1 00:00:05,400 --> 00:00:10,360 >> Joshua Gordon: WELCOME TO 2 00:00:10,360 --> 00:00:12,520 THE 270th MEETING OF THE 3 00:00:12,520 --> 00:00:16,080 NATIONAL ADVISORY MENTAL HEALTH 4 00:00:16,080 --> 00:00:16,680 COUNCIL. 5 00:00:16,680 --> 00:00:19,600 I'M JOSHUA GORD AN AND I'D LIKE 6 00:00:19,600 --> 00:00:21,080 TO THANK YOU FOR JOINING OUR 7 00:00:21,080 --> 00:00:22,800 MEETING TODAY. 8 00:00:22,800 --> 00:00:24,200 EMBRACING OUR HYBRID FORMAT. 9 00:00:24,200 --> 00:00:25,920 I'M JOINING YOU VIRTUALLY TODAY 10 00:00:25,920 --> 00:00:27,360 FOR THE FIRST PART OF OUR 11 00:00:27,360 --> 00:00:29,640 MEETING BUT WILL COME IN-PERSON 12 00:00:29,640 --> 00:00:31,480 AFTER THE BREAK LATER THIS 13 00:00:31,480 --> 00:00:33,560 AFTERNOON DUE TO AN EVENT HERE 14 00:00:33,560 --> 00:00:36,960 ON CAMPUS THAT I NEED TO ATTEND. 15 00:00:36,960 --> 00:00:38,560 OUR COUNCIL MEETING IS A TIME 16 00:00:38,560 --> 00:00:40,200 FOR INFORMATION EXCHANGE BETWEEN 17 00:00:40,200 --> 00:00:41,800 INSTITUTE STAFF AND COUNCIL 18 00:00:41,800 --> 00:00:42,160 MEMBERS. 19 00:00:42,160 --> 00:00:43,400 AS WELL AS AN OPPORTUNITY FOR 20 00:00:43,400 --> 00:00:45,440 THE COUNCIL PROVIDE FEEDBACK TO 21 00:00:45,440 --> 00:00:47,320 THE NATIONAL INSTITUTE OF MENTAL 22 00:00:47,320 --> 00:00:47,640 HEALTH. 23 00:00:47,640 --> 00:00:51,760 IT'S ALSO AN OPPORTUNITY FOR US 24 00:00:51,760 --> 00:00:54,360 TO DISCUSS IN FRONT OF THE 25 00:00:54,360 --> 00:00:55,960 PUBLIC THE MATTERS REGARDING 26 00:00:55,960 --> 00:01:03,280 PRIORITIES AND POLICIES AT NIMH 27 00:01:03,280 --> 00:01:04,520 THAT ARE IMPORTANT TO TALK 28 00:01:04,520 --> 00:01:04,920 ABOUT. 29 00:01:04,920 --> 00:01:05,960 WE HAVE A FULL SCHEDULE. 30 00:01:05,960 --> 00:01:07,040 THANK YOU FOR PARTICIPATING IN 31 00:01:07,040 --> 00:01:07,960 THIS MEETING. 32 00:01:07,960 --> 00:01:08,920 BEFORE WE MOVE ON IT THE 33 00:01:08,920 --> 00:01:10,320 BUSINESS OF THE MEETING, I'LL 34 00:01:10,320 --> 00:01:12,720 TAKE A MOMENT TO REMIND YOU OF A 35 00:01:12,720 --> 00:01:14,240 FEW LOGISTICAL ITEMS. 36 00:01:14,240 --> 00:01:17,280 AS ALWAYS, NOT THIS OPEN SESSION 37 00:01:17,280 --> 00:01:20,000 IS BEING VIDEO CAST BROADLY TO 38 00:01:20,000 --> 00:01:21,680 THE NIH COMMUNITY AND TO THE 39 00:01:21,680 --> 00:01:22,560 VIEWING PUBLIC. 40 00:01:22,560 --> 00:01:25,040 ALLOWING PEOPLE TO WATCH AND 41 00:01:25,040 --> 00:01:26,000 LISTEN REMOTELY. 42 00:01:26,000 --> 00:01:27,680 THE MEETING IS ALSO BEING 43 00:01:27,680 --> 00:01:29,680 RECORDED TO ALLOW VIEWING ON 44 00:01:29,680 --> 00:01:32,280 DEMAND AT A LATER DATE. 45 00:01:32,280 --> 00:01:34,200 WE ENCOURAGE COUNCIL MEMBERS 46 00:01:34,200 --> 00:01:35,920 BOTH IN THE ROOM AND REMOTE TO 47 00:01:35,920 --> 00:01:37,120 KEEP YOUR VIDEO ON THROUGHOUT 48 00:01:37,120 --> 00:01:38,800 THE MEETING, SO THAT YOU CAN BE 49 00:01:38,800 --> 00:01:41,280 SEEN BY THOSE OUTSIDE OF THE 50 00:01:41,280 --> 00:01:42,160 ROOM. 51 00:01:42,160 --> 00:01:45,760 HOWEVER, WE ASK THAT NIMH STAFF 52 00:01:45,760 --> 00:01:48,160 INCLUDING DIVISION DIRECTORS USE 53 00:01:48,160 --> 00:01:49,520 VIDEO ONLY WHEN PRESENTING. 54 00:01:49,520 --> 00:01:51,400 FOR COUNCIL MEMBERS IN THE ROOM, 55 00:01:51,400 --> 00:01:55,320 PLEASE USE THE MICS ON THE 56 00:01:55,320 --> 00:01:55,840 TABLE. 57 00:01:55,840 --> 00:01:57,280 ALWAYS PUSH THE ON BUTTON WHEN 58 00:01:57,280 --> 00:01:58,440 YOU SPEAK AND OFF WHEN YOU ARE 59 00:01:58,440 --> 00:01:58,920 DONE. 60 00:01:58,920 --> 00:02:00,760 DO NOT TURN ON THE AUDIO FOR 61 00:02:00,760 --> 00:02:02,520 YOUR COMPUTER, THE MICROPHONE IS 62 00:02:02,520 --> 00:02:04,280 ON THE TABLE WILL PROVIDE THE 63 00:02:04,280 --> 00:02:06,000 AUDIO FOR YOU. 64 00:02:06,000 --> 00:02:07,520 FOR REMOTE COUNCIL MEMBERS, 65 00:02:07,520 --> 00:02:09,040 UNMUTE YOUR MICROPHONE WHEN 66 00:02:09,040 --> 00:02:10,440 SPEAKING AND PLEASE MUTE YOUR 67 00:02:10,440 --> 00:02:12,720 MICROPHONE WHEN YOU ARE NOT. 68 00:02:12,720 --> 00:02:14,200 FOR THOSE REMOTE MEMBERS WHO 69 00:02:14,200 --> 00:02:16,840 MIGHT BE USING PHONE AUDIO, YOU 70 00:02:16,840 --> 00:02:20,240 CAN PRESS STAR 6 TO MUTE AND 71 00:02:20,240 --> 00:02:20,920 UNMUTE. 72 00:02:20,920 --> 00:02:22,760 WE ASK COUNCIL MEMBERS TO UNMUTE 73 00:02:22,760 --> 00:02:24,960 TO MAKE A COMMENT OR ASK A 74 00:02:24,960 --> 00:02:27,040 QUESTION RATHER THAN USING THE 75 00:02:27,040 --> 00:02:28,160 ZOOM AND CHAT FUNCTION. 76 00:02:28,160 --> 00:02:30,360 PLEASE RESERVE CHAT USE FOR 77 00:02:30,360 --> 00:02:33,440 CONTACTING NIMH ZOOM HOSTS WITH 78 00:02:33,440 --> 00:02:33,920 ANY TECHNICAL ISSUES. 79 00:02:33,920 --> 00:02:35,880 I WANT TO REMIND YOU THAT 80 00:02:35,880 --> 00:02:37,920 EVERYTHING ENTERED INTO THE 81 00:02:37,920 --> 00:02:39,720 CHATBOX, WILL BE INCLUDED IN THE 82 00:02:39,720 --> 00:02:42,160 PERMANENT RECORD OF THE SESSION, 83 00:02:42,160 --> 00:02:43,720 EVEN SIDE BAR CHATS TO OTHER 84 00:02:43,720 --> 00:02:45,680 MEMBERS OF THE COUNCIL OR TO 85 00:02:45,680 --> 00:02:47,040 STAFF WILL BE PART OF THIS 86 00:02:47,040 --> 00:02:50,480 RECORD AND WILL BE PUBLICLY 87 00:02:50,480 --> 00:02:50,760 AVAILABLE. 88 00:02:50,760 --> 00:02:52,480 WHEN WE CALL FOR A VOTE, WE WILL 89 00:02:52,480 --> 00:02:53,520 ASK ALL COUNCIL MEMBERS TO USE 90 00:02:53,520 --> 00:02:56,520 THE RAISE-HAND FUNCTION IN ZOOM. 91 00:02:56,520 --> 00:02:59,160 IT MIGHT BE LOCATED IN THE ZOOM 92 00:02:59,160 --> 00:03:00,400 PARTICIPANT MENU OR THE BOTTOM 93 00:03:00,400 --> 00:03:04,040 UNDER THE REACTIONS MENU 94 00:03:04,040 --> 00:03:07,080 DEPENDING ON YOUR PARTICULAR 95 00:03:07,080 --> 00:03:08,000 VERSION. 96 00:03:08,000 --> 00:03:09,360 VOTING COUNCIL MEMBERS ON THE 97 00:03:09,360 --> 00:03:12,600 PHONE SHOULD UNMUTE BY PRESSING 98 00:03:12,600 --> 00:03:15,520 STAR 6 AND VOTE BY VOICE. 99 00:03:15,520 --> 00:03:17,280 IF YOU EXPERIENCE CONDUCTIVITY 100 00:03:17,280 --> 00:03:18,920 ISSUES AND YOU NEED TO CALL IN, 101 00:03:18,920 --> 00:03:21,040 PLEASE REFER TO YOUR PERSONAL 102 00:03:21,040 --> 00:03:23,720 ZOOM ITINERARY FOR THE OPEN 103 00:03:23,720 --> 00:03:24,760 SESSION DETAILS. 104 00:03:24,760 --> 00:03:26,280 WITH THAT, I'M GOING TO TURN IT 105 00:03:26,280 --> 00:03:29,280 OVER TO TRACY WHO WILL SEE 106 00:03:29,280 --> 00:03:31,000 COMMENTS AND CORRECTIONS TO THE 107 00:03:31,000 --> 00:03:32,840 MINUTES AND CONDUCT A VOTE AND 108 00:03:32,840 --> 00:03:34,240 THEN MOVE ONTO THE NEXT ITEM ON 109 00:03:34,240 --> 00:03:35,760 OUR AGENDA. 110 00:03:35,760 --> 00:03:38,040 THOSE OF YOU WHO ARE HOPING FOR 111 00:03:38,040 --> 00:03:42,880 IT, I WILL BE GIVING THE FULL 112 00:03:42,880 --> 00:03:44,480 REGULAR DIRECTORS REPORT 113 00:03:44,480 --> 00:03:46,440 IMMEDIATELY AFTER THE BREAK AT 114 00:03:46,440 --> 00:03:49,280 AROUND 2:30. 115 00:03:49,280 --> 00:03:49,520 TRACY -- 116 00:03:49,520 --> 00:03:51,200 >>THANK YOU. 117 00:03:51,200 --> 00:03:54,360 I'M SEEKING A MOTION FOR 118 00:03:54,360 --> 00:03:56,560 APPROVAL OF OUR 2023 MINUTES 119 00:03:56,560 --> 00:03:57,600 THAT THE COUNCIL MEMBERS HAD 120 00:03:57,600 --> 00:04:01,320 ACCESS TO IN THE ASR IN ADVANCE 121 00:04:01,320 --> 00:04:02,240 OF TODAY'S MEETING. 122 00:04:02,240 --> 00:04:05,000 DO I HAVE A MOTION OF APPROVAL? 123 00:04:05,000 --> 00:04:06,360 THANK YOU. 124 00:04:06,360 --> 00:04:08,640 AND A SECOND. 125 00:04:08,640 --> 00:04:08,840 OKAY. 126 00:04:08,840 --> 00:04:09,880 GREAT. 127 00:04:09,880 --> 00:04:11,680 ALL THOSE IN FAVOR OF APPROVING 128 00:04:11,680 --> 00:04:15,680 THE MINUTES, PLEASE USE YOUR 129 00:04:15,680 --> 00:04:17,120 RAISE-HAND FEATURE ON THE ZOOM. 130 00:04:17,120 --> 00:04:20,160 PERFECT. 131 00:04:20,160 --> 00:04:21,320 ALL RIGHT. 132 00:04:21,320 --> 00:04:23,720 ALL THOSE OPPOSED. 133 00:04:23,720 --> 00:04:25,240 ANY OPPOSED? 134 00:04:25,240 --> 00:04:25,920 ALL RIGHT. 135 00:04:25,920 --> 00:04:28,760 AND ANY ABSTENTIONS? 136 00:04:28,760 --> 00:04:29,920 OUR MINUTES ARE ALL SET. 137 00:04:29,920 --> 00:04:30,520 THANK YOU. 138 00:04:30,520 --> 00:04:32,360 AND WE'LL TURN IT OVER TO SHELLY 139 00:04:32,360 --> 00:04:37,960 TO GET US STARTED WITH CONCEPTS. 140 00:04:37,960 --> 00:04:39,040 >>Shelly: GOOD MORNING, THANK 141 00:04:39,040 --> 00:04:40,280 YOU FOR BEING ON THE ZOOM. 142 00:04:40,280 --> 00:04:41,680 SO, AS JOSH ALLUDED TO WE'RE 143 00:04:41,680 --> 00:04:45,760 GOING TO BE FLIPPING THE ORDER 144 00:04:45,760 --> 00:04:47,680 AND WE'RE GOING TO START WITH 145 00:04:47,680 --> 00:04:48,120 CONCEPT CLEARANCES. 146 00:04:48,120 --> 00:04:49,960 TODAY YOU WILL HEAR ABOUT FUTURE 147 00:04:49,960 --> 00:04:53,200 INITIATIVES BEFORE JOSH'S 148 00:04:53,200 --> 00:04:54,800 DIRECTORS REPORT AND KEEP IN 149 00:04:54,800 --> 00:04:56,440 MIND OUR CONCEPT CLEARANCES ARE 150 00:04:56,440 --> 00:04:57,920 PRESENTED FOR EARLY FEEDBACK ON 151 00:04:57,920 --> 00:04:59,240 THESE FUTURE RESEARCH DIRECTIONS 152 00:04:59,240 --> 00:05:01,840 AND INCLUDING SUGGESTIONS TO 153 00:05:01,840 --> 00:05:04,120 HELP SHAPE THESE POTENTIAL 154 00:05:04,120 --> 00:05:07,760 INITIATIVES AS WE DEVELOP THEM. 155 00:05:07,760 --> 00:05:11,200 OUR CONCEPT PRESENTATIONS ARE 156 00:05:11,200 --> 00:05:12,200 INTENTIONALLY GENERAL AS WE ARE 157 00:05:12,200 --> 00:05:15,440 IN THE VERY EARLY SEASONS OF 158 00:05:15,440 --> 00:05:16,720 FORMULATING THESE SCIENTIFIC 159 00:05:16,720 --> 00:05:18,360 CONCEPTS INTO POTENTIAL FUND 160 00:05:18,360 --> 00:05:19,160 INITIATIVES. 161 00:05:19,160 --> 00:05:20,320 OUR DESCRIPTIONS OF EACH 162 00:05:20,320 --> 00:05:22,080 CONCEPTS WERE MADE AVAILABLE TO 163 00:05:22,080 --> 00:05:25,080 YOU VIA THE ASR WITH YOUR 164 00:05:25,080 --> 00:05:26,240 FEEDBACK AND NIH AIMS TO PROCEED 165 00:05:26,240 --> 00:05:29,360 WITH THE RESEARCH ACTIVITY, 166 00:05:29,360 --> 00:05:30,520 HOWEVER, THE PUB WILL INDICATION 167 00:05:30,520 --> 00:05:32,840 AND TIMING URN CERTAIN AND 168 00:05:32,840 --> 00:05:34,680 DEPENDING ON FUNDS BEING 169 00:05:34,680 --> 00:05:37,160 AVAILABLE. 170 00:05:37,160 --> 00:05:38,960 ONCE PRESENTED AT COUNCIL, 171 00:05:38,960 --> 00:05:41,080 CONCEPTS ARE POSTED ON THE NIMH 172 00:05:41,080 --> 00:05:42,280 WEBSITE AND AVAILABLE FOR 173 00:05:42,280 --> 00:05:42,840 FURTHER COMMENT. 174 00:05:42,840 --> 00:05:45,320 FOR THE PURPOSE OF TODAY'S 175 00:05:45,320 --> 00:05:46,840 DISCUSSION, WE HAVE ASSIGNED TWO 176 00:05:46,840 --> 00:05:48,000 COUNCIL MEMBERS FOR EACH CONCEPT 177 00:05:48,000 --> 00:05:49,960 THOUGH WE WELCOME FEEDBACK FROM 178 00:05:49,960 --> 00:05:51,320 ALL OF YOU. 179 00:05:51,320 --> 00:05:56,920 SO, WE'RE GOING TO GET STARTED 180 00:05:56,920 --> 00:06:06,240 WITH Dr. BOB HEINSEEN. 181 00:06:06,240 --> 00:06:07,720 >>Robert Heinssen: THANK YOU 182 00:06:07,720 --> 00:06:09,040 VERY MUCH 12 THANK YOU FOR THE 183 00:06:09,040 --> 00:06:14,200 PENT TO RESERVE LEARNING IMPROVE 184 00:06:14,200 --> 00:06:17,400 MENTAL HEALTH SERVICES AND 185 00:06:17,400 --> 00:06:19,040 TREATMENT. 186 00:06:19,040 --> 00:06:21,360 IMPLEMENTATION RESEARCH IS 187 00:06:21,360 --> 00:06:22,640 DOCUMENTED BETWEEN SCIENTIFIC 188 00:06:22,640 --> 00:06:24,440 DISCOVERY AND TRANSLATION 189 00:06:24,440 --> 00:06:25,840 FINDINGS INTO RETAIN CLINICAL 190 00:06:25,840 --> 00:06:26,160 PRACTICE. 191 00:06:26,160 --> 00:06:28,960 MORE OVER, THE EFFECTIVENESS OF 192 00:06:28,960 --> 00:06:30,560 RESEARCH-BASED TREATMENT OFTEN 193 00:06:30,560 --> 00:06:32,080 DECLINES IN REAL WORLD CLINICAL 194 00:06:32,080 --> 00:06:34,240 SETTINGS IMPLEMENTATION 195 00:06:34,240 --> 00:06:37,320 SCIENTISTS WITH THIS PHENOMENON 196 00:06:37,320 --> 00:06:38,440 VOLTAGE DROP. 197 00:06:38,440 --> 00:06:39,280 HEALTHCARE WAS FIRST DESCRIBED 198 00:06:39,280 --> 00:06:41,960 BY THE INSTITUTE OF MEDICINE IN 199 00:06:41,960 --> 00:06:44,280 2007 AND AS A DATA DRIVEN 200 00:06:44,280 --> 00:06:47,040 FRAMEWORK FOR MITIGATING THIS 201 00:06:47,040 --> 00:06:48,240 DIMINISHMENT AND IMPROVING THE 202 00:06:48,240 --> 00:06:50,080 QUALITY AND EFFECTIVENESS OF 203 00:06:50,080 --> 00:06:51,000 EVIDENCE BASED SERVICES. 204 00:06:51,000 --> 00:06:54,320 TO DO SO, LEARNING HEALTH 205 00:06:54,320 --> 00:06:55,680 SYSTEMS INTEGRATE DATA 206 00:06:55,680 --> 00:06:56,960 COLLECTION AND ANALYSIS INTO 207 00:06:56,960 --> 00:06:58,560 CARE AND EMPLOY QUALITY 208 00:06:58,560 --> 00:07:00,160 MANAGEMENT STRATEGIES TO 209 00:07:00,160 --> 00:07:01,920 OPTIMIZE SERVICES AND PROVIDE 210 00:07:01,920 --> 00:07:06,440 REAL-TIME FEEDBACK TO CLINICIANS 211 00:07:06,440 --> 00:07:09,680 TO DRIVE IN PATIENT OUTCOMES AND 212 00:07:09,680 --> 00:07:11,960 HEALTHCARE DELIVERY. 213 00:07:11,960 --> 00:07:14,360 THESE CHARTS ILLUSTRATE RECENT 214 00:07:14,360 --> 00:07:16,440 PROGRESS IN TWO FEDERALLY FUNDED 215 00:07:16,440 --> 00:07:19,160 PROGRAMS THAT EMPHASIZE 216 00:07:19,160 --> 00:07:21,680 EVIDENCE-BASED PRACTICES FOR 217 00:07:21,680 --> 00:07:22,440 MENTAL DISORDERS. 218 00:07:22,440 --> 00:07:24,760 ON THE LEFT IT ILLUSTRATES RAPID 219 00:07:24,760 --> 00:07:25,560 GROWTH AND SUPPORTS PROGRAMS 220 00:07:25,560 --> 00:07:27,640 THAT PROVIDE COORDINATED 221 00:07:27,640 --> 00:07:28,040 SPECIALTY CARE. 222 00:07:28,040 --> 00:07:30,000 A RESEARCH-BASED INTERVENTION 223 00:07:30,000 --> 00:07:32,360 FOR FIRST EPISODES LIKE NOT 224 00:07:32,360 --> 00:07:32,920 HOSES. 225 00:07:32,920 --> 00:07:35,120 CHAT ON THE RIGHT REVEALS 226 00:07:35,120 --> 00:07:36,400 SIMILAR GROWTH IN THE NUMBER OF 227 00:07:36,400 --> 00:07:37,800 CERTIFIED COMMUNITY BEHAVIORAL 228 00:07:37,800 --> 00:07:38,720 HEALTH CLINICS. 229 00:07:38,720 --> 00:07:40,600 THESE CLINICS ARE EXPECTED TO 230 00:07:40,600 --> 00:07:42,960 PROVIDE EVIDENCE-BASED PRACTICES 231 00:07:42,960 --> 00:07:44,920 THAT MEET THE NEEDS OF CHILDREN, 232 00:07:44,920 --> 00:07:47,240 YOUTH AND ADULTS WITH COMPLEX 233 00:07:47,240 --> 00:07:49,520 MENTAL HEALTH AND SUBSTANCE USE 234 00:07:49,520 --> 00:07:50,600 DISORDERS. 