2354
01:26:47,480 --> 01:26:49,280
CHILDREN'S HEALTH CARE USAGE

2355
01:26:49,280 --> 01:26:50,680
AMONG LOW INCOME FAMILIES. THE

2356
01:26:50,680 --> 01:26:52,560
RESEARCH TEAM WILL USE UNIQUE

2357
01:26:52,560 --> 01:26:54,760
LINKAGE OF ADMINISTRATIVE

2358
01:26:54,760 --> 01:26:57,160
HOUSING DATA WITH MEDICAID

2359
01:26:57,160 --> 01:26:58,800
CLAIMS AND ENCOUNTER DATA.  THE

2360
01:26:58,800 --> 01:26:59,680
STUDY WILL INVESTIGATE WHETHER

2361
01:26:59,680 --> 01:27:02,120
THE RECEIPT OF A HOUSING CHOICE

2362
01:27:02,120 --> 01:27:03,960
VOUCHER IS ASSOCIATED WITH

2363
01:27:03,960 --> 01:27:07,360
CHANGES IN MEDICAID ENROLLMENT

2364
01:27:07,360 --> 01:27:08,480
AND WHETHER CHILDREN WHOSE

2365
01:27:08,480 --> 01:27:09,960
FAMILIES RECEIVE A HOUSING

2366
01:27:09,960 --> 01:27:12,160
CHOICE VOUCHER HAVE DIFFERENT

2367
01:27:12,160 --> 01:27:14,320
PATTERNS OF HOSPITALIZATION,

2368
01:27:14,320 --> 01:27:15,920
EMERGENCY DEPARTMENTS VISITS,

2369
01:27:15,920 --> 01:27:20,360
WELL CHILD VISITS, AND HOUSING

2370
01:27:20,360 --> 01:27:26,120
SENSITIVE CONDITIONS ASTHMA,

2371
01:27:26,120 --> 01:27:27,520
OTHER RESPIRATORY CONDITIONS AND

2372
01:27:27,520 --> 01:27:29,480
MEMORY AND THOSE COMPARED ON THE

2373
01:27:29,480 --> 01:27:31,520
WEIGHT LIST. MANY EXAMINE EFFECT

2374
01:27:31,520 --> 01:27:33,080
OF INEQUITIES ON SPECIFIC

2375
01:27:33,080 --> 01:27:35,160
POPULATIONS AN LIFE STAGES FROM

2376
01:27:35,160 --> 01:27:36,600
CHILDHOOD, TO PREGNANCY, THROUGH

2377
01:27:36,600 --> 01:27:39,600
OLDER ADULTHOOD.  AND THE AREA

2378
01:27:39,600 --> 01:27:41,160
OF CHILD HEALTH NINR SUPPORTED

2379
01:27:41,160 --> 01:27:42,640
SCIENTISTS ARE EXAMINING HEALTH

2380
01:27:42,640 --> 01:27:46,200
HEALTH IMPACTS OF EARLY LIFE AND

2381
01:27:46,200 --> 01:27:47,280
CHILDHOOD ADVERSITY. ONE

2382
01:27:47,280 --> 01:27:48,600
RECENTLY FUNDED STUDY IS

2383
01:27:48,600 --> 01:27:50,600
EXAMINING THE IMPACT OF

2384
01:27:50,600 --> 01:27:53,240
ADVERSITY ASSESSED BETWEEN 28

2385
01:27:53,240 --> 01:27:54,720
WEEKS GESTATION THROUGH THREE

2386
01:27:54,720 --> 01:27:57,160
YEARS OF AGE, ON ACCELERATED

2387
01:27:57,160 --> 01:28:00,160
BIOLOGICAL AGING INCLUDING

2388
01:28:00,160 --> 01:28:01,680
TELOMERE EROSION, AND EPIGENETIC

2389
01:28:01,680 --> 01:28:02,960
AGING CLOCKS ACROSS THE FIRST

2390
01:28:02,960 --> 01:28:12,360
THREE YEARS OF LIFE.  A PATTERN

2391
01:28:12,360 --> 01:28:14,320
OF CHILDHOOD EVENS OCCURRING

2392
01:28:14,320 --> 01:28:16,240
ACROSS CHILDHOOD AND AD LESSENS

2393
01:28:16,240 --> 01:28:18,200
AND EFFECT ON BIOLOGICAL STRESS,

2394
01:28:18,200 --> 01:28:21,480
PSYCHOLOGICAL DISTRESS AND

2395
01:28:21,480 --> 01:28:22,920
TELOMERE LENGTH.  IT SHOWS

2396
01:28:22,920 --> 01:28:24,680
STRESS AN IMMUNE BIOMARKERS SUCH

2397
01:28:24,680 --> 01:28:28,080
AS SALIVARY AND HAIR CORTISOL

2398
01:28:28,080 --> 01:28:29,320
CONCENTRATION ARE HIGHER IN

2399
01:28:29,320 --> 01:28:30,760
AFRICAN AMERICAN ADOLESCENTS

2400
01:28:30,760 --> 01:28:32,960
COMPARED TO WHITE ADOLESCENTS

2401
01:28:32,960 --> 01:28:36,560
BUT IN ONE STUDY THEY FOUND NO

2402
01:28:36,560 --> 01:28:39,960
EVIDENCE THAT ECONOMIC ADVERSITY

2403
01:28:39,960 --> 01:28:42,960
AT KEY DEVELOPMENTAL PERIODS OR

2404
01:28:42,960 --> 01:28:44,520
CUMULATIVELY EXPLAINED THOSE

2405
01:28:44,520 --> 01:28:47,160
DISPARITIES. IN THE AREA OF

2406
01:28:47,160 --> 01:28:48,600
MATERNAL HEALTH, WE ARE

2407
01:28:48,600 --> 01:28:50,440
SUPPORTING WORK FOCUSED ON

2408
01:28:50,440 --> 01:28:52,160
UNDERSTANDING FACTORS THAT

2409
01:28:52,160 --> 01:28:54,160
CONTRIBUTE TO DISPARITY IS IN

2410
01:28:54,160 --> 01:28:56,560
SEVERE MATERNAL MORBIDITY. ONE

2411
01:28:56,560 --> 01:28:58,960
STUDY FOUND THAT SEVERE MATERNAL

2412
01:28:58,960 --> 01:29:00,760
MORBIDITY HAS INCREASED ACROSS

2413
01:29:00,760 --> 01:29:03,800
ALL RACIAL AND ETHNIC GROUPS BUT

2414
01:29:03,800 --> 01:29:06,680
THAT CO-MORBIDITY CESAREAN BIRTH

2415
01:29:06,680 --> 01:29:09,000
AND OTHER FACTORS DIDN'T EXPLAIN

2416
01:29:09,000 --> 01:29:11,240
THOSE DISPARITIES. THAT STUDY

2417
01:29:11,240 --> 01:29:13,560
ALSO FOUND THAT RATES OF SEVERE

2418
01:29:13,560 --> 01:29:14,960
MATERNAL MORBIDITY WHICH ARE

2419
01:29:14,960 --> 01:29:17,320
HIGHEST AMONG AFRICAN AMERICAN

2420
01:29:17,320 --> 01:29:19,400
WOMEN MIGHT HAVE BEEN REDUCED

2421
01:29:19,400 --> 01:29:21,160
HAD AFRICAN AMERICAN MOTHERS

2422
01:29:21,160 --> 01:29:22,960
GIVEN BIRTH IN THE SAME

2423
01:29:22,960 --> 01:29:28,080
HOSPITALS AS WHITE MOTHERS.  

2424
01:29:28,080 --> 01:29:30,800
THEIR PROJECT FOCUS HOW SOCIAL

2425
01:29:30,800 --> 01:29:32,600
DETERMINANTS ACROSS MULTIPLE

2426
01:29:32,600 --> 01:29:34,040
DOMAINS, STRUCTURAL INEQUALITY,

2427
01:29:34,040 --> 01:29:36,360
COMMUNITY RESOURCES, AND

2428
01:29:36,360 --> 01:29:38,120
HEALTHCARE ACCESS, CONTRIBUTE TO

2429
01:29:38,120 --> 01:29:40,960
RISK AND DISPARITIES.  

2430
01:29:40,960 --> 01:29:41,600
INTERESTINGLY THERE ARE ALSO

2431
01:29:41,600 --> 01:29:49,400
TESTING THE IMPACT OF THREE

2432
01:29:49,400 --> 01:29:51,520
QUALITY COLLABORATIVES ON

2433
01:29:51,520 --> 01:29:52,600
MATERNAL MORBIDITY. WE ARE ALSO

2434
01:29:52,600 --> 01:29:53,760
SUPPORTING RESEARCH THAT

2435
01:29:53,760 --> 01:29:55,200
EXAMINES CHRONIC CONDITIONS IN

2436
01:29:55,200 --> 01:29:58,160
OLDER ADULTS. DEVELOPING

2437
01:29:58,160 --> 01:30:00,160
FEASIBLE EFFECTIVE AND SCALABLE

2438
01:30:00,160 --> 01:30:01,680
INTERVENTIONS TO IMPROVE HEALTH

2439
01:30:01,680 --> 01:30:03,200
AMONG PEOPLE WITH MULTIPLE

2440
01:30:03,200 --> 01:30:06,200
CHRONIC CONDITIONS, IS URGENT.

2441
01:30:06,200 --> 01:30:07,960
HOWEVER, RESEARCH GAPS HINDER

2442
01:30:07,960 --> 01:30:10,760
INTERVENTION DEVELOPMENT. MOST

2443
01:30:10,760 --> 01:30:12,120
INTERVENTIONS DO NOT CONSIDER

2444
01:30:12,120 --> 01:30:13,760
CO-OCCURRING FUNCTIONAL

2445
01:30:13,760 --> 01:30:16,760
LIMITATIONS. FAMILY CAREGIVERS

2446
01:30:16,760 --> 01:30:17,600
PERSPECTIVES. OR SOCIAL

2447
01:30:17,600 --> 01:30:20,040
DETERMINANTS OF HEALTH. MOREOVER

2448
01:30:20,040 --> 01:30:21,800
INTERVENTIONS COMMONLY FOCUS ON

2449
01:30:21,800 --> 01:30:25,560
DEFICITS RATHER THAN STRENGTH.

2450
01:30:25,560 --> 01:30:26,600
THESE LIMITATIONS ARE COMPOUNDED

2451
01:30:26,600 --> 01:30:28,440
BY LACK OF COMMUNICATION AMONG

2452
01:30:28,440 --> 01:30:29,800
PRACTICERS AND PEOPLE

2453
01:30:29,800 --> 01:30:30,760
EXPERIENCING MULTIPLE CHRONIC

2454
01:30:30,760 --> 01:30:34,640
CONDITIONS.  ABOUT THEIR GOALS,

2455
01:30:34,640 --> 01:30:38,760
VALUES AND PREFERENCES.  NINR

2456
01:30:38,760 --> 01:30:40,520
SUPPORTING THE HOSPITAL KINS

2457
01:30:40,520 --> 01:30:41,240
SENT B FOR RESILIENCE AN PERSONS

2458
01:30:41,240 --> 01:30:43,160
AND FAMILIES LIVING WITH

2459
01:30:43,160 --> 01:30:44,280
MULTIPLE CHRONIC CONDITIONS OR

2460
01:30:44,280 --> 01:30:47,160
PROMOTE CENTER WHICH IS POISED

2461
01:30:47,160 --> 01:30:50,160
TO ADDRESS THESE GAPS. AND LIKE

2462
01:30:50,160 --> 01:30:52,160
ALL NIH INSTITUTES RIGHT NOW,

2463
01:30:52,160 --> 01:30:54,320
COVID-19 IS ONE OF OUR HIGHEST

2464
01:30:54,320 --> 01:30:56,600
PRIORITIES. LAST YEAR NINR

2465
01:30:56,600 --> 01:30:59,520
JOINED NIMH AND SEVERAL OTHER

2466
01:30:59,520 --> 01:31:01,880
INSTITUTES IN AN NIH WIDE EFFORT

2467
01:31:01,880 --> 01:31:04,200
TO UNDERSTAND THE SOCIAL

2468
01:31:04,200 --> 01:31:05,560
BEHAVIORAL AND ECONOMIC HEALTH

2469
01:31:05,560 --> 01:31:08,760
IMPACT OF COVID-19 IN VULNERABLE

2470
01:31:08,760 --> 01:31:09,520
AND HEALTH DISPARITY

2471
01:31:09,520 --> 01:31:12,160
POPULATIONS.  ONE NINR SUPPORTED

2472
01:31:12,160 --> 01:31:14,400
STUDY IS EXAMINING WHETHER AN

2473
01:31:14,400 --> 01:31:16,520
INTERVENTION IN SOUTH CAROLINA

2474
01:31:16,520 --> 01:31:18,760
FOR AFRICAN AMERICAN COVID-19

2475
01:31:18,760 --> 01:31:20,520
SURVIVORS, WITH UNDERLYING

2476
01:31:20,520 --> 01:31:22,320
CHRONIC ILLNESS AND THEIR

2477
01:31:22,320 --> 01:31:25,520
INFORMAL CAREGIVERS, IS A

2478
01:31:25,520 --> 01:31:27,120
EFFECTIVE IN IMPROVE HEALTH AND

2479
01:31:27,120 --> 01:31:28,960
CALL OF LIFE FOR BOTH PARTNERS

2480
01:31:28,960 --> 01:31:32,360
IN THE DYAD.  THE INTERVENTION

2481
01:31:32,360 --> 01:31:34,520
WILL FOCUS ON OVERCOMING RACIAL

2482
01:31:34,520 --> 01:31:35,960
PANDEMIC RELATED STRESSORS IN

2483
01:31:35,960 --> 01:31:38,040
THE CONTEXT OF COMMUNITY SOCIAL

2484
01:31:38,040 --> 01:31:40,520
VULNERABILITY. ANOTHER STUDY IS

2485
01:31:40,520 --> 01:31:42,200
EXAMINING WHETHER INTENSIFIED

2486
01:31:42,200 --> 01:31:43,760
COMMUNITY REFERRALS TO ADDRESS

2487
01:31:43,760 --> 01:31:45,400
SOCIAL NEEDS OF PATIENTS, AS

2488
01:31:45,400 --> 01:31:48,080
PART OF THEIR DISCHARGE FROM AN

2489
01:31:48,080 --> 01:31:49,760
EMERGENCY DEPARTMENT SETTING,

2490
01:31:49,760 --> 01:31:51,240
IMPROVES GENERAL HEALTH IN

2491
01:31:51,240 --> 01:31:57,040
COVID-19 RELATED HEALTH OUTCOMES

2492
01:31:57,040 --> 01:31:59,160
WE ARE SUPPORTING A LONGITUDINAL

2493
01:31:59,160 --> 01:32:00,880
STUDY IN NEW YORK CITY FOCUSING

2494
01:32:00,880 --> 01:32:02,960
ON DISPARITIES THE STUDY

2495
01:32:02,960 --> 01:32:04,120
EXAMINES HEALTH AND EDUCATION

2496
01:32:04,120 --> 01:32:06,880
CHANGES AMONG CHILDREN AGE 2 TO

2497
01:32:06,880 --> 01:32:08,960
4, I'M SORRY, AMONG CHILDREN 2

2498
01:32:08,960 --> 01:32:11,240
TO 4 YEARS AFTER THE PANDEMIC

2499
01:32:11,240 --> 01:32:12,920
ONSET.ONSET.  AND THE ROLE OF

2500
01:32:12,920 --> 01:32:14,280
NEIGHBORHOOD AND SCHOOL OF

2501
01:32:14,280 --> 01:32:16,120
RESOURCES IN EXACERBATING OR

2502
01:32:16,120 --> 01:32:18,480
MITIGATING THESE CHANGES. AND AS

2503
01:32:18,480 --> 01:32:19,680
MY LAST EXAMPLE WE ARE

2504
01:32:19,680 --> 01:32:21,400
SUPPORTING A COMMUNITY HEALTH

2505
01:32:21,400 --> 01:32:23,200
WORKER LED INTERVENTION TO

2506
01:32:23,200 --> 01:32:24,960
IMPROVE PHYSICAL AND

2507
01:32:24,960 --> 01:32:26,240
PSYCHOSOCIAL FUNCTIONING IN

2508
01:32:26,240 --> 01:32:28,560
OLDER PRIMARILY AFRICAN AMERICAN

2509
01:32:28,560 --> 01:32:30,560
ADULTS IN DETROIT.  THE

2510
01:32:30,560 --> 01:32:31,920
INTERVENTION WILL TARGET

2511
01:32:31,920 --> 01:32:33,320
SELF-MANAGEMENT AND RESILIENCE

2512
01:32:33,320 --> 01:32:36,400
AT THE INDIVIDUAL LEVEL. SOCIAL

2513
01:32:36,400 --> 01:32:38,000
SUPPORT AT THE INTERPERSONAL

2514
01:32:38,000 --> 01:32:40,520
LEVEL AND ENHANCE HEALTH

2515
01:32:40,520 --> 01:32:41,400
DEPARTMENT CAPACITY AT THE

2516
01:32:41,400 --> 01:32:44,600
COMMUNITY LEVEL. TOO FURTHER

2517
01:32:44,600 --> 01:32:46,600
EXPAND THIS AREA OF RESEARCH

2518
01:32:46,600 --> 01:32:49,880
JUST LAST WEEK WE RELEASED AN

2519
01:32:49,880 --> 01:32:51,840
RFA ON EVALUATING THE IMPACT OF

2520
01:32:51,840 --> 01:32:53,080
PANDEMIC RELATED FOOD AND

2521
01:32:53,080 --> 01:32:55,400
HOUSING POLICIES AND PROGRAMS ON

2522
01:32:55,400 --> 01:32:57,200
HEALTH OUTCOMES OF INDIVIDUALS,

2523
01:32:57,200 --> 01:33:01,200
FAMILIES AND COMMUNITIES, FROM

2524
01:33:01,200 --> 01:33:02,520
HEALTH DISPARITY POPULATIONS. 

2525
01:33:02,520 --> 01:33:04,600
DELIGHTED THIS IS ANOTHER

2526
01:33:04,600 --> 01:33:06,760
EXAMPLE WHERE NIMH IS

2527
01:33:06,760 --> 01:33:17,480
COLLABORATING. NOW TURN TO NINR

2528
01:33:17,480 --> 01:33:20,600
MORE AND SCIENTIFIC PERSPECTIVE

2529
01:33:20,600 --> 01:33:22,240
AND NATION'S HEALTH NEEDS

2530
01:33:22,240 --> 01:33:23,160
INFORMING INSTITUTES FUTURE

2531
01:33:23,160 --> 01:33:25,360
THROUGH OUR SOON TO BE RELEASED

2532
01:33:25,360 --> 01:33:29,400
STRATEGIC PLAN. AS PART OF OUR

2533
01:33:29,400 --> 01:33:31,160
STRATEGIC PLANNING EFFORT WE

2534
01:33:31,160 --> 01:33:32,040
UPDATED INSTITUTES MISSION

2535
01:33:32,040 --> 01:33:34,400
STATEMENT. AND AS YOU CAN SEE

2536
01:33:34,400 --> 01:33:36,480
HERE, WE ARE COMMITTED TO

2537
01:33:36,480 --> 01:33:37,680
SOLVING PRESSING HEALTH

2538
01:33:37,680 --> 01:33:39,000
CHALLENGE AN INFORMING PRACTICE

2539
01:33:39,000 --> 01:33:41,040
AN POLICY TO OPTIMIZE HEALTH AND

2540
01:33:41,040 --> 01:33:44,560
ADVANCE HEALTH EQUITY.  A BIG

2541
01:33:44,560 --> 01:33:46,520
PART OF THE MISSION WILL INVOLVE

2542
01:33:46,520 --> 01:33:47,240
ADDRESSING SOCIAL DETERMINANTS

2543
01:33:47,240 --> 01:33:50,920
OF HEALTH. A RECENT REPORT FROM

2544
01:33:50,920 --> 01:33:52,600
NATIONAL ACADEMY OF MEDICINE

2545
01:33:52,600 --> 01:33:54,080
MAKES A COMPELLING CASE FOR

2546
01:33:54,080 --> 01:33:55,600
NURSING TO ASSUME A LEADING ROLE

2547
01:33:55,600 --> 01:33:58,560
IN ELIMINATING PERSISTENT HEALTH

2548
01:33:58,560 --> 01:34:00,280
DISPARITIES AND WE ABSOLUTELY

2549
01:34:00,280 --> 01:34:02,960
AGREE. MOVING FORWARD NURSING

2550
01:34:02,960 --> 01:34:04,440
SCIENCE CAN AND MUST HAVE AN

2551
01:34:04,440 --> 01:34:07,160
EVEN BIGGER IMPACT IN

2552
01:34:07,160 --> 01:34:08,360
IDENTIFYING SOLUTIONS TO END

2553
01:34:08,360 --> 01:34:10,960
HEALTH DISPARITIES. INCLUDING

2554
01:34:10,960 --> 01:34:12,960
DISPARITIES OF PANDEMIC HAS

2555
01:34:12,960 --> 01:34:15,600
EXPOSED, AND CONTINUES TO

2556
01:34:15,600 --> 01:34:16,240
COMPASS BATED. THAT IS WHY WE

2557
01:34:16,240 --> 01:34:19,560
ARE BUILDING ON OUR --

2558
01:34:19,560 --> 01:34:21,360
EXACERBATE. WE ARE WORKING TO

2559
01:34:21,360 --> 01:34:22,720
STRENGTHEN NIH SUPPORTED

2560
01:34:22,720 --> 01:34:24,160
RESEARCH AND HEALTH EQUITY

2561
01:34:24,160 --> 01:34:25,160
THROUGH OUR UPCOMING STRATEGIC

2562
01:34:25,160 --> 01:34:28,240
PLAN. AND I'M EXCITED TO SHARE A

2563
01:34:28,240 --> 01:34:31,120
LITTLE BIT ABOUT THIS BOLD NEW

2564
01:34:31,120 --> 01:34:32,160
STRATEGIC DIRECTION WHICH WILL

2565
01:34:32,160 --> 01:34:34,600
PROVIDE A BIG PICTURE VIEW OF

2566
01:34:34,600 --> 01:34:36,160
THE DIRECTIONS THAT WE'LL BE

2567
01:34:36,160 --> 01:34:38,200
HEADING NEXT. THE PLAN WILL

2568
01:34:38,200 --> 01:34:40,920
INCLUDES A SET OF GUIDEK

2569
01:34:40,920 --> 01:34:41,880
PRINCIPLES THAT WE BELIEVE

2570
01:34:41,880 --> 01:34:44,360
SHOULD DRIVE ALL ASPECTS OF NINR

2571
01:34:44,360 --> 01:34:49,840
SUPPORTED SCIENCE.  FIVE

2572
01:34:49,840 --> 01:34:51,720
RESEARCH LENSES THAT PRESCRIBE

2573
01:34:51,720 --> 01:34:53,280
BROAD PERSPECTIVE FOR HEALTH

2574
01:34:53,280 --> 01:34:55,840
CHALLENGES, IT WILL DESCRIBE OUR

2575
01:34:55,840 --> 01:34:57,880
INTENTION TO DEVELOP STRATEGIC

2576
01:34:57,880 --> 01:35:00,040
IMPERATIVES, AS NEW HEALTH

2577
01:35:00,040 --> 01:35:01,480
CHALLENGES AND NEW OPPORTUNITIES

2578
01:35:01,480 --> 01:35:04,160
ARE IDENTIFIED.  THOUGH THE PLAN

2579
01:35:04,160 --> 01:35:08,200
HASN'T BEEN RELEASED YET I CAN

2580
01:35:08,200 --> 01:35:09,720
SHARE SOME INFORMATION AND

2581
01:35:09,720 --> 01:35:10,920
FRAMEWORK WHICH IT WILL BE

2582
01:35:10,920 --> 01:35:12,480
BUILT. SO FIRST I WANT TO SHARE

2583
01:35:12,480 --> 01:35:15,360
SOME OF THE WAYS WE ENGAGE OUR

2584
01:35:15,360 --> 01:35:16,960
RESEARCH COMMUNITY IN DEVELOPING

2585
01:35:16,960 --> 01:35:18,480
STRATEGIC PLAN FRAMEWORK. I DO

2586
01:35:18,480 --> 01:35:20,680
THIS BECAUSE THE FEEDBACK WE

2587
01:35:20,680 --> 01:35:21,960
RECEIVE INDICATES BROAD SUPPORT

2588
01:35:21,960 --> 01:35:23,520
FOR OUR FRAMEWORK. WHICH

2589
01:35:23,520 --> 01:35:25,080
INCLUDES A FOCUS ON SOCIAL

2590
01:35:25,080 --> 01:35:34,360
DETERMINANTS OF HEALTH. 20

2591
01:35:34,360 --> 01:35:35,760
EXTERNAL EXPERTS IN A WORKING

2592
01:35:35,760 --> 01:35:36,680
GROUP THAT PROVIDED

2593
01:35:36,680 --> 01:35:37,880
RECOMMENDATIONS THROUGH OUR

2594
01:35:37,880 --> 01:35:40,880
ADVISORY COUNCIL. WE RECEIVED

2595
01:35:40,880 --> 01:35:43,520
385 ONLINE RESPONSES TO OUR TELL

2596
01:35:43,520 --> 01:35:44,840
US WHAT NURSING RESEARCH MEANS

2597
01:35:44,840 --> 01:35:47,960
TO YOU CAMPAIGN. OVER 100 EMAILS

2598
01:35:47,960 --> 01:35:49,480
RECEIVED IN RESPONSE WHEN OPEN

2599
01:35:49,480 --> 01:35:51,080
CALL FOR INPUT ON THE

2600
01:35:51,080 --> 01:35:51,760
DEVELOPMENT OF THE STRATEGIC

2601
01:35:51,760 --> 01:35:55,520
PLAN. I WORK PARTICIPATED IN 80

2602
01:35:55,520 --> 01:35:59,360
MEETINGS AND PRESENTATIONS, WITH

2603
01:35:59,360 --> 01:36:01,960
EXTERNAL GROUPS AND REQUEST FOR

2604
01:36:01,960 --> 01:36:04,960
INFORMATION ON THE DRAFT

2605
01:36:04,960 --> 01:36:06,240
STRATEGIC PLAN FRAMEWORK

2606
01:36:06,240 --> 01:36:12,160
GENERATED 130 PUBLIC COMMENTS.  

2607
01:36:12,160 --> 01:36:13,520
SO WE STUDIED IMPACT AND

2608
01:36:13,520 --> 01:36:15,000
FEEDBACK WE RECEIVED.  THE

2609
01:36:15,000 --> 01:36:16,600
MAJORITY OF RESPONDENTS FOR YOU

2610
01:36:16,600 --> 01:36:18,240
WILL DA FOR INPUT ON DEVELOPMENT

2611
01:36:18,240 --> 01:36:20,440
OF STRATEGIC PLAN EXPLICITLY

2612
01:36:20,440 --> 01:36:21,520
SUPPORTED A STRATEGIC DIRECTION

2613
01:36:21,520 --> 01:36:23,440
AND RESEARCH TOPICS ALIGNED WITH

2614
01:36:23,440 --> 01:36:27,760
SOCIAL DETERMINANTS OF HEALTH

2615
01:36:27,760 --> 01:36:29,040
HEALTH EQUITY AND COMMUNITY AND

2616
01:36:29,040 --> 01:36:31,040
POPULATION HEALTH. REGARDING THE

2617
01:36:31,040 --> 01:36:33,360
REQUEST FOR INFORMATION ON THE

2618
01:36:33,360 --> 01:36:34,880
DRAFT FRAMEWORK, NEARLY

2619
01:36:34,880 --> 01:36:36,480
TWO-THIRDS OF RESPONDENTS

2620
01:36:36,480 --> 01:36:37,720
SUPPORTED THE STRATEGIC PLAN

2621
01:36:37,720 --> 01:36:43,720
FRAMEWORK.  SO I WILL DESCRIBE

2622
01:36:43,720 --> 01:36:48,000
GUIDING PRINCIPLES, NINR

2623
01:36:48,000 --> 01:36:48,800
DESCRIED IMPORTANT CALLS WE

2624
01:36:48,800 --> 01:36:49,720
BELIEVE ALL SUPPORTED WORK

2625
01:36:49,720 --> 01:36:51,120
SHOULD HAVE AS WE MOVE TO THE

2626
01:36:51,120 --> 01:36:53,920
FUTURE.  INNER CANNING AWARDS

2627
01:36:53,920 --> 01:36:56,400
FOR FUNDING THE EXTEND WHICH

2628
01:36:56,400 --> 01:36:58,240
STUDIES REFLECT PRINCIPLES BEEN

2629
01:36:58,240 --> 01:37:00,120
A FACTOR IN OUR DECISIONS. SO WE

2630
01:37:00,120 --> 01:37:06,920
NEED TO SUPPORT RESEARCH THAT IS

2631
01:37:06,920 --> 01:37:08,880
HAS POTENTIAL FOR IMPACT ON

2632
01:37:08,880 --> 01:37:11,120
HEALTH AND WELL BEING, ADVANCES

2633
01:37:11,120 --> 01:37:13,440
EQUITY DIVERSITY AND INCLUSION.

2634
01:37:13,440 --> 01:37:14,960
ADDRESSES TODAY'S HEALTH

2635
01:37:14,960 --> 01:37:18,640
CHALLENGES AND HELPS US BE

2636
01:37:18,640 --> 01:37:20,400
PREPARED FOR THOSE OF THE FUTURE

2637
01:37:20,400 --> 01:37:21,600
AND PROVIDE SOLUTIONS TO

2638
01:37:21,600 --> 01:37:24,040
OPTIMIZE HEALTH ACROSS CLINICAL

2639
01:37:24,040 --> 01:37:27,040
COMMUNITY AND POLICY SETTINGS.  

2640
01:37:27,040 --> 01:37:28,880
SO NOW LET ME EXPLAIN WHAT WE

2641
01:37:28,880 --> 01:37:31,800
MEAN BY RESEARCH LENS. SIMPLY

2642
01:37:31,800 --> 01:37:33,440
WHETHER WE ARE CALLING RESEARCH

2643
01:37:33,440 --> 01:37:35,880
LENS IS A PERSPECTIVE. BY WHICH

2644
01:37:35,880 --> 01:37:37,360
TO EXAMINE AND IDENTIFY HEALTH

2645
01:37:37,360 --> 01:37:41,360
CHALLENGE. AS WE KNOW, YOU MAY

2646
01:37:41,360 --> 01:37:42,880
NOT KNOW BUT THE FIELD OF

2647
01:37:42,880 --> 01:37:45,760
NURSING SCIENCE IS REALLY

2648
01:37:45,760 --> 01:37:48,520
COMPRISED OF MANY DIFFERENT

2649
01:37:48,520 --> 01:37:50,040
PERSPECTIVES WHAT TOPICS NURSING

2650
01:37:50,040 --> 01:37:50,840
SCIENCE SHOULD ADDRESS AND HOW

2651
01:37:50,840 --> 01:37:55,000
WE SHOULD DO SO. AND DEVELOPING

2652
01:37:55,000 --> 01:37:56,880
THE STRATEGIC PLAN NINR

2653
01:37:56,880 --> 01:37:59,240
IDENTIFIED FIVE LENSES THAT WE

2654
01:37:59,240 --> 01:38:00,360
THINK BEST LEVERAGE THE STRENGTH

2655
01:38:00,360 --> 01:38:03,160
OF NURSING SCIENCE, AND POSITION

2656
01:38:03,160 --> 01:38:07,240
THE FIELD TO INNOVATE AND THINK

2657
01:38:07,240 --> 01:38:08,360
BIGGER THAN IN THE PAST TO

2658
01:38:08,360 --> 01:38:09,920
INCREASE OUR IMPACT. SO LET'S

2659
01:38:09,920 --> 01:38:11,600
TAKE A CLOSER LOOK AT THE

2660
01:38:11,600 --> 01:38:13,400
LENSES. HEALTH EQUITY INCLUDES

2661
01:38:13,400 --> 01:38:14,960
STUDIES AIMED AT PRODUCING

2662
01:38:14,960 --> 01:38:17,280
EVIDENCE NEEDED TO REDUCE AND

2663
01:38:17,280 --> 01:38:18,840
ULTIMATELY ELIMINATE THE

2664
01:38:18,840 --> 01:38:21,160
SYSTEMIC AND STRUCTURAL

2665
01:38:21,160 --> 01:38:22,520
INEQUITIES -- INEQUALS THAT

2666
01:38:22,520 --> 01:38:24,160
PLACE SOME POPULATION GROUPS AT

2667
01:38:24,160 --> 01:38:26,280
A DISADVANTAGE IN ATTAINING

2668
01:38:26,280 --> 01:38:29,560
THEIR FULL HEALTH POTENTIAL. 

2669
01:38:29,560 --> 01:38:31,880
POPULATION AND COMMUNITY HEALTH

2670
01:38:31,880 --> 01:38:32,960
INCLUDES STUDIES THAT I DRESS

2671
01:38:32,960 --> 01:38:34,320
CRITICAL HEALTH CHALLENGES AT

2672
01:38:34,320 --> 01:38:37,160
THE MACRO LEVEL BY FOCUSING ON

2673
01:38:37,160 --> 01:38:37,960
INTERVENTIONS THAT AFFECT GROUPS

2674
01:38:37,960 --> 01:38:40,480
OF PEOPLE WITH SHARED

2675
01:38:40,480 --> 01:38:41,480
CHARACTERISTICS OR THOSE WHO

2676
01:38:41,480 --> 01:38:47,120
LIVE WITHIN A SHARED AREA.  

2677
01:38:47,120 --> 01:38:48,680
PREVENTION HEALTH PROMOTION

2678
01:38:48,680 --> 01:38:50,200
INCLUDE HOW TO PREVENT DISEASE

2679
01:38:50,200 --> 01:38:51,360
AND PROMOTE HEALTH THROUGH

2680
01:38:51,360 --> 01:38:54,120
CONTINUUM OF PREVENTION, FROM

2681
01:38:54,120 --> 01:38:54,720
PRIMORDIAL PREVENTION THAT

2682
01:38:54,720 --> 01:38:55,960
TARGETS THE UNDERLYING FACTORS

2683
01:38:55,960 --> 01:38:58,480
THAT INCREASE RISK OF ILLNESS,

2684
01:38:58,480 --> 01:38:59,920
TO TERTIARY PREVENTION THAT

2685
01:38:59,920 --> 01:39:01,560
AIMES TO REDUCE DISEASE

2686
01:39:01,560 --> 01:39:02,480
SEVERITY, SYMPTOMS AND

2687
01:39:02,480 --> 01:39:06,120
PROGRESSION.  WITH PARTICULAR

2688
01:39:06,120 --> 01:39:07,280
EMPHASIS ON ELIMINATING HEALTH

2689
01:39:07,280 --> 01:39:11,320
DISPARITIES.  SYSTEMS AND MODELS

2690
01:39:11,320 --> 01:39:12,880
OF CARE INCLUDE VERGE THAT

2691
01:39:12,880 --> 01:39:13,760
ADDRESSES CLINICAL

2692
01:39:13,760 --> 01:39:16,080
ORGANIZATIONAL AND POLICY

2693
01:39:16,080 --> 01:39:18,120
CHALLENGES THROUGH THE

2694
01:39:18,120 --> 01:39:20,440
DEVELOPMENT DISSEMINATION AND

2695
01:39:20,440 --> 01:39:21,520
IMPLEMENTATION OF NEW SYSTEMS

2696
01:39:21,520 --> 01:39:25,240
AND MODELS OF CARE.  INCLUDING

2697
01:39:25,240 --> 01:39:26,160
THOSE THAT BRIDGE CLINICAL

2698
01:39:26,160 --> 01:39:27,360
COMMUNITY CARE WITH SOCIAL

2699
01:39:27,360 --> 01:39:31,920
FACTORS AND SOCIAL NEEDS.  

2700
01:39:31,920 --> 01:39:32,640
FINALLY SOCIAL DETERMINANTS OF

2701
01:39:32,640 --> 01:39:34,800
HEALTH. AS DESCRIBED EARLIER

2702
01:39:34,800 --> 01:39:35,960
SOCIAL DETERMINANTS INCLUDE THE

2703
01:39:35,960 --> 01:39:37,080
CONDITIONS IN WHICH PEOPLE ARE

2704
01:39:37,080 --> 01:39:40,160
BORN, LIVE, WORK, PLAY AND AGE. 

2705
01:39:40,160 --> 01:39:43,200
AND BECAUSE THESE DETERMINANTS

2706
01:39:43,200 --> 01:39:45,520
IMPACT SO MANY FACETS OF HEALTH

2707
01:39:45,520 --> 01:39:47,760
AND WELL BEING IT IS VITAL TO

2708
01:39:47,760 --> 01:39:49,400
SUPPORT RESEARCH TO EXAMINE THEM

2709
01:39:49,400 --> 01:39:51,960
AND IDENTIFY EFFECTIVE

2710
01:39:51,960 --> 01:39:53,920
APPROACHES TO ADDRESS SOCIAL

2711
01:39:53,920 --> 01:39:55,520
FACTORS POSITIVE AND NEGATIVE

2712
01:39:55,520 --> 01:39:56,720
AND SOCIAL NEEDS TO IMPROVE

2713
01:39:56,720 --> 01:40:00,360
HEALTH OUTCOMES.  SO WE KNOW

2714
01:40:00,360 --> 01:40:02,240
MENTAL HEALTH NOT JUST PHYSICAL

2715
01:40:02,240 --> 01:40:04,000
HEALTH IS IMPACTED BY SOCIAL

2716
01:40:04,000 --> 01:40:07,000
DETERMINANTS AND AS YOU KNOW

2717
01:40:07,000 --> 01:40:07,880
NIMH ALREADY IS EXPLORING THESE

2718
01:40:07,880 --> 01:40:11,120
CONNECTIONS.  FROM EXAMINING THE

2719
01:40:11,120 --> 01:40:12,480
ECONOMIC IMPACT OF STRESS ON

2720
01:40:12,480 --> 01:40:15,080
CHILDREN'S MENTAL HEALTH, TO THE

2721
01:40:15,080 --> 01:40:16,960
IMPACT OF SOCIAL DETERMINANTS ON

2722
01:40:16,960 --> 01:40:19,960
HIV CARE, TO PREVENTK SUICIDE IN

2723
01:40:19,960 --> 01:40:21,560
-- PREVENTING SUICIDE IN

2724
01:40:21,560 --> 01:40:22,640
AMERICAN INDIAN AND ALASKA

2725
01:40:22,640 --> 01:40:25,000
NATIVE COMMUNITY, IT IS CLEAR

2726
01:40:25,000 --> 01:40:26,640
NIMH LEADERSHIP AND RESEARCHERS

2727
01:40:26,640 --> 01:40:28,360
UNDERSTAND THE IMPACT OF SOCIAL

2728
01:40:28,360 --> 01:40:32,520
DETERMINANTS ON MENTAL HEALTH. 

2729
01:40:32,520 --> 01:40:34,480
SO I WANT TO RECOGNIZE NIMH WORK

2730
01:40:34,480 --> 01:40:37,040
IN THIS AREA, AS WELL AS YOUR

2731
01:40:37,040 --> 01:40:38,600
COMMITMENT TO EXPANDING YOUR

2732
01:40:38,600 --> 01:40:40,160
WORK HERE. I CERTAINLY HOPE THIS

2733
01:40:40,160 --> 01:40:43,960
IS AN AREA WHERE WE CAN EXPAND

2734
01:40:43,960 --> 01:40:44,960
COLLABORATIONS AS WE MOVE

2735
01:40:44,960 --> 01:40:50,200
FORWARD. WE ARE DOING THAT, IT

2736
01:40:50,200 --> 01:40:51,920
SOUNDS LIKE DR. GORDON TALKED

2737
01:40:51,920 --> 01:40:54,160
ABOUT A COMPASS AND WE ARE

2738
01:40:54,160 --> 01:40:56,960
EXCITED TO BE COLLABORATING WITH

2739
01:40:56,960 --> 01:40:58,560
NIMH IN THIS EFFORT ALONG WITH

2740
01:40:58,560 --> 01:41:00,800
OTHER COLLEAGUES ACROSS NIH IN

2741
01:41:00,800 --> 01:41:05,200
THIS TEN YEAR PROGRAM. IN

2742
01:41:05,200 --> 01:41:07,600
ADDITION NINR AND NIMH ARE NOT

2743
01:41:07,600 --> 01:41:08,600
ALONE UNDERSTANDING THE

2744
01:41:08,600 --> 01:41:09,440
IMPORTANCE OF SOCIAL

2745
01:41:09,440 --> 01:41:13,160
DETERMINANTS OF HEALTH. IN

2746
01:41:13,160 --> 01:41:13,880
ITSELF RECENTLY RELEASED

2747
01:41:13,880 --> 01:41:15,560
STRATEGIC PLAN NIH IDENTIFIED

2748
01:41:15,560 --> 01:41:16,920
UNDERSTANDING BIOLOGICAL

2749
01:41:16,920 --> 01:41:19,360
BEHAVIORAL AND SOCIAL

2750
01:41:19,360 --> 01:41:20,680
DETERMINANTS OF POPULATION

2751
01:41:20,680 --> 01:41:26,080
HEALTH AS A KEY PART OF OUR

2752
01:41:26,080 --> 01:41:27,320
FOUNDATIONAL SCIENCE, WE ARE

2753
01:41:27,320 --> 01:41:28,480
GRATEFUL FOR NIH LEADERSHIP IN

2754
01:41:28,480 --> 01:41:33,280
THIS AREA OF RESEARCH. BEFORE I

2755
01:41:33,280 --> 01:41:34,960
FINISH I WILL TAKE A MOMENT TO

2756
01:41:34,960 --> 01:41:37,400
INVITE YOU TO JOIN US AT THE

2757
01:41:37,400 --> 01:41:40,400
2022 NATIONAL NURSING RESEARCH

2758
01:41:40,400 --> 01:41:42,520
ROUND TABLE HELD MARCH 3 AND 4.

2759
01:41:42,520 --> 01:41:46,280
THIS VIRTUAL MEETING WILL KISS

2760
01:41:46,280 --> 01:41:47,360
CUSS HOW EMERGENCY DEPARTMENTS

2761
01:41:47,360 --> 01:41:48,920
APPROPRIATELY IDENTIFY AND

2762
01:41:48,920 --> 01:41:50,920
ADDRESS SOCIAL NEEDS AND

2763
01:41:50,920 --> 01:41:52,360
UNDERSTAND THE ROLE OF SOCIAL

2764
01:41:52,360 --> 01:41:55,080
PROBLEMS AND RISK IN CREATING

2765
01:41:55,080 --> 01:41:56,840
DEMAND FOR EMERGENCY HEALTHCARE

2766
01:41:56,840 --> 01:41:57,840
SERVICES. EMERGENCY DEPARTMENTS

2767
01:41:57,840 --> 01:42:00,120
ARE NO STRANGER TO TREATING

2768
01:42:00,120 --> 01:42:01,560
MENTAL HEALTH CONDITIONS AS

2769
01:42:01,560 --> 01:42:04,080
WELL, ONE STUDY FROM 2020 FOUND

2770
01:42:04,080 --> 01:42:06,040
THAT OVER 8% OF EMERGENCY

2771
01:42:06,040 --> 01:42:07,160
DEPARTMENT VISITS WERE RELATED

2772
01:42:07,160 --> 01:42:09,920
TO MENTAL HEALTH. THESE

2773
01:42:09,920 --> 01:42:11,360
RESEARCHERS ALSO FOUND THAT THAT

2774
01:42:11,360 --> 01:42:13,000
PERCENTAGE WAS INCREASING.  SO

2775
01:42:13,000 --> 01:42:18,360
YOU CAN FIND MORE INFORMATION

2776
01:42:18,360 --> 01:42:19,440
ABOUT THE ROUND TABLE ON OUR

2777
01:42:19,440 --> 01:42:22,120
WEBSITE. THANK YOU AGAIN FOR

2778
01:42:22,120 --> 01:42:25,560
INVITING ME TO JOIN TODAY. I

2779
01:42:25,560 --> 01:42:28,640
CERTAINLY HOPE THAT DURING

2780
01:42:28,640 --> 01:42:30,000
DISCUSSION WE CAN IDENTIFY AREAS

2781
01:42:30,000 --> 01:42:32,160
TO EXPAND COLLABORATION, FEEL

2782
01:42:32,160 --> 01:42:36,760
FREE TO REACH TO ME OR ANYONE AT

2783
01:42:36,760 --> 01:42:37,880
NINR FOR MORE INFORMATION ABOUT

2784
01:42:37,880 --> 01:42:38,960
RESEARCH AND ACTIVITIES IN THIS

2785
01:42:38,960 --> 01:42:41,240
AREA. THANK YOU, JOSH. 

2786
01:42:41,240 --> 01:42:44,440
>> THANK YOU, SO MUCH FOR A

2787
01:42:44,440 --> 01:42:46,160
WONDERFUL TALK AND FOR OPENING

2788
01:42:46,160 --> 01:42:47,840
THE DIALOGUE. WE ALREADY HAVE A

2789
01:42:47,840 --> 01:42:49,800
FEW QUESTIONS LINED UP. PLEASE

2790
01:42:49,800 --> 01:42:50,400
MEMBERS OF THE COUNCIL IF YOU

2791
01:42:50,400 --> 01:42:52,520
WOULD LIKE TO ASK QUESTIONS OR

2792
01:42:52,520 --> 01:42:53,840
MAKE COMMENTS PLEASE TO RAISE

2793
01:42:53,840 --> 01:42:55,520
YOUR HAND, I SEE A NUMBER OF

2794
01:42:55,520 --> 01:42:58,800
HANDS ALREADY RAISED. JOSEPH YOU

2795
01:42:58,800 --> 01:43:03,360
WERE FIRST OUT THE GATE.  

2796
01:43:03,360 --> 01:43:05,360
>> THANK YOU VERY MUCH. SO MY

2797
01:43:05,360 --> 01:43:09,720
NAME IS JOSEPH TELFAIR, I AM AN
AN

2798
01:43:09,720 --> 01:43:10,920
ASSOCIATE DEAN OF RESEARCH

2799
01:43:10,920 --> 01:43:12,680
PRACTICES PUBLIC HEALTH HERE IN

2800
01:43:12,680 --> 01:43:14,800
THE SOUTH SOUTH. SO THANK YOU
VERY

2801
01:43:14,800 --> 01:43:18,000
MUCH FOR THAT WORK AND SUPPORT

2802
01:43:18,000 --> 01:43:20,880
YOU GIVE OUR REGION HAS

2803
01:43:20,880 --> 01:43:22,200
BENEFITED A LOT FROM THE SUPPORT

2804
01:43:22,200 --> 01:43:24,760
THERE. SO I HAVE A COUPLE OF

2805
01:43:24,760 --> 01:43:25,640
QUESTIONS, I HAVE THREE ON THIS

2806
01:43:25,640 --> 01:43:30,200
ONE. MY FIRST ONE IS, THE NURSES

2807
01:43:30,200 --> 01:43:31,960
PLAY UNIQUE ROLE I UNDERSTAND

2808
01:43:31,960 --> 01:43:33,960
THAT, HOW WOULD YOU -- DATA

2809
01:43:33,960 --> 01:43:34,960
DISTINGUISH YOU -- YOU WOULD

2810
01:43:34,960 --> 01:43:37,160
DISTINGUISH THE WORK THAT THEY

2811
01:43:37,160 --> 01:43:38,760
-- OF A NURSE APPLYING FOR A LOT

2812
01:43:38,760 --> 01:43:39,960
OF THE WORK BECAUSE A LOT OF

2813
01:43:39,960 --> 01:43:41,560
WORK YOU ARE TALKING ABOUT IS

2814
01:43:41,560 --> 01:43:43,960
COVERED BY MULTIPLE

2815
01:43:43,960 --> 01:43:45,160
INSTITUTIONS, MOSTLY INSTITUTES

2816
01:43:45,160 --> 01:43:46,520
AND -- WHAT WOULD DISTINGUISH

2817
01:43:46,520 --> 01:43:49,560
NURSES ROLE IN THAT? AND NURSE

2818
01:43:49,560 --> 01:43:50,960
AND RELATED OTHER WHOSE DO

2819
01:43:50,960 --> 01:43:52,960
SIMILAR WORK LIKE PA AND THAT

2820
01:43:52,960 --> 01:43:53,960
SORT OF THING. THAT'S THE FIRST

2821
01:43:53,960 --> 01:43:55,520
QUESTION. THE SECOND QUESTION IS

2822
01:43:55,520 --> 01:43:57,680
THAT YOU FOCUS ON CRITICAL ISSUE

2823
01:43:57,680 --> 01:44:00,440
US RELATED TO INEQUITIES MOSTLY

2824
01:44:00,440 --> 01:44:02,920
SOCIAL INEQUITIES. WHAT ABOUT

2825
01:44:02,920 --> 01:44:04,360
STRUCTURAL INEQUITIES AND

2826
01:44:04,360 --> 01:44:06,440
STRUCTURAL ISSUES? YOU MENTION

2827
01:44:06,440 --> 01:44:09,160
IT BRIEFLY HOWEVER AROUND THE

2828
01:44:09,160 --> 01:44:11,480
AREAS THAT THIS COUNCIL LOOKS

2829
01:44:11,480 --> 01:44:14,360
AT, IS THE NEED TO HAVE SYSTEMS

2830
01:44:14,360 --> 01:44:15,520
LEVEL CHANGE IN ORDER TO BE ABLE

2831
01:44:15,520 --> 01:44:17,360
TO BE EFFECTIVE AND ADDRESSING A

2832
01:44:17,360 --> 01:44:19,920
LOT OF THE CONCERNS THAT ARE

2833
01:44:19,920 --> 01:44:22,520
HERE FROM THAT AND AGAIN I'M A

2834
01:44:22,520 --> 01:44:24,240
PUBLIC HEALTH PERSON SO I'M

2835
01:44:24,240 --> 01:44:25,960
TALKING ABOUT THE POPULATION

2836
01:44:25,960 --> 01:44:29,360
LEVEL THINGS ON THAT END.  THE

2837
01:44:29,360 --> 01:44:30,360
OTHER LAST QUESTION THAT I HAVE

2838
01:44:30,360 --> 01:44:34,600
HAS MORE TO DO WITH BREADTH OF

2839
01:44:34,600 --> 01:44:38,000
THE WAY YOU ARE DEFINING

2840
01:44:38,000 --> 01:44:39,520
DIVERSITY. MY UNDERSTANDING IS

2841
01:44:39,520 --> 01:44:42,040
THAT SOME OF THE WORK YOU ARE

2842
01:44:42,040 --> 01:44:48,040
LOOKING AT HAS A LOT OF THE WAY

2843
01:44:48,040 --> 01:44:49,120
GOVERNMENT FOR DIVERSITY WHICH

2844
01:44:49,120 --> 01:44:50,600
IS RACE BASED. HOWEVER YOU KNOW

2845
01:44:50,600 --> 01:44:51,960
WHEN WE TALK ABOUT THE COVID

2846
01:44:51,960 --> 01:44:53,040
SITUATION A LOT OF DIVERSITY IS

2847
01:44:53,040 --> 01:44:56,680
BROADER THAN THAT, MANY INVOLVES

2848
01:44:56,680 --> 01:44:58,720
GEOGRAPHY, INVOLVES OTHER

2849
01:44:58,720 --> 01:45:06,000
THINGS. AND ALSO THE FOCUS ON

2850
01:45:06,000 --> 01:45:08,000
PERSON MENTAL HEALTH IN GENERAL

2851
01:45:08,000 --> 01:45:10,080
TO BE FOR THE OLDER POPULATION,

2852
01:45:10,080 --> 01:45:12,520
WHICH I APPRECIATE YACHT Y'ALL

2853
01:45:12,520 --> 01:45:13,520
ARE SUPPORTING BUT MY OTHER

2854
01:45:13,520 --> 01:45:16,520
CONCERN IS WORK FORCE ISSUES.

2855
01:45:16,520 --> 01:45:17,760
NONE OF YOUR EXAMPLES COVERED

2856
01:45:17,760 --> 01:45:23,040
WORK FORCE, HOWEVER WE KNOW THAT

2857
01:45:23,040 --> 01:45:24,360
PARTICULARLY FROM WHERE WE SIT,

2858
01:45:24,360 --> 01:45:26,480
WE HAVE FOUND THAT A LOT OF THE

2859
01:45:26,480 --> 01:45:32,840
WORK OUT OF THE CONCERNS IN WORK

2860
01:45:32,840 --> 01:45:34,320
FORCE IS THUS COVERED AND ALSO

2861
01:45:34,320 --> 01:45:35,680
LOOKS AT MULTIPLE CONCERNS

2862
01:45:35,680 --> 01:45:37,400
RELATED TO MENTAL HEALTH

2863
01:45:37,400 --> 01:45:38,960
BEHAVIORAL ISSUES, THAT ARE

2864
01:45:38,960 --> 01:45:40,520
LINKED TO BOTH SOCIAL AND

2865
01:45:40,520 --> 01:45:42,520
STRUCTURAL ISSUES. SO THOSE ARE

2866
01:45:42,520 --> 01:45:44,480
MY QUESTIONS. T AND HOPEFULLY

2867
01:45:44,480 --> 01:45:46,840
THEY ARE CLEAR, IF NOT HAPPY TO

2868
01:45:46,840 --> 01:45:47,960
EXPAND AND EXPLAIN. THANK YOU

2869
01:45:47,960 --> 01:45:50,840
VERY MUCH FOR YOUR TIME AND I

2870
01:45:50,840 --> 01:45:52,600
APPRECIATE PRESENTATION. 

2871
01:45:52,600 --> 01:45:55,800
>> THANK YOU. YES. SO MANY

2872
01:45:55,800 --> 01:45:57,240
IMPORTANT QUESTIONS, I AGREE.