235 00:07:50,600 --> 00:07:51,440 LEARNING HEALTHCARE METHODS CAN 236 00:07:51,440 --> 00:07:55,040 BE TEST TESTED, REFINED AND EXD 237 00:07:55,040 --> 00:07:57,160 IN OUT PATIENT CLINICS SUCH AS 238 00:07:57,160 --> 00:07:57,400 THESE. 239 00:07:57,400 --> 00:07:59,400 EITHER IN SINGLE SITE OR 240 00:07:59,400 --> 00:08:01,520 RESEARCH NETWORK PROJECTS. 241 00:08:01,520 --> 00:08:03,240 FUTURE RESEARCH CAN BUILD UPON 242 00:08:03,240 --> 00:08:04,760 LESSONS LEARNED FROM EXISTING 243 00:08:04,760 --> 00:08:05,640 INITIATIVES. 244 00:08:05,640 --> 00:08:16,160 SUCH AS THE NIMH EARLY PSYCHOSIS 245 00:08:30,720 --> 00:08:32,920 2 WILL PROMOTE RESEARCH DATA 246 00:08:32,920 --> 00:08:34,800 SCIENCE AND EFFECTIVENESS AND 247 00:08:34,800 --> 00:08:37,480 SERVICES RESEARCH TO CREATE 248 00:08:37,480 --> 00:08:39,640 BETTER KNOWLEDGE AND TOOLS FOR 249 00:08:39,640 --> 00:08:41,760 DELIVERING AND ON TA MISSING 250 00:08:41,760 --> 00:08:42,400 EVIDENCE-BASED MENTAL HEALTH 251 00:08:42,400 --> 00:08:42,760 SERVICES. 252 00:08:42,760 --> 00:08:44,880 THE CONCEPT ALIGNS WITH 253 00:08:44,880 --> 00:08:46,560 EFFECTIVENESS RESEARCH, 254 00:08:46,560 --> 00:08:47,840 IMPLEMENTATION SCIENCE, AND 255 00:08:47,840 --> 00:08:50,280 HEATH EQUITY GOALS OUTLINED IN 256 00:08:50,280 --> 00:08:54,840 THE PLAN FOR RESEARCH AND ARE 257 00:08:54,840 --> 00:08:55,400 RECENT WHITE HOUSE REPORT ON 258 00:08:55,400 --> 00:08:58,280 MENTAL HEALTH RESEARCH 259 00:08:58,280 --> 00:09:02,040 PRIORITIES. 260 00:09:02,040 --> 00:09:04,840 THIS SLIDE HAVE AREAS CONSIDERED 261 00:09:04,840 --> 00:09:06,120 UNDER THIS CONCEPT AND WE 262 00:09:06,120 --> 00:09:08,200 ENVISION STAKEHOLDER ENGAGE 263 00:09:08,200 --> 00:09:09,440 RESEARCH THAT WILL LEVERAGE 264 00:09:09,440 --> 00:09:10,600 CLINICAL PRACTICE DATA INTO 265 00:09:10,600 --> 00:09:13,320 ACTION AND IMPLEMENT LEARNING 266 00:09:13,320 --> 00:09:14,960 HEALTHCARE METHODOLOGY TO 267 00:09:14,960 --> 00:09:16,120 IMPROVE PREVENTATIVE AND 268 00:09:16,120 --> 00:09:18,600 TREATMENT INTERVENTIONS FOR 269 00:09:18,600 --> 00:09:19,160 PERSONS WITH MENTAL HEALTH. 270 00:09:19,160 --> 00:09:20,200 THANK YOU ALL FOR YOUR ATTENTION 271 00:09:20,200 --> 00:09:22,120 AND I LOOK FORWARD TO THE 272 00:09:22,120 --> 00:09:23,920 DISCUSSION AND QUESTIONS FROM 273 00:09:23,920 --> 00:09:26,240 COUNCIL. 274 00:09:26,240 --> 00:09:28,360 I BELIEVE WE HAVE Dr. KILBORN 275 00:09:28,360 --> 00:09:32,880 AND TELLFAIR HAVE AGREED TO 276 00:09:32,880 --> 00:09:36,200 DISCUSS AND Dr. TELLFAIR, YOU 277 00:09:36,200 --> 00:09:43,520 ARE IN THE ROOM. 278 00:09:43,520 --> 00:09:45,280 >>IT CAUGHT ME OFF GUARD WITH 279 00:09:45,280 --> 00:09:46,320 THE OUT OF ORDER. 280 00:09:46,320 --> 00:09:50,520 SO, NO, IN REVIEWING THIS, I WAS 281 00:09:50,520 --> 00:09:53,040 APPRECIATIVE OF THE IDEA AND THE 282 00:09:53,040 --> 00:09:53,560 CONCEPT. 283 00:09:53,560 --> 00:09:55,680 IT WAS WRITTEN BROADLY BUT IT'S 284 00:09:55,680 --> 00:09:57,160 STILL VERY BROAD TO ME. 285 00:09:57,160 --> 00:09:59,880 IN TERMS OF FESS PHYSICAL TEE SO 286 00:09:59,880 --> 00:10:02,400 MY COMMENTS, WHILE I AGREE THAT 287 00:10:02,400 --> 00:10:03,760 WE SHOULD MOVE FORWARD WITH THIS 288 00:10:03,760 --> 00:10:05,760 HAVE TO DO WITH SPECIFICITY SO I 289 00:10:05,760 --> 00:10:08,040 WILL LEAVE IT AT THAT. THE FIRST 290 00:10:08,040 --> 00:10:09,160 PART OF THE QUESTION IS THAT I 291 00:10:09,160 --> 00:10:12,960 WOULD BE REALLY HELPFUL IN THIS 292 00:10:12,960 --> 00:10:15,600 SCOPE THAT YOU IDENTIFY WHO THE 293 00:10:15,600 --> 00:10:16,240 RESEARCHERS MIGHT BE WHO WOULD 294 00:10:16,240 --> 00:10:18,040 BEST BENEFIT FROM THIS WORK. 295 00:10:18,040 --> 00:10:19,440 AND AT WHAT LEVEL THEY MIGHT BE 296 00:10:19,440 --> 00:10:20,640 IN TERMS OF THE BENEFIT OF THE 297 00:10:20,640 --> 00:10:23,120 WORK BECAUSE I CAN SEE PERSONS 298 00:10:23,120 --> 00:10:25,200 BEING VERY ADVANCED AND I CAN 299 00:10:25,200 --> 00:10:27,280 SEE PEOPLE BEING VERY JUNE 300 00:10:27,280 --> 00:10:33,440 TAKING ADVANTAGE OF SUCH AN 301 00:10:33,440 --> 00:10:34,840 OPPORTUNITY SO WHO THE RESEARCH 302 00:10:34,840 --> 00:10:36,680 AND WHAT LEVEL IS USEFUL. 303 00:10:36,680 --> 00:10:38,080 THERE ARE PRACTICAL STEPS I NEED 304 00:10:38,080 --> 00:10:39,480 TO TAKE INTO ACCOUNT. 305 00:10:39,480 --> 00:10:42,000 BECAUSE OF YOUR FOCUS ON AND HAS 306 00:10:42,000 --> 00:10:43,760 AN EQUITY FOCUS NA MEANS YOU 307 00:10:43,760 --> 00:10:46,040 HAVE TO JUST ACCORDINGLY. 308 00:10:46,040 --> 00:10:47,360 THERE'S A COUPLE THINGS, FIRST 309 00:10:47,360 --> 00:10:50,440 ACCESS IS GOING TO BE A BIT OF A 310 00:10:50,440 --> 00:10:51,680 CHALLENGE PARTICULARLY RELATIVE 311 00:10:51,680 --> 00:10:52,640 TECHNOLOGICAL ELEMENTS OF THIS 312 00:10:52,640 --> 00:10:54,160 AND NOT EVERYONE HAS A COMPUTER 313 00:10:54,160 --> 00:10:58,720 BUT EVERYONE HAS A SOPHISTICATED 314 00:10:58,720 --> 00:11:00,880 SOFTWARE AS WELL AS THE POWER TO 315 00:11:00,880 --> 00:11:02,720 USE SOME OF THIS RESEARCH AND 316 00:11:02,720 --> 00:11:04,000 PARTICULARLY IF THE WORK ITSELF 317 00:11:04,000 --> 00:11:05,280 WILL BE IMPLIED IN COMMUNITY 318 00:11:05,280 --> 00:11:06,920 SETTINGS AND THAT SORT OF THICK. 319 00:11:06,920 --> 00:11:13,760 THE SECOND PART, THERE'S THAT 320 00:11:13,760 --> 00:11:22,200 THE IN THE STRATEGIC PLAN REALLY 321 00:11:22,200 --> 00:11:24,160 DOES NEED TO JUST BE HIGHLIGHTED 322 00:11:24,160 --> 00:11:28,800 IN TERMS OF HOW YOU SEE IT BEING 323 00:11:28,800 --> 00:11:34,360 APPLIED. 324 00:11:34,360 --> 00:11:35,640 WHEN YOU THINK ABOUT THE 325 00:11:35,640 --> 00:11:37,160 POPULATION MIGHT BE SO THOSE ARE 326 00:11:37,160 --> 00:11:39,960 MY COMMENTS ON THAT AND I'LL 327 00:11:39,960 --> 00:11:40,920 KEEP THEM BRIEF. 328 00:11:40,920 --> 00:11:43,720 I THOUGHT IT WAS A GOOD IDEA, MY 329 00:11:43,720 --> 00:11:46,560 BIGGEST CHALLENGE WAS JUST 330 00:11:46,560 --> 00:11:47,680 WRAPPED AROUND IN NOT HOW IT 331 00:11:47,680 --> 00:11:50,000 MIGHT BE USED AND THAT SORT OF 332 00:11:50,000 --> 00:11:51,160 THING SO I'LL LEAVE IT THAT THE 333 00:11:51,160 --> 00:11:54,280 AND LEAVE IT TO MY COLLEAGUES. 334 00:11:54,280 --> 00:11:58,840 >>THANK YOU, VERY MUCH. 335 00:11:58,840 --> 00:12:00,240 >>THANK YOU FOR THE OPPORTUNITY 336 00:12:00,240 --> 00:12:01,680 TO COMMENT ON THIS. 337 00:12:01,680 --> 00:12:04,240 THIS IS A GREAT PROPOSAL. 338 00:12:04,240 --> 00:12:07,800 I THINK VERY IMPORTANT DIRECTION 339 00:12:07,800 --> 00:12:09,800 AND PROBABLY NO OTHER GROUP 340 00:12:09,800 --> 00:12:12,600 OTHER THAN NIMH WOULD BE IN A 341 00:12:12,600 --> 00:12:13,800 GREAT POSITION TO PROMOTE THE 342 00:12:13,800 --> 00:12:16,200 NEXT GENERATION OF SCIENCE AND 343 00:12:16,200 --> 00:12:17,040 LEARNING HEALTH SYSTEMS GIVEN 344 00:12:17,040 --> 00:12:18,920 THE COMPLEXITIES OF WHAT WE 345 00:12:18,920 --> 00:12:19,120 FACE. 346 00:12:19,120 --> 00:12:20,920 I AGREE WITH WHAT WAS SAID 347 00:12:20,920 --> 00:12:21,280 EARLIER. 348 00:12:21,280 --> 00:12:23,360 I THINK I WOULD ADD TOO SOME 349 00:12:23,360 --> 00:12:27,800 ADDITIONAL ANGLES IN WHICH TO 350 00:12:27,800 --> 00:12:29,320 CONSIDER EXPANDING AND PROVIDING 351 00:12:29,320 --> 00:12:29,800 DETAIL. 352 00:12:29,800 --> 00:12:32,440 THE FIRST IS PERHAPS, LOOKING AT 353 00:12:32,440 --> 00:12:33,320 THE QUESTION AROUND 354 00:12:33,320 --> 00:12:35,480 INFRASTRUCTURE BECAUSE I THINK 355 00:12:35,480 --> 00:12:36,680 FOR ANY -- AND I'M GLAD YOU 356 00:12:36,680 --> 00:12:37,520 CALLED OUT IMPLEMENTATION 357 00:12:37,520 --> 00:12:39,240 SCIENCE AND THE USE OF 358 00:12:39,240 --> 00:12:40,240 IMPLEMENTATION STRATEGIES IN 359 00:12:40,240 --> 00:12:41,440 GENERAL TO MAKE THOSE SUCCESSFUL 360 00:12:41,440 --> 00:12:43,760 AND SUSTAINABLE, THERE NEEDS TO 361 00:12:43,760 --> 00:12:45,720 BE SOME REALLY GOOD FOUNDATIONAL 362 00:12:45,720 --> 00:12:49,120 RESEARCH OBJECT THE SCIO 363 00:12:49,120 --> 00:12:49,880 TECHNICAL INFRASTRUCTURE OF WHAT 364 00:12:49,880 --> 00:12:51,280 A LEARNING HEALTH SYSTEM DOES, 365 00:12:51,280 --> 00:12:52,360 PARTICULARLY ALSO WITH THE 366 00:12:52,360 --> 00:12:54,600 REALLY THE DIGITAL DIVIDE AND 367 00:12:54,600 --> 00:12:57,200 THE ISSUES AND EQUITY AROUND 368 00:12:57,200 --> 00:12:58,840 ACCESS TO ELECTRONIC HEALTHCARE 369 00:12:58,840 --> 00:13:00,600 DATA OR JUST BASICALLY EVEN JUST 370 00:13:00,600 --> 00:13:03,200 BASIC SERVICES AROUND COLLECTING 371 00:13:03,200 --> 00:13:06,160 INFORMATION IN AN AUTOMATED WAY 372 00:13:06,160 --> 00:13:08,320 ABOUT HEALTHCARE OUTCOMES TO 373 00:13:08,320 --> 00:13:10,440 MAKE THE LEARNING HEALTH SYSTEM 374 00:13:10,440 --> 00:13:11,680 FUNCTION IN GENERAL. 375 00:13:11,680 --> 00:13:18,120 THE SECOND AREA TO CONSIDER 1 376 00:13:18,120 --> 00:13:18,760 WORKFORCE. 377 00:13:18,760 --> 00:13:20,320 YOU NEED TO HAVE PROVIDERS THAT 378 00:13:20,320 --> 00:13:22,680 ARE WILLING TO IMPLEMENT THESE 379 00:13:22,680 --> 00:13:26,760 AND NOT BE BURNED OUT OR DEALING 380 00:13:26,760 --> 00:13:28,400 WITH OTHER COMPETING DEMANDS SO 381 00:13:28,400 --> 00:13:30,600 WE'RE ENHANCING THE WORK FOR, 382 00:13:30,600 --> 00:13:32,640 MENTAL HEALTH THAT CAN ALSO HAVE 383 00:13:32,640 --> 00:13:34,680 LONG-TERM OUTCOMES ON THE MENTAL 384 00:13:34,680 --> 00:13:35,720 AND PHYSICAL HEALTH OF THE 385 00:13:35,720 --> 00:13:37,560 PEOPLE THAT THEY SERVE. 386 00:13:37,560 --> 00:13:38,960 SO THAT'S ANOTHER AREA TO 387 00:13:38,960 --> 00:13:39,640 CONSIDER AND SOMETHING THAT'S 388 00:13:39,640 --> 00:13:41,720 BEEN CALLED OUT I'VE SEEN IN 389 00:13:41,720 --> 00:13:44,280 OTHER AREAS OF NIH'S WORKFORCE 390 00:13:44,280 --> 00:13:44,600 AS WELL. 391 00:13:44,600 --> 00:13:45,880 I WOULD SAY THAT I THINK THE 392 00:13:45,880 --> 00:13:47,400 FUTURE DIRECTIONS ARE ON 393 00:13:47,400 --> 00:13:49,920 IMPLEMENTATION SCIENCE IN THE 394 00:13:49,920 --> 00:13:51,120 LEARNING HEALTH SYSTEM ARE 395 00:13:51,120 --> 00:13:52,720 FORMING WHAT'S CALLED A LEARNING 396 00:13:52,720 --> 00:13:53,760 COMMUNITY AND HAVING COMMUNITY 397 00:13:53,760 --> 00:13:59,280 INPUT IN WHAT IS PRIORITIZED IN 398 00:13:59,280 --> 00:14:00,440 WHAT WE'RE LEARNING AND HOW 399 00:14:00,440 --> 00:14:02,600 WE'RE IMPLEMENTING THINGS SO 400 00:14:02,600 --> 00:14:04,000 WAYS WE CAN INVOLVE COMMUNITIES 401 00:14:04,000 --> 00:14:05,600 ACROSS THE TRANSLATE TIVE, NOT 402 00:14:05,600 --> 00:14:07,040 JUST THE LEARNING HEALTH SYSTEM 403 00:14:07,040 --> 00:14:11,040 CYCLE BUT WAYS IN WHICH THE 404 00:14:11,040 --> 00:14:12,440 COMMUNITIES COULD BE INVOLVED 405 00:14:12,440 --> 00:14:13,840 AND EMPOWERED TO SHAPE THE WAY 406 00:14:13,840 --> 00:14:15,880 THE LEARNING HEALTH SYSTEM IS 407 00:14:15,880 --> 00:14:17,120 FORMED. 408 00:14:17,120 --> 00:14:18,560 TO ACCESS THE QUESTION AND HOW 409 00:14:18,560 --> 00:14:21,280 DO WE ENGAGE WITH PEOPLE WHO MAY 410 00:14:21,280 --> 00:14:23,160 NOT HAVE REGULAR ACCESS TO 411 00:14:23,160 --> 00:14:24,280 MENTAL HEALTH HEALTH SERVICES 412 00:14:24,280 --> 00:14:25,120 WHAT WOULD THEY LOOK LIKE IN THE 413 00:14:25,120 --> 00:14:25,400 COMMUNITY. 414 00:14:25,400 --> 00:14:27,720 I WOULD SAY FINALLY ANOTHER 415 00:14:27,720 --> 00:14:36,200 ANGLE IS THINKING WITH GO AND 416 00:14:36,200 --> 00:14:37,600 PARTICULARLY WHAT CAN WE LEARN 417 00:14:37,600 --> 00:14:40,360 FROM MOW AND MIDDLE INCOMMUTE 418 00:14:40,360 --> 00:14:41,520 COUNTRIES IN TERMS OF WHAT 419 00:14:41,520 --> 00:14:44,600 THEY'VE DONE ON A SHOW STRING 420 00:14:44,600 --> 00:14:46,200 BUDGET THAT IN LEARNING THE 421 00:14:46,200 --> 00:14:48,280 HEALTH SYSTEM SO THOSE WERE 422 00:14:48,280 --> 00:14:49,600 THOUGHTS TO ENHANCE AND 423 00:14:49,600 --> 00:14:51,280 HOPEFULLY THEY CAN BE HELPFUL 424 00:14:51,280 --> 00:14:52,560 AND PLUSH IT OUT AND ENHANCING 425 00:14:52,560 --> 00:14:54,000 WHAT YOU'VE CREATED IN THIS 426 00:14:54,000 --> 00:14:57,280 GREAT AREA. 427 00:14:57,280 --> 00:14:57,640 THANK YOU. 428 00:14:57,640 --> 00:14:59,000 >>THANK YOU, AMY. 429 00:14:59,000 --> 00:15:02,840 OPEN IT UP FOR OTHERS. 430 00:15:02,840 --> 00:15:04,560 >>I KNEW IT WAS SOMETHING I 431 00:15:04,560 --> 00:15:04,840 LEFT OFF. 432 00:15:04,840 --> 00:15:08,440 I HAVE TWO OTHER COMMENTS ON 433 00:15:08,440 --> 00:15:09,000 THIS. 434 00:15:09,000 --> 00:15:12,400 BECAUSE THE NATURE OF THE, WHAT 435 00:15:12,400 --> 00:15:17,720 YOU -- THE CONCEPT ITSELF, THE 436 00:15:17,720 --> 00:15:19,320 MECHANISM OF SUPPORT IS OPENED 437 00:15:19,320 --> 00:15:20,040 UP SO YOU HAVE DIFFERENT LEVELS 438 00:15:20,040 --> 00:15:24,320 OF THAT AND EVERYTHING FROM A 439 00:15:24,320 --> 00:15:26,280 SMALL THREE TO A VERY LARGE ONE 440 00:15:26,280 --> 00:15:30,400 AND SECOND OF ALL, THE SCOPE OF 441 00:15:30,400 --> 00:15:31,160 SCHOLARSHIPS NEEDS TO BE OPEN 442 00:15:31,160 --> 00:15:34,360 BECAUSE TO AS MANY OF THE DHS 443 00:15:34,360 --> 00:15:35,760 AGENCIES THAT YOU COULD PARTNER 444 00:15:35,760 --> 00:15:40,080 WITH REGARDING THIS BECAUSE YOU 445 00:15:40,080 --> 00:15:41,960 ARE LOOKING AT IMPLEMENTATION 446 00:15:41,960 --> 00:15:52,040 AND APPTATION IN DIVERSE SETS. 447 00:15:52,040 --> 00:15:57,400 OTHER COMMENTS OR QUESTIONS? 448 00:15:57,400 --> 00:16:00,280 >>RELATED ACTUALLY 449 00:16:00,280 --> 00:16:02,720 INCORPORATING BOTH DISCUSSANTS 450 00:16:02,720 --> 00:16:04,560 IS AROUND THE ALL OUTS FOR THE 451 00:16:04,560 --> 00:16:06,920 EARLY PSYCHOSIS NETWORK AND 452 00:16:06,920 --> 00:16:08,240 THROUGH SAMHSA HAS A DIFFERENT 453 00:16:08,240 --> 00:16:12,840 KIND OF FUNDING INFRASTRUCTURE 454 00:16:12,840 --> 00:16:13,800 FOR COMMUNITIES ORGANIZATIONS TO 455 00:16:13,800 --> 00:16:15,760 PARTICIPATE WITH ACADEMIC 456 00:16:15,760 --> 00:16:19,400 INSTITUTIONS, ET CETERA SO I 457 00:16:19,400 --> 00:16:29,920 THINK THAT BECAUSE THIS IS GOING 458 00:16:30,680 --> 00:16:32,840 TO BE A REALLY BIG LIST FOR THE 459 00:16:32,840 --> 00:16:35,720 COMMUNITY ORGANIZATIONS WHO ARE 460 00:16:35,720 --> 00:16:37,440 ALREADY DEALING WITH A 461 00:16:37,440 --> 00:16:38,040 SIGNIFICANT WORKFORCE ISSUE. 462 00:16:38,040 --> 00:16:42,560 THIS IS SUCH A NEED AROUND JUST 463 00:16:42,560 --> 00:16:43,960 REFLECTIVE PRACTICE AND BECOMING 464 00:16:43,960 --> 00:16:44,920 ORIENTED AROUND DATA AND 465 00:16:44,920 --> 00:16:46,440 OUTCOMES SO IT'S WONDERFUL FROM 466 00:16:46,440 --> 00:16:48,160 THAT REGARD BUT IT'S THE SAME 467 00:16:48,160 --> 00:16:49,200 PEOPLE WHO WILL BE CALLED THEN 468 00:16:49,200 --> 00:16:52,160 TO DO ALL THE OTHER THINGS. 469 00:16:52,160 --> 00:16:53,360 SO LEVERAGING SOME OF THE WAYS 470 00:16:53,360 --> 00:16:57,320 THAT THE SUPPORT IS FOR EARLY 471 00:16:57,320 --> 00:17:00,520 PSYCHOSIS AS WELL AS WOULD BE 472 00:17:00,520 --> 00:17:05,280 NICE. 473 00:17:05,280 --> 00:17:15,480 >>GO AHEAD. 474 00:17:38,040 --> 00:17:39,240 IT'S WHERE YOU COULD USE 475 00:17:39,240 --> 00:17:41,840 TECHNOLOGY TO AUTOMATE A LOT OF 476 00:17:41,840 --> 00:17:42,560 DATA COLLECTION THAT THEY HAVE 477 00:17:42,560 --> 00:17:44,040 TO DO AND A LOT OF THE CHARTED 478 00:17:44,040 --> 00:17:46,520 AND EVEN A LOT OF THE SCORING 479 00:17:46,520 --> 00:17:51,640 AND SO ON AND SO, IDEALLY, THIS 480 00:17:51,640 --> 00:17:52,600 WOULD FREE UP COMMISSIONS AND 481 00:17:52,600 --> 00:17:54,920 MORE DEMANDS ON THEM AND MAYBE 482 00:17:54,920 --> 00:18:04,280 MANY FOR SUCCESS. 483 00:18:04,280 --> 00:18:07,960 >> 484 00:18:07,960 --> 00:18:09,680 >>AS YOU THINK ABOUT IT AND IT 485 00:18:09,680 --> 00:18:11,240 SEEMS LIKE A STRENGTH HERE BUT 486 00:18:11,240 --> 00:18:12,480 MY UNDERSTANDING FROM THE 487 00:18:12,480 --> 00:18:16,360 PSYCHOSIS WORK IS THE IMPORTANCE 488 00:18:16,360 --> 00:18:19,040 OF CONNECTING TO INTERNISTS AND 489 00:18:19,040 --> 00:18:19,880 OTHER MEDICAL INDIVIDUALS THAT 490 00:18:19,880 --> 00:18:21,360 MIGHT FIRST SEE PATIENTS, 491 00:18:21,360 --> 00:18:24,600 PARTICULARLY IN RURAL 492 00:18:24,600 --> 00:18:25,280 COMMUNITIES AND HOW MUCH AS SOON 493 00:18:25,280 --> 00:18:26,840 AS YOU FOCUS ON HEALTH CLINICS 494 00:18:26,840 --> 00:18:28,440 AND I JUST WONDERED HOW MUCH THE 495 00:18:28,440 --> 00:18:30,320 ROLE OF BEING ABLE TO CONNECT TO 496 00:18:30,320 --> 00:18:31,760 OTHER MORE GENERAL CLINICS AND 497 00:18:31,760 --> 00:18:33,280 IT MIGHT BE WHERE PEOPLE ARE 498 00:18:33,280 --> 00:18:34,600 FIRST SEEING THAT SEEMS ONE OF 499 00:18:34,600 --> 00:18:35,640 THE ACCESS CHALLENGES BECAUSE 500 00:18:35,640 --> 00:18:39,040 THEY MAY NOT HAVE THE 501 00:18:39,040 --> 00:18:40,400 CONNECTIONS TO THE MEDICAL 502 00:18:40,400 --> 00:18:41,360 RECORDS BUT IT'S A CASE WHERE 503 00:18:41,360 --> 00:18:43,320 YOU CAN HAVE THE BIGGEST IMPACT 504 00:18:43,320 --> 00:18:45,520 JUST IN THE FIRST EPISODE OF 505 00:18:45,520 --> 00:18:49,880 PSYCHOSIS AND THAT MIGHT BE NOT 506 00:18:49,880 --> 00:18:51,040 JUST GENERAL PRACTITIONERS BUT 507 00:18:51,040 --> 00:18:54,960 SCHOOL SYSTEMS AND BE THE HIGH 508 00:18:54,960 --> 00:18:56,480 SCHOOL OR COLLEGE SYSTEMS SO I 509 00:18:56,480 --> 00:18:57,960 JUST WONDER HOW MUCH IT'S 510 00:18:57,960 --> 00:18:58,960 THOUGHT OF. 511 00:18:58,960 --> 00:19:00,160 IT DIDN'T SEEM IN WHAT YOU 512 00:19:00,160 --> 00:19:03,280 PRESENTED TO BE AS BROAD AS IT 513 00:19:03,280 --> 00:19:06,280 MIGHT BE THINKING ABOUT GENERAL 514 00:19:06,280 --> 00:19:06,880 PRACTITIONERS IN THE MENTAL 515 00:19:06,880 --> 00:19:08,280 SENSE AND CLINICAL PSYCHOLOGISTS 516 00:19:08,280 --> 00:19:12,240 IN THE HIGH SCHOOL. 517 00:19:12,240 --> 00:19:13,480 >>THANK YOU FOR THAT QUESTION. 518 00:19:13,480 --> 00:19:16,560 I THINK IN BOTH OF THE EXAMPLES 519 00:19:16,560 --> 00:19:18,440 OF THE CLINICS FOR FIRST EPISODE 520 00:19:18,440 --> 00:19:22,480 SIGH SEW SIS AND THE CERTIFIED 521 00:19:22,480 --> 00:19:23,640 COMMUNITY BEHAVIORAL HEALTH 522 00:19:23,640 --> 00:19:25,120 CLINICS THERE'S A GOAL THERE TO 523 00:19:25,120 --> 00:19:28,760 SINK INTEGRATED CARE PHYSICAL 524 00:19:28,760 --> 00:19:31,680 HEALTHCARE AS WELL AS CARE FOR 525 00:19:31,680 --> 00:19:37,280 THEIR PSYCHIATRIC CONDITIONS 526 00:19:37,280 --> 00:19:38,800 WITH PROVIDERS AND PRIMARY CARE 527 00:19:38,800 --> 00:19:41,880 AND SO FOURTH AND IT'S BEEN SEEN 528 00:19:41,880 --> 00:19:43,400 AS A ESTABLISHING THOSE 529 00:19:43,400 --> 00:19:45,320 RELATIONSHIPS WOULD BE A WAY OF 530 00:19:45,320 --> 00:19:46,240 BENEFITING GROUPS AND PEOPLE 531 00:19:46,240 --> 00:19:48,200 COULD BE IDENTIFIED EARLIER IN 532 00:19:48,200 --> 00:19:50,080 THEIR STAGE OF ILLNESS AND REFER 533 00:19:50,080 --> 00:19:52,440 THEM TO APPROPRIATE CARE AND 534 00:19:52,440 --> 00:19:55,720 THEN ALSO WHEN PEOPLE COMPLETE 535 00:19:55,720 --> 00:19:58,640 THEIR ACUTE CARE THAT THERE'S 536 00:19:58,640 --> 00:20:01,000 THAT CONNECTION AND WE'VE DONE 537 00:20:01,000 --> 00:20:02,760 BETTER WITH THAT THEN WE HAVE IN 538 00:20:02,760 --> 00:20:04,720 INTEGRATING MAKING THOSE SCHOOL 539 00:20:04,720 --> 00:20:07,680 SYSTEMS AND SO THAT IS CERTAINLY 540 00:20:07,680 --> 00:20:08,920 IN THE PRESIDENT'S REPORTS THAT 541 00:20:08,920 --> 00:20:11,760 WAS IDENTIFIED AS AN AREA THAT 542 00:20:11,760 --> 00:20:12,800 NEEDS GREET ERA TENSION AND THAT 543 00:20:12,800 --> 00:20:15,200 WOULD BE SOMETHING THAT WOULD 544 00:20:15,200 --> 00:20:16,440 DEFINITELY BE ENCOURAGED THROUGH 545 00:20:16,440 --> 00:20:20,960 AN INITIATIVE LIKE THIS. 546 00:20:20,960 --> 00:20:22,680 THANK YOU VERY MUCH, BOB. 547 00:20:22,680 --> 00:20:25,480 WE'LL MOVE ON. 548 00:20:25,480 --> 00:20:35,960 WE'RE MOVING ON TO MICHAEL. 549 00:20:36,840 --> 00:20:37,760 >>Michael: THANK YOU SO MUCH. 550 00:20:37,760 --> 00:20:39,600 YES ON BEHALF OF THE DIVISION OF 551 00:20:39,600 --> 00:20:41,320 AIDS RESEARCH IT'S MY PLEASURE 552 00:20:41,320 --> 00:20:45,200 TO PRESENT OUR CONCEPT ON 553 00:20:45,200 --> 00:20:46,800 ADVANCING HIV TESTING THROUGH 554 00:20:46,800 --> 00:20:49,840 PHARMACY AND PHARMACISTS. 555 00:20:49,840 --> 00:20:55,880 AND THE NEXT SLIDE, PLEASE. 556 00:20:55,880 --> 00:20:56,960 SO OUR INTEREST IN PHARMACIES 557 00:20:56,960 --> 00:20:59,080 HAS BEEN REINFORCED, THE 558 00:20:59,080 --> 00:21:00,800 DRAMATIC IMPACT THAT PHARMACIES 559 00:21:00,800 --> 00:21:03,080 HAVE HAD ON REACHING CONSUMERS 560 00:21:03,080 --> 00:21:10,360 FOR COVID-19 VACCINES DELIVERY. 561 00:21:10,360 --> 00:21:12,920 THEY HAVE DELIVERED MORE THAN 562 00:21:12,920 --> 00:21:16,880 300 MILLION VACCINE DOSES 563 00:21:16,880 --> 00:21:17,800 THROUGH 40,000 PHARMACY 564 00:21:17,800 --> 00:21:19,680 LOCATIONS NATIONWIDE IN THIS 565 00:21:19,680 --> 00:21:20,920 DEMONSTRATION SERVES AS A PROVE 566 00:21:20,920 --> 00:21:22,640 OF CONCEPT OF THE INCREDIBLE 567 00:21:22,640 --> 00:21:24,400 REACH AND IMPACT THAT PHARMACY 568 00:21:24,400 --> 00:21:32,080 PROGRAMS CAN HAVE. 569 00:21:32,080 --> 00:21:33,560 PHARMACIES CAN OFFER MANY 570 00:21:33,560 --> 00:21:35,720 ADVANTAGES TO HIV SERVICE 571 00:21:35,720 --> 00:21:37,680 DELIVERY AS WELL. 572 00:21:37,680 --> 00:21:39,520 THIS INCLUDES CONVENIENT WEEKEND 573 00:21:39,520 --> 00:21:41,200 AND EVENING HOURS AS WELL AS 574 00:21:41,200 --> 00:21:42,720 NEIGHBORHOOD LOCATIONS. 575 00:21:42,720 --> 00:21:47,680 FOR EXAMPLE, IT IS ESTIMATED 576 00:21:47,680 --> 00:21:49,000 THAT AMERICANS LIVE WITHIN FIVE 577 00:21:49,000 --> 00:21:53,720 MILES OF A PHARMACY AND 578 00:21:53,720 --> 00:21:55,920 PHARMACISTS RESERVE HIGH RATINGS 579 00:21:55,920 --> 00:21:58,600 IN CONSUMER TRUST AND THEY'RE AS 580 00:21:58,600 --> 00:21:59,640 STIGMATIZING ENVIRONMENTS IN 581 00:21:59,640 --> 00:22:03,640 WHICH TO ACCESS HEALTHCARE. 582 00:22:03,640 --> 00:22:05,160 THE RETAIL PHARMACIES IN RECENT 583 00:22:05,160 --> 00:22:06,800 YEARS HAVE EXPANDED THE DELIVERY 584 00:22:06,800 --> 00:22:09,760 OF CLINICAL SERVICES WITHIN THE 585 00:22:09,760 --> 00:22:12,040 LOCATIONS TO BASIC HEALTHCARE 586 00:22:12,040 --> 00:22:15,200 NEEDS BEYOND THE RECEIPT OF 587 00:22:15,200 --> 00:22:16,360 PRESCRIPTIONS. 588 00:22:16,360 --> 00:22:18,240 FOR THOSE REASONS THE CURRENT 589 00:22:18,240 --> 00:22:21,000 U.N. NATIONAL HIV/AIDS STRATEGY 590 00:22:21,000 --> 00:22:22,160 HIGHLIGHTS THE KEY ROLE THAT 591 00:22:22,160 --> 00:22:23,360 PHARMACIES AND PHARMACISTS CAN 592 00:22:23,360 --> 00:22:26,040 PLAY IN A COMPREHENSIVE APPROACH 593 00:22:26,040 --> 00:22:28,240 TO HIV PREVENTION AND CARE AS 594 00:22:28,240 --> 00:22:31,440 STATED ON THIS SLIDE. 595 00:22:31,440 --> 00:22:35,360 THE NEXT SLIDE, PLEASE. 596 00:22:35,360 --> 00:22:37,200 SO THIS INITIATIVE WOULD HAVE 597 00:22:37,200 --> 00:22:39,440 TWO PRIMARY GOALS MANY OF THE 598 00:22:39,440 --> 00:22:43,720 FIRST TO SUPPORT RESEARCH TO 599 00:22:43,720 --> 00:22:45,120 FURTHER KA PASS TATE AND STALE 600 00:22:45,120 --> 00:22:46,640 TESTED AND PREVENTION AND CARE 601 00:22:46,640 --> 00:22:49,640 THROUGH PHARMACISTS AND PHARMACY 602 00:22:49,640 --> 00:22:50,360 SETTINGS. 603 00:22:50,360 --> 00:22:52,600 AND THE SECOND IS TO ADVANCE 604 00:22:52,600 --> 00:22:54,360 TRAINING AND PROGRAMS TO ENABLE 605 00:22:54,360 --> 00:22:55,760 PHARMACY STUDENTS, PHARMACISTS 606 00:22:55,760 --> 00:23:06,240 AND PHARMACIES THESE ARE TWIN 607 00:23:06,680 --> 00:23:11,120 GOALS COMPLIMENTARY TO ONE 608 00:23:11,120 --> 00:23:11,840 ANOTHER. 609 00:23:11,840 --> 00:23:13,360 ZOO, SOME RESEARCH QUESTIONS TO 610 00:23:13,360 --> 00:23:15,320 PURSUE ON THIS TOPIC WILL 611 00:23:15,320 --> 00:23:18,400 INCLUDE THEY'RE NOT LIMITED TO, 612 00:23:18,400 --> 00:23:20,720 IS PHARMACY BASED SCREENINGS FOR 613 00:23:20,720 --> 00:23:22,560 MULTIPLE CHRONIC ILLNESSES 614 00:23:22,560 --> 00:23:23,960 INCLUDING HIV INCREASE THE USE 615 00:23:23,960 --> 00:23:27,160 OF HIV TESTING. 616 00:23:27,160 --> 00:23:28,600 HOW CAN PHARMACY SUPPORT THE 617 00:23:28,600 --> 00:23:31,400 TAKE AND DELIVERY OF HIV 618 00:23:31,400 --> 00:23:33,000 PREVENTATIVE MEDICINE INCLUDING 619 00:23:33,000 --> 00:23:36,280 NOVEL INJECTABLE PREP REGIMENTS. 620 00:23:36,280 --> 00:23:38,680 CAN PHARMACY PRESCRIPTION 621 00:23:38,680 --> 00:23:39,840 MONITORING IDENTIFY PEOPLE WITH 622 00:23:39,840 --> 00:23:40,920 REFILLS WHO ARE AT RISK OF 623 00:23:40,920 --> 00:23:46,640 DROPPING OUT OF HIV CARE AND 624 00:23:46,640 --> 00:23:47,840 HELP WITH MAINTAINING CARE. 625 00:23:47,840 --> 00:23:50,280 AND FINALLY, WHAT TRAINING 626 00:23:50,280 --> 00:23:51,840 CURRICULUM CAN IMPROVE THE 627 00:23:51,840 --> 00:23:55,080 CAPACITY FOR PHARMACIES AND 628 00:23:55,080 --> 00:23:56,560 PHARMACY STUDENTS TO SUPPORT HIV 629 00:23:56,560 --> 00:24:00,080 TESTING PREVENTION AND CARE? 630 00:24:00,080 --> 00:24:01,360 OUR KA VISION WOULD BE EXCITE 631 00:24:01,360 --> 00:24:03,120 TODAY PURSUE ANSWERS TO THESE 632 00:24:03,120 --> 00:24:04,520 AND OTHER QUESTIONS THROUGH THIS 633 00:24:04,520 --> 00:24:09,720 INITIATIVE AND WE PRESSURE 634 00:24:09,720 --> 00:24:10,320 ATTENTION AND WE WELCOME YOUR 635 00:24:10,320 --> 00:24:12,240 INPUT AND WE'RE GLAD TO ADDRESS 636 00:24:12,240 --> 00:24:12,640 ANY QUESTIONS. 637 00:24:12,640 --> 00:24:14,280 >>THANK YOU, MICHAEL. 638 00:24:14,280 --> 00:24:23,120 SO WE HAVE DRUNK DRI DOCTOR TELD 639 00:24:23,120 --> 00:24:24,120 MURRAY. 640 00:24:24,120 --> 00:24:24,240 >> 641 00:24:24,240 --> 00:24:25,720 >>THANK YOU, VERY MUCH. 642 00:24:25,720 --> 00:24:27,000 SO THANK YOU AGAIN FOR THE 643 00:24:27,000 --> 00:24:30,520 OPPORTUNITY TO REVIEW THIS. 644 00:24:30,520 --> 00:24:31,680 APPROXIMATE I ENJOYED READING 645 00:24:31,680 --> 00:24:32,240 IT. 646 00:24:32,240 --> 00:24:34,320 SO I HAVE A LOT OF -- I WOULDN'T 647 00:24:34,320 --> 00:24:39,240 SAY A LOT, RELATIVELY POINTED 648 00:24:39,240 --> 00:24:43,200 QUESTIONS ON IT SO THE WHOLE 649 00:24:43,200 --> 00:24:45,760 IDEA OF THE PHARMACISTS ON THE 650 00:24:45,760 --> 00:24:47,240 INCREASING ROLE THE FIRST THING 651 00:24:47,240 --> 00:24:49,120 THAT COMES UP IS THE WORKFORCE 652 00:24:49,120 --> 00:24:50,840 QUESTION RELATED TO TRAINING AND 653 00:24:50,840 --> 00:24:52,560 I KNOW THAT THIS MIGHT -- IF 654 00:24:52,560 --> 00:25:02,960 IT'S OUTSIDE THE SCOPE OF THIS, 655 00:25:02,960 --> 00:25:04,480 TRAINING TO ADVANCE THE SKILLS 656 00:25:04,480 --> 00:25:06,240 OF KNOWLEDGE OF PHARMACISTS 657 00:25:06,240 --> 00:25:07,960 MAINLY BECAUSE OF THE WAY 658 00:25:07,960 --> 00:25:09,400 THEY'RE TRAINED AT DIFFERENT 659 00:25:09,400 --> 00:25:12,880 LEVELS AND DIFFERENT TYPES SO SO 660 00:25:12,880 --> 00:25:14,200 IT'S A VERY IMPORTANT PART. 661 00:25:14,200 --> 00:25:19,120 THE OTHER PART IS THE FIT WHAT 662 00:25:19,120 --> 00:25:26,000 IS IN PART WHAT WHERE IS THIS 663 00:25:26,000 --> 00:25:27,960 ROLE AND THE FIT THERE IN TERMS 664 00:25:27,960 --> 00:25:29,920 OF YEAR WORK AND IN YOUR AREA 665 00:25:29,920 --> 00:25:31,120 AND I HOPE IT'S CLEAR. 666 00:25:31,120 --> 00:25:32,920 WHAT I'M TRYING TO GET AT WHERE 667 00:25:32,920 --> 00:25:37,120 WOULD THE FIT WE SO THAT WHEN IT 668 00:25:37,120 --> 00:25:39,560 IS PRESENTED TO THE PHARMACISTS, 669 00:25:39,560 --> 00:25:40,960 LIKE THE PHARMACIST ASSOCIATION 670 00:25:40,960 --> 00:25:45,440 THAT THING THEY CAN SAY OKAY WE 671 00:25:45,440 --> 00:25:46,760 HAVE A CLEAR IDEA OF HOW THIS IS 672 00:25:46,760 --> 00:25:48,040 DONE AND HERE IS HOW WE CAN DO 673 00:25:48,040 --> 00:25:48,400 THIS. 674 00:25:48,400 --> 00:25:54,480 BECAUSE THE WAY I KNOW WOMEN IN 675 00:25:54,480 --> 00:25:55,960 RURAL AREAS THERE'S A CRITICAL 676 00:25:55,960 --> 00:26:02,120 ROLE THAT ASSOCIATIONS PLAY IN 677 00:26:02,120 --> 00:26:04,520 BEING ABLE TO ROLLOUT THIS WORK 678 00:26:04,520 --> 00:26:08,560 SO THAT'S CRITICALLY IMPORTANT 679 00:26:08,560 --> 00:26:11,840 AND SO THE DESIGN IS GOING TO BE 680 00:26:11,840 --> 00:26:12,800 CRITICAL HERE AND BECAUSE OF THE 681 00:26:12,800 --> 00:26:20,000 TYPE OF WORK THAT'S BEING DONE 682 00:26:20,000 --> 00:26:22,440 BECAUSE YOU ARE LOOKING AT BOTH 683 00:26:22,440 --> 00:26:24,760 DOMESTIC AND GLOBAL AND PHARMACY 684 00:26:24,760 --> 00:26:25,680 SERVICES IN GLOBAL SIGHTINGS 685 00:26:25,680 --> 00:26:30,200 HAVE A RURAL CHALLENGE BECAUSE 686 00:26:30,200 --> 00:26:33,720 THEY'RE DEALING WITH EVERYDAY 687 00:26:33,720 --> 00:26:34,920 WITH THE FAKE INFORMATION 688 00:26:34,920 --> 00:26:36,520 CHALLENGE THAT GOES OUT SO 689 00:26:36,520 --> 00:26:40,240 DEPENDING ON WHERE IT IS THAT 690 00:26:40,240 --> 00:26:47,320 THIS MIGHT BE BECAUSE QUALITY 691 00:26:47,320 --> 00:26:48,080 SCROLL ASSURANCE IS GOING TO BE 692 00:26:48,080 --> 00:26:54,480 YOUR BIGGEST THING AND WHEN IT'S 693 00:26:54,480 --> 00:26:56,440 NOT DONE THIS ROLLOUT FAILS AND 694 00:26:56,440 --> 00:26:57,720 FALLS FLAT AND IT'S HARD TO 695 00:26:57,720 --> 00:26:58,840 RECOVER FROM THAT SO THAT WOULD 696 00:26:58,840 --> 00:27:03,160 BE SOMETHING THAT IT WENT 697 00:27:03,160 --> 00:27:05,680 THROUGH OFTEN IT'S VERY TRUE THE 698 00:27:05,680 --> 00:27:06,920 MODELS ARE CRITICAL HOWEVER THE 699 00:27:06,920 --> 00:27:09,240 BIG CHALLENGE THAT ARE ALSO 700 00:27:09,240 --> 00:27:14,280 SEEING THAT I'M NOT SURE THIS IS 701 00:27:14,280 --> 00:27:15,680 WHERE MAYBE ANOTHER CAN HELP YOU 702 00:27:15,680 --> 00:27:18,960 WITH SAMHSA AND IT'S THE SOCIAL 703 00:27:18,960 --> 00:27:29,440 POLITICAL AND CULTURAL TYPE OF 704 00:27:37,040 --> 00:27:40,960 IS ELIGIBLE AND THE IF IT'S 705 00:27:40,960 --> 00:27:44,840 DIRECTED TO THEM AND YOU ARE 706 00:27:44,840 --> 00:27:47,320 FAMILIAR WITH THE CONCEPT OF THE 707 00:27:47,320 --> 00:27:49,360 POLITICAL AND THAT PLAYS A BIG 708 00:27:49,360 --> 00:27:51,000 ROLE HERE AND THAT BECAUSE OF 709 00:27:51,000 --> 00:27:53,600 STIGMA AND OTHER THINGS SO IT 710 00:27:53,600 --> 00:27:55,040 MAY BE IMPORTANT MANY OF I WOULD 711 00:27:55,040 --> 00:27:56,920 ALSO LOOK AT THE REFERRAL 712 00:27:56,920 --> 00:27:57,720 PROCESS BECAUSE ONE OF THE 713 00:27:57,720 --> 00:27:59,720 THINGS THAT PHARMACISTS NOW ARE 714 00:27:59,720 --> 00:28:00,960 DOING IN I'M SURE YOU KNOW THIS 715 00:28:00,960 --> 00:28:03,120 IS THAT THEY'RE ALSO RECOGNIZING 716 00:28:03,120 --> 00:28:08,000 THAT THERE ARE CO-MORBIDITY AND 717 00:28:08,000 --> 00:28:10,480 MENTAL HEALTH AND A LOT OF 718 00:28:10,480 --> 00:28:12,240 PERSONS HAVE AND SO A MECHANISM 719 00:28:12,240 --> 00:28:13,680 THEY CAN INCREASE AND BE MORE 720 00:28:13,680 --> 00:28:17,720 PRECISE WITH THE REFERRAL IN THE 721 00:28:17,720 --> 00:28:19,320 OTHER MENTAL HEALTH HEALTH 722 00:28:19,320 --> 00:28:20,120 PROFESSIONALS O OF ONE TIME OR 723 00:28:20,120 --> 00:28:21,480 ANOTHER WILL BE VERY IMPORTANT 724 00:28:21,480 --> 00:28:30,720 TO DO AND BECAUSE THIS IS A 725 00:28:30,720 --> 00:28:31,800 INTERVENTION BASED TYPE OF 726 00:28:31,800 --> 00:28:33,400 RESEARCH IT CAN BE REPLICATED 727 00:28:33,400 --> 00:28:37,360 AND EXPANDED IN DIVERSE PHYSICAL 728 00:28:37,360 --> 00:28:41,960 AND SOCIAL TYPE OF ENVIRONMENT 729 00:28:41,960 --> 00:28:43,400 AND AGAIN, BECAUSE YOU ARE 730 00:28:43,400 --> 00:28:48,080 RIGHTLY SO, TALKING ABOUT 731 00:28:48,080 --> 00:28:50,360 SUCCESSFUL BOTTLES LIKE PREP AND 732 00:28:50,360 --> 00:28:51,520 OTHER APPROACHES THE PHYSICAL 733 00:28:51,520 --> 00:28:54,560 AND SOCIAL BEHAVIORAL ISSUES 734 00:28:54,560 --> 00:28:56,640 THAT EXIST WITH THE EXPANSION 735 00:28:56,640 --> 00:29:03,120 WILL BE VERY IMPORTANT. 736 00:29:03,120 --> 00:29:05,520 FOR THE MOMENT THAT'S ALL I 737 00:29:05,520 --> 00:29:05,720 HAVE. 738 00:29:05,720 --> 00:29:06,440 >>THANK YOU. 739 00:29:06,440 --> 00:29:10,440 >>GREAT SUMMARY FROM Dr. 740 00:29:10,440 --> 00:29:12,280 TELFAIR AND I WAS EXCITED HAVING 741 00:29:12,280 --> 00:29:13,440 THE OPPORTUNITY TO READ THIS 742 00:29:13,440 --> 00:29:15,720 CONCEPT AND SO I REVIEW WITH 743 00:29:15,720 --> 00:29:21,080 GREAT ENTHUSIASM WITH ALSO 744 00:29:21,080 --> 00:29:27,200 CONCERNS ABOUT FACE PHARMACY 745 00:29:27,200 --> 00:29:28,560 DESERTS IN RURAL COMMUNITIES AND 746 00:29:28,560 --> 00:29:32,360 IN URBAN COMMUNITIES AND SO IT 747 00:29:32,360 --> 00:29:41,960 WAS ABOUT THE RAISING IS TARGET 748 00:29:41,960 --> 00:29:43,600 FORWARD THIS AND A REASON FOR 749 00:29:43,600 --> 00:29:46,800 THIS AS AN OUTLET IS BECAUSE OF 750 00:29:46,800 --> 00:29:48,480 THE NEEDING TO REACH PARTICULAR 751 00:29:48,480 --> 00:29:51,000 POPULATIONS WHERE ACCESS IS AN 752 00:29:51,000 --> 00:29:56,080 ISSUE AND SO IT'S ASKING 753 00:29:56,080 --> 00:29:57,120 QUESTIONS ABOUT HOW DO WE 754 00:29:57,120 --> 00:29:59,320 IDENTIFY WAYS TO OVERCOME THOSE 755 00:29:59,320 --> 00:30:01,000 CHALLENGES THAT YOU MENTIONED IN 756 00:30:01,000 --> 00:30:06,320 YOUR CONCEPT PAPER AS FOR THE 757 00:30:06,320 --> 00:30:12,920 POPULATIONS THAT AGAIN ARE IS 758 00:30:12,920 --> 00:30:14,000 HOW WOULD YOU UTILIZE AND LIKE 759 00:30:14,000 --> 00:30:15,680 THE IDEA OF THE LEARNING 760 00:30:15,680 --> 00:30:19,720 COMMUNITIES MENTIONED EARLIER IS 761 00:30:19,720 --> 00:30:21,200 IN THE PROCESS OF THINKING ABOUT 762 00:30:21,200 --> 00:30:28,920 THIS PLATFORM AND THE OTHER 763 00:30:28,920 --> 00:30:33,120 SEARCH IS BEING ABLE TO LOOK 764 00:30:33,120 --> 00:30:38,960 MORE AT THE SOCIAL POLITICAL 765 00:30:38,960 --> 00:30:43,120 STRUCTURE AND REALLY AS A 766 00:30:43,120 --> 00:30:46,920 POTENTIAL TESTING SITE FOR PREP 767 00:30:46,920 --> 00:30:48,560 AND THE OTHER IDEA I THOUGHT 768 00:30:48,560 --> 00:30:55,840 ABOUT WAS BEING ABLE TO 769 00:30:55,840 --> 00:30:58,680 PHARMACIES IN STATES WHERE 770 00:30:58,680 --> 00:31:00,840 FUNDING FOR HIV WAS NOT BEING 771 00:31:00,840 --> 00:31:02,760 RECEIVED WELL AND IN FACT I'M IN 772 00:31:02,760 --> 00:31:07,840 A STATE WHERE CDC FUNDING FOR 773 00:31:07,840 --> 00:31:09,960 HIV HAS BEEN DENIED AND THEY'RE 774 00:31:09,960 --> 00:31:14,320 NOT ACCEPTING THE FUNDING. 775 00:31:14,320 --> 00:31:24,520 HOW MUCH THAT EVEN IF ENOUGH 776 00:31:24,520 --> 00:31:27,120 THOSE PHARMACIST AND THEY WILL 777 00:31:27,120 --> 00:31:30,480 HAVE TO DEAL WITH THIS POLL ITS 778 00:31:30,480 --> 00:31:32,360 FALLOUT AS THEY UPTAKE THIS AS A 779 00:31:32,360 --> 00:31:39,720 MODEL FOR DISTRIBUTING PREP AND 780 00:31:39,720 --> 00:31:43,560 HOW MIGHT THERE BE WAYS TO 781 00:31:43,560 --> 00:31:45,280 LEVERAGE THE PIONEERING EFFORTS 782 00:31:45,280 --> 00:31:47,320 UNDERTAKEN AS A WAY OF LEARNING 783 00:31:47,320 --> 00:31:54,360 HOW TO DO THIS AND THEN FINALLY, 784 00:31:54,360 --> 00:31:55,280 IT'S TO THINK ABOUT WAYS IN 785 00:31:55,280 --> 00:31:57,440 WHICH THE SERVICES THAT MAY BE 786 00:31:57,440 --> 00:32:04,040 IMPLEMENTED IN PHARMACIES FOR 787 00:32:04,040 --> 00:32:05,080 PREP THEY ARE DOING THIS WORK 788 00:32:05,080 --> 00:32:07,360 TRYING TO IDENTIFY WAYS TO 789 00:32:07,360 --> 00:32:17,880 INCREASE PREP UPTAKE TARGETING 790 00:32:18,720 --> 00:32:21,800 THE POPULATIONS AND HOW MIGHT 791 00:32:21,800 --> 00:32:26,080 RESEARCH TO BE DESIGNED WHERE 792 00:32:26,080 --> 00:32:35,200 THERE'S CO OF THE CHALLENGES 793 00:32:35,200 --> 00:32:36,080 THAT IS GOING TO OCCUR AND WE 794 00:32:36,080 --> 00:32:37,760 HAVE TO ADMIT THAT ACCESS IS 795 00:32:37,760 --> 00:32:44,840 GOING TO BE A CRITICAL ISSUE AND 796 00:32:44,840 --> 00:32:46,920 SO SIMILAR TO WHAT WE SAW WITH 797 00:32:46,920 --> 00:32:51,200 COVID-19 IN TERMS OF WHO GREATER 798 00:32:51,200 --> 00:32:52,760 ACCESS TO THE SERVICES NEED AND 799 00:32:52,760 --> 00:32:55,040 WILL WE FIND A REP LATATION WITH 800 00:32:55,040 --> 00:33:01,160 THE CONCEPT YOU ARE PROMOTING 801 00:33:01,160 --> 00:33:02,720 WITH THIS APPROACH TO REACH 802 00:33:02,720 --> 00:33:04,040 LARGER POPULATIONS THAT DON'T 803 00:33:04,040 --> 00:33:08,880 HAVE ACCESS TO AND READILY 804 00:33:08,880 --> 00:33:11,040 UPTAKE PREP AS A CONFERENCE OF 805 00:33:11,040 --> 00:33:15,120 LOTS OF BARRIERS INCLUDING 806 00:33:15,120 --> 00:33:16,320 SOCIAL STIGMA BUT A GREAT IDEA 807 00:33:16,320 --> 00:33:17,760 AND LOOKING FORWARD TO ABOUT 808 00:33:17,760 --> 00:33:25,080 WHAT MIGHT COME NEXT. 809 00:33:25,080 --> 00:33:29,720 >>OPENING UP IT FOR COMMENTS OR 810 00:33:29,720 --> 00:33:30,000 QUESTIONS. 811 00:33:30,000 --> 00:33:33,840 >> 812 00:33:33,840 --> 00:33:37,160 >>THIS IS A CON SPENT IT HAD TO 813 00:33:37,160 --> 00:33:38,440 DO WITH CO-MORBIDITIES AND YOU 814 00:33:38,440 --> 00:33:40,080 MIGHT INCLUDE AMONGST THE TOPICS 815 00:33:40,080 --> 00:33:43,880 HOW CAN YOU EQUIP THESE 816 00:33:43,880 --> 00:33:48,120 PHARMACISTS TO BE RESOURCES SO 817 00:33:48,120 --> 00:33:52,400 MIGHT YOU INCLUDE HOW COULD 818 00:33:52,400 --> 00:33:54,160 KNOWLEDGE AROUND OST AS WELL AS 819 00:33:54,160 --> 00:33:56,640 PREP BE OF VALUE TO PHARMACISTS 820 00:33:56,640 --> 00:33:58,520 AND HOW COULD PHARMACISTS 821 00:33:58,520 --> 00:33:59,440 RESOURCES FOR PEOPLE SEEKING 822 00:33:59,440 --> 00:34:01,080 HARM REDUCTION ALONG WITH HIV 823 00:34:01,080 --> 00:34:11,480 AND OTHER HIV SERVICES. 824 00:34:18,040 --> 00:34:18,560 >>THANK YOU. 825 00:34:18,560 --> 00:34:22,480 I WAS INTERESTED IN HEARING HOW 826 00:34:22,480 --> 00:34:26,960 THE HIV COMMUNITY IS GOING TO BE 827 00:34:26,960 --> 00:34:29,040 INVOLVED IN IS STRUCTUREING AND 828 00:34:29,040 --> 00:34:33,760 DEVISING SERVICES THAT MIGHT BE 829 00:34:33,760 --> 00:34:40,720 HELPFUL. 830 00:34:40,720 --> 00:34:49,960 >>THERE ARE WAYS WE HAVE INPUT 831 00:34:49,960 --> 00:34:52,240 AND HOLD A MEETING LATER THIS 832 00:34:52,240 --> 00:34:56,880 YEAR AND AT WHICH WE GET 833 00:34:56,880 --> 00:34:59,520 ADVISEMENT FROM MANY SECTORS NOT 834 00:34:59,520 --> 00:35:01,120 JUST PHARMACY AND PHARMACY 835 00:35:01,120 --> 00:35:02,320 ASSOCIATIONS AND THEY ALSO FROM 836 00:35:02,320 --> 00:35:03,560 THE COMMUNITY FROM COMMUNITY 837 00:35:03,560 --> 00:35:11,720 MEMBERS IS THEMSELVES AND I 838 00:35:11,720 --> 00:35:14,200 APPRECIATE THE RESEARCH TEAMS 839 00:35:14,200 --> 00:35:15,400 AND HOW WE APPROXIMATE ENSURE 840 00:35:15,400 --> 00:35:16,680 EVERYONE IS AT THE TABLE TO HELP 841 00:35:16,680 --> 00:35:21,000 DRIVE THE RESEARCH AND THEN TO 842 00:35:21,000 --> 00:35:22,160 INVOLVE COMMUNITY INPUT AS WE 843 00:35:22,160 --> 00:35:23,760 TRIED TO BUILD THE PROGRAMS THAT 844 00:35:23,760 --> 00:35:24,920 WILL DELIVER THESE SERVICES 845 00:35:24,920 --> 00:35:28,200 WHETHER IT'S TESTING AND WE HAVE 846 00:35:28,200 --> 00:35:29,840 PROGRAM AND SO WE WANTED MAKE 847 00:35:29,840 --> 00:35:31,800 SURE AS WE PIONEER THIS PROGRAM 848 00:35:31,800 --> 00:35:36,080 AND WE SCALE BACK, THE IT'S IN A 849 00:35:36,080 --> 00:35:38,480 WAY THAT IS ACCEPTABLE AND 850 00:35:38,480 --> 00:35:39,280 DESIRABLE FOR THE COMMUNITIES 851 00:35:39,280 --> 00:35:43,480 AND FOR THOSE WHO CAN MOST 852 00:35:43,480 --> 00:35:47,200 BENEFIT. 853 00:35:47,200 --> 00:35:48,800 IT'S A VALUE WE SHARE AND 854 00:35:48,800 --> 00:35:54,520 SOMETHING THAT WE WILL 855 00:35:54,520 --> 00:35:54,840 PRIORITIZE. 856 00:35:54,840 --> 00:35:56,280 >>WE'LL GO AHEAD AND MOVE ALONG 857 00:35:56,280 --> 00:35:58,360 TO OUR LAST CONCEPT CLEARANCE 858 00:35:58,360 --> 00:35:59,400 FOR I DAY. 859 00:35:59,400 --> 00:36:01,840 PRESENTED BY Dr. THERESA SENN 860 00:36:01,840 --> 00:36:03,680 FOCUSED ON STREAMLINING MENTAL 861 00:36:03,680 --> 00:36:06,480 HEALTH INTERVENTIONS FOR YOUTH 862 00:36:06,480 --> 00:36:09,640 LIVING WITH HIV. 863 00:36:09,640 --> 00:36:10,760 >>THANK YOU FOR THE OPPORTUNITY 864 00:36:10,760 --> 00:36:13,200 TO PRESENT THIS INITIATIVE ON 865 00:36:13,200 --> 00:36:14,440 STREAMLINING MENTAL HEALTH 866 00:36:14,440 --> 00:36:15,280 INTERVENTIONS FOR YOUTH LIVING 867 00:36:15,280 --> 00:36:17,480 WITH LIVE AND LOW AND MIDDLE 868 00:36:17,480 --> 00:36:18,040 INCOME COUNTRIES. 869 00:36:18,040 --> 00:36:20,680 I WANT TO ACKNOWLEDGE MY 870 00:36:20,680 --> 00:36:21,720 COLLEAGUE EQUAL CONTRIBUTIONS TO 871 00:36:21,720 --> 00:36:29,080 THE INITIATIVE. 872 00:36:29,080 --> 00:36:31,080 AT LESS ENTERS AND YOUNG PEOPLE 873 00:36:31,080 --> 00:36:33,840 REPRESENT A GROWING SHARE OF 874 00:36:33,840 --> 00:36:37,080 PEOPLE LIVING WITH HIV WITH 1.75 875 00:36:37,080 --> 00:36:38,600 MID YUN LIVING WITH HIV 876 00:36:38,600 --> 00:36:39,280 GLOBALLY. 877 00:36:39,280 --> 00:36:41,320 YOUTH LIVING WITH HIV HAVE POOR 878 00:36:41,320 --> 00:36:44,840 OUTCOMES ALONG THE HIV CARE 879 00:36:44,840 --> 00:36:45,320 CONTINUUM. 880 00:36:45,320 --> 00:36:46,920 THIS IS LOW RATES OF VIRAL 881 00:36:46,920 --> 00:36:48,280 SUPPRESSION EVEN WHEN THERE'S 882 00:36:48,280 --> 00:36:51,680 ACCESS TO RETRO FIE RAL THERAPY 883 00:36:51,680 --> 00:36:54,680 IN ADDITION, THERE'S MENTAL 884 00:36:54,680 --> 00:36:55,800 HEALTH ORDERS OF YOUTH LIVING 885 00:36:55,800 --> 00:36:57,720 WITH HIV AND THEY ARE ASSOCIATED 886 00:36:57,720 --> 00:37:00,120 WITH POOR HIV CARE CONTINUUM 887 00:37:00,120 --> 00:37:03,360 OUTCOMES. 888 00:37:03,360 --> 00:37:07,680 NEXT SLIDE. 889 00:37:07,680 --> 00:37:08,560 THEY ARE UNIQUE PERIODS OF 890 00:37:08,560 --> 00:37:09,640 DEVELOPMENT THERE'S INCREASED 891 00:37:09,640 --> 00:37:12,880 ONSET OF COMMON MENTAL DISORDERS 892 00:37:12,880 --> 00:37:15,280 AND RAPID BRAIN DEVELOPMENT, 893 00:37:15,280 --> 00:37:16,920 SHIFTING SOCIAL AND HEIGHTENED 894 00:37:16,920 --> 00:37:22,720 CONCERNS AROUND STIGMA. 895 00:37:22,720 --> 00:37:24,800 THREE FACE CHALLENGE AS THEY 896 00:37:24,800 --> 00:37:27,840 TRANSITION TO SERVICES AND 897 00:37:27,840 --> 00:37:29,360 NAVIGATE NEW ROMANTIC 898 00:37:29,360 --> 00:37:30,480 RELATIONSHIPS AND MOVE OUT OF 899 00:37:30,480 --> 00:37:31,320 THE FAMILY HOME AND BECOME 900 00:37:31,320 --> 00:37:35,360 PARENTS THEMSELVES. 901 00:37:35,360 --> 00:37:37,440 THEY MAY NEED TO BE ADAPTED TO 902 00:37:37,440 --> 00:37:39,280 THESE UNIQUE CONTEMPTS 903 00:37:39,280 --> 00:37:40,680 ADDITIONALLY IN MANY LOW AND 904 00:37:40,680 --> 00:37:42,520 MIDDLE INCOME COUNTRIES THERE 905 00:37:42,520 --> 00:37:43,920 ARE NOT ENOUGH MENTAL HEALTH 906 00:37:43,920 --> 00:37:45,120 PROVIDERS FOR THE POPULATION IN 907 00:37:45,120 --> 00:37:47,280 NEED OF SERVICES AND THIS MENTAL 908 00:37:47,280 --> 00:37:49,360 HEALTH GAP IS PARTICULARLY ACUTE 909 00:37:49,360 --> 00:37:51,400 FOR YOUTH MENTAL HEALTH WORKERS 910 00:37:51,400 --> 00:38:01,960 AND WITH AN ESTIMATED .01 YOUTH 911 00:38:05,000 --> 00:38:05,520 NEXT SLIDE. 912 00:38:05,520 --> 00:38:06,840 THEREFORE, THE GOAL FOR THIS 913 00:38:06,840 --> 00:38:11,880 INITIATIVE, IS TO ADAPT FOR 914 00:38:11,880 --> 00:38:13,480 YOUTH LIVING WITH HIV IN LOW AND 915 00:38:13,480 --> 00:38:18,720 MIDDLE INCOME COUNTRIES TO 916 00:38:18,720 --> 00:38:21,120 IMPROVE PROVIDERS AND 917 00:38:21,120 --> 00:38:23,440 IMPLEMENTERS TO THEY WANT TO 918 00:38:23,440 --> 00:38:24,000 EVIDENCE MENTAL HEALTH IN A 919 00:38:24,000 --> 00:38:24,720 EVIDENCE BASED WAY BUT DON'T 920 00:38:24,720 --> 00:38:27,680 HAVE THE RESOURCES TO DELIVER 921 00:38:27,680 --> 00:38:31,280 COMPLEX SESSIONS. 922 00:38:31,280 --> 00:38:33,280 THE FIRST IS TAILORING 923 00:38:33,280 --> 00:38:34,640 INTERVENTIONS AND SO THESE 924 00:38:34,640 --> 00:38:35,720 INTERVENTIONS WOULD NEED TO BE 925 00:38:35,720 --> 00:38:37,240 TAILORED TO THE FACTORS UNIQUE 926 00:38:37,240 --> 00:38:39,200 TO ADOLESCENTS LIVING WITH HIV 927 00:38:39,200 --> 00:38:41,360 AND AS DISCUSSED ON THE PREVIOUS 928 00:38:41,360 --> 00:38:42,040 SLIDE. 929 00:38:42,040 --> 00:38:44,320 AND THE SECOND COMPONENT IS SLAM 930 00:38:44,320 --> 00:38:45,760 TRAINING FOR INTERVENTIONS BY 931 00:38:45,760 --> 00:38:48,360 THIS WE BROADLY HAVE BEEN USING 932 00:38:48,360 --> 00:38:50,520 FEWER RESOURCES LIKE TIME OR 933 00:38:50,520 --> 00:39:00,120 MONEY OR NUMBER OF PROVIDERS. 934 00:39:00,120 --> 00:39:06,320 SO SOME ARE THINGS LIKE WHAT 935 00:39:06,320 --> 00:39:07,760 ADAPTATIONS NOR THE UNIQUE 936 00:39:07,760 --> 00:39:08,920 CONTEMPT OF ADOLESCENTS LIVING 937 00:39:08,920 --> 00:39:09,720 WITH HIV. 938 00:39:09,720 --> 00:39:11,240 WHAT ARE THE CRITICAL COMPONENTS 939 00:39:11,240 --> 00:39:13,240 OR THE MINIMAL DOSE OF AN 940 00:39:13,240 --> 00:39:14,360 INTERVENTION THAT MUST BE 941 00:39:14,360 --> 00:39:16,680 DELIVERED TO ACHIEVE MEANINGFUL 942 00:39:16,680 --> 00:39:17,720 IMPROVEMENTS AND AT WHAT POINT 943 00:39:17,720 --> 00:39:24,040 SHOULD WE INTENSIFY SORRY LISTEN 944 00:39:24,040 --> 00:39:28,080 WHAT STRATEGIES IS COULD BE USED 945 00:39:28,080 --> 00:39:29,480 WHILE MAINTAINING AND HOW CAN WE 946 00:39:29,480 --> 00:39:31,080 MATCH THE APPROPRIATE 947 00:39:31,080 --> 00:39:33,760 INTERVENTION ARE THE APPROPRIATE 948 00:39:33,760 --> 00:39:38,440 INTENSITY INTER CONVENIENCE. 949 00:39:38,440 --> 00:39:42,160 THANK YOU AND I LOOK FORWARD TO 950 00:39:42,160 --> 00:39:42,680 THE COUNCIL DISCUSSION. 951 00:39:42,680 --> 00:39:43,600 >>THANK YOU VERY MUCH. 952 00:39:43,600 --> 00:39:45,760 IT'S Dr. COLLINS AND Dr. 953 00:39:45,760 --> 00:39:47,080 LIGHT FOOT YOU ARE BOTH IN THE 954 00:39:47,080 --> 00:39:51,880 ROOM YOU CAN CAN CHOSE WHO GOES 955 00:39:51,880 --> 00:39:53,880 FIRST. 956 00:39:53,880 --> 00:39:55,120 >>THANK YOU THIS IS A MUCH 957 00:39:55,120 --> 00:39:56,760 NEEDED CONCEPT AND I'M SO HAPPY 958 00:39:56,760 --> 00:39:59,760 TO SEE THIS AND WE KNOW THAT 959 00:39:59,760 --> 00:40:03,600 THERE'S A DIRT DERTH ON INTERVS 960 00:40:03,600 --> 00:40:05,480 FOR PEEL LIVING WITH IF HIV AND 961 00:40:05,480 --> 00:40:11,600 THIS LACK OF HIGH-QUALITY 962 00:40:11,600 --> 00:40:12,480 RESEARCH IT'S DIFFICULT FOR LOW 963 00:40:12,480 --> 00:40:15,680 AND MIDDLE INCOME COUNTRIES AND 964 00:40:15,680 --> 00:40:19,000 ALSO IF YOU CAN ACHIEVE THE 965 00:40:19,000 --> 00:40:22,920 FIRST GOAL THAT GIVES US OPTIONS 966 00:40:22,920 --> 00:40:25,760 AND WHERE HIV IS MOST PREVALENT 967 00:40:25,760 --> 00:40:27,280 AND YOU HIGHLIGHTED THE 968 00:40:27,280 --> 00:40:28,200 DEVELOPMENTAL CONTEXT AND I 969 00:40:28,200 --> 00:40:32,480 THINK THIS IS AN OPPORTUNITY TO 970 00:40:32,480 --> 00:40:34,320 IS LEARN MORE ABOUT CULTURAL 971 00:40:34,320 --> 00:40:36,240 ENVIRONMENTS FOR WHICH THEY'RE 972 00:40:36,240 --> 00:40:37,320 NOT MUCH DATA SO PAYING 973 00:40:37,320 --> 00:40:38,760 ATTENTION TO OH, WHAT ARE THEY 974 00:40:38,760 --> 00:40:40,120 IF YOU THINK ABOUT ADOLESCENTS 975 00:40:40,120 --> 00:40:50,640 IF YOU THINK ABOUT THE EARLY TO 976 00:40:55,120 --> 00:40:58,480 AND HOW THEY'RE IMPORTANT AND SO 977 00:40:58,480 --> 00:41:02,440 I'M THINKING ABOUT WHAT MIGHT BE 978 00:41:02,440 --> 00:41:06,920 SOME OF THE IS RESEARCH AREAS 979 00:41:06,920 --> 00:41:08,520 AND HOW MIGHT THEY BE DESIGNED 980 00:41:08,520 --> 00:41:10,840 TO ADDRESS ADOLESCENTS JOURNEY 981 00:41:10,840 --> 00:41:11,560 THROUGH DISCLOSURE HIV STATUS 982 00:41:11,560 --> 00:41:14,600 AND MANAGEMENT OF TREATMENT 983 00:41:14,600 --> 00:41:18,680 FATIGUE AND SOME OF THE GENDER 984 00:41:18,680 --> 00:41:19,880 SPECIFIC ELEMENTS AND THE OTHER 985 00:41:19,880 --> 00:41:21,040 STRESSORS YOU HIGHLIGHTED AND 986 00:41:21,040 --> 00:41:23,320 WHAT DO WE UNDERSTAND ABOUT 987 00:41:23,320 --> 00:41:25,200 PARENTAL AND CAREGIVER 988 00:41:25,200 --> 00:41:25,760 INVOLVEMENT IN MENTAL HEALTH 989 00:41:25,760 --> 00:41:28,680 INTERVENTIONS AND SOME LIKE 990 00:41:28,680 --> 00:41:31,640 INVOLVE PARENTS OR CAREGIVERS 991 00:41:31,640 --> 00:41:33,040 AND WHAT CAN WE LEARN ABOUT WHEN 992 00:41:33,040 --> 00:41:35,000 AND WHERE TO NOT CORPORATE THOSE 993 00:41:35,000 --> 00:41:39,200 KINDS OF CAREGIVER ROLES AND THE 994 00:41:39,200 --> 00:41:42,800 QUESTION OF DOSING I THINK IS 995 00:41:42,800 --> 00:41:44,920 IMPORTANT SINCE WE SEE ATTRITION 996 00:41:44,920 --> 00:41:46,160 FROM MENTAL HEALTH HEALTHCARE 997 00:41:46,160 --> 00:41:49,000 PARTICULARLY IN SOME OF THE 998 00:41:49,000 --> 00:41:53,080 INTEGRATED SETTINGS AND HIV CARE 999 00:41:53,080 --> 00:41:55,240 AND SO IS THERE A BENEFIT FROM 1000 00:41:55,240 --> 00:41:56,840 SINGLE SESSION INTERVENTIONS 1001 00:41:56,840 --> 00:41:59,000 ENABLING PEOPLE TO EXPLORE THE 1002 00:41:59,000 --> 00:41:59,680 WHOLE GAMUT WOULD BE IMPORTANT 1003 00:41:59,680 --> 00:42:03,080 AND FIGURING OUT FOR WHOM. 1004 00:42:03,080 --> 00:42:06,920 I THINK THE OTHER ASPECT OF WHAT 1005 00:42:06,920 --> 00:42:08,080 I SEEN IN SOME OF THE WORK THAT 1006 00:42:08,080 --> 00:42:13,120 WE DO WHEN THE CARIBBEAN IS 1007 00:42:13,120 --> 00:42:16,400 OFTEN FIGURING OUT WHAT KINDS OF 1008 00:42:16,400 --> 00:42:17,560 INTERVENTION CAN HAVE SYMPTOMS 1009 00:42:17,560 --> 00:42:22,000 BECAUSE YOUNG PEOPLE MAY BE MORE 1010 00:42:22,000 --> 00:42:23,720 DISTRESSED AND AND WILL NOT BE 1011 00:42:23,720 --> 00:42:25,720 ABLE TO BE LINKED TO MENTAL 1012 00:42:25,720 --> 00:42:26,920 HEALTH SERVICES. 1013 00:42:26,920 --> 00:42:30,280 EXAMING WHO SHOULD DELIVER THESE 1014 00:42:30,280 --> 00:42:31,040 FOR YOUNG PEOPLE. 1015 00:42:31,040 --> 00:42:33,000 PEER CENTERED OR OTHER PROVIDERS 1016 00:42:33,000 --> 00:42:37,160 AND WHAT IS THE CONTEXT. 1017 00:42:37,160 --> 00:42:38,680 SHOULD THEY BE OUTSIDE OF THE 1018 00:42:38,680 --> 00:42:49,200 CLINIC AND HEALTH AND WHEN YOU 1019 00:42:53,120 --> 00:42:54,120 THINK ABOUT JUST INTERVENTION 1020 00:42:54,120 --> 00:42:55,960 IT'S GOING TO BE IN THIS CONTEXT 1021 00:42:55,960 --> 00:42:59,720 THAT MAY EITHER DISCOURAGE 1022 00:42:59,720 --> 00:43:01,800 ENGAGEMENT OR SO I WOULD INCLUDE 1023 00:43:01,800 --> 00:43:05,040 SOMETHING ABOUT THAT AND THEN 1024 00:43:05,040 --> 00:43:09,560 THE LAST TWO THINGS MAY BE I 1025 00:43:09,560 --> 00:43:10,720 THINK AS WE KNOW THERE'S 1026 00:43:10,720 --> 00:43:12,120 ATTENTION TO ENGAGING YOUNG 1027 00:43:12,120 --> 00:43:13,560 PEOPLE ON THE INTERVENTIONS THAT 1028 00:43:13,560 --> 00:43:16,840 ARE DEVELOPED FOR THEM SO MAKING 1029 00:43:16,840 --> 00:43:21,920 THAT A REQUIREMENT AND FINALLY I 1030 00:43:21,920 --> 00:43:32,480 WOULD SAY, AND I'LL OWING CARING 1031 00:43:36,760 --> 00:43:38,320 PEOPLE WITH RESEARCH HIV 1032 00:43:38,320 --> 00:43:40,040 PROGRAMS AND ACTUALLY LINKING 1033 00:43:40,040 --> 00:43:41,440 THEM TO THE EXISTING MENTAL 1034 00:43:41,440 --> 00:43:42,280 HEALTH HEALTH SERVICES AND 1035 00:43:42,280 --> 00:43:50,440 DIFFERENT SETTINGS, THANK YOU. 1036 00:43:50,440 --> 00:43:53,280 >>I WAS VERY EXCITED TO SEE 1037 00:43:53,280 --> 00:43:53,840 THIS. 1038 00:43:53,840 --> 00:43:55,720 THERE IS AN INCREDIBLE NEED FOR 1039 00:43:55,720 --> 00:43:57,760 MENTAL HEALTH SERVICES FOR YOUNG 1040 00:43:57,760 --> 00:44:00,280 PEOPLE AND LMICs. 1041 00:44:00,280 --> 00:44:03,160 IT'S HARD TO SEE THIS 1042 00:44:03,160 --> 00:44:04,760 ACKNOWLEDGMENT OF THE WORKFORCE 1043 00:44:04,760 --> 00:44:06,160 REALITY AND SOME OF THE TASK 1044 00:44:06,160 --> 00:44:08,800 SHIFTING THAT MAY NEED TO HAPPEN 1045 00:44:08,800 --> 00:44:09,760 FROM MENTAL HEALTH HEALTH 1046 00:44:09,760 --> 00:44:11,680 INTERVENTIONS TO USE A NON 1047 00:44:11,680 --> 00:44:12,760 PROFESSIONAL WORKFORCE AND IN 1048 00:44:12,760 --> 00:44:14,440 ORDER TO DELIVER THIS PLAN OF 1049 00:44:14,440 --> 00:44:21,400 WORK AND SO JUST I ALSO WANTED 1050 00:44:21,400 --> 00:44:25,440 TO UNDERSCORE WITH Dr. COLLINS 1051 00:44:25,440 --> 00:44:26,720 SAID ABOUT THE THE RELATIONSHIP 1052 00:44:26,720 --> 00:44:31,560 WITH PARENTS AND HOW THOSE AND 1053 00:44:31,560 --> 00:44:33,760 HOW CAREGIVERS ARE INVOLVED AND 1054 00:44:33,760 --> 00:44:37,000 THEY HAVE UNITE CHALLENGES AND 1055 00:44:37,000 --> 00:44:40,600 THINKING ABOUT HOW THOSE 1056 00:44:40,600 --> 00:44:41,760 INTERSECT WITH MENTAL HEALTH AND 1057 00:44:41,760 --> 00:44:45,040 CHARGES YOUNG PEOPLE HAVE FACED. 1058 00:44:45,040 --> 00:44:47,000 A FEW OTHER THINGS TO CONSIDER. 1059 00:44:47,000 --> 00:44:48,880 ONE THING THAT IS RELATED TO 1060 00:44:48,880 --> 00:44:52,880 Dr. COLLINS TALKED ABOUT IS 1061 00:44:52,880 --> 00:44:56,640 THAT THERE'S NRMIC AND AND 1062 00:44:56,640 --> 00:44:58,960 CHARGES TO PROVIDING YOUTH 1063 00:44:58,960 --> 00:45:01,240 FRIENDLY SPACES AND IN ORDER TO 1064 00:45:01,240 --> 00:45:05,120 PROVIDE CARE SO IT SEEMS PART OF 1065 00:45:05,120 --> 00:45:06,720 THAT IS PIECE AROUND WHERE IS 1066 00:45:06,720 --> 00:45:07,960 THIS HAPPENED AND THIS YOUTH 1067 00:45:07,960 --> 00:45:09,920 FRIENDLY SPACE AND CREATING 1068 00:45:09,920 --> 00:45:12,720 PLACES WHERE YOUNG PEOPLE FEEL 1069 00:45:12,720 --> 00:45:17,320 COMFORTABLE GOING IS IMPORTANT. 1070 00:45:17,320 --> 00:45:24,040 OF THERE'S LIKELY TO BE IS A 1071 00:45:24,040 --> 00:45:29,680 LACK OF DOCUMENTING AND AMONG 1072 00:45:29,680 --> 00:45:30,920 YOUNG PEOPLE AND THERE ROOM IN 1073 00:45:30,920 --> 00:45:35,120 ORDER TO PROVIDE THE OPPORTUNITY 1074 00:45:35,120 --> 00:45:37,000 TO DOCUMENT THE NEED AND SCOPE 1075 00:45:37,000 --> 00:45:40,280 AND OTHERWISE IT WOULD BE 1076 00:45:40,280 --> 00:45:41,360 CHALLENGES AND FOR INVESTIGATORS 1077 00:45:41,360 --> 00:45:43,080 TO JUSTIFY AND WRITE THAT 1078 00:45:43,080 --> 00:45:43,800 PROBLEM STATEMENT IN THE 1079 00:45:43,800 --> 00:45:47,920 RESEARCH TO REVIEW GROUPS. 1080 00:45:47,920 --> 00:45:49,800 AND WHILE THEY'RE A FEW 1081 00:45:49,800 --> 00:45:52,160 INTERVENTIONS OUT THERE TO 1082 00:45:52,160 --> 00:45:54,840 ADJUST MENTAL AND MANY, MANY 1083 00:45:54,840 --> 00:45:57,160 MORE WERE NEEDED AND IT'S 1084 00:45:57,160 --> 00:45:58,480 EXCITING THIS IS INTENDED TO 1085 00:45:58,480 --> 00:46:01,960 JUMP START THAT AREA. 1086 00:46:01,960 --> 00:46:06,040 ALTHOUGH THIS STARTS WITH 1087 00:46:06,040 --> 00:46:16,560 ADAPTATION AND IT WOULD BE AN 1088 00:46:21,920 --> 00:46:22,880 INCREDIBLE CONTRIBUTION. 1089 00:46:22,880 --> 00:46:24,960 I'VE TRIED ADAPTING MENTAL 1090 00:46:24,960 --> 00:46:27,240 HEALTH CONCEPT S WITH MY NIH NOT 1091 00:46:27,240 --> 00:46:29,200 INTERVENTION WORK SO EMOTIONAL 1092 00:46:29,200 --> 00:46:30,600 REGULATION SKILLS YOU TALK ABOUT 1093 00:46:30,600 --> 00:46:35,320 HEALINGS AND THOSE KINDS OF 1094 00:46:35,320 --> 00:46:36,280 THINGS AND THERE'S DEFINITELY 1095 00:46:36,280 --> 00:46:39,440 DIFFERENCES IN HOW PEOPLE THINK 1096 00:46:39,440 --> 00:46:42,040 ABOUT MENTAL HEALTH, EMOTIONS, 1097 00:46:42,040 --> 00:46:43,680 FEELINGS AND SO SOME OF THAT IS 1098 00:46:43,680 --> 00:46:49,600 REALLY GOING TO HAVE TO THOUGHT 1099 00:46:49,600 --> 00:46:53,360 ABOUT SO THERE'S DISCUSSION AND 1100 00:46:53,360 --> 00:46:54,560 FLUENCY AROUND MENTAL HEALTH 1101 00:46:54,560 --> 00:46:58,080 SOCIAL MEDIA CULTURAL REL VAN 1102 00:46:58,080 --> 00:47:00,040 SEE STARTS WITH THE NEED TO 1103 00:47:00,040 --> 00:47:02,480 START WITH CULTURALLY RELEVANT 1104 00:47:02,480 --> 00:47:03,640 INTERVENTIONS NOT JUST 1105 00:47:03,640 --> 00:47:06,800 CULTURALLY TAILORED BECAUSE 1106 00:47:06,800 --> 00:47:07,760 GIVEN THE SCOPE OF THE CHANGES 1107 00:47:07,760 --> 00:47:09,480 YOU WERE TALKING ABOUT ARE 1108 00:47:09,480 --> 00:47:11,680 NECESSARY IN INTERVENTIONS TO 1109 00:47:11,680 --> 00:47:14,680 MAKE THEM RELEVANT FOR LMICs 1110 00:47:14,680 --> 00:47:16,080 AND YOU MAY FIND YOU HAVE A 1111 00:47:16,080 --> 00:47:17,160 DIFFERENT INTERVENTION THAT 1112 00:47:17,160 --> 00:47:21,360 WHERE YOU STARTED AND SO, AN 1113 00:47:21,360 --> 00:47:23,000 EXAMPLE OF SOME OF THIS 1114 00:47:23,000 --> 00:47:27,560 CULTURALLY RELEVANT OR WE WERE 1115 00:47:27,560 --> 00:47:31,800 DOING THIS EMOTIONAL REGULATION 1116 00:47:31,800 --> 00:47:32,920 AND OF WE WERE TALKING ABOUT 1117 00:47:32,920 --> 00:47:35,000 THEIR FEELINGS AND THEY WERE 1118 00:47:35,000 --> 00:47:36,640 LIKE WELL WHAT DO YOU MEAN BY 1119 00:47:36,640 --> 00:47:40,400 FEELINGS? 1120 00:47:40,400 --> 00:47:43,440 HOW DO YOU NOT TACTILE AS 1121 00:47:43,440 --> 00:47:45,040 OPPOSED TO EMOTIONS WHEN WE WE 1122 00:47:45,040 --> 00:47:48,960 TALKED ABOUT EMOTIONS IT WAS 1123 00:47:48,960 --> 00:47:51,160 CHALLENGING BECAUSE IT'S NOT 1124 00:47:51,160 --> 00:47:52,880 SOMETHING THEY TALKED WITH THEM 1125 00:47:52,880 --> 00:47:55,440 ABOUT SO, AGAIN, THIS NEED FOR 1126 00:47:55,440 --> 00:47:56,680 CUL ACTUALLY RELEVANT 1127 00:47:56,680 --> 00:47:57,400 INTERVENTIONS IS GOING TO BE 1128 00:47:57,400 --> 00:48:01,040 IMPORTANT AND I WOULD ALSO 1129 00:48:01,040 --> 00:48:02,440 ADVOCATE FOR INTERVENTIONS THAT 1130 00:48:02,440 --> 00:48:06,120 ARE LOCALLY DEVELOPED AS OPPOSED 1131 00:48:06,120 --> 00:48:06,920 TO ONLY FAVORING WESTERN 1132 00:48:06,920 --> 00:48:08,800 INTERVENTIONS SO ALLOWING THE 1133 00:48:08,800 --> 00:48:10,440 ASSETS TO BE DEPLOYED AND IN 1134 00:48:10,440 --> 00:48:13,360 COMMUNITIES AS WE TRY TO ADDRESS 1135 00:48:13,360 --> 00:48:16,040 NOT MENTAL HEALTH ISSUES AND 1136 00:48:16,040 --> 00:48:16,520 LMICs. 1137 00:48:16,520 --> 00:48:17,920 THE PIECE MIGHT BE GOOD TO 1138 00:48:17,920 --> 00:48:21,320 REALLY INCLUDE IS THE CAPACITY 1139 00:48:21,320 --> 00:48:22,680 OF THE INFRASTRUCTURE SUPPORT 1140 00:48:22,680 --> 00:48:27,680 AND SCAFFOLDING NEEDED IN THESE 1141 00:48:27,680 --> 00:48:29,480 VARIOUS SETTINGS AND THE LAST 1142 00:48:29,480 --> 00:48:31,480 THING I'LL SAY IS REALLY 1143 00:48:31,480 --> 00:48:33,320 APPRECIATED HOW THE STRATEGIC 1144 00:48:33,320 --> 00:48:35,360 FRAMEWORK FOR ADDRESSING YOUTH 1145 00:48:35,360 --> 00:48:37,840 MENTAL HEALTH DISPARITIES TOOK A 1146 00:48:37,840 --> 00:48:40,960 PROCEED BROOCH TO UNDERSTANDING 1147 00:48:40,960 --> 00:48:42,560 AND I WONDER IF THAT PROCEED 1148 00:48:42,560 --> 00:48:43,960 APPROACH MIGHT BE USEFUL HERE 1149 00:48:43,960 --> 00:48:45,600 BUT I'M REALLY EXCITED ABOUT 1150 00:48:45,600 --> 00:48:47,240 THIS AND REALLY DO HOPE THAT IT 1151 00:48:47,240 --> 00:48:51,360 MOVES FORWARD SO THANK YOU FOR 1152 00:48:51,360 --> 00:48:56,120 DEVELOPING THIS. 1153 00:48:56,120 --> 00:49:00,280 >>THANK YOU SO MUCH. 1154 00:49:00,280 --> 00:49:02,520 PATRICIA. 1155 00:49:02,520 --> 00:49:05,320 >>THANK YOU FOR THIS PROPOSAL. 1156 00:49:05,320 --> 00:49:09,640 I HAD -- I HAVE NO EXPERTISE IN 1157 00:49:09,640 --> 00:49:10,320 THIS AREA. 1158 00:49:10,320 --> 00:49:12,840 IN ANYWAY YOU COULD CONSTRUE IT 1159 00:49:12,840 --> 00:49:18,600 BUT I LOOKED FOR THE IMPACT OF 1160 00:49:18,600 --> 00:49:21,760 CONGENITAL HIV AND I WAS 1161 00:49:21,760 --> 00:49:22,800 WONDERING -- THEY'RE ONLY LIKE 1162 00:49:22,800 --> 00:49:27,560 HALF A DOZEN PAPERS ON THE 1163 00:49:27,560 --> 00:49:29,840 BEHAVIORAL ASPECTS OF CONGENITAL 1164 00:49:29,840 --> 00:49:31,600 HIV DONE IN ANY SYSTEMATIC WAY 1165 00:49:31,600 --> 00:49:35,560 WHATSOEVER AND I WAS WONDERING 1166 00:49:35,560 --> 00:49:37,880 IF THIS WAS PART OF YOUR PLAN OR 1167 00:49:37,880 --> 00:49:39,240 AN OBSTACLE TO YOUR PLAN OR HOW 1168 00:49:39,240 --> 00:49:47,880 YOU WERE GOING TO DEAL WITH IT. 1169 00:49:47,880 --> 00:49:50,640 I THINK AS THE HIV EPIDEMIC 1170 00:49:50,640 --> 00:49:54,000 CHANGES AND THERE'S BEEN A LOT 1171 00:49:54,000 --> 00:49:56,960 OF RAMP UP SERVICES WE'RE SEEING 1172 00:49:56,960 --> 00:49:58,880 SOME CHANGES AND THE AT LESS 1173 00:49:58,880 --> 00:50:05,280 ENTER HIV EPIDEMIC AND THERE'S 1174 00:50:05,280 --> 00:50:07,680 FEWER WITH ADOLESCENTS WHO 1175 00:50:07,680 --> 00:50:09,760 ACQUIRE HIV LATER IN LIFE 1176 00:50:09,760 --> 00:50:14,000 ALTHOUGH THERE'S DEFINITELY 1177 00:50:14,000 --> 00:50:17,320 STILL A GROUP AND IT'S SOMETHING 1178 00:50:17,320 --> 00:50:21,360 THAT WILL BE IMPORTANT FOR FOLKS 1179 00:50:21,360 --> 00:50:27,560 TO CONSIDER AND THINK ABOUT AS 1180 00:50:27,560 --> 00:50:27,760 WELL. 1181 00:50:27,760 --> 00:50:32,280 >>SO THANK YOU FOR THIS I 1182 00:50:32,280 --> 00:50:35,120 APPRECIATE THE COMMENTS MADE 1183 00:50:35,120 --> 00:50:36,640 EARLIER AND WANTED TO KIND OF GO 1184 00:50:36,640 --> 00:50:41,000 BACK TO THE MAJOR POINT YOU WERE 1185 00:50:41,000 --> 00:50:43,680 MAKING. 1186 00:50:43,680 --> 00:50:45,000 HOW DO YOU STREAMLINE SERVICES 1187 00:50:45,000 --> 00:50:46,400 SO LOW AND MIDDLE COME INCOME 1188 00:50:46,400 --> 00:50:50,160 BACK SO MUCH TO USE THE 1189 00:50:50,160 --> 00:50:50,840 SERVICES. 1190 00:50:50,840 --> 00:50:52,920 I AGREE WITH THE LOCAL 1191 00:50:52,920 --> 00:50:54,480 DEVELOPMENT AND I HAVEN'T DONE 1192 00:50:54,480 --> 00:51:00,440 THIS WORK A WHILE BACK AND 1193 00:51:00,440 --> 00:51:02,520 THERE'S THE IDEA OF VOLUNTARY 1194 00:51:02,520 --> 00:51:03,720 COUPLES INVOLVED IN TESTING 1195 00:51:03,720 --> 00:51:07,000 SINCE A LOT OF YOUTH THEMSELVES 1196 00:51:07,000 --> 00:51:08,360 ARE ENGAGE IN A LOT OF WAYS AND 1197 00:51:08,360 --> 00:51:10,640 THE BIG PIECE OF THAT IS ALSO 1198 00:51:10,640 --> 00:51:11,720 MADE INVOLVEMENT BECAUSE A LOT 1199 00:51:11,720 --> 00:51:15,560 OF THE SERVICES AS YOU KNOW, IN 1200 00:51:15,560 --> 00:51:16,960 TERMS OF THE OTHER AREAS OF 1201 00:51:16,960 --> 00:51:25,120 TAKERS THAT IS MOSTLY I THINK 1202 00:51:25,120 --> 00:51:26,800 WHATEVER IS DONE, MAYBE SOME 1203 00:51:26,800 --> 00:51:28,520 EMPHASIZE ON MALE INVOLVEMENT 1204 00:51:28,520 --> 00:51:34,880 PARTICULARLY MALE PARTNERS IS 1205 00:51:34,880 --> 00:51:38,720 CRITICAL TO THE PROCESS IT'S 1206 00:51:38,720 --> 00:51:41,240 SELF AND THE IDEA OF THE 1207 00:51:41,240 --> 00:51:43,320 SCREENING IS WHAT I'M LOOKING 1208 00:51:43,320 --> 00:51:44,680 AT. 1209 00:51:44,680 --> 00:51:45,760 SCREENING FOR HIV AND MENTAL 1210 00:51:45,760 --> 00:51:49,960 HEALTH SERVICES AND THAT MIGHT 1211 00:51:49,960 --> 00:51:51,120 BE NEEDED THERE. 1212 00:51:51,120 --> 00:51:55,680 THERE'S THE WHOLE CHALLENGE OF 1213 00:51:55,680 --> 00:51:56,840 WORKFORCE ADEQUACY AND QUALITY. 1214 00:51:56,840 --> 00:51:58,440 WHO IS GOING TO DELIVER THIS. 1215 00:51:58,440 --> 00:52:00,160 I APPRECIATE THAT APPEAR 1216 00:52:00,160 --> 00:52:01,440 DELIVERY SYSTEM WOULD BE GOOD 1217 00:52:01,440 --> 00:52:03,640 HOWEVER THEY'RE NOT THE DECISION 1218 00:52:03,640 --> 00:52:05,240 MAKERS AND THE BIG PICTURE AND 1219 00:52:05,240 --> 00:52:06,880 THEY'RE NOT THOSE MOST LIKELY 1220 00:52:06,880 --> 00:52:09,320 THAT WILL WRITE THE PROPOSALS 1221 00:52:09,320 --> 00:52:10,840 AND GET THE GRANDS TO DO THIS SO 1222 00:52:10,840 --> 00:52:12,240 IT'S CRITICALLY IMPORTANT THAT 1223 00:52:12,240 --> 00:52:13,600 WHATEVER YOU DO, MY STRONG 1224 00:52:13,600 --> 00:52:17,120 SUGGESTION IS TO MAKE SURE 1225 00:52:17,120 --> 00:52:19,160 THERE'S IS SOME CLEARANCE OF 1226 00:52:19,160 --> 00:52:23,120 ADEQUACY IF NOT THEN SOME 1227 00:52:23,120 --> 00:52:24,720 SUPPORT FOR CAPACITY BUILDING TO 1228 00:52:24,720 --> 00:52:25,640 INVOLVED IN WHATEVER WORK THAT 1229 00:52:25,640 --> 00:52:26,720 YOU HAVE AS YOU KNOW PARTICULAR 1230 00:52:26,720 --> 00:52:27,720 IN THESE SETTINGS AND THAT IS 1231 00:52:27,720 --> 00:52:31,280 GOING TO BE A CHALLENGE IN ALL 1232 00:52:31,280 --> 00:52:32,360 KINDS OF DIFFERENT WAYS AND THE 1233 00:52:32,360 --> 00:52:34,360 LAST THING I WOULD SAY IT'S METH 1234 00:52:34,360 --> 00:52:37,200 LOGICAL APPROACH TO THIS AND ONE 1235 00:52:37,200 --> 00:52:38,800 OF THE THINGS WE LEARNED A VERY 1236 00:52:38,800 --> 00:52:40,320 LONG AGO IS THAT WE NEED MORE OF 1237 00:52:40,320 --> 00:52:43,800 A MIXED METHODOLOGY BOTH MIXED 1238 00:52:43,800 --> 00:52:45,720 DATA AND METHOT AS AN APPROACH 1239 00:52:45,720 --> 00:52:47,720 TO DEAL WITH THIS PARTICULARLY 1240 00:52:47,720 --> 00:52:54,000 BECAUSE OF THAT I WOULD SAY 1241 00:52:54,000 --> 00:52:55,080 GIVEN THE COUNTRIES YOU ARE 1242 00:52:55,080 --> 00:52:56,880 LOOKING AT WHERE A LOT OF THEM 1243 00:52:56,880 --> 00:53:07,400 ARE UNDER 30 AND SO THANK YOU 1244 00:53:13,240 --> 00:53:13,680 FOR THIS. 1245 00:53:13,680 --> 00:53:15,680 >>THANK YOU. 1246 00:53:15,680 --> 00:53:22,800 GO AHEAD. 1247 00:53:22,800 --> 00:53:24,160 JUST SOMETHING ELSE TO CONSIDER 1248 00:53:24,160 --> 00:53:30,000 WHICH IS, ARE YOU REALLY SEEKING 1249 00:53:30,000 --> 00:53:32,000 RESEARCH ON ANY LOW OR MIDDLE 1250 00:53:32,000 --> 00:53:35,040 INCOME COUNTRY OR MIGHT YOU NEED 1251 00:53:35,040 --> 00:53:35,880 A MORE DESCRIPTIVE REFERENCE TO 1252 00:53:35,880 --> 00:53:37,520 WHAT CONTEXT YOU ARE LOOKING FOR 1253 00:53:37,520 --> 00:53:41,840 AND ARE YOU LOOKING FOR PLACES 1254 00:53:41,840 --> 00:53:42,720 WITH HIGH MY PREVALENCE? 1255 00:53:42,720 --> 00:53:44,880 I THINK WE START TO USE LMICs 1256 00:53:44,880 --> 00:53:49,040 IN A WAY THAT DOESN'T 1257 00:53:49,040 --> 00:53:50,160 NECESSARILY MEAN SOMETHING AND 1258 00:53:50,160 --> 00:53:51,720 THERE MAY BE OTHERS THAN WORLD 1259 00:53:51,720 --> 00:53:53,000 BANK INCOME GROUPS THAT GET THE 1260 00:53:53,000 --> 00:54:00,280 KIND OF RESEARCH THAT YOU MIGHT 1261 00:54:00,280 --> 00:54:01,920 WANT AS YOU PREPARE FOR THAT. 1262 00:54:01,920 --> 00:54:02,360 >>THANK YOU. 1263 00:54:02,360 --> 00:54:08,800 >>DO YOU HAVE ANOTHER QUESTION? 1264 00:54:08,800 --> 00:54:09,840 OF ANYONE ELSE? 1265 00:54:09,840 --> 00:54:10,840 >>OKAY. 1266 00:54:10,840 --> 00:54:13,880 FANTASTIC. 1267 00:54:13,880 --> 00:54:15,960 THANK YOU SO BOB, MIKE AND TERRY 1268 00:54:15,960 --> 00:54:18,320 AND THANK YOU ALL FOR YOUR 1269 00:54:18,320 --> 00:54:18,880 COMMENTS. 1270 00:54:18,880 --> 00:54:20,240 WE'RE A LITTLE AHEAD OF SCHEDULE 1271 00:54:20,240 --> 00:54:25,160 BUT WE CAN MOVE ON, RIGHT. 1272 00:54:25,160 --> 00:54:33,760 WE'LL DO A COMPUTER SWAP. 1273 00:54:33,760 --> 00:54:35,000 ARE SO CONTINUING OUR SLIGHTLY 1274 00:54:35,000 --> 00:54:37,120 OUT OF ORDER AGENDA FOR THE DAY 1275 00:54:37,120 --> 00:54:38,720 I WILL INTRODUCE OUR NEXT 1276 00:54:38,720 --> 00:54:40,440 SESSION THAT FOCUSES ON 1277 00:54:40,440 --> 00:54:42,240 IMPLEMENTATION OF THE NIH DATA 1278 00:54:42,240 --> 00:54:47,000 MANAGEMENT AND SHARING POLICY. 1279 00:54:47,000 --> 00:54:48,360 SO WE HAD A BRIEF DISCUSSION OF 1280 00:54:48,360 --> 00:54:50,280 THE NIH DATA MANAGEMENT SHARING 1281 00:54:50,280 --> 00:54:56,960 POLICY WHICH WENT INTO EFFECT 1282 00:54:56,960 --> 00:54:57,920 JANUARY 25th OF THIS YEAR AND 1283 00:54:57,920 --> 00:55:00,120 WE INVITED CREDIT DANIELSON AND 1284 00:55:00,120 --> 00:55:01,600 FROM THE NIH OFFICE OF 1285 00:55:01,600 --> 00:55:05,760 EXTRAMURAL RESEARCH AND TO 1286 00:55:05,760 --> 00:55:07,640 DISCUSS EVERYTHING ABOUT THE I 1287 00:55:07,640 --> 00:55:08,800 AMMENTED DATA MANAGEMENT SHARING 1288 00:55:08,800 --> 00:55:10,400 POLICY INTO ANSWER ANY QUESTIONS 1289 00:55:10,400 --> 00:55:12,160 THAT YOU MIGHT HAVE. 1290 00:55:12,160 --> 00:55:13,560 WE'RE ENCOURAGING YOU TO MAKE 1291 00:55:13,560 --> 00:55:14,720 THE MOST OF THE TIME WITH THEM 1292 00:55:14,720 --> 00:55:16,440 BECAUSE I'M SURE THAT MANY OF 1293 00:55:16,440 --> 00:55:18,040 YOUR COLLEAGUES AND THE RESEARCH 1294 00:55:18,040 --> 00:55:18,840 COMMUNITY ARE HOPING THAT YOU 1295 00:55:18,840 --> 00:55:20,800 WILL ASK ALL OF THE QUESTIONS 1296 00:55:20,800 --> 00:55:22,760 AND HAVE THIS ALL FIGURED OUT BY 1297 00:55:22,760 --> 00:55:28,800 THE TIME YOU LEAVE MEETING. 1298 00:55:28,800 --> 00:55:30,960 NIH HAS POSTED MANY GREAT 1299 00:55:30,960 --> 00:55:34,800 RESOURCES TO HELP GUIDE YOU AND 1300 00:55:34,800 --> 00:55:36,360 THE IMPLEMENTATION OF THIS 1301 00:55:36,360 --> 00:55:40,120 POLICY SO IF BEER READY, Dr. 1302 00:55:40,120 --> 00:55:41,360 DANIELSON AND SLEUTHMAN, THANK 1303 00:55:41,360 --> 00:55:42,680 YOU FOR BEING HERE. 1304 00:55:42,680 --> 00:55:43,960 WELCOME. 1305 00:55:43,960 --> 00:55:46,920 >>THANK YOU, VERY MUCH. 1306 00:55:46,920 --> 00:55:48,080 WHAT WE'RE HOPING TO DO DURING 1307 00:55:48,080 --> 00:55:49,160 THIS TIME WITH YOU IS TO GIVE 1308 00:55:49,160 --> 00:55:51,320 YOU A LITTLE BIT OF A BACKGROUND 1309 00:55:51,320 --> 00:55:57,960 ABOUT THE RATIONALE HOPEFULLY 1310 00:55:57,960 --> 00:56:03,200 THIS IS A LITTLE BIT BETTER. 1311 00:56:03,200 --> 00:56:04,720 IT SAYS IT'S ON BUT LET ME KNOW 1312 00:56:04,720 --> 00:56:05,960 IF I NEED TO SPEAK A LITTLE 1313 00:56:05,960 --> 00:56:07,560 MORE. 1314 00:56:07,560 --> 00:56:09,200 OUR PLAN IS TO GIVE YOU A BETTER 1315 00:56:09,200 --> 00:56:10,600 SENSE OF THE POLICY AND THE 1316 00:56:10,600 --> 00:56:11,960 REQUIREMENTS AND THE RATIONAL 1317 00:56:11,960 --> 00:56:13,680 AND THE PART OF DEVELOPING THE 1318 00:56:13,680 --> 00:56:15,440 POLICY AND THE TIMING OF THE 1319 00:56:15,440 --> 00:56:16,840 POLICY AND HOW WE'RE 1320 00:56:16,840 --> 00:56:18,240 IMPLEMENTING THE POLICY IN A 1321 00:56:18,240 --> 00:56:18,920 PARTICULAR HOW WE'RE LEARNING 1322 00:56:18,920 --> 00:56:21,000 FROM THE RESEARCH COMMUNITY AND 1323 00:56:21,000 --> 00:56:23,600 AS WE DO SO, AND THEN JUST SHARE 1324 00:56:23,600 --> 00:56:25,760 WITH YOU SOME RESOURCE THAT'S WE 1325 00:56:25,760 --> 00:56:27,560 HAVE AND SITUATE THE DISCUSSION 1326 00:56:27,560 --> 00:56:29,120 ABOUT DATA SHARING IS PART OF A 1327 00:56:29,120 --> 00:56:30,480 CULTURE CHANGE FOR NIH AS ONE OF 1328 00:56:30,480 --> 00:56:34,640 MANY FACTORS WITH CRITICAL ROLES 1329 00:56:34,640 --> 00:56:41,960 TO PLAY. 1330 00:56:41,960 --> 00:56:44,560 OIR FOCUS IS ON THE 2023 DATA 1331 00:56:44,560 --> 00:56:45,160 MANAGEMENT SHARING POLICY 1332 00:56:45,160 --> 00:56:47,080 HOWEVER THIS POLICY IS THE MOST 1333 00:56:47,080 --> 00:56:54,200 RECENT ONE IN A BROAD ECOSYSTEM 1334 00:56:54,200 --> 00:57:04,680 OF OF THE DMA POLICY REQUEST 1335 00:57:07,920 --> 00:57:09,600 RESISTS IN AN ECOSYSTEM WITH 1336 00:57:09,600 --> 00:57:15,000 OTHER POLICIES INCLUDING THE 1337 00:57:15,000 --> 00:57:15,800 CLINICAL TRIALS INFORMATION 1338 00:57:15,800 --> 00:57:21,320 POLICY AND NEXT SLIDE, PLEASE. 1339 00:57:21,320 --> 00:57:22,960 IN ADDITION TO THE POLICIES I 1340 00:57:22,960 --> 00:57:27,800 JUST MENTIONED THAT ARE CONVINCE 1341 00:57:27,800 --> 00:57:29,080 IMAGES TO USE THE AND PROGRAMS 1342 00:57:29,080 --> 00:57:30,200 MAY HAVE MANAGEMENT SHARING 1343 00:57:30,200 --> 00:57:32,720 POLICIES TO HELP PROVIDE AND 1344 00:57:32,720 --> 00:57:34,800 GUIDE APPLICANTS TO PARTICULAR 1345 00:57:34,800 --> 00:57:35,960 REPOSITORY AND THE BROADEN THE 1346 00:57:35,960 --> 00:57:46,400 SCOPE OF THE KINDS OF THIS IS A 1347 00:57:46,400 --> 00:57:47,800 SAMPLING OF POLICIES AND ICs 1348 00:57:47,800 --> 00:57:50,240 THAT HAVE EXISTING POLICIES 1349 00:57:50,240 --> 00:57:58,400 INCLUDING NIMH. 1350 00:57:58,400 --> 00:58:00,480 SO WHY IN THIS BROAD ECOSYSTEM 1351 00:58:00,480 --> 00:58:01,960 WITH MANY POLICIES FOR RESEARCH 1352 00:58:01,960 --> 00:58:03,320 AND INSTITUTIONS TO RESPOND TO 1353 00:58:03,320 --> 00:58:06,360 AND BE COMPLIANT WITH NIMH 1354 00:58:06,360 --> 00:58:10,560 ROLLED OUT A NEW DATA SHARING 1355 00:58:10,560 --> 00:58:14,760 POLICY. 1356 00:58:14,760 --> 00:58:17,000 RESEARCHERS HAVE TRIED TO 1357 00:58:17,000 --> 00:58:18,840 REQUEST BASED ON POLICY AND 1358 00:58:18,840 --> 00:58:23,400 PUBLICATIONS AND ACCESS TO 1359 00:58:23,400 --> 00:58:25,120 PUBLICATIONS AND WHAT WHAT IS 1360 00:58:25,120 --> 00:58:28,040 COMMON IS THE RATE OF ACTUALLY 1361 00:58:28,040 --> 00:58:33,760 RECEIVING BACK DATA THAT WAS 1362 00:58:33,760 --> 00:58:41,920 SAID TO BE SHARED PRODUCE 1363 00:58:41,920 --> 00:58:43,960 STUDIES DESPITE THE EXISTENCE OF 1364 00:58:43,960 --> 00:58:49,200 MULTIPLE SHARING POLICIES. 1365 00:58:49,200 --> 00:58:51,000 NEXT SLIDE, PLEASE IN ADDITION 1366 00:58:51,000 --> 00:58:53,000 TO CHARGES FOR RESEARCHERS AND 1367 00:58:53,000 --> 00:58:56,120 ACTIVE COMMUNITY AND ACCESSING 1368 00:58:56,120 --> 00:58:57,840 EXISTING DATA, ACCESS TO DATA 1369 00:58:57,840 --> 00:59:02,800 AND AVAILABILITY OF ESTIMATE AND 1370 00:59:02,800 --> 00:59:04,880 SO THIS SLIDE SHOWS DATA FROM A 1371 00:59:04,880 --> 00:59:08,120 FEW RESEARCH STUDY WHICH ASKED 1372 00:59:08,120 --> 00:59:12,400 MEMBERS OF THE PUBLIC WHAT OUR 1373 00:59:12,400 --> 00:59:14,600 FACTORS IN ENHANCING THE TRUST 1374 00:59:14,600 --> 00:59:16,640 OF SCIENTIFIC DATA AND THE 1375 00:59:16,640 --> 00:59:19,240 FACTOR THAT THE GREATEST PORTION 1376 00:59:19,240 --> 00:59:20,760 OF THOSE RESPONDING TO THE 1377 00:59:20,760 --> 00:59:25,360 SURVEY SPENDED TO 57% IS THE 1378 00:59:25,360 --> 00:59:27,000 DATA IS OPENLY AVAILABLE TO THE 1379 00:59:27,000 --> 00:59:27,800 PUBLIC SO AGAIN UNDER SCORING 1380 00:59:27,800 --> 00:59:33,800 THE NEED FOR REALLY ROBUST AND 1381 00:59:33,800 --> 00:59:34,640 MEANINGFUL OF PRACTICES FOR DATA 1382 00:59:34,640 --> 00:59:35,000 SHARING. 1383 00:59:35,000 --> 00:59:45,320 NEXT SLIDE, PLEASE. 1384 00:59:59,960 --> 01:00:02,520 IT INVOLVED MANY GROUPS INVOLVED 1385 01:00:02,520 --> 01:00:03,440 TITLE CONSULTATIONS AND IT 1386 01:00:03,440 --> 01:00:05,720 INVOLVED FEEDBACK FROM SOME 1387 01:00:05,720 --> 01:00:07,560 EXISTING COMMITTEES FOCUSED ON 1388 01:00:07,560 --> 01:00:09,640 PROTECTION AND INCLUDING THE 1389 01:00:09,640 --> 01:00:10,240 SECRETARIES ADVISORY COMMITTEE 1390 01:00:10,240 --> 01:00:11,680 FOR HUMAN RESEARCH PROTECTION 1391 01:00:11,680 --> 01:00:14,560 AND OTHER AGENCIES. 1392 01:00:14,560 --> 01:00:16,240 THE POLICY ITSELF WAS RELEASED 1393 01:00:16,240 --> 01:00:18,640 AND PUBLISHED IN 2020 AND WENT 1394 01:00:18,640 --> 01:00:22,720 INTO EFFECT ON JANUARY 25th, 1395 01:00:22,720 --> 01:00:32,280 2023. 1396 01:00:32,280 --> 01:00:42,840 THE FIRST OF THESE IS TO ADVANCE 1397 01:00:49,280 --> 01:00:51,880 IT IT'S RESTORATIVE DATA AND 1398 01:00:51,880 --> 01:00:53,000 RESEARCH PUBLIC TRUST IN 1399 01:00:53,000 --> 01:00:56,560 RESEARCH FOR A NUMBER OF 1400 01:00:56,560 --> 01:01:06,720 REASONS. 1401 01:01:21,320 --> 01:01:23,120 S IS LET ME TELL BUT THE SCOPE 1402 01:01:23,120 --> 01:01:24,720 AND THE POLICY. 1403 01:01:24,720 --> 01:01:29,720 THE POLICY REALLY HAS ONLY TO 1404 01:01:29,720 --> 01:01:31,920 REQUIRE THEY SUBMIT A DATA 1405 01:01:31,920 --> 01:01:42,400 MANAGEMENT AND SHARING PLAN IS 1406 01:01:47,320 --> 01:01:48,440 AND THE DEFINITION OF WHAT IS 1407 01:01:48,440 --> 01:01:52,760 MEANT BY SCIENTIFIC DATA AND 1408 01:01:52,760 --> 01:01:55,800 WITH FACTUAL QUALITY TO VALIDATE 1409 01:01:55,800 --> 01:01:57,640 REPLICATE RESEARCH FINDING AND 1410 01:01:57,640 --> 01:01:59,600 THIS IS REGARDLESS OF WHETHER 1411 01:01:59,600 --> 01:02:03,160 DATA UNDERLIES PUBLICATIONS OR 1412 01:02:03,160 --> 01:02:04,800 WEATHER DATA IS NOT USED IN 1413 01:02:04,800 --> 01:02:05,920 PUBLICATIONS AND IMPORTANTLY 1414 01:02:05,920 --> 01:02:12,160 WHAT THE SCOPE DOES NOT INCLUDE 1415 01:02:12,160 --> 01:02:13,720 IS OTHER DATA AND PHYSICAL 1416 01:02:13,720 --> 01:02:16,840 OBJECTION INCLUDING BIO SIS ONLY 1417 01:02:16,840 --> 01:02:17,520 TO DATA. 1418 01:02:17,520 --> 01:02:19,240 THE POLICY ALSO DESCRIBES TIME 1419 01:02:19,240 --> 01:02:21,960 LINES FOR SHARING DATA AND SO 1420 01:02:21,960 --> 01:02:24,000 DATA IS REQUIRED TO BE SHARED NO 1421 01:02:24,000 --> 01:02:26,920 LATER THAN THE DATE OF PUB WILL 1422 01:02:26,920 --> 01:02:29,360 INDICATION FOR A PRIMARY WILL 1423 01:02:29,360 --> 01:02:31,000 YOU BE LA INDICATION OR THE END 1424 01:02:31,000 --> 01:02:32,920 OF THE PERFORMANCE PERIOD FOR 1425 01:02:32,920 --> 01:02:35,440 DATA THAT DOESN'T UNDERLINE 1426 01:02:35,440 --> 01:02:36,400 PUBLICATIONS WHICH EVER OF THOSE 1427 01:02:36,400 --> 01:02:40,240 TWO POINTS IN TIMES COMES FIRST. 1428 01:02:40,240 --> 01:02:42,280 IT ALLOWS A LOT OF FLEXIBILITY 1429 01:02:42,280 --> 01:02:44,840 WITH REGARD TO HOW LONG DATA 1430 01:02:44,840 --> 01:02:47,080 SHOULD BE SCARED AND MAINTAINED 1431 01:02:47,080 --> 01:02:49,600 AND REALLY ENCOURAGING 1432 01:02:49,600 --> 01:02:52,880 RESEARCHERS TO CONSULT WITH ZOO 1433 01:02:52,880 --> 01:02:54,640 OTHER GROUPS TO THINK ABOUT 1434 01:02:54,640 --> 01:02:55,920 OTHER REQUIREMENTS AND 1435 01:02:55,920 --> 01:02:57,080 EXPECTATIONS AND JOURNAL 1436 01:02:57,080 --> 01:02:58,280 POLICIES, REPOSITORY POLICIES 1437 01:02:58,280 --> 01:02:59,880 AND THEIR OWN INSTITUTION 1438 01:02:59,880 --> 01:03:01,280 POLICIES FOR MAINTAINING 1439 01:03:01,280 --> 01:03:10,440 RESEARCH RECORDS AND DATA. 1440 01:03:10,440 --> 01:03:11,920 IT THERE'S MORE INFORMATION 1441 01:03:11,920 --> 01:03:12,960 ABOUT WHICH ACTIVITY CODES IN 1442 01:03:12,960 --> 01:03:15,040 PARTICULAR THE POLICY IS 1443 01:03:15,040 --> 01:03:15,600 APPLICABLE TO. 1444 01:03:15,600 --> 01:03:17,320 IN GENERAL THE POLICY APPLIES AS 1445 01:03:17,320 --> 01:03:20,680 I SAID, TO RESEARCH THAT 1446 01:03:20,680 --> 01:03:22,280 GENERATES SCIENTIFIC DATA SO 1447 01:03:22,280 --> 01:03:24,440 RESEARCH PROJECTS, AND SMALL 1448 01:03:24,440 --> 01:03:34,840 BUSINESS AWARDS AS WELL. 1449 01:03:40,080 --> 01:03:41,680 THERE'S A DETAIL LISTING OF ALL 1450 01:03:41,680 --> 01:03:42,600 ACTIVITIES CODES SO IT'S 1451 01:03:42,600 --> 01:03:43,760 POSSIBLE FOR APPLICANTS TO LOOK 1452 01:03:43,760 --> 01:03:45,360 AT THE PARTICULAR ACTIVITY CODES 1453 01:03:45,360 --> 01:03:46,200 WHICH THEY'RE CONSIDERING TO 1454 01:03:46,200 --> 01:03:50,000 UNDERSTAND THE POLICIES 1455 01:03:50,000 --> 01:03:58,120 APPLICABLEAPPLICABILITY. 1456 01:03:58,120 --> 01:03:59,560 IT'S ADDITIONAL EXPECTATIONS FOR 1457 01:03:59,560 --> 01:04:00,480 DATA MANAGEMENT AND SHARING 1458 01:04:00,480 --> 01:04:03,640 PLANS. 1459 01:04:03,640 --> 01:04:14,120 SO THE FIRST SO PLANS SHOULD 1460 01:04:38,560 --> 01:04:42,200 OUTLINE SHARING AND OUTLINE HOW 1461 01:04:42,200 --> 01:04:45,840 PROTECTION OF PRIVACY RIGHTS AND 1462 01:04:45,840 --> 01:04:47,520 CONFIDENTIALITY AND MAINTAINED 1463 01:04:47,520 --> 01:04:49,520 AND DESCRIBE ANY EXISTING LAWS 1464 01:04:49,520 --> 01:04:50,880 OR REGULATIONS THAT MIGHT APPLY 1465 01:04:50,880 --> 01:04:55,760 AND IT MIGHT LIMITS TO DATA 1466 01:04:55,760 --> 01:05:05,880 SHARING. 1467 01:05:08,280 --> 01:05:09,640 THINKING ABOUT WHAT INFORMATION 1468 01:05:09,640 --> 01:05:10,800 IS CONVEYED AND WHAT WE SHARED 1469 01:05:10,800 --> 01:05:14,080 AND SECONDARY DATA SHARING AND 1470 01:05:14,080 --> 01:05:16,720 ADDITIONALLY, THE POLICY AT NIH 1471 01:05:16,720 --> 01:05:18,520 ENCOURAGES INVESTIGATORS TO 1472 01:05:18,520 --> 01:05:20,280 THINK ABOUT THEIR PLANS FOR DATA 1473 01:05:20,280 --> 01:05:22,360 SUBMISSION AND WHAT ARE THE 1474 01:05:22,360 --> 01:05:23,760 REPOSITORIES AND THE PROTECTIONS 1475 01:05:23,760 --> 01:05:27,400 IN THOSE REPOSITORY FOR OTHER 1476 01:05:27,400 --> 01:05:28,560 LOCATIONS FOR RESTORING DATA AND 1477 01:05:28,560 --> 01:05:30,960 WITH REGARD TO CONTROLS FOR DATA 1478 01:05:30,960 --> 01:05:32,360 ACCESS SO DATA SHOULD BE STORED 1479 01:05:32,360 --> 01:05:35,800 ISTORED IN A CONTROLLED FASHION 1480 01:05:35,800 --> 01:05:37,200 AND THINKING THROUGH IN A 1481 01:05:37,200 --> 01:05:39,000 THOROUGH WAY THAT WE HAVE PLANS 1482 01:05:39,000 --> 01:05:48,320 FOR SUBMITTING AND STORING DATA. 1483 01:05:48,320 --> 01:05:49,720 THE POLICY ALLOWS FOR 1484 01:05:49,720 --> 01:05:50,680 APPROPRIATE ETHICAL AND LEGAL 1485 01:05:50,680 --> 01:05:52,440 ASK TECHNICAL FACTORS FOR 1486 01:05:52,440 --> 01:05:56,320 ELIMINATION OF DATA AND WE HAVE 1487 01:05:56,320 --> 01:05:58,360 A FREQUENT ASKED QUESTIONS ABOUT 1488 01:05:58,360 --> 01:05:59,600 RESOURCES TO SUPPORT APPLICANTS 1489 01:05:59,600 --> 01:06:03,080 AND COMPLY WITH THE POLICY THAT 1490 01:06:03,080 --> 01:06:04,600 GETS SPECIFIC EXAMPLES OF WHAT 1491 01:06:04,600 --> 01:06:06,760 FACTORS NIH HAS IN MIND SO THESE 1492 01:06:06,760 --> 01:06:08,480 EXAMPLES INCLUDE, OBVIOUSLY THIS 1493 01:06:08,480 --> 01:06:12,440 IS MY COMPREHENSIVE SITUATIONS 1494 01:06:12,440 --> 01:06:14,080 WHERE THEY WILL NOT PERMIT OR 1495 01:06:14,080 --> 01:06:16,600 HAS ON THE SCOPE OF DATA SHARING 1496 01:06:16,600 --> 01:06:19,640 AND DATA REVIEWS AND 1497 01:06:19,640 --> 01:06:21,800 ADDITIONALLY, OTHER EXISTING FED 1498 01:06:21,800 --> 01:06:23,400 CAL STATE TRAVEL LAWS OR 1499 01:06:23,400 --> 01:06:24,440 REGULATION STATE LAWS AND THE 1500 01:06:24,440 --> 01:06:27,160 PARTICULAR CONCEPT DISCLOSURE OR 1501 01:06:27,160 --> 01:06:30,640 SHARING BUT ALSO THE LEGAL 1502 01:06:30,640 --> 01:06:32,400 FACTORS FOR LIMITING DATA USE. 1503 01:06:32,400 --> 01:06:34,560 THE KINDS OF REASONS THAT 1504 01:06:34,560 --> 01:06:35,520 CURRENT CONSIDERED TO BE 1505 01:06:35,520 --> 01:06:37,480 JUSTIFIABLE FOR LIMITED DATA 1506 01:06:37,480 --> 01:06:39,200 SHARING INCLUDE CONSIDERATIONS 1507 01:06:39,200 --> 01:06:40,800 THAT MAY BE A DATASET IS TOO 1508 01:06:40,800 --> 01:06:42,000 SMALL TO BE OF VALUE AND 1509 01:06:42,000 --> 01:06:44,200 RESEARCHERS THINK THAT THE DATA 1510 01:06:44,200 --> 01:06:46,080 MAY NOT BE USEFUL TO 1511 01:06:46,080 --> 01:06:48,360 COLLABORATORS AND THERE'S NOT AN 1512 01:06:48,360 --> 01:06:49,840 APPROPRIATE REPOSITORY FOR 1513 01:06:49,840 --> 01:06:51,600 MOUSING THE DATA SO THOSE ARE 1514 01:06:51,600 --> 01:06:53,960 EXISTED AND OUR THOUGHTS TO BE 1515 01:06:53,960 --> 01:06:54,880 JUSTIFIABLE AND I WILL MENTION 1516 01:06:54,880 --> 01:06:57,960 THAT WE DO HAVE A GUIDE THAT 1517 01:06:57,960 --> 01:07:00,720 TALKS ABOUT SELECTION OF ROBUST 1518 01:07:00,720 --> 01:07:02,680 REPOSITORY AND CHARACTERISTICS 1519 01:07:02,680 --> 01:07:07,160 AS WELL AS A NUMBER OF RESOURCES 1520 01:07:07,160 --> 01:07:09,000 ON THE SHARING AT NIH.GOV 1521 01:07:09,000 --> 01:07:12,200 WEBSITE WITH EXPEL OF OTHER 1522 01:07:12,200 --> 01:07:15,560 SPECIALIST GENERALIST 1523 01:07:15,560 --> 01:07:19,160 REPOSITORIES. 1524 01:07:19,160 --> 01:07:23,480 WE HAVE A NUMBER OF FAQs AND 1525 01:07:23,480 --> 01:07:24,720 RESOURCES FOR SUPPORTING 1526 01:07:24,720 --> 01:07:29,120 APPLICANTS AS THEY PREPARE PLANS 1527 01:07:29,120 --> 01:07:30,880 AND COMPLY WITH THE POLICY AND 1528 01:07:30,880 --> 01:07:32,520 WE HAVE A LARGE NUMBER OF FAQs 1529 01:07:32,520 --> 01:07:36,520 AND POLICIES INCLUDING ONE AREA 1530 01:07:36,520 --> 01:07:38,720 NA IS NOT AND IT'S BUDGET SO WE 1531 01:07:38,720 --> 01:07:39,520 RECEIVED MANY QUESTIONS ABOUT 1532 01:07:39,520 --> 01:07:42,600 HOW TO CONSIDER AND BUDGET FOREL 1533 01:07:42,600 --> 01:07:44,600 POLICY AND HAVE 13FAQs RELATED 1534 01:07:44,600 --> 01:07:45,920 TO THAT AS WELL SO I ENCOURAGE 1535 01:07:45,920 --> 01:07:51,960 YOU TO EXPLORE THE SHARING 1536 01:07:51,960 --> 01:07:52,840 WEBSITE AND CONSIDER THESE IN 1537 01:07:52,840 --> 01:07:56,200 DEVELOPING DATA MANAGEMENT AND 1538 01:07:56,200 --> 01:07:56,560 SHARING PLANS. 1539 01:07:56,560 --> 01:08:00,200 NEXT SLIDE, PLEASE. 1540 01:08:00,200 --> 01:08:02,600 SO, VERY BRIEFLY JUST TO GIVE A 1541 01:08:02,600 --> 01:08:04,200 FLAVOR OF HOW THE POLICY IS 1542 01:08:04,200 --> 01:08:09,520 BEING IMPLEMENTED AND WHAT THE 1543 01:08:09,520 --> 01:08:10,440 WORKFLOW LOOKS LIKE FOR 1544 01:08:10,440 --> 01:08:12,200 APPLICANTS AS THEY PUT TOGETHER 1545 01:08:12,200 --> 01:08:13,920 A DATA MANAGEMENT PLAN AS PART 1546 01:08:13,920 --> 01:08:15,600 OF THEIR APPLICATIONS. 1547 01:08:15,600 --> 01:08:18,360 WHAT THE APPLICATION, THE DATA 1548 01:08:18,360 --> 01:08:19,800 MANAGEMENT AND PLAN IS 1549 01:08:19,800 --> 01:08:23,720 SUBMITTED, ADDITIONALLY, A BRIEF 1550 01:08:23,720 --> 01:08:27,200 BUDGET JUSTIFICATION IS ALSO 1551 01:08:27,200 --> 01:08:29,040 SUBMITTED. 1552 01:08:29,040 --> 01:08:30,560 PEER REVIEWERS WILL NOT HAVE 1553 01:08:30,560 --> 01:08:32,080 ACCESS TO THE DATA MANAGEMENT 1554 01:08:32,080 --> 01:08:33,600 AND SHARING PLAN ITSELF, THEY 1555 01:08:33,600 --> 01:08:35,280 WILL SEE THE BRIEF BUDGET 1556 01:08:35,280 --> 01:08:36,360 JUSTIFICATION AND THE BUDGET 1557 01:08:36,360 --> 01:08:38,200 THAT'S PROVIDED. 1558 01:08:38,200 --> 01:08:39,160 THE ASSESSMENT OF DATA 1559 01:08:39,160 --> 01:08:40,880 MANAGEMENT SHARING PLANS IS 1560 01:08:40,880 --> 01:08:44,560 RESPONSIBILITY OF NIH PROGRAMS 1561 01:08:44,560 --> 01:08:47,000 STAFF. 1562 01:08:47,000 --> 01:08:48,400 OF IN THE APPLICATION, 1563 01:08:48,400 --> 01:08:49,960 SUBMISSION AND REVIEW PROCESS AS 1564 01:08:49,960 --> 01:08:51,560 WELL AS DURING THE LIFE CYCLE OF 1565 01:08:51,560 --> 01:08:58,120 THE AWARD. 1566 01:08:58,120 --> 01:08:59,840 OF THE CONTENT OF THE DMS PLANS 1567 01:08:59,840 --> 01:09:02,480 ARE IN THE TERMS OF CONDITIONS 1568 01:09:02,480 --> 01:09:04,720 OF THE AWARD AND NIH STAFF WILL 1569 01:09:04,720 --> 01:09:06,080 MONITOR COMPLIANCE OF THE PLANS 1570 01:09:06,080 --> 01:09:09,200 AT WEG REPORTING INTERVALS 1571 01:09:09,200 --> 01:09:10,320 ANNUALLY. 1572 01:09:10,320 --> 01:09:12,520 FINALLY, A COMPLIANCE OR LACK 1573 01:09:12,520 --> 01:09:15,400 THERE OF MAY FACTOR INTO FUTURE 1574 01:09:15,400 --> 01:09:17,320 DIVISIONS AND I'LL TURN THE 1575 01:09:17,320 --> 01:09:19,920 PRESENTATION OVER TO Dr. 1576 01:09:19,920 --> 01:09:20,160 DANIELSON. 1577 01:09:20,160 --> 01:09:24,360 >>THANK YOU, NEXT SLIDE, 1578 01:09:24,360 --> 01:09:26,360 PLEASE. 1579 01:09:26,360 --> 01:09:29,200 >>SO CONTINUING WITH THE PUBLIC 1580 01:09:29,200 --> 01:09:29,800 ENGAGEMENT WE HAVE CONTINUED 1581 01:09:29,800 --> 01:09:31,840 THAT IN TERMS OF IMPLEMENTATION 1582 01:09:31,840 --> 01:09:33,360 OVER THE LAST COUPLE OF YEARS 1583 01:09:33,360 --> 01:09:35,440 AND ENGAGING IN PUBLIC OUTREACH 1584 01:09:35,440 --> 01:09:36,480 AND EDUCATION. 1585 01:09:36,480 --> 01:09:38,800 AND THIS IS REALLY A TWO-DAY 1586 01:09:38,800 --> 01:09:39,960 CONVERSATION SO WE'RE PROVIDING 1587 01:09:39,960 --> 01:09:41,680 INFORMATION AND RESOURCES TO 1588 01:09:41,680 --> 01:09:43,400 HELP PREPARING THE COMMUNITY FOR 1589 01:09:43,400 --> 01:09:48,360 THIS POLICY AND ALSO TO HEAR THE 1590 01:09:48,360 --> 01:09:49,760 QUESTION AND FEEDBACK AND ON 1591 01:09:49,760 --> 01:09:50,720 THIS SLIDE HERE YOU ARE SEEING A 1592 01:09:50,720 --> 01:09:52,000 SELECTION OF RECENT 1593 01:09:52,000 --> 01:09:53,480 PRESENTATIONS AND GIVEN TO 1594 01:09:53,480 --> 01:09:56,160 VARIOUS GROUPS AND SO 1595 01:09:56,160 --> 01:09:56,680 INSTITUTIONS, RESEARCHERS, 1596 01:09:56,680 --> 01:09:57,800 SCIENTIFIC ASSOCIATIONS AND AS 1597 01:09:57,800 --> 01:10:00,080 WELL AS OTHER GROUPS, AND WE'RE 1598 01:10:00,080 --> 01:10:01,440 ALSO WANTING TO HIGHLIGHT 1599 01:10:01,440 --> 01:10:02,800 SPECIFIC EVENTS WITH A LARGER 1600 01:10:02,800 --> 01:10:04,880 REACH AND RECENTLY THAT WAS THE 1601 01:10:04,880 --> 01:10:06,960 NIH GRANTS CONFERENCE AND WHERE 1602 01:10:06,960 --> 01:10:09,040 NOT WE REACHED OVER 2,000 1603 01:10:09,040 --> 01:10:11,400 ATTENDEES OF THE LIVE SESSION 1604 01:10:11,400 --> 01:10:12,880 AND THEN THIS PAST SUMMER, WE 1605 01:10:12,880 --> 01:10:16,120 HAD A MORE EXTENSIVE TWO-PART 1606 01:10:16,120 --> 01:10:17,400 WEBINAR SERIES JUST FOCUSING ON 1607 01:10:17,400 --> 01:10:19,120 THIS POLICY AND COVERING THE 1608 01:10:19,120 --> 01:10:20,840 NUMBER OF TOPICS AND QUESTIONS 1609 01:10:20,840 --> 01:10:24,920 THAT WE SEE DURING THOSE 1610 01:10:24,920 --> 01:10:26,200 SESSIONS. 1611 01:10:26,200 --> 01:10:27,680 HAD SO THIS OUTREACH HAS ALLOWED 1612 01:10:27,680 --> 01:10:29,760 US TO HEAR FIRSTHAND WHERE THE 1613 01:10:29,760 --> 01:10:30,960 COMMUNITY SEES THE NEED FOR 1614 01:10:30,960 --> 01:10:32,120 ADDITIONAL RESOURCES. 1615 01:10:32,120 --> 01:10:33,920 AND WE REALLY ARE IN LEARNING 1616 01:10:33,920 --> 01:10:37,240 MODE WHILE THIS POLICY IS SO NEW 1617 01:10:37,240 --> 01:10:38,760 AND WE'RE MAKING SURE TO BE 1618 01:10:38,760 --> 01:10:39,600 RESPONSIVE TO THE COMMUNITY WITH 1619 01:10:39,600 --> 01:10:41,200 WHAT THEY SEE AS ADDITIONAL 1620 01:10:41,200 --> 01:10:43,200 NEEDS TO BE PREPARED FOR THIS 1621 01:10:43,200 --> 01:10:43,640 POLICY. 1622 01:10:43,640 --> 01:10:46,040 AS SAN EXAMPLE OF THAT IN 1623 01:10:46,040 --> 01:10:46,720 RESPONSE TO FREQUENT QUESTIONS 1624 01:10:46,720 --> 01:10:52,800 ABOUT WHAT FORMAT SHOULD BE USED 1625 01:10:52,800 --> 01:10:55,520 NIH CREATED AN OPENINGAL FORMAT 1626 01:10:55,520 --> 01:10:56,960 PAGE TO GIVE PEOPLE SOMEWHERE TO 1627 01:10:56,960 --> 01:10:59,160 START AND IN TERMS OF THE FORMAT 1628 01:10:59,160 --> 01:11:01,520 PAGE IT ALLOWS WITH THE ELEMENTS 1629 01:11:01,520 --> 01:11:03,600 OF A DMS PLANS THAT WAS 1630 01:11:03,600 --> 01:11:08,560 PUBLISHED ALONGSIDE THE POLICY 1631 01:11:08,560 --> 01:11:10,080 ITSELF, IT SPLITS IT UP TO HELP 1632 01:11:10,080 --> 01:11:11,040 WITH DIFFERENT PIECES OF 1633 01:11:11,040 --> 01:11:14,720 INFORMATION THAT MIGHT BE 1634 01:11:14,720 --> 01:11:25,280 RELEVANT TO OF COVERING THE MANY 1635 01:11:26,640 --> 01:11:27,600 DIFFERENT AREAS OF SCIENCE AND 1636 01:11:27,600 --> 01:11:29,680 NIH SUPPORTS AND WE WANT TO 1637 01:11:29,680 --> 01:11:30,960 LEARN WHAT WORKS BEST FOR 1638 01:11:30,960 --> 01:11:36,680 DIFFERENT SCIENCE AND PROJECTS 1639 01:11:36,680 --> 01:11:37,840 AND AND WE ARE LEARNING FROM THE 1640 01:11:37,840 --> 01:11:40,040 COMMUNITY IS BY ENGAGING IN A 1641 01:11:40,040 --> 01:11:42,800 PILOT PROJECT WITH THE FED CAL 1642 01:11:42,800 --> 01:11:43,400 DEMONSTRATION PARTNERSHIP TO 1643 01:11:43,400 --> 01:11:45,280 TEST OUT DIFFERENT APPROACHES 1644 01:11:45,280 --> 01:11:48,760 NEXT SLIDE, PLEASE. 1645 01:11:48,760 --> 01:11:50,160 SO THROUGH A COLLABORATION 1646 01:11:50,160 --> 01:11:53,120 BETWEEN THE FDP AND NIH THIS 1647 01:11:53,120 --> 01:11:56,000 PILOT PROJECT IS TESTING THE 1648 01:11:56,000 --> 01:11:57,280 EFFECTIVENESS AND USABILITY OF 1649 01:11:57,280 --> 01:12:01,680 TWO TEMPLATES FOR DMS PLANS AND 1650 01:12:01,680 --> 01:12:03,160 ONE PART IS GETTING FEEDBACK 1651 01:12:03,160 --> 01:12:05,880 FROM THE RESEARCHER AND FACULTY 1652 01:12:05,880 --> 01:12:06,920 PERSPECTIVE FROM THOSE 1653 01:12:06,920 --> 01:12:07,880 DEVELOPING THESE PLANS AND ALSO 1654 01:12:07,880 --> 01:12:10,040 GETTING FEEDBACK FROM THE NIH 1655 01:12:10,040 --> 01:12:11,600 PROGRAM PROSPECTIVE AS THEY'RE 1656 01:12:11,600 --> 01:12:14,200 THE RUNS TO ASSESS THESE PLANS 1657 01:12:14,200 --> 01:12:16,800 AND THIS PROJECT IS JUST KICKED 1658 01:12:16,800 --> 01:12:18,560 OFF RECENTLY AND WE'RE REALLY 1659 01:12:18,560 --> 01:12:22,280 LOOKING FORWARD TO GETTING MORE 1660 01:12:22,280 --> 01:12:23,920 INFORMATION AND IS TAKING THIS 1661 01:12:23,920 --> 01:12:25,480 INTO ACCOUNT AS WE LOOK AT WHAT 1662 01:12:25,480 --> 01:12:26,440 RESOURCES AND CHANGES MIGHT BE 1663 01:12:26,440 --> 01:12:27,600 NEEDED IN THE FUTURE. 1664 01:12:27,600 --> 01:12:29,760 THERE'S A SECOND FACE OF THE FDP 1665 01:12:29,760 --> 01:12:31,320 PILOT THAT WILL FOCUS ON COST 1666 01:12:31,320 --> 01:12:32,680 AND THIS KEEPS IN MINDS 1667 01:12:32,680 --> 01:12:33,360 QUESTIONS WE'VE BEEN HEARING 1668 01:12:33,360 --> 01:12:34,680 FROM THE COMMUNITY AND AS THEY 1669 01:12:34,680 --> 01:12:36,320 CONSIDER WHAT TYPES OF COSTS ARE 1670 01:12:36,320 --> 01:12:38,560 REQUIRED TO MANAGE AND SHARE 1671 01:12:38,560 --> 01:12:40,360 THEIR DATA AND ACCORDANCE WITH 1672 01:12:40,360 --> 01:12:41,800 THE PLANS OF THEIR DEVELOPING. 1673 01:12:41,800 --> 01:12:45,280 NEXT SLIDE, PLEASE. 1674 01:12:45,280 --> 01:12:47,000 ANOTHER EXAMPLE OF LISTEN TO GO 1675 01:12:47,000 --> 01:12:49,120 THE COMMUNITY TO HELP TARGET OUR 1676 01:12:49,120 --> 01:12:53,160 IMPLEMENTATION EFFORTS IS SAMPLE 1677 01:12:53,160 --> 01:12:56,160 PLANS. 1678 01:12:56,160 --> 01:12:57,680 AND THEY HAVE BEEN COMPLETED FOR 1679 01:12:57,680 --> 01:12:58,960 EDUCATIONAL PURPOSES HOW SUCH A 1680 01:12:58,960 --> 01:13:00,480 PLAN COULD BE COMPLETED IN 1681 01:13:00,480 --> 01:13:01,600 DIFFERENT CONTEXT AND OF COURSE 1682 01:13:01,600 --> 01:13:04,200 IT'S NOT A ONE-SIZE-FITS-ALL, 1683 01:13:04,200 --> 01:13:06,240 TYPE OF FORMAT IT REALLY WILL 1684 01:13:06,240 --> 01:13:08,120 VARY DEPENDING ON WHAT TYPE OF 1685 01:13:08,120 --> 01:13:09,240 SCIENCE YOU ARE CONDUCTING AND 1686 01:13:09,240 --> 01:13:11,320 WHAT TYPE OF DATA YOU ARE 1687 01:13:11,320 --> 01:13:13,440 GENERATING AND WE HAVE NOW 1688 01:13:13,440 --> 01:13:15,880 NUMBER OF PLANS THAT ARE HELPFUL 1689 01:13:15,880 --> 01:13:16,920 RESOURCE TO TAKE A LOOK AT AND 1690 01:13:16,920 --> 01:13:19,080 SEE HOW THIS MIGHT BE DONE AND 1691 01:13:19,080 --> 01:13:21,840 SO WE'RE VERY GRATEFUL TO OUR 1692 01:13:21,840 --> 01:13:23,240 COLLEAGUES WHO HAVE LED THE WAY 1693 01:13:23,240 --> 01:13:24,880 HERE AND THEY DEVELOPED THE 1694 01:13:24,880 --> 01:13:26,800 FIRST BATCH OF NIH SAMPLE PLAN 1695 01:13:26,800 --> 01:13:28,640 SPECIFIC TO THE AREAS OF SCIENCE 1696 01:13:28,640 --> 01:13:30,920 AND TYPES OF DATA COMMONLY 1697 01:13:30,920 --> 01:13:33,440 GENERATED THROUGH SUPPORT AND 1698 01:13:33,440 --> 01:13:34,800 SINCE THEN WE'VE ADDED SAMPLE 1699 01:13:34,800 --> 01:13:36,880 PLANS FROM OTHER NIH INSTITUTES 1700 01:13:36,880 --> 01:13:39,720 AND CENTERS SO WE ARE HAVING A 1701 01:13:39,720 --> 01:13:40,880 RANGE OF DIFFERENT EXAMPLES TO 1702 01:13:40,880 --> 01:13:42,360 HELP RESEARCHERS THINK ABOUT 1703 01:13:42,360 --> 01:13:47,400 WHAT MIGHT MAKE SENSE FOR THEIR 1704 01:13:47,400 --> 01:13:48,040 PROJECTS. 1705 01:13:48,040 --> 01:13:50,160 ANOTHER AREA WHERE OUR NIH 1706 01:13:50,160 --> 01:13:51,200 COLLEAGUES AND INSTITUTES AND 1707 01:13:51,200 --> 01:13:52,800 CENTERS HAVE BEEN PROVIDING 1708 01:13:52,800 --> 01:13:54,240 ADDITIONAL RESOURCES RELATES TO 1709 01:13:54,240 --> 01:13:55,400 WHERE TO SHARE DATA. 1710 01:13:55,400 --> 01:13:56,480 AGAIN THIS IS AN AREA THAT'S 1711 01:13:56,480 --> 01:13:59,480 GOING TO VARY DEPENDING ON YOUR 1712 01:13:59,480 --> 01:14:01,200 RESEARCH AND DATA THAT YOU 1713 01:14:01,200 --> 01:14:02,680 GENERATING X SO THE DATA 1714 01:14:02,680 --> 01:14:03,440 MANAGEMENT AND SHARING POLICY 1715 01:14:03,440 --> 01:14:05,840 DOES NOT PRESCRIBE THE USE OF 1716 01:14:05,840 --> 01:14:07,920 ANY TECH REPOSITORY OR EVEN 1717 01:14:07,920 --> 01:14:09,280 REPOSITORIES BUT IT DOES 1718 01:14:09,280 --> 01:14:11,480 STRONGLY ENCOURAGE THE USE OF A 1719 01:14:11,480 --> 01:14:12,560 ESTABLISHED REPOSITORY BECAUSE 1720 01:14:12,560 --> 01:14:14,120 IT IMPROVES THE FAIRNESS OF THE 1721 01:14:14,120 --> 01:14:16,720 DATA SO THE FINDABILITY, 1722 01:14:16,720 --> 01:14:18,840 ACCESSIBILITY, AND 1723 01:14:18,840 --> 01:14:20,160 INTEROPERABILITY AND 1724 01:14:20,160 --> 01:14:20,800 REUSABILITY. 1725 01:14:20,800 --> 01:14:22,360 RATHER THAN POINTING TO TECH 1726 01:14:22,360 --> 01:14:24,720 REPOSITORIES, NIH HAS PROVIDED 1727 01:14:24,720 --> 01:14:25,840 CHARACTERISTICS TO LOOK FOR TO 1728 01:14:25,840 --> 01:14:28,600 HELP IDENTIFY SUITABLE 1729 01:14:28,600 --> 01:14:30,120 REPOSITORY AND THERE ARE EFFORTS 1730 01:14:30,120 --> 01:14:31,520 UNDERWAY WHICH I WON'T GET INTO 1731 01:14:31,520 --> 01:14:33,240 THE DETAILS OF TODAY, BUT FOCUS 1732 01:14:33,240 --> 01:14:36,720 ON HELPING THE STRENGTH AND THE 1733 01:14:36,720 --> 01:14:38,360 REPOSITORY LANDSCAPE TO ENSURE 1734 01:14:38,360 --> 01:14:43,480 THEY ARE SUITABLE REPOSITORIES. 1735 01:14:43,480 --> 01:14:45,120 THIS IS AN AREA WITH FLEXIBILITY 1736 01:14:45,120 --> 01:14:46,720 AND THEY MAY THROUGH INFORMATION 1737 01:14:46,720 --> 01:14:50,800 AND SPECIFIC FUNDING 1738 01:14:50,800 --> 01:15:01,240 OPPORTUNITIES DESIGNATE TO 1739 01:15:22,120 --> 01:15:23,560 PROVIDE ADDITIONAL AND SPECIFIC 1740 01:15:23,560 --> 01:15:25,120 EXPECTATIONS RELATED TO DATA 1741 01:15:25,120 --> 01:15:27,440 SHARING AND NIMH IS A LEADER IN 1742 01:15:27,440 --> 01:15:29,160 THE SPACE AS WELL OFFERING DATA 1743 01:15:29,160 --> 01:15:30,200 SHARING INFORMATION OR THE NIH 1744 01:15:30,200 --> 01:15:32,400 NOT FUNDED COMMUNITY. 1745 01:15:32,400 --> 01:15:34,280 SOME EXAMPLES ARE USE OF 1746 01:15:34,280 --> 01:15:36,800 DESIGNATED REPOSITORIES SUCH AS 1747 01:15:36,800 --> 01:15:39,440 THE ARCHIVE AND USE OF COMMON 1748 01:15:39,440 --> 01:15:41,920 DATA ELEMENTS AND SPECIFIC DATA 1749 01:15:41,920 --> 01:15:43,560 SUBMISSION SCHEDULES. 1750 01:15:43,560 --> 01:15:45,040 AND THEY HAVE BEEN PROVIDING 1751 01:15:45,040 --> 01:15:46,880 RESOURCES INCLUDING SAMPLEDEL 1752 01:15:46,880 --> 01:15:49,160 EMS PLAN AS WELL AS A COST NOT 1753 01:15:49,160 --> 01:15:51,880 TOOL FOR THE DATA ARCHIVE AND 1754 01:15:51,880 --> 01:15:54,400 WE'VE BEEN VERY GRATEFUL FOR THE 1755 01:15:54,400 --> 01:15:55,840 LEADERSHIP AND SUBJECT MATTER 1756 01:15:55,840 --> 01:15:58,160 EXPERTISE AND DATA SHARING THEY 1757 01:15:58,160 --> 01:15:59,600 HAVE BEEN PRESENT IN NIH WIDE 1758 01:15:59,600 --> 01:16:01,560 GROUPS FOCUSED ON THE DATA 1759 01:16:01,560 --> 01:16:03,400 MANAGEMENT AND SHARING POLICY 1760 01:16:03,400 --> 01:16:04,800 IMPLEMENTATION AND RELATED 1761 01:16:04,800 --> 01:16:05,160 ACTIVITIES. 1762 01:16:05,160 --> 01:16:12,200 NEXT SLIDE, PLEASE. 1763 01:16:12,200 --> 01:16:13,360 THERE'S A SCREEN SHOT OF THE 1764 01:16:13,360 --> 01:16:16,320 DATA SHARING WEBSITE. 1765 01:16:16,320 --> 01:16:18,480 SO IN TERMS OF RESOURCES, I'M 1766 01:16:18,480 --> 01:16:20,000 GOING BACK TO CENTRAL NIH 1767 01:16:20,000 --> 01:16:21,400 INFORMATION AND WE WANTED TO 1768 01:16:21,400 --> 01:16:22,920 POINT OUT WHERE YOU CAN FIND 1769 01:16:22,920 --> 01:16:26,120 ADDITIONAL INFORMATION ON 1770 01:16:26,120 --> 01:16:26,600 SHARING. 1771 01:16:26,600 --> 01:16:28,720 BEV A SCIENTIFIC DATA SHARING 1772 01:16:28,720 --> 01:16:29,600 SITE. 1773 01:16:29,600 --> 01:16:31,800 AND THIS COVERS MULTIPLE SHARING 1774 01:16:31,800 --> 01:16:32,640 POLICIES INCLUDING THE DATA 1775 01:16:32,640 --> 01:16:38,120 MANAGEMENT SHARING POLICY AND 1776 01:16:38,120 --> 01:16:40,040 LINKS OUT TO MORE INFORMATION ON 1777 01:16:40,040 --> 01:16:41,760 NIH INSTITUTE AND CENTERS 1778 01:16:41,760 --> 01:16:44,720 SPECIFIC EXPECTATIONS AND THIS 1779 01:16:44,720 --> 01:16:46,360 IS UPDATED AS ADDITIONAL 1780 01:16:46,360 --> 01:16:48,640 RESOURCES BECOME AVAILABLE SO IT 1781 01:16:48,640 --> 01:16:52,600 WILL ALWAYS SERVE AS A CENTRAL 1782 01:16:52,600 --> 01:16:53,400 ACCESS POINT. 1783 01:16:53,400 --> 01:16:55,360 AND IN TERMS OF PROVIDING 1784 01:16:55,360 --> 01:16:56,560 RESOURCES ON PLANNING AND 1785 01:16:56,560 --> 01:16:58,400 BUDGETING WHEN IT IT COMES TO 1786 01:16:58,400 --> 01:16:59,720 THE DATA MANAGEMENT AND SHARING 1787 01:16:59,720 --> 01:17:02,320 POLICY THE WEBSITE COVERS 1788 01:17:02,320 --> 01:17:04,600 INFORMATION TO INCLUDE WRITING A 1789 01:17:04,600 --> 01:17:05,240 PLAN AS WELL AS INFORMATION 1790 01:17:05,240 --> 01:17:07,360 ABOUT WHAT TYPES OF COSTS MAY BE 1791 01:17:07,360 --> 01:17:09,160 REQUESTED WHEN BUDGETING FOR THE 1792 01:17:09,160 --> 01:17:10,640 ACTIVITIES DESCRIBED IN YOUR 1793 01:17:10,640 --> 01:17:11,000 PLAN. 1794 01:17:11,000 --> 01:17:14,360 NEXT SLIDE, PLEASE. 1795 01:17:14,360 --> 01:17:15,880 SO DURING OUR OUTREACH 1796 01:17:15,880 --> 01:17:16,960 PRESENTATIONS, WE LIKE TO SEND 1797 01:17:16,960 --> 01:17:18,960 PEOPLE OFF WITH SOME CONCRETE 1798 01:17:18,960 --> 01:17:19,840 STEPS THEY CAN TAKE FOR 1799 01:17:19,840 --> 01:17:22,040 PREPARING FOR THE DMS POLICY AND 1800 01:17:22,040 --> 01:17:23,640 PERHAPS YOU OR YOUR COLLEAGUES 1801 01:17:23,640 --> 01:17:25,640 HAVE DONE SOME OF THESE. 1802 01:17:25,640 --> 01:17:26,920 SO, ONE THING IN ADDITION TO