2873
01:45:57,240 --> 01:45:59,520
LET ME TRY AND YOU CAN LET ME

2874
01:45:59,520 --> 01:46:03,760
KNOW IF I DON'T COVER ALL THE

2875
01:46:03,760 --> 01:46:06,160
POINTS YOU RAISE. I THINK A

2876
01:46:06,160 --> 01:46:07,560
STRENGTH OF NURSING IS OUR FOCUS

2877
01:46:07,560 --> 01:46:09,520
ON PEOPLE SO WE REALLY NURSES

2878
01:46:09,520 --> 01:46:14,080
DON'T FOCUS ON A DISEASE OR A

2879
01:46:14,080 --> 01:46:15,200
CERTAIN HEALTH CONDITION, WE ARE

2880
01:46:15,200 --> 01:46:16,960
REALLY FOCUSED ON PEOPLE NEED TO

2881
01:46:16,960 --> 01:46:18,360
BE HEALTHY AND RESTORE THEIR

2882
01:46:18,360 --> 01:46:19,960
HEALTH.  AND I THINK THAT'S A

2883
01:46:19,960 --> 01:46:21,920
REALLY IMPORTANT PERSPECTIVE AND

2884
01:46:21,920 --> 01:46:23,560
OF NURSING.  AND I THINK IT IS A

2885
01:46:23,560 --> 01:46:26,000
REALLY IMPORTANT PERSPECTIVE

2886
01:46:26,000 --> 01:46:29,320
THAT NURSING SCIENCE BRINGS TO

2887
01:46:29,320 --> 01:46:31,760
NIH. I REALLY SEE OUR STRENGTH

2888
01:46:31,760 --> 01:46:36,240
IN OUR PERSPECTIVE IN OUR SCOPE

2889
01:46:36,240 --> 01:46:38,000
OF HOW WE THINK HEALTH

2890
01:46:38,000 --> 01:46:39,440
DETERMINANTS RANGING FROM

2891
01:46:39,440 --> 01:46:40,920
BIOLOGICAL TO SOCIETAL AND HOW

2892
01:46:40,920 --> 01:46:43,560
TO BRING THAT ALL TOGETHER. IN

2893
01:46:43,560 --> 01:46:46,960
TERMS OF RESEARCH PICTURE.  I'M

2894
01:46:46,960 --> 01:46:48,320
CERTAINLY INTERESTED IN -- WE

2895
01:46:48,320 --> 01:46:51,160
ALL ARE AT NINR COLLABORATING

2896
01:46:51,160 --> 01:46:52,720
ACROSS NIH IN TERMS OF BRINGING

2897
01:46:52,720 --> 01:46:56,000
THESE PERSPECTIVES INCLUDING

2898
01:46:56,000 --> 01:47:02,720
WITH NIMH.  WHEN I TALK ABOUT

2899
01:47:02,720 --> 01:47:03,800
SOCIAL DETERMINANTS AND THINKING

2900
01:47:03,800 --> 01:47:06,240
AT THE INSTITUTE IN TERMS OF OUR

2901
01:47:06,240 --> 01:47:11,160
WAY FORWARD, WE AGREE STRUCTURAL

2902
01:47:11,160 --> 01:47:12,120
FACTORS ARE IMPORTANT THE

2903
01:47:12,120 --> 01:47:15,000
ADDRESS SO WE SEE THAT BEING

2904
01:47:15,000 --> 01:47:18,360
PART OF OUR DIRECTIONS MOVING

2905
01:47:18,360 --> 01:47:20,120
FORWARD SOCIAL FACTORS FROM THE

2906
01:47:20,120 --> 01:47:21,120
INDIVIDUAL LEVEL TO STRUCTURAL

2907
01:47:21,120 --> 01:47:23,720
LEVEL. I AGREE, WE CAN'T MAKE

2908
01:47:23,720 --> 01:47:24,920
SUFFICIENT PROGRESS IN

2909
01:47:24,920 --> 01:47:27,960
ELIMINATING HEALTH INEQUITIES

2910
01:47:27,960 --> 01:47:29,000
UNLESS WE GENERATE THE EVIDENCE

2911
01:47:29,000 --> 01:47:30,960
WE NEED TO INFORM POLICY TO

2912
01:47:30,960 --> 01:47:31,800
ADDRESS THOSE STRUCTURAL

2913
01:47:31,800 --> 01:47:35,120
FACTORS.  IN TERMS OF DIVERSITY,

2914
01:47:35,120 --> 01:47:38,840
MY OWN RESEARCH REALLY HAS

2915
01:47:38,840 --> 01:47:41,720
FOCUSED ON DIFFERENCES IN HEALTH

2916
01:47:41,720 --> 01:47:43,560
OUTCOMES BY RACE AND ETHNICITY

2917
01:47:43,560 --> 01:47:45,760
BUT THAT IS NOT THE SOLE FOCUS

2918
01:47:45,760 --> 01:47:48,440
OF THE INSTITUTE.  WE ARE TAKING

2919
01:47:48,440 --> 01:47:52,960
A VERY BROAD PERSPECTIVE ON

2920
01:47:52,960 --> 01:47:54,840
DIFFERENT HELP DISPARITIES AND

2921
01:47:54,840 --> 01:47:56,800
THE IMPLICATIONS FOR ADVANCING

2922
01:47:56,800 --> 01:47:59,360
HEALTH EQUITY. OUR WORK FORCE IS

2923
01:47:59,360 --> 01:48:01,640
EXTREMELY IMPORTANT TO US IN

2924
01:48:01,640 --> 01:48:03,120
TERMS OF PREPARING THE NEXT

2925
01:48:03,120 --> 01:48:05,000
GENERATION OF NURSING

2926
01:48:05,000 --> 01:48:06,680
SCIENTISTS, WE NEED TO DO BETTER

2927
01:48:06,680 --> 01:48:10,680
IN TERMS OF PREPARING A DIVERSE

2928
01:48:10,680 --> 01:48:11,520
SCIENTIFIC WORK FORCE, ONE

2929
01:48:11,520 --> 01:48:13,640
EXAMPLE OF STEPS WE ARE TAKING

2930
01:48:13,640 --> 01:48:16,520
IS OUR COUNCIL IS KICKING OFF

2931
01:48:16,520 --> 01:48:19,880
WORKING GROUPS, ONE FOCUSED ON

2932
01:48:19,880 --> 01:48:20,920
RECOMMENDATIONS TO THE COUNCIL

2933
01:48:20,920 --> 01:48:23,640
AND HOW WE CAN IMPROVE DIVERSITY

2934
01:48:23,640 --> 01:48:26,000
OF OUR WORK FORCE AND THE OTHER

2935
01:48:26,000 --> 01:48:27,760
FOCUSED ON STRENGTHENING

2936
01:48:27,760 --> 01:48:29,640
INCLUSION IN OUR STUDIES. I

2937
01:48:29,640 --> 01:48:31,480
AGREE, THOSE ARE ALL REALLY

2938
01:48:31,480 --> 01:48:34,800
IMPORTANT ISSUES. HOW DID I DO

2939
01:48:34,800 --> 01:48:36,840
TOUCHING ON YOUR QUESTIONS? 

2940
01:48:36,840 --> 01:48:40,600
>> ON SCALE OF ONE TO TEN ABOUT

2941
01:48:40,600 --> 01:48:43,600
AN EIGHT.  THANK YOU. 

2942
01:48:43,600 --> 01:48:45,400
>> JOEL, PLEASE INTRODUCE

2943
01:48:45,400 --> 01:48:46,600
YOURSELF AND GO AHEAD AND ASK

2944
01:48:46,600 --> 01:48:47,520
YOUR QUESTION.

2945
01:48:47,520 --> 01:48:50,360
>> JOEL NIGG NEW COUNCIL MEMBER

2946
01:48:50,360 --> 01:48:52,160
UNIVERSITY OF PORTLAND, OREGON.

2947
01:48:52,160 --> 01:48:53,240
INTERESTING THANK YOU SO MUCH

2948
01:48:53,240 --> 01:48:54,840
FOR I'M SUPER INTERESTED IN BOTH

2949
01:48:54,840 --> 01:48:55,880
YOUR PRESENTATION AND THE ONE

2950
01:48:55,880 --> 01:48:57,960
THAT WILL COME NEXT FROM DR.

2951
01:48:57,960 --> 01:49:00,120
NEBLETT ON RACISM. AS SOMEONE

2952
01:49:00,120 --> 01:49:01,760
WHO LIVES SEVERAL YEARS IN

2953
01:49:01,760 --> 01:49:03,680
CENTRAL CITY DETROIT AND WORKED

2954
01:49:03,680 --> 01:49:05,480
WITH YOUTH THERE SEEING THE

2955
01:49:05,480 --> 01:49:08,200
DEVASTATION OF NEIGHBORHOODS AND

2956
01:49:08,200 --> 01:49:09,640
HAS SPENT TIME THINKING HOW ALL

2957
01:49:09,640 --> 01:49:12,080
OF O OUR FANCY MODELS WHAT THEY

2958
01:49:12,080 --> 01:49:13,560
MEAN AND THAT CONTEXT SO MANY

2959
01:49:13,560 --> 01:49:15,880
PRESSURES ON PEOPLE, I FOUND

2960
01:49:15,880 --> 01:49:17,760
YOUR WORK VERY INTERESTING, I

2961
01:49:17,760 --> 01:49:20,280
APPRECIATE THE DETROIT MICHIGAN

2962
01:49:20,280 --> 01:49:21,640
CONNECTIONS THERE, OLD STOMPING

2963
01:49:21,640 --> 01:49:23,240
GROUNDS FOR ME. COUPLE OF THINGS

2964
01:49:23,240 --> 01:49:25,000
THAT I WANTED TO HIGHLIGHT THAT

2965
01:49:25,000 --> 01:49:27,320
I THINK THIS IS SO INTERESTING,

2966
01:49:27,320 --> 01:49:30,480
I HAVE TEN QUESTIONS LIKE DR.

2967
01:49:30,480 --> 01:49:32,680
TELFAIR, MANY, MANY QUESTIONS, I

2968
01:49:32,680 --> 01:49:36,520
WILL TRY TO NARROW DOWN, LOTS OF

2969
01:49:36,520 --> 01:49:38,440
QUESTIONS.  I SEE SEVERAL WAYS

2970
01:49:38,440 --> 01:49:40,760
STRONGER COLLABORATION WITH NIMH

2971
01:49:40,760 --> 01:49:41,360
AND APPRECIATE HIGHLIGHTING THE

2972
01:49:41,360 --> 01:49:43,160
IMPORTANCE OF THAT. THREE THAT

2973
01:49:43,160 --> 01:49:44,880
POP OUT ARE COMPUTATION,

2974
01:49:44,880 --> 01:49:48,240
COMPLEXITY OF THESE EXPOSURE

2975
01:49:48,240 --> 01:49:50,520
RISK FOR APPROPRIATE MODELING

2976
01:49:50,520 --> 01:49:52,200
THAT LITERATURE RECENTLY IS

2977
01:49:52,200 --> 01:49:53,600
REALLY DIFFICULT THAT IT IS

2978
01:49:53,600 --> 01:49:54,960
SIMILAR TO TRY TO MODEL NEURAL

2979
01:49:54,960 --> 01:49:57,160
SYSTEMS. THERE'S SO MANY

2980
01:49:57,160 --> 01:49:58,440
INTERSECTING NODES OF RISK

2981
01:49:58,440 --> 01:49:59,600
THERE, THAT HAVE TO BE BROUGHT

2982
01:49:59,600 --> 01:50:00,720
TOGETHER. THAT IS ONE. A SECOND

2983
01:50:00,720 --> 01:50:03,560
ONE IS THE OVERLAP OF MENTAL

2984
01:50:03,560 --> 01:50:05,320
PHYSICAL HEALTH. AS YOU KNOW THE

2985
01:50:05,320 --> 01:50:06,760
OVERLAP A LOT AND PEOPLE WITH

2986
01:50:06,760 --> 01:50:08,080
MENTAL HEALTH HAVE GREATER

2987
01:50:08,080 --> 01:50:08,760
PHYSICAL HEALTH PROBLEMS AS

2988
01:50:08,760 --> 01:50:12,120
WELL. AND VICE VERSA. THIRD IS

2989
01:50:12,120 --> 01:50:12,920
INDIVIDUAL DIFFERENCES THIS IS

2990
01:50:12,920 --> 01:50:14,760
COMING FROM THE OTHER SIDE FROM

2991
01:50:14,760 --> 01:50:18,720
WHAT DR. TELFAIR BROUGHT UP, NOT

2992
01:50:18,720 --> 01:50:20,040
EVERYBODY NEEDS CONDITIONS HAS

2993
01:50:20,040 --> 01:50:21,440
BAD OUTCOMES YOU MENTION

2994
01:50:21,440 --> 01:50:23,600
RESILIENCE IN PASSING AND

2995
01:50:23,600 --> 01:50:24,840
DIFFERENCES IN RESPONSE SEEMS A

2996
01:50:24,840 --> 01:50:30,200
CRITICAL AREA FOR MENTAL HEALTH

2997
01:50:30,200 --> 01:50:31,440
PLUS LINKAGE YOU DIDN'T

2998
01:50:31,440 --> 01:50:33,040
HIGHLIGHT MUCH THAT I WOULD

2999
01:50:33,040 --> 01:50:33,760
THINK WOULD BE VERY IMPORTANT IN

3000
01:50:33,760 --> 01:50:35,560
ADDITION TO THE CRITICAL

3001
01:50:35,560 --> 01:50:37,200
STRUCTURAL ISSUES THAT HAVE BEEN

3002
01:50:37,200 --> 01:50:38,760
TALKED ABOUT AND I AGREE ARE

3003
01:50:38,760 --> 01:50:40,640
IMPORTANT. I WANT TO RAISE ONE

3004
01:50:40,640 --> 01:50:41,920
QUESTION -- TWO CONCEPTUAL

3005
01:50:41,920 --> 01:50:43,240
QUESTIONS SO YOU CAN ANSWER ONE

3006
01:50:43,240 --> 01:50:45,040
OR NEITHER DEPENDING ON WHAT YOU

3007
01:50:45,040 --> 01:50:46,760
WANT TO SAY, BUT WHAT IS THE

3008
01:50:46,760 --> 01:50:48,520
CONCENTRATION OF RISK FACTORS

3009
01:50:48,520 --> 01:50:49,680
SUGGEST THAT MAYBE LESS

3010
01:50:49,680 --> 01:50:50,680
IMPORTANT AS INDIVIDUAL RISK

3011
01:50:50,680 --> 01:50:52,080
FACTORS IN STUDYING

3012
01:50:52,080 --> 01:50:56,560
ACCUMULATION? AND THIS IS A

3013
01:50:56,560 --> 01:50:58,880
CONCEPTUAL QUESTION, WONDER HOW

3014
01:50:58,880 --> 01:51:02,640
YOU -- WHEN YOU DIVVY UP FOOD OR

3015
01:51:02,640 --> 01:51:05,560
HOUSING AND VERSUS EFFECTIVE

3016
01:51:05,560 --> 01:51:06,960
CORRELATE. DIFFERENTIATION OF

3017
01:51:06,960 --> 01:51:08,040
RACIAL ETHNIC DIVERSITY. WHEN I

3018
01:51:08,040 --> 01:51:10,760
LIVED IN DETROIT I WAS IN A

3019
01:51:10,760 --> 01:51:12,880
MIXED NEIGHBORHOOD WITH HALF

3020
01:51:12,880 --> 01:51:15,520
BLACK HALF WHITE, IT WAS

3021
01:51:15,520 --> 01:51:17,000
SEGREGATED UNONE SET OF THE

3022
01:51:17,000 --> 01:51:20,160
AVENUE WAS BLACK AND ONE WAS

3023
01:51:20,160 --> 01:51:21,880
WHITE. I WORKED HEAVILY WITH

3024
01:51:21,880 --> 01:51:23,320
KIDS ON BOTH SIDES BUT THE

3025
01:51:23,320 --> 01:51:25,320
ADVERSITY WAS SIMILAR, HOUSING

3026
01:51:25,320 --> 01:51:27,240
VACANT LOTS, VIOLENCE, ET CETERA

3027
01:51:27,240 --> 01:51:31,920
WERE SAME. AND THE WAYS WE

3028
01:51:31,920 --> 01:51:34,000
HANDLING IT SEEM SIMILAR, BUT

3029
01:51:34,000 --> 01:51:35,960
YET OF COURSE DETROIT WHEN I WAS

3030
01:51:35,960 --> 01:51:38,520
THERE IT WAS MAJORITY BLACK

3031
01:51:38,520 --> 01:51:42,760
CITY. YOU GET ON THE BUS, BLACK

3032
01:51:42,760 --> 01:51:43,720
AND WHITE AT LEAST SOME PARTS OF

3033
01:51:43,720 --> 01:51:46,160
THE CITY, RACISM IS CLEARLY A

3034
01:51:46,160 --> 01:51:47,240
STORE -- A FACTOR, DIFFERENT

3035
01:51:47,240 --> 01:51:48,560
FROM BLACKS AND WHITES AS THEY

3036
01:51:48,560 --> 01:51:50,680
MOVE ABOUT THE CITY, MOVE ABOUT

3037
01:51:50,680 --> 01:51:52,120
SYSTEMS. WHAT IS YOUR THINKING

3038
01:51:52,120 --> 01:51:55,480
AS AN INSTITUTE DIRECTOR AS YOU

3039
01:51:55,480 --> 01:52:01,720
THINK ABOUT DIFFERENTIATING

3040
01:52:01,720 --> 01:52:03,560
RACISMS, STEREOTYPING THE MANY

3041
01:52:03,560 --> 01:52:05,560
FACTORS THERE THAT WORK AGAINST

3042
01:52:05,560 --> 01:52:07,880
RACIAL MINORITY INDIVIDUALS IN

3043
01:52:07,880 --> 01:52:10,560
-- AFRICAN AMERICANS AND LATINOS

3044
01:52:10,560 --> 01:52:13,040
HISPANICS ALSO A BIG GROUP IN

3045
01:52:13,040 --> 01:52:14,320
DETROIT AS WELL AS MANY OTHER

3046
01:52:14,320 --> 01:52:15,560
GROUPS THAT ARE IN THAT DIVERSE

3047
01:52:15,560 --> 01:52:19,000
CITY.  WHEN YOU HAVE SUCH

3048
01:52:19,000 --> 01:52:21,320
WIDESPREAD ECONOMIC ADVERSITY

3049
01:52:21,320 --> 01:52:22,960
WHAT IS YOUR THINKING OR TALK

3050
01:52:22,960 --> 01:52:24,360
THE SATE OF SCIENCE TO EDUCATE

3051
01:52:24,360 --> 01:52:27,680
US AS MENTAL HEALTH RESEARCHERS.

3052
01:52:27,680 --> 01:52:29,000
SEEMS LIKE EXTREMELY IMPORTANT

3053
01:52:29,000 --> 01:52:30,840
TIMELY ELEMENT THAT YOU TOUCHED

3054
01:52:30,840 --> 01:52:35,000
ON IN PASSING.  THANK YOU.

3055
01:52:35,000 --> 01:52:38,160
>> WOW. SO MANY GREAT POINTS

3056
01:52:38,160 --> 01:52:45,720
THERE AS WELL. ONE, I LOVED THAT

3057
01:52:45,720 --> 01:52:46,960
WAS QUICK TO COME UP WITH THREE

3058
01:52:46,960 --> 01:52:48,400
WAYS THAT WE COULD COLLABORATE

3059
01:52:48,400 --> 01:52:52,040
AND THAT THERE'S SO MANY WAYS

3060
01:52:52,040 --> 01:52:53,720
OUR WORK CAN BE SYNERGISTIC IN

3061
01:52:53,720 --> 01:52:57,160
TERMS OF THE COMPUTATIONAL

3062
01:52:57,160 --> 01:52:58,400
COMPLEXITY, THE INTERSECTION OF

3063
01:52:58,400 --> 01:53:00,120
MENTAL PHYSICAL HEALTH, AND I

3064
01:53:00,120 --> 01:53:03,000
THINK THAT IS VERY ALIGNED WITH

3065
01:53:03,000 --> 01:53:04,680
NURSING PERSPECTIVE THAT WE

3066
01:53:04,680 --> 01:53:07,880
CAN'T SEPARATE THE TWO THERE

3067
01:53:07,880 --> 01:53:09,800
VERY INNER RELATED AS YOU POINT

3068
01:53:09,800 --> 01:53:11,800
OUT. I COULDN'T AGREE MORE. WE

3069
01:53:11,800 --> 01:53:13,720
DO NEED TO UNDERSTAND THE

3070
01:53:13,720 --> 01:53:16,160
STRUCTURAL AND I THINK THAT THAT

3071
01:53:16,160 --> 01:53:19,400
HAS RECEIVED LESS ATTENTION AT

3072
01:53:19,400 --> 01:53:22,960
NIH THAN OTHER TYPES OF SCIENCE.

3073
01:53:22,960 --> 01:53:23,760
CERTAINLY UNDERSTANDING

3074
01:53:23,760 --> 01:53:24,680
INDIVIDUAL RESPONSES OR

3075
01:53:24,680 --> 01:53:26,960
DIFFERENCES IN RESPONSES, IS

3076
01:53:26,960 --> 01:53:28,960
IMPORTANT. I KNOW IN OUR OWN

3077
01:53:28,960 --> 01:53:30,520
WORK THAT IS REALLY TRYING TO

3078
01:53:30,520 --> 01:53:33,360
UNDERSTAND THE CONTEXT OF

3079
01:53:33,360 --> 01:53:37,520
BEHAVIORAL INTERVENTIONS, WHO

3080
01:53:37,520 --> 01:53:39,920
RESPONDS AND SUCCEEDS AND WHO

3081
01:53:39,920 --> 01:53:41,240
LESS SO. ANOTHER THING I TOOK

3082
01:53:41,240 --> 01:53:43,360
FROM YOUR COMMENTS IS REALLY

3083
01:53:43,360 --> 01:53:47,520
THINKING ABOUT STRENGTHS AND TO

3084
01:53:47,520 --> 01:53:49,360
UNDERSTAND THOSE DIFFERENCES.  I

3085
01:53:49,360 --> 01:53:51,680
THINK THAT IS THE CASE IN A LOT

3086
01:53:51,680 --> 01:53:56,960
OF RESPECTS. I THINK YOU ARE

3087
01:53:56,960 --> 01:54:02,960
RIGHT.  SO MANY OF THESE RISK

3088
01:54:02,960 --> 01:54:04,760
FACTORS PART OF THE ISSUE IS

3089
01:54:04,760 --> 01:54:06,200
THEY DO CLUSTER AND GROUP

3090
01:54:06,200 --> 01:54:08,320
TOGETHER, THEY BUILD ON ONE

3091
01:54:08,320 --> 01:54:09,640
ANOTHER, TO EXACERBATE

3092
01:54:09,640 --> 01:54:14,720
DISPARITIES AND I THINK

3093
01:54:14,720 --> 01:54:16,960
UNDERSTANDING WHAT ARE IMPORTANT

3094
01:54:16,960 --> 01:54:18,840
PIVOT POINTS INTERVENTION POINTS

3095
01:54:18,840 --> 01:54:20,840
THAT ARE GOING TO PRODUCE THE

3096
01:54:20,840 --> 01:54:23,040
BIGGEST DIFFERENCE IN CHANGE IS

3097
01:54:23,040 --> 01:54:24,480
IMPORTANT BUT ALSO UNDERSTANDING

3098
01:54:24,480 --> 01:54:27,560
HOW ALL THESE FACTORS INTERACT

3099
01:54:27,560 --> 01:54:29,200
TO AFFECT HEALTH OUTCOMES AND

3100
01:54:29,200 --> 01:54:33,360
CONTRIBUTE TO DISPARITIES.  I

3101
01:54:33,360 --> 01:54:35,360
THINK IN TERMS OF -- THE

3102
01:54:35,360 --> 01:54:36,880
LITERATURE IS LARGE SO TO

3103
01:54:36,880 --> 01:54:38,840
SUMMARIZE, BUT I THINK WE DO

3104
01:54:38,840 --> 01:54:41,160
KNOW, SOCIOECONOMICS IS

3105
01:54:41,160 --> 01:54:42,000
CERTAINLY AN IMPORTANT PART OF

3106
01:54:42,000 --> 01:54:44,960
THE PICTURE FOR UNDERSTANDING

3107
01:54:44,960 --> 01:54:47,080
RACIALIZED DIFFERENCES IN

3108
01:54:47,080 --> 01:54:48,800
HEALTH. BUT WE KNOW THERE IS

3109
01:54:48,800 --> 01:54:50,560
ALSO AN ADDED EFFECT OF RACISM

3110
01:54:50,560 --> 01:54:53,560
AND REALLY BEING CLEAR ABOUT

3111
01:54:53,560 --> 01:54:54,480
THAT AND SEEKING TO UNDERSTAND

3112
01:54:54,480 --> 01:54:57,440
THE MULTIPLE WAYS BY WHICH

3113
01:54:57,440 --> 01:54:59,280
RACISM PLAYS OUT IN PEOPLE'S

3114
01:54:59,280 --> 01:55:00,680
LIVES AND AFFECTS HEALTH AND

3115
01:55:00,680 --> 01:55:02,680
CONTRIBUTES TO THE INEQUITIES WE

3116
01:55:02,680 --> 01:55:07,160
SEE. I THINK IS REALLY CRITICAL.

3117
01:55:07,160 --> 01:55:08,600
I THINK WE DO KNOW THERE IS

3118
01:55:08,600 --> 01:55:10,960
ADDED EFFECT OF RACISM AND IT IS

3119
01:55:10,960 --> 01:55:13,040
OUR RESPONSIBILITY TO IDENTIFY

3120
01:55:13,040 --> 01:55:16,160
HOW THAT AFFECTS PEOPLE'S HEALTH

3121
01:55:16,160 --> 01:55:19,480
AND TO INFORM POLICY CHANGES. SO

3122
01:55:19,480 --> 01:55:21,480
I'M NOT EVEN GOING TO ASK HOW I

3123
01:55:21,480 --> 01:55:22,960
DID ON THAT ONE BECAUSE THAT WAS

3124
01:55:22,960 --> 01:55:24,960
A BIG QUESTION. SO I'LL JUST

3125
01:55:24,960 --> 01:55:27,880
TAKE IT LIKE HOPEFULLY POINT FOR

3126
01:55:27,880 --> 01:55:29,000
EFFORT.

3127
01:55:29,000 --> 01:55:32,320
>> THE COMMENT -- I APPRECIATE

3128
01:55:32,320 --> 01:55:33,880
ITISM I'M A BELIEVER OF RACISM

3129
01:55:33,880 --> 01:55:34,720
EFFECTS BUT IT IS REALLY

3130
01:55:34,720 --> 01:55:37,360
IMPORTANT THAT IT BE SPECIFIED

3131
01:55:37,360 --> 01:55:40,360
VERY CLEARLY MECHANISTICALLY. 

3132
01:55:40,360 --> 01:55:41,840
>> WE ARE ALMOST OUT OF TIME,

3133
01:55:41,840 --> 01:55:44,600
TWO MORE QUESTIONS, SO

3134
01:55:44,600 --> 01:55:45,760
APPRECIATE MARJORIE AND BRANDON

3135
01:55:45,760 --> 01:55:47,720
IF YOU CAN KEEP THE QUESTIONS

3136
01:55:47,720 --> 01:55:49,200
SHORT AND SHANNON DO YOUR BEST

3137
01:55:49,200 --> 01:55:50,160
TO ANSWER QUICKLY TOO. 

3138
01:55:50,160 --> 01:55:52,000
>> YES. REALLY SHORT.

3139
01:55:52,000 --> 01:55:54,200
>> DOING GREAT JOB.

3140
01:55:54,200 --> 01:55:55,840
>> SHANNON, THANK YOU FOR YOUR

3141
01:55:55,840 --> 01:55:59,640
PRESENTATION. I'M MARJORIE

3142
01:55:59,640 --> 01:56:02,560
BALDWIN -- I THINK SOMEONE IS

3143
01:56:02,560 --> 01:56:04,240
UNMUTED. IF EVERYONE WHO IS NOT

3144
01:56:04,240 --> 01:56:05,040
SPEAKING WITH MUTE THEMSELVES. 

3145
01:56:05,040 --> 01:56:05,760
GO AHEAD. 

3146
01:56:05,760 --> 01:56:08,160
>> I'M A HEALTH ECONOMIST FROM

3147
01:56:08,160 --> 01:56:09,640
ARIZONA STATE UNIVERSITY, I JUST

3148
01:56:09,640 --> 01:56:12,760
HAVE A COMMENT AND ONE QUESTION.

3149
01:56:12,760 --> 01:56:14,520
THE COMMENT IS AS A HEALTH

3150
01:56:14,520 --> 01:56:16,360
ECONOMIST I AM CONSTANTLY

3151
01:56:16,360 --> 01:56:18,960
BOMBARDED WITH STATISTICS ON HOW

3152
01:56:18,960 --> 01:56:20,440
POORLY THE U.S. HEALTHCARE

3153
01:56:20,440 --> 01:56:22,440
SYSTEM PERFORMS RELATIVE TO

3154
01:56:22,440 --> 01:56:24,920
OTHER COUNTRIES. AND THAT'S

3155
01:56:24,920 --> 01:56:29,120
SPECIALLY INCLUDES A MATERNAL

3156
01:56:29,120 --> 01:56:32,400
MORTALITY, MATERNAL MORBIDITY,

3157
01:56:32,400 --> 01:56:34,840
INFANT MORTALITY CHILD MORTALITY

3158
01:56:34,840 --> 01:56:36,400
RATES.  THESE ARE USED TO

3159
01:56:36,400 --> 01:56:37,760
CONDEMN THE HEALTHCARE IN A

3160
01:56:37,760 --> 01:56:40,160
WHOLE WHEN REALLY LOOK AT THE

3161
01:56:40,160 --> 01:56:42,520
NUMBERS, THEY ARE LARGELY DRIVEN

3162
01:56:42,520 --> 01:56:47,160
BY DISPARITIES BOTH RACIAL

3163
01:56:47,160 --> 01:56:48,920
ETHNIC RURAL URBAN HEALTH

3164
01:56:48,920 --> 01:56:50,560
DISPARITIES SO THANK YOU FOR

3165
01:56:50,560 --> 01:56:54,360
SHINING A LIGHT ON THAT IN YOUR

3166
01:56:54,360 --> 01:56:56,600
TALK. AND THEN MY QUESTION, AS

3167
01:56:56,600 --> 01:56:57,480
ABOUT ECONOMIST, GOES BACK TO

3168
01:56:57,480 --> 01:56:58,680
THE BEGINNING OF YOUR TALK,

3169
01:56:58,680 --> 01:57:02,680
WHERE YOU TALKED ABOUT YOUR WORK

3170
01:57:02,680 --> 01:57:05,520
ON FOOD DESERTS AND HOW HEALTHY

3171
01:57:05,520 --> 01:57:07,640
FOODS WERE STORES THAT SOLD

3172
01:57:07,640 --> 01:57:10,480
HEALTHY FOODS WERE FURTHER

3173
01:57:10,480 --> 01:57:13,440
DISTANT FROM FOR CERTAIN

3174
01:57:13,440 --> 01:57:14,560
NEIGHBORHOODS THAT ARE

3175
01:57:14,560 --> 01:57:17,680
CLASSIFIED FOOD DESERTS.  AS AN

3176
01:57:17,680 --> 01:57:18,880
ECONOMIST IF THEY ARE NOT THERE,

3177
01:57:18,880 --> 01:57:20,880
WHY AREN'T THEY THERE? IF THERE

3178
01:57:20,880 --> 01:57:24,560
WERE PROFITS IN BEING THERE,

3179
01:57:24,560 --> 01:57:27,640
ECONOMICS, SAYS THAT THE STORES

3180
01:57:27,640 --> 01:57:29,280
WOULD MOVE THERE SO WHY AREN'T

3181
01:57:29,280 --> 01:57:33,920
THERE PROFITS? ONE REASON IS WHY

3182
01:57:33,920 --> 01:57:35,560
IS THE DEMAND FOR THOSE FOODS

3183
01:57:35,560 --> 01:57:37,680
LOWER? AND ONE REASON YOU

3184
01:57:37,680 --> 01:57:46,240
HIGHLIGHTED MIGHT COST. AND WIC

3185
01:57:46,240 --> 01:57:47,720
RESULTS SHOW THAT. WHEN IT WAS

3186
01:57:47,720 --> 01:57:50,240
EASIER TO PAY FOR THOSE FOODS

3187
01:57:50,240 --> 01:57:51,320
STORES RESPOND AND STOCKED THE

3188
01:57:51,320 --> 01:57:52,720
FOODS.  BUT THE OTHER THING I'M

3189
01:57:52,720 --> 01:57:55,560
THINKING OF IS PREFERENCES.  AND

3190
01:57:55,560 --> 01:57:57,360
IF YOU ARE RAISED WITH ONLY

3191
01:57:57,360 --> 01:57:58,800
ACCESS TO LESS HEALTHY FOODS,

3192
01:57:58,800 --> 01:57:59,760
THOSE ARE THE FOODS THAT YOU

3193
01:57:59,760 --> 01:58:04,360
GOING TO PREFER. SO MY QUESTION

3194
01:58:04,360 --> 01:58:06,520
WAS QUICKLY ARE YOU ALSO WORKING

3195
01:58:06,520 --> 01:58:08,440
ON EDUCATION AND WAYS TO CHANGE

3196
01:58:08,440 --> 01:58:10,480
PEOPLE'S PREFERENCES SO THAT

3197
01:58:10,480 --> 01:58:12,360
THEY DEMAND THOSE HEALTHIER

3198
01:58:12,360 --> 01:58:18,360
FOODS COME TO THEIR COMMUNITIES?

3199
01:58:18,360 --> 01:58:19,800
>> THAT IS ALSO A REALLY BIG

3200
01:58:19,800 --> 01:58:21,360
QUESTION. SO I'M GOING TO TRY TO

3201
01:58:21,360 --> 01:58:23,160
BE SHORT AND SAY I MEAN THE

3202
01:58:23,160 --> 01:58:25,440
PROBLEM WITH FOOD DESERTS IS

3203
01:58:25,440 --> 01:58:27,240
ROOTED IN DISINVESTMENT IN

3204
01:58:27,240 --> 01:58:30,560
GENERAL FROM COMMUNITIES OF

3205
01:58:30,560 --> 01:58:32,760
COLOR THAT HAPPEN AND CONTINUES

3206
01:58:32,760 --> 01:58:33,720
OVER TIME AND I COULDN'T AGREE

3207
01:58:33,720 --> 01:58:35,800
MORE THAT'S WHERE I WAS GOING TO

3208
01:58:35,800 --> 01:58:38,000
GO, IT IS A CHICKEN OR THE EGG

3209
01:58:38,000 --> 01:58:42,120
ARGUMENT, IF YOU GROW UP IN A

3210
01:58:42,120 --> 01:58:43,560
COMMUNITY WITHOUT ACCESS AND

3211
01:58:43,560 --> 01:58:44,840
THAT'S HOW YOUR PREFERENCE IS

3212
01:58:44,840 --> 01:58:46,760
DEVELOPED IT WAS HARD TO MAKE

3213
01:58:46,760 --> 01:58:49,480
THAT CHANGE. SO I THINK A LIFE

3214
01:58:49,480 --> 01:58:53,840
COURSE PERSPECTIVE IS ESSENTIAL

3215
01:58:53,840 --> 01:58:56,080
TO UNDERSTANDING THAT SITUATION

3216
01:58:56,080 --> 01:58:57,960
AND ULTIMATELY ADDRESSING IT AND

3217
01:58:57,960 --> 01:59:02,120
I AGREE, ESPECIALLY GIVEN THAT

3218
01:59:02,120 --> 01:59:03,200
MULTI-LEVEL STRATEGIES ARE GOING

3219
01:59:03,200 --> 01:59:07,440
TO BE REQUIRED TO MAKE A

3220
01:59:07,440 --> 01:59:08,520
DIFFERENCE, THAT IS MY SHORT

3221
01:59:08,520 --> 01:59:10,160
ANSWER. 

3222
01:59:10,160 --> 01:59:12,280
>> YOU CAN SEE HOW WELL OUR

3223
01:59:12,280 --> 01:59:14,080
COUNCIL FOLLOWS DIRECTION.

3224
01:59:14,080 --> 01:59:16,840
BRANDON, SHORT QUESTION FOR

3225
01:59:16,840 --> 01:59:17,760
SHANNON?

3226
01:59:17,760 --> 01:59:18,760
>> SHAN NOW RIVETING

3227
01:59:18,760 --> 01:59:20,280
PRESENTATION. YOUR WORK IS SO

3228
01:59:20,280 --> 01:59:23,080
IMPORTANT FOR SOCIETY RIGHT NOW.

3229
01:59:23,080 --> 01:59:24,400
I SUPPORT ALL WHAT YOU ARE

3230
01:59:24,400 --> 01:59:27,160
DOING. I HAVE ONE QUESTION THAT

3231
01:59:27,160 --> 01:59:33,360
IS TANGENTIAL RELATES TO WHAT

3232
01:59:33,360 --> 01:59:35,600
DR. TELFAIR MENTIONED THE WORK

3233
01:59:35,600 --> 01:59:36,680
FORCE. HEALTHCARE PROFESSIONALS

3234
01:59:36,680 --> 01:59:38,120
INCLUDING NURSES ARE REALLY

3235
01:59:38,120 --> 01:59:45,120
CHALLENGED RIGHT NOW WITH HEALTH

3236
01:59:45,120 --> 01:59:48,200
SERVICES INCLUDING MENTAL HEALTH

3237
01:59:48,200 --> 01:59:51,720
DUE TO THE CHALLENGE OF THE

3238
01:59:51,720 --> 01:59:52,600
PANDEMIC AND OTHER CONTRIBUTORS

3239
01:59:52,600 --> 01:59:56,560
IN OUR WORLD. THERE IS A GOOD

3240
01:59:56,560 --> 02:00:01,720
DEAL OF BURN OUT IN AND STRESS

3241
02:00:01,720 --> 02:00:03,240
AN MENTAL HEALTH CHALLENGES

3242
02:00:03,240 --> 02:00:04,840
AMONG NURSES AND HEALTH

3243
02:00:04,840 --> 02:00:11,760
PRACTITIONERS.  IT SEEMS MORE

3244
02:00:11,760 --> 02:00:12,840
MENTALLY HEALTHY NURSES CAN BE

3245
02:00:12,840 --> 02:00:14,720
THE BETTER THE CARE THEY CAN

3246
02:00:14,720 --> 02:00:16,040
DELIVER AND BETTER OUTCOME OF

3247
02:00:16,040 --> 02:00:17,720
PATIENTS THEY TREAT. DO YOU SEE

3248
02:00:17,720 --> 02:00:22,560
THAT AS A TOPIC THAT CAN BE

3249
02:00:22,560 --> 02:00:24,200
STUDIED OR INVESTIGATED BY NINR

3250
02:00:24,200 --> 02:00:35,520
OR ADDRESSED IN I WAY CURRENTLY?

3251
02:00:35,520 --> 02:00:36,520
WE LEARN HOW IMPORTANT THE WORK

3252
02:00:36,520 --> 02:00:39,560
FORCE IS TO THE HEALTH OF OUR

3253
02:00:39,560 --> 02:00:40,880
NATION AND FUNCTIONING HEALTH

3254
02:00:40,880 --> 02:00:43,000
SYSTEMS.  THAT COUNCIL LAST WEEK

3255
02:00:43,000 --> 02:00:48,160
WE PRESENTED A CONCEPT TO FOCUS

3256
02:00:48,160 --> 02:00:49,640
ON HEALTH OF NURSES, IT WAS

3257
02:00:49,640 --> 02:00:51,040
FRAMED IN TERMS OF BURN OUT BUT

3258
02:00:51,040 --> 02:00:54,480
REALLY WE TALKED ABOUT REALLY

3259
02:00:54,480 --> 02:00:56,800
TALKING ABOUT A MORE POSITIVE

3260
02:00:56,800 --> 02:01:03,360
FRAME WHICH HAS COME UP TODAY.  

3261
02:01:03,360 --> 02:01:04,240
SPECIFICALLY THINKING

3262
02:01:04,240 --> 02:01:05,600
INTERVENTIONS THAT ADDRESS AT

3263
02:01:05,600 --> 02:01:07,280
SYSTEMS LEVEL AS OPPOSED TO

3264
02:01:07,280 --> 02:01:09,440
NURSES NEED TO COPE BETTER BUT

3265
02:01:09,440 --> 02:01:10,880
CHANGE THE SYSTEM TO SUPPORT

3266
02:01:10,880 --> 02:01:12,640
THEIR HEALTH AND KEEP THEM IN

3267
02:01:12,640 --> 02:01:14,200
THE WORK FORCE WHERE THEY ARE

3268
02:01:14,200 --> 02:01:15,960
NEEDED. SO WE AGREE IT IS AN

3269
02:01:15,960 --> 02:01:18,160
IMPORTANT ISSUE AND WE ARE

3270
02:01:18,160 --> 02:01:23,360
COMMITTED TO ADDRESSING THAT.  

3271
02:01:23,360 --> 02:01:25,640
>> THANKS FOR THE QUESTIONS AND

3272
02:01:25,640 --> 02:01:26,560
COMMENT ALONG THE WAY,

3273
02:01:26,560 --> 02:01:28,160
APPRECIATE THE TALK, IT WAS

3274
02:01:28,160 --> 02:01:28,920
WONDERFUL AND THANKS FOR JOINING

3275
02:01:28,920 --> 02:01:39,840
US.  WE ARE MOVE TON NEXT NOT

3276
02:01:39,840 --> 02:01:41,160
COMPLETELY UP RELATED TOPIC

3277
02:01:41,160 --> 02:01:42,480
STRUCTURAL RACISM AND BLACK

3278
02:01:42,480 --> 02:01:46,120
MENTAL HEALTH. MY PLEASURE TO

3279
02:01:46,120 --> 02:01:50,840
WELCOME DR. ENRIQUE NEBLETT. HE

3280
02:01:50,840 --> 02:01:51,800
HAS BEEN AN IMPORTANT

3281
02:01:51,800 --> 02:01:54,560
CONTRIBUTOR TO THIS FIELD FOR A

3282
02:01:54,560 --> 02:01:56,680
LONG TIME HE IS PROFESSOR OF

3283
02:01:56,680 --> 02:01:57,920
HEALTH BEHAVIOR UNIVERSITY OF

3284
02:01:57,920 --> 02:01:59,400
MICHIGAN SCHOOL OF PUBLIC HEALTH

3285
02:01:59,400 --> 02:02:00,720
AND WAS THIS PAST YEAR THE FIRST

3286
02:02:00,720 --> 02:02:02,840
RECIPIENT OF THE NIMH JAMES

3287
02:02:02,840 --> 02:02:04,760
JACKSON MEMORIAL AWARD WHICH

3288
02:02:04,760 --> 02:02:06,680
HONORS OUTSTANDING RESEARCHERS

3289
02:02:06,680 --> 02:02:08,160
WHO DEMONSTRATE EXCEPTIONAL

3290
02:02:08,160 --> 02:02:09,200
ACHIEVEMENT IN LEADERSHIP IN

3291
02:02:09,200 --> 02:02:11,920
MENTAL HEALTH DISPARITIES

3292
02:02:11,920 --> 02:02:13,760
RESEARCH. HE JOINS COUNCIL

3293
02:02:13,760 --> 02:02:14,560
MEETING TODAY TO PRESENT

3294
02:02:14,560 --> 02:02:16,600
STRUCTURAL RACISM IN BLACK YOUTH

3295
02:02:16,600 --> 02:02:25,760
MEN DATA MOVING BEYOND THE CLOWN

3296
02:02:25,760 --> 02:02:28,160
AT THE CIRCUS.

3297
02:02:28,160 --> 02:02:32,040
>> I AM HERE. I'M TRYING TO GET

3298
02:02:32,040 --> 02:02:33,560
MY SCREEN SITUATED HERE. ARE YOU

3299
02:02:33,560 --> 02:02:38,680
ABLE TO SEE THE SLIDES? 

3300
02:02:38,680 --> 02:02:39,720
>> YES.

3301
02:02:39,720 --> 02:02:44,560
>> FANTASTIC. THANKS FOR THE

3302
02:02:44,560 --> 02:02:46,480
INTRODUCTION, GREAT TO BE BACK,

3303
02:02:46,480 --> 02:02:48,680
I'M HONORED TO HAVE THE

3304
02:02:48,680 --> 02:02:51,400
OPPORTUNITY TO SPEAK BEFORE THE

3305
02:02:51,400 --> 02:02:53,400
COUNCIL THIS AFTERNOON. OUR TIME

3306
02:02:53,400 --> 02:02:55,160
IS SHORT BUT I DO HAVE A QUICK

3307
02:02:55,160 --> 02:03:00,480
ROADMAP HERE. IN TERMS OF WHAT I

3308
02:03:00,480 --> 02:03:07,680
WOULD LIKE TO DO TODAY. I WANT

3309
02:03:07,680 --> 02:03:08,880
THE SHARE THE MOTIVATION, TALK

3310
02:03:08,880 --> 02:03:12,320
ABOUT THE MODELS THAT INFORMED

3311
02:03:12,320 --> 02:03:15,040
MY WORK OVER THE YEARS. I WANT

3312
02:03:15,040 --> 02:03:16,800
TO SHARE WITH YOU RESEARCH SNAP

3313
02:03:16,800 --> 02:03:18,160
SHOTS RELATED TO THIS BROAD

3314
02:03:18,160 --> 02:03:23,120
TOPIC OF RACISM AND MENTAL

3315
02:03:23,120 --> 02:03:26,880
HEALTH THEN TALK NEW CONCEPTUAL

3316
02:03:26,880 --> 02:03:29,880
IDEAS I AND COLLEAGUES SRI HING

3317
02:03:29,880 --> 02:03:30,960
THINKING ABOUT IN REGARDS TO

3318
02:03:30,960 --> 02:03:32,560
STRUCTURAL RACISM AND MOVING

3319
02:03:32,560 --> 02:03:35,160
BEYOND THE CLOUD SO TO SPEAK SO

3320
02:03:35,160 --> 02:03:40,680
LOOKING FORWARD TO HAVING THIS

3321
02:03:40,680 --> 02:03:42,240
OPPORTUNITY. LET ME START WITH

3322
02:03:42,240 --> 02:03:47,280
MOTIVATION FOR THIS TALK. MANY

3323
02:03:47,280 --> 02:03:49,200
YEARS AGO AS A STUDENT PROBABLY

3324
02:03:49,200 --> 02:03:54,960
GRADUATE SCHOOL, I READ A BOOK

3325
02:03:54,960 --> 02:04:00,440
BY PERELL AT HOWARD UNIVERSITY,

3326
02:04:00,440 --> 02:04:03,680
IT'S TITLED MENARCHE AND

3327
02:04:03,680 --> 02:04:08,440
PSYCHOLOGY. WILL IS A QUOTE THAT

3328
02:04:08,440 --> 02:04:11,160
STAND OUT FROM HIS BOOK BOOK.
THE

3329
02:04:11,160 --> 02:04:14,120
QUOTE READS AS FOLLOWS.  RACE

3330
02:04:14,120 --> 02:04:15,240
RELATIONINGS AND INTERPERSONAL

3331
02:04:15,240 --> 02:04:17,800
DYNAMICS THAT TAKE PLACE IN A

3332
02:04:17,800 --> 02:04:20,200
MODERN RACIST SYSTEM ARE BUT A

3333
02:04:20,200 --> 02:04:23,040
SMALL CORNER OF THE TOTAL

3334
02:04:23,040 --> 02:04:25,240
PICTURE. THEY ACT LIKE A CLOWN

3335
02:04:25,240 --> 02:04:27,880
AT THE CIRCUS. THEY ARE NOT

3336
02:04:27,880 --> 02:04:29,360
TOTALLY UNIMPORTANT. BUT THEY

3337
02:04:29,360 --> 02:04:31,400
SHOULD NEVER COMMAND OUR FULL

3338
02:04:31,400 --> 02:04:32,960
ATTENTION. WE SHOULD NOT SEE

3339
02:04:32,960 --> 02:04:36,800
THEM AS PRIMARY CAUSAL AGENTS.

3340
02:04:36,800 --> 02:04:38,600
HE SAYS I THINK IT IS WISE TO

3341
02:04:38,600 --> 02:04:41,040
TAKE VERY SERIOUSLY THE

3342
02:04:41,040 --> 02:04:42,440
DISTINCTIONS JONES REFERRING TO

3343
02:04:42,440 --> 02:04:44,760
JAMES JONES HERE, MAKES BETWEEN

3344
02:04:44,760 --> 02:04:46,600
RACISM AND PREJUDICE ALONG WITH

3345
02:04:46,600 --> 02:04:48,960
HIS TAXONOMY OF THE TYPES OF

3346
02:04:48,960 --> 02:04:53,280
RACISM. IN SO DOING WE MAY AVOID

3347
02:04:53,280 --> 02:04:55,080
FOCUSING ON THE CLOWN WHILE

3348
02:04:55,080 --> 02:04:56,440
NEGLECTING MORE IMPORTANT

3349
02:04:56,440 --> 02:04:57,920
ACTIVITIES TAKES PLACE IN THE

3350
02:04:57,920 --> 02:05:07,640
CENTER RING. THIS IS A QUOTE

3351
02:05:07,640 --> 02:05:09,840
FROM 1999 THAT HARELL WROTE AND

3352
02:05:09,840 --> 02:05:11,040
I THINK IT IS INTERESTING TO SEE

3353
02:05:11,040 --> 02:05:12,360
WHERE THE ARC OF THE FIELD HAS

3354
02:05:12,360 --> 02:05:16,360
BEEN WITH REGARD TO RACISM AND

3355
02:05:16,360 --> 02:05:17,920
WHERE IT HAS BEEN THE LAST

3356
02:05:17,920 --> 02:05:20,360
SEVERAL YEARS WITH RECENT

3357
02:05:20,360 --> 02:05:21,480
ATTENTION TO STRUCTURAL RACISM

3358
02:05:21,480 --> 02:05:23,560
SO TALK ABOUT THAT, OVER THE

3359
02:05:23,560 --> 02:05:28,920
NEXT TEN TO 15 MINUTES OR SO.  

3360
02:05:28,920 --> 02:05:30,560
WHEN I THINK CONCEPTUAL MODELS

3361
02:05:30,560 --> 02:05:32,840
OF RACISM AND HEALTH OVER THE

3362
02:05:32,840 --> 02:05:36,680
YEARS, THERE'S BEEN A PROGREG

3363
02:05:36,680 --> 02:05:39,160
THAT IS OUT OF SYNC WITH HIS

3364
02:05:39,160 --> 02:05:40,760
COMMENT ABOUT THE CIRCUS BUT

3365
02:05:40,760 --> 02:05:42,080
MAYBE WE ARE STARTING TO CATCH

3366
02:05:42,080 --> 02:05:44,920
UP, I DON'T KNOW. HERE IS ONE OF

3367
02:05:44,920 --> 02:05:50,160
THE ORIGINAL MODELS OF RACISM

3368
02:05:50,160 --> 02:05:51,200
AND HEALTH RODNEY CLARK AN

3369
02:05:51,200 --> 02:05:53,640
COLLEAGUES AROUND THE SAME TIME

3370
02:05:53,640 --> 02:05:56,400
THAT HE WAS WRITING THIS BOOK

3371
02:05:56,400 --> 02:05:57,960
ACTUALLY, SO THIS IS AMERICAN

3372
02:05:57,960 --> 02:06:00,080
PSYCHOLOGIST AND RODNEY CLARK

3373
02:06:00,080 --> 02:06:00,840
AND COLLEAGUES SAID IN THIS

3374
02:06:00,840 --> 02:06:02,760
PAPER THAT RACISM OCCURS WHEN

3375
02:06:02,760 --> 02:06:05,600
THE INDIVIDUAL PERCEIVES RACISM,

3376
02:06:05,600 --> 02:06:08,760
THE INDIVIDUAL PERCEPTIONS OF

3377
02:06:08,760 --> 02:06:11,080
RACISM LEAD TO EXAGGERATED

3378
02:06:11,080 --> 02:06:12,840
PSYCHOLOGICAL OR PHYSIOLOGICAL

3379
02:06:12,840 --> 02:06:15,680
RESPONSES AND THAT OVER TIME

3380
02:06:15,680 --> 02:06:17,440
THOSE IN TURN YIELD NEGATIVE

3381
02:06:17,440 --> 02:06:20,040
HEALTH OUTCOMES.  THAT WAS ONE

3382
02:06:20,040 --> 02:06:21,760
OF THE FIRST MODELS NOT THAT

3383
02:06:21,760 --> 02:06:24,520
LONG AGO. IN 20, 25 YEARS.

3384
02:06:24,520 --> 02:06:26,320
SUGGESTING THAT RACISM WAS AN

3385
02:06:26,320 --> 02:06:29,520
INDIVIDUAL EXPERIENCE. ABOUT TEN

3386
02:06:29,520 --> 02:06:32,720
YEARS LATER DAVID WILLIAMS WROTE

3387
02:06:32,720 --> 02:06:35,360
THIS FANTASTIC PAPER ON RACE

3388
02:06:35,360 --> 02:06:37,200
DISCRIMINATION AND HEALTH

3389
02:06:37,200 --> 02:06:39,040
MOHAMMED. THE EMPHASIS GAVE US A

3390
02:06:39,040 --> 02:06:43,360
LITTLE BIT MORE IN TERMS OF

3391
02:06:43,360 --> 02:06:44,480
MECHANISMS BUT LARGELY HAD AN

3392
02:06:44,480 --> 02:06:49,800
INDIVIDUAL FOCUS SO IF YOU THINK

3393
02:06:49,800 --> 02:06:52,360
ABOUT CONCEPTUALIZATION OF

3394
02:06:52,360 --> 02:06:54,080
RACISM DISCRIMINATION IS THOUGHT

3395
02:06:54,080 --> 02:06:54,960
INDIVIDUAL LEVEL OF RACISM,

3396
02:06:54,960 --> 02:06:57,320
THERE IS NOTHING ABOUT

3397
02:06:57,320 --> 02:06:58,320
INSTITUTIONAL OR CULTURAL RACISM

3398
02:06:58,320 --> 02:07:04,160
HERE.  AND THEY ARGUED OKAY

3399
02:07:04,160 --> 02:07:05,960
INDIVIDUALS NEGATIVE EMOTIONAL

3400
02:07:05,960 --> 02:07:08,880
STATE MEDIATES MENTAL HEALTH,

3401
02:07:08,880 --> 02:07:10,560
HEALTH BEHAVIORS ARE IMPORTANT

3402
02:07:10,560 --> 02:07:13,560
TO CONSIDER, LESS EXERCISE MORE

3403
02:07:13,560 --> 02:07:16,440
SMOKING LESS HEALTH PROMOTING

3404
02:07:16,440 --> 02:07:18,480
BEHAVIOR AND PHYSIOLOGICAL

3405
02:07:18,480 --> 02:07:20,080
SYSTEMS MIGHT PLAY A MEDIATING

3406
02:07:20,080 --> 02:07:22,520
ROLE. AGAIN, WHEN THIS PAPER WAS

3407
02:07:22,520 --> 02:07:24,160
WRITTEN IN 2009 THERE WAS A

3408
02:07:24,160 --> 02:07:27,360
STRONG EMPHASIS ON INDIVIDUAL

3409
02:07:27,360 --> 02:07:31,040
RACIAL DISCRIMINATION.  WILLIAMS

3410
02:07:31,040 --> 02:07:33,440
AN MOHAMMED COME BACK FOUR YEARS

3411
02:07:33,440 --> 02:07:35,240
LATER AND NOW GET A LITTLE

3412
02:07:35,240 --> 02:07:38,360
CLOSER TO WHERE WE ARE IF YOU

3413
02:07:38,360 --> 02:07:39,840
LOOK HERE LOTS OF BOXES AND

3414
02:07:39,840 --> 02:07:42,560
CIRCLES AND ARROWS BUT NOTICE IN

3415
02:07:42,560 --> 02:07:45,560
TERM OF THINKING ABOUT BASIC

3416
02:07:45,560 --> 02:07:47,000
FUNDAMENTAL CAUSES, THERE'S THIS

3417
02:07:47,000 --> 02:07:52,480
RED CIRCLE HERE WHERE WILLIAMS

3418
02:07:52,480 --> 02:07:55,680
AND MOHAMMED SAY RACIAL

3419
02:07:55,680 --> 02:07:56,800
DISCRIMINATION WE ARE TALKING

3420
02:07:56,800 --> 02:07:58,560
ABOUT IS NOW MIDDLE OF THE

3421
02:07:58,560 --> 02:08:00,040
MODEL, WE THINK IF WE ARE REALLY

3422
02:08:00,040 --> 02:08:01,640
GOING TO GET AT THIS THING WE

3423
02:08:01,640 --> 02:08:04,160
HAVE TO PAY ATTENTION TO THE

3424
02:08:04,160 --> 02:08:07,880
FUNDAMENTAL CAUSES, THE

3425
02:08:07,880 --> 02:08:08,760
INSTITUTIONAL RACISM AND

3426
02:08:08,760 --> 02:08:10,320
CULTURAL RACISM WHICH WE REALLY

3427
02:08:10,320 --> 02:08:13,640
DON'T PAY ATTENTION TO, AND I

3428
02:08:13,640 --> 02:08:14,360
WILL TALK MORE ABOUT IN A

3429
02:08:14,360 --> 02:08:16,880
SECOND. BUT AS YOU CAN SEE HERE

3430
02:08:16,880 --> 02:08:20,120
FROM THE ARC OF HE IS MODEL, WE

3431
02:08:20,120 --> 02:08:22,760
SORT OF HAVE BEEN TALKING A LONG

3432
02:08:22,760 --> 02:08:25,160
TIME ABOUT MOVING FROM

3433
02:08:25,160 --> 02:08:27,360
INDIVIDUAL TO MORE SYSTEMIC OR

3434
02:08:27,360 --> 02:08:29,280
STRUCTURAL LEVELS OF RACISM, HOW

3435
02:08:29,280 --> 02:08:31,160
WE DO EMPIRICAL LITERATURE WE

3436
02:08:31,160 --> 02:08:34,960
WILL SEE IN A SHORT -- IT IS

3437
02:08:34,960 --> 02:08:40,280
STILL A DEVELOPING ENTERPRISE. 

3438
02:08:40,280 --> 02:08:43,560
HERE IS ANOTHER MODEL NANCY

3439
02:08:43,560 --> 02:08:46,960
CREIGER AROUND SAME TIME TALKING

3440
02:08:46,960 --> 02:08:48,760
ABOUT A LOT OF SAME SORTS OF

3441
02:08:48,760 --> 02:08:50,640
THINGS LOOKING HERE IN TERMS OF

3442
02:08:50,640 --> 02:08:52,160
TOXINS HAZARDS AND PATHOGENS

3443
02:08:52,160 --> 02:08:54,520
GETTING BEYOND THE INDIVIDUAL

3444
02:08:54,520 --> 02:08:55,760
LEVEL MARKETING MEDICAL CARE, ET

3445
02:08:55,760 --> 02:08:58,000
CETERA.  SO SOME OF THE THINGS

3446
02:08:58,000 --> 02:08:59,560
WE THINK ABOUT SOCIAL

3447
02:08:59,560 --> 02:09:06,800
DETERMINANTS OF HEALTH. SO

3448
02:09:06,800 --> 02:09:08,880
PRESIDENT LET ME SHARE A COUPLE

3449
02:09:08,880 --> 02:09:12,360
OF RESEARCH SNAP SHOTS RECENT

3450
02:09:12,360 --> 02:09:15,960
RESEARCH WE HAVE BEEN DOING WITH

3451
02:09:15,960 --> 02:09:18,560
COLLABORATORS. LET ME SHOW YOU

3452
02:09:18,560 --> 02:09:20,280
MY BROAD RESERGE PROGRAM FOCUSED

3453
02:09:20,280 --> 02:09:24,320
ON RACISM AND HEALTH. BUT TRUE

3454
02:09:24,320 --> 02:09:25,960
TO WHAT MUCH OF THE LITERATURE

3455
02:09:25,960 --> 02:09:27,560
HAS DONE, HAS BEEN AT THE

3456
02:09:27,560 --> 02:09:28,760
INDIVIDUAL LEVEL SO I'M TRAINED

3457
02:09:28,760 --> 02:09:30,280
AS A CLINICAL PSYCHOLOGIST, MUCH

3458
02:09:30,280 --> 02:09:32,360
OF THE WORK THAT WE HAVE DONE

3459
02:09:32,360 --> 02:09:33,800
HAS LOOKED AT INDIVIDUAL

3460
02:09:33,800 --> 02:09:35,960
EXPERIENCES OF RACIAL

3461
02:09:35,960 --> 02:09:37,040
DISCRIMINATION, HOW THEY RELATE

3462
02:09:37,040 --> 02:09:40,280
TO MENTAL HEALTH OUTCOMES I DID

3463
02:09:40,280 --> 02:09:43,000
A POST DOC IN CARDIOVASCULAR

3464
02:09:43,000 --> 02:09:44,680
PSYCHOPHYSIOLOGY WITH DR.

3465
02:09:44,680 --> 02:09:46,440
HARRELL AND HAVE EXPANDED MY

3466
02:09:46,440 --> 02:09:48,920
THINKING ABOUT HEALTH BEYOND

3467
02:09:48,920 --> 02:09:50,760
MENTAL HEALTH OUTCOMES THOUGH

3468
02:09:50,760 --> 02:09:55,760
THAT'S KIND OF MY PRIMARY FOCUS

3469
02:09:55,760 --> 02:09:56,880
ONE THING I CAN INTERD IN A LONG

3470
02:09:56,880 --> 02:09:58,200
TIME IS NOT JUST HOW RACISM

3471
02:09:58,200 --> 02:10:05,080
LEADS TO POOR HEALTH, BUT WHAT

3472
02:10:05,080 --> 02:10:08,680
WHAT FACTORS MITIGATE RACISM AND

3473
02:10:08,680 --> 02:10:09,880
MEN AL HEALTH. I HAVE BEEN

3474
02:10:09,880 --> 02:10:10,880
PARTICULARLY INTERESTED IN IN

3475
02:10:10,880 --> 02:10:13,440
RACIAL IDENTITY, HOW INDIVIDUALS

3476
02:10:13,440 --> 02:10:15,240
AGAIN DEFINE SIGNIFICANCE AND

3477
02:10:15,240 --> 02:10:16,960
MEANING OF BEING AFRICAN

3478
02:10:16,960 --> 02:10:18,400
AMERICAN HOW THE PARENTS TALK TO

3479
02:10:18,400 --> 02:10:23,040
THEIR KIDS ABOUT RACE, YOUTH IN

3480
02:10:23,040 --> 02:10:24,680
PARTICULAR, WE KNOW THERE ARE

3481
02:10:24,680 --> 02:10:26,440
SPECIFIC MESSAGES THAT MITIGATE

3482
02:10:26,440 --> 02:10:27,960
NEGATIVE EFFECTS OF

3483
02:10:27,960 --> 02:10:31,440
DISCRIMINATION ON MENTAL HEALTH,

3484
02:10:31,440 --> 02:10:33,200
IN AFRICAN CULTURAL VALUES IS

3485
02:10:33,200 --> 02:10:35,040
ANOTHER SORT OF THING THAT AGAIN

3486
02:10:35,040 --> 02:10:38,920
HAS BEEN LOOKED AT PRIMARILY AT

3487
02:10:38,920 --> 02:10:40,240
AN INDIVIDUAL LEVEL, ONE OF THE

3488
02:10:40,240 --> 02:10:42,400
THINGS I'M INCREASINGLY THINKING

3489
02:10:42,400 --> 02:10:44,320
ABOUT IS HOW WE THINK ABOUT

3490
02:10:44,320 --> 02:10:46,600
IDENTITY AS A COMMUNAL OR

3491
02:10:46,600 --> 02:10:48,560
COLLECTIVE LEVEL HOW DO WE THINK

3492
02:10:48,560 --> 02:10:50,360
ABOUT AFRICAN CULTURAL VALUES,

3493
02:10:50,360 --> 02:10:53,040
HOW CAN WE MEASURE THAT IN

3494
02:10:53,040 --> 02:10:54,920
UNDERSTANDING RESILIENCE IN

3495
02:10:54,920 --> 02:10:57,360
CONTEXT OF NOT ONLY INDIVIDUAL

3496
02:10:57,360 --> 02:11:02,880
BUT STRUCTURAL RACISM. SO COUPLE

3497
02:11:02,880 --> 02:11:04,320
OF SNAP SHOTS.  THIS IS A PAPER

3498
02:11:04,320 --> 02:11:07,080
PUBLISHED THIS YEAR, IN J CAP

3499
02:11:07,080 --> 02:11:09,040
LOOKING AT THE LINK BETWEEN

3500
02:11:09,040 --> 02:11:10,320
RACIAL DISCRIMINATION, THERE IT

3501
02:11:10,320 --> 02:11:12,760
IS AGAIN AND SUICIDAL IDEATION. 

3502
02:11:12,760 --> 02:11:17,400
THESE ARE HIGH SCHOOL STUDENTS,

3503
02:11:17,400 --> 02:11:18,720
I WILL CALL YOUR ATTENTION TO

3504
02:11:18,720 --> 02:11:21,480
THE MICROAGGRESSIONS COLUMN

3505
02:11:21,480 --> 02:11:25,400
HERE, WE ARE LOOKING AT THE

3506
02:11:25,400 --> 02:11:26,920
RELATIONSHIP BETWEEN

3507
02:11:26,920 --> 02:11:28,760
MICROAGGRESSIONS AS WELL AS MORE

3508
02:11:28,760 --> 02:11:32,520
OVERT FORMS OF DISCRIMINATION

3509
02:11:32,520 --> 02:11:33,960
AND SUICIDAL IDEATION.LY CUT TO

3510
02:11:33,960 --> 02:11:36,560
THE CHASE.  WHAT WE FOUND IS

3511
02:11:36,560 --> 02:11:40,720
THAT THE SUBTLE FORMS OR

3512
02:11:40,720 --> 02:11:42,880
MICROAGGRESSIONS BEING WORRIED

3513
02:11:42,880 --> 02:11:45,120
ABOUT THE THREAT YOU MIGHT

3514
02:11:45,120 --> 02:11:47,800
EXPERIENCE, THAT WAS PREDICTIVE

3515
02:11:47,800 --> 02:11:49,760
CONCURRENTLY AND PERSPECTIVELY

3516
02:11:49,760 --> 02:11:52,360
OF SUICIDAL IDEATION ABOVE AND

3517
02:11:52,360 --> 02:11:54,240
BEYOND DEPRESSIVE SYMPTOMS. THIS

3518
02:11:54,240 --> 02:11:59,360
WAS NOT A STUDY OF STRUCTURAL

3519
02:11:59,360 --> 02:12:00,680
RACISM, BUT ONE THING I'M

3520
02:12:00,680 --> 02:12:02,200
THINKING ABOUT A LOT IS HOW DO

3521
02:12:02,200 --> 02:12:03,840
THE DAY TO DAY EXPERIENCES OF

3522
02:12:03,840 --> 02:12:07,160
SOCIAL DETERMINANTS OF HEALTH

3523
02:12:07,160 --> 02:12:09,040
STRUCTURED BY RACISM INFLUENCE

3524
02:12:09,040 --> 02:12:13,520
MENTAL HEALTH? SO WHAT IS THE

3525
02:12:13,520 --> 02:12:15,120
IMPACT OSTEOID TO DAY FOOD

3526
02:12:15,120 --> 02:12:17,080
EXPERIENCE INSECURITY AND DAY TO

3527
02:12:17,080 --> 02:12:21,320
DAY EXPERIENCE IN THE WAY SUBTLE

3528
02:12:21,320 --> 02:12:24,080
EXPERIENCES ARE NOT RACIAL

3529
02:12:24,080 --> 02:12:24,840
EPITHET PER SE BUT WE BELIEVE

3530
02:12:24,840 --> 02:12:28,600
THEY HAVE IMPLICATIONS FOR

3531
02:12:28,600 --> 02:12:30,000
PHYSIOLOGY, HOW DOES THE DAY TO

3532
02:12:30,000 --> 02:12:31,960
DAY EXPERIENCE OF HOUSING

3533
02:12:31,960 --> 02:12:34,440
INSECURITY, SOME OF THE HORRIBLE

3534
02:12:34,440 --> 02:12:35,840
STORIES WE HAVE SEEN THE LAST

3535
02:12:35,840 --> 02:12:40,080
MONTH OR SO AROUND HOUSING

3536
02:12:40,080 --> 02:12:41,400
CONDITIONS, RELATE TO MENTAL

3537
02:12:41,400 --> 02:12:43,480
HEALTH AND WHAT ARE THE

3538
02:12:43,480 --> 02:12:45,360
MECHANISMS. SO THAT IS ONE SNAP

3539
02:12:45,360 --> 02:12:48,360
SHOT STUDY THAT I THINK IS

3540
02:12:48,360 --> 02:12:51,600
RELATED TO LOW GRADE CHRONIC

3541
02:12:51,600 --> 02:12:57,520
EXPOSURE TO STRUCTURAL RACISM.  

3542
02:12:57,520 --> 02:12:59,400
ANOTHER STUDY LOOK AT

3543
02:12:59,400 --> 02:13:00,840
INTERNALIZED RACISM. GO BACK TO

3544
02:13:00,840 --> 02:13:04,840
THE MODEL THAT I SHOWED YOU FOR

3545
02:13:04,840 --> 02:13:07,200
DAVID WILLIAMS YOU SAW NOT ONLY

3546
02:13:07,200 --> 02:13:10,400
FOCUSING ON INSTITUTIONAL RACISM

3547
02:13:10,400 --> 02:13:12,280
BUT CURL CHURL RACISM. THERE'S

3548
02:13:12,280 --> 02:13:15,080
VERY LITTLE RESEARCH IN THOSE

3549
02:13:15,080 --> 02:13:17,320
AREAS. CULTURAL RACISM REFERS TO

3550
02:13:17,320 --> 02:13:19,640
THE REPRESENTATIONS OF IMAGES

3551
02:13:19,640 --> 02:13:23,880
AND SYMBOLS LANGUAGE PROMINENT

3552
02:13:23,880 --> 02:13:27,000
IN MEDIA, THAT ARE BELIEVED TO

3553
02:13:27,000 --> 02:13:28,720
SUGGEST SUPERIORITY OF ONE GROUP

3554
02:13:28,720 --> 02:13:33,280
OVER ANOTHER. THIS PARTICULAR

3555
02:13:33,280 --> 02:13:35,480
FORM OF RACISM THOUGH

3556
02:13:35,480 --> 02:13:37,040
SCIENTIFICALLY WE ARE STILL

3557
02:13:37,040 --> 02:13:38,080
FIGURING HOW TO MEASURE IS

3558
02:13:38,080 --> 02:13:41,560
IMPORTANT BECAUSE IT HAS CLEAR

3559
02:13:41,560 --> 02:13:43,240
LINKS TO THINGS LIKE IMPLICIT

3560
02:13:43,240 --> 02:13:46,680
BIAS, AND IT ALSO HAS LINKS TO

3561
02:13:46,680 --> 02:13:48,800
AS SEEN HERE ON THE SLIDE

3562
02:13:48,800 --> 02:13:50,760
INTERNALIZED RACISM. SO THE IDEA

3563
02:13:50,760 --> 02:13:52,400
IS THESE NEGATIVE

3564
02:13:52,400 --> 02:13:54,320
REPRESENTATIONS AND NEGATIVE

3565
02:13:54,320 --> 02:13:59,120
SYMBOLS ARE INTERNALIZED BY

3566
02:13:59,120 --> 02:14:00,880
FOLKS AND LEAD TO PEOPLE FEELING

3567
02:14:00,880 --> 02:14:02,480
PRETTY BADLY ABOUT THEMSELVES SO

3568
02:14:02,480 --> 02:14:06,040
PEOPLE SORT OF COME TO BELIEVE

3569
02:14:06,040 --> 02:14:08,000
IN NEGATIVE REPRESENTATIONS OF

3570
02:14:08,000 --> 02:14:09,880
THEIR CULTURE, INTERNALIZED

3571
02:14:09,880 --> 02:14:12,200
RACISM BY THE WAY IS LINKED WITH

3572
02:14:12,200 --> 02:14:13,960
MORE PHYSICAL HEALTH OUTCOMES

3573
02:14:13,960 --> 02:14:16,320
THAN PSYCHOLOGICAL OUTCOMES. BUT

3574
02:14:16,320 --> 02:14:19,880
CARD YES VASCULAR OUTCOMES AND A

3575
02:14:19,880 --> 02:14:21,320
NUMBER OF OTHER STRESS RELATED

3576
02:14:21,320 --> 02:14:24,080
OUTCOMES.  IN THIS STUDY THAT WE

3577
02:14:24,080 --> 02:14:27,360
DID A COUPLE OF YEARS AGO, WE

3578
02:14:27,360 --> 02:14:28,880
ACTUALLY FOUND THAT THE MORE

3579
02:14:28,880 --> 02:14:30,760
PEOPLE WERE AFFECTED BY THESE

3580
02:14:30,760 --> 02:14:33,360
INTERNALIZED RACISM ATTITUDES,

3581
02:14:33,360 --> 02:14:36,760
SO IF THEY FELT NEGATIVELY ABOUT

3582
02:14:36,760 --> 02:14:39,840
BEING AFRICAN AMERICAN, IF THEY

3583
02:14:39,840 --> 02:14:41,160
SAID THINGS LIKE PEOPLE SHOULD

3584
02:14:41,160 --> 02:14:45,360
CHANGE THEIR HAIR SO THAT THEY

3585
02:14:45,360 --> 02:14:49,360
FIT IN TO THE PLACES WHERE THEY

3586
02:14:49,360 --> 02:14:51,560
WORK, THAT THE VULNERABILITY TO

3587
02:14:51,560 --> 02:14:54,640
DISCRIMINATION ON INCREASES IN

3588
02:14:54,640 --> 02:14:58,120
ANXIETY WAS GREATER THAN IF YOU

3589
02:14:58,120 --> 02:14:58,680
DIDN'T ESPOUSE THOSE

3590
02:14:58,680 --> 02:15:01,240
INTERNALIZED RACISM ATTITUDES.

3591
02:15:01,240 --> 02:15:03,680
SO THERE SEEMS TO BE A GROWING

3592
02:15:03,680 --> 02:15:06,160
INTEREST IN UNDERSTANDING HOW

3593
02:15:06,160 --> 02:15:10,360
THESE NEGATIVE VIEWS THAT COME

3594
02:15:10,360 --> 02:15:11,960
FROM CULTURAL REPRESENTATIONS

3595
02:15:11,960 --> 02:15:14,560
MIGHT EXACERBATE IMPACT OF

3596
02:15:14,560 --> 02:15:17,760
INDIVIDUAL EXPERIENCES OF

3597
02:15:17,760 --> 02:15:21,360
RACISM, THIS IS QUITE IMPORTANT

3598
02:15:21,360 --> 02:15:22,880
BECAUSE MEDIA REPRESENTATION, WE

3599
02:15:22,880 --> 02:15:24,360
KNOW AFRICAN AMERICANS AND OTHER

3600
02:15:24,360 --> 02:15:25,760
GROUPS ARE NEGATIVELY

3601
02:15:25,760 --> 02:15:26,960
REPRESENTED AND WE NEED TO PAY

3602
02:15:26,960 --> 02:15:30,320
MORE ATTENTION TO HOW THESE

3603
02:15:30,320 --> 02:15:32,080
THINGS AFFECT HOW PEOPLE FEEL,

3604
02:15:32,080 --> 02:15:33,560
AND PLAY OUT IN DAY TO DAY

3605
02:15:33,560 --> 02:15:39,000
EXPERIENCES.  THIS LAST STUDY

3606
02:15:39,000 --> 02:15:40,960
HERE IS ANOTHER RECENT

3607
02:15:40,960 --> 02:15:42,680
COLLABORATION. IT IS NOT MENTAL

3608
02:15:42,680 --> 02:15:44,680
HEALTH BUT IT IS LOOKING AT HOW

3609
02:15:44,680 --> 02:15:47,280
WE MIGHT MEASURE STRUCTURAL

3610
02:15:47,280 --> 02:15:49,520
RACISM AND DISCRIMINATION, IN

3611
02:15:49,520 --> 02:15:52,360
THE CONTEXT OF HEALTH OUTCOMES. 

3612
02:15:52,360 --> 02:15:54,440
SO THIS PARTICULAR STUDY WE LOOK

3613
02:15:54,440 --> 02:15:58,080
AT COVID-19 CASES AND PAY

3614
02:15:58,080 --> 02:16:00,840
TALLTIES AND THE WAY WE

3615
02:16:00,840 --> 02:16:03,000
CONCEPTUALIZE WE DIDN'T CALL IT

3616
02:16:03,000 --> 02:16:05,000
RACISM BUT LOOK AT BLACK WHITE

3617
02:16:05,000 --> 02:16:07,360
SEGREGATION WHICH IS THOUGHT TO

3618
02:16:07,360 --> 02:16:08,600
BE A REPRESENTATION OF

3619
02:16:08,600 --> 02:16:12,920
INSTITUTIONAL RACISM, WE LOOK AT

3620
02:16:12,920 --> 02:16:14,240
ECONOMIC INEQUALITY AND WHAT WE

3621
02:16:14,240 --> 02:16:19,960
FOUND IS THAT NOT SURPRISINGLY

3622
02:16:19,960 --> 02:16:21,560
INTERACTION OF INCOME INEQUALITY

3623
02:16:21,560 --> 02:16:24,000
AND RESIDENTIAL SEGREGATION, THE

3624
02:16:24,000 --> 02:16:26,080
GREATER THE BLACK WHITE

3625
02:16:26,080 --> 02:16:28,920
SEGREGATION YOU SAW THE RATES OF

3626
02:16:28,920 --> 02:16:30,640
COVID-19 FATALITIES TAKE OVER.

3627
02:16:30,640 --> 02:16:35,080
THIS IS THE EARLIER STAGES OF

3628
02:16:35,080 --> 02:16:37,760
THE PANDEMIC AND THIS WAS

3629
02:16:37,760 --> 02:16:38,840
OBVIOUSLY NOT OBVIOUSLY BUT

3630
02:16:38,840 --> 02:16:41,320
THESE WERE NOT JUST BLACK

3631
02:16:41,320 --> 02:16:47,040
INDIVIDUALS BUT LOOKING AT

3632
02:16:47,040 --> 02:16:49,960
LARGER CITIES AND HOW THEY WERE

3633
02:16:49,960 --> 02:16:52,840
AFFECTED BY THIS SORT OF

3634
02:16:52,840 --> 02:16:56,760
INSTITUTIONAL LEVEL RACISM. BEGS

3635
02:16:56,760 --> 02:17:02,120
THE QUESTION OF HOW THIS IS

3636
02:17:02,120 --> 02:17:07,560
LOOKED AT IN CONTEXT OF MENTAL

3637
02:17:07,560 --> 02:17:09,560
HEALTH AND THE ANSWER IS WHEN

3638
02:17:09,560 --> 02:17:11,160
YOU DO A SIMPLE SEARCH OF

3639
02:17:11,160 --> 02:17:12,640
STRUCTURAL RACISM AND MENTAL

3640
02:17:12,640 --> 02:17:16,600
HEALTH YOU ACTUALLY UNLESS

3641
02:17:16,600 --> 02:17:21,200
THERE'S BEEN A SORT OF NEW

3642
02:17:21,200 --> 02:17:22,760
ADDITION SINCE MY LAST REVIEW A

3643
02:17:22,760 --> 02:17:24,280
FEW MONTHS AGO YOU ARE NOT GOING

3644
02:17:24,280 --> 02:17:27,240
TO FIND A WHOLE LOT.  SO ONE

3645
02:17:27,240 --> 02:17:28,240
QUESTION THAT THEY GIVE OUT IS

3646
02:17:28,240 --> 02:17:31,560
HOW TO TAKE THIS SORT OF LOOK AT

3647
02:17:31,560 --> 02:17:33,360
SEGREGATION AND INCOME

3648
02:17:33,360 --> 02:17:35,040
INEQUALITY AND MAP IT ON TO

3649
02:17:35,040 --> 02:17:37,560
MENTAL HEALTH. SO THAT IS WHERE

3650
02:17:37,560 --> 02:17:39,400
I WANT TO SPEND THE NEXT SET OF

3651
02:17:39,400 --> 02:17:40,960
SLIDES. HOW DO WE GET BEYOND THE

3652
02:17:40,960 --> 02:17:48,120
CLOWN.  , WE ARE HOPEFUL AND

3653
02:17:48,120 --> 02:17:50,040
TRYING TO MOVE TOWARDS A

3654
02:17:50,040 --> 02:17:51,760
PARADIGM SHIFT IN BRINGING THE

3655
02:17:51,760 --> 02:17:53,000
STRUCTURAL RACISM LITERATURE TO

3656
02:17:53,000 --> 02:17:58,480
LOOK SPECIFICALLY AT MENTAL

3657
02:17:58,480 --> 02:18:01,320
HEALTH IN ADDITION TO USUAL

3658
02:18:01,320 --> 02:18:02,160
SUSPECT SEGREGATION ONE OF THE

3659
02:18:02,160 --> 02:18:03,720
WAYS THAT PEOPLE HAVE TENDED TO

3660
02:18:03,720 --> 02:18:06,160
LOOK AT THIS, ALTHOUGH AGAIN

3661
02:18:06,160 --> 02:18:07,880
THIS IS MOSTLY BEEN PHYSICAL

3662
02:18:07,880 --> 02:18:10,000
HEALTH OUTCOMES, HAVE BEEN

3663
02:18:10,000 --> 02:18:11,800
LOOKING AT BLACK WHITE

3664
02:18:11,800 --> 02:18:14,240
DISPARITIES IN A NUMBER OF

3665
02:18:14,240 --> 02:18:15,920
PLACES THAT WE KNOW THERE ARE

3666
02:18:15,920 --> 02:18:17,480
DISPARITIES SO EMPLOYMENT,

3667
02:18:17,480 --> 02:18:19,600
EDUCATION, HOUSEHOLD INCOME, ET

3668
02:18:19,600 --> 02:18:22,160
CETERA. SO WHAT A LOT OF STUDIES

3669
02:18:22,160 --> 02:18:25,040
DO IS LINK, SORT OF MEASURE

3670
02:18:25,040 --> 02:18:27,360
STATE LEVEL COUNTY LEVEL THE

3671
02:18:27,360 --> 02:18:28,960
EXTENT TO WHICH THERE ARE BLACK

3672
02:18:28,960 --> 02:18:30,560
WHITE DISPARITIES AND HOW THEY

3673
02:18:30,560 --> 02:18:35,000
MAP ON TO HEALTH. AGAIN USUAL

3674
02:18:35,000 --> 02:18:36,160
SUSPECTS RACIAL SEGREGATION LOOK

3675
02:18:36,160 --> 02:18:37,600
AT DISPARITIES IN TERMS OF WHO

3676
02:18:37,600 --> 02:18:41,160
IS INCARCERATED. AND

3677
02:18:41,160 --> 02:18:42,080
INCREASINGLY WHAT I HAVE ARGUED

3678
02:18:42,080 --> 02:18:48,120
IS IMPORTANT TO DO IS TO ALSO

3679
02:18:48,120 --> 02:18:48,640
EXPAND OUR DEFINITION OF

3680
02:18:48,640 --> 02:18:50,240
STRUCTURAL RACISM TO INCLUDE

3681
02:18:50,240 --> 02:18:52,800
CULTURAL RACISM. SO WITH SOME

3682
02:18:52,800 --> 02:18:55,360
COLLEAGUES, HERE AT MICHIGAN,

3683
02:18:55,360 --> 02:18:56,360
ONE OF THE THINGS WE HAVE BEEN

3684
02:18:56,360 --> 02:19:00,280
THINKING ABOUT IS HOW MIGHT WE

3685
02:19:00,280 --> 02:19:05,760
REPRESENT OR MEASURE EXPOSURE TO

3686
02:19:05,760 --> 02:19:11,720
FOLKS EXPOTIONED O YOU WILL
EXPOSURE TO CU
LTURAL

3687
02:19:11,720 --> 02:19:13,600
RACISM, WE HAVE A DATA SET WITH

3688
02:19:13,600 --> 02:19:15,960
GEOCODED DATA WITH REGARD TO

3689
02:19:15,960 --> 02:19:18,120
CONFEDERATE STATUTES AND OTHER

3690
02:19:18,120 --> 02:19:19,760
REPRESENTATIONS OF CULTURAL

3691
02:19:19,760 --> 02:19:21,440
SYMBOLS ACROSS THE COUNTRY SO WE

3692
02:19:21,440 --> 02:19:22,960
HAVE BEEN THINKING ABOUT HOW THE

3693
02:19:22,960 --> 02:19:24,960
MEANING OF HIGHWAYS -- NAMING OF

3694
02:19:24,960 --> 02:19:27,960
HIGHWAY, NAMING OF DIFFERENT

3695
02:19:27,960 --> 02:19:29,440
STATUTES IN PARTICULAR WILL

3696
02:19:29,440 --> 02:19:32,280
HOUSE IN PROXIMITY TO THOSE

3697
02:19:32,280 --> 02:19:34,360
MARKERS MAY HAVE LOCATIONS FOR

3698
02:19:34,360 --> 02:19:37,800
HEALTH THE SAME WAY THAT SOME

3699
02:19:37,800 --> 02:19:41,840
SCHOLARS LOOKED AT SORT OF

3700
02:19:41,840 --> 02:19:43,280
INTERNET DATA, TO WHAT EXTENT

3701
02:19:43,280 --> 02:19:45,080
ARE PEOPLE LOOKING UP THE N WORD

3702
02:19:45,080 --> 02:19:52,440
ON THEIR COMPUTER, WITH DISEASE

3703
02:19:52,440 --> 02:19:53,720
AND MORTALITY OUTCOMES. SO THAT

3704
02:19:53,720 --> 02:19:56,400
IS ONE THING WE HAVE BEEN

3705
02:19:56,400 --> 02:20:01,360
THINKING ABOUT. SOME OF THE

3706
02:20:01,360 --> 02:20:02,160
STRENGTH THAT FOLKS HAVE BEEN

3707
02:20:02,160 --> 02:20:04,240
PAYING ATTENTION TO ARE LOOKING

3708
02:20:04,240 --> 02:20:06,480
BEYOND JUST THE NEIGHBORHOOD

3709
02:20:06,480 --> 02:20:08,680
LEVEL AND CENSUS TRACK, THIS IS

3710
02:20:08,680 --> 02:20:10,160
A REALLY GREAT NEW DIRECTION

3711
02:20:10,160 --> 02:20:11,680
BECAUSE IT ALLOWS US TO THINK

3712
02:20:11,680 --> 02:20:14,760
ABOUT POLICY LEVEL, ALLOWED THE

3713
02:20:14,760 --> 02:20:16,560
CHANGES IN POLICY AND OUR

3714
02:20:16,560 --> 02:20:18,960
ABILITY TO UNDERSTAND HOW

3715
02:20:18,960 --> 02:20:20,400
POLICIES MATTER. HAPPEN AT THE

3716
02:20:20,400 --> 02:20:21,600
STATE LEVEL WHICH IS DIFFERENT

3717
02:20:21,600 --> 02:20:25,360
FROM LOOKING AT THINGS LIKE

3718
02:20:25,360 --> 02:20:27,480
CENSUS TRACK. VERY FEW STUDIES

3719
02:20:27,480 --> 02:20:29,640
DONE FROM MENTAL HEALTH ARENA

3720
02:20:29,640 --> 02:20:31,400
BUT TRYING TO LOOK AT HOW THESE

3721
02:20:31,400 --> 02:20:33,160
DISPARITIES PLAY A ROLE IN

3722
02:20:33,160 --> 02:20:33,720
MENTAL HEALTH IS A NEW

3723
02:20:33,720 --> 02:20:38,400
DIRECTION. LIMITATIONS HERE I

3724
02:20:38,400 --> 02:20:39,880
HAVE ALLUDED TO THEM ALREADY SO

3725
02:20:39,880 --> 02:20:46,040
I WILL KEEP IT MOVING HERE. 

3726
02:20:46,040 --> 02:20:47,480
EMPHASIS ON SINGULAR DOMAIN,

3727
02:20:47,480 --> 02:20:49,120
RACISM IS COMPLEX, IT HAS

3728
02:20:49,120 --> 02:20:51,160
MULTIPLE LEVELS, THAT'S WHAT

3729
02:20:51,160 --> 02:20:54,200
HARRELL IS GETTING AT, WE TENDED

3730
02:20:54,200 --> 02:20:57,360
TO JUST LOOK AT SINGULAR LEVELS

3731
02:20:57,360 --> 02:21:00,400
OF RACE.  U OR ONE SPECIFIC

3732
02:21:00,400 --> 02:21:02,680
EXEMPLAR SEGREGATION

3733
02:21:02,680 --> 02:21:04,080
INCARCERATION UNDERSTANDING HOW

3734
02:21:04,080 --> 02:21:05,640
THESE THINGS FIT TOGETHER I

3735
02:21:05,640 --> 02:21:07,360
THINK WILL BE A CHALLENGE GOING

3736
02:21:07,360 --> 02:21:15,800
FORWARD.  ANOTHER AREA WE ARE

3737
02:21:15,800 --> 02:21:16,800
INTERESTED IN BECAUSE OF THE

3738
02:21:16,800 --> 02:21:20,160
MODEL I SHOWED EARLIER IS THE

3739
02:21:20,160 --> 02:21:20,800
BIOLOGICAL EMBEDDED THE

3740
02:21:20,800 --> 02:21:26,600
STRUCTURAL RACISM SO STRESS A

3741
02:21:26,600 --> 02:21:27,960
KEY PATHWAY IS NOT NEW FIRST

3742
02:21:27,960 --> 02:21:31,160
MODEL I SHOWED YOU BUT HOW DO

3743
02:21:31,160 --> 02:21:32,280
SOME OF THE THINGS I TALKED

3744
02:21:32,280 --> 02:21:34,880
ABOUT IN TERMS OF CURL CHURL

3745
02:21:34,880 --> 02:21:36,520
EXPOSURES -- CULTURAL EXPOSURE,

3746
02:21:36,520 --> 02:21:38,600
MEDIA REPRESENTATIONS, EXPOSURE

3747
02:21:38,600 --> 02:21:40,480
TO CONFEDERATE STATUTES IS THE

3748
02:21:40,480 --> 02:21:42,600
LINK BETWEEN THOSE EXPOSURES AND

3749
02:21:42,600 --> 02:21:45,640
MENTAL HEALTH MEDIATED BY

3750
02:21:45,640 --> 02:21:47,560
PHYSIOLOGIC SYSTEMS. MY AREA OF

3751
02:21:47,560 --> 02:21:51,480
EXPERTISE IS IN A AUTONOMIC

3752
02:21:51,480 --> 02:21:58,000
NERVOUS SYSTEM, CARDIOVASCULAR

3753
02:21:58,000 --> 02:21:58,880
REACTIVITY IN PARTICULAR AND I

3754
02:21:58,880 --> 02:22:00,800
STARTED THE PAIR UP WITH

3755
02:22:00,800 --> 02:22:03,080
SCIENTISTS AND THERE'S NEW WORK

3756
02:22:03,080 --> 02:22:04,680
LOOKING AT NEURAL MECHANISMS TO

3757
02:22:04,680 --> 02:22:06,680
UNDERPIN LINKS BETWEEN NOT JUST

3758
02:22:06,680 --> 02:22:07,400
SUPPRESS STRESS IN GENERAL BUT

3759
02:22:07,400 --> 02:22:08,920
RACISM AND DISCRIMINATION IN

3760
02:22:08,920 --> 02:22:10,920
HEALTH OUTCOMES.  WE KNOW THAT

3761
02:22:10,920 --> 02:22:15,320
CENTRAL NERVOUS SYSTEM IS IN

3762
02:22:15,320 --> 02:22:19,440
CONTROL IN TERMS OF NETWORKS

3763
02:22:19,440 --> 02:22:21,600
DICTATING STRESS RESPONSE,

3764
02:22:21,600 --> 02:22:22,920
ESSENTIAL NERVOUS SYSTEM

3765
02:22:22,920 --> 02:22:25,000
CONTROLS, INFLAMMATORY MARKERS

3766
02:22:25,000 --> 02:22:30,880
AND INFLAMMATORY RESPONSE, SO TO

3767
02:22:30,880 --> 02:22:32,760
THE EXTENT WE PAY MORE ATTENTION

3768
02:22:32,760 --> 02:22:34,520
TO NEURAL MECHANISMS AND FIZZ

3769
02:22:34,520 --> 02:22:35,400
OWE LOGICAL MECHANISMS MIGHT

3770
02:22:35,400 --> 02:22:40,000
HELP US TO GET A BETTER READ ON

3771
02:22:40,000 --> 02:22:41,960
THESE OTHER PHYSIOLOGICAL

3772
02:22:41,960 --> 02:22:43,040
SYSTEMS THAT HAVE BEEN LINKED

3773
02:22:43,040 --> 02:22:46,560
WITH PTSD LINKED WITH DEPRESSION

3774
02:22:46,560 --> 02:22:49,040
AN ANXIETY. I AM NOT A

3775
02:22:49,040 --> 02:22:50,160
NEUROSCIENTIST BY ANY STRETCH OF

3776
02:22:50,160 --> 02:22:51,680
THE IMAGINATION BUT CERTAINLY

3777
02:22:51,680 --> 02:22:55,960
THERE IS WORK LOOKING AT

3778
02:22:55,960 --> 02:22:57,760
SALIENCE NETWORKS AND LIMB BIC

3779
02:22:57,760 --> 02:23:01,720
FUNCTION THAT SORT OF HAVE LINKS

3780
02:23:01,720 --> 02:23:03,600
TO NEUROTRANSMITTER FUNCTION AND

3781
02:23:03,600 --> 02:23:04,800
HOW THESE BREAKDOWN AND LEAD TO

3782
02:23:04,800 --> 02:23:07,480
INCREASE VULNERABILITY TO MENTAL

3783
02:23:07,480 --> 02:23:08,720
HEALTH DIFFICULTIES. SO THAT IS

3784
02:23:08,720 --> 02:23:09,960
AN AREA THAT WE ARE THINKING

3785
02:23:09,960 --> 02:23:13,200
ABOUT AS WELL.  A LOT OF STUDY

3786
02:23:13,200 --> 02:23:16,160
IN THIS AREA NOT SURPRISINGLY

3787
02:23:16,160 --> 02:23:19,760
CONTINUE TO BE EXPERIMENTAL

3788
02:23:19,760 --> 02:23:23,040
STUDIES, THAT ARE FOCUS AT

3789
02:23:23,040 --> 02:23:24,360
INDIVIDUAL LEVEL AND SMALL

3790
02:23:24,360 --> 02:23:28,680
SAMPLE SO HOW CAN WE KIND OF GET

3791
02:23:28,680 --> 02:23:30,280
AT MECHANISMS PAYING ATTENTION

3792
02:23:30,280 --> 02:23:37,000
TO UPSTREAM FACTORS. I OLD YOU

3793
02:23:37,000 --> 02:23:40,000
I'M INTERESTED IN RESILIENCE. WE

3794
02:23:40,000 --> 02:23:42,360
KNOW EXPOSURE TO RACISM DOESN'T

3795
02:23:42,360 --> 02:23:44,960
IMPACT EVERYONE EQUALLY. SO HOW

3796
02:23:44,960 --> 02:23:49,040
DO WE BRING STRUCTURAL FACTORS

3797
02:23:49,040 --> 02:23:49,960
INTO OUR UNDERSTANDING OF

3798
02:23:49,960 --> 02:23:55,680
RESILIENCE MANY THE FACE OF

3799
02:23:55,680 --> 02:23:57,480
RACISM HERE ARE NUMBER OF

3800
02:23:57,480 --> 02:23:58,680
FACTORS, GENERAL FACTORS THAT

3801
02:23:58,680 --> 02:24:00,800
FOLKS HAVE BEEN INTERESTED IN,

3802
02:24:00,800 --> 02:24:05,160
SOCIAL SUPPORT, PARENTAL AND NET

3803
02:24:05,160 --> 02:24:07,280
MONITORING FOR YOUTH OUTCOMES.

3804
02:24:07,280 --> 02:24:08,480
NEIGHBORHOOD FOR SELECTED

3805
02:24:08,480 --> 02:24:09,640
EFFICACY, ET CETERA.  SO MY

3806
02:24:09,640 --> 02:24:11,200
COLLEAGUES ARE INTERESTED IN MY

3807
02:24:11,200 --> 02:24:14,760
WORK HAS BEEN INTERESTED IN

3808
02:24:14,760 --> 02:24:16,640
UNDERSTANDING RACE RELATED

3809
02:24:16,640 --> 02:24:18,360
CULTURAL PROTECTIVE OR

3810
02:24:18,360 --> 02:24:19,480
RESILIENCE FACTORS SO WE HAVE

3811
02:24:19,480 --> 02:24:22,000
DONE WORK LOOKING AT RACIAL

3812
02:24:22,000 --> 02:24:23,760
SOCIALIZATION HOW PARENTS TALK

3813
02:24:23,760 --> 02:24:27,040
TO THEIR KIDS ABOUT RATES AND

3814
02:24:27,040 --> 02:24:30,200
ALSO SOME STUDIES WITH RELIGIOUS

3815
02:24:30,200 --> 02:24:32,440
INVOLVEMENT AND CORTISOL DHEA

3816
02:24:32,440 --> 02:24:34,400
INVOLVEMENT WHICH IS MEDIATED BY

3817
02:24:34,400 --> 02:24:39,480
DEPRESSIVE SYMPTOMS.  LOOKING AT

3818
02:24:39,480 --> 02:24:40,560
INDIVIDUAL DISCRIMINATION. ONE

3819
02:24:40,560 --> 02:24:43,160
THING YOU WILL SEE IN A

3820
02:24:43,160 --> 02:24:44,360
CONCEPTUAL MODEL NEXT SLIDE IS

3821
02:24:44,360 --> 02:24:46,480
BEGINNING TO THINK ABOUT, I WILL

3822
02:24:46,480 --> 02:24:49,480
GO THERE NOW, HOW DO THESE

3823
02:24:49,480 --> 02:24:52,200
DIFFERENT FORMS OF STRUCTURAL

3824
02:24:52,200 --> 02:24:55,920
RACISM RELATE TO MENTAL HEALTH

3825
02:24:55,920 --> 02:24:57,920
THROUGH PHYSIOLOGICAL SYMPTOMS

3826
02:24:57,920 --> 02:25:01,320
AND HOW MIGHT RESILIENCE FACTORS

3827
02:25:01,320 --> 02:25:04,520
MODERATE THIS MEDIATIONAL PATH. 

3828
02:25:04,520 --> 02:25:07,240
THERE IS A LOT HERE, MORE THAN

3829
02:25:07,240 --> 02:25:10,640
ANY ONE STUDY COULD TACKLE, BUT

3830
02:25:10,640 --> 02:25:12,000
THE CHALLENGE WHERE WE ARE

3831
02:25:12,000 --> 02:25:14,880
HOPING TO GO WITH THIS IS TO

3832
02:25:14,880 --> 02:25:16,600
KIND OF BILL SO THAT A THERE ARE

3833
02:25:16,600 --> 02:25:20,720
STUDIES THAT CLEARLY LINK

3834
02:25:20,720 --> 02:25:24,080
EXEMPLARS IN TO MENTAL HEALTH

3835
02:25:24,080 --> 02:25:27,360
EMPIRICAL WORK AND WELCOME LOOK

3836
02:25:27,360 --> 02:25:31,520
AT MULTIPLE LEVELS OF RACISM. SO

3837
02:25:31,520 --> 02:25:34,360
HOW DOES EXPOSURE TO CULTURAL

3838
02:25:34,360 --> 02:25:37,360
MANIFEST STATIONS AND MEDIA LINK

3839
02:25:37,360 --> 02:25:40,080
WITH PEOPLE'S FIZZ YOU LOGICAL

3840
02:25:40,080 --> 02:25:42,720
RESPONSES, OVER TIME, OVER LIFE

3841
02:25:42,720 --> 02:25:44,720
COURSE PERSPECTIVE WHICH WE ARE

3842
02:25:44,720 --> 02:25:50,560
LACKING CURRENTLY. HOWICS AND

3843
02:25:50,560 --> 02:25:51,880
MENTAL HEALTH CONCEPTUALIZATION

3844
02:25:51,880 --> 02:25:55,400
BEYOND USUAL SUSPECTS BUT ALSO

3845
02:25:55,400 --> 02:25:56,440
INCLUDE THINGS LIKE SATISFACTION

3846
02:25:56,440 --> 02:25:57,600
WELL BEING AND POSITIVE MENTAL

3847
02:25:57,600 --> 02:26:05,160
HEALTH. BEFORE I WRAP UP I WOULD

3848
02:26:05,160 --> 02:26:07,120
BE REMISSISSIPPI IF I DID NOT

3849
02:26:07,120 --> 02:26:09,360
ONLY TALK STRUCTURAL RACISM AND

3850
02:26:09,360 --> 02:26:10,720
SOCIAL DETERMINANTS OF HEALTH IN

3851
02:26:10,720 --> 02:26:12,040
CONTEXT OF MENTAL HEALTH BUT

3852
02:26:12,040 --> 02:26:17,040
ALSO IN OUR FIELD AT LARGE. I

3853
02:26:17,040 --> 02:26:18,480
IMAGINE YOU SAW THIS INTERESTING

3854
02:26:18,480 --> 02:26:20,080
PAPER THAT CAME OUT ACTUALLY NOT

3855
02:26:20,080 --> 02:26:24,960
A PAPER, IT WAS KIND OF AN OP ED

3856
02:26:24,960 --> 02:26:29,320
LAST FALL I THINK IN STAT EWE

3857
02:26:29,320 --> 02:26:32,280
WHERE WILL IS THIS QUESTION OUR

3858
02:26:32,280 --> 02:26:33,760
WHITE SCHOLARS PROVOCATIVE

3859
02:26:33,760 --> 02:26:35,280
COLONIZING RESEARCH ON HEALTH

3860
02:26:35,280 --> 02:26:39,040
DISPARITIES.  RELEVANT IN

3861
02:26:39,040 --> 02:26:41,280
CONTEXT OF UNITE INITIATIVE AND

3862
02:26:41,280 --> 02:26:43,760
SOME OF THE THINGS WE HAVE BEEN

3863
02:26:43,760 --> 02:26:47,160
TALKING ABOUT BUT COUPLE OF

3864
02:26:47,160 --> 02:26:48,160
BULLET POINTS, WE HAVE SPECIAL

3865
02:26:48,160 --> 02:26:53,320
ISSUES THAT ARE SUPPOSEDLY FOCUS

3866
02:26:53,320 --> 02:26:55,600
FOCUSED ON STRUCTURAL AND

3867
02:26:55,600 --> 02:26:56,920
SYSTEMIC RACISM BUT LEAD

3868
02:26:56,920 --> 02:27:00,360
INVESTIGATORS ON THE PAPERS ARE

3869
02:27:00,360 --> 02:27:04,400
BLACK SCHOLARS OR RACIAL ETHNIC

3870
02:27:04,400 --> 02:27:06,160
MINORITY SCHOLARS. REALLY

3871
02:27:06,160 --> 02:27:11,520
EXCITED ABOUT THE POTENTIAL TO

3872
02:27:11,520 --> 02:27:13,200
ENGAGE IN COLLABORATION IN

3873
02:27:13,200 --> 02:27:14,560
STUDYING MARGINALIZED

3874
02:27:14,560 --> 02:27:15,960
POPULATIONS.  I WONDERER IF

3875
02:27:15,960 --> 02:27:21,200
THERE IS A WAY TO INCENTIVIZE

3876
02:27:21,200 --> 02:27:22,840
COLLABORATION BETWEEN SCHOLARS

3877
02:27:22,840 --> 02:27:24,080
LIKE MYSELF WHO HAVE EXPERTISE

3878
02:27:24,080 --> 02:27:25,560
NOT ONLY IN LIVED EXPERIENCE BUT

3879
02:27:25,560 --> 02:27:29,760
IN THE RACISM TO ENCOURAGE

3880
02:27:29,760 --> 02:27:30,560
COLLABORATION WITH INVESTIGATORS

3881
02:27:30,560 --> 02:27:36,960
WHO ARE NOT BIPOC SCIENTISTS SO

3882
02:27:36,960 --> 02:27:39,480
THATVATIONS THAT WE DO HAVE

3883
02:27:39,480 --> 02:27:41,960
TEAMS NOT JUST TEAM SCIENCE BUT

3884
02:27:41,960 --> 02:27:43,880
THAT ARE RACIALLY AN ETHNICALLY

3885
02:27:43,880 --> 02:27:45,200
DIVERSE. THAT'S SOMETHING I HAVE

3886
02:27:45,200 --> 02:27:48,960
BEEN THINKING ABOUT. THE HEALTH

3887
02:27:48,960 --> 02:27:50,360
EQUITY TOURISM TALKED ABOUT PEER

3888
02:27:50,360 --> 02:27:53,680
REVIEW PROCESSES AND HOW I HAVE

3889
02:27:53,680 --> 02:27:56,360
THIS EXPERIENCE UNFORTUNATELY

3890
02:27:56,360 --> 02:28:01,160
WHERE MY EXPERTISE ON A PAPER IS

3891
02:28:01,160 --> 02:28:03,240
IGNORED.  NUMBER OF PEER REVIEWS

3892
02:28:03,240 --> 02:28:06,360
OR PEER REVIEWERS WHO HAVE

3893
02:28:06,360 --> 02:28:08,440
EXPERIENCES IS LIMITED, FOLKS

3894
02:28:08,440 --> 02:28:13,200
ARE STRETCHED THIN, HOW DO WE

3895
02:28:13,200 --> 02:28:14,640
RECTIFY, I HAVE SOME IDEAS

3896
02:28:14,640 --> 02:28:18,400
THERE, THIS SHORTAGE OF -- AND

3897
02:28:18,400 --> 02:28:19,880
MAKE SURE THOSE WHO HAVE

3898
02:28:19,880 --> 02:28:21,200
EXPERTISE ARE AT THE TABLE SO TO

3899
02:28:21,200 --> 02:28:23,760
SPEAK PROVERBIAL TABLE. THERE

3900
02:28:23,760 --> 02:28:26,600
ARE COUPLE OF OTHER THINGS HERE,

3901
02:28:26,600 --> 02:28:29,160
THINKING ABOUT ETHNICITY AND

3902
02:28:29,160 --> 02:28:30,160
DIVERSITY, WE ARE STILL

3903
02:28:30,160 --> 02:28:31,360
COMMUNITY PARTNERS HERE IN

3904
02:28:31,360 --> 02:28:34,360
DETROIT ARE TALKING ABOUT HOW

3905
02:28:34,360 --> 02:28:36,400
CAN'T EVEN GET ETHNIC DATA IN

3906
02:28:36,400 --> 02:28:40,280
TERMS OF LATINX POPULATIONS,

3907
02:28:40,280 --> 02:28:42,640
WITH REGARD TO COVID-19 AND

3908
02:28:42,640 --> 02:28:44,840
MENTAL HEALTH EXPERIENCE IN

3909
02:28:44,840 --> 02:28:46,680
TERMS OF THE DATA THAT DETROIT

3910
02:28:46,680 --> 02:28:50,560
HEALTH DEPARTMENT HAS. SO THE WE

3911
02:28:50,560 --> 02:28:51,800
DON'T PAY ATTENTION TO

3912
02:28:51,800 --> 02:28:52,760
ETHNICITY, DON'T PAY ATTENTION

3913
02:28:52,760 --> 02:28:55,520
TO DIFFERENCES BETWEEN ASIAN

3914
02:28:55,520 --> 02:28:57,320
AMERICAN GROUPS FOR EXAMPLE AND

3915
02:28:57,320 --> 02:28:59,680
WE USE THE PAN ETHNIC LABELS

3916
02:28:59,680 --> 02:29:02,400
THAT'S ANOTHER DIMENSION OR

3917
02:29:02,400 --> 02:29:04,200
ELEMENT THAT HAS TO BE BROUGHT

3918
02:29:04,200 --> 02:29:06,880
INTO SCIENCE. ONE THING I LAMENT

3919
02:29:06,880 --> 02:29:09,000
WITH MY STUDENTS EVEN IN 2022 IS

3920
02:29:09,000 --> 02:29:15,520
WHEN YOU LOOK AT HEALTHY PEOPLE

3921
02:29:15,520 --> 02:29:17,560
2030, MAINSTREAM TEXT BOOKS ON

3922
02:29:17,560 --> 02:29:18,600
SOCIAL DETERMINANTS OF HEALTH

3923
02:29:18,600 --> 02:29:20,720
AND I ACTUALLY USE A SOCIAL

3924
02:29:20,720 --> 02:29:22,480
DETERMINANTS OF MENTAL HEALTH

3925
02:29:22,480 --> 02:29:26,160
TEXTBOOK, RACISM IS HARDLY

3926
02:29:26,160 --> 02:29:28,200
MENTIONED IN THE BOOK.  STUDENTS

3927
02:29:28,200 --> 02:29:30,760
HAVE BEEN SAYING DR. NEBLETT

3928
02:29:30,760 --> 02:29:32,880
BONDER GIVEN YOU SAY RACISM IS

3929
02:29:32,880 --> 02:29:34,120
THE FUNDAMENTAL CAUSE WHY DON'T

3930
02:29:34,120 --> 02:29:37,400
WE SEE IT EXPLICITLY IN HEALTHY

3931
02:29:37,400 --> 02:29:39,880
PEOPLE 2030, WHY IS IT THAT IN

3932
02:29:39,880 --> 02:29:41,040
THE TEXTBOOK ON SOCIAL

3933
02:29:41,040 --> 02:29:42,560
DETERMINANTS OF MENTAL HEALTH WE

3934
02:29:42,560 --> 02:29:46,400
TALK DISCRIMINATION BUT NOT

3935
02:29:46,400 --> 02:29:48,160
STRUCTURAL DETERMINANTS
DETERMINANTS. ALL 
OF

3936
02:29:48,160 --> 02:29:49,760
THESE THINGS I THINK ARE

3937
02:29:49,760 --> 02:29:51,160
IMPORTANT TO CONSIDER, WHO ARE

3938
02:29:51,160 --> 02:29:56,560
THE PIs WHAT ROLES ARE THEY

3939
02:29:56,560 --> 02:29:58,160
PLAYING, DECISION MAKING PROCESS

3940
02:29:58,160 --> 02:30:00,480
AND I'M SURE ONE WE HEARD IN

3941
02:30:00,480 --> 02:30:01,760
TERMS OF SHORT TURN AROUND TIME

3942
02:30:01,760 --> 02:30:03,840
FOR FUNDING, ARE THE PEOPLE WHO

3943
02:30:03,840 --> 02:30:05,760
MIGHT BE ABLE TO DO SOME REALLY

3944
02:30:05,760 --> 02:30:10,600
INNOVATIVE AND CREATIVE SCIENCE,

3945
02:30:10,600 --> 02:30:12,680
REPRESENTED AND HAVE RESOURCES

3946
02:30:12,680 --> 02:30:14,160
GIVEN SHORT TURN AROUND TIMES

3947
02:30:14,160 --> 02:30:20,520
REQUIRED TO PUT TOGETHER GRANTS

3948
02:30:20,520 --> 02:30:24,240
FOR NIH. IN CONCLUSION NOTHING

3949
02:30:24,240 --> 02:30:26,600
SURPRISING HERE, BUT RACISM

3950
02:30:26,600 --> 02:30:29,360
EXTENDS BEYOND BEHAVIOR OF THE

3951
02:30:29,360 --> 02:30:32,280
INDIVIDUAL AND IS EMBEDDED IN

3952
02:30:32,280 --> 02:30:33,760
HISTORICAL CULTURAL

3953
02:30:33,760 --> 02:30:35,000
INSTITUTIONAL ORGANIZATIONAL

3954
02:30:35,000 --> 02:30:36,800
GOVERNMENTAL STRUCTURE AND

3955
02:30:36,800 --> 02:30:37,520
PROCESSES THAT LIMIT

3956
02:30:37,520 --> 02:30:39,560
OPPORTUNITIES AND RESOURCES.

3957
02:30:39,560 --> 02:30:41,720
STRUCTURAL RACISM IS A

3958
02:30:41,720 --> 02:30:43,840
FUNDAMENTAL CAUSE AND SO HOW DO

3959
02:30:43,840 --> 02:30:46,240
WE BEGIN TO REFLECT THIS

3960
02:30:46,240 --> 02:30:49,480
COMPLEXITY IN OUR STUDIES OF

3961
02:30:49,480 --> 02:30:52,120
MENTAL TRY TO UNDERSTAND

3962
02:30:52,120 --> 02:30:53,960
PATHWAYS AND MECHANISMS. I LIKE

3963
02:30:53,960 --> 02:30:58,640
THIS SORT OF QUOTE HERE,

3964
02:30:58,640 --> 02:31:00,240
PARAPHRASING FRED WILLIAMS AND

3965
02:31:00,240 --> 02:31:03,760
MOHAMMED AND STRUCTURAL RACISM

3966
02:31:03,760 --> 02:31:05,880
RFA A FEW MONTHS BACK WHICH SAID

3967
02:31:05,880 --> 02:31:07,560
CHANGES IN FUNDAMENTAL CAUSES

3968
02:31:07,560 --> 02:31:11,040
LEAD TO CHANGES IN OUTCOMES.  

3969
02:31:11,040 --> 02:31:13,840
INTERVENTIONS IN INTERMEDIATE

3970
02:31:13,840 --> 02:31:15,520
PATHWAYS WITHOUT CORRESPONDING

3971
02:31:15,520 --> 02:31:17,760
CHANGES IN FUNDAMENTAL CAUSES

3972
02:31:17,760 --> 02:31:19,840
ARE UNLIKELY TO PRODUCE

3973
02:31:19,840 --> 02:31:22,480
IMPROVEMENTS IN POPULATION

3974
02:31:22,480 --> 02:31:24,720
HEALTH ELIMINATE DISPARITIES AND

3975
02:31:24,720 --> 02:31:25,960
PROMOTE HEALTH EQUITY. SO THE

3976
02:31:25,960 --> 02:31:27,960
QUESTION I LEAVE YOU WITH, IS AS

3977
02:31:27,960 --> 02:31:30,560
WE THINK ABOUT THE DISMANTLING

3978
02:31:30,560 --> 02:31:33,600
RACISM BUT DOING SO IN

3979
02:31:33,600 --> 02:31:36,160
SCIENTIFICALLY INFORMED WAYS IF

3980
02:31:36,160 --> 02:31:37,320
THE INTERVENTIONS CONTINUE TO BE

3981
02:31:37,320 --> 02:31:39,760
AT THE INDIVIDUAL LEVEL HOW WE

3982
02:31:39,760 --> 02:31:42,680
WILL BE ABLE TO IMPROVE OUR

3983
02:31:42,680 --> 02:31:45,200
SCIENCE TO INFORM STRUCTURAL

3984
02:31:45,200 --> 02:31:47,960
INTERVENTIONS THAT CAN BEGIN TO

3985
02:31:47,960 --> 02:31:49,960
ADDRESS WHAT DR. HARRELL

3986
02:31:49,960 --> 02:31:51,720
MENTIONED WHEN HE SAID WE NEED

3987
02:31:51,720 --> 02:31:54,600
TO MOVE BEYOND THE CLOWN, TO THE

3988
02:31:54,600 --> 02:31:55,680
ISSUES AT THE CENTER OF THE

3989
02:31:55,680 --> 02:32:01,280
RING. THANK YOU VERY MUCH. 

3990
02:32:01,280 --> 02:32:03,200
>> THANK YOU, DR. NEBLETT,

3991
02:32:03,200 --> 02:32:05,520
WONDERFUL TALK AND CHALLENGE TO

3992
02:32:05,520 --> 02:32:07,440
NIMH ALONG LINES OF WHAT DR.

3993
02:32:07,440 --> 02:32:09,120
ZENG TALKED ABOUT THE COMPASS

3994
02:32:09,120 --> 02:32:11,200
INITIATIVE IN TRYING TO DEAL

3995
02:32:11,200 --> 02:32:13,320
WITH THE STRUCTURAL DETERMINANTS

3996
02:32:13,320 --> 02:32:16,880
OF INEQUITIES, THIS TIME

3997
02:32:16,880 --> 02:32:17,560
SPECIFICALLY IN EFFECT OF

3998
02:32:17,560 --> 02:32:21,320
RACISM. I'M SURE THERE IS LOTS

3999
02:32:21,320 --> 02:32:22,760
OF COMMENTS AND QUESTIONS, I

4000
02:32:22,760 --> 02:32:24,360
WANT TO REMIND COUNCIL MEMBERS

4001
02:32:24,360 --> 02:32:26,840
TO PLEASE RAISE YOUR VIRTUAL

4002
02:32:26,840 --> 02:32:28,360
HANDS AND SET UP THOSE QUESTIONS

4003
02:32:28,360 --> 02:32:31,640
AND I'M HAPPY TO CALL ON YOU. IF

4004
02:32:31,640 --> 02:32:33,000
YOU HAVEN'T INTRODUCED YOURSELF

4005
02:32:33,000 --> 02:32:34,280
ALREADY TODAY TO OUR PUBLIC YOU

4006
02:32:34,280 --> 02:32:36,160
MAY DO SO, YOU MIGHT AS WELL DO

4007
02:32:36,160 --> 02:32:38,680
SO EVEN IF YOU HAVE SO DR.

4008
02:32:38,680 --> 02:32:39,960
NEBLETT KNOW WHOSE THE

4009
02:32:39,960 --> 02:32:41,360
QUESTIONER IS. TED YOUR FIRST

4010
02:32:41,360 --> 02:32:44,040
UP. 

4011
02:32:44,040 --> 02:32:46,080
>> THANKS FOR THERY IF I CAN

4012
02:32:46,080 --> 02:32:49,600
TALK. MY NAME IS TEDDY ABEL

4013
02:32:49,600 --> 02:32:53,080
UNIVERSITY OF IOWA. I HAD A

4014
02:32:53,080 --> 02:32:55,480
BROADER QUESTION. YOU TALKED

4015
02:32:55,480 --> 02:32:57,160
STRUCTURAL RACISM AND IMPACT ON

4016
02:32:57,160 --> 02:32:59,080
HEALTH DISPARITIES AND HOW WE

4017
02:32:59,080 --> 02:33:01,800
UNDERSTAND AND THINK ABOUT

4018
02:33:01,800 --> 02:33:03,840
LESSENING THAT. BUT I WONDER IF

4019
02:33:03,840 --> 02:33:06,840
YOU CAN COMMENT OR INTERESTING

4020
02:33:06,840 --> 02:33:08,680
TO THINK ABOUT IMPACT OF

4021
02:33:08,680 --> 02:33:12,760
STRUCTURAL RACISM ON THE

4022
02:33:12,760 --> 02:33:15,320
(INAUDIBLE). STRUCK BY

4023
02:33:15,320 --> 02:33:17,760
PERSPECTIVE ON THOMAS COULDN'T

4024
02:33:17,760 --> 02:33:20,560
WHO TALKED PARADIGMS AND HOW

4025
02:33:20,560 --> 02:33:22,960
THOSE PARADIGMS RESTRICT THE

4026
02:33:22,960 --> 02:33:25,040
QUESTIONS THAT WE ASK AS

4027
02:33:25,040 --> 02:33:27,400
RESEARCHERS. I WONDER HOW MUCH

4028
02:33:27,400 --> 02:33:28,480
STRUCTURAL RACISM EVICTS THOSE

4029
02:33:28,480 --> 02:33:32,200
QUESTIONS.  AND LIMITS

4030
02:33:32,200 --> 02:33:34,000
CREATIVITY AND IMPACT OF THE

4031
02:33:34,000 --> 02:33:35,880
SCIENCE THAT WE FUND AT NIMH AND

4032
02:33:35,880 --> 02:33:39,320
WE DO AS INVESTIGATORS.  

4033
02:33:39,320 --> 02:33:43,040
>> LET ME TAKE A STAB. YOU WENT

4034
02:33:43,040 --> 02:33:44,120
YOU WANT AT A KEY MOMENT WHERE

4035
02:33:44,120 --> 02:33:45,560
YOU SAID STRUCTURAL RACISM AND

4036
02:33:45,560 --> 02:33:47,360
SOMETHING BUT I THINK I WAS ABLE

4037
02:33:47,360 --> 02:33:48,320
TO --

4038
02:33:48,320 --> 02:33:49,800
>> BASIC -- SCIENTIFIC RESEARCH

4039
02:33:49,800 --> 02:33:51,600
ESSENTIALLY, RATHER THAN

4040
02:33:51,600 --> 02:33:54,560
THINKING ABOUT A CLINICAL IMPACT

4041
02:33:54,560 --> 02:33:56,920
WHAT ABOUT ITS IMPACT ON THE

4042
02:33:56,920 --> 02:33:58,240
RESEARCH WE DO AND QUESTIONS WE

4043
02:33:58,240 --> 02:33:59,560
ASK. 

4044
02:33:59,560 --> 02:34:02,640
>> YEAH. I MEAN, I THINK THAT'S

4045
02:34:02,640 --> 02:34:04,080
SOME OF WHAT I START TO GET AND

4046
02:34:04,080 --> 02:34:05,320
PART OF THE REASON I INCLUDED

4047
02:34:05,320 --> 02:34:09,600
THAT LAST SLIDE IN TERMS OF THE

4048
02:34:09,600 --> 02:34:12,920
-- I THINK IT IMPACTS THE

4049
02:34:12,920 --> 02:34:14,200
INNOVATION OF THE SCIENCE AND

4050
02:34:14,200 --> 02:34:16,320
QUESTIONS WE ARE ABLE TO ASK. I

4051
02:34:16,320 --> 02:34:19,160
THINK SOME OF THE PEOPLE WHO

4052
02:34:19,160 --> 02:34:23,120
HAVE EXPERTISE ARE -- I HAVE HAD

4053
02:34:23,120 --> 02:34:24,360
SOME REALLY -- I DON'T WANT TO

4054
02:34:24,360 --> 02:34:25,760
GET TOO PERSONAL BUT INTERESTING

4055
02:34:25,760 --> 02:34:29,960
EXPERIENCES IN TERMS OF BEING

4056
02:34:29,960 --> 02:34:31,960
BROUGHT IN FOR EXPERTISE ON

4057
02:34:31,960 --> 02:34:33,800
RACISM AND PEOPLE KIND OF BEING

4058
02:34:33,800 --> 02:34:35,720
SURPRISED THAT I KNEW WHAT I WAS

4059
02:34:35,720 --> 02:34:39,000
TALKING ABOUT WITH REGARD TO

4060
02:34:39,000 --> 02:34:40,960
RACISM AND SO IF FOLKS WHO HAVE

4061
02:34:40,960 --> 02:34:42,360
KNOWLEDGE AND EXPERTISE WHO HAVE

4062
02:34:42,360 --> 02:34:44,680
DONE THE WORK WITH THESE

4063
02:34:44,680 --> 02:34:46,120
POPULATIONS, ARE NOT PART OF THE

4064
02:34:46,120 --> 02:34:48,760
TEAMS THAT WILL AFFECT THE TYPES

4065
02:34:48,760 --> 02:34:51,160
OF QUESTIONS THAT ARE ASKED AND

4066
02:34:51,160 --> 02:34:53,680
OUR ABILITY TO ANSWER THEM AND

4067
02:34:53,680 --> 02:34:56,760
CREATIVITY WHICH WE ANSWER THEM.

4068
02:34:56,760 --> 02:34:59,320
SO THAT IS ONE WAY. I DON'T WANT

4069
02:34:59,320 --> 02:35:02,160
TO BE REPETITIVE HERE BUT

4070
02:35:02,160 --> 02:35:04,160
THINKING ABOUT WHO THE FOLKS ARE

4071
02:35:04,160 --> 02:35:05,520
WHO DO HAVE THE MONEY THE LOOK

4072
02:35:05,520 --> 02:35:07,800
AT SOME OF THESE THINGS, I THINK

4073
02:35:07,800 --> 02:35:10,360
WE HAVE TO BE INNOVATIVE IN THAT

4074
02:35:10,360 --> 02:35:12,440
THE FOLKS WHO MAY BE ABLE TO ADD

4075
02:35:12,440 --> 02:35:14,360
SOME INNOVATION MAY NOT BE ABLE

4076
02:35:14,360 --> 02:35:15,600
TO TURN THINGS AROUND QUICKLY

4077
02:35:15,600 --> 02:35:20,160
ENOUGH AND APPLY FOR NIH GRANT

4078
02:35:20,160 --> 02:35:24,240
IN A SHORT TIME. IF YOU ARE --

4079
02:35:24,240 --> 02:35:26,400
SO WE KNOW THAT STRUCTURAL

4080
02:35:26,400 --> 02:35:28,880
RACISM SHAPES WHO HAS ACCESS TO

4081
02:35:28,880 --> 02:35:31,680
BEING ABLE TO PRODUCE THE

4082
02:35:31,680 --> 02:35:34,960
SCIENCE SO THAT IS CRITERION FOR

4083
02:35:34,960 --> 02:35:38,160
EVALUATING THE SCIENCE YOU ARE

4084
02:35:38,160 --> 02:35:41,080
PERPETUATING THE INEQUITIES. OF

4085
02:35:41,080 --> 02:35:42,280
COURSE THERE ARE LOTS OF OTHER

4086
02:35:42,280 --> 02:35:44,440
WAYS BUT I WILL STOP THERE. 

4087
02:35:44,440 --> 02:35:47,160
>> THANK YOU. 

4088
02:35:47,160 --> 02:35:52,760
>> THANK YOU, DR. NEBLETT. YAEL.

4089
02:35:52,760 --> 02:35:56,960
>> I THINK YOU ARE MUTED.  OR I

4090
02:35:56,960 --> 02:35:57,960
CAN'T HEAR YOU.

4091
02:35:57,960 --> 02:36:05,360
>> YOU ARE STILL MUTED.  .

4092
02:36:05,360 --> 02:36:10,680
>> OKAY. IS IT BETTER? SORRY. 

4093
02:36:10,680 --> 02:36:13,640
I'M SORRY. SO YAEL NIV FROM

4094
02:36:13,640 --> 02:36:14,600
PRINCETON UNIVERSITY I'M GOING

4095
02:36:14,600 --> 02:36:16,720
TO HAVE TO THREE IN THREE

4096
02:36:16,720 --> 02:36:17,520
MINUTES BECAUSE I'M GOING TO

4097
02:36:17,520 --> 02:36:19,600
TEACH SO I WILL JUST QUICKLY I

4098
02:36:19,600 --> 02:36:21,040
WAS WONDERING WITH RESPECT TO

4099
02:36:21,040 --> 02:36:23,960
THE LAST QUESTION AND YOUR

4100
02:36:23,960 --> 02:36:28,600
ANSWER NOW, I WAS THINKING, WHAT

4101
02:36:28,600 --> 02:36:30,280
DO YOU RECOMMEND FOR NIMH AND

4102
02:36:30,280 --> 02:36:33,240
BIGGER FOR ALL OF NIH AND THINKK

4103
02:36:33,240 --> 02:36:40,560
HOW STRUCTURAL RACISM IS

4104
02:36:40,560 --> 02:36:42,000
BASEICALLY RAREFIED IN WHAT WE

4105
02:36:42,000 --> 02:36:45,160
VALUE, WHEN GRANTS ARE REVIEWED

4106
02:36:45,160 --> 02:36:47,960
AND INSTITUTION OR THE

4107
02:36:47,960 --> 02:36:50,960
RESEARCHER ARE EVALUATED IN SOME

4108
02:36:50,960 --> 02:36:53,480
PARTS OF THE EVALUATION THERE,

4109
02:36:53,480 --> 02:36:56,240
WE VALUE PAPERS, WE VALUE DATA

4110
02:36:56,240 --> 02:36:58,720
SETS, THESE ARE A SMALL SUBSET

4111
02:36:58,720 --> 02:37:03,000
OF CONTRIBUTIONS OF SCIENTIFIC

4112
02:37:03,000 --> 02:37:04,360
AND COMMUNITY CONTRIBUTIONS AND

4113
02:37:04,360 --> 02:37:06,320
THE WAY RESEARCH CONTRIBUTE TO

4114
02:37:06,320 --> 02:37:10,960
SOCIETY. I THINK PART OF THAT IS

4115
02:37:10,960 --> 02:37:12,080
PART OF STRUCTURAL RACISM AND

4116
02:37:12,080 --> 02:37:13,960
THIS IDEA OF LIKE WORSHIP OF THE

4117
02:37:13,960 --> 02:37:17,720
THE WRITTEN WORD VERSUS OTHER

4118
02:37:17,720 --> 02:37:19,040
CONTRIBUTIONS THINGS EASILY

4119
02:37:19,040 --> 02:37:20,960
ASSIGNED TO ONE PERSON VERSUS

4120
02:37:20,960 --> 02:37:22,800
MORE COLLECTIVE CONTRIBUTIONS.  

4121
02:37:22,800 --> 02:37:25,520
AND THIS IS -- YEAH, A BIG

4122
02:37:25,520 --> 02:37:29,040
QUESTION I REALIZE.

4123
02:37:29,040 --> 02:37:31,400
>> IT IS TOUGH BUT EMBEDDED IN

4124
02:37:31,400 --> 02:37:32,640
WHAT WE DO. WE HAVE TO EXPAND

4125
02:37:32,640 --> 02:37:35,080
HOW WE THINK ABOUT WHAT

4126
02:37:35,080 --> 02:37:37,280
CONSTITUTES SUCCESS AND THESE

4127
02:37:37,280 --> 02:37:40,560
METRICS ARE IMPORTANT. BUT AGAIN

4128
02:37:40,560 --> 02:37:44,800
THE EXTENT WE CAN BUILD TEAMS

4129
02:37:44,800 --> 02:37:46,360
THAT MAYBE HAVE FOLKS WHO HAVE

4130
02:37:46,360 --> 02:37:48,520
SOME OF THOSE RESOURCES

4131
02:37:48,520 --> 02:37:52,720
EXPERTISE, BUT THERE IS ALSO

4132
02:37:52,720 --> 02:37:53,800
INNOVATION TEAMS THAT MAY HAVE

4133
02:37:53,800 --> 02:37:55,160
FOLKS WHO DON'T HAVE AS LONG

4134
02:37:55,160 --> 02:37:58,040
STANDING HISTORY ARE THE SAME

4135
02:37:58,040 --> 02:38:02,840
SORT OF I DON'T KNOW WHAT TO

4136
02:38:02,840 --> 02:38:04,800
CALL IT NOT SURE WHAT WORD TO

4137
02:38:04,800 --> 02:38:06,160
USE, BEING PART OF A TEAM

4138
02:38:06,160 --> 02:38:08,080
PUTTING THOSE TOGETHER HAVING TO

4139
02:38:08,080 --> 02:38:09,960
WORK TOGETHER IS IMPORTANT. AS

4140
02:38:09,960 --> 02:38:12,560
YOU ASK YOUR QUESTION, I THINK

4141
02:38:12,560 --> 02:38:18,920
ABOUT MYSELF. WHEN I STARTED AT

4142
02:38:18,920 --> 02:38:20,880
UMC AT ASSISTANT PROFESSOR I HAD

4143
02:38:20,880 --> 02:38:24,960
TWO OR THREE PUBLICATIONS, THIS

4144
02:38:24,960 --> 02:38:27,360
WAS IN PART SHAPED BY NUMBER OF

4145
02:38:27,360 --> 02:38:28,560
FACTORS.  I WOULD SAY STRUCTURAL

4146
02:38:28,560 --> 02:38:32,800
RACISM PLAYED A ROLE. USC TOOK A

4147
02:38:32,800 --> 02:38:35,640
RISK WITH ME, I DIDN'T HAVE THE

4148
02:38:35,640 --> 02:38:37,160
SAME PEDIGREE THAT YOU WOULD

4149
02:38:37,160 --> 02:38:40,360
EXPECT TO SEE BUT I HAD AN NSF

4150
02:38:40,360 --> 02:38:42,120
FUNDED GRANT, I HAD A

4151
02:38:42,120 --> 02:38:44,520
POST-DOCTORAL AWARD, AND I THINK

4152
02:38:44,520 --> 02:38:47,200
THEY SAW POTENTIAL OR I HOPE

4153
02:38:47,200 --> 02:38:48,840
THEY DID. SO SOMETIMES YOU HAVE

4154
02:38:48,840 --> 02:38:51,800
GOT TO LOOK BEYOND TRADITIONAL

4155
02:38:51,800 --> 02:38:53,480
MARKERS AN USUAL SUSPECTS AND

4156
02:38:53,480 --> 02:38:57,640
EXPAND HOW YOU THINK ABOUT

4157
02:38:57,640 --> 02:38:58,600
POTENTIAL CONTRIBUTIONS BECAUSE

4158
02:38:58,600 --> 02:39:00,480
THE FOLKS WHO MAY BE ABLE TO

4159
02:39:00,480 --> 02:39:03,160
MAKE CONTRIBUTIONS ARE NOT

4160
02:39:03,160 --> 02:39:09,120
ALWAYS LOOK THE WAY ON PAPER AND

4161
02:39:09,120 --> 02:39:11,440
SO WE CAN'T THROW THOSE OUT

4162
02:39:11,440 --> 02:39:14,360
COMPLETELY BUT HOW WE CAN

4163
02:39:14,360 --> 02:39:16,240
INCENTIVIZE INNOVATION WITH SOME

4164
02:39:16,240 --> 02:39:18,000
TRADITIONAL MARKERS, EXPANDING

4165
02:39:18,000 --> 02:39:18,840
HOW WE THINK ABOUT THIS, ET

4166
02:39:18,840 --> 02:39:22,800
CETERA.  

4167
02:39:22,800 --> 02:39:28,000
>> THANK YOU. 

4168
02:39:28,000 --> 02:39:30,760
>> THANK YOU FOR THE

4169
02:39:30,760 --> 02:39:34,760
PRESENTATION. I HAVE A SLIGHT

4170
02:39:34,760 --> 02:39:39,880
TWEAK OF DR. NEBLETT'S QUESTION.

4171
02:39:39,880 --> 02:39:42,200
SO THE CHAL LENG THAT HAS BEEN

4172
02:39:42,200 --> 02:39:44,560
BROUGHT UP AND I THINK WE

4173
02:39:44,560 --> 02:39:45,840
DISCUSSED ON COUNCIL, GEORGIA

4174
02:39:45,840 --> 02:39:49,960
SOUTHERN BY THE WAY IN PUBLIC

4175
02:39:49,960 --> 02:39:54,960
HEALTH. SO THE QUESTION WE HAVE

4176
02:39:54,960 --> 02:39:59,360
CONSISTENTLY STRUGGLE WITH IS

4177
02:39:59,360 --> 02:40:00,720
THE POINT ABOUT DECISION MAKING

4178
02:40:00,720 --> 02:40:01,960
AND WHO MAKES THE DECISION AN

4179
02:40:01,960 --> 02:40:04,280
THINGS YOU BROUGHT UP RELATED

4180
02:40:04,280 --> 02:40:06,960
TOO THAT. HOWEVER INDEPENDENT OF

4181
02:40:06,960 --> 02:40:09,720
THAT, THIS IS CONSISTENTLY AS

4182
02:40:09,720 --> 02:40:11,600
YOU KNOW STUDIED THE LITERATURE

4183
02:40:11,600 --> 02:40:17,560
SO YOU KNOW DECADES THAT WE ASK

4184
02:40:17,560 --> 02:40:18,920
THE SAME QUESTIONS AND LOOK AT

4185
02:40:18,920 --> 02:40:20,080
THE SAME TYPES OF THINGS. YOU

4186
02:40:20,080 --> 02:40:22,560
WORK IN DETROIT SO BASED UPON

4187
02:40:22,560 --> 02:40:26,000
ORIGINS OF YOUR CENTER CAME OUT

4188
02:40:26,000 --> 02:40:27,520
OF THAT. SO MY QUESTION HAS MORE

4189
02:40:27,520 --> 02:40:33,080
TO DO WITH THE MOVING NEEDLE

4190
02:40:33,080 --> 02:40:34,520
SITUATION.  SIMILAR TO WHAT I

4191
02:40:34,520 --> 02:40:36,280
ASKED PREVIOUS SPEAKER, YOU TALK

4192
02:40:36,280 --> 02:40:38,240
STRUCTURAL RACISM, I TALK ABOUT

4193
02:40:38,240 --> 02:40:39,360
STRUCTURE IN GENERAL AND WHO

4194
02:40:39,360 --> 02:40:40,880
MAKES A DECISION RELATED TO

4195
02:40:40,880 --> 02:40:44,080
THAT. WHILE MANY EFFORTS WE

4196
02:40:44,080 --> 02:40:45,400
RECOGNIZE THIS HAS BEEN THERE,

4197
02:40:45,400 --> 02:40:49,240
IT REALLY IS A MIND SET THAT WE

4198
02:40:49,240 --> 02:40:51,360
STUDY AND WE STUDIED OVER AND

4199
02:40:51,360 --> 02:40:53,200
OVER AGAIN, THE QUESTION OF WHY

4200
02:40:53,200 --> 02:40:55,280
DOES RACISM EXIST MANY THE FIRST

4201
02:40:55,280 --> 02:40:57,480
PLACE. GOES BACK HISTORICALLY

4202
02:40:57,480 --> 02:40:58,800
AND YOU MENTIONED SEVERAL PEOPLE

4203
02:40:58,800 --> 02:41:02,200
WHO LOOK AT THE SOCIAL

4204
02:41:02,200 --> 02:41:03,520
EPIDEMIOLOGY OFNA IN THEIR WORK

4205
02:41:03,520 --> 02:41:05,800
SO MY QUESTION IS MORE TO DO

4206
02:41:05,800 --> 02:41:09,360
WITH IF WE ARE GOING TO MAKE THE

4207
02:41:09,360 --> 02:41:10,760
CHANGE, WHAT RECOMMENDATIONS

4208
02:41:10,760 --> 02:41:15,360
THAT ARE ACTIONABLE INTERVENTION

4209
02:41:15,360 --> 02:41:17,160
BASED, THAT CAN BE POINTED TO

4210
02:41:17,160 --> 02:41:18,960
THAT REALLY WOULD MOVE THE

4211
02:41:18,960 --> 02:41:22,400
NEEDLE? WE STUDY -- LOOK AT

4212
02:41:22,400 --> 02:41:26,480
RACE, HOW WE DEFINE SOCIAL

4213
02:41:26,480 --> 02:41:31,160
LOGICALLY AND WE LOOK AT FROM A

4214
02:41:31,160 --> 02:41:34,960
SOCIAL CONTEXT OF THEIR -- THE

4215
02:41:34,960 --> 02:41:37,680
PLACE IN TIME,REAL TIME

4216
02:41:37,680 --> 02:41:40,680
DISCUSSIONS OF THIS, BUT WE ARE

4217
02:41:40,680 --> 02:41:41,360
STILL VEXED EVEN IN ALL THE

4218
02:41:41,360 --> 02:41:44,400
STUDIES THAT ARE BEING DONE, OF

4219
02:41:44,400 --> 02:41:46,640
HOW TO REALLY DESIGN

4220
02:41:46,640 --> 02:41:47,480
INTERVENTIONS PARTICULARLY

4221
02:41:47,480 --> 02:41:50,120
EFFECTIVE INTERVENTIONS THAT

4222
02:41:50,120 --> 02:41:52,040
DEAL WITH THE SOCIAL MENTAL

4223
02:41:52,040 --> 02:41:53,000
HEALTH BEHAVIOR TYPES OF THINGS

4224
02:41:53,000 --> 02:41:54,800
THAT CREATE THE ENVIRONMENT FOR

4225
02:41:54,800 --> 02:41:57,120
RACISM TO EXIST AND DRIVE IN THE

4226
02:41:57,120 --> 02:41:59,920
FIRST PLACE AND THEN CHANGE

4227
02:41:59,920 --> 02:42:01,120
THOSE ENVIRONMENTS BY

4228
02:42:01,120 --> 02:42:02,040
INFLUENCING THOSE WHO MAKE

4229
02:42:02,040 --> 02:42:03,600
DECISIONS TO ALLOW THOSE

4230
02:42:03,600 --> 02:42:04,800
ENVIRONMENTS TO EXIST. AND

4231
02:42:04,800 --> 02:42:08,600
DESPITE THE HARD WORK THERE, IT

4232
02:42:08,600 --> 02:42:10,160
IS STILL SOMETHING THAT WE

4233
02:42:10,160 --> 02:42:13,760
REALLY NEED TO DO. SO I BRING

4234
02:42:13,760 --> 02:42:14,760
THAT QUESTION UP BECAUSE WORK

4235
02:42:14,760 --> 02:42:16,480
YOU ARE LOOKING AT IS TRYING TO

4236
02:42:16,480 --> 02:42:21,480
GET AT BUT I STILL THINK --

4237
02:42:21,480 --> 02:42:23,560
LOOKING AT A LOT OF WORK BEING

4238
02:42:23,560 --> 02:42:27,520
DONE AND FINDING LOT OF WORK

4239
02:42:27,520 --> 02:42:29,400
DONE IN OTHER TYPES OF THINGS,

4240
02:42:29,400 --> 02:42:31,360
NOT REALLY GETTING AT THE ROOT

4241
02:42:31,360 --> 02:42:33,960
ISSUES, THAT WILL INFLUENCE THE

4242
02:42:33,960 --> 02:42:35,920
KIND OF CHANGE THAT NEEDED TO BE

4243
02:42:35,920 --> 02:42:38,240
DONE AND THAT WE HAVE EVIDENCE

4244
02:42:38,240 --> 02:42:40,640
TO SUPPORT THAT, THAT WE CAN

4245
02:42:40,640 --> 02:42:45,160
USE. SORRY IF -- I AM RAMBLING

4246
02:42:45,160 --> 02:42:46,560
BUT THAT IS MY QUESTION, I HEAR

4247
02:42:46,560 --> 02:42:47,960
WHAT YOU ARE SAYING AND THERE IS

4248
02:42:47,960 --> 02:42:49,280
AGREEMENT ABOUT WHAT YOU SAY BUT

4249
02:42:49,280 --> 02:42:51,320
IT IS STILL FALLS SHORTS OF IT,

4250
02:42:51,320 --> 02:42:55,160
IN TERMS OF HOW DO WE MAKE

4251
02:42:55,160 --> 02:42:56,160
RECOMMENDATIONS PARTICULARLY

4252
02:42:56,160 --> 02:42:57,520
COUNCIL LIKE THIS WHO LOOKS AT

4253
02:42:57,520 --> 02:42:59,360
THESE ISSUES FIRST DOMESTICALLY

4254
02:42:59,360 --> 02:43:00,520
BUT ALSO THE BIGGER QUESTION

4255
02:43:00,520 --> 02:43:01,400
WHICH YOU DON'T HAVE TO ANSWER

4256
02:43:01,400 --> 02:43:03,560
BUT I WANT TO BRING UP FOR THE

4257
02:43:03,560 --> 02:43:05,680
RECORD, IS THAT GLOBALLY WHAT

4258
02:43:05,680 --> 02:43:08,280
YOU ARE TALKING ABOUT EXISTS BUT

4259
02:43:08,280 --> 02:43:10,640
THE LEVEL OF WORK ON THAT ISSUE

4260
02:43:10,640 --> 02:43:11,600
GLOBALLY FALLS SIGNIFICANTLY

4261
02:43:11,600 --> 02:43:14,960
SHORT. THANK YOU FOR YOUR TIME. 

4262
02:43:14,960 --> 02:43:16,480
>> THANKS FOR THE QUESTION. I

4263
02:43:16,480 --> 02:43:18,160
WISH I HAD AN ANSWER TO IT.  I

4264
02:43:18,160 --> 02:43:21,840
THINK IF I DID HAVE AN ANSWER TO

4265
02:43:21,840 --> 02:43:23,080
IT YOU WOULDN'T BE ASKING THE

4266
02:43:23,080 --> 02:43:24,080
QUESTION BUT THE FACT IS WE HAVE

4267
02:43:24,080 --> 02:43:26,480
BEEN TALKING ABOUT THIS FOR A

4268
02:43:26,480 --> 02:43:29,360
VERY LONG TIME. AS YOU WELL

4269
02:43:29,360 --> 02:43:32,320
KNOW, AT THE ROOT OF STRUCTURAL

4270
02:43:32,320 --> 02:43:37,160
RACISM ARE ISSUES OF POWER AND

4271
02:43:37,160 --> 02:43:39,960
INEQUITY AND UNTIL WE FIND WAYS

4272
02:43:39,960 --> 02:43:43,480
TO DISRUPT THAT POWER DYNAMIC

4273
02:43:43,480 --> 02:43:47,160
AND SHARE THE POWER AND CHANGE

4274
02:43:47,160 --> 02:43:49,160
THE EXISTING STRUCTURE, WE ARE

4275
02:43:49,160 --> 02:43:51,120
GOING TO CONTINUE TO SEE THE

4276
02:43:51,120 --> 02:43:55,800
SAME PATTERNS. SOME MAY SAY OKAY

4277
02:43:55,800 --> 02:43:59,760
THAT SOUNDS NICE, HOW DO YOU

4278
02:43:59,760 --> 02:44:02,360
DISRUPT POWER? THERE'S PEOPLE

4279
02:44:02,360 --> 02:44:03,680
THAT REALLY HAVE BEEN PUSHING

4280
02:44:03,680 --> 02:44:04,680
FOR REPRESENTATION OF COMMUNITY

4281
02:44:04,680 --> 02:44:06,960
PARTNERS AND PEOPLE WHO ARE

4282
02:44:06,960 --> 02:44:08,960
LIVING THIS EVERY DAY TO BE AT

4283
02:44:08,960 --> 02:44:10,560
THE TABLE AND TO BE PART OF THE

4284
02:44:10,560 --> 02:44:14,160
DECISION MAKING PROCESS AND TO

4285
02:44:14,160 --> 02:44:16,280
WEIGH IN ON REVIEW PANELS AND

4286
02:44:16,280 --> 02:44:18,800
THINGS OF THAT NATURE. WE HAVE

4287
02:44:18,800 --> 02:44:21,560
LISTENING SESSIONS AND WE BRING

4288
02:44:21,560 --> 02:44:23,080
IN FOLKS AND ASK THEM THEIR

4289
02:44:23,080 --> 02:44:28,000
OPINIONS HOW WE CAN MAKE CHANGES

4290
02:44:28,000 --> 02:44:29,160
BUT THAT IS NOT THE CHANGE TO

4291
02:44:29,160 --> 02:44:32,120
LEAD THE STRUCTURAL CHANGE. SO

4292
02:44:32,120 --> 02:44:35,000
HOW CAN WE BE SERIOUS, ASSUMING

4293
02:44:35,000 --> 02:44:37,520
IT WAS A RHETORICAL QUESTION,

4294
02:44:37,520 --> 02:44:40,360
ABOUT THINGS THAT ARE REALLY

4295
02:44:40,360 --> 02:44:43,240
GOING TO CHANGE THE PEOPLE WHO

4296
02:44:43,240 --> 02:44:45,200
ARE AT THE TABLE AND NOT JUST

4297
02:44:45,200 --> 02:44:47,880
FOR A ONE OFF LISTENING SESSION

4298
02:44:47,880 --> 02:44:50,240
BUT WILL BECOME PART OF THE

4299
02:44:50,240 --> 02:44:52,520
STRUCTURE, ABILITY TO CHANGE

4300
02:44:52,520 --> 02:44:54,120
POLICIES, THAT CAN REALLY MAKE A

4301
02:44:54,120 --> 02:44:55,080
DIFFERENCE, I THINK WHEN WE

4302
02:44:55,080 --> 02:44:56,960
START THE TRY TO DO THAT THEN

4303
02:44:56,960 --> 02:44:59,920
MAYBE WE CAN -- WE HAVE A CHANCE

4304
02:44:59,920 --> 02:45:02,480
BUT WHEN YOU TALK ABOUT LONG

4305
02:45:02,480 --> 02:45:05,480
TERM POWER STRUCTURE EMBEDDED

4306
02:45:05,480 --> 02:45:07,560
HISTORICALLY, IT IS GOING TO

4307
02:45:07,560 --> 02:45:08,880
TAKE SOME CREATIVITY AND

4308
02:45:08,880 --> 02:45:10,240
INNOVATION. 

4309
02:45:10,240 --> 02:45:12,720
>> THANK YOU. FOR THAT COMMENT.

4310
02:45:12,720 --> 02:45:19,000
>> I WANT TO THANK YOU DR.

4311
02:45:19,000 --> 02:45:21,000
NEBLETT AND ALL THE COUNCIL AND

4312
02:45:21,000 --> 02:45:22,400
QUESTIONS AND LISTENING THE

4313
02:45:22,400 --> 02:45:23,600
CONSIDERATION OF WHAT WE HEARD

4314
02:45:23,600 --> 02:45:28,000
FROM DR. NEBLETT AND DR. ZENG.

4315
02:45:28,000 --> 02:45:29,600
APPRECIATE YOU ENRIQUE COMING BY

4316
02:45:29,600 --> 02:45:30,720
AGAIN. PLEASURE AS ALWAYS.

4317
02:45:30,720 --> 02:45:32,960
>> THANKS FOR HAVING ME. TAKE

4318
02:45:32,960 --> 02:45:33,560
CARE. 

4319
02:45:33,560 --> 02:45:36,920
>> SO WE ARE AT 2:50. WHICH IS

4320
02:45:36,920 --> 02:45:38,360
APPROXIMATELY FIVE MINUTES LATE.

4321
02:45:38,360 --> 02:45:40,200
WE WILL TAKE A FULL TEN MINUTE

4322
02:45:40,200 --> 02:45:43,040
BREAK THEN START THE NEXT

4323
02:45:43,040 --> 02:45:44,560
SESSION A LIT LATE A THREE

4324
02:45:44,560 --> 02:45:47,080
O'CLOCK WHEN WE WILL HEAR TRY

4325
02:45:47,080 --> 02:45:48,320
ANNUAL REPORT ON INCLUSION WOMEN

4326
02:45:48,320 --> 02:45:50,160
AND MINORITIES AND LA RESEARCH

4327
02:45:50,160 --> 02:45:54,040
AT NIMHH. TAKE CARE AND WE'LL BE

4328
02:45:54,040 --> 02:45:54,960
BACK AT THREE O'CLOCK. SEE YOU

4329
02:45:54,960 --> 02:45:58,240
SOON. NAMHC

4330
02:45:58,240 --> 02:46:01,800
 WE ARE GOING TO LAUNCH

4331
02:46:01,800 --> 02:46:07,720
INTO THE NEXT COMPONENT OF OPEN

4332
02:46:07,720 --> 02:46:09,600
SESSION. WE ARE OBLIGATED TO

4333
02:46:09,600 --> 02:46:10,840
REPORT TO YOU INCLUSION OF

4334
02:46:10,840 --> 02:46:11,760
MINORITIES ON NIMH RESEARCH.

4335
02:46:11,760 --> 02:46:12,000
TIME TO DO THAT AGAIN.

4336
02:46:12,000 --> 02:46:13,640
PRESENTING IS ASHLEY KENNEDY

4337
02:46:13,640 --> 02:46:14,480
CLINICAL TRIALS PROGRAM

4338
02:46:14,480 --> 02:46:16,280
COORDINATOR OFFICE OF CLINICAL

4339
02:46:16,280 --> 02:46:17,800
RESEARCH WHICH OVERSEES

4340
02:46:17,800 --> 02:46:19,160
COMPLIANCE WITH CLINICAL

4341
02:46:19,160 --> 02:46:21,480
RESEARCH REALLY ACROSS THE

4342
02:46:21,480 --> 02:46:25,280
INSTITUTE. DR. KENNEDY.  

4343
02:46:25,280 --> 02:46:27,320
>> THANK YOU FOR THAT

4344
02:46:27,320 --> 02:46:29,200
INTRODUCTION. MY NAME IS ASHLEY

4345
02:46:29,200 --> 02:46:31,400
KENNEDY, I REPRESENT THE

4346
02:46:31,400 --> 02:46:33,200
INCLUSION DATA FOR NIMH FUNDED

4347
02:46:33,200 --> 02:46:35,040
CLINICAL RESEARCH FOR FISCAL

4348
02:46:35,040 --> 02:46:40,400
YEARS 2019 TO 2021. THE NIH

4349
02:46:40,400 --> 02:46:44,400
MANDATES TO MAKE SURE WOMEN AND

4350
02:46:44,400 --> 02:46:46,320
MINORITIES IN CLINICAL RESEARCH

4351
02:46:46,320 --> 02:46:47,680
IN MANNER APPROPRIATE TO

4352
02:46:47,680 --> 02:46:49,440
SCIENTIFIC QUESTION UNDER STUDY

4353
02:46:49,440 --> 02:46:50,880
AND RESEARCH IS GENERALIZABLE TO

4354
02:46:50,880 --> 02:46:52,880
THE ENTIRE POPULATION.  IN LINE

4355
02:46:52,880 --> 02:46:55,840
WITH THAT GOAL, NIH DEFINED

4356
02:46:55,840 --> 02:46:56,600
PHASE 3 CLINICAL TRIALS SHOULD

4357
02:46:56,600 --> 02:46:58,000
BE DESIGNED IN A MANNER

4358
02:46:58,000 --> 02:46:59,800
SUFFICIENT TO PROVIDE VALID

4359
02:46:59,800 --> 02:47:01,000
ANALYSIS OF WHETHER THE

4360
02:47:01,000 --> 02:47:02,600
VARIABLES BEING STUDIED AFFECT

4361
02:47:02,600 --> 02:47:05,000
WOMEN OR MEMBERS OF RACIAL

4362
02:47:05,000 --> 02:47:07,880
ETHNIC MINORITY GROUPS OTHER

4363
02:47:07,880 --> 02:47:10,400
TRIAL PARTICIPANTS. NEXT SLIDE. 

4364
02:47:10,400 --> 02:47:12,000
THE MINIMUM STANDARDS FOR RACE

4365
02:47:12,000 --> 02:47:13,640
ETHNICITY ARE SET BY OFFICE OF

4366
02:47:13,640 --> 02:47:15,280
MANAGEMENT AND BUDGET, CURRENTLY

4367
02:47:15,280 --> 02:47:17,120
THERE ARE FIVE RACIAL CATEGORIES

4368
02:47:17,120 --> 02:47:18,640
AND TWO ETHNIC CATEGORIES. NEXT

4369
02:47:18,640 --> 02:47:25,640
SLIDE.  RATION AND ETHNICITY ARE

4370
02:47:25,640 --> 02:47:29,400
DISTINCT CONCEPTS. MANY MAY

4371
02:47:29,400 --> 02:47:30,520
IDENTIFY WITH RACIAL ANDETH IN I

4372
02:47:30,520 --> 02:47:33,320
CAN CATEGORY. INDIVIDUALS HAVE

4373
02:47:33,320 --> 02:47:35,400
OPTION WITH MORE THAN ONE RACIAL

4374
02:47:35,400 --> 02:47:36,800
CATEGORY. WITH A RESEARCH

4375
02:47:36,800 --> 02:47:38,400
PARTICIPANT IDENTIFIES MORE THAN

4376
02:47:38,400 --> 02:47:39,520
ONE RACIAL CATEGORY THEY REPORT

4377
02:47:39,520 --> 02:47:43,200
AS MORE THAN ONE RACE.  WHENEVER

4378
02:47:43,200 --> 02:47:44,720
POSSIBLE SELECTION OF RACIAL

4379
02:47:44,720 --> 02:47:46,600
ETHNIC CATEGORIES SHOULD BE

4380
02:47:46,600 --> 02:47:47,560
COMPLETE BY INDIVIDUAL

4381
02:47:47,560 --> 02:47:49,560
PARTICIPATING IN RESEARCH STUDY.

4382
02:47:49,560 --> 02:47:50,960
INDIVIDUALS ALSO HAVE OPTION TO

4383
02:47:50,960 --> 02:47:53,400
NOT PROVIDE THIS INFORMATION. IF

4384
02:47:53,400 --> 02:47:54,600
A RESEARCH PARTICIPANT ELECTS TO

4385
02:47:54,600 --> 02:47:56,400
NOT PROVIDE THIS INFORMATION,

4386
02:47:56,400 --> 02:47:58,400
THEY ARE REPORTED AS UNKNOWN NOT

4387
02:47:58,400 --> 02:48:02,120
REPORTED. TODAY I WILL PRESENT

4388
02:48:02,120 --> 02:48:04,440
DATA ON ALL NIMH EXTRAMURAL

4389
02:48:04,440 --> 02:48:06,600
INTRAMURAL CLINICAL RESEARCH AND

4390
02:48:06,600 --> 02:48:07,240
NIH DEFINED PHASE 3 CLINICAL

4391
02:48:07,240 --> 02:48:14,360
TRIALS.  I ARE START ARE DATA

4392
02:48:14,360 --> 02:48:15,440
FROM NIMH EXTRAMURAL CLINICAL

4393
02:48:15,440 --> 02:48:18,800
VERGE. OVERALL ENROLLMENT TO

4394
02:48:18,800 --> 02:48:20,000
EXTRAMURAL CLINICAL RESEARCH BY

4395
02:48:20,000 --> 02:48:22,120
SEX GENDER REMAIN CONSISTENT

4396
02:48:22,120 --> 02:48:25,080
FROM 2019 TO 2021, ON AVERAGE

4397
02:48:25,080 --> 02:48:27,680
54% PARTICIPANTS WERE FEMALE,

4398
02:48:27,680 --> 02:48:34,600
44% MALE AND 2% UNKNOWN.  IN

4399
02:48:34,600 --> 02:48:36,080
TERMS OF NIMH ENROLLMENT

4400
02:48:36,080 --> 02:48:37,600
EXTRAMURAL RESERGE BY RACE, THIS

4401
02:48:37,600 --> 02:48:39,840
FIRST SLIDE DEPICTS THE COUNTS

4402
02:48:39,840 --> 02:48:41,320
FOR EACH RACE GIVEN FISCAL YEAR

4403
02:48:41,320 --> 02:48:42,560
AND IN THE NEXT SLIDE YOU WILL

4404
02:48:42,560 --> 02:48:45,560
SEE RACE PRESENTED BY

4405
02:48:45,560 --> 02:48:46,640
PERCENTAGES.  THIS WAS DONE THE

4406
02:48:46,640 --> 02:48:48,400
EXPLAIN THE TRAINING AFRICAN

4407
02:48:48,400 --> 02:48:49,640
AMERICAN ENROLLMENT IN

4408
02:48:49,640 --> 02:48:50,880
EXTRAMURAL CLINICAL RESEARCH.

4409
02:48:50,880 --> 02:48:52,600
THE LARGEST RACIAL MINORITY

4410
02:48:52,600 --> 02:48:54,000
GROUPS WERE AFRICAN AMERICAN AND

4411
02:48:54,000 --> 02:48:56,640
ASIAN. AFRICAN AMERICAN

4412
02:48:56,640 --> 02:48:58,760
ENROLLMENT INCREASED FROM 2019

4413
02:48:58,760 --> 02:49:01,520
TO 2020 AND 2021 AFRICAN

4414
02:49:01,520 --> 02:49:03,720
AMERICAN ENROLLMENT SLIGHTLY

4415
02:49:03,720 --> 02:49:06,400
DECREASED.  WHITE ENROLLMENT

4416
02:49:06,400 --> 02:49:08,240
CONSISTENTLY INCREASED ACROSS

4417
02:49:08,240 --> 02:49:09,520
FISCAL YEARS. THE INCREASE FROM

4418
02:49:09,520 --> 02:49:12,200
2019 TO 2020 FOR UNKNOWN RACE

4419
02:49:12,200 --> 02:49:13,120
MAYBE ACCOUNTED FOR BY

4420
02:49:13,120 --> 02:49:14,800
EXTRAMURAL PROJECT THAT IS

4421
02:49:14,800 --> 02:49:16,760
BUILDING A GENETIC BANK IN

4422
02:49:16,760 --> 02:49:21,200
UNDER-REPRESENTED POPULATIONS

4423
02:49:21,200 --> 02:49:22,800
AND LARGE TRIAL IMPLEMENTING

4424
02:49:22,800 --> 02:49:25,400
COLLABORATIVE CARE FOR PERINATAL

4425
02:49:25,400 --> 02:49:28,360
DEPRESSION. THIS SLIDE DEPICTS

4426
02:49:28,360 --> 02:49:29,600
PERCENTAGE FOR EACH RACE

4427
02:49:29,600 --> 02:49:32,200
FORGIVEN FISCAL YEAR. SO

4428
02:49:32,200 --> 02:49:33,400
ALTHOUGH AFRICAN AMERICAN

4429
02:49:33,400 --> 02:49:36,000
ENROLLMENT INCREASED FROM 2019

4430
02:49:36,000 --> 02:49:37,160
TO 2020 DEPICTED IN PREVIOUS

4431
02:49:37,160 --> 02:49:39,840
SLIDE, DUE TO THE OVERALL

4432
02:49:39,840 --> 02:49:40,760
PERCENT -- PARTICIPANT

4433
02:49:40,760 --> 02:49:43,400
ENROLLMENT INCREASE TO BETWEEN

4434
02:49:43,400 --> 02:49:46,400
2019 AND 2020 THE PERCENTAGE FOR

4435
02:49:46,400 --> 02:49:48,400
AFRICAN AMERICAN ENROLLMENT

4436
02:49:48,400 --> 02:49:50,560
DECREASED IN 2021 AFRICAN

4437
02:49:50,560 --> 02:49:51,880
AMERICAN ENROLLMENT DECREASED

4438
02:49:51,880 --> 02:49:53,120
WHICH FURTHER ACCOUNTS FOR

4439
02:49:53,120 --> 02:49:54,760
REDUCTION IN THIS GROUP

4440
02:49:54,760 --> 02:50:01,880
ENROLLMENT PERCENTAGE.  

4441
02:50:01,880 --> 02:50:03,520
ENROLLMENT BY ETHNICITY ON

4442
02:50:03,520 --> 02:50:04,920
AVERAGE 10% PARTICIPANTS WERE

4443
02:50:04,920 --> 02:50:10,520
HISPANIC OR LATINO. NOW PIVOT TO

4444
02:50:10,520 --> 02:50:12,880
DATA FROM NIMH INTRAMURAL

4445
02:50:12,880 --> 02:50:15,720
CLINICAL RESEARCH. ACROSS THE

4446
02:50:15,720 --> 02:50:18,160
FISCAL YEARS FOR ENROLLMENT TO

4447
02:50:18,160 --> 02:50:20,360
INTRAMURAL RESEARCH 48%

4448
02:50:20,360 --> 02:50:22,680
PARTICIPANTS WERE FEMALE, 42%

4449
02:50:22,680 --> 02:50:28,200
MALE AND 10% WERE UNKNOWN. IF

4450
02:50:28,200 --> 02:50:29,120
RACIAL DISTRIBUTION OF

4451
02:50:29,120 --> 02:50:30,120
PARTICIPANTS IN INTRAMURAL

4452
02:50:30,120 --> 02:50:31,520
RESEARCH WAS SIMILAR ACROSS THE

4453
02:50:31,520 --> 02:50:33,600
FISCAL YEARS. MAJORITY OF

4454
02:50:33,600 --> 02:50:36,000
PARTICIPANTS IDENTIFIED AS WHITE

4455
02:50:36,000 --> 02:50:38,440
ON AVERAGE 64%. OWN KNOWN RACE

4456
02:50:38,440 --> 02:50:40,160
WAS ON AVERAGE 16% WHICH IS

4457
02:50:40,160 --> 02:50:42,160
MOSTLY ACCOUNTED FOR BY FOUR

4458
02:50:42,160 --> 02:50:43,800
LARGE INTRAMURAL STUDIES. THE

4459
02:50:43,800 --> 02:50:45,400
LARGEST RACIAL ETHNIC MINORITY

4460
02:50:45,400 --> 02:50:47,960
GROUPS WERE AFRICAN AMERICAN, ON

4461
02:50:47,960 --> 02:50:50,480
AVERAGE 11% AND ASIAN ON AVERAGE

4462
02:50:50,480 --> 02:50:55,600
6%. MENTION SLIDE.  ENROLLMENT

4463
02:50:55,600 --> 02:50:56,160
INTO INTRAMURAL CLINICAL

4464
02:50:56,160 --> 02:50:59,000
RESEARCH BY ETHNICITY, 5%

4465
02:50:59,000 --> 02:51:01,600
PARTICIPANTS WERE HISPANIC OR

4466
02:51:01,600 --> 02:51:04,080
LATINO. LASTLY I WILL BE

4467
02:51:04,080 --> 02:51:07,880
DISCUSSING DATA ON NIMH PHASE 3

4468
02:51:07,880 --> 02:51:11,680
CLINICAL TRIALS. ON AVERAGE 67%

4469
02:51:11,680 --> 02:51:14,440
OF PARTICIPANTS WERE FEMALE

4470
02:51:14,440 --> 02:51:15,480
SLIGHT FLUCTUATIONS IN FEMA

4471
02:51:15,480 --> 02:51:16,360
REPRESENTATION ACROSS FISCAL

4472
02:51:16,360 --> 02:51:18,920
YEARS. THE LARGE INCREASE IN

4473
02:51:18,920 --> 02:51:21,000
ENROLLMENT FROM 2020 TO 2021

4474
02:51:21,000 --> 02:51:22,560
MAYBE ACCOUNTED FOR BY TWO

4475
02:51:22,560 --> 02:51:24,600
EXTRAMURAL RESEARCH STUDIES.  

4476
02:51:24,600 --> 02:51:26,200
ONE LARGE SCALE TRIAL UTILIZING

4477
02:51:26,200 --> 02:51:27,520
MOBILE TECHNOLOGY AND COLLEGE

4478
02:51:27,520 --> 02:51:29,200
POPULATIONS WITH MENTAL

4479
02:51:29,200 --> 02:51:30,880
DISORDERS, AND PRAGMATIC TRIAL

4480
02:51:30,880 --> 02:51:33,520
EVALUATING STRATEGIES FOR THE

4481
02:51:33,520 --> 02:51:34,800
IMPLEMENTATION eHEALTH HIV

4482
02:51:34,800 --> 02:51:39,600
PREVENTION PROGRAM. IN TERMS OF

4483
02:51:39,600 --> 02:51:41,400
NIMH ENROLLMENT IN PHASE 3

4484
02:51:41,400 --> 02:51:43,080
CLINICAL TRIALS BY RACE, THIS

4485
02:51:43,080 --> 02:51:44,720
FIRST SLIDE DEPICTS COUNTS FOR

4486
02:51:44,720 --> 02:51:46,280
EACH RACE FORGIVEN FISCAL YEAR

4487
02:51:46,280 --> 02:51:47,960
AND THE NEXT SLIDE YOU WILL SEE

4488
02:51:47,960 --> 02:51:49,800
RACE PRESENTED BY PERCENTAGES.  

4489
02:51:49,800 --> 02:51:51,600
THIS WAS DONE TO EXPLAIN

4490
02:51:51,600 --> 02:51:52,880
TRAINING AFRICAN AMERICAN

4491
02:51:52,880 --> 02:51:55,000
ENROLLMENT IN PHASE 3 CLINICAL

4492
02:51:55,000 --> 02:51:56,760
TRIALS. THE LARGEST RACIAL GROUP

4493
02:51:56,760 --> 02:51:59,320
IN PHASE 3 CLINICAL TRIALS IS

4494
02:51:59,320 --> 02:52:02,320
AFRICAN AMERICAN. IN 2019 THE

4495
02:52:02,320 --> 02:52:04,600
LARGE AFRICAN AMERICAN

4496
02:52:04,600 --> 02:52:05,200
ENROLLMENT IN PHASE 3 CLINICAL

4497
02:52:05,200 --> 02:52:06,960
TRIALS MAYBE ACCOUNTED FOR BY

4498
02:52:06,960 --> 02:52:08,760
EXTRAMURAL TRIAL EVALUATING

4499
02:52:08,760 --> 02:52:10,800
COMMUNITY SUPPORT WORKER

4500
02:52:10,800 --> 02:52:11,720
INTERVENTION FOR HIV WHICH

4501
02:52:11,720 --> 02:52:12,440
COMPLETED ENROLLMENT THAT

4502
02:52:12,440 --> 02:52:17,200
YEARMENT AFRICAN AMERICAN

4503
02:52:17,200 --> 02:52:18,360
ENROLLMENT REMAINED CONSISTENT

4504
02:52:18,360 --> 02:52:20,240
IN 2020 AND 2021 AFRICAN

4505
02:52:20,240 --> 02:52:21,400
AMERICAN ENROLLMENT

4506
02:52:21,400 --> 02:52:23,400
SIGNIFICANTLY INCREASED.  NEXT

4507
02:52:23,400 --> 02:52:27,280
SLIDE.  THIS SLIDE DEPICTS THE

4508
02:52:27,280 --> 02:52:28,840
PERCENTAGE FOR RACE FORGIVEN

4509
02:52:28,840 --> 02:52:31,200
FISCAL YEAR. SO ALTHOUGH AFRICAN

4510
02:52:31,200 --> 02:52:32,640
AMERICAN ENROLLMENT REMAINED

4511
02:52:32,640 --> 02:52:36,120
RELATIVELY CONSISTENT IN 2019

4512
02:52:36,120 --> 02:52:38,120
AND 2020, AS DEPICTED PREVIOUS

4513
02:52:38,120 --> 02:52:40,200
SLIDE DUE TO OVERALL PHASE 3

4514
02:52:40,200 --> 02:52:41,440
CLINICAL TRIALS PARTICIPANT

4515
02:52:41,440 --> 02:52:43,600
ENROLLMENT INCREASE FROM 2019 TO

4516
02:52:43,600 --> 02:52:46,200
2020 THE PERCENTAGE FOR AFRICAN

4517
02:52:46,200 --> 02:52:48,680
AMERICAN ENROLLMENT DECREASED.

4518
02:52:48,680 --> 02:52:50,360
IN 2021, AFRICAN AMERICAN

4519
02:52:50,360 --> 02:52:52,600
ENROLLMENT SIGNIFICANTLY

4520
02:52:52,600 --> 02:52:54,760
INCREASED HOWEVER THE OVERALL

4521
02:52:54,760 --> 02:52:55,280
PHASE 3 CLINICAL TRIAL

4522
02:52:55,280 --> 02:52:56,320
PARTICIPANTS ENROLLMENT

4523
02:52:56,320 --> 02:52:57,840
INCREASED WHICH ACCOUNTS FOR THE

4524
02:52:57,840 --> 02:52:59,200
REDUCTION IN THIS GROUP

4525
02:52:59,200 --> 02:53:05,000
ENROLLMENT PERCENTAGE.  ON

4526
02:53:05,000 --> 02:53:06,000
AVERAGE 6.8% PARTICIPANTS

4527
02:53:06,000 --> 02:53:07,920
IDENTIFY ETHNICITY AS HISPANIC

4528
02:53:07,920 --> 02:53:10,000
WITH INCREASE IN HISPANIC

4529
02:53:10,000 --> 02:53:12,720
PARTICIPATION ACROSS THE FISCAL

4530
02:53:12,720 --> 02:53:14,600
YEAR. THE LARGE INCREASE IN

4531
02:53:14,600 --> 02:53:16,040
ENROLLMENT AMONG INDIVIDUALS WHO

4532
02:53:16,040 --> 02:53:18,080
REPORTED HISPANIC ETHNICITY FROM

4533
02:53:18,080 --> 02:53:20,640
2020 TO 2021, MAYBE ACCOUNTED

4534
02:53:20,640 --> 02:53:22,600
FOR BY THREE EXTRAMURAL

4535
02:53:22,600 --> 02:53:24,560
PROJECTSS. A LARGE SCALE TRIAL

4536
02:53:24,560 --> 02:53:26,200
UTILIZING MOBILE TECHNOLOGY AND

4537
02:53:26,200 --> 02:53:27,880
COLLEGE POPULATIONS WITH MENTAL

4538
02:53:27,880 --> 02:53:30,200
DISORDERS, A PRAGMATIC TRIAL

4539
02:53:30,200 --> 02:53:32,000
EVALUATING STRATEGIES FOR

4540
02:53:32,000 --> 02:53:33,400
IMPLEMENTATION OF E HEALTH HIV

4541
02:53:33,400 --> 02:53:35,600
PREVENTION PROGRAM.  AND TRIAL

4542
02:53:35,600 --> 02:53:36,840
EVALUATING THE EFFECT OF

4543
02:53:36,840 --> 02:53:38,400
INTERNET BASED COGNITIVE

4544
02:53:38,400 --> 02:53:39,880
BEHAVIORAL THERAPY IN COLLEGE

4545
02:53:39,880 --> 02:53:44,440
STUDENTS WITH MENTAL DISORDERS. 

4546
02:53:44,440 --> 02:53:48,040
THANK YOU FOR YOUR TIME.  .

4547
02:53:48,040 --> 02:53:49,960
>> THANK YOU VERY MUCH, ASHLEY

4548
02:53:49,960 --> 02:53:54,000
FOR THE CLEAR PRESENTATION. ANY

4549
02:53:54,000 --> 02:54:03,040
QUESTIONS FROM COUNCIL? ASHLEY,

4550
02:54:03,040 --> 02:54:06,000
IF I MIGHT IN APPRECIATE THE

4551
02:54:06,000 --> 02:54:07,080
ATTEMPT TO TRY -- LET ME TURN IT

4552
02:54:07,080 --> 02:54:12,000
OVER TO LAURA ACTUALLY. ALMASY.

4553
02:54:12,000 --> 02:54:14,520
>> LAURA ALMASY FROM CHILDREN

4554
02:54:14,520 --> 02:54:15,360
HOSPITAL PHILADELPHIA,

4555
02:54:15,360 --> 02:54:16,360
UNIVERSITY OF PENNSYLVANIA. CAN

4556
02:54:16,360 --> 02:54:19,120
YOU SAY A LITTLE BIT ABOUT THE

4557
02:54:19,120 --> 02:54:20,720
NUMBERS OF STUDIES IN EACH OF

4558
02:54:20,720 --> 02:54:22,280
THESE CATEGORIES? IT SEEMS LIKE

4559
02:54:22,280 --> 02:54:24,440
THE NUMBERS FROM YEAR-TO-YEAR

4560
02:54:24,440 --> 02:54:27,560
ARE INFLUENCED A GREAT DEAL BY

4561
02:54:27,560 --> 02:54:31,040
PARTICULAR STUDIES COMING ON OR

4562
02:54:31,040 --> 02:54:31,320
OFFLINE.

4563
02:54:31,320 --> 02:54:35,040
>> SO YOU WOULD LIKE TO KNOW THE

4564
02:54:35,040 --> 02:54:38,840
NUMBER OF GRANTS ASSOCIATED

4565
02:54:38,840 --> 02:54:40,040
INCLUSION ENROLLMENT REPORTS FOR

4566
02:54:40,040 --> 02:54:42,880
THE GIVEN FISCAL YEARS?

4567
02:54:42,880 --> 02:54:47,320
>> YES. SO HOW MANY NIH FUNDED

4568
02:54:47,320 --> 02:54:49,840
NIMH FUNDED PHASE 3 CLINICAL

4569
02:54:49,840 --> 02:54:51,560
TRIALS ARE THERE? SEEMS LIKE ONE

4570
02:54:51,560 --> 02:54:52,760
OR TWO STUDIES COMING IN AND

4571
02:54:52,760 --> 02:54:57,000
OUT. OUT.  IS REALLY DRIVING THE

4572
02:54:57,000 --> 02:54:58,640
YEAR-TO-YEAR TRENDS.

4573
02:54:58,640 --> 02:55:00,360
>> I DON'T HAVE EXACT NUMBERS OF

4574
02:55:00,360 --> 02:55:01,880
STUDIES BECAUSE IT -- IT IS A

4575
02:55:01,880 --> 02:55:04,800
LOT OF GRANTS THAT MAKE UP THE

4576
02:55:04,800 --> 02:55:06,560
DATA. . I'M HAPPY TO GET THAT

4577
02:55:06,560 --> 02:55:08,080
DATA FOR YOU THOUGH. I WOULD

4578
02:55:08,080 --> 02:55:09,840
HAVE TO TAKE A DEEPER DIVE AND

4579
02:55:09,840 --> 02:55:11,600
LOOK AT NUMBER OF STUDIES.  

4580
02:55:11,600 --> 02:55:13,560
>> THERE IS A LOT OF STUDIES BUT

4581
02:55:13,560 --> 02:55:17,080
A FEW ARE SO LARGE THAT THEY --

4582
02:55:17,080 --> 02:55:17,640
THEY DOMINATE THINGS.

4583
02:55:17,640 --> 02:55:22,560
>> YES. THAT IS CORRECT.  OR

4584
02:55:22,560 --> 02:55:24,600
THEY ACCOUNT FOR INCREASES

4585
02:55:24,600 --> 02:55:29,880
ACROSS FISCAL YEARS.  

4586
02:55:29,880 --> 02:55:31,760
>> LAURA, WHAT MY QUESTION WAS

4587
02:55:31,760 --> 02:55:35,240
GOING TO GET AT IS THE LEVEL OF

4588
02:55:35,240 --> 02:55:37,120
-- DEGREE WHICH THESE LARGE

4589
02:55:37,120 --> 02:55:40,200
STUDIES IMPACT OVERALL

4590
02:55:40,200 --> 02:55:44,720
PERCENTAGES. SUGGESTING WE NEED

4591
02:55:44,720 --> 02:55:47,760
WAY TO CLARIFY, DIVIDE BY

4592
02:55:47,760 --> 02:55:49,600
CATEGORIES THAT NIH ASKS TO

4593
02:55:49,600 --> 02:55:52,720
REPORT OUT LIKE PHASE 3 CLINICAL

4594
02:55:52,720 --> 02:55:56,400
TRIALS BUT IMPORTANT TO GET AT

4595
02:55:56,400 --> 02:55:58,960
ONE ENCOURAGING FACTORS ABLE TO

4596
02:55:58,960 --> 02:56:00,800
ACHIEVE PREPRETTY SUBSTANTIAL

4597
02:56:00,800 --> 02:56:01,920
DEGREE PARTICIPATION AMONG

4598
02:56:01,920 --> 02:56:06,840
AFRICAN AMERICANS, AND MAYBE

4599
02:56:06,840 --> 02:56:07,760
PROPORTIONAL REPRESENTATION OF

4600
02:56:07,760 --> 02:56:09,560
HISPANICS OVERALL THOUGH TRICKY

4601
02:56:09,560 --> 02:56:11,440
TO DO THAT. BUT I THINK THERE

4602
02:56:11,440 --> 02:56:12,840
ARE -- IT IS UNCLEAR TO WHAT

4603
02:56:12,840 --> 02:56:15,960
KINDS OF STUDIES WE ARE REACHING

4604
02:56:15,960 --> 02:56:22,840
ON THESE VARIOUS MINORS AND

4605
02:56:22,840 --> 02:56:24,000
WHETHER OVERALL PORTFOLIO IS

4606
02:56:24,000 --> 02:56:26,600
BALANCED IN TERMS OF

4607
02:56:26,600 --> 02:56:28,320
REPRESENTATION THAT IS EFFECTIVE

4608
02:56:28,320 --> 02:56:29,120
SO PARSING THAT OUT WOULD BE

4609
02:56:29,120 --> 02:56:32,880
HELPFUL. 

4610
02:56:32,880 --> 02:56:34,880
>> THE REPORT DOES DETAIL THE

4611
02:56:34,880 --> 02:56:39,000
TOTAL NUMBER OF INCLUSION ENROLL

4612
02:56:39,000 --> 02:56:42,480
ENROLLMENT REPORTS FOR EACH

4613
02:56:42,480 --> 02:56:43,160
FISCAL YERKES, THAT GOES IN LINE

4614
02:56:43,160 --> 02:56:46,480
WITH NUMBER OF GRANTS.  I PULLED

4615
02:56:46,480 --> 02:56:48,000
THAT UP IF YOU WANT ME TO GO

4616
02:56:48,000 --> 02:56:48,360
THROUGH THIS.

4617
02:56:48,360 --> 02:56:53,000
>> LET ME SEE. SORRY. YOU DON'T

4618
02:56:53,000 --> 02:56:55,960
HAVE A SHOWING RIGHT NOW.  

4619
02:56:55,960 --> 02:56:59,560
>> I PULLED IT UP IN THE REPORT.

4620
02:56:59,560 --> 02:57:01,760
>> THANK YOU VERY MUCH. ANY

4621
02:57:01,760 --> 02:57:02,440
OTHER QUESTIONS OR COMMENTS FROM

4622
02:57:02,440 --> 02:57:06,440
COUNCIL? APPRECIATE THE REPORT

4623
02:57:06,440 --> 02:57:07,280
OUT, THANK YOU VERY MUCH. THANKS

4624
02:57:07,280 --> 02:57:09,240
TO ALL THE COLLEAGUES AT OCR

4625
02:57:09,240 --> 02:57:11,120
OFFICE OF CLINICAL RESEARCH

4626
02:57:11,120 --> 02:57:12,640
WHICH HELPS PREPARE THIS AND

4627
02:57:12,640 --> 02:57:18,600
MORE IMPORTANTLY HELPS MONITOR

4628
02:57:18,600 --> 02:57:21,880
CLINICAL PROGRAMS SOME OF THE

4629
02:57:21,880 --> 02:57:23,280
REPORT OUT IN THE PAST IN TERMS

4630
02:57:23,280 --> 02:57:25,000
OF WHAT WE DO, THEY DON'T COME

4631
02:57:25,000 --> 02:57:26,480
UP IN CLOSE SESSION, THEY DON'T

4632
02:57:26,480 --> 02:57:29,560
REVIEW GRANTS, THEY HELP US

4633
02:57:29,560 --> 02:57:32,560
ENSURE THAT OUR OUR CLINICAL

4634
02:57:32,560 --> 02:57:35,720
TRIALS AND OTHER STUDIES

4635
02:57:35,720 --> 02:57:38,520
ENGAGING CLINICAL SUBJECTS ARE

4636
02:57:38,520 --> 02:57:41,320
DONE ETHICALLY, RESPONSIBLY, THE

4637
02:57:41,320 --> 02:57:44,720
DATA IS SAFEGUARDED, MAJOR

4638
02:57:44,720 --> 02:57:47,640
OPERATION AND APPRECIATE IN THE

4639
02:57:47,640 --> 02:57:51,240
DIRECTOR OF OCR WAS JUST

4640
02:57:51,240 --> 02:57:55,120
APPOINTED THIS YEAR AND ORONES

4641
02:57:55,120 --> 02:57:56,800
RUNS A GREAT SHOT SO THANKS TO

4642
02:57:56,800 --> 02:57:57,400
EVERYONE THERE FOR THIS

4643
02:57:57,400 --> 02:57:59,760
PRESENTATION.  I THINK THIS PUTS

4644
02:57:59,760 --> 02:58:03,320
US A LITTLE BIT AHEAD OF TIME. 

4645
02:58:03,320 --> 02:58:05,200
>> JUST HAVE TO TAKE A VOTE ON

4646
02:58:05,200 --> 02:58:05,600
THAT REPORT. 

4647
02:58:05,600 --> 02:58:06,800
>> HE CAN O. 

4648
02:58:06,800 --> 02:58:08,320
>> I ACTUALLY HAVE A QUESTION. 

4649
02:58:08,320 --> 02:58:15,880
>> GO AHEAD BRIAN.  

4650
02:58:15,880 --> 02:58:17,520
>> IT IS INTERESTING TO ME

4651
02:58:17,520 --> 02:58:19,200
FEMALES ARE GENERALLY

4652
02:58:19,200 --> 02:58:21,880
OVERREPRESENTED VERSUS MALES IN

4653
02:58:21,880 --> 02:58:25,800
THE CLINICAL TRIALS. WE DON'T

4654
02:58:25,800 --> 02:58:27,360
NEED THIS INFORMATION NOW BUT IS

4655
02:58:27,360 --> 02:58:30,640
THERE A BREAK DOWN IN TERMS OF

4656
02:58:30,640 --> 02:58:34,000
BASICALLY DIAGNOSIS? BECAUSE

4657
02:58:34,000 --> 02:58:37,280
JOSH IS NODDING HERM IT IS WELL

4658
02:58:37,280 --> 02:58:41,600
KNOWN THERE ARE DIFFERENCES IN

4659
02:58:41,600 --> 02:58:44,240
PREVALENCE RATES AMONG SEXES FOR

4660
02:58:44,240 --> 02:58:44,920
SCHIZOPHRENIA, DEPRESSION AND SO

4661
02:58:44,920 --> 02:58:50,840
ON. DOES THIS SORT OF OVER -- I

4662
02:58:50,840 --> 02:58:52,000
WOULD SAY OVERREPRESENTATION BUT

4663
02:58:52,000 --> 02:58:54,200
LARGER NUMBER OF FEMALES THAN

4664
02:58:54,200 --> 02:58:58,280
MALES BECAUSE THERE ARE MORE

4665
02:58:58,280 --> 02:59:02,000
DISEASE ENTITIES BEING

4666
02:59:02,000 --> 02:59:07,320
INVESTIGATED THAT ARE -- HAVE A

4667
02:59:07,320 --> 02:59:08,560
PREVALENCE IN FEMALES MORE THAN

4668
02:59:08,560 --> 02:59:11,360
MALES.  IS THAT YOUR SENSE OR

4669
02:59:11,360 --> 02:59:12,640
WAS THERE SOMETHING ELSE? 

4670
02:59:12,640 --> 02:59:14,840
>> THAT IS AN ASSUMPTION WHICH I

4671
02:59:14,840 --> 02:59:16,600
DON'T THINK WE HAVE THE DATA TO

4672
02:59:16,600 --> 02:59:17,800
ANSWER. I DON'T KNOW IF YOU CAN

4673
02:59:17,800 --> 02:59:21,160
ANSWER HA QUESTION AT ALL. 

4674
02:59:21,160 --> 02:59:23,440
>> THE REPORT DOES NOTE TOTAL

4675
02:59:23,440 --> 02:59:24,600
NUMBER OF PARTICIPANTS ENROLLED

4676
02:59:24,600 --> 02:59:28,960
IN PROJECTS ASSOCIATED WITH

4677
02:59:28,960 --> 02:59:31,040
RESEARCH CONDITION, OR DISEASE

4678
02:59:31,040 --> 02:59:32,800
CATEGORY CAN BE DISPLAYED BY SEX

4679
02:59:32,800 --> 02:59:36,120
GENDER RACE ETHNICITY.  AND THAT

4680
02:59:36,120 --> 02:59:38,200
WILL BE PUBLISHED MARCH 1 THIS

4681
02:59:38,200 --> 02:59:48,080
YEAR. IT HAS TO DO WITH RCDC

4682
02:59:48,080 --> 02:59:51,600
>> GREAT, THANK YOU. THANKS. WE

4683
02:59:51,600 --> 02:59:53,120
WILL GO AHEAD AND HAND OFF TO

4684
02:59:53,120 --> 02:59:55,240
TRACY TO CONDUCT THE VOTE.  

4685
02:59:55,240 --> 02:59:58,560
>> OKAY. SURE. SO WE ARE SEEKING

4686
02:59:58,560 --> 03:00:05,120
A MOTION FOR APPROVAL OF THE

4687
03:00:05,120 --> 03:00:07,400
NIMH TRIENNIAL REPORT WHICH

4688
03:00:07,400 --> 03:00:09,400
PROVIDED INFORMATION HOW NIH

4689
03:00:09,400 --> 03:00:10,400
COMPLIED WITH REQUIREMENT TO

4690
03:00:10,400 --> 03:00:13,680
REPORT INCLUSION DATA DATA. SO
IS

4691
03:00:13,680 --> 03:00:15,200
THERE A MOTION TO APPROVE? I SEE

4692
03:00:15,200 --> 03:00:17,200
IT AND A SECOND. SO ALL THOSE IN

4693
03:00:17,200 --> 03:00:19,000
FAVOR OF APPROVING THIS REPORT

4694
03:00:19,000 --> 03:00:23,240
YOU CAN RAISE YOUR HAND.  ALL

4695
03:00:23,240 --> 03:00:29,600
RIGHT. 13 YOU CAN TAKE YOUR

4696
03:00:29,600 --> 03:00:33,200
HANDS DOWN NOW. ANY VOTES TO NOT

4697
03:00:33,200 --> 03:00:38,040
APPROVE THE REPORT? ANY

4698
03:00:38,040 --> 03:00:40,960
ABSTENTIONS? WE ARE ALL SET

4699
03:00:40,960 --> 03:00:42,920
THEN, THANK YOU SO MUCH. 

4700
03:00:42,920 --> 03:00:44,600
>> TRACY YOU SHOULD INTRODUCE

4701
03:00:44,600 --> 03:00:46,560
YOURSELF FOR THE VIDEOCAST

4702
03:00:46,560 --> 03:00:47,560
AUDIENCE, NOT SURE YOU HAVE DONE

4703
03:00:47,560 --> 03:00:47,960
THAT TODAY.

4704
03:00:47,960 --> 03:00:52,040
>> I APOLOGIZE.  I'M TRACY --

4705
03:00:52,040 --> 03:00:53,000
EXECUTIVE SECRETARY FOR THE

4706
03:00:53,000 --> 03:00:54,080
COUNCIL AND DIRECTOR OF THE

4707
03:00:54,080 --> 03:00:56,080
DIVISION OF EXTRAMURAL

4708
03:00:56,080 --> 03:00:57,120
ACTIVITIES HERE AT NIMH. 

4709
03:00:57,120 --> 03:01:00,520
>> THANK YOU. 

4710
03:01:00,520 --> 03:01:02,440
>> I THINK WE SHOULD GO AHEAD

4711
03:01:02,440 --> 03:01:04,360
AND MOVE ON, WE ARE A LITTLE

4712
03:01:04,360 --> 03:01:05,800
AHEAD OF SCHEDULE, SO THAT MIGHT

4713
03:01:05,800 --> 03:01:07,280
ALLOW US TO TAKE A BREAK LATER

4714
03:01:07,280 --> 03:01:10,120
IF WE NEED TO.  KNOWING HOW MUCH

4715
03:01:10,120 --> 03:01:13,360
WE LIKE TO DISCUSS THINGS HERE

4716
03:01:13,360 --> 03:01:14,640
COUNCIL WE SHOULD TRY TO APPLY

4717
03:01:14,640 --> 03:01:17,560
THOSE TO THE DISCUSSION NOW. SO

4718
03:01:17,560 --> 03:01:18,800
WE CAN START WITH CONCEPT

4719
03:01:18,800 --> 03:01:22,760
CLEARANCES? OKAY.  SO AS YOU ALL

4720
03:01:22,760 --> 03:01:27,000
KNOW, EACH YEAR, EACH COUNCIL

4721
03:01:27,000 --> 03:01:33,280
ROUND WE TAKE THE OPPORTUNITY TO

4722
03:01:33,280 --> 03:01:34,920
PRESENT TO YOU SEVERAL

4723
03:01:34,920 --> 03:01:38,720
SCIENTIFIC CONCEPTS FOR INPUT

4724
03:01:38,720 --> 03:01:40,400
FROM THE COUNCIL. THE PURPOSE OF

4725
03:01:40,400 --> 03:01:43,040
THESE CLEARANCES IS FIRST AND

4726
03:01:43,040 --> 03:01:45,200
FOREMOST, THE NIMH STAFF AND

4727
03:01:45,200 --> 03:01:48,320
LEADERSHIP THAT IS DEVELOPING

4728
03:01:48,320 --> 03:01:49,600
CONCEPTS FOR FUTURE RESEARCH

4729
03:01:49,600 --> 03:01:53,560
DIRECTIONS TO HEAR YOUR FEEDBACK

4730
03:01:53,560 --> 03:01:56,680
INCLUDING SUGGESTIONS TO SHAPE

4731
03:01:56,680 --> 03:02:00,560
INITIATIVES. SECOND IS SO WE

4732
03:02:00,560 --> 03:02:02,000
MAKE SURE IN PUBLIC SETTING TO

4733
03:02:02,000 --> 03:02:03,600
LET THE COMMUNITY KNOW WHAT WE

4734
03:02:03,600 --> 03:02:05,200
ARE PLANNING FUTURE, THAT

4735
03:02:05,200 --> 03:02:06,280
ENSURES A FAIR PLAYING FIELD FOR

4736
03:02:06,280 --> 03:02:09,000
ALL SCIENTISTS. AND ALSO IN

4737
03:02:09,000 --> 03:02:12,800
TERMS OF OPPORTUNITY FOR PUBLIC

4738
03:02:12,800 --> 03:02:14,080
FEEDBACK AS WELL. A BRIEF

4739
03:02:14,080 --> 03:02:15,080
DESCRIPTION OF CONCEPTS

4740
03:02:15,080 --> 03:02:16,800
AVAILABLE TO YOU VIA THE

4741
03:02:16,800 --> 03:02:19,520
ELECTRONIC BOOKLET, THE ASR WITH

4742
03:02:19,520 --> 03:02:21,040
YOUR FEEDBACK WE AIM TO FROM

4743
03:02:21,040 --> 03:02:22,440
SEED WITH EACH RESEARCH --

4744
03:02:22,440 --> 03:02:23,200
PROCEED WITH RESEARCH

4745
03:02:23,200 --> 03:02:24,440
ACTIVITIES.  I WANT TO LET YOU

4746
03:02:24,440 --> 03:02:27,000
KNOW THAT THE PUBLICATION OF

4747
03:02:27,000 --> 03:02:27,800
RESEARCH OPPORTUNITIES AND THE

4748
03:02:27,800 --> 03:02:29,320
TIMING OF THOSE RESEARCH

4749
03:02:29,320 --> 03:02:33,280
OPPORTUNITIES IS NOT CERTAIN. 

4750
03:02:33,280 --> 03:02:35,200
THEIR EXISTENCE WILL DEPEND UPON

4751
03:02:35,200 --> 03:02:38,160
APPROVAL OF SUFFICIENT FUND TO

4752
03:02:38,160 --> 03:02:40,160
COVER COST OF THESE IN THE

4753
03:02:40,160 --> 03:02:42,000
FUTURE. WE ARE PRESENTING THEM

4754
03:02:42,000 --> 03:02:44,080
TO YOU FOR THAT INPUT AND SO

4755
03:02:44,080 --> 03:02:45,400
THAT EVERYBODY KNOWS OUR PLANS

4756
03:02:45,400 --> 03:02:50,520
BUT THESE ARE NOT GUARANTEES OF

4757
03:02:50,520 --> 03:02:52,520
LAUNCHING INITIATIVINGS.  ONCE

4758
03:02:52,520 --> 03:02:53,600
PRESENTED PUBLIC HERE, THE

4759
03:02:53,600 --> 03:02:55,600
CONCEPTS WILL BE POSTED ON THE

4760
03:02:55,600 --> 03:02:57,160
NIMH WEBSITE AVAILABLE FOR

4761
03:02:57,160 --> 03:03:00,560
FURTHER COMMENT. AND FINALLY FOR

4762
03:03:00,560 --> 03:03:02,160
PURPOSES OF TODAY'S DISCUSSION

4763
03:03:02,160 --> 03:03:03,360
WE HAVE ASSIGNED TWO COUNCIL

4764
03:03:03,360 --> 03:03:04,720
MEMBERS TO EACH CONCEPT THOUGH

4765
03:03:04,720 --> 03:03:07,800
WE WELCOME FROM FEEDBACK FROM

4766
03:03:07,800 --> 03:03:10,200
EVERYBODY. SO FIRST UP WE HAVE

4767
03:03:10,200 --> 03:03:12,960
DR. ERIC MURPHY FROM DIVISION OF

4768
03:03:12,960 --> 03:03:14,000
TRANSLATIONAL RESEARCH WHO WILL

4769
03:03:14,000 --> 03:03:16,600
BE PRESENTING THE CONCEPT OF

4770
03:03:16,600 --> 03:03:17,720
UNDERSTANDING DEVELOPMENTAL

4771
03:03:17,720 --> 03:03:20,320
PROCESSES IN YOUTH SUICIDE.  

4772
03:03:20,320 --> 03:03:21,760
ERIC. WELCOME. 

4773
03:03:21,760 --> 03:03:27,600
>> THANKS, DR. GORDON. SO THANKS

4774
03:03:27,600 --> 03:03:29,600
FOR INVITING ME TO SPEAK ABOUT

4775
03:03:29,600 --> 03:03:32,920
THIS CONCEPT. AS DR. GORDON

4776
03:03:32,920 --> 03:03:33,800
SAID, UNDERSTANDING

4777
03:03:33,800 --> 03:03:35,440
DEVELOPMENTAL PROCESSES AND

4778
03:03:35,440 --> 03:03:37,200
YOUTH SUICIDE AND THE GOAL OF

4779
03:03:37,200 --> 03:03:39,280
THIS CONCEPT IS TO ENCOURAGE

4780
03:03:39,280 --> 03:03:41,000
RESEARCH ON THE PROCESSES THAT

4781
03:03:41,000 --> 03:03:43,080
CONTRIBUTE TO SUICIDE RISK IN

4782
03:03:43,080 --> 03:03:46,720
YOUTH IN THE UNITED STATES.  WE

4783
03:03:46,720 --> 03:03:49,280
KNOW THE RANKS OF YOUTH

4784
03:03:49,280 --> 03:03:50,000
PSEUDOSIDE -- RATES HAVE BEEN

4785
03:03:50,000 --> 03:03:50,920
RISE MANAGE THE UNITED STATES

4786
03:03:50,920 --> 03:03:51,880
AND INCREASES HAVE BEEN

4787
03:03:51,880 --> 03:03:54,000
PARTICULARLY PRONOUNCED IN

4788
03:03:54,000 --> 03:03:55,160
CERTAIN RACIAL ETHNIC MINORITY

4789
03:03:55,160 --> 03:03:58,280
GROUPS.

4790
03:03:58,280 --> 03:03:59,600
HOWEVER THERE'S FUNDAMENTAL

4791
03:03:59,600 --> 03:04:00,920
BARRIERS TO IMPROVING OUR

4792
03:04:00,920 --> 03:04:04,080
UNDERSTANDING OF RISK AND

4793
03:04:04,080 --> 03:04:05,600
SUICIDE IN YOUTH WE HOPE TO

4794
03:04:05,600 --> 03:04:07,200
ADDRESS. BASIC QUESTIONS WE ARE

4795
03:04:07,200 --> 03:04:09,400
STILL ASKING INCLUDE WHAT SHOULD

4796
03:04:09,400 --> 03:04:11,800
WE BE MEASURING, SHOULD MEASURES

4797
03:04:11,800 --> 03:04:14,200
BE SIMILAR ACROSS AGES OR

4798
03:04:14,200 --> 03:04:18,560
DEVELOPMENTALLY SPECIFIC? WHO IS

4799
03:04:18,560 --> 03:04:19,920
AT RISK AND WHAT STAGE OF

4800
03:04:19,920 --> 03:04:27,800
DEVELOPMENT. THERE IS A LACK OF

4801
03:04:27,800 --> 03:04:29,400
VALIDATED DEVELOPMENTALLY

4802
03:04:29,400 --> 03:04:32,000
APPROPRIATE MEASURES OF

4803
03:04:32,000 --> 03:04:33,560
SUICIDALITY ACROSS CHILDHOOD AND

4804
03:04:33,560 --> 03:04:36,560
ADOLESCENTS. THIS MAKES IT

4805
03:04:36,560 --> 03:04:37,240
PARTICULARLY DIFFICULT TO

4806
03:04:37,240 --> 03:04:39,000
DETERMINE WHAT SUICIDAL THOUGHTS

4807
03:04:39,000 --> 03:04:41,680
AND BEHAVIORS OR THEIR PRIER

4808
03:04:41,680 --> 03:04:43,960
CURSORS LOOK LIKE AT DIFFERENT

4809
03:04:43,960 --> 03:04:45,800
AGE AND HOW THEY DEVELOP. TO

4810
03:04:45,800 --> 03:04:46,840
IDENTIFY WHETHER CONSTRUCTS THAT

4811
03:04:46,840 --> 03:04:49,000
CONTRIBUTE TO SUICIDALITY ARE

4812
03:04:49,000 --> 03:04:50,800
CONSERVED ACROSS DEVELOPMENT OR

4813
03:04:50,800 --> 03:04:53,280
MAYBE AGE SPECIFIC. AND TO

4814
03:04:53,280 --> 03:04:55,520
ASSESS RISK AND PROTECTIVE

4815
03:04:55,520 --> 03:04:57,600
FACTORS EXCEPT FOR

4816
03:04:57,600 --> 03:04:58,760
RETROSPECTIVELY AND THE REASON

4817
03:04:58,760 --> 03:05:00,320
WE NEED THIS BETTER

4818
03:05:00,320 --> 03:05:02,080
UNDERSTANDING OF THIS

4819
03:05:02,080 --> 03:05:04,040
PHENOMENOLOGY AND ETIOLOGY OF

4820
03:05:04,040 --> 03:05:06,440
CHILD ADOLESCENT SUICIDE IS ALSO

4821
03:05:06,440 --> 03:05:08,080
TO IMPROVE PERSONALIZED

4822
03:05:08,080 --> 03:05:09,640
TREATMENT BY TARGETING THE RISK

4823
03:05:09,640 --> 03:05:12,000
FACTORS AND MECHANISMS MOST

4824
03:05:12,000 --> 03:05:14,280
RELEVANT FORGIVEN YOUNG PERSON.

4825
03:05:14,280 --> 03:05:17,040
NEXT SLIDE PLEASE.  NOW AS I

4826
03:05:17,040 --> 03:05:18,840
MENTIONED EARLIER THE PICTURE OF

4827
03:05:18,840 --> 03:05:21,120
SUICIDE RISK IN YOUTH IS NOT

4828
03:05:21,120 --> 03:05:22,200
MONOLITHIC AND WE NEED TO ENSURE

4829
03:05:22,200 --> 03:05:24,680
THAT OUR APPROACH TO EVALUATING

4830
03:05:24,680 --> 03:05:26,560
SUICIDE RISK RECOGNIZES

4831
03:05:26,560 --> 03:05:28,200
IMPORTANT DIFFERENCES BETWEEN

4832
03:05:28,200 --> 03:05:30,320
GROUPS. FOR EXAMPLE, WHILE

4833
03:05:30,320 --> 03:05:32,120
SUICIDE RISK DIFFERS BETWEEN

4834
03:05:32,120 --> 03:05:35,280
DIFFERENT GROUPS, THERE IS

4835
03:05:35,280 --> 03:05:36,280
EMERGENT EVIDENCE THAT ALSO

4836
03:05:36,280 --> 03:05:38,440
SUGGESTS THAT THE TIMING OF HIGH

4837
03:05:38,440 --> 03:05:40,200
RISK PERIODS MAY DIFFER ACROSS

4838
03:05:40,200 --> 03:05:42,000
GROUPS, THIS IS SOMETHING WE

4839
03:05:42,000 --> 03:05:44,800
WOULD WANT TO CONSIDER. WE ALSO

4840
03:05:44,800 --> 03:05:46,200
NEED TO CONSIDER INTERSECTIONAL

4841
03:05:46,200 --> 03:05:48,240
FRAMEWORKS AS WELL AS GATHERING

4842
03:05:48,240 --> 03:05:50,360
INTEGRATING ASSESSMENT DATA FROM

4843
03:05:50,360 --> 03:05:51,600
MULTIPLE SOURCES TO GET A CLEAR

4844
03:05:51,600 --> 03:05:53,240
PICTURE OF RISK AND RESILIENCE

4845
03:05:53,240 --> 03:05:56,520
FACTORS. THIS ALSO INCLUDES

4846
03:05:56,520 --> 03:05:58,080
CONSIDERING KEY CONTEXTUAL

4847
03:05:58,080 --> 03:05:59,680
FACTORS WHEN EVALUATING

4848
03:05:59,680 --> 03:06:01,800
ASSESSMENT RESPONSES IN

4849
03:06:01,800 --> 03:06:06,720
DIFFERENT SETTINGS.  AS FAR AS

4850
03:06:06,720 --> 03:06:08,160
ANTICIPATED OUTCOMES OF THIS

4851
03:06:08,160 --> 03:06:09,600
CONCEPT, WE HOPE THIS CONCEPT

4852
03:06:09,600 --> 03:06:10,880
CLEARANCE WILL ALLOW US TO

4853
03:06:10,880 --> 03:06:13,840
ADDRESS GAP AREAS THAT HAVE BEEN

4854
03:06:13,840 --> 03:06:15,520
BARRIERS TO PROGRESS IN YOUTH

4855
03:06:15,520 --> 03:06:17,160
SUICIDE RESEARCH. AND FURTHER WE

4856
03:06:17,160 --> 03:06:18,440
HOPE IT WILL IMPROVE

4857
03:06:18,440 --> 03:06:20,080
IDENTIFICATION OF RISK FACTORS

4858
03:06:20,080 --> 03:06:23,240
AND POTENTIAL TARGETS FOR

4859
03:06:23,240 --> 03:06:24,640
PREVENTION INTERVENTION

4860
03:06:24,640 --> 03:06:25,440
DEVELOPMENTALLY APPROPRIATE AND

4861
03:06:25,440 --> 03:06:26,920
MAY CONTRIBUTE TO THE

4862
03:06:26,920 --> 03:06:27,640
DEVELOPMENT OF PERSONALIZED

4863
03:06:27,640 --> 03:06:32,360
TREATMENT.  LIKE TO HEAR FROM

4864
03:06:32,360 --> 03:06:33,920
THE COUNCIL MEMBERS WHO HAVE

4865
03:06:33,920 --> 03:06:38,720
AGREED TO GIVE FEEDBACK ON THIS.

4866
03:06:38,720 --> 03:06:40,840
>> THANK YOU ERIC THANK YOU
ERIC. JOSEPH A
ND

4867
03:06:40,840 --> 03:06:43,680
AMY ARE DISCUSSANTS -- I'M

4868
03:06:43,680 --> 03:06:46,520
SORRY, CHERYL AND MATTHEW

4869
03:06:46,520 --> 03:06:47,320
DISCUSSANTS FOR IN PARTICULAR

4870
03:06:47,320 --> 03:06:48,120
CONCEPT, I DON'T KNOW IF YOU

4871
03:06:48,120 --> 03:06:51,320
HAVE A PREFERENCE BUT LET'S

4872
03:06:51,320 --> 03:06:56,280
START. CHERYL.  

4873
03:06:56,280 --> 03:06:57,840
>> THANK YOU FOR BY BRINGING

4874
03:06:57,840 --> 03:07:00,720
THIS FORWARD. I STRONGLY SUPPORT

4875
03:07:00,720 --> 03:07:06,120
THE PROPOSAL PARTICIPATED THE

4876
03:07:06,120 --> 03:07:08,080
NIH ROUND TABLE ON THIS YOUTH

4877
03:07:08,080 --> 03:07:09,960
SUICIDE AND ALL OF US WHO

4878
03:07:09,960 --> 03:07:13,920
PARTICIPATED WERE STRUCK BY THE

4879
03:07:13,920 --> 03:07:15,000
SUBSTANTIAL RESEARCH GAPS. THERE

4880
03:07:15,000 --> 03:07:18,560
IS AN EAGERNESS IN THE FIELD TO

4881
03:07:18,560 --> 03:07:20,120
MOVE FORWARD DEVELOP PREVENTION

4882
03:07:20,120 --> 03:07:21,920
AND INTERVENTION STRATEGIES BUT

4883
03:07:21,920 --> 03:07:23,400
THERE SO MUCH WE DON'T KNOW YET.

4884
03:07:23,400 --> 03:07:28,800
AND WE REALLY NEED TO FOCUS ON

4885
03:07:28,800 --> 03:07:30,920
UNDERSTANDING PROCESSES

4886
03:07:30,920 --> 03:07:32,400
TRAJECTORIES HOW WE MEASURE RISK

4887
03:07:32,400 --> 03:07:35,800
FOR SUICIDE, SELF-HARM

4888
03:07:35,800 --> 03:07:38,240
CONSTRUCTS RELATED PHENOMENA AND

4889
03:07:38,240 --> 03:07:40,680
THEN WE ARE IN A BETTER POSITION

4890
03:07:40,680 --> 03:07:42,880
TO DEVELOP MORE EFFECTIVE

4891
03:07:42,880 --> 03:07:43,680
PREVENTION INTERVENTION

4892
03:07:43,680 --> 03:07:51,480
STRATEGIES.  COMMUNITY APPROACH.

4893
03:07:51,480 --> 03:07:52,800
SOME OF THE THINGS RISK ACROSS

4894
03:07:52,800 --> 03:07:56,000
DIFFERENT GROUPS. I'M NOT

4895
03:07:56,000 --> 03:07:58,960
POSITIVE WHAT YOU MEANT BUT

4896
03:07:58,960 --> 03:08:02,000
PROBABLY BROADLY MEANT IT

4897
03:08:02,000 --> 03:08:03,880
BROADLY DEFINED SOCIO

4898
03:08:03,880 --> 03:08:04,840
DEMOGRAPHIC ROOTS BUT IMPORTANT

4899
03:08:04,840 --> 03:08:08,240
WE EMPHASIZE THE IMPORTANCE OF

4900
03:08:08,240 --> 03:08:09,600
UNDERSTANDING DIFFERENT PROFILES

4901
03:08:09,600 --> 03:08:11,920
OF DEVELOPMENTAL TRAJECTORIES. 

4902
03:08:11,920 --> 03:08:15,320
YOU NOTICE -- YOU MENTIONED THAT

4903
03:08:15,320 --> 03:08:17,320
IT IS NOT HOMOGENOUS, IF WE WERE

4904
03:08:17,320 --> 03:08:19,400
TO LOOK AT YOUTH, YOUNG CHILDREN

4905
03:08:19,400 --> 03:08:25,080
WHO ARE SUICIDAL, THEY ARE

4906
03:08:25,080 --> 03:08:26,280
HETEROGENOUS IN TERMS OF

4907
03:08:26,280 --> 03:08:27,080
CHARACTERISTICS OF MANY

4908
03:08:27,080 --> 03:08:29,800
DIFFERENT LEVELS. FOR INSTANCE

4909
03:08:29,800 --> 03:08:32,520
THERE MAYBE ONE DEVELOPMENTAL

4910
03:08:32,520 --> 03:08:35,360
TRAJECTORY FOR CHILDREN WITH

4911
03:08:35,360 --> 03:08:36,880
SEVERE BEHAVIORAL DISINHIBITION.

4912
03:08:36,880 --> 03:08:38,240
THAT IS A GROUP WE TALKED ABOUT

4913
03:08:38,240 --> 03:08:42,800
QUITE A BIT AT THAT SUMMIT. A

4914
03:08:42,800 --> 03:08:44,840
THERE MAYBE ONE O OR MORE FOR

4915
03:08:44,840 --> 03:08:46,960
THAT BUT MAYBE ONE OR MORE FOR

4916
03:08:46,960 --> 03:08:48,760
OTHER GROUPS WHO HAVE NO

4917
03:08:48,760 --> 03:08:50,200
BEHAVIORAL DISINHIBITION BUT

4918
03:08:50,200 --> 03:08:51,400
OTHER CHARACTERISTICS. SO ONE

4919
03:08:51,400 --> 03:08:52,680
THING THAT IS REALLY IMPORTANT

4920
03:08:52,680 --> 03:08:57,400
AND WHAT COMES FORWARD IS TO BE

4921
03:08:57,400 --> 03:08:58,560
SURE INVESTIGATORS ARE

4922
03:08:58,560 --> 03:08:59,760
ADDRESSING HETEROGENEITY AND NOT

4923
03:08:59,760 --> 03:09:02,800
TRYING TO COME UP WITH AN

4924
03:09:02,800 --> 03:09:05,800
EQUATION TO UNDERSTAND RISK. I

4925
03:09:05,800 --> 03:09:08,200
ALSO REALLY WANT TO HIGHLIGHT

4926
03:09:08,200 --> 03:09:10,480
THE INTERSECTIONAL FRAMEWORK OF

4927
03:09:10,480 --> 03:09:13,200
THE CONCEPT CONSIDERING SOCIAL

4928
03:09:13,200 --> 03:09:15,080
FACTORS SYSTEMS AND

4929
03:09:15,080 --> 03:09:18,200
INTERDEPENDENCE. THERE'S SUCH

4930
03:09:18,200 --> 03:09:19,200
MARKED DIFFERENCES IN SUICIDE

4931
03:09:19,200 --> 03:09:20,800
RISK FOR SUP GROUPS OF PEOPLE

4932
03:09:20,800 --> 03:09:23,400
ACROSS THE LIFE SPAN. AND MENTAL

4933
03:09:23,400 --> 03:09:26,680
ILLNESS MENTAL HEALTH ARE

4934
03:09:26,680 --> 03:09:28,440
CRITICALLY IMPORTANT AND YET IT

4935
03:09:28,440 --> 03:09:30,000
GOES BEYOND THAT, WHY WE HAVE

4936
03:09:30,000 --> 03:09:32,080
SUCH DIFFERENCES IN SUICIDE

4937
03:09:32,080 --> 03:09:37,000
RATES ACROSS STATES IN THE U.S.?

4938
03:09:37,000 --> 03:09:40,800
FOR OUR AMERICAN INDIAN

4939
03:09:40,800 --> 03:09:42,760
ADOLESCENTS.  FOR YOUNG PEOPLE

4940
03:09:42,760 --> 03:09:46,160
WHO SELF-IDENTIFY AS A GENDER

4941
03:09:46,160 --> 03:09:48,800
MINORITY. SO WE NEED TO BE SURE

4942
03:09:48,800 --> 03:09:50,560
WHEN PEOPLE COME FORWARDS, THEY

4943
03:09:50,560 --> 03:09:53,400
ARE THINKING ABOUT THE MENTAL

4944
03:09:53,400 --> 03:09:55,200
ILLNESS MENTAL HEALTH ASPECT,

4945
03:09:55,200 --> 03:09:57,400
NEARLY DEFINED, I KNOW THEY CAN

4946
03:09:57,400 --> 03:09:58,800
BE BROADLY DEFINED TO INCLUDE

4947
03:09:58,800 --> 03:10:01,000
ALL OF THIS. BUT THAT WE REALLY

4948
03:10:01,000 --> 03:10:02,800
DO GET TO SOME OF THOSE OTHER

4949
03:10:02,800 --> 03:10:07,080
LEVELS OF RISK RISK. THANK YOU
SO

4950
03:10:07,080 --> 03:10:08,320
MUCH FOR BRINGING IT FORWARD AND

4951
03:10:08,320 --> 03:10:10,600
I DEFINITELY SUPPORT IT. 

4952
03:10:10,600 --> 03:10:14,200
>> THANKS, CHERYL. MATTHEW.

4953
03:10:14,200 --> 03:10:16,120
>> I'M NEW TO THE COUNCIL,

4954
03:10:16,120 --> 03:10:17,280
PSYCHOLOGIST AT HARVARD

4955
03:10:17,280 --> 03:10:18,280
UNIVERSITY. SO I WANT TO START

4956
03:10:18,280 --> 03:10:20,600
BY SAYING THANKS SO MUCH TO ERIC

4957
03:10:20,600 --> 03:10:21,600
AND COLLEAGUES AT NIMH PUTTING

4958
03:10:21,600 --> 03:10:23,400
TOGETHER A REALLY COMPELLING

4959
03:10:23,400 --> 03:10:25,160
CONCEPT CLEARANCE AND REALLY

4960
03:10:25,160 --> 03:10:27,360
WELL DONE EXCELLENT WORKSHOP

4961
03:10:27,360 --> 03:10:28,520
LIKE CHERYL I PARTICIPATED IN

4962
03:10:28,520 --> 03:10:31,280
PART OF THE WORKSHOP, I THOUGHT

4963
03:10:31,280 --> 03:10:34,880
IT WAS IMPORTANT AND NICELY

4964
03:10:34,880 --> 03:10:36,520
IMPLEMENTED. I STRONGLY SUPPORT

4965
03:10:36,520 --> 03:10:38,200
THIS CONCEPT CLEARANCE, I WON'T

4966
03:10:38,200 --> 03:10:41,160
REPEAT THE GREAT POINTS CHERYL

4967
03:10:41,160 --> 03:10:43,520
MADE TO DRAW OUT A FEW ERIC

4968
03:10:43,520 --> 03:10:44,320
MENTION THERE HAD IS A HUGE NEED

4969
03:10:44,320 --> 03:10:46,120
TO IMPROVE ASSESSMENT IN KIDS

4970
03:10:46,120 --> 03:10:48,200
AND ADOLESCENTS.  IF WE ASK

4971
03:10:48,200 --> 03:10:49,280
ADULTS HAVE YOU THOUGHT ABOUT

4972
03:10:49,280 --> 03:10:51,480
SUICIDE THERE'S SO MUCH

4973
03:10:51,480 --> 03:10:53,800
HETEROGENEITY IN THAT GROUP. SO

4974
03:10:53,800 --> 03:10:56,000
COMING UP WITH ANY BIOLOGICAL

4975
03:10:56,000 --> 03:10:57,080
MARKERS BEHAVIORAL MARKERS FOR

4976
03:10:57,080 --> 03:10:58,280
THIS OUTCOME WHEN SO BROAD WE

4977
03:10:58,280 --> 03:10:59,760
NEED TO DO A BETTER JOB AND IT

4978
03:10:59,760 --> 03:11:01,760
GETS MORE COMPLICATED TO KIDS

4979
03:11:01,760 --> 03:11:06,160
AND ADOLESCENTS. RECENT META

4980
03:11:06,160 --> 03:11:07,840
ANALYSES, WE ARE NOT GOOD AT

4981
03:11:07,840 --> 03:11:08,760
PREDICTION OR SUICIDE

4982
03:11:08,760 --> 03:11:09,960
INTERVENTION. WE NEED TO DO

4983
03:11:09,960 --> 03:11:11,480
BETTER THAN WE ARE SO REALLY

4984
03:11:11,480 --> 03:11:13,840
IMPORTANT TOPIC. VERY TIMELY,

4985
03:11:13,840 --> 03:11:15,480
ALSO BECAUSE OF THE CURRENT

4986
03:11:15,480 --> 03:11:17,080
COVID SITUATION. THERE IS A HUGE

4987
03:11:17,080 --> 03:11:18,800
BOARDING CRISIS IN OUR EMERGENCY

4988
03:11:18,800 --> 03:11:20,000
DEPARTMENTS, JUST AN ARTICLE OUT

4989
03:11:20,000 --> 03:11:22,000
IN BOSTON LAST WEEK SAYING THAT

4990
03:11:22,000 --> 03:11:23,800
FOR KIDS AN ADOLESCENTS THE

4991
03:11:23,800 --> 03:11:25,120
AVERAGE TIME FOR THOSE WHO STAY

4992
03:11:25,120 --> 03:11:28,320
OVER NIGHT IS ONE WEEK.  A LOT

4993
03:11:28,320 --> 03:11:29,720
NEEDS TO BE DONE IN THE SHORT

4994
03:11:29,720 --> 03:11:32,720
TERM SO GREAT THIS IS FOCUS.  

4995
03:11:32,720 --> 03:11:35,400
ERIC ALSO MENTIONED IMPORTANCE

4996
03:11:35,400 --> 03:11:37,280
FOCUSING ON BLACK YOUTH, KIDS,

4997
03:11:37,280 --> 03:11:39,040
BLACK YOUTH BETWEEN AGE 5 AND 12

4998
03:11:39,040 --> 03:11:41,360
HAVE TWICE SUICIDE RATE AS DO

4999
03:11:41,360 --> 03:11:43,040
WHITE PEOPLE AND THE SUICIDE

5000
03:11:43,040 --> 03:11:45,480
RATE MUCH HIGHER AMONG THOSE

5001
03:11:45,480 --> 03:11:46,600
GOVERNMENT CALLS WHITE FOR MANY

5002
03:11:46,600 --> 03:11:48,640
YEARS. SO THIS IS REALLY SPECIAL

5003
03:11:48,640 --> 03:11:50,840
NEED.  I KNOW THERE WAS NIMH

5004
03:11:50,840 --> 03:11:52,480
NOTICE OF SPECIAL INTEREST BUT

5005
03:11:52,480 --> 03:11:53,400
SUGGEST THIS CONTINUE TO BE A

5006
03:11:53,400 --> 03:11:55,800
FOCUS. MY ONE CAUTION IS THE

5007
03:11:55,800 --> 03:11:58,400
SUICIDE RATE IS PRETTY LOW IN

5008
03:11:58,400 --> 03:12:00,360
YOUNGER PEOPLE. THERE'S ONLY A

5009
03:12:00,360 --> 03:12:03,760
FEW DOZEN SUICIDES EACH YEAR --

5010
03:12:03,760 --> 03:12:06,600
DEATH AMONG THOSE UNDER AGE 12.

5011
03:12:06,600 --> 03:12:07,680
SOMETHING IMPORTANT TO KEEP IN

5012
03:12:07,680 --> 03:12:09,800
MIND FOR THOSE WHO ARE TO

5013
03:12:09,800 --> 03:12:10,880
FOCUSING ON THE EARLIER PERIOD

5014
03:12:10,880 --> 03:12:13,680
WE HAVE TO MAKE SURE WE ARE

5015
03:12:13,680 --> 03:12:17,240
FOCUSING ON TRACTABLE PROBLEMS

5016
03:12:17,240 --> 03:12:20,960
AND QUESTIONS BUT OVERALL NICELY

5017
03:12:20,960 --> 03:12:23,080
DONE EXCELLENT JOB AND I

5018
03:12:23,080 --> 03:12:24,280
STRONGLY SUPPORT THE CONCEPT

5019
03:12:24,280 --> 03:12:24,680
CLEARANCE.

5020
03:12:24,680 --> 03:12:26,840
>> ARE THERE QUESTIONS OR

5021
03:12:26,840 --> 03:12:27,720
COMMENTS FROM OTHER MEMBERS OF

5022
03:12:27,720 --> 03:12:32,560
THE COUNCIL? 

5023
03:12:32,560 --> 03:12:35,160
>> GO RIGHT AHEAD. I GOT TO

5024
03:12:35,160 --> 03:12:35,960
CHANGE MY VIEW HERE. 

5025
03:12:35,960 --> 03:12:41,000
>> I'M DR. (INAUDIBLE) SAMHSA,

5026
03:12:41,000 --> 03:12:43,200
WE ARE VERY -- GREAT INTEREST TO

5027
03:12:43,200 --> 03:12:44,120
ASK AND I APPRECIATE THE

5028
03:12:44,120 --> 03:12:46,800
OPPORTUNITY TO HEAR ABOUT THIS.

5029
03:12:46,800 --> 03:12:48,680
I DID HAVE A COUPLE OF THINGS I

5030
03:12:48,680 --> 03:12:51,440
WANTED TO THROW OUT THERE

5031
03:12:51,440 --> 03:12:52,520
CONSISTENT WITH COUPLE OF

5032
03:12:52,520 --> 03:12:54,040
COMMENTS. ONE IS LUMPING USING

5033
03:12:54,040 --> 03:12:56,400
THE WORD SUICIDALITY IS KIND OF

5034
03:12:56,400 --> 03:12:58,280
A LUMP, LUMPING TOGETHER SEVERAL

5035
03:12:58,280 --> 03:12:59,600
IMPORTANT CONCEPTS YOU MIGHT

5036
03:12:59,600 --> 03:13:02,520
WANT TO SEPARATE INTO ELEMENTS.

5037
03:13:02,520 --> 03:13:04,800
WE -- SAMHSA YOU THINKING

5038
03:13:04,800 --> 03:13:06,600
PLANNING ATTEMPTING AT LEAST

5039
03:13:06,600 --> 03:13:10,000
THOSE THREE. AND THE OTHER USE

5040
03:13:10,000 --> 03:13:11,600
OF THE WORD PERSONALIZED

5041
03:13:11,600 --> 03:13:13,520
TREATMENT ASSOCIATED WITH

5042
03:13:13,520 --> 03:13:14,600
GENETICS, INDIVIDUAL GENETIC SO

5043
03:13:14,600 --> 03:13:16,000
YOU MAY WANT TO CONSIDER

5044
03:13:16,000 --> 03:13:17,640
SOMETHING ALONG THE LINES OF

5045
03:13:17,640 --> 03:13:19,200
INDIVIDUALITY OR PERSON CENTERED

5046
03:13:19,200 --> 03:13:20,320
TREATMENT, THINGS THAT RESONATE

5047
03:13:20,320 --> 03:13:30,400
WITH THE INDIVIDUALS.  WE FOLLOW

5048
03:13:30,400 --> 03:13:32,760
THAT OUR NSDA DATA FOLLOWS OVER

5049
03:13:32,760 --> 03:13:34,920
TIME SEVERAL YEARS OF DATA IN

5050
03:13:34,920 --> 03:13:36,840
TERMS OF THINKING PLANNING AND

5051
03:13:36,840 --> 03:13:39,480
ATTEMPTING SUICIDE ATTEMPTS THAT

5052
03:13:39,480 --> 03:13:41,600
CAN BE MADE ANY WAY PARTNER ON

5053
03:13:41,600 --> 03:13:46,160
USE OF THAT DATA WE WELCOME THAT

5054
03:13:46,160 --> 03:13:48,600
WITH GRANTEES. THANK YOU.

5055
03:13:48,600 --> 03:13:51,160
>> THANKS, ANITA, WE APPRECIATE

5056
03:13:51,160 --> 03:13:52,600
THOSE COMMENTS. ACCORDING TO THE

5057
03:13:52,600 --> 03:13:55,240
NEW PROCEDURES WE ADOPTED

5058
03:13:55,240 --> 03:13:57,000
YESTERDAY, TRACY WE DO NOT HAVE

5059
03:13:57,000 --> 03:13:58,640
TO VOTE ON THE CONCEPT CLEARANCE

5060
03:13:58,640 --> 03:14:01,000
ANY MORE BUT WE APPRECIATE THE

5061
03:14:01,000 --> 03:14:03,000
FEEDBACK, MUCH POSITIVE BUT VERY

5062
03:14:03,000 --> 03:14:04,520
CONSTRUCTIVE SUGGESTIONS AS

5063
03:14:04,520 --> 03:14:07,240
WELL, INCORPORATE AS WE MOVE ON.

5064
03:14:07,240 --> 03:14:11,160
THE NEXT CONCEPT TO BE PRESENTED

5065
03:14:11,160 --> 03:14:13,480
IS BY DR. SUZY POLLARD DIVISION

5066
03:14:13,480 --> 03:14:15,720
OF AIDS RESEARCH, EXPANDING

5067
03:14:15,720 --> 03:14:18,800
COLLABORATIVE IMPLEMENTATION

5068
03:14:18,800 --> 03:14:20,480
SCIENCE WITHIN THE HIV EPIDEMIC

5069
03:14:20,480 --> 03:14:25,000
NATIONAL PLAN. YESTERDAY DAN

5070
03:14:25,000 --> 03:14:26,800
ROUSCH DIVISION DIRECTOR

5071
03:14:26,800 --> 03:14:28,000
PRE-STAGED THIS INITIATIVE BY

5072
03:14:28,000 --> 03:14:31,760
TALKING TO US A LITTLE BIT ABOUT

5073
03:14:31,760 --> 03:14:34,640
THE HIV PLAN. SUZY PLEASE TAKE

5074
03:14:34,640 --> 03:14:36,040
IT AWAY. 

5075
03:14:36,040 --> 03:14:38,400
>> THANKS, DR. GORDON. HI,

5076
03:14:38,400 --> 03:14:39,520
EVERYONE. THANK YOU FOR THAT

5077
03:14:39,520 --> 03:14:41,360
OPPORTUNITY TO PRESENT TODAY. MY

5078
03:14:41,360 --> 03:14:43,200
NAME IS SUZY POLLARD, PROGRAM

5079
03:14:43,200 --> 03:14:44,720
OFFICER DIVISION OF AIDS

5080
03:14:44,720 --> 03:14:45,440
RESEARCH AND AREA OF

5081
03:14:45,440 --> 03:14:47,720
IMPLEMENTATION SCIENCE. I WILL

5082
03:14:47,720 --> 03:14:50,000
PRESENT OUR CONCEPT DR. GORDON

5083
03:14:50,000 --> 03:14:52,360
MENTIONED EXPANDING

5084
03:14:52,360 --> 03:14:53,560
COLLABORATIVE IMPLEMENTATION

5085
03:14:53,560 --> 03:14:55,200
SCIENCE WITHIN THE HIV EPIDEMIC

5086
03:14:55,200 --> 03:14:59,000
NATIONAL PLAN. SO WE KNOW THERE

5087
03:14:59,000 --> 03:15:00,560
ARE HIGHLY EFFICACIOUS TREATMENT

5088
03:15:00,560 --> 03:15:01,800
AND STRATEGIES TO PREVENT AND

5089
03:15:01,800 --> 03:15:04,360
TREAT HIV. YET INEQUITIES IN

5090
03:15:04,360 --> 03:15:05,920
ACCESS TO TREATMENTS AND IN HIV

5091
03:15:05,920 --> 03:15:09,400
HEALTH OUTCOMES PERSIST. HIV

5092
03:15:09,400 --> 03:15:12,160
CONTINUES TO DISPROPORTIONATELY

5093
03:15:12,160 --> 03:15:13,960
AFFECT RACIAL ETHNIC GROUPS SUCH

5094
03:15:13,960 --> 03:15:15,600
AS BLACK AND HISPANIC

5095
03:15:15,600 --> 03:15:16,520
INDIVIDUALS YOU CAN SEE CLEARLY

5096
03:15:16,520 --> 03:15:18,400
IN THIS FIGURE. AS WELL AS

5097
03:15:18,400 --> 03:15:21,960
SEXUAL GENDER MINORITIES,

5098
03:15:21,960 --> 03:15:23,280
ECONOMICALLY DISADVANTAGED AND

5099
03:15:23,280 --> 03:15:25,400
RURAL COMMUNITIES, INCREASINGLY

5100
03:15:25,400 --> 03:15:26,720
RECOGNIZED THAT SOCIAL

5101
03:15:26,720 --> 03:15:28,160
STRUCTURAL TERMS OF HEALTH SUCH

5102
03:15:28,160 --> 03:15:30,000
AS POVERTY STIGMA HOMELESSNESS

5103
03:15:30,000 --> 03:15:31,360
AND STRUCTURAL RACISM ARE ROOT

5104
03:15:31,360 --> 03:15:32,760
CAUSES OF HIV INEQUITIES ANSWER

5105
03:15:32,760 --> 03:15:39,560
MUST BE URGENTLY ADDRESSED.  IN

5106
03:15:39,560 --> 03:15:40,240
2019 DEPARTMENT OF HEALTH AND

5107
03:15:40,240 --> 03:15:41,480
HUMAN SERVICES LAUNCHED THE

5108
03:15:41,480 --> 03:15:42,800
ENDING THE HIV EPIDEMIC MANY THE

5109
03:15:42,800 --> 03:15:44,840
U.S. INITIATIVE. WHICH AIMS TO

5110
03:15:44,840 --> 03:15:47,040
REDUCE HIV INFECTIONS IN THE

5111
03:15:47,040 --> 03:15:51,440
U.S. BY 90% BY 2030 BY SCALING

5112
03:15:51,440 --> 03:15:54,200
UP KEY HIV PREVENTION AND

5113
03:15:54,200 --> 03:15:56,040
TREATMENT INTERVENTIONS.

5114
03:15:56,040 --> 03:15:58,240
DEVELOPING INTERVENTIONS THAT

5115
03:15:58,240 --> 03:15:59,200
ADDRESS SOCIAL STRUCTURAL

5116
03:15:59,200 --> 03:16:00,200
DETERMINANTS OF HEALTH IS

5117
03:16:00,200 --> 03:16:01,760
CRITICAL TO END THE EPIDEMIC AS

5118
03:16:01,760 --> 03:16:03,360
WELL AS BROADER NIH MISSION TO

5119
03:16:03,360 --> 03:16:06,400
PROMOTE HEALTH EQUITY. THERE ARE

5120
03:16:06,400 --> 03:16:08,040
CURRENTLY SOME EVIDENCE BASED

5121
03:16:08,040 --> 03:16:10,520
STRUCTURAL INTERVENTIONS THAT

5122
03:16:10,520 --> 03:16:11,240
TARGET CERTAIN SOCIAL

5123
03:16:11,240 --> 03:16:12,680
DETERMINANTS OF HEALTH AND SHOWN

5124
03:16:12,680 --> 03:16:14,880
TO IMPROVE HIV OUTCOMES BUT NOT

5125
03:16:14,880 --> 03:16:16,640
YET ADAPTED TO DIFFERENT CONTEXT

5126
03:16:16,640 --> 03:16:19,360
OR SCALED UP. THERE IS ALSO NEED

5127
03:16:19,360 --> 03:16:20,320
TO DEVELOP NEW INNOVATIVE

5128
03:16:20,320 --> 03:16:23,280
INTERVENTIONS THAT ADDRESS OTHER

5129
03:16:23,280 --> 03:16:24,240
SOCIAL STRUCTURAL DETERMINANTS

5130
03:16:24,240 --> 03:16:25,200
OF HEALTH AIMING TO UNDERSTAND

5131
03:16:25,200 --> 03:16:27,000
FACTORS THAT AFFECT THE

5132
03:16:27,000 --> 03:16:28,200
IMPLEMENTATION. SO

5133
03:16:28,200 --> 03:16:29,640
IMPLEMENTATION SCIENCE METHODS

5134
03:16:29,640 --> 03:16:30,920
ARE DESIGNED PRECISELY TO ANSWER

5135
03:16:30,920 --> 03:16:36,720
THESE TYPES OF QUESTIONS.  SO

5136
03:16:36,720 --> 03:16:38,680
THE OVERALL GOAL IS TO SUPPORT

5137
03:16:38,680 --> 03:16:39,480
COLLABORATIVE IMPLEMENTATION

5138
03:16:39,480 --> 03:16:41,800
SCIENCE RESEARCH, FOCUSED ON

5139
03:16:41,800 --> 03:16:43,480
STRENGTHENING EVIDENCE FOR HIV

5140
03:16:43,480 --> 03:16:45,560
INTERVENTION THAT TARGET SOCIAL

5141
03:16:45,560 --> 03:16:46,280
STRUCTURAL DETERMINANTS OF

5142
03:16:46,280 --> 03:16:48,000
HEALTH AND TESTING STRATEGIES

5143
03:16:48,000 --> 03:16:50,200
THAT FACILITATE THE UPTAKE AND

5144
03:16:50,200 --> 03:16:53,200
ADAPTATION. WE WILL AIM TO

5145
03:16:53,200 --> 03:16:54,600
SUPPORT DIVERSE RESEARCH

5146
03:16:54,600 --> 03:16:56,600
PROJECTS THAT HAVE A COMMON

5147
03:16:56,600 --> 03:16:59,200
FOCUS ON PRE-EXPOSURE

5148
03:16:59,200 --> 03:17:01,160
PROPHYLAXIS AND VIRAL

5149
03:17:01,160 --> 03:17:02,320
SUPPRESSION TO ENABLE

5150
03:17:02,320 --> 03:17:04,400
COMPARISONS ACROSS CONTEXT AND

5151
03:17:04,400 --> 03:17:05,840
DIFFERENT STRATEGIES. THE

5152
03:17:05,840 --> 03:17:08,680
PROJECT WILL BE EXPECTED TO BE

5153
03:17:08,680 --> 03:17:10,040
CARRIED OUT IN PARTNERSHIP WITH

5154
03:17:10,040 --> 03:17:11,040
COMMUNITY AND IMPLEMENTING

5155
03:17:11,040 --> 03:17:12,920
PARTNERS, AIM TO SUPPORT A

5156
03:17:12,920 --> 03:17:15,600
COORDINATION CENTER WHICH WILL

5157
03:17:15,600 --> 03:17:17,800
FACILITATE COLLABORATION DATA

5158
03:17:17,800 --> 03:17:20,200
HARMONIZATION AND CROSS SITE

5159
03:17:20,200 --> 03:17:22,600
LEARNING. IN TERMS OF EXPECTED

5160
03:17:22,600 --> 03:17:23,800
OUTCOMES IN ADDITION TO

5161
03:17:23,800 --> 03:17:25,600
GENERATING NEW DATA, REGARDING

5162
03:17:25,600 --> 03:17:26,800
THESE INTERVENTIONS AND

5163
03:17:26,800 --> 03:17:28,680
UNDERSTANDING BETTER HOW TO

5164
03:17:28,680 --> 03:17:31,360
IMPLEMENT THEM THE FORMATION OF

5165
03:17:31,360 --> 03:17:32,440
GENERALIZABLE KNOWLEDGE BASE AND

5166
03:17:32,440 --> 03:17:35,200
SET OF GUIDING PRINCIPLES FOR

5167
03:17:35,200 --> 03:17:37,600
IMPLEMENTATION FACILITATE

5168
03:17:37,600 --> 03:17:40,240
ADAPTATION AND SKILL, THIS WILL

5169
03:17:40,240 --> 03:17:42,240
BE A TRANS-NIH EFFORT TO

5170
03:17:42,240 --> 03:17:43,400
INCORPORATE PRIORITIES FROM A

5171
03:17:43,400 --> 03:17:45,680
NUMBER OF ICs AND DEMONSTRATE

5172
03:17:45,680 --> 03:17:47,240
COLLECTIVE DEDICATION TO

5173
03:17:47,240 --> 03:17:48,480
ADDRESSING HIV HEALTH

5174
03:17:48,480 --> 03:17:50,200
INEQUITIES. AND ALSO STRONGLY

5175
03:17:50,200 --> 03:17:52,400
ENCOURAGE RESEARCHERS FROM

5176
03:17:52,400 --> 03:17:53,800
HBCUs AND OTHER MINORITY

5177
03:17:53,800 --> 03:17:55,840
SERVING INSTITUTIONS TO APPLY.  

5178
03:17:55,840 --> 03:18:00,840
THANK YOU.  

5179
03:18:00,840 --> 03:18:02,200
>> THANK YOU VERY MUCH, SUZY. WE

5180
03:18:02,200 --> 03:18:04,640
HAVE TWO DISCUSSANTS ASSIGNED

5181
03:18:04,640 --> 03:18:08,600
JOSEPH TELFAIR AND AMY KILGORE.

5182
03:18:08,600 --> 03:18:08,760
AMY

5183
03:18:08,760 --> 03:18:10,400
>> DO YOU WANT TO GO FIRST?

5184
03:18:10,400 --> 03:18:11,160
>> CAN YOU HEAR ME?

5185
03:18:11,160 --> 03:18:12,120
>> YES.

5186
03:18:12,120 --> 03:18:15,200
>> SO I'M AMY (INAUDIBLE)

5187
03:18:15,200 --> 03:18:16,600
DIRECTOR OF VA QUALITY

5188
03:18:16,600 --> 03:18:18,200
ENHANCEMENT RESERGE INITIATIVE

5189
03:18:18,200 --> 03:18:19,840
AT U.S. DEPARTMENT OF VETERANS

5190
03:18:19,840 --> 03:18:21,560
AFFAIRS AND PROFESSOR OF

5191
03:18:21,560 --> 03:18:23,440
LEARNING HEALTH SCIENCES AT

5192
03:18:23,440 --> 03:18:26,960
MICHIGAN. I APPRECIATE YOUR

5193
03:18:26,960 --> 03:18:28,600
PRESENTATION DR. POLLARD.  THIS

5194
03:18:28,600 --> 03:18:31,200
IS AN IMPORTANT AREA TO PROMOTE

5195
03:18:31,200 --> 03:18:34,160
REALLY THE NEXT GENERATION OF

5196
03:18:34,160 --> 03:18:34,920
IMPLEMENTATION RESEARCH THAT

5197
03:18:34,920 --> 03:18:36,800
INVOLVES COMMUNITY ENGAGEMENT

5198
03:18:36,800 --> 03:18:40,240
AND ANTI-RACISM AND COMBATING

5199
03:18:40,240 --> 03:18:42,600
STRUCTURAL RACISM. I STRONGLY

5200
03:18:42,600 --> 03:18:44,560
SUPPORT THIS INITIATIVE. I THINK

5201
03:18:44,560 --> 03:18:47,160
IN MANY RESPECTS IT ALSO COMES

5202
03:18:47,160 --> 03:18:49,200
IN ON THE REALLY KEY AREAS THAT

5203
03:18:49,200 --> 03:18:51,760
WE NEED MORE RESEARCH IN TERMS

5204
03:18:51,760 --> 03:18:54,720
OF IMPLEMENTATION SCIENCE THOSE

5205
03:18:54,720 --> 03:18:56,600
ARE THE STRUCTURAL AND POLICY

5206
03:18:56,600 --> 03:18:59,640
LEVEL TYPES OF IMPLEMENTATION

5207
03:18:59,640 --> 03:19:02,800
STRATEGIES. ALSO AT THE PERSONAL

5208
03:19:02,800 --> 03:19:06,400
LEVEL TO REALLY UNDERSTAND AND

5209
03:19:06,400 --> 03:19:08,680
SEE WHAT COMMUNITIES FIND

5210
03:19:08,680 --> 03:19:10,680
BENEFICIAL FOR HIV PREVENTION SO

5211
03:19:10,680 --> 03:19:13,160
FORTH. SO STRONGLY ENCOURAGE

5212
03:19:13,160 --> 03:19:14,800
THOSE FOCUS AREAS. IN ADDITION

5213
03:19:14,800 --> 03:19:17,600
TO THAT JUST AFTER HEARING

5214
03:19:17,600 --> 03:19:19,760
TODAY'S TALK FROM DR. NEBLETT

5215
03:19:19,760 --> 03:19:22,680
AND ZENG THERE IS A ALSO AN

5216
03:19:22,680 --> 03:19:23,760
OPPORTUNITY TO GROW THE PIPELINE

5217
03:19:23,760 --> 03:19:28,840
OF INTERDISCIPLINARY RESEARCH IN

5218
03:19:28,840 --> 03:19:30,000
IMPLEMENTATION SCIENCE, NIH IS

5219
03:19:30,000 --> 03:19:32,600
LEAD IN THIS TO BEGIN WITH, I

5220
03:19:32,600 --> 03:19:34,760
THINK A GENERATION AGO I FEEL

5221
03:19:34,760 --> 03:19:36,200
LIKE EARLY FIRST GENERATION

5222
03:19:36,200 --> 03:19:37,640
IMPLEMENTATION SCIENCE CAME FROM

5223
03:19:37,640 --> 03:19:41,200
NIMH AND INVOLVED SOCIAL SCIENCE

5224
03:19:41,200 --> 03:19:44,040
ANTHROPOLOGY AND OTHER AREAS WE

5225
03:19:44,040 --> 03:19:48,840
TYPICALLY DON'T THINK OF BUT IS

5226
03:19:48,840 --> 03:19:50,840
TYPICAL INVESTIGATOR

5227
03:19:50,840 --> 03:19:52,920
DIVERSIFYING WHICH IS GREAT SO I

5228
03:19:52,920 --> 03:19:54,200
ENCOURAGE NOT ONLY REACHING OUT

5229
03:19:54,200 --> 03:19:57,880
TO THE USUAL PLACES LIKE MEDICAL

5230
03:19:57,880 --> 03:20:00,440
ACADEMIC HEALTH SYSTEMS AND

5231
03:20:00,440 --> 03:20:02,880
THINGS THAT -- GOING TO THE

5232
03:20:02,880 --> 03:20:04,840
HBCUs BUT ALSO TO ALLIED

5233
03:20:04,840 --> 03:20:05,840
HEALTH PROFESSIONAL SCHOOLS AS

5234
03:20:05,840 --> 03:20:07,120
WELL AS OTHER SCHOOLS THAT MIGHT

5235
03:20:07,120 --> 03:20:09,400
DO REALLY GREAT INNOVATIVE AND

5236
03:20:09,400 --> 03:20:10,320
CREATIVE FIRST RESEARCH WITH

5237
03:20:10,320 --> 03:20:12,240
COMMUNITY PARTNERSHIPS AS WELL.

5238
03:20:12,240 --> 03:20:14,320
AND TO THINK CREATIVELY ABOUT

5239
03:20:14,320 --> 03:20:16,400
COMMUNITY ORGANIZATIONS LIKE

5240
03:20:16,400 --> 03:20:18,080
CITY BLOCK, NOT MAKING ANY SORT

5241
03:20:18,080 --> 03:20:19,720
OF ENDORSEMENT HERE BUT THAT IS

5242
03:20:19,720 --> 03:20:24,000
ONE EXAMPLE OF COMMUNITY BASED

5243
03:20:24,000 --> 03:20:24,640
ORGANIZATION THAT PROVIDE

5244
03:20:24,640 --> 03:20:26,360
INFRASTRUCTURE, A LOT OF THAT

5245
03:20:26,360 --> 03:20:28,200
TYPE OF INFRASTRUCTURE DR.

5246
03:20:28,200 --> 03:20:30,840
GORDON TALKED WITH COMPASS

5247
03:20:30,840 --> 03:20:33,200
INITIATIVE AS WELL.  THOSE ARE

5248
03:20:33,200 --> 03:20:36,800
SOME IDEAS BUT I'M EXCITED ABOUT

5249
03:20:36,800 --> 03:20:38,040
THIS, LOOKING FORWARD TO SEEING

5250
03:20:38,040 --> 03:20:43,000
HOW IT COMES TO FRUITION.  

5251
03:20:43,000 --> 03:20:44,680
>> CONCRETE SUGGESTIONS. JOSEPH.

5252
03:20:44,680 --> 03:20:47,400
>> THANK YOU VERY MUCH, JOSEPH

5253
03:20:47,400 --> 03:20:50,560
TELFAIR PUBLIC HEALTH PRACTICE

5254
03:20:50,560 --> 03:20:54,480
RESEARCH GEORGIA SOUTHERN. SO I

5255
03:20:54,480 --> 03:20:56,640
WOULD CONCUR WITH MUCH OF WHAT

5256
03:20:56,640 --> 03:20:58,480
MY COLLEAGUE PRESENTED, THEY ARE

5257
03:20:58,480 --> 03:21:04,520
GREAT IDEAS, ALSO THINK DR.

5258
03:21:04,520 --> 03:21:06,840
GORDON FOR THE ACTUAL PREAMBLE

5259
03:21:06,840 --> 03:21:07,800
TO ALL THIS WITH THE

5260
03:21:07,800 --> 03:21:09,840
PRESENTATIONS WE JUST HAD FROM

5261
03:21:09,840 --> 03:21:11,560
COLLEAGUES AND OTHERS BECAUSE IT

5262
03:21:11,560 --> 03:21:12,520
SETS THE STAGE FOR WHAT IT IS

5263
03:21:12,520 --> 03:21:15,760
THAT YOU ARE DISCUSSING.  SO MY

5264
03:21:15,760 --> 03:21:17,720
COMMENTS I WILL -- I HAD A FEW

5265
03:21:17,720 --> 03:21:19,520
OF THE SAME BUT I WILL AVOID

5266
03:21:19,520 --> 03:21:21,680
THOSE AND JUST MAKE A COMMENT.

5267
03:21:21,680 --> 03:21:24,160
FIRST OF ALL, I DO HAVE -- I

5268
03:21:24,160 --> 03:21:25,960
THINK IT MAKES SENSE, IN TERMS

5269
03:21:25,960 --> 03:21:28,760
OF OVERALL, I WOULD HIGHLY

5270
03:21:28,760 --> 03:21:31,960
SUPPORT THE WORK THAT'S DONE

5271
03:21:31,960 --> 03:21:35,000
HERE. . . WITH SOME
UNDERSTANDING.

5272
03:21:35,000 --> 03:21:39,200
SO IN YOUR OPENING STATEMENT YOU

5273
03:21:39,200 --> 03:21:43,000
TALK ABOUT SOCIAL AND STRUCTURAL

5274
03:21:43,000 --> 03:21:44,400
DETERMINANTS. I AGREE NEED TO BE

5275
03:21:44,400 --> 03:21:45,720
ADDED TO THE ELEMENTS OF THE

5276
03:21:45,720 --> 03:21:47,280
WORK ITSELF.  THE CHALLENGE OF

5277
03:21:47,280 --> 03:21:48,720
IT THOUGH, IMPLEMENTATION

5278
03:21:48,720 --> 03:21:50,000
RESEARCH, IS THAT WHEN YOU BEGIN

5279
03:21:50,000 --> 03:21:52,360
TO SORT OF LOOK AT AND TRY TO

5280
03:21:52,360 --> 03:21:53,960
UNDERSTAND MORE STRUCTURAL

5281
03:21:53,960 --> 03:21:56,600
ISSUES, YOU RUN INTO THE USUAL

5282
03:21:56,600 --> 03:21:58,520
BARRIERS THAT OF THE COMPLEXITY

5283
03:21:58,520 --> 03:22:01,000
OF OPERATIONAL DEFINITIONS WAYS

5284
03:22:01,000 --> 03:22:02,600
TO MEASURE THOSE THINGS, SO

5285
03:22:02,600 --> 03:22:05,920
FORTH. SO STRONG RECOMMENDATION

5286
03:22:05,920 --> 03:22:07,880
WOULD BE IN WHATEVER WAY YOU

5287
03:22:07,880 --> 03:22:09,320
ROLE THIS OUT YOU MAKE CLEAR TO

5288
03:22:09,320 --> 03:22:10,920
THE INVESTIGATORS WHAT IT IS

5289
03:22:10,920 --> 03:22:13,000
THAT YOU ARE TALKING ABOUT. WHAT

5290
03:22:13,000 --> 03:22:14,560
IS IT THAT SOME REALLY GOOD

5291
03:22:14,560 --> 03:22:21,800
CONCRETE EXAMPLES LIKE POLICIES

5292
03:22:21,800 --> 03:22:23,040
RELATED TO THE WORK, ALLOWS FOR

5293
03:22:23,040 --> 03:22:25,800
LAWS AN POLICIES, IF YOU ARE

5294
03:22:25,800 --> 03:22:29,600
GOING TO DO ACADEMIC

5295
03:22:29,600 --> 03:22:30,400
RELATIONSHIP THERE ARE

5296
03:22:30,400 --> 03:22:31,960
INTERVENTIONS THAT IN AND OF

5297
03:22:31,960 --> 03:22:32,880
THEMSELVES HAVE LAWS THAT

5298
03:22:32,880 --> 03:22:34,600
PROHIBIT THEM THOUGH THEY ARE

5299
03:22:34,600 --> 03:22:36,760
EFFECTIVE LIKE NEEDLE EXCHANGE,

5300
03:22:36,760 --> 03:22:39,040
SO FORTH. ALSO THERE'S STILL

5301
03:22:39,040 --> 03:22:40,640
SODOMY LAWS ON THE BOOKS. SO YOU

5302
03:22:40,640 --> 03:22:41,760
HAVE A WHOLE BUNCH OF THOSE

5303
03:22:41,760 --> 03:22:45,560
THINGS. THERE'S STILL WAYS THAT

5304
03:22:45,560 --> 03:22:47,360
STIGMATIZATION IS NOT

5305
03:22:47,360 --> 03:22:48,360
ELIMINATED. PARTICULARLY AT

5306
03:22:48,360 --> 03:22:49,600
POLICY LEVEL, PARTICULARLY IN

5307
03:22:49,600 --> 03:22:51,240
INSTITUTIONS.  MANY OF THEM EVEN

5308
03:22:51,240 --> 03:22:53,080
HEALTHCARE INSTITUTIONS.  OR

5309
03:22:53,080 --> 03:22:56,880
EVEN SOME POLICIES SO STRONG

5310
03:22:56,880 --> 03:22:58,760
RECOMMENDATION WOULD BE THAT IN

5311
03:22:58,760 --> 03:23:00,600
THE COLLABORATION WITH OTHER

5312
03:23:00,600 --> 03:23:05,240
INSTITUTES, THAT YOU REALLY MAKE

5313
03:23:05,240 --> 03:23:07,640
CLEAR THE STRUCTURAL AS WELL AS

5314
03:23:07,640 --> 03:23:09,080
SOCIAL DETERMINANTS YOU HAVE.

5315
03:23:09,080 --> 03:23:10,800
THAT'S MY FIRST STATEMENT. THE

5316
03:23:10,800 --> 03:23:13,240
SECOND PART IS I THINK SOCIAL

5317
03:23:13,240 --> 03:23:14,600
CULTURAL RISKS AND INFLUENCES

5318
03:23:14,600 --> 03:23:16,240
WHICH ARE NOT DISCUSSED HERE,

5319
03:23:16,240 --> 03:23:19,120
BUT CLEARLY BASED UPON THE

5320
03:23:19,120 --> 03:23:20,880
IMPETUS OF WHAT YOU ARE TRYING

5321
03:23:20,880 --> 03:23:22,200
TO DO NEED TO BE CONSIDERED

5322
03:23:22,200 --> 03:23:24,920
BECAUSE YOU ARE TALKING ABOUT

5323
03:23:24,920 --> 03:23:27,320
GROUPS WHILE WE HAVE THESE

5324
03:23:27,320 --> 03:23:29,240
RACIAL DEMARCATIONS, AND WE HAVE

5325
03:23:29,240 --> 03:23:32,560
THESE ETHNICITY DEMARCATION, A

5326
03:23:32,560 --> 03:23:36,480
LOT OF THE LEVEL OF INVOLVEMENT

5327
03:23:36,480 --> 03:23:37,520
PARTICULARLY INVOLVEMENT WHERE

5328
03:23:37,520 --> 03:23:39,600
YOU HAVE CARE SEEKING AND OTHER

5329
03:23:39,600 --> 03:23:40,880
THINGS HAVE A STRONG CULTURAL

5330
03:23:40,880 --> 03:23:46,720
COMPONENT TO THAT. SO IN THAT

5331
03:23:46,720 --> 03:23:48,200
CASE THOSE ARE SOCIAL STRUCTURAL

5332
03:23:48,200 --> 03:23:51,200
ISSUES SO I SUGGEST KIERING

5333
03:23:51,200 --> 03:23:52,560
THOSE ADD THAT BECAUSE EVEN

5334
03:23:52,560 --> 03:23:53,760
THOUGH THEY ADD COMPLEXITY OF

5335
03:23:53,760 --> 03:23:55,000
STUDY THEY ALSO ADD TO WHAT THE

5336
03:23:55,000 --> 03:23:56,160
KIND OF OUTCOMES THAT YOU ARE

5337
03:23:56,160 --> 03:23:57,880
TALKING ABOUT BUT THAT YOU MIGHT

5338
03:23:57,880 --> 03:23:59,600
HAVE SO THAT WOULD BE SOMETHING

5339
03:23:59,600 --> 03:24:04,680
TO HAVE. I WAS GLAD TO SEE THAT

5340
03:24:04,680 --> 03:24:06,360
YOU HAVE -- LOOK AT HISTORY AND

5341
03:24:06,360 --> 03:24:09,600
YOU TALK ABOUT HISTORY, AND THE

5342
03:24:09,600 --> 03:24:13,080
EVIDENCE THAT IS THERE. BUT

5343
03:24:13,080 --> 03:24:15,880
HOWEVER, MAKING DEMARCATIONS

5344
03:24:15,880 --> 03:24:18,280
BETWEEN SHORT AND MEDIAN AND

5345
03:24:18,280 --> 03:24:20,040
LONG TERM OUTCOMES IS GOING TO

5346
03:24:20,040 --> 03:24:21,600
BE IMPORTANT BECAUSE

5347
03:24:21,600 --> 03:24:23,480
IMPLEMENTATION SCIENCE ALLOWS

5348
03:24:23,480 --> 03:24:27,120
YOU TO DO MULTIPLE LEVELS OF

5349
03:24:27,120 --> 03:24:28,760
THAT, THAT WOULD BE WORTH IT.

5350
03:24:28,760 --> 03:24:31,280
THE OTHER PART THOUGH IS THAT

5351
03:24:31,280 --> 03:24:33,040
YOU TALK ABOUT NEW CONTEXT YOU

5352
03:24:33,040 --> 03:24:34,400
WANT TO BRING TO SCALE THAT, IS

5353
03:24:34,400 --> 03:24:35,400
IN YOUR PART. I WASN'T CLEAR

5354
03:24:35,400 --> 03:24:39,600
WHAT YOU MEANT BY THAT. 

5355
03:24:39,600 --> 03:24:44,560
>> SO I THINK A LOT OF THESE --

5356
03:24:44,560 --> 03:24:46,720
THERE IS A SPECTRUM IN TERMS OF

5357
03:24:46,720 --> 03:24:48,840
EVIDENCE FOR THESE DIFFERENT

5358
03:24:48,840 --> 03:24:50,960
INTERVENTIONS BUT THERE ARE

5359
03:24:50,960 --> 03:24:53,760
INTERVENTIONS THAT FOCUS ON

5360
03:24:53,760 --> 03:24:54,760
SOCIAL DETERMINANTS OF HEALTH

5361
03:24:54,760 --> 03:24:56,400
CARRIED OUT IN ONE CONTEXT, IN

5362
03:24:56,400 --> 03:25:01,760
ONE SMALL AREA. SO THE IDEA IS

5363
03:25:01,760 --> 03:25:04,680
THAT IS BEAUTY OF IMPLEMENTATION

5364
03:25:04,680 --> 03:25:06,480
SCIENCE, AS BEING ABEL THE LOOK

5365
03:25:06,480 --> 03:25:09,120
AT BOTH EFFECT AND PLEA

5366
03:25:09,120 --> 03:25:09,960
AGREEMENT MENNATION, DEPENDING

5367
03:25:09,960 --> 03:25:12,120
WHERE THAT EVIDENCE IS, BEING

5368
03:25:12,120 --> 03:25:13,840
ABLE TO HAVE FOCUS ON

5369
03:25:13,840 --> 03:25:14,480
EFFECTIVENESS AND IMPLEMENTATION

5370
03:25:14,480 --> 03:25:17,240
BUT LOOKING AT A CONTEXT BESIDES

5371
03:25:17,240 --> 03:25:18,440
THE ONE THAT WHERE THERE IS

5372
03:25:18,440 --> 03:25:19,480
ALREADY SOME PRELIMINARY

5373
03:25:19,480 --> 03:25:24,560
EVIDENCE. 

5374
03:25:24,560 --> 03:25:27,160
>> THANK YOU, THAT IS REALLY

5375
03:25:27,160 --> 03:25:28,680
HELPFUL. I HI IT IS IMPORTANT IN

5376
03:25:28,680 --> 03:25:30,360
YOUR DISCUSSION DISCUSS THE FACT

5377
03:25:30,360 --> 03:25:32,600
YOU TRAY TO GROW THE PARADIGM IF

5378
03:25:32,600 --> 03:25:33,960
YOU WILL BEYOND WHAT TRADITIONAL

5379
03:25:33,960 --> 03:25:38,400
WAYS THAT THAT'S DONE BECAUSE IF

5380
03:25:38,400 --> 03:25:40,680
YOU EXPAND BEYOND CONTEXT YOU

5381
03:25:40,680 --> 03:25:41,960
HAVE TALK HOW THEY INTEGRATE AS

5382
03:25:41,960 --> 03:25:44,040
WELL.  IN TERMS OF HOW THEY

5383
03:25:44,040 --> 03:25:46,280
WORK. THAT IS THE OTHER THING.

5384
03:25:46,280 --> 03:25:49,280
MY LAST COMMENT IS I FULLY AGREE

5385
03:25:49,280 --> 03:25:52,400
WITH THE IDEA YOU WILL

5386
03:25:52,400 --> 03:25:53,480
SIMULTANEOUSLY STRENGTHEN

5387
03:25:53,480 --> 03:25:55,240
EVIDENCE FOR MULTI-LEVEL HIV

5388
03:25:55,240 --> 03:25:56,720
INTERVENTION THAT ADDRESS THESE

5389
03:25:56,720 --> 03:25:57,600
WHILE DEVELOPING THESE

5390
03:25:57,600 --> 03:26:00,560
IMPLEMENTATION STRATEGIES. SO

5391
03:26:00,560 --> 03:26:02,760
THAT PAIRING IS DEFINITELY --

5392
03:26:02,760 --> 03:26:04,640
THAT TO ME THE STRONGEST

5393
03:26:04,640 --> 03:26:07,000
ARGUMENT FOR THIS INTERVENTION

5394
03:26:07,000 --> 03:26:09,400
IS YOU LOOK AT EVIDENCE AND HAVE

5395
03:26:09,400 --> 03:26:10,600
EVIDENCE DRIVEN INTERVENTIONS

5396
03:26:10,600 --> 03:26:11,960
THAT IN AND OF THEMSELVES

5397
03:26:11,960 --> 03:26:13,600
CHALLENGE TRADITIONAL PARADIGMS

5398
03:26:13,600 --> 03:26:15,560
IN THE WAY WE DO WORK. THAT IS

5399
03:26:15,560 --> 03:26:17,080
MY LAST COMMENT. THANK YOU FOR

5400
03:26:17,080 --> 03:26:25,200
ASKING ME TO LOOK AT THIS. I

5401
03:26:25,200 --> 03:26:26,640
FULLY CONCUR WITH MY COLLEAGUE,

5402
03:26:26,640 --> 03:26:31,200
THIS WILL BE A GREAT IDEA.  

5403
03:26:31,200 --> 03:26:32,480
>> THANK YOU VERY MUCH. ANY

5404
03:26:32,480 --> 03:26:33,200
COMMENTS FROM OTHER MEMBERS OF

5405
03:26:33,200 --> 03:26:39,000
THE COUNCIL?

5406
03:26:39,000 --> 03:26:41,000
>> I HAVE ONE COMMENT.

5407
03:26:41,000 --> 03:26:43,840
MARGUERITA LIGHTFOOT.  OHU

5408
03:26:43,840 --> 03:26:46,000
SCHOOL OF PUBLIC HEALTH

5409
03:26:46,000 --> 03:26:47,160
UNDERSCORING SOMETHING IMPLIED

5410
03:26:47,160 --> 03:26:49,600
BY MY COLLEAGUES AND THAT IS

5411
03:26:49,600 --> 03:26:51,000
WHILE THERE IS ALSO -- THE NEED

5412
03:26:51,000 --> 03:26:53,200
TO FOCUS ON INTERVENTIONS THAT

5413
03:26:53,200 --> 03:26:55,480
LOOK AT THESE SOCIAL STRUCTURAL

5414
03:26:55,480 --> 03:26:57,080
DETERMINANTS OF HEALTH, THE

5415
03:26:57,080 --> 03:26:59,320
THING TO ALSO KEEP IN MIND IS

5416
03:26:59,320 --> 03:27:01,320
THAT OUR IMPLEMENTATION SCIENCE

5417
03:27:01,320 --> 03:27:03,080
FRAME WORKS BY WHICH WE

5418
03:27:03,080 --> 03:27:06,600
UNDERSTAND AND STUDY HOW

5419
03:27:06,600 --> 03:27:09,600
INTERVENTIONS ARE UPTAKE OF

5420
03:27:09,600 --> 03:27:10,440
INTERVENTIONS ARE OFTEN VERY

5421
03:27:10,440 --> 03:27:12,200
SILENT TO RACISM AND

5422
03:27:12,200 --> 03:27:13,120
INSTITUTIONAL RACISM AND THESE

5423
03:27:13,120 --> 03:27:15,000
ISSUES THAT WE ARE TALKING

5424
03:27:15,000 --> 03:27:20,000
ABOUT. SO INHERENT IN YOUR CALL

5425
03:27:20,000 --> 03:27:23,320
FOR THESE THINGS IS ALSO HAVING

5426
03:27:23,320 --> 03:27:25,760
FOLKS BE ATTUNE TO THE FACT THAT

5427
03:27:25,760 --> 03:27:29,040
OUR FRAME WORKS -- THEY NEED TO

5428
03:27:29,040 --> 03:27:31,280
ADAPT FRAME WORKS, BE ABLE TO

5429
03:27:31,280 --> 03:27:32,600
LOOK AND UNDERSTAND THE

5430
03:27:32,600 --> 03:27:33,600
INSTITUTIONAL STRUCTURAL

5431
03:27:33,600 --> 03:27:35,200
BARRIERS TO IMPLEMENTATION OF

5432
03:27:35,200 --> 03:27:36,240
THESE KINDS OF INTERVENTIONS AS

5433
03:27:36,240 --> 03:27:37,640
WELL.  

5434
03:27:37,640 --> 03:27:40,480
>> THANK YOU THANK YOU. GREAT
POINT.

5435
03:27:40,480 --> 03:27:42,360
>> THANK YOU, MARGUERITA. IN THE

5436
03:27:42,360 --> 03:27:43,600
INTEREST OF TIME I'M GOING TO

5437
03:27:43,600 --> 03:27:44,960
MOVE ON, AS A BLANKET STATEMENT

5438
03:27:44,960 --> 03:27:48,320
I WILL ASK THAT THE COMMENT OR

5439
03:27:48,320 --> 03:27:49,440
DISCUSSANTS BECAUSE WE ARE

5440
03:27:49,440 --> 03:27:51,200
RAPIDLY RUNNING OUT OF TIME, WE

5441
03:27:51,200 --> 03:27:52,480
HAVE FOUR MORE CONCEPTS TO GO

5442
03:27:52,480 --> 03:27:56,440
THROUGH.  EACH OF THE

5443
03:27:56,440 --> 03:27:57,440
DISCUSSANTS KEEP YOUR REMARKS

5444
03:27:57,440 --> 03:28:00,920
BRIEF AND IF YOU COULD TAKE

5445
03:28:00,920 --> 03:28:01,920
ADDITIONAL E DETAIL SUGGESTIONS

5446
03:28:01,920 --> 03:28:03,360
AND SEND THEM IN WRITING TO US

5447
03:28:03,360 --> 03:28:04,840
WE'LL MAKE SURE THEY GET O THE

5448
03:28:04,840 --> 03:28:06,200
CORRECT PROGRAM OFFICERS TO

5449
03:28:06,200 --> 03:28:08,800
INCORPORATE THEM.  THE NEXT UP

5450
03:28:08,800 --> 03:28:21,000
WE HAVE DR. ISHMAEL AM R
AMARREH. 

5451
03:28:21,000 --> 03:28:22,760
OFFICE OF WORK FORCE DIVERSITY.

5452
03:28:22,760 --> 03:28:25,040
IT'S WRITTEN WRONG ON MY

5453
03:28:25,040 --> 03:28:26,400
PROGRAM. WHO IS GOING TO TALK

5454
03:28:26,400 --> 03:28:27,960
ABOUT NIMH FACULTY DEVELOPMENT

5455
03:28:27,960 --> 03:28:29,400
AWARD TO PROMOTE DIVERSITY MANY

5456
03:28:29,400 --> 03:28:32,040
MENTAL HEALTH RESEARCH. ISHMAEL

5457
03:28:32,040 --> 03:28:32,560
TAKE IT AWAY.

5458
03:28:32,560 --> 03:28:36,200
>> THANKS, DR. GORDON. MY NAME

5459
03:28:36,200 --> 03:28:40,360
IS ISHMAEL AMARREH FROM OFFICE

5460
03:28:40,360 --> 03:28:42,000
FOR DISPARITY RESEARCH ON WORK

5461
03:28:42,000 --> 03:28:43,880
FORCE DIVERSITY, PRESENTING THIS

5462
03:28:43,880 --> 03:28:45,000
CONCEPT FOR NIMH DEVELOPMENT

5463
03:28:45,000 --> 03:28:48,280
AWARD TO PROMOTE DIVERSITY IN

5464
03:28:48,280 --> 03:29:01,080
MENTAL HEALTH. THE GOAL IS TO

5465
03:29:01,080 --> 03:29:02,200
ENHANCE MENTAL HEALTH BY

5466
03:29:02,200 --> 03:29:03,760
SUPPORTING EARLY RESEARCH

5467
03:29:03,760 --> 03:29:05,200
FACULTY RESEARCHERS FROM

5468
03:29:05,200 --> 03:29:06,600
UNDEREPIREPRESENTED GROUPS AND

5469
03:29:06,600 --> 03:29:08,240
BIOMEDICAL VERGE. THE CONCEPT

5470
03:29:08,240 --> 03:29:10,000
PROPOSES A PROGRAM TO SUPPORT

5471
03:29:10,000 --> 03:29:13,080
EARLY CAREER FACULTY

5472
03:29:13,080 --> 03:29:16,000
INVESTIGATOR WHOSE HAVE EARNED

5473
03:29:16,000 --> 03:29:20,280
Ph.D. OR M.D. Ph.D. AND NOT

5474
03:29:20,280 --> 03:29:21,960
CURRENTLY OR FORMER INDEPENDENT

5475
03:29:21,960 --> 03:29:24,280
PROGRAM DIRECTOR PRINCIPLE

5476
03:29:24,280 --> 03:29:26,480
INVESTIGATORS AND NIH AWARDS.

5477
03:29:26,480 --> 03:29:27,760
THE PROGRAM WILL PROVIDE

5478
03:29:27,760 --> 03:29:31,440
RESEARCH SUPPORT FOR PERIOD OF

5479
03:29:31,440 --> 03:29:33,960
CAREER DEVELOPMENT INCORPORATION

5480
03:29:33,960 --> 03:29:36,720
FOR LAUNCHING RESEARCH CAREER.

5481
03:29:36,720 --> 03:29:40,160
NEXT SLIDE.  THIS DATA HAS BEEN

5482
03:29:40,160 --> 03:29:45,680
SHARED WITH YOU PREVIOUSLY I

5483
03:29:45,680 --> 03:29:46,920
PRESENT IT HERE REMINDER THAT

5484
03:29:46,920 --> 03:29:52,200
THE GAP IN FUNDING AWARDS IS

5485
03:29:52,200 --> 03:29:58,640
LARGEST AT INVESTIGATOR LEVEL. 

5486
03:29:58,640 --> 03:30:00,280
THE CONCEPT PROPOSES PROGRAM

5487
03:30:00,280 --> 03:30:04,800
THAT WILL EXPAND PERIOD OF HE

5488
03:30:04,800 --> 03:30:06,920
WILL JILT FOR CAREER DEVELOPMENT

5489
03:30:06,920 --> 03:30:08,560
PROGRAMS BEYOND EXISTING NIMH

5490
03:30:08,560 --> 03:30:10,680
SUPPORTED PROGRAMS. THIS CONCEPT

5491
03:30:10,680 --> 03:30:12,800
AIMES TO ENHANCE MENTAL HEALTH

5492
03:30:12,800 --> 03:30:15,360
RESEARCH WORK FORCE DIVERSITY BY

5493
03:30:15,360 --> 03:30:16,680
SUPPORTING SUCH INDIVIDUALS WHO

5494
03:30:16,680 --> 03:30:19,000
ARE CONDUCTING NIMH RELEVANT

5495
03:30:19,000 --> 03:30:20,360
RESEARCH AT A CRUCIAL

5496
03:30:20,360 --> 03:30:22,280
POTENTIALLY VULNERABLE FACE OF

5497
03:30:22,280 --> 03:30:24,280
THEIR -- PHASE OF THEIR CAREER. 

5498
03:30:24,280 --> 03:30:26,200
RESEARCH CAREER. AND THAT

5499
03:30:26,200 --> 03:30:28,680
TRANSITION TO BECOMING

5500
03:30:28,680 --> 03:30:32,880
INVESTIGATOR. WE EXPECT THE

5501
03:30:32,880 --> 03:30:35,880
OUTCOMES WE EXPECT FROM THIS AND

5502
03:30:35,880 --> 03:30:37,080
CONCEPT WILL BE TO FILL A

5503
03:30:37,080 --> 03:30:39,280
PROGRAM GAP THAT EXISTS IN THE

5504
03:30:39,280 --> 03:30:40,400
NIMH PORTFOLIO WE HOPE THIS WILL

5505
03:30:40,400 --> 03:30:43,000
INCREASE THE NUMBER OF

5506
03:30:43,000 --> 03:30:45,240
APPLICANTS FROM EARLY CAREER

5507
03:30:45,240 --> 03:30:46,400
FACULTY AND THE GROUPS WE ARE

5508
03:30:46,400 --> 03:30:48,000
TARGETING. WE HOPE THAT THIS

5509
03:30:48,000 --> 03:30:49,360
WILL ALSO ENHANCE POOL OF THE

5510
03:30:49,360 --> 03:30:51,560
WELL TRAINED INVESTIGATORS WE

5511
03:30:51,560 --> 03:30:54,720
CURRENTLY TRAIN AND OVERALL

5512
03:30:54,720 --> 03:30:56,480
DIVERSIFY POOL OF MENTAL HEALTH

5513
03:30:56,480 --> 03:30:59,600
RESEARCH INVESTIGATORS.  I WANT

5514
03:30:59,600 --> 03:31:03,200
TO THANK IN ADVANCE THE COUNCIL

5515
03:31:03,200 --> 03:31:06,000
MEMBERS WHO REVIEWED THIS FOR US

5516
03:31:06,000 --> 03:31:11,400
AND BACK TO YOU JOSH.  

5517
03:31:11,400 --> 03:31:13,440
>> THANKS. REVIEWING THESE ARE

5518
03:31:13,440 --> 03:31:15,400
CHERYL KING AND MARGUERITA

5519
03:31:15,400 --> 03:31:16,960
LIGHTFOOT.  CHERYL START US OFF

5520
03:31:16,960 --> 03:31:17,160
AGAIN?

5521
03:31:17,160 --> 03:31:19,840
>> SURE, IF I'M UNDERSTANDING

5522
03:31:19,840 --> 03:31:21,640
THIS I DO SUPPORT IT, IT CAN

5523
03:31:21,640 --> 03:31:24,160
HAVE A POSITIVE IMPACT.

5524
03:31:24,160 --> 03:31:26,520
DIVERSITY OF OUR RESEARCH WORK

5525
03:31:26,520 --> 03:31:27,920
FORCE IF I'M UNDERSTANDING IT IT

5526
03:31:27,920 --> 03:31:30,000
IS EXPANDING PRIMARILY THE

5527
03:31:30,000 --> 03:31:32,200
PERIOD OF ELIGIBILITY FOR

5528
03:31:32,200 --> 03:31:34,760
MENTORED CAREER DEVELOPMENT

5529
03:31:34,760 --> 03:31:35,800
PROGRAMS, I THINK THAT COULD

5530
03:31:35,800 --> 03:31:37,000
MAKE A REALLY IMPORTANT

5531
03:31:37,000 --> 03:31:39,600
DIFFERENCE BECAUSE OF THE PRESS

5532
03:31:39,600 --> 03:31:43,520
THAT IS ON EARLY INVESTIGATORS

5533
03:31:43,520 --> 03:31:44,800
ACROSS THEIR DUTIES AT THE

5534
03:31:44,800 --> 03:31:46,000
UNIVERSITY CERTAINLY IN THE

5535
03:31:46,000 --> 03:31:50,120
HEALTH SYSTEMS SO I SUPPORT IT.

5536
03:31:50,120 --> 03:31:52,000
MY COMMENTS OR SUGGESTIONS MORE

5537
03:31:52,000 --> 03:31:55,160
ABOUT COULD BE EXPANDED.  MAYBE

5538
03:31:55,160 --> 03:31:56,040
THIS MEANS CONTINUING TO GROW

5539
03:31:56,040 --> 03:31:58,840
THE SUITE OF SUCH CONCEPTS OR

5540
03:31:58,840 --> 03:32:01,000
TAKING A MULTI-PRONGED APPROACH

5541
03:32:01,000 --> 03:32:02,200
IN THIS ONE, I DON'T KNOW WHICH

5542
03:32:02,200 --> 03:32:07,480
WAY THIS WOULD GO. BUT IT

5543
03:32:07,480 --> 03:32:09,400
STRIKES ME MORE TIME IS ONE

5544
03:32:09,400 --> 03:32:10,560
IMPORTANT ISSUE BUT NOT THE ONLY

5545
03:32:10,560 --> 03:32:14,840
ONE, MAY NOT EVEN BE THE PRIMARY

5546
03:32:14,840 --> 03:32:16,880
DRIVER I WAS THINKING THE ROBERT

5547
03:32:16,880 --> 03:32:20,080
WOOD JOHNSON PROGRAMS AND HOW

5548
03:32:20,080 --> 03:32:23,800
SOME WORKED ALSO TO GROW THE

5549
03:32:23,800 --> 03:32:24,760
NETWORK DURING THIS PERIOD OF

5550
03:32:24,760 --> 03:32:29,120
TIME.  TO HELP INDIVIDUAL

5551
03:32:29,120 --> 03:32:32,000
DEVELOP A NATIONAL NETWORK OF

5552
03:32:32,000 --> 03:32:33,080
SCIENTISTS WHO SUPPORT THEM AND

5553
03:32:33,080 --> 03:32:34,000
GIVING INPUT INTO THEIR

5554
03:32:34,000 --> 03:32:39,000
RESEARCH.  SO SOME EXTENT K

5555
03:32:39,000 --> 03:32:40,640
AWARDS DO THIS BUT NETWORK IS

5556
03:32:40,640 --> 03:32:42,600
EXPAND AND COULD MAKE

5557
03:32:42,600 --> 03:32:45,040
DIFFERENCE. ANOTHER ONE THAT

5558
03:32:45,040 --> 03:32:47,400
CAME TO MIND IS ALSO SOMETHING

5559
03:32:47,400 --> 03:32:50,160
THAT DR. NEBLETT MENTIONED THAT

5560
03:32:50,160 --> 03:32:55,520
WE FOCUS ALMOST SOLELY ON THE

5561
03:32:55,520 --> 03:32:58,760
PI, I THINK OF ALL THE TEAMS

5562
03:32:58,760 --> 03:33:00,960
DIVERSE TEAMS I WORK WITH OVER

5563
03:33:00,960 --> 03:33:03,360
THE YEARS AND THE PI POOL IS

5564
03:33:03,360 --> 03:33:05,760
RELATIVELY SMALL, THIS WILL MAKE

5565
03:33:05,760 --> 03:33:07,000
A DIFFERENCE BUT IT IS GOING TO

5566
03:33:07,000 --> 03:33:10,480
BE SLOW AND TAKE TIME. IT IS

5567
03:33:10,480 --> 03:33:14,520
IMPORTANT BUT WHAT ABOUT ALSO

5568
03:33:14,520 --> 03:33:15,800
GROWING THE DIVERSITY OF

5569
03:33:15,800 --> 03:33:17,000
LEADERSHIP TEAM WHETHER OR NOT

5570
03:33:17,000 --> 03:33:21,760
PI AND COULD WE PUT IN PLACE

5571
03:33:21,760 --> 03:33:26,280
SOME INCENTIVES FOR RESEARCH

5572
03:33:26,280 --> 03:33:27,840
THAT COMES IN REALLY RELEVANT

5573
03:33:27,840 --> 03:33:29,240
AND ACROSS THE BOARD WITH MORE

5574
03:33:29,240 --> 03:33:30,440
DIVERSE LEADERSHIP TEAMS. THANK

5575
03:33:30,440 --> 03:33:31,800
YOU. I SUPPORT IT AND I

5576
03:33:31,800 --> 03:33:32,760
APPRECIATE THAT YOU BROUGHT IT

5577
03:33:32,760 --> 03:33:37,400
FORWARD.  

5578
03:33:37,400 --> 03:33:39,600
>> 

5579
03:33:39,600 --> 03:33:41,000
>> QUICK COMMENT ABOUT THE FIRST

5580
03:33:41,000 --> 03:33:42,400
POINT. THE PLAN IS MEMBERS OF

5581
03:33:42,400 --> 03:33:44,080
THIS AWARDEES OF THIS MECHANISM

5582
03:33:44,080 --> 03:33:46,680
WOULD BE ELIGIBLE TO PARTICIPATE

5583
03:33:46,680 --> 03:33:49,200
IN A COHORT PROGRAM THAT WE

5584
03:33:49,200 --> 03:33:54,800
PARTICIPATE IN THROUGH NIGMS TO

5585
03:33:54,800 --> 03:33:57,160
SUPPORT K AWARD RECIPIENTS FROM

5586
03:33:57,160 --> 03:33:58,240
THIS CONTRIBUTING INSTITUTE SO

5587
03:33:58,240 --> 03:33:59,120
THAT COULD BE PART OF THIS

5588
03:33:59,120 --> 03:34:03,880
PARTICULAR MECHANISM. DEPENDING

5589
03:34:03,880 --> 03:34:06,840
UPON THE INDIVIDUAL. MARGUERITA.

5590
03:34:06,840 --> 03:34:08,440
>> I WILL KEEP MY COMMENTS

5591
03:34:08,440 --> 03:34:10,680
BRIEF. I ALSO AM VERY MUCH IN

5592
03:34:10,680 --> 03:34:13,440
SUPPORT OF THIS CONCEPT. THE

5593
03:34:13,440 --> 03:34:15,600
THING THAT CAME TO MY MIND AS MY

5594
03:34:15,600 --> 03:34:16,880
COLLEAGUES OTHER KIND OF THINGS

5595
03:34:16,880 --> 03:34:18,560
COULD BE DONE I WON'T GO INTO

5596
03:34:18,560 --> 03:34:20,400
ALL OF THAT. EXCEPT TO SAY I

5597
03:34:20,400 --> 03:34:22,400
THINK IT'S IMPORTANT FOR US TO

5598
03:34:22,400 --> 03:34:26,680
GIVE FOLKS MORE TIME FOR

5599
03:34:26,680 --> 03:34:28,280
ELIGIBILITY. FOLKS COME LATE

5600
03:34:28,280 --> 03:34:29,240
SOMETIMES TO RESEARCH AND TAKE

5601
03:34:29,240 --> 03:34:30,360
MORE TIME BUT ALSO GIVEN THE

5602
03:34:30,360 --> 03:34:31,800
NUMBER OF TIMES OFTEN SOMEONE

5603
03:34:31,800 --> 03:34:35,800
HAS RESUBMIT A GRANTNA GIVING

5604
03:34:35,800 --> 03:34:36,800
MORE TEAM ELIGIBILITY MAKES

5605
03:34:36,800 --> 03:34:38,760
SENSE. IF I I'LL PLUG ONE THING

5606
03:34:38,760 --> 03:34:40,880
WE CAN DO IN TERMS OF EXTENDING

5607
03:34:40,880 --> 03:34:42,360
TIME IS GETTING THAT KO 1 BACK

5608
03:34:42,360 --> 03:34:43,280
UP TO FIVE YEARS OPPOSED TO

5609
03:34:43,280 --> 03:34:46,160
FOUR.  

5610
03:34:46,160 --> 03:34:48,000
>> THANKS, MARGUERITA. ANY OTHER

5611
03:34:48,000 --> 03:34:49,840
COMMENTS OR QUESTIONS FROM

5612
03:34:49,840 --> 03:34:56,040
MEMBERS OF THE COUNCIL? TED.

5613
03:34:56,040 --> 03:34:59,440
>> QUICK COMMENT TO REINFORCE

5614
03:34:59,440 --> 03:35:00,680
WHAT CHERYL SAID AND MARGUERITA

5615
03:35:00,680 --> 03:35:03,200
SAID.  I THINK EVEN HAVING THIS

5616
03:35:03,200 --> 03:35:06,080
EXFEND BEYOND ITS THOUGHT ABOUT

5617
03:35:06,080 --> 03:35:11,680
EARLY CAREER MENTORED AWARDS, WE

5618
03:35:11,680 --> 03:35:15,240
REALLY ARE NOT DOING ENOUGH BUT

5619
03:35:15,240 --> 03:35:16,400
DOING EVEN LESS MID CAREER

5620
03:35:16,400 --> 03:35:17,920
INVESTIGATORS WE ARE NOT DOING

5621
03:35:17,920 --> 03:35:19,400
ENOUGH FOR YOUNG INVESTIGATOR

5622
03:35:19,400 --> 03:35:20,480
BUT WE HAVE TO THINK HOW WE ARE

5623
03:35:20,480 --> 03:35:31,760
GOING TO HELP THEM PROGRESS

5624
03:35:31,760 --> 03:35:33,400
THROUGH AWARDS, ADDITIONAL

5625
03:35:33,400 --> 03:35:34,600
MECHANISM AFTER K MECHANISM, I

5626
03:35:34,600 --> 03:35:36,920
WOULD BE SUPPORTIVE OF -- VERY

5627
03:35:36,920 --> 03:35:37,680
SUPPORTIVE OF THIS BUT

5628
03:35:37,680 --> 03:35:39,600
SUPPORTIVE HAVING IT BE LONGER

5629
03:35:39,600 --> 03:35:41,840
DURATION OR OTHER MECHANISMS.  

5630
03:35:41,840 --> 03:35:44,680
>> THANKS. PAMELA. 

5631
03:35:44,680 --> 03:35:47,360
>> THANK YOU THIS SOUNDS GREAT I

5632
03:35:47,360 --> 03:35:48,600
ALSO FULLY SUPPORT AND AGREE

5633
03:35:48,600 --> 03:35:50,000
WITH COMMENTS OF MY COLLEAGUES. 

5634
03:35:50,000 --> 03:35:54,480
JUST WANTED TO ASK ABOUT THE

5635
03:35:54,480 --> 03:35:55,720
TRANSITION AT END OF AWARD TO

5636
03:35:55,720 --> 03:35:57,440
NEXT ONE. THAT'S WHERE PEOPLE

5637
03:35:57,440 --> 03:35:58,480
OFTEN GET TRIPPED UP IS

5638
03:35:58,480 --> 03:36:03,360
TRANSITIONING TO INDEPENDENCE. 

5639
03:36:03,360 --> 03:36:04,680
THINKING ABOUT THIS, HOW WILL

5640
03:36:04,680 --> 03:36:06,240
THIS PERHAPSES IS THERE A WAY

5641
03:36:06,240 --> 03:36:07,880
THIS CAN EASE THAT, WILL THE

5642
03:36:07,880 --> 03:36:09,680
COHORT GROUP BE ABLE TO ADDRESS

5643
03:36:09,680 --> 03:36:11,680
THOSE ISSUES NOT SURE BUT

5644
03:36:11,680 --> 03:36:14,320
SOMETHING TO THINK ABOUT AS YOU

5645
03:36:14,320 --> 03:36:15,560
DEVELOP FURTHER CONCEPT. 

5646
03:36:15,560 --> 03:36:18,880
>> THANKS, ISHMAEL RESPONSE TO

5647
03:36:18,880 --> 03:36:20,520
THAT PARTICULAR COMMENT?

5648
03:36:20,520 --> 03:36:23,000
>> I AGREE WITH ALL THOSE AND WE

5649
03:36:23,000 --> 03:36:26,960
ARE THINKING OF A LOT DIFFERENT

5650
03:36:26,960 --> 03:36:28,400
THINGS AND THE BIGGEST WE WANT

5651
03:36:28,400 --> 03:36:34,440
TO HAVE IN THIS PROGRAM OR

5652
03:36:34,440 --> 03:36:36,200
CONCEPT IS FLEXIBILITY SO WE ARE

5653
03:36:36,200 --> 03:36:37,600
BUILDING A LOT OF FLEXIBILITY IN

5654
03:36:37,600 --> 03:36:40,000
THE WAY THAT WE DO THINGS TO

5655
03:36:40,000 --> 03:36:42,200
HELP PEOPLE TRANSITION AND HELP

5656
03:36:42,200 --> 03:36:43,640
PEOPLE TRANSITION ESPECIALLY IN

5657
03:36:43,640 --> 03:36:49,400
THAT PERIOD WHERE WE KNOW THEY

5658
03:36:49,400 --> 03:36:52,680
NEED AND HAVE LOT OF COHORT

5659
03:36:52,680 --> 03:36:54,120
MENTORING AND ELIGIBILITY AND

5660
03:36:54,120 --> 03:36:56,600
WINDOWS ALL THESE THINGS SO

5661
03:36:56,600 --> 03:36:58,600
HOPEFULLY WE WILL BE -- YOU WILL

5662
03:36:58,600 --> 03:37:00,280
SEE THOSE COMMENTS AND

5663
03:37:00,280 --> 03:37:03,520
SUGGESTIONS IN WHAT WE BRING UP.

5664
03:37:03,520 --> 03:37:05,160
>> THANK YOU MEMBERS FOR YOUR

5665
03:37:05,160 --> 03:37:07,600
CONTRIBUTIONS. NEXT UP WE HAVE

5666
03:37:07,600 --> 03:37:11,560
CONCEPT FOR CENTER FOR GLOBAL

5667
03:37:11,560 --> 03:37:15,080
MENTAL HEALTH, DR. HOLLY

5668
03:37:15,080 --> 03:37:16,760
CAMPBELL ROSEN IMPROVING MENTAL

5669
03:37:16,760 --> 03:37:18,720
HEALTH OF MOBILE POPULATIONS

5670
03:37:18,720 --> 03:37:20,160
THROUGH DIAGNOSIS PREVENTION AND

5671
03:37:20,160 --> 03:37:21,040
TREATMENT THROUGH IMPLEMENTATION

5672
03:37:21,040 --> 03:37:21,600
STRATEGIES.  HOLLY.

5673
03:37:21,600 --> 03:37:23,520
>> THANK YOU, DR. GORDON. AS HE

5674
03:37:23,520 --> 03:37:25,400
JUST SAID I WILL BE PRESENTING

5675
03:37:25,400 --> 03:37:27,600
THIS CONCEPT, I WON'T REREAD THE

5676
03:37:27,600 --> 03:37:29,840
TITLE. MY NAME IS HOLLY CAMPBELL

5677
03:37:29,840 --> 03:37:32,680
ROSEN FROM CENTER FOR GLOBAL

5678
03:37:32,680 --> 03:37:36,960
MENTAL HEALTH RESEARCH. THANK

5679
03:37:36,960 --> 03:37:41,080
YOU. ONE IN EVERY 95 PEOPLE ON

5680
03:37:41,080 --> 03:37:41,640
EARTH HAS FLED THEIR HOME

5681
03:37:41,640 --> 03:37:42,760
BECAUSE OF CONFLICT OR

5682
03:37:42,760 --> 03:37:47,080
PERSECUTION.  GLOBAL MENTAL

5683
03:37:47,080 --> 03:37:49,080
HEALTH IS ROOTED IN HUMAN RIGHTS

5684
03:37:49,080 --> 03:37:54,160
AND ADDRESSES INEQUITIES

5685
03:37:54,160 --> 03:37:59,120
SELF-ING FROM POVERTY THIS

5686
03:37:59,120 --> 03:38:00,880
CONCEPT WILL ALLOW EXAMINATION

5687
03:38:00,880 --> 03:38:02,360
OF SUCH FACTORS AN MENTAL

5688
03:38:02,360 --> 03:38:08,120
ILLNESS IN MOBILE POPULATIONS

5689
03:38:08,120 --> 03:38:15,800
EXPERIENCING EMERGENCY CRISIS.  

5690
03:38:15,800 --> 03:38:18,160
SO EMERGENCY CRISIS SUCH AS ARM

5691
03:38:18,160 --> 03:38:20,000
CONFLICTS AND DISASTERS

5692
03:38:20,000 --> 03:38:22,200
FREQUENTLY OCCUR IN LOW AND

5693
03:38:22,200 --> 03:38:24,320
MIDDLE INCOME COUNTRIES AND ARE

5694
03:38:24,320 --> 03:38:26,440
ASSOCIATED WITH CONSIDERABLE

5695
03:38:26,440 --> 03:38:30,720
PSYCHOLOGICAL SUFFERING. AS OF

5696
03:38:30,720 --> 03:38:32,080
MID-YEAR 2020 THERE WERE 281

5697
03:38:32,080 --> 03:38:34,600
MILLION INTERNATIONAL IMMIGRANTS

5698
03:38:34,600 --> 03:38:36,800
INCLUDING OF WHICH 48% WERE

5699
03:38:36,800 --> 03:38:40,600
WOMEN. HERE IS THE RATIONALE YOU

5700
03:38:40,600 --> 03:38:43,120
CAN SEE IT IS FAIRLY STRAIGHT

5701
03:38:43,120 --> 03:38:47,640
FORWARD. PEOPLE WHO FLEE DO SO

5702
03:38:47,640 --> 03:38:51,080
AND END UP IN UNSAFE UNLIVABLE

5703
03:38:51,080 --> 03:38:52,760
CONDITIONS. THEY OFTEN LIVE IN

5704
03:38:52,760 --> 03:38:53,720
CHAOTIC CONDITIONS WHERE THEY

5705
03:38:53,720 --> 03:38:55,600
CANNOT ACCESS FOOD OR WATER

5706
03:38:55,600 --> 03:38:59,760
INITIALLY OR BASIC RESOURCES.

5707
03:38:59,760 --> 03:39:01,320
MANY AS I MENTION MANY PEOPLE

5708
03:39:01,320 --> 03:39:04,040
AFFECTED BY CONFLICT EXPERIENCE

5709
03:39:04,040 --> 03:39:07,160
PSYCHOLOGICAL DISTRESS AND

5710
03:39:07,160 --> 03:39:07,960
DEVELOPMENTAL DISORDERS AND

5711
03:39:07,960 --> 03:39:09,520
RESEARCH INTO THE MENTAL HEALTH

5712
03:39:09,520 --> 03:39:13,080
OF THESE POPULATIONS IS NEEDED

5713
03:39:13,080 --> 03:39:14,400
GIVEN ALL TIME HIGH NUMBERS OF

5714
03:39:14,400 --> 03:39:15,880
MOBILE POPULATIONS GLOBALLY.

5715
03:39:15,880 --> 03:39:20,800
NEXT SLIDE PLEASE.  THE RESEARCH

5716
03:39:20,800 --> 03:39:23,000
AREAS ARE VERY BROAD, THE

5717
03:39:23,000 --> 03:39:24,960
CONCEPT IS BROAD INTENTIONALLY

5718
03:39:24,960 --> 03:39:29,440
AND THEY ARE LISTED HERE. IN

5719
03:39:29,440 --> 03:39:30,040
GENERAL THERE ARE -- I WOULD

5720
03:39:30,040 --> 03:39:32,600
LIKE TO SOLICIT STUDIES OF THE

5721
03:39:32,600 --> 03:39:35,440
GENERAL POPULATION AS WELL AS

5722
03:39:35,440 --> 03:39:37,920
FOCUS ON SPECIFIC KEY POPULATION

5723
03:39:37,920 --> 03:39:39,400
OF WOMEN SEPARATED FAMILIES

5724
03:39:39,400 --> 03:39:41,120
PEOPLE LIVING WITH SERIOUS

5725
03:39:41,120 --> 03:39:43,480
MENTAL ILLNESS, CHILDREN AND

5726
03:39:43,480 --> 03:39:44,680
ADOLESCENTS PEOPLE WITH

5727
03:39:44,680 --> 03:39:45,800
DISABILITIES AND SEXUAL GENDER

5728
03:39:45,800 --> 03:39:50,920
MINORITIES.  THEN I FOLLOW

5729
03:39:50,920 --> 03:39:52,560
NATURAL PROGRESSION OF

5730
03:39:52,560 --> 03:39:54,640
DEVELOPMENT AND ADAPTATION OF

5731
03:39:54,640 --> 03:39:56,120
INTERVENTIONS BOTH PREVENTIVE

5732
03:39:56,120 --> 03:39:57,680
INTERVENTION AND TREATMENT

5733
03:39:57,680 --> 03:39:59,520
INTERVENTIONS TAKING INTO

5734
03:39:59,520 --> 03:40:02,200
ACCOUNT THE SOCIO CULTURAL

5735
03:40:02,200 --> 03:40:04,320
CONTEXT. THEN IMPLEMENTATION

5736
03:40:04,320 --> 03:40:07,760
STUDIES, IN THIS CASE IN THE

5737
03:40:07,760 --> 03:40:09,200
CONTEXT OF HUMANITARIAN OR

5738
03:40:09,200 --> 03:40:13,120
EMERGENCY SETTING, IN WHICH

5739
03:40:13,120 --> 03:40:14,760
HUMANITARIAN RELIEF AGENCIES AND

5740
03:40:14,760 --> 03:40:18,600
GOVERNMENTS WORK.  SO IT IS A

5741
03:40:18,600 --> 03:40:19,560
COMPLICATED ENVIRONMENT, PI

5742
03:40:19,560 --> 03:40:20,920
WORKING IN HERE WILL NEED TO

5743
03:40:20,920 --> 03:40:28,400
WORK CLOSE WITH THE MENTORING

5744
03:40:28,400 --> 03:40:29,800
ACTORS. TOO WELL WITH CERTAIN

5745
03:40:29,800 --> 03:40:32,280
CULTURES ASSESSMENT APPROACHES

5746
03:40:32,280 --> 03:40:34,080
WILL NEED TO BE ADAPTED FOR

5747
03:40:34,080 --> 03:40:35,840
LANGUAGE, IDIOMS OF DISTRESS AND

5748
03:40:35,840 --> 03:40:42,760
SOCIO CULTURAL CONTEXT.  ED FROM

5749
03:40:42,760 --> 03:40:43,840
ANTICIPATED OUTCOMES ARE NEW

5750
03:40:43,840 --> 03:40:44,880
KNOWLEDGE OF PREVALENCE AND

5751
03:40:44,880 --> 03:40:49,680
CHARACTERISTICS OF MENTAL

5752
03:40:49,680 --> 03:40:53,080
DISORDERS IN MOBILE POPULATIONS

5753
03:40:53,080 --> 03:40:54,440
WITH INTERVENTIONAL DEVELOPMENT

5754
03:40:54,440 --> 03:40:56,200
AND CULTURALLY ADAPTED MENTAL

5755
03:40:56,200 --> 03:40:59,960
HEALTH ASSESSMENT THAT I

5756
03:40:59,960 --> 03:41:01,600
MENTIONED AND WE ARE INTERESTED

5757
03:41:01,600 --> 03:41:08,480
IN EFFECTIVENESS STUDIES ON BOTH

5758
03:41:08,480 --> 03:41:10,960
TREATMENT INTERVENTIONS DEVELOP

5759
03:41:10,960 --> 03:41:12,840
ALREADY DEVELOPEDDER ADAPTED TO

5760
03:41:12,840 --> 03:41:14,800
FIT NEEDS OF MOBILE POPULATIONS

5761
03:41:14,800 --> 03:41:17,560
AS WELL AS IMPLEMENTATION

5762
03:41:17,560 --> 03:41:18,400
STRATEGIES IN THE EMERGENCY

5763
03:41:18,400 --> 03:41:21,400
SETTINGS. THANK YOU. HAPPY TO

5764
03:41:21,400 --> 03:41:26,160
TAKE QUESTIONS.  

5765
03:41:26,160 --> 03:41:29,800
>> THANK YOU, HOLLY, FOR

5766
03:41:29,800 --> 03:41:34,000
DISCUSSANTS TODAY WE HAVE JOSEPH

5767
03:41:34,000 --> 03:41:35,920
TELFAIR AND PAMELA COLLINS. JOE

5768
03:41:35,920 --> 03:41:40,120
START US OFF. 

5769
03:41:40,120 --> 03:41:41,120
>> THANK YOU VERY MUCH I WILL

5770
03:41:41,120 --> 03:41:44,200
TRAY TO BE BRIEF. I LOOK AT LONG

5771
03:41:44,200 --> 03:41:45,400
-- I WAS A LITTLE LONG LAST

5772
03:41:45,400 --> 03:41:47,080
TIME. SO THE -- I THINK IT IS

5773
03:41:47,080 --> 03:41:50,880
VERY AMBITIOUS, AGREE YOU THAT

5774
03:41:50,880 --> 03:41:54,120
IT IS A BIT VAGUE ON THAT END

5775
03:41:54,120 --> 03:41:55,000
HOWEVER IT IS DEFINITELY

5776
03:41:55,000 --> 03:41:57,000
SOMETHING THAT IS IMPORTANT.  

5777
03:41:57,000 --> 03:41:59,440
BUT I HAVE A FEW CARRY OUTS AND

5778
03:41:59,440 --> 03:42:05,000
I WILL SAY THEM BRIEFLY. IDEA

5779
03:42:05,000 --> 03:42:06,680
GREE THIS WORK IS IMPORTANT IN

5780
03:42:06,680 --> 03:42:08,600
TERMS OF DEVELOPING FOR MOBILE

5781
03:42:08,600 --> 03:42:10,440
POPULATION. AND I'M GLAD YOU

5782
03:42:10,440 --> 03:42:16,600
DEFINED WHAT THOSE WERE. SO THE

5783
03:42:16,600 --> 03:42:18,000
CONCEPT IS BROAD BUT UNCLEAR HOW

5784
03:42:18,000 --> 03:42:19,600
THIS WORKS BASED ON THIS

5785
03:42:19,600 --> 03:42:20,760
DOCUMENT IN PARTICULAR. THEN

5786
03:42:20,760 --> 03:42:22,880
WHAT YOU JUST ADDED IN TERMS OF

5787
03:42:22,880 --> 03:42:24,960
WHAT YOU ARE LOOKING FOR, I

5788
03:42:24,960 --> 03:42:26,920
AGREE THE INTENT IS MUST DO

5789
03:42:26,920 --> 03:42:29,200
HOVER GIVEN REALITIES OF THE

5790
03:42:29,200 --> 03:42:33,960
SOCIAL CULTURAL ECONOMIC

5791
03:42:33,960 --> 03:42:38,160
CONDITIONS LOW INCOME COUNTRIES

5792
03:42:38,160 --> 03:42:39,920
THEMSELVES DOES NOT ALLOW LEVELS

5793
03:42:39,920 --> 03:42:42,000
OF MITIGATION YOU WORK WITH AND

5794
03:42:42,000 --> 03:42:44,280
VEXES HUMANITARIAN GROUPS, HOW

5795
03:42:44,280 --> 03:42:48,720
YOU PUT THAT TOGETHER PRECARIOUS

5796
03:42:48,720 --> 03:42:50,000
IT MAY BE STABILITY ISSUE AND

5797
03:42:50,000 --> 03:42:54,840
BEING ABLE TO ACTUALLY DO

5798
03:42:54,840 --> 03:42:56,480
SYSTEMIC EVIDENCE BASE AIDE

5799
03:42:56,480 --> 03:42:58,000
LEVERAGE IS A BIT -- IS A

5800
03:42:58,000 --> 03:43:00,200
CHALLENGE AND I GUESS YOU

5801
03:43:00,200 --> 03:43:01,640
PROBABLY THOUGHT ABOUT THAT. SO

5802
03:43:01,640 --> 03:43:04,480
WITHOUT REAL CONCRETE AND

5803
03:43:04,480 --> 03:43:07,360
SPECIFIC TARGETED CONFIRMED

5804
03:43:07,360 --> 03:43:09,560
COLLABORATIONS, THAT MAY OR MAY

5805
03:43:09,560 --> 03:43:13,080
NOT EXIST, THAT MAY EXIST OR

5806
03:43:13,080 --> 03:43:15,760
NEED TO EXIST REALIZING GOALS IS

5807
03:43:15,760 --> 03:43:17,600
EXTREMELY DIFFICULT. ONE OTHER

5808
03:43:17,600 --> 03:43:21,560
THING I WANT TO ADD IS I WANTED

5809
03:43:21,560 --> 03:43:23,840
TO SAY THE -- IT WASN'T CLEAR IF

5810
03:43:23,840 --> 03:43:26,880
YOU HAD AN INSTRUCTIONAL RUBRIC

5811
03:43:26,880 --> 03:43:28,840
OF TYPE OR ANOTHER THAT WILL

5812
03:43:28,840 --> 03:43:31,560
ALLOW YOU TO ASSESS QUALITY AND

5813
03:43:31,560 --> 03:43:33,600
FEASIBILITY OF WHAT IT IS YOU

5814
03:43:33,600 --> 03:43:35,560
ARE SEEKING AND PARTICULARLY IN

5815
03:43:35,560 --> 03:43:38,320
TERMS OF LEVELS OF ENGAGEMENT,

5816
03:43:38,320 --> 03:43:39,320
ABILITY FOR GROUPS TO DO WORK

5817
03:43:39,320 --> 03:43:42,280
AND SO FORTH. LEAVE IT AT THAT.

5818
03:43:42,280 --> 03:43:42,760
THANK YOU.

5819
03:43:42,760 --> 03:43:48,000
>> THANK YOU, JOSEPH. PAMELA. 

5820
03:43:48,000 --> 03:43:49,360
>> THANK YOU FOR THE DEVELOPMENT

5821
03:43:49,360 --> 03:43:51,080
OF THIS CONCEPT, IT IS A REALLY

5822
03:43:51,080 --> 03:43:52,680
IMPORTANT PIECE OF WORK FOR

5823
03:43:52,680 --> 03:43:53,760
POPULATION SIGNIFICANT RISK FOR

5824
03:43:53,760 --> 03:43:56,680
MENTAL DISORDERS AND THERE'S

5825
03:43:56,680 --> 03:43:58,000
SEQUELAE, I WILL MENTION FEW

5826
03:43:58,000 --> 03:43:59,640
BULLETS.  THIS IS A GREAT

5827
03:43:59,640 --> 03:44:01,600
OPPORTUNITY TO INCORPORATE

5828
03:44:01,600 --> 03:44:03,320
RESEARCH PRIORITIES RELATED TO

5829
03:44:03,320 --> 03:44:06,160
SOCIAL INTERVENTIONS. A FOCUS ON

5830
03:44:06,160 --> 03:44:07,480
PRE-MIGRATION AS WELL AS POST

5831
03:44:07,480 --> 03:44:09,280
MIGRATION EXPOSURE MAKING THAT

5832
03:44:09,280 --> 03:44:11,440
EXPLICIT YOU ALLUDED TO THAT. AS

5833
03:44:11,440 --> 03:44:14,640
PREDICTORS OF DISTRESS. AND

5834
03:44:14,640 --> 03:44:16,040
AGAIN ENCOURAGING SOCIAL

5835
03:44:16,040 --> 03:44:17,760
INTERVENTIONS THAT ADDRESS THOSE

5836
03:44:17,760 --> 03:44:19,160
DETERMINANTS IN PRE-OR POST

5837
03:44:19,160 --> 03:44:22,360
MIGRATION CONTEXT COULD BE VERY

5838
03:44:22,360 --> 03:44:23,440
IMPORTANT FOR THIS PAYING

5839
03:44:23,440 --> 03:44:25,000
ATTENTION TO GENDER SPECIFIC

5840
03:44:25,000 --> 03:44:26,560
INTERVENTIONS ESPECIALLY

5841
03:44:26,560 --> 03:44:28,440
INCLUDING FOR MEN.  SECOND

5842
03:44:28,440 --> 03:44:31,120
SOMETHING YOU HIGHLIGHTED, IS

5843
03:44:31,120 --> 03:44:32,360
THAT INTERSECTION COLLABORATION

5844
03:44:32,360 --> 03:44:33,400
IS CRITICAL FOR RESPONDING TO

5845
03:44:33,400 --> 03:44:35,200
NEEDS OF MOBILE POPULATION AND I

5846
03:44:35,200 --> 03:44:36,480
WONDER IF WHEN THINKING ABOUT

5847
03:44:36,480 --> 03:44:38,160
THE IMPLEMENTATION SCIENCE

5848
03:44:38,160 --> 03:44:40,640
QUESTIONS, THIS IS A REAL

5849
03:44:40,640 --> 03:44:42,520
OPPORTUNITY TO LEARN HOW DO WE

5850
03:44:42,520 --> 03:44:44,400
EFFECTIVELY WORK ACROSS SECTORS

5851
03:44:44,400 --> 03:44:46,840
WHAT ARE MOST EFFECTIVE MODELS

5852
03:44:46,840 --> 03:44:48,240
THIS KIND OF CROSS SECTOR

5853
03:44:48,240 --> 03:44:50,160
COLLABORATION THAT DO FACILITATE

5854
03:44:50,160 --> 03:44:52,320
DELIVERY OF MENTAL HEALTH

5855
03:44:52,320 --> 03:44:54,200
PROMOTION OR TREATMENT

5856
03:44:54,200 --> 03:44:55,600
INTERVENTION. FINALLY REALLY

5857
03:44:55,600 --> 03:44:58,840
GLAD TO SEE YOU REFER TO THEM IN

5858
03:44:58,840 --> 03:44:59,960
CONTEXTUAL SITUATIONS FOR

5859
03:44:59,960 --> 03:45:01,760
DEVELOPING ADAPTING

5860
03:45:01,760 --> 03:45:02,320
INTERVENTIONS, IDIOMS OF

5861
03:45:02,320 --> 03:45:03,520
DISTRESS, OTHER ASPECT OF

5862
03:45:03,520 --> 03:45:05,040
CULTURE, SO I THINK THIS ALSO IS

5863
03:45:05,040 --> 03:45:07,640
WAY TO EXPLICITLY ENCOURAGE MIX

5864
03:45:07,640 --> 03:45:09,360
METHOD AND PARTICIPATORY

5865
03:45:09,360 --> 03:45:12,680
RESEARCH METHODS. FINALLY I KNOW

5866
03:45:12,680 --> 03:45:14,080
THIS IS FOR LOW AND MIDDLE

5867
03:45:14,080 --> 03:45:17,920
INCOME COUNTRIES. I ALSO WONDER

5868
03:45:17,920 --> 03:45:22,200
IF IT IS AN OPPORTUNITY TO THINK

5869
03:45:22,200 --> 03:45:24,240
ABOUT ARE THERE WAYS TO DO

5870
03:45:24,240 --> 03:45:25,160
COMPARISONS BETWEEN DIFFERENT

5871
03:45:25,160 --> 03:45:26,480
KINDS OF REFUGEE RECEIVING

5872
03:45:26,480 --> 03:45:28,160
COUNTRIES INCLUDING I THINK THE

5873
03:45:28,160 --> 03:45:30,240
REFUGEE POPULATION IN THE U.S.

5874
03:45:30,240 --> 03:45:33,360
AS WELL AS WHO MAY HAVE A LARGER

5875
03:45:33,360 --> 03:45:34,600
COMMUNITY INTERNALLY DISPLACED

5876
03:45:34,600 --> 03:45:37,280
IN ANOTHER CONTEXT. CONSIDER

5877
03:45:37,280 --> 03:45:38,720
PERMITTING COMPARISONS WITH U.S.

5878
03:45:38,720 --> 03:45:41,560
COMMUNITIES.  AND FINALLY MY

5879
03:45:41,560 --> 03:45:45,560
LAST POINT IS THAT IT IS SO

5880
03:45:45,560 --> 03:45:46,880
IMPORTANT THE WORK WE HAVE --

5881
03:45:46,880 --> 03:45:47,840
THAT WE DO AND PEOPLE HAVE BEEN

5882
03:45:47,840 --> 03:45:51,280
DOING FOR DECADES ON DEVELOPMENT

5883
03:45:51,280 --> 03:45:53,480
AND VALIDATION OF CULTURALLY

5884
03:45:53,480 --> 03:45:54,720
ADAPTED FEASIBLE MENTAL HEALTH

5885
03:45:54,720 --> 03:45:56,600
ASSESSMENT APPROACHES. AND THIS

5886
03:45:56,600 --> 03:45:58,800
IS ONGOING WORK IN GLOBAL MENTAL

5887
03:45:58,800 --> 03:46:00,120
HEALTH, ALSO ONGOING WORK WITH

5888
03:46:00,120 --> 03:46:01,360
DIVERSE ETHNIC AND CULTURAL

5889
03:46:01,360 --> 03:46:02,320
POPULATIONS IN THE U.S..

5890
03:46:02,320 --> 03:46:04,280
AND I JUST WONDER THIS IS

5891
03:46:04,280 --> 03:46:06,880
OUTSIDE THIS CONCEPT BUT WOULD

5892
03:46:06,880 --> 03:46:09,000
BEING ARE HOW YOU CAN NIMH CAN

5893
03:46:09,000 --> 03:46:10,400
FACILITATE CROSS TALK BETWEEN

5894
03:46:10,400 --> 03:46:11,720
THESE DIFFERENT GROUPS AND

5895
03:46:11,720 --> 03:46:12,920
KNOWLEDGE BASE AROUND THESE LONG

5896
03:46:12,920 --> 03:46:14,240
STANDING QUESTIONS, IT DOES

5897
03:46:14,240 --> 03:46:15,360
BRIDGE THE MANY GROUPS WORKING

5898
03:46:15,360 --> 03:46:16,480
ON THIS ISSUE CULTURAL

5899
03:46:16,480 --> 03:46:22,000
ADAPTATION. THANKS SO UP MANY.  
SO MUCH.

5900
03:46:22,000 --> 03:46:25,440
>> THANKS, PAMELA, ARE THERE

5901
03:46:25,440 --> 03:46:26,560
OTHER COMMENTS OR QUESTIONS FROM

5902
03:46:26,560 --> 03:46:34,400
ANY OTHER MEMBERS OF COUNCIL? 

5903
03:46:34,400 --> 03:46:35,800
>> ALL RIGHT THANK YOU. MOVE ON

5904
03:46:35,800 --> 03:46:37,440
TO THE NEXT CONCEPT CLEARANCE

5905
03:46:37,440 --> 03:46:38,440
WHICH COMES TO US FROM THE

5906
03:46:38,440 --> 03:46:39,760
DIVISION OF SERVICES AND

5907
03:46:39,760 --> 03:46:44,600
INTERVENTION RESEARCH. CHRISTINE

5908
03:46:44,600 --> 03:46:46,040
ULBRICHT WILL PRESENT ON

5909
03:46:46,040 --> 03:46:47,200
INNOVATIVE MENTAL HEALTH

5910
03:46:47,200 --> 03:46:48,600
SERVICES RESEARCHES NOT

5911
03:46:48,600 --> 03:46:53,240
INVOLVING CLINICAL TRIALS.  

5912
03:46:53,240 --> 03:46:54,480
>> THANK YOU FOR THE OPPORTUNITY

5913
03:46:54,480 --> 03:46:56,600
TO PRESENT TODAY. AS DR. GORDON

5914
03:46:56,600 --> 03:46:58,000
MENTIONED I'M PROGRAM OFFICER IN

5915
03:46:58,000 --> 03:46:59,400
THE SERVICES RESEARCH AND

5916
03:46:59,400 --> 03:47:00,960
CLINICAL EPIDEMIOLOGY BRANCH OF

5917
03:47:00,960 --> 03:47:02,400
THE DIVISION OF SERVICES AND

5918
03:47:02,400 --> 03:47:04,040
INTERVENTION RESEARCH, WE

5919
03:47:04,040 --> 03:47:05,160
OVERSEE THE METHOD LOGICAL

5920
03:47:05,160 --> 03:47:06,440
RESEARCH PORTFOLIO.  NEXT SLIDE

5921
03:47:06,440 --> 03:47:09,480
PLEASE.  SO WHY IS THIS CONCEPT

5922
03:47:09,480 --> 03:47:11,200
NECESSARY? THERE CONTINUES TO BE

5923
03:47:11,200 --> 03:47:12,480
SUBSTANTIAL UNMET NEED FOR

5924
03:47:12,480 --> 03:47:13,320
MENTAL HEALTH SERVICES IN THE

5925
03:47:13,320 --> 03:47:14,960
UNITED STATES.  FOR EXAMPLE, WE

5926
03:47:14,960 --> 03:47:17,160
KNOW THAT ONLY ABOUT HALF WHO

5927
03:47:17,160 --> 03:47:18,560
NEED MENTAL HEALTH SERVICE ALSO

5928
03:47:18,560 --> 03:47:20,080
RECEIVE SUCH SERVICES IN ANY

5929
03:47:20,080 --> 03:47:21,280
GIVEN YEAR. SO IN ORDER TO

5930
03:47:21,280 --> 03:47:22,800
ADDRESS CHALLENGES IN THE

5931
03:47:22,800 --> 03:47:24,800
DELIVERY OF HIGH QUALITY MENTAL

5932
03:47:24,800 --> 03:47:26,360
HEALTH CARE INNOVATIVE MENTAL

5933
03:47:26,360 --> 03:47:27,600
HEALTH SERVICES RESEARCH IS

5934
03:47:27,600 --> 03:47:29,000
REQUIRED.  SPECIFICALLY RESEARCH

5935
03:47:29,000 --> 03:47:32,560
IS NEEDED TO IMPROVE ACCESS

5936
03:47:32,560 --> 03:47:33,200
CONTINUE MITY QUALITY VALUE AND

5937
03:47:33,200 --> 03:47:35,280
EQUITY OF MENTAL HEALTHCARE AND

5938
03:47:35,280 --> 03:47:37,160
ALSO THE ADOPTION SCALING AND

5939
03:47:37,160 --> 03:47:39,120
SUSTAINMENT OF EFFECTIVE

5940
03:47:39,120 --> 03:47:39,760
STRATEGIES TO MAXIMIZE THE

5941
03:47:39,760 --> 03:47:40,840
PUBLIC HEALTH IMPACT OF SUCH

5942
03:47:40,840 --> 03:47:47,120
CARE. SO ACCORDINGLY GOAL OF

5943
03:47:47,120 --> 03:47:48,760
THIS CONCEPT IS FOSTER

5944
03:47:48,760 --> 03:47:49,840
NON-CLINICAL TRIAL MENTAL HEALTH

5945
03:47:49,840 --> 03:47:51,640
SERVICES RESEARCH THAT ALIGNS

5946
03:47:51,640 --> 03:47:53,720
WITH GOAL NUMBER FOUR OF THE

5947
03:47:53,720 --> 03:47:54,960
NIMH STRATEGIC PLAN FOR RESEARCH

5948
03:47:54,960 --> 03:47:56,240
WHICH IS STRENGTHEN THE PUBLIC

5949
03:47:56,240 --> 03:47:58,200
HEALTH IMPACT OF NIMH RESEARCH. 

5950
03:47:58,200 --> 03:47:59,680
SO WE ARE INTERESTED IN IP B

5951
03:47:59,680 --> 03:48:00,840
INVESTIGATIVE RESEARCH THAT WILL

5952
03:48:00,840 --> 03:48:03,000
INFORM SUPPORT AND IMPROVE

5953
03:48:03,000 --> 03:48:04,360
ADOPTION SUSTAINED

5954
03:48:04,360 --> 03:48:05,760
IMPLEMENTATION AND CONTINUOUS

5955
03:48:05,760 --> 03:48:07,000
IMPROVEMENT OF HIGH QUALITY

5956
03:48:07,000 --> 03:48:08,760
MENTAL HEALTH SERVICES ACROSS

5957
03:48:08,760 --> 03:48:12,280
DIVERSE SETTINGS. NEXT SLIDE.  

5958
03:48:12,280 --> 03:48:13,840
SO WITH THIS CONCEPT WE ARE

5959
03:48:13,840 --> 03:48:14,640
INTERESTED IN SUPPORTING

5960
03:48:14,640 --> 03:48:16,680
RESEARCH ON IMPROVING THE

5961
03:48:16,680 --> 03:48:17,680
EFFICIENCY REACH AND CLINICAL

5962
03:48:17,680 --> 03:48:20,640
IMPACT OF EXISTING MENTAL HEALTH

5963
03:48:20,640 --> 03:48:22,400
SERVICES, EXPEDITING ADOPTION

5964
03:48:22,400 --> 03:48:24,000
SCALING SUSTAINED IMPLEMENTATION

5965
03:48:24,000 --> 03:48:25,680
AN CONTINUOUS QUALITY

5966
03:48:25,680 --> 03:48:26,920
IMPROVEMENT OF EVIDENCE BASED

5967
03:48:26,920 --> 03:48:28,760
MENTAL HEALTH OR AUTISM SERVICES

5968
03:48:28,760 --> 03:48:30,960
AND LEARNING HEALTHCARE SYSTEMS.

5969
03:48:30,960 --> 03:48:32,760
REDUCING OR ELIMINATING HEALTH

5970
03:48:32,760 --> 03:48:34,280
DISPARITIES AND ENSURING THAT

5971
03:48:34,280 --> 03:48:35,360
HIGH VALUE MENTAL HEALTH

5972
03:48:35,360 --> 03:48:37,000
SERVICES ARE RETIEDLY ACCESSIBLE

5973
03:48:37,000 --> 03:48:38,400
TO THOSE IN NEED THROUGH

5974
03:48:38,400 --> 03:48:39,520
INNOVATIVE SERVICE DELIVERY

5975
03:48:39,520 --> 03:48:41,280
MODELS AND EVALUATING THE IMPACT

5976
03:48:41,280 --> 03:48:45,240
OF INNOVATIONS IN MENTAL HEALTH

5977
03:48:45,240 --> 03:48:46,600
USING LARGE REPRESENTATIVE DATA

5978
03:48:46,600 --> 03:48:48,200
SETS AND NOVEL RESEARCH METHODS.

5979
03:48:48,200 --> 03:48:51,800
NEXT SLIDE.  SO WRAP UP WE ANIS

5980
03:48:51,800 --> 03:48:53,520
PATE OUTCOMES OF SUCH RESEARCH

5981
03:48:53,520 --> 03:48:55,880
MAY INCLUDE THE IDENTIFICATION

5982
03:48:55,880 --> 03:48:57,840
OF FACTORS THAT IMPACT SERVICE

5983
03:48:57,840 --> 03:49:00,360
ACCESS, CONTINUITY, QUALITY,

5984
03:49:00,360 --> 03:49:02,400
EQUITY AND VALUE AND ANY SERVICE

5985
03:49:02,400 --> 03:49:03,200
TARGETS FOR FUTURE

5986
03:49:03,200 --> 03:49:04,320
INTERVENTIONS. THE DEVELOPMENT

5987
03:49:04,320 --> 03:49:06,000
AND TESTING OF NEW RESEARCH

5988
03:49:06,000 --> 03:49:08,000
TOOLS TECHNOLOGIES, MEASURES OR

5989
03:49:08,000 --> 03:49:10,840
METHODS TO STUDY SERVICE ISSUES,

5990
03:49:10,840 --> 03:49:12,400
LEVERAGING OF LARGE DATA SETS IN

5991
03:49:12,400 --> 03:49:14,000
ORDER TO UNDERSTAND FACTORS THAT

5992
03:49:14,000 --> 03:49:15,960
AFFECT SERVICES AND OUTCOMES.  

5993
03:49:15,960 --> 03:49:17,360
STUDIES THAT ARE CONDUCTED IN

5994
03:49:17,360 --> 03:49:19,040
COMMUNITY OR PRACTICE BASED

5995
03:49:19,040 --> 03:49:20,600
SETTINGS WITH PARTICIPANTS WHO

5996
03:49:20,600 --> 03:49:22,400
FULLY REPRESENT TARGET

5997
03:49:22,400 --> 03:49:24,200
POPULATIONS. AND UTILIZATION OF

5998
03:49:24,200 --> 03:49:25,600
RESEARCH AND PRACTICE

5999
03:49:25,600 --> 03:49:27,000
PARTNERSHIPS WITH END USERS

6000
03:49:27,000 --> 03:49:28,280
PAYERS AND OTHER STAKEHOLDERS

6001
03:49:28,280 --> 03:49:29,600
THAT WILL MAXIMIZE THE

6002
03:49:29,600 --> 03:49:31,200
LIKELIHOOD THE RESEARCH FINDINGS

6003
03:49:31,200 --> 03:49:32,600
WILL INFORM PRACTICE AT THE

6004
03:49:32,600 --> 03:49:34,480
PATIENT CLINIC SYSTEM AND/OR

6005
03:49:34,480 --> 03:49:36,880
POLICY LEVEL. I WILL END THERE. 

6006
03:49:36,880 --> 03:49:38,560
THANK YOU FOR YOUR TIME. LOOK

6007
03:49:38,560 --> 03:49:40,760
FORWARD TO DISCUSSION.  

6008
03:49:40,760 --> 03:49:43,720
>> THANK YOU, CHRISTINE.

6009
03:49:43,720 --> 03:49:45,760
DISCUSSANTS FOR THIS CONCEPT

6010
03:49:45,760 --> 03:49:50,080
CLEARANCE ARE AMY AND CAMILLA

6011
03:49:50,080 --> 03:49:52,320
JACKSON. AMY START US OFF AGAIN.

6012
03:49:52,320 --> 03:49:54,760
>> SURE I WILL BE BRIEF. I

6013
03:49:54,760 --> 03:49:57,000
REALLY ENJOYED THIS CONCEPT

6014
03:49:57,000 --> 03:49:57,960
CLEARANCE, THANKS AGAIN FOR

6015
03:49:57,960 --> 03:49:59,840
SHARING IT. I ALSO FOUND IT TO

6016
03:49:59,840 --> 03:50:02,720
BE QUITE CHALLENGING TOO BECAUSE

6017
03:50:02,720 --> 03:50:04,280
IT IS VERY BROAD, IT COULD BE

6018
03:50:04,280 --> 03:50:05,600
VERY BROAD AND I REALLY

6019
03:50:05,600 --> 03:50:07,280
APPRECIATED THE RESEARCH

6020
03:50:07,280 --> 03:50:08,600
PRIORITIES THAT WERE LISTED HERE

6021
03:50:08,600 --> 03:50:10,040
ON THIS LAST SLIDE, ITS HELPED

6022
03:50:10,040 --> 03:50:12,280
TO SORT OF FRAME WHAT YOU ARE

6023
03:50:12,280 --> 03:50:13,960
LOOKING FOR. COUPLE OF THOUGHTS

6024
03:50:13,960 --> 03:50:18,080
JUST TO THINK ABOUT THIS, ONE IS

6025
03:50:18,080 --> 03:50:21,280
THAT MANY OF THE INNOVATIONS I

6026
03:50:21,280 --> 03:50:22,840
THINK ARE ESPECIALLY CHALLENGING

6027
03:50:22,840 --> 03:50:24,480
TO STUDY IN MENTAL HEALTH

6028
03:50:24,480 --> 03:50:26,600
SERVICES RESEARCH BECAUSE IT

6029
03:50:26,600 --> 03:50:28,600
OFTEN JUST TAKES MORE

6030
03:50:28,600 --> 03:50:30,000
INFRASTRUCTURE AND MONEY TO

6031
03:50:30,000 --> 03:50:31,960
BUILD PARTNERSHIPS WITH

6032
03:50:31,960 --> 03:50:34,840
DIFFERENT ORGANIZATIONS AND TO

6033
03:50:34,840 --> 03:50:36,640
ACTUALLY GET DATA WHERE P YOU DO

6034
03:50:36,640 --> 03:50:39,040
WORK IN OTHER AREAS, THAT

6035
03:50:39,040 --> 03:50:40,480
SOMETIMES JUST REGULAR ACCESS TO

6036
03:50:40,480 --> 03:50:42,040
DATA ON THE HEALTH SYSTEMS AND

6037
03:50:42,040 --> 03:50:43,160
WHAT IS GOING ON IN HEALTH

6038
03:50:43,160 --> 03:50:44,760
SERVICES ARE MUCH MORE EASILY

6039
03:50:44,760 --> 03:50:46,920
ACCESSIBLE THAN IF YOU TRYING TO

6040
03:50:46,920 --> 03:50:48,280
MEASURE MENTAL HEALTH OUTCOMES. 

6041
03:50:48,280 --> 03:50:51,680
I MOW WE TRIED I KNOW WE HAVE

6042
03:50:51,680 --> 03:50:53,440
METHODS OF MEASURING MENTAL

6043
03:50:53,440 --> 03:50:55,000
HEALTH OUTCOMES BUT IT IS

6044
03:50:55,000 --> 03:50:56,200
SOMETHING TO CONSIDER IN TERMS

6045
03:50:56,200 --> 03:50:59,400
OF THINKING ABOUT THE RIGHT

6046
03:50:59,400 --> 03:51:00,680
MECHANISMS FOR THESE, ONE

6047
03:51:00,680 --> 03:51:03,400
EXAMPLE JUST FROM MY PERSONAL

6048
03:51:03,400 --> 03:51:04,040
EXPERIENCES INVOLVE BEING

6049
03:51:04,040 --> 03:51:07,360
INVOLVED IN THE NHLBI DECIPHER

6050
03:51:07,360 --> 03:51:09,560
INITIATIVE IS THAT IT IS A UG 3

6051
03:51:09,560 --> 03:51:11,360
UH 3 PHASED AWARD WHERE THERE IS

6052
03:51:11,360 --> 03:51:14,760
A LOT OF WORK HAPPENING ON THE

6053
03:51:14,760 --> 03:51:17,200
GROUND TO BUILD CAPACITY TO DO

6054
03:51:17,200 --> 03:51:19,280
REALLY COMPLICATED COMMUNITY

6055
03:51:19,280 --> 03:51:22,000
BASED IMPLEMENTATION STUDIES IN

6056
03:51:22,000 --> 03:51:23,600
HEART DISEASE IN MARGINALIZED AT

6057
03:51:23,600 --> 03:51:25,480
RISK POPULATIONS AND IT TAKES A

6058
03:51:25,480 --> 03:51:28,120
LOT OF THESE METHODS AROUND DATA

6059
03:51:28,120 --> 03:51:29,360
STRUCTURE BUILDING AND SO FORTH.

6060
03:51:29,360 --> 03:51:32,320
SO I REALLY WELCOME THE ACTUAL

6061
03:51:32,320 --> 03:51:34,040
FOCUS ON EMPIRICAL METHODS OF

6062
03:51:34,040 --> 03:51:36,320
ESSENTIALLY VALIDATING DATA

6063
03:51:36,320 --> 03:51:37,840
SOURCES, METHODS, VALIDATING THE

6064
03:51:37,840 --> 03:51:40,760
WAYS IN WHICH WE PROVIDE

6065
03:51:40,760 --> 03:51:42,400
CONNECTIONS WITH COMMUNITY

6066
03:51:42,400 --> 03:51:44,600
PARTNERS AND SO FORTH. I ALSO

6067
03:51:44,600 --> 03:51:47,480
WANT TO HIGHLIGHT SOMETHING DR.

6068
03:51:47,480 --> 03:51:48,200
LIGHTFOOT SAID ABOUT

6069
03:51:48,200 --> 03:51:49,440
IMPLEMENTATION RESEARCH AND

6070
03:51:49,440 --> 03:51:51,200
LEARNING HEALTH SYSTEMS

6071
03:51:51,200 --> 03:51:53,080
RESEARCH, THERE REALLY IS A NEED

6072
03:51:53,080 --> 03:51:54,840
TO MAKE IT MORE FOCUSED ON

6073
03:51:54,840 --> 03:51:56,400
SYSTEMIC RACISM AND HEALTH

6074
03:51:56,400 --> 03:51:59,520
EQUITY FOCUSED AREAS. I THINK

6075
03:51:59,520 --> 03:52:01,880
THAT MANY RISK FACTORS PRIMARILY

6076
03:52:01,880 --> 03:52:02,840
FOCUS ON GETTING THE

6077
03:52:02,840 --> 03:52:04,760
INTERVENTION RIGHT, FIDELITY BUT

6078
03:52:04,760 --> 03:52:06,200
MANY CASES SOME OF THE BEST

6079
03:52:06,200 --> 03:52:07,640
IDEAS COME FROM THE END USERS

6080
03:52:07,640 --> 03:52:09,440
THE PEOPLE WHO WE DELIVER MENTAL

6081
03:52:09,440 --> 03:52:11,840
HEALTH SERVICES TO. T SO THERE'S

6082
03:52:11,840 --> 03:52:15,040
A WAY OF HAVING A MORE END USER

6083
03:52:15,040 --> 03:52:16,960
FOCUS OR COMMUNITY FOCUS ON THE

6084
03:52:16,960 --> 03:52:18,400
IMPLEMENTATION THAT WOULD BE

6085
03:52:18,400 --> 03:52:19,920
GREAT.  ESPECIALLY ON LEARNING

6086
03:52:19,920 --> 03:52:21,480
HEALTH SYSTEM THINKING AS WELL

6087
03:52:21,480 --> 03:52:23,200
SO THAT WAS IT THANKS FOR THE

6088
03:52:23,200 --> 03:52:26,840
DONE TO PROVIDE COMMENTS.  

6089
03:52:26,840 --> 03:52:31,800
>> THANK YOU, AMY. NEXT

6090
03:52:31,800 --> 03:52:34,240
>> MEDICAL DIRECTOR IN NEW

6091
03:52:34,240 --> 03:52:35,440
JERSEY, WANTED TO THANK YOU FOR

6092
03:52:35,440 --> 03:52:37,360
THE OPPORTUNITY TO COMMENT. I

6093
03:52:37,360 --> 03:52:42,080
DON'T HAVE MAJOR ADDITIONAL

6094
03:52:42,080 --> 03:52:43,320
POINTS, I WAS VERY MUCH IN

6095
03:52:43,320 --> 03:52:44,640
SUPPORT OF THE CONCEPT, SOMEONE

6096
03:52:44,640 --> 03:52:46,200
SPOKE EARLIER ABOUT THE URGENCY

6097
03:52:46,200 --> 03:52:48,200
RIGHT NOW IN TERMS OF SERVICES

6098
03:52:48,200 --> 03:52:52,920
AND GETTING SERVICES TO PEOPLE,

6099
03:52:52,920 --> 03:52:54,560
THERE MAYBE AN OPPORTUNITY WE

6100
03:52:54,560 --> 03:52:56,000
SPOKE EARLIER ABOUT THE YOUTH

6101
03:52:56,000 --> 03:52:57,440
MENTAL HEALTH ADVISORY FROM THE

6102
03:52:57,440 --> 03:52:58,880
SURGEON GENERAL AND I WONDER

6103
03:52:58,880 --> 03:53:01,200
THERE'S AN OPPORTUNITY TO ALIGN

6104
03:53:01,200 --> 03:53:03,280
SOME OF THE EFFORTS HERE NEEDS

6105
03:53:03,280 --> 03:53:04,840
VERSUS HIGHLIGHT ON THAT

6106
03:53:04,840 --> 03:53:07,480
POPULATION AS WELL. THAT IS MY

6107
03:53:07,480 --> 03:53:08,280
ONLY ADDITIONAL COMMENT. THANK

6108
03:53:08,280 --> 03:53:12,080
YOU. 

6109
03:53:12,080 --> 03:53:13,560
>> THANK YOU. MARJORIE YOU HAVE

6110
03:53:13,560 --> 03:53:14,280
A COMMENT OR QUESTION?

6111
03:53:14,280 --> 03:53:18,200
>> COUPLE OF COMMENTS. I'M SORRY

6112
03:53:18,200 --> 03:53:20,840
BECAUSE AMY SAYS THAT SCOPE IS

6113
03:53:20,840 --> 03:53:21,960
BROAD BUT MY COMMENTS ARE

6114
03:53:21,960 --> 03:53:23,200
ACTUALLY A LITTLE BIT ABOUT HOW

6115
03:53:23,200 --> 03:53:27,240
TO BROADEN THE SCOPE. CHRISTINE,

6116
03:53:27,240 --> 03:53:29,360
I WEAR TWO HATS HERE IN THE

6117
03:53:29,360 --> 03:53:31,240
COUNCIL, I AM HEALTH ECONOMIST,

6118
03:53:31,240 --> 03:53:32,520
STUDY EMPLOYMENT ISSUES FOR

6119
03:53:32,520 --> 03:53:35,000
PEOPLE WITH SERIOUS MENTAL

6120
03:53:35,000 --> 03:53:36,320
ILLNESS AND ALSO MOTHER OF A

6121
03:53:36,320 --> 03:53:39,680
YOUNG MAN WHO IS DIAGNOSED WITH

6122
03:53:39,680 --> 03:53:41,000
SCHIZOPHRENIA WHEN HE WAS IN

6123
03:53:41,000 --> 03:53:42,280
COLLEGE. SO I'M GOING TO PULL

6124
03:53:42,280 --> 03:53:47,000
FROM BOTH OF THESE AS A COMMENT.

6125
03:53:47,000 --> 03:53:51,880
ONE I WAS PLEASED THAT YOU SAID

6126
03:53:51,880 --> 03:53:55,040
THAT YOU WANT TO FOCUS ON

6127
03:53:55,040 --> 03:53:56,800
UNDERSTUDIED AREAS WITH HIGH

6128
03:53:56,800 --> 03:53:59,400
PUBLIC HEALTH IMPACT. I

6129
03:53:59,400 --> 03:54:00,240
ENCOURAGE YOU THINK ABOUT

6130
03:54:00,240 --> 03:54:02,880
SERVICES PROVIDED ALONG THE

6131
03:54:02,880 --> 03:54:04,400
CONTINUUM, OF RECOVERY OF A

6132
03:54:04,400 --> 03:54:07,520
PERSON WITH MENTAL ILLNESS. MANY

6133
03:54:07,520 --> 03:54:10,480
PEOPLE SAY THE NUMBER ONE

6134
03:54:10,480 --> 03:54:13,200
RECOVERY GOAL IS A JOB. AND SO I

6135
03:54:13,200 --> 03:54:15,280
THINK THERE IS MUCH THAT CAN BE

6136
03:54:15,280 --> 03:54:17,200
DONE REGARDING EMPLOYMENT

6137
03:54:17,200 --> 03:54:19,080
SERVICES, AND I THINK NOW

6138
03:54:19,080 --> 03:54:21,680
OUTSIDE THE BOX SUPPORTED

6139
03:54:21,680 --> 03:54:24,840
EMPLOYMENT BUT TO PEOPLE WHO CAN

6140
03:54:24,840 --> 03:54:28,160
RECOVER SUFFICIENTLY TO HOLD

6141
03:54:28,160 --> 03:54:29,520
MAINSTREAM JOBS AND GET OFF

6142
03:54:29,520 --> 03:54:31,240
SOCIAL SECURITY DISABILITY

6143
03:54:31,240 --> 03:54:32,680
PAYMENTS. AND I KNOW THEY ARE

6144
03:54:32,680 --> 03:54:34,800
OUT WILL BECAUSE I'M JUST

6145
03:54:34,800 --> 03:54:36,240
COLLECTED DATA ON HUNDREDS OF

6146
03:54:36,240 --> 03:54:38,400
PEOPLE WHO ARE WORKING IN

6147
03:54:38,400 --> 03:54:40,040
MAINSTREAM COMPETITIVE JOBS WHO

6148
03:54:40,040 --> 03:54:41,880
HAVE SERIOUS MENTAL ILLNESS

6149
03:54:41,880 --> 03:54:43,320
BIPOLAR SKITS PRESENTIA, MAJOR

6150
03:54:43,320 --> 03:54:44,400
DEPRESSION AND THEY ARE WORKING

6151
03:54:44,400 --> 03:54:46,880
IN A FULL SPECTRUM OF JOBS. I

6152
03:54:46,880 --> 03:54:50,000
DON'T THINK OUR MENTAL HEALTH

6153
03:54:50,000 --> 03:54:51,280
SERVICES SYSTEM NOW TAKES

6154
03:54:51,280 --> 03:54:53,680
ACCOUNT OF THAT, I KNOW WHEN I

6155
03:54:53,680 --> 03:54:56,080
TOOK MY SON TO THE EMPLOYMENT

6156
03:54:56,080 --> 03:54:57,640
SERVICES HERE IN PHOENIX AND I

6157
03:54:57,640 --> 03:54:59,400
WAS EXCITED THAT HE HAD AN

6158
03:54:59,400 --> 03:55:01,040
EMPLOYMENT COUNSELOR IN MENTAL

6159
03:55:01,040 --> 03:55:02,960
HEALTH SERVICES, HER SUGGESTION

6160
03:55:02,960 --> 03:55:07,080
WAS THAT HE COULD COLLECT COINS

6161
03:55:07,080 --> 03:55:09,760
FROM A VENDING MACHINE AND HE

6162
03:55:09,760 --> 03:55:12,760
HAD COMPLETED HIS COLLEGE

6163
03:55:12,760 --> 03:55:14,000
DEGREE. I ALSO READ STORY OF

6164
03:55:14,000 --> 03:55:15,280
YOUNG MAN WHO TOLD HIS SERVICE

6165
03:55:15,280 --> 03:55:18,600
PROVIDER THAT HE WANTED TO WORK

6166
03:55:18,600 --> 03:55:22,320
IN COMPUTER APPLICATIONS AND HIS

6167
03:55:22,320 --> 03:55:22,880
PROVIDER TOTAL HIM YOU WILL

6168
03:55:22,880 --> 03:55:24,280
NEVER BE ABLE TO DO THAT. SO OUR

6169
03:55:24,280 --> 03:55:26,440
MENTAL HEALTH SERVICES SYSTEM

6170
03:55:26,440 --> 03:55:28,320
NEEDS TO BE OPENING UP

6171
03:55:28,320 --> 03:55:30,160
OPPORTUNITIES FOR PEOPLE WITH

6172
03:55:30,160 --> 03:55:31,560
MENTAL ILLNESS AND EMPLOYMENT

6173
03:55:31,560 --> 03:55:34,040
NOT SHUTTING THEM DOWN. AND NOT

6174
03:55:34,040 --> 03:55:36,600
SURPRISINGLY I ALSO WANT TO

6175
03:55:36,600 --> 03:55:38,120
ENCOURAGE YOU TO SAY SOMETHING

6176
03:55:38,120 --> 03:55:42,680
ABOUT SERVICES TO THE FAMILIES.

6177
03:55:42,680 --> 03:55:45,920
WITH THE OUTPATIENT -- MOST CARE

6178
03:55:45,920 --> 03:55:47,400
FOR PERSONS WITH MENTAL ILLNESS

6179
03:55:47,400 --> 03:55:50,400
EVEN SERIOUS MENTAL ILLNESS IS

6180
03:55:50,400 --> 03:55:52,040
ON OUTPATIENT BASIS AND IT IS

6181
03:55:52,040 --> 03:55:53,280
FAMILIES THAT ARE PROVIDING A

6182
03:55:53,280 --> 03:55:56,760
LOT OF THAT CARE. I KNOW FROM MY

6183
03:55:56,760 --> 03:55:58,400
OWN EXPERIENCE I HAD STUDIED

6184
03:55:58,400 --> 03:56:01,520
DISABILITY ISSUES, I HAD

6185
03:56:01,520 --> 03:56:03,800
CONTEXT, I HAD GOOD INCOME THAT

6186
03:56:03,800 --> 03:56:06,880
I COULD PAY FOR A LOT OF THINGS

6187
03:56:06,880 --> 03:56:08,080
THAT WERE NEEDED FOR MY SON. I

6188
03:56:08,080 --> 03:56:10,400
HAD A FLEXIBLE JOB AND I COULD

6189
03:56:10,400 --> 03:56:12,800
STAY HOME WITH HIM.  BUT FOR

6190
03:56:12,800 --> 03:56:14,400
PEOPLE WHO DON'T HAVE THAT

6191
03:56:14,400 --> 03:56:18,200
KNOWLEDGE DON'T HAVE THAT INCOME

6192
03:56:18,200 --> 03:56:19,440
I DON'T KNOW HOW THEY SURVIVE

6193
03:56:19,440 --> 03:56:21,000
THE TRAUMA OF HAVING A FAMILY

6194
03:56:21,000 --> 03:56:24,000
MEMBER WITH MENTAL ILLNESS. SO I

6195
03:56:24,000 --> 03:56:25,880
THINK THAT THAT'S ONE HUGE AREA

6196
03:56:25,880 --> 03:56:27,200
YOU CAN THINK ABOUT THE

6197
03:56:27,200 --> 03:56:30,680
DISPARITIES.  DISPARITIES IN

6198
03:56:30,680 --> 03:56:32,400
OUTCOMES ARE GOING TO BE

6199
03:56:32,400 --> 03:56:35,560
INTRINSIC WHEN YOU HAVE

6200
03:56:35,560 --> 03:56:36,560
DISPARITIES IN ABILITY OF THE

6201
03:56:36,560 --> 03:56:38,200
FAMILY TO SUPPORT THE PERSON

6202
03:56:38,200 --> 03:56:39,600
WITH SERIOUS MENTAL ILLNESS. SO

6203
03:56:39,600 --> 03:56:41,960
I WOULD ENCOURAGE YOU TO THINK

6204
03:56:41,960 --> 03:56:45,080
ABOUT BOTH'S THEIR AREAS. AND

6205
03:56:45,080 --> 03:56:46,600
I'M EXCITED TO HAVE A CONCEPT

6206
03:56:46,600 --> 03:56:47,680
FOCUSING ON MENTAL HEALTH

6207
03:56:47,680 --> 03:56:49,520
SERVICES THANK YOU. 

6208
03:56:49,520 --> 03:56:51,560
>> THANK YOU MARGE YES, ANY

6209
03:56:51,560 --> 03:56:52,680
OTHER COMMENTS OR QUESTIONS FROM

6210
03:56:52,680 --> 03:56:54,800
MEMBERS -- MARJORIE, ANY OTHER

6211
03:56:54,800 --> 03:56:56,080
COMMENTS? THANK YOU FOR FEEDBACK

6212
03:56:56,080 --> 03:56:57,520
ON THIS CONCEPT, MOVE TO NEXT

6213
03:56:57,520 --> 03:56:59,440
ONE. THE FINAL CONCEPT FOR TODAY

6214
03:56:59,440 --> 03:57:03,360
WILL BE PRESENTED BY DR. SUE

6215
03:57:03,360 --> 03:57:04,560
KOESTER, DIVISION OF

6216
03:57:04,560 --> 03:57:06,960
NEUROSCIENCE BASIC BEHAVIORAL

6217
03:57:06,960 --> 03:57:08,920
SCIENCE ON NOVEL ASSAYS TO

6218
03:57:08,920 --> 03:57:10,560
ADDRESS TRANSLATIONAL GAPS AN

6219
03:57:10,560 --> 03:57:12,000
TREATMENT DEVELOPMENT. THIS IS

6220
03:57:12,000 --> 03:57:13,240
REISSUE OF PRIOR CONCEPT. SUE.

6221
03:57:13,240 --> 03:57:15,160
>> THANK YOU, JOSH. AS JOSH

6222
03:57:15,160 --> 03:57:16,760
MENTIONED I'M SUSAN KOESTER

6223
03:57:16,760 --> 03:57:18,040
DEPUTY DIRECTOR DIVISION OF

6224
03:57:18,040 --> 03:57:19,800
NEUROSCIENCE AND I'M PRESENTING

6225
03:57:19,800 --> 03:57:21,160
THIS CONCEPT REISSUE ON BEHALF

6226
03:57:21,160 --> 03:57:22,000
OF A TEAM FROM ACROSS THE

6227
03:57:22,000 --> 03:57:26,520
DIVISION.  SO AS YOU KNOW DRUG

6228
03:57:26,520 --> 03:57:28,680
DEVELOPMENT IS A RISKY PROCESS

6229
03:57:28,680 --> 03:57:31,400
AND THE SUCCESS RATE IS

6230
03:57:31,400 --> 03:57:33,400
PARTICULARLY DISAPPOINTING FOR

6231
03:57:33,400 --> 03:57:35,200
CNS DRUG CANDIDATES WITH 8%

6232
03:57:35,200 --> 03:57:37,000
RECEIVING FDA APPROVAL. TON'T

6233
03:57:37,000 --> 03:57:38,480
OMIZE THE VALUE OF INVESTMENTS

6234
03:57:38,480 --> 03:57:40,400
IN EARLY PHASE CLINICAL TRIALS,

6235
03:57:40,400 --> 03:57:42,560
THE NIMH IS TAKING AN

6236
03:57:42,560 --> 03:57:43,280
EXPERIMENTAL MEDICINE APPROACH

6237
03:57:43,280 --> 03:57:46,200
TO FOCUS EFFORTS ON EVALUATING

6238
03:57:46,200 --> 03:57:47,080
THE LINKS TEEN TARGETS CIRCUITS

6239
03:57:47,080 --> 03:57:49,280
AND KEY FUNCTIONAL DOMAINS IN

6240
03:57:49,280 --> 03:57:50,640
RELATION TOLL CLINICAL

6241
03:57:50,640 --> 03:57:52,200
IMPROVEMENT. HOWEVER, THE VALUE

6242
03:57:52,200 --> 03:57:54,600
OF DRUG CANDIDATES ENTERING INTO

6243
03:57:54,600 --> 03:57:56,520
TRIALS IS LIMITED BY THE

6244
03:57:56,520 --> 03:57:58,120
PRE-CLINICAL ASSAYS THAT OFTEN

6245
03:57:58,120 --> 03:58:01,680
SERVE AS GATE KEEPERS IN

6246
03:58:01,680 --> 03:58:03,040
DETERMINING WHICH CANDIDATES GO

6247
03:58:03,040 --> 03:58:04,240
FORWARD FOR DEVELOPMENT.

6248
03:58:04,240 --> 03:58:05,560
PRE-CLINICAL ASSAY MEASURES ARE

6249
03:58:05,560 --> 03:58:07,400
RARELY RELATED TO THE MEASURES

6250
03:58:07,400 --> 03:58:08,640
INCLUDED IN EARLY CLINICAL

6251
03:58:08,640 --> 03:58:10,080
TRIALS. SO THAT MANY OF OUR MOST

6252
03:58:10,080 --> 03:58:12,000
HEAVILY USED PRE-CLINICAL ASSAYS

6253
03:58:12,000 --> 03:58:13,800
ARE HISTORICALLY POOR PREDICTORS

6254
03:58:13,800 --> 03:58:16,280
OF CLINICAL EFFICACY FOR

6255
03:58:16,280 --> 03:58:17,640
PSYCHIATRIC DISORDERS. THE GOAL

6256
03:58:17,640 --> 03:58:19,840
OF THIS CONCEPT IS TO BETTER

6257
03:58:19,840 --> 03:58:21,200
ALIGN THE TYPES OF DATA

6258
03:58:21,200 --> 03:58:24,760
COLLECTED ACROSS LATE STAGE

6259
03:58:24,760 --> 03:58:26,640
PRE-CLINICAL DEVELOPMENT, EARLY

6260
03:58:26,640 --> 03:58:27,640
STAGE CLINICAL TRIALS TO IMPROVE

6261
03:58:27,640 --> 03:58:28,760
EFFICIENCY AND POTENTIAL FOR

6262
03:58:28,760 --> 03:58:30,200
SUCCESS OF THE DRUG DEVELOPMENT

6263
03:58:30,200 --> 03:58:35,800
PIPELINE. SPECIFICALLY THE GOAL

6264
03:58:35,800 --> 03:58:37,280
IS TO SUPPORT DEVELOPMENT AND

6265
03:58:37,280 --> 03:58:40,320
EVALUATION OF ASSAYS

6266
03:58:40,320 --> 03:58:41,600
QUANTITATIVE ROBUST AND RELIABLE

6267
03:58:41,600 --> 03:58:44,400
MEASURES AND THAT TAP INTO

6268
03:58:44,400 --> 03:58:45,720
SPECIFIC PHYSIOLOGICAL SYSTEMS

6269
03:58:45,720 --> 03:58:47,080
AND DOMAINS OF FUNCTION THAT ARE

6270
03:58:47,080 --> 03:58:49,400
IMPACTED IN MENTAL DISORDER. WE

6271
03:58:49,400 --> 03:58:54,000
WANT TO FOSTER RESEARCH

6272
03:58:54,000 --> 03:58:55,560
PARTNERSHIPS TO IDENTIFY

6273
03:58:55,560 --> 03:58:57,400
EVALUATED MANIPULATED ACROSS

6274
03:58:57,400 --> 03:58:58,560
NON-HUMAN PRE-CLINICAL SPECIES

6275
03:58:58,560 --> 03:59:00,000
AND HUMANS AND WANT TO TEST

6276
03:59:00,000 --> 03:59:01,920
CONSERVATION OF MECHANISM AND

6277
03:59:01,920 --> 03:59:03,400
SYSTEMS WE ARE LOOKING FOR

6278
03:59:03,400 --> 03:59:05,000
ASSAYS THAT ALLOW PERTURBATIONS

6279
03:59:05,000 --> 03:59:06,800
OF THE SAME TARGET CIRCUIT OR

6280
03:59:06,800 --> 03:59:08,560
SYSTEM IN ANIMALS AND HUMANS.

6281
03:59:08,560 --> 03:59:10,080
AND THAT ARE DESIGNED SO THAT

6282
03:59:10,080 --> 03:59:12,520
THE DATA WILL BE REGARD --

6283
03:59:12,520 --> 03:59:18,360
USEFUL REGARDING OF OUTCOME. WE

6284
03:59:18,360 --> 03:59:20,360
EXPECT TO GENERATE PROJECTS WITH

6285
03:59:20,360 --> 03:59:21,920
MORE POTENTIALLY TRANSLATABLE

6286
03:59:21,920 --> 03:59:23,600
ASSAYS AS ALTERNATIVES TO THE

6287
03:59:23,600 --> 03:59:25,000
CURRENT INEFFICIENT PRE-CLINICAL

6288
03:59:25,000 --> 03:59:27,160
ASSAYS AND EVALUATE THE UTILITY

6289
03:59:27,160 --> 03:59:29,160
OF THESE NOVEL MEASURES FOR BOTH

6290
03:59:29,160 --> 03:59:30,600
PRE-CLINICAL TESTING AND EARLY

6291
03:59:30,600 --> 03:59:33,520
PHASE CLINICAL TRIALS. OUR GOAL

6292
03:59:33,520 --> 03:59:35,240
IS TO ESTABLISH A SCIENTIFIC

6293
03:59:35,240 --> 03:59:37,000
RATIONALE FOR LIMITING

6294
03:59:37,000 --> 03:59:38,520
SPECULATIVE EXTRAPOLATION FROM

6295
03:59:38,520 --> 03:59:40,200
PRE-CLINICAL FINDINGS.  WE

6296
03:59:40,200 --> 03:59:41,320
ANTICIPATE THAT THESE EFFORTS

6297
03:59:41,320 --> 03:59:45,000
WILL ENABLE US TO BETTER MANAGE

6298
03:59:45,000 --> 03:59:46,200
EXPECTATIONS OF EFFECT FROM

6299
03:59:46,200 --> 03:59:48,200
NOVEL THERAPEUTIC CANDIDATES

6300
03:59:48,200 --> 03:59:49,320
FROM THE PRE-CLINICAL PIPELINE

6301
03:59:49,320 --> 03:59:51,000
GOING INTO CLINICAL TRIALS.  

6302
03:59:51,000 --> 03:59:54,400
THANK YOU, HAPPY TO HEAR YOUR

6303
03:59:54,400 --> 03:59:54,680
FEEDBACK.

6304
03:59:54,680 --> 03:59:58,760
>> THANK YOU, SUE. FOR

6305
03:59:58,760 --> 04:00:01,960
DISCUSSANTS WE HAVE SOFIA AND

6306
04:00:01,960 --> 04:00:06,200
BRANDON. 

6307
04:00:06,200 --> 04:00:08,760
>> THANK YOU. SO I AM IN FULL

6308
04:00:08,760 --> 04:00:10,040
SUPPORT OF THIS CONCEPT

6309
04:00:10,040 --> 04:00:12,560
CLEARANCE, IT IS EXTREMELY

6310
04:00:12,560 --> 04:00:14,320
IMPORTANT TO ENHANCE EFFICACY

6311
04:00:14,320 --> 04:00:18,480
AND EFFICIENCY OF PRE-CLINICAL

6312
04:00:18,480 --> 04:00:19,600
STAGES OF DRUG DEVELOPMENT

6313
04:00:19,600 --> 04:00:23,000
AROUND THE USE OF ANIMAL MODELS.

6314
04:00:23,000 --> 04:00:27,400
SO MANY AS DR. KOESTER SO WELL

6315
04:00:27,400 --> 04:00:29,640
STATED, SO MANY TRIALS FAIL AND

6316
04:00:29,640 --> 04:00:31,120
WE ARE SACRIFICING THOUSANDS AND

6317
04:00:31,120 --> 04:00:33,840
THOUSANDS OF ANIMALS IN THE

6318
04:00:33,840 --> 04:00:35,600
PROCESS IS TO -- MOST WHICH ARE

6319
04:00:35,600 --> 04:00:38,880
WASTED IN THE PROCESS. WHEN --

6320
04:00:38,880 --> 04:00:40,760
IF WE HAD BETTER MEASURES THAT

6321
04:00:40,760 --> 04:00:42,920
WERE MORE ALIGNED BETWEEN ANIMAL

6322
04:00:42,920 --> 04:00:44,200
AND HUMANS, IT WOULD BE MUCH

6323
04:00:44,200 --> 04:00:47,800
MORE EFFICIENT IN TERMS OF

6324
04:00:47,800 --> 04:00:49,920
ANIMAL -- BUT MOREOVER IN TERMS

6325
04:00:49,920 --> 04:00:52,120
OF THE MONEY SPENT AND EFFORTS

6326
04:00:52,120 --> 04:00:53,520
SPENT IN PRODUCING NEW

6327
04:00:53,520 --> 04:00:55,360
MEDICATIONS FOR PEOPLE WHO NEED

6328
04:00:55,360 --> 04:00:57,000
THEM, WE NEED THESE MEDICATIONS

6329
04:00:57,000 --> 04:00:59,000
IN OTHER TREATMENTS AS FAST AS

6330
04:00:59,000 --> 04:01:01,000
POSSIBLE, PEOPLE ARE STRUGGLING

6331
04:01:01,000 --> 04:01:03,200
IN DESPERATE AT THIS STAGE. AND

6332
04:01:03,200 --> 04:01:06,280
SO I FULLY SUPPORT THIS. CONCEPT

6333
04:01:06,280 --> 04:01:07,400
CLEARANCE TO MAKE IT MUCH MORE

6334
04:01:07,400 --> 04:01:08,400
EFFICIENT TO DEVELOP NEW

6335
04:01:08,400 --> 04:01:09,400
TREATMENTS FOR PEOPLE WHO NEED

6336
04:01:09,400 --> 04:01:11,000
THEM. THANK YOU. 

6337
04:01:11,000 --> 04:01:15,280
>> THANK YOU, BRANDON. SOPHIA. 

6338
04:01:15,280 --> 04:01:17,000
>> THE ONLY THING I HAVE TO ADD

6339
04:01:17,000 --> 04:01:19,120
HERE BESIDES BEING IN SUPPORT OF

6340
04:01:19,120 --> 04:01:22,640
THIS CONCEPT IS THIS KIND OF

6341
04:01:22,640 --> 04:01:25,160
BEING ABLE TO FUND THESE STUDIES

6342
04:01:25,160 --> 04:01:29,880
WILL SUPPORT REALLY INTERESTING

6343
04:01:29,880 --> 04:01:31,720
PROPOSALS FOCUSING ON WHAT YOU

6344
04:01:31,720 --> 04:01:33,080
HIGHLIGHTED FOR US TODAY JOSH

6345
04:01:33,080 --> 04:01:35,720
LOOKING AT COMPUTATIONAL MODELS

6346
04:01:35,720 --> 04:01:37,160
OF BEHAVIOR THAT CAN BE STUDIED

6347
04:01:37,160 --> 04:01:39,760
IN HUMANS BUT ALSO STUDIED

6348
04:01:39,760 --> 04:01:41,960
ANALOGOUS BEHAVIOR STUDIED IN

6349
04:01:41,960 --> 04:01:43,680
ANIMALS. THIS ALLOWS US TO PROBE

6350
04:01:43,680 --> 04:01:45,120
THE INFORMATION PROCESSING

6351
04:01:45,120 --> 04:01:48,080
PATHOLOGY THAT IS UNDERLYING

6352
04:01:48,080 --> 04:01:50,200
BEHAVIORS THAT OCCUR IN MENTAL

6353
04:01:50,200 --> 04:01:52,800
ILLNESS. IT ALSO ALLOWS US TO

6354
04:01:52,800 --> 04:01:55,000
START PROBING VARIATIONS,

6355
04:01:55,000 --> 04:01:56,560
PARAMETER VARIATIONS THAT MIGHT

6356
04:01:56,560 --> 04:01:58,960
BE RESPONSIBLE FOR HETEROGENEITY

6357
04:01:58,960 --> 04:02:01,480
UNDERLYING PATHOPHYSIOLOGIC

6358
04:02:01,480 --> 04:02:04,600
HETEROGENEITY IN MENTAL ILLNESS

6359
04:02:04,600 --> 04:02:07,000
NOT REVEALED BY SYMPTOM CLUSTERS

6360
04:02:07,000 --> 04:02:08,920
BECAUSE SYMPTOM CLUSTERS MAY

6361
04:02:08,920 --> 04:02:09,920
RESULT FROM A RANGE OF

6362
04:02:09,920 --> 04:02:11,720
UNDERLYING PATHOPHYSIOLOGIC

6363
04:02:11,720 --> 04:02:13,120
MECHANISMS SO THIS WILL BRING US

6364
04:02:13,120 --> 04:02:16,520
CLOSER PERHAPS, SUCCESSFUL TO

6365
04:02:16,520 --> 04:02:18,480
IDENTIFY THE TARGET POPULATIONS

6366
04:02:18,480 --> 04:02:22,400
NOT JUST FOR THE PRE-CLINICAL

6367
04:02:22,400 --> 04:02:26,000
WORK BUT CLINICAL WORK AS WELL. 

6368
04:02:26,000 --> 04:02:28,400
>> THANK YOU. I SEE TWO

6369
04:02:28,400 --> 04:02:29,080
QUESTIONS FROM MEMBERS OF

6370
04:02:29,080 --> 04:02:29,320
COUNCIL.

6371
04:02:29,320 --> 04:02:34,760
BRIAN.

6372
04:02:34,760 --> 04:02:37,480
>> THIS INTERESTING. I DIDN'T

6373
04:02:37,480 --> 04:02:41,600
READ THE WHOLE THING. BUT I

6374
04:02:41,600 --> 04:02:53,080
GUESS A QUESTION I HAVE IS SO

6375
04:02:53,080 --> 04:02:57,600
WHEN THE FDA EVALUATES

6376
04:02:57,600 --> 04:02:59,360
MEDICATIONS, FOR PSYCHIATRY THEY

6377
04:02:59,360 --> 04:03:03,320
ARE EVALUATED BASED ON TREATMENT

6378
04:03:03,320 --> 04:03:08,920
OF DISEASE, NOT SYMPTOM LIKE AND

6379
04:03:08,920 --> 04:03:12,400
ANHEDONIA. I APPRECIATE THE

6380
04:03:12,400 --> 04:03:17,680
SPIRIT WITH WHICH THIS IS

6381
04:03:17,680 --> 04:03:23,200
OFFERED BUT I AM NOT ENTIRELY

6382
04:03:23,200 --> 04:03:27,040
CONVINCED IT WILL ELIMINATE THE

6383
04:03:27,040 --> 04:03:32,600
PROBLEM SEEING DRUG DISCOVERY

6384
04:03:32,600 --> 04:03:33,360
ANHEDONIA FOR INSTANCE AS FAR AS

6385
04:03:33,360 --> 04:03:35,760
I KNOW IS NOT FDA APPROVED

6386
04:03:35,760 --> 04:03:36,600
INDICATION FOR MEDICATION.

6387
04:03:36,600 --> 04:03:38,720
COGNITION AND SCHIZOPHRENIA SO

6388
04:03:38,720 --> 04:03:43,520
YEARS AGO THERE WAS A BIG NIMH

6389
04:03:43,520 --> 04:03:44,520
INITIATIVE TO DEVELOP NEW

6390
04:03:44,520 --> 04:03:46,600
MEDICATION TO IMPROVE COGNITION

6391
04:03:46,600 --> 04:03:48,080
AND SCHIZOPHRENIA AND I REMEMBER

6392
04:03:48,080 --> 04:03:49,480
AT THE TIME THERE WAS SOME PUSH

6393
04:03:49,480 --> 04:03:51,680
BACK FROM THE FDA ABOUT WHETHER

6394
04:03:51,680 --> 04:03:55,600
THAT WAS AN APPROVABLE

6395
04:03:55,600 --> 04:03:58,200
INDICATION. JUST SOMETHING TO

6396
04:03:58,200 --> 04:04:03,760
THINK ABOUT. I DON'T HAVE A

6397
04:04:03,760 --> 04:04:06,000
SOLUTION OR ANSWER BUT A

6398
04:04:06,000 --> 04:04:06,480
CONCERN.

6399
04:04:06,480 --> 04:04:09,200
>> LINDA BRADY DIRECTOR OF

6400
04:04:09,200 --> 04:04:10,160
NEUROSCIENCE BEHAVIORAL STUDIES

6401
04:04:10,160 --> 04:04:10,920
SCIENCE WHO MIGHT HAVE A

6402
04:04:10,920 --> 04:04:13,360
RESPONSE TO THAT PARTICULAR

6403
04:04:13,360 --> 04:04:16,080
POINT LINDA. 

6404
04:04:16,080 --> 04:04:25,080
>> YOU ARE MUTED.  WE CAN'T HEAR

6405
04:04:25,080 --> 04:04:28,160
YOU. I CAN TRY TO RESPOND FOR

6406
04:04:28,160 --> 04:04:28,520
YOU.

6407
04:04:28,520 --> 04:04:30,120
>> THANK YOU, VERY MUCH FOR THAT

6408
04:04:30,120 --> 04:04:32,320
COMMENT, BRIAN. I THINK THAT

6409
04:04:32,320 --> 04:04:35,360
OVER THE YEARS AS OUR INSTITUTE

6410
04:04:35,360 --> 04:04:36,880
HAS INTERACTED WITH COLLEAGUES

6411
04:04:36,880 --> 04:04:38,440
AT FDA AND THE PSYCHIATRY

6412
04:04:38,440 --> 04:04:39,760
DIVISION AND THROUGH NUMBER OF

6413
04:04:39,760 --> 04:04:42,800
EFFORTS THAT DR. HOLLY LISENBY

6414
04:04:42,800 --> 04:04:44,680
HAS BEEN LEADING THERE IS A LOT

6415
04:04:44,680 --> 04:04:45,600
OF INTEREST IN CONSIDERING

6416
04:04:45,600 --> 04:04:47,560
SYMPTOM DOMAINS FOR TARGETING

6417
04:04:47,560 --> 04:04:51,560
THERAPEUTICS. WE HAVE LEARNED A

6418
04:04:51,560 --> 04:04:53,040
LOT THROUGH AMP SCHIZOPHRENIA

6419
04:04:53,040 --> 04:04:54,000
PROGRAM ABOUT THAT AND THROUGH

6420
04:04:54,000 --> 04:04:55,160
OTHER MEETINGS LIKE YOU

6421
04:04:55,160 --> 04:04:56,480
DISCUSSED IN TERMS OF COGNITION

6422
04:04:56,480 --> 04:04:59,560
AND DEPRESSION. AND WE ARE ALSO

6423
04:04:59,560 --> 04:05:01,240
EXPLORING OTHER SYMPTOM DOMAINS

6424
04:05:01,240 --> 04:05:02,360
THAT CAN BE TARGETED FOR

6425
04:05:02,360 --> 04:05:04,000
TREATMENT DEVELOPMENT SO I THINK

6426
04:05:04,000 --> 04:05:05,800
THEY ARE OPEN AS LONG AS THERE'S

6427
04:05:05,800 --> 04:05:07,360
CLEAR BIOLOGICAL QUANTITATIVE

6428
04:05:07,360 --> 04:05:09,040
MEASURES. IN ADDITION TO THIS

6429
04:05:09,040 --> 04:05:12,120
SYMPTOM DOMAINS AS AN OUTCOME.

6430
04:05:12,120 --> 04:05:15,040
>> I GUESS THE POINT IS THAT IT

6431
04:05:15,040 --> 04:05:20,000
IS THE ASSUMPTION IS THAT IF WE

6432
04:05:20,000 --> 04:05:23,400
HAVE QUANTITATIVE MEASURE OF AND

6433
04:05:23,400 --> 04:05:26,360
ANHEDONIA THAT IS TRANSLATABLE,

6434
04:05:26,360 --> 04:05:29,240
THAT ULTIMATELY THIS WOULD LEAD

6435
04:05:29,240 --> 04:05:31,680
TO FDA APPROVED INDICATION FOR

6436
04:05:31,680 --> 04:05:36,440
TARGETING THAT SYMPTOM DOMAIN. I

6437
04:05:36,440 --> 04:05:38,920
GUESS IT MAY OR MAY NOT. SOUNDS

6438
04:05:38,920 --> 04:05:40,480
LIKE THE FDA IS AT LEAST OPEN TO

6439
04:05:40,480 --> 04:05:43,920
IT BUT IT WOULD BE SOMETHING NEW

6440
04:05:43,920 --> 04:05:48,600
AND UNPRECEDENTED WHICH WOULD BE

6441
04:05:48,600 --> 04:05:49,880
GOOD. IT IS JUST A CONCERN.

6442
04:05:49,880 --> 04:05:54,280
>> BRIAN I WANT TO POINT OUT

6443
04:05:54,280 --> 04:05:55,960
THAT IS ONE POSSIBLE OUTCOME OF

6444
04:05:55,960 --> 04:05:57,200
WORK. THERE IS ANOTHER ONE AS

6445
04:05:57,200 --> 04:06:00,560
WELL. THAT IS THAT BY STUDYING

6446
04:06:00,560 --> 04:06:01,960
BIOLOGY UNDERLYING SPECIFIC

6447
04:06:01,960 --> 04:06:03,360
DOMAINS OF FUNCTION IDENTIFIED

6448
04:06:03,360 --> 04:06:07,080
THROUGH THIS OR OTHER MEANS, WE

6449
04:06:07,080 --> 04:06:10,200
WILL IDENTIFY PATHOPHYSIOLOGICAL

6450
04:06:10,200 --> 04:06:12,280
PROCESSES THAT MIGHT EXIST IN

6451
04:06:12,280 --> 04:06:13,760
SOME SETS OF INDIVIDUALS THAT

6452
04:06:13,760 --> 04:06:16,040
WOULD RESPOND MORE GENERALLY TO

6453
04:06:16,040 --> 04:06:18,600
TARGETING THOSE MECHANISMS,

6454
04:06:18,600 --> 04:06:20,360
MEANING MAYBE SOME INDIVIDUALS

6455
04:06:20,360 --> 04:06:22,680
SAY WITH SCHIZOPHRENIA MIGHT

6456
04:06:22,680 --> 04:06:24,680
HAVE HALLUCINATIONS BECAUSE OF A

6457
04:06:24,680 --> 04:06:27,240
PARTICULAR DEFICIT IN SENSORY

6458
04:06:27,240 --> 04:06:28,360
PATHWAYS, THAT WOULD BE

6459
04:06:28,360 --> 04:06:31,360
AMELIORATE WITH A DRUG TARGETING

6460
04:06:31,360 --> 04:06:35,480
SOME FOR OF SENSORY PERCEPTION

6461
04:06:35,480 --> 04:06:37,040
MECHANISM AND THAT DRUG WOULD

6462
04:06:37,040 --> 04:06:40,760
NOT JUST HELP WITH SENSORY

6463
04:06:40,760 --> 04:06:41,920
SYMPTOMS BUT ALSO MIGHT HELP

6464
04:06:41,920 --> 04:06:43,440
WITH HALLUCINATIONS. FOR

6465
04:06:43,440 --> 04:06:45,200
EXAMPLE. SO I THINK BOTH ARE

6466
04:06:45,200 --> 04:06:47,800
POTENTIAL OUTCOMES OF THIS. BUT

6467
04:06:47,800 --> 04:06:50,120
YOU ARE RIGHT, IT IS UNPROVEN.

6468
04:06:50,120 --> 04:06:51,560
UNTIL WE GET AN EXAMPLE OF

6469
04:06:51,560 --> 04:06:56,720
SOMETHING THAT WORKS. JOEL. 

6470
04:06:56,720 --> 04:06:57,840
>> THANKS, INTERESTING IDEA,

6471
04:06:57,840 --> 04:07:00,040
VERY IMPORTANT.  ONE ISSUE U YOU

6472
04:07:00,040 --> 04:07:01,080
DIDN'T MENTION THAT I KNOW HAS

6473
04:07:01,080 --> 04:07:03,400
BEEN RAISED BY OTHERS, AND I

6474
04:07:03,400 --> 04:07:05,400
DON'T HAVE THE EXPERTISE BUT THE

6475
04:07:05,400 --> 04:07:07,280
FAILURE OF DRUGS TO TRANSLATE

6476
04:07:07,280 --> 04:07:09,400
FROM ANIMALS TO HUMANS IS ONE

6477
04:07:09,400 --> 04:07:11,080
POINT WHICH YOU RAISE THE ISSUE

6478
04:07:11,080 --> 04:07:13,200
HEREHERE. AND WE SPENT THE REST
OF

6479
04:07:13,200 --> 04:07:16,200
THE DAY HEARING THE IMPORTANCE

6480
04:07:16,200 --> 04:07:18,120
OF EPIDEEM LOGICAL CONTEXT

6481
04:07:18,120 --> 04:07:21,920
VARIOUS KINDS AND HOW THEY ALTER

6482
04:07:21,920 --> 04:07:23,400
NEUROBIOLOGY RESPONSE SO IF THE

6483
04:07:23,400 --> 04:07:26,760
ASSUMPTION IS NEUROBIOLOGY IS --

6484
04:07:26,760 --> 04:07:30,280
REGARDLESS OF INPUTS IS THAT ONE

6485
04:07:30,280 --> 04:07:32,000
ISSUE LOOK AT MORE CLOSELY TO

6486
04:07:32,000 --> 04:07:33,400
FIGURE WHY THESE DON'T TRANSLATE

6487
04:07:33,400 --> 04:07:35,480
AS WELL AS WE LIKE OR

6488
04:07:35,480 --> 04:07:36,360
FREQUENTLY. AND MAYBE THAT

6489
04:07:36,360 --> 04:07:37,840
SHOULD BE ADDED HERE SOMETHING

6490
04:07:37,840 --> 04:07:39,440
TO CONSIDER. IS WHETHER THERE

6491
04:07:39,440 --> 04:07:40,560
SHOULD BE MORE STUDY OF

6492
04:07:40,560 --> 04:07:43,040
VARIATION IN ANIMAL ENVIRONMENTS

6493
04:07:43,040 --> 04:07:44,960
THAT MIGHT BETTER REPRODUCE

6494
04:07:44,960 --> 04:07:46,960
HUMAN RESPONSE IN DIFFERENT

6495
04:07:46,960 --> 04:07:47,960
HUMAN ENVIRONMENTS TO INCREASE

6496
04:07:47,960 --> 04:07:52,320
THAT THROUGH PUT. THIS IS OUT OF

6497
04:07:52,320 --> 04:07:53,240
MY AREA BUT CONVERSATION THAT'S

6498
04:07:53,240 --> 04:07:56,600
GONE ON IN SOME AREAS OF THE

6499
04:07:56,600 --> 04:08:00,040
FIELD. MORE EXPERIENCING THIS

6500
04:08:00,040 --> 04:08:00,400
PART.

6501
04:08:00,400 --> 04:08:01,520
>> THANK YOU, JOEL. THANK YOU

6502
04:08:01,520 --> 04:08:04,000
VERY MUCH FOR THE COMMENTS ON

6503
04:08:04,000 --> 04:08:06,640
THESE CONCEPTS. AND WE WILL MOVE

6504
04:08:06,640 --> 04:08:08,200
TO THE FINAL SEGMENT OF THE OPEN

6505
04:08:08,200 --> 04:08:09,760
SESSION AND I WILL BEG YOUR

6506
04:08:09,760 --> 04:08:12,600
FORGIVENESS FOR US GOING OVER. 

6507
04:08:12,600 --> 04:08:14,440
WE DO HAVE COMMENTS FROM

6508
04:08:14,440 --> 04:08:18,120
RETIRING MEMBERS.  TO CLOSE OUT

6509
04:08:18,120 --> 04:08:21,080
THE DAY'S EVENTS. WE HAVE FOUR

6510
04:08:21,080 --> 04:08:22,640
COUNCIL MEMBERS WHO SERVICE ON

6511
04:08:22,640 --> 04:08:24,600
COUNCIL ENDING MARCH 30TH ONE OF

6512
04:08:24,600 --> 04:08:27,800
THEM YOU HEARD FROM YAEL NIV AND

6513
04:08:27,800 --> 04:08:28,800
UNFORTUNATELY DR. KNEEL RISCH

6514
04:08:28,800 --> 04:08:30,680
COULDN'T JOIN US TODAY BECAUSE

6515
04:08:30,680 --> 04:08:34,000
OF A FAMILY EMERGENCY. SO WE DO

6516
04:08:34,000 --> 04:08:36,560
HAVE TWO COUNSEL MEMBERS WHO

6517
04:08:36,560 --> 04:08:38,400
WILL BE RETIRING FROM SERVICE ON

6518
04:08:38,400 --> 04:08:40,400
THE COUNCIL FOR NOW, I WANT TO

6519
04:08:40,400 --> 04:08:42,280
THANK CHERYL KING AND BRANDON

6520
04:08:42,280 --> 04:08:44,760
STAGLIN IN ADDITION TO YAEL AND

6521
04:08:44,760 --> 04:08:46,400
NEIL FOR THEIR REALLY WONDERFUL

6522
04:08:46,400 --> 04:08:48,000
CONTRIBUTIONS TO THIS COUNCIL

6523
04:08:48,000 --> 04:08:49,600
OVER THE LAST SEVERAL YEARS.

6524
04:08:49,600 --> 04:08:54,200
YOUR INPUT HAS REALLY HELPED

6525
04:08:54,200 --> 04:08:55,760
SHAPE THE SCIENTIFIC PRIORITIES

6526
04:08:55,760 --> 04:08:58,400
OF NIMH. I APPRECIATE THE CANDOR

6527
04:08:58,400 --> 04:08:59,520
YOU BRING, THE COURAGE YOU BRING

6528
04:08:59,520 --> 04:09:02,720
TO EXPRESS THAT CANDOR. AND THE

6529
04:09:02,720 --> 04:09:04,680
WAY EWE CHALLENGE ME OVER THESE

6530
04:09:04,680 --> 04:09:05,960
YEARS AND CHALLENGE THE REST OF

6531
04:09:05,960 --> 04:09:08,800
US HERE AT NIMH TO DO BETTER.  

6532
04:09:08,800 --> 04:09:10,840
AND WITH THAT I WILL OFFER THE

6533
04:09:10,840 --> 04:09:12,640
OPPORTUNITY, WE WILL START WITH

6534
04:09:12,640 --> 04:09:14,760
CHERYL KING TO OFFER SOME WORDS

6535
04:09:14,760 --> 04:09:16,840
OF WISDOM FOR YOUR FELLOW

6536
04:09:16,840 --> 04:09:17,800
COUNCIL MEMBERS OR ANYTHING ELSE

6537
04:09:17,800 --> 04:09:21,000
YOU WOULD LIKE THE SAY. CHERYL. 

6538
04:09:21,000 --> 04:09:23,320
>> THANK YOU, JOSH. THIS HAS

6539
04:09:23,320 --> 04:09:26,200
BEEN SUCH A RICH EXPERIENCE AND

6540
04:09:26,200 --> 04:09:28,760
I REALLY APPRECIATED THE

6541
04:09:28,760 --> 04:09:30,160
OPPORTUNITY TO SERVE OUR FIELD

6542
04:09:30,160 --> 04:09:32,600
IN THIS WAY AND REALLY TO DO IT

6543
04:09:32,600 --> 04:09:37,760
WITH SUCH A SAVVY INVESTED JUST

6544
04:09:37,760 --> 04:09:40,000
SMART GROUP OF COLLEAGUES, IT

6545
04:09:40,000 --> 04:09:41,360
HAS BEEN A GREAT EXPERIENCE AND

6546
04:09:41,360 --> 04:09:45,200
I HOPE ALL OF YOU GET TO MEET IN

6547
04:09:45,200 --> 04:09:53,960
PERSON AGAIN SOMETIME TOO. I

6548
04:09:53,960 --> 04:09:55,320
THINK WHAT STRIKES ME ABOUT THIS

6549
04:09:55,320 --> 04:09:57,160
EXPERIENCE IS THAT AFTER SO MANY

6550
04:09:57,160 --> 04:10:01,800
YEARS LITERALLY DECADES, WORKING

6551
04:10:01,800 --> 04:10:02,640
AS A CLINICAL SCIENTIST WITH A

6552
04:10:02,640 --> 04:10:05,000
LASER FOCUS THAT TAKES, FOCUSING

6553
04:10:05,000 --> 04:10:08,480
ON PROBLEM, POTENTIAL SOLUTIONS

6554
04:10:08,480 --> 04:10:10,440
METHODOLOGIES RESEARCH

6555
04:10:10,440 --> 04:10:11,840
CHALLENGES, IT HAS BEEN A

6556
04:10:11,840 --> 04:10:13,480
PRIVILEGE, A GIFT AT THIS POINT

6557
04:10:13,480 --> 04:10:17,520
IN MY CAREER TO HAVE THE

6558
04:10:17,520 --> 04:10:18,960
COUNCIL'S UP CLOSE VIEW WITH

6559
04:10:18,960 --> 04:10:22,200
KIND OF A WIDE ANGLE LENS AT

6560
04:10:22,200 --> 04:10:24,560
EVERYTHING GOING ON IN OUR FIELD

6561
04:10:24,560 --> 04:10:28,200
IN TERMS OF RESEARCH ACROSS

6562
04:10:28,200 --> 04:10:30,640
AGES, ACROSS PROBLEMS LEVELS OF

6563
04:10:30,640 --> 04:10:31,920
ANALYSIS, SOCIO DEMOGRAPHIC

6564
04:10:31,920 --> 04:10:34,160
COMMUNITY CON DETECTION.  FROM

6565
04:10:34,160 --> 04:10:36,720
EFFORTS TO IMPROVING OUR

6566
04:10:36,720 --> 04:10:39,000
UNDERSTANDING OF ILLNESS TO

6567
04:10:39,000 --> 04:10:40,760
PREVENTION AND TREATMENT AND

6568
04:10:40,760 --> 04:10:42,520
ALSO RESEARCH TRIED TO COME UP

6569
04:10:42,520 --> 04:10:45,360
WITH NEAR TERM SOLUTIONS. AND

6570
04:10:45,360 --> 04:10:48,200
RESEARCH THAT IS FOCUSED ON THE

6571
04:10:48,200 --> 04:10:50,080
POSSIBILITIES OF NEW WAYS TO

6572
04:10:50,080 --> 04:10:51,200
PREVENT AND EVEN BETTER

6573
04:10:51,200 --> 04:10:55,400
SOLUTIONS IN THE FUTURE. IT IS

6574
04:10:55,400 --> 04:10:57,800
REALLY BREATHTAKING IN A SENSE

6575
04:10:57,800 --> 04:10:59,360
THE SIGNIFICANCE AND THE

6576
04:10:59,360 --> 04:11:01,360
COMPLEXITY AND JUST THE BREADTH

6577
04:11:01,360 --> 04:11:04,600
OF WHAT ALL FALLS UNDER NIMH. I

6578
04:11:04,600 --> 04:11:06,640
THINK ALL OF US WE HAVE SURELY

6579
04:11:06,640 --> 04:11:12,160
SERVED ON MANY COMMITTEES, AND

6580
04:11:12,160 --> 04:11:14,440
COUNCILS BUT FEW WITH THIS KIND

6581
04:11:14,440 --> 04:11:16,120
OF GROUP OF COLLEAGUES AND WITH

6582
04:11:16,120 --> 04:11:21,040
THIS MUCH SIGNIFICANCE SO THAT

6583
04:11:21,040 --> 04:11:29,760
HAS BEEN SO RICH.  REFLECTING MY

6584
04:11:29,760 --> 04:11:31,280
PERSONAL EXPERIENCE ON COUNCIL

6585
04:11:31,280 --> 04:11:32,880
MY RESEARCH AND EXPERTISE

6586
04:11:32,880 --> 04:11:33,920
RELATES TO UNDERSTANDING

6587
04:11:33,920 --> 04:11:35,400
TRAJECTORIES ARE OF SUICIDE RISK

6588
04:11:35,400 --> 04:11:37,040
AND TRYING TO IMPROVE SUICIDE

6589
04:11:37,040 --> 04:11:38,720
RISK SCREENING ASSESSMENT AND

6590
04:11:38,720 --> 04:11:40,880
INTERVENTION STRATEGIES.  THAT

6591
04:11:40,880 --> 04:11:45,200
ALIGNS WITH ONE OF THE KEY NIMH

6592
04:11:45,200 --> 04:11:47,000
PRIORITIES WHICH IS SUE SAID

6593
04:11:47,000 --> 04:11:51,960
PREVENTION RESEARCH SO EVE MANY

6594
04:11:51,960 --> 04:11:56,400
OPPORTUNITIES TO GIVE INPUT ON

6595
04:11:56,400 --> 04:11:59,200
PRIORITIES. IT'S MEANINGFUL AND

6596
04:11:59,200 --> 04:12:04,000
MADE COUNCIL ENGAGING.  ONE

6597
04:12:04,000 --> 04:12:08,600
THING I APPRECIATED IS ATTENTION

6598
04:12:08,600 --> 04:12:09,880
GIVEN TO DIVERSITY AND EQUITY

6599
04:12:09,880 --> 04:12:13,720
ISSUES AS IT RELATES TO

6600
04:12:13,720 --> 04:12:15,000
SOMETHING NEAR AND DEAR WHICH IS

6601
04:12:15,000 --> 04:12:16,240
MENTOR SHIP AND DEVELOPMENT OF

6602
04:12:16,240 --> 04:12:23,200
EARLY CAREER RESEARCHERS. DURING

6603
04:12:23,200 --> 04:12:25,000
PAST SEVERAL YEARS ON COUNCIL WE

6604
04:12:25,000 --> 04:12:26,560
FACE A NUMBER OF THESE ISSUES

6605
04:12:26,560 --> 04:12:27,640
HEAD ON AND WITH A LOT OF

6606
04:12:27,640 --> 04:12:31,440
TRANSPARENCY.  IT IS GREAT TO

6607
04:12:31,440 --> 04:12:33,000
HAVE BEEN PART OF THAT. I KNOW

6608
04:12:33,000 --> 04:12:36,920
IT WILL CONTINUE. WHILE IT IS

6609
04:12:36,920 --> 04:12:39,040
REALLY GOOD TO SEE SO MUCH

6610
04:12:39,040 --> 04:12:42,880
TRANSPARENCY OF DATA, AND FRANK

6611
04:12:42,880 --> 04:12:44,520
DISCUSSION WHAT WE CAN DO.

6612
04:12:44,520 --> 04:12:47,680
FINALLY I WANT TO SHARE I HAVE

6613
04:12:47,680 --> 04:12:50,200
WORKED IN DIFFERENT WAYS WITH

6614
04:12:50,200 --> 04:12:51,400
NIMH FOR REALLY MORE THAN A

6615
04:12:51,400 --> 04:12:58,240
COUPLE OF DECADES BUT WHAT I

6616
04:12:58,240 --> 04:12:59,400
KEEP LEARNING AND REINFORCED ALL

6617
04:12:59,400 --> 04:13:01,000
THE TIME IS NIMH IS A MODEL

6618
04:13:01,000 --> 04:13:03,840
ORGANIZATION AND I SAY THIS

6619
04:13:03,840 --> 04:13:06,960
SINCERELY. FROM DIRECTOR JOSH,

6620
04:13:06,960 --> 04:13:08,000
DIVISION DIRECTORS PROGRAM

6621
04:13:08,000 --> 04:13:12,440
OFFICERS ALL THE ADMINISTRATIVE

6622
04:13:12,440 --> 04:13:15,440
STAFF WHAT IMPRESSIVE GROUP.

6623
04:13:15,440 --> 04:13:17,360
THERE IS A SHARED MISSION. CORE

6624
04:13:17,360 --> 04:13:22,840
VALUES ARE CLEAR, WITH

6625
04:13:22,840 --> 04:13:26,160
EXCELLENCE COMMUNICATION

6626
04:13:26,160 --> 04:13:26,960
CIVILITY. I HAVE BEEN

6627
04:13:26,960 --> 04:13:30,280
CONTINUALLY IMPRESS WITH THE

6628
04:13:30,280 --> 04:13:31,320
KNOWLEDGE AND LEVEL OF

6629
04:13:31,320 --> 04:13:32,600
PREPARATION ARE EVERYONE AT NIMH

6630
04:13:32,600 --> 04:13:37,120
WHO PARTICIPATES IN THESE

6631
04:13:37,120 --> 04:13:39,560
MEETINGS. SO WOW TO ALL OF YOU.

6632
04:13:39,560 --> 04:13:43,520
MY HAT'S OFF TO YOU AND WHAT A

6633
04:13:43,520 --> 04:13:46,680
GREAT GROUP. FINALLY JUST TO THE

6634
04:13:46,680 --> 04:13:50,440
NEW MEMBERS, ENJOY AND KNOW YOUR

6635
04:13:50,440 --> 04:13:53,080
INPUT WILL BE VALUED AND YOU CAN

6636
04:13:53,080 --> 04:13:54,880
MAKE A DIFFERENCE. THANKS VERY

6637
04:13:54,880 --> 04:13:57,000
MUCH. 

6638
04:13:57,000 --> 04:13:58,400
>> THANK YOU, CHERYL. WONDERFUL

6639
04:13:58,400 --> 04:14:00,720
THANK YOU AGAIN FOR YOUR SERVICE

6640
04:14:00,720 --> 04:14:01,960
ON THIS GROUP AND YOUR SERVICE

6641
04:14:01,960 --> 04:14:05,320
TO COME. BRANDON.

6642
04:14:05,320 --> 04:14:07,320
>> THANK YOU, JOSH AND THANKS TO

6643
04:14:07,320 --> 04:14:09,520
ALL THE NIMH FOR ENABLING ME TO

6644
04:14:09,520 --> 04:14:12,840
PARTICIPATE IN IN COUNCIL. I

6645
04:14:12,840 --> 04:14:16,200
LEARNED ABOUT THE NIH WHEN I WAS

6646
04:14:16,200 --> 04:14:18,600
ABOUT MID 20s RECOVERY FROM

6647
04:14:18,600 --> 04:14:22,600
VERY SEVERE SECOND EPISODE

6648
04:14:22,600 --> 04:14:23,600
SCHIZOPHRENIA, AND IT GAVE ME

6649
04:14:23,600 --> 04:14:24,680
HOPE TO LEARN ABOUT WHAT THE

6650
04:14:24,680 --> 04:14:29,280
NIMH WAS DOING, TO DEVELOP

6651
04:14:29,280 --> 04:14:30,840
RESEARCH TO HELP PEOPLE LIKE ME,

6652
04:14:30,840 --> 04:14:34,000
THOUSANDS AN MILLIONS ACROSS THE

6653
04:14:34,000 --> 04:14:37,680
COUNTRY AND BEYOND, SIMILAR

6654
04:14:37,680 --> 04:14:39,000
CONDITIONS, BY INVESTIGATING

6655
04:14:39,000 --> 04:14:40,760
COMPLEXITY OF THE BRAIN AND THE

6656
04:14:40,760 --> 04:14:42,400
MIND AND NOW THE ENVIRONMENT SO

6657
04:14:42,400 --> 04:14:43,280
MANY OTHER DIMENSIONS OF

6658
04:14:43,280 --> 04:14:48,760
SOCIETY. THAT GO INTO MENTAL

6659
04:14:48,760 --> 04:14:50,920
HEALTH, I WAS ENTHRALLED

6660
04:14:50,920 --> 04:14:52,120
LEARNING ABOUT THESE THINGS AND

6661
04:14:52,120 --> 04:14:54,080
MY PARTICIPATION ON THE COUNCIL

6662
04:14:54,080 --> 04:14:55,600
NOW IS THE ONE OF THE HIGHEST

6663
04:14:55,600 --> 04:14:56,480
HONORS I HAVE BEEN ABLE TO

6664
04:14:56,480 --> 04:14:57,520
EXPERIENCE IN MY LIFE TO

6665
04:14:57,520 --> 04:14:59,600
CONTRIBUTE TO THE PUBLIC GOOD,

6666
04:14:59,600 --> 04:15:04,440
AS WELL AS WORK ALONGSIDE

6667
04:15:04,440 --> 04:15:06,080
AMAZING SCIENCE LIKE FELLOW

6668
04:15:06,080 --> 04:15:07,600
COUNCIL MEMBERS, AN HONOR TO

6669
04:15:07,600 --> 04:15:12,560
WORK WITH YOU AS WELL SIMILAR TO

6670
04:15:12,560 --> 04:15:16,040
CHERYL, EXTREMELY IMPRESS WITH

6671
04:15:16,040 --> 04:15:20,000
THE CARING AND FOCUS OF THE NIMH

6672
04:15:20,000 --> 04:15:24,360
TEAM AND I WORDS OF ADVICE I

6673
04:15:24,360 --> 04:15:28,240
MIGHT SAY THAT I THINK ONE OF

6674
04:15:28,240 --> 04:15:31,120
THE GREATEST STRENGTH I HAVE IS

6675
04:15:31,120 --> 04:15:32,840
MY LIVED EXPERIENCE WITH SERIOUS

6676
04:15:32,840 --> 04:15:33,960
MENTAL ILLNESS AND THE

6677
04:15:33,960 --> 04:15:36,000
PERSPECTIVE THAT FROM SLIDES. SO

6678
04:15:36,000 --> 04:15:38,120
I URGE THE NIMH AND OTHER

6679
04:15:38,120 --> 04:15:39,960
RESEARCH ENTITIES TO CONTINUE TO

6680
04:15:39,960 --> 04:15:41,200
INVOLVE LIVED EXPERIENCE AS A

6681
04:15:41,200 --> 04:15:42,960
CORE COMPONENT OF GUIDING THE

6682
04:15:42,960 --> 04:15:45,600
RESEARCH THAT IS DONE SIMILAR TO

6683
04:15:45,600 --> 04:15:49,760
WHAT AMY WAS SAYING EARLIER.

6684
04:15:49,760 --> 04:15:52,160
UNDERSTANDING THE NEEDS AND THE

6685
04:15:52,160 --> 04:15:53,600
INTERESTS AND THE PERSPECTIVE OF

6686
04:15:53,600 --> 04:15:54,960
THE END USER OF THE SERVICES

6687
04:15:54,960 --> 04:15:56,760
THAT WE ARE AIMING TO IMPROVE

6688
04:15:56,760 --> 04:15:58,960
THROUGH RESEARCH WE DO THROUGH

6689
04:15:58,960 --> 04:16:01,200
NIMH IS CRITICAL TO MAKING THAT

6690
04:16:01,200 --> 04:16:04,680
RESEARCH COUNT.  AND I THINK NOT

6691
04:16:04,680 --> 04:16:08,200
ONLY BY INVOLVING PEOPLE LIVED

6692
04:16:08,200 --> 04:16:09,760
EXPERIENCE ON COUNCIL OR WORK

6693
04:16:09,760 --> 04:16:11,240
GROUPS THINGS LIKE THAT THAT ARE

6694
04:16:11,240 --> 04:16:13,800
IMPORTANT BUT I KNOW SCIENTISTS

6695
04:16:13,800 --> 04:16:15,400
WHO HAVE LIVED EXPERIENCE WITH

6696
04:16:15,400 --> 04:16:17,680
SERIOUS MENTAL ILLNESS AS WELL.

6697
04:16:17,680 --> 04:16:22,000
AND IF THEY CAN BE ABLE TO GUIDE

6698
04:16:22,000 --> 04:16:23,760
RESEARCH AS WELL HARNESSING BOTH

6699
04:16:23,760 --> 04:16:28,160
LIVED EXPERIENCE AND SCIENTIFIC

6700
04:16:28,160 --> 04:16:29,280
EXPERTISE, THEIR LEADERSHIP CAN

6701
04:16:29,280 --> 04:16:31,600
BE VERY EFFECTIVE AND GUIDING

6702
04:16:31,600 --> 04:16:35,320
RESEARCH TO REALLY MAKE A BIG

6703
04:16:35,320 --> 04:16:36,200
DIFFERENCE ALONG THE NEEDS OF

6704
04:16:36,200 --> 04:16:38,920
PEOPLE WITH MENTAL HEALTH

6705
04:16:38,920 --> 04:16:40,240
CHALLENGES. SO THAT IS WHAT I

6706
04:16:40,240 --> 04:16:42,560
HAD TO SAY. THANK YOU AGAIN FOR

6707
04:16:42,560 --> 04:16:44,520
THE OPPORTUNITY TO BE ON THE

6708
04:16:44,520 --> 04:16:44,880
COUNCIL.

6709
04:16:44,880 --> 04:16:46,360
>> BRANDON, THANK YOU VERY MUCH

6710
04:16:46,360 --> 04:16:48,120
FOR YOUR CONTRIBUTIONS OVER THE

6711
04:16:48,120 --> 04:16:49,760
YEARSYEARS. AS WE HAVE GOTTEN TO
KNOW

6712
04:16:49,760 --> 04:16:51,000
EACH OTHER MORE AND MORE, I

6713
04:16:51,000 --> 04:16:53,120
APPRECIATE ALL THE MORE THE

6714
04:16:53,120 --> 04:16:54,520
PERSPECTIVE YOU BRING, NOT JUST

6715
04:16:54,520 --> 04:16:55,400
AS INDIVIDUAL WITH LIVED

6716
04:16:55,400 --> 04:16:58,640
EXPERIENCE BUT AS AN INDIVIDUAL

6717
04:16:58,640 --> 04:17:00,680
AS BRIGHT AND INTELLIGENT AND

6718
04:17:00,680 --> 04:17:01,880
INSIDESIVE PERSON WHO REALLY

6719
04:17:01,880 --> 04:17:04,200
CARIS. SO THANK YOU, VERY MUCH. 

6720
04:17:04,200 --> 04:17:05,520
THANK YOU ALL FOR A WONDERFUL

6721
04:17:05,520 --> 04:17:08,600
MEETING, I WANT TO ESPECIALLY

6722
04:17:08,600 --> 04:17:10,000
THANK DIVISION OF EXTRAMURAL

6723
04:17:10,000 --> 04:17:11,160
ACTIVITIES WHO PUTS THIS

6724
04:17:11,160 --> 04:17:15,000
TOGETHER, DEB DABNEY, KAREN

6725
04:17:15,000 --> 04:17:17,760
EVAN, TRACY AND ALEX DUNKER WHO

6726
04:17:17,760 --> 04:17:18,400
HAS BEEN SHEPHERDING THROUGH ON

6727
04:17:18,400 --> 04:17:20,200
THE TECHNICAL THING. I MIGHT

6728
04:17:20,200 --> 04:17:21,640
HAVE FORGOTTEN A FEW SO I WILL

6729
04:17:21,640 --> 04:17:24,600
TURN IT TO TRACY TO SEE IF SHE

6730
04:17:24,600 --> 04:17:26,680
WANTS TO ADD ANY NAMES AND THEN

6731
04:17:26,680 --> 04:17:27,480
WE WILL ADJOURN.

6732
04:17:27,480 --> 04:17:30,600
>> I WOULD LIKE TO ADD --

6733
04:17:30,600 --> 04:17:34,000
MANAGEMENT ACTIVITIES AND WANDA

6734
04:17:34,000 --> 04:17:34,480
HARRIS.

6735
04:17:34,480 --> 04:17:36,600
>> YES THANK YOU FOR REMINDING

6736
04:17:36,600 --> 04:17:39,200
ME. ONE QUICK NOTE UNFORTUNATELY

6737
04:17:39,200 --> 04:17:41,000
NIH MADE DECISION FOR JUNE

6738
04:17:41,000 --> 04:17:42,600
BETTER OR WORSE WE WILL BE

6739
04:17:42,600 --> 04:17:44,360
VIRTUAL IN JUNE. SO I HOPE TO

6740
04:17:44,360 --> 04:17:48,640
GET TO MEET YOU PERHAPS IN THE

6741
04:17:48,640 --> 04:17:50,440
FALL IN PERSON AT THE FALL

6742
04:17:50,440 --> 04:17:52,000
MEETING BUT WE WILL SEE YOU ON

6743
04:17:52,000 --> 04:18:07,760
ZOOM IN JUNE. BYE-BYE FOR NOW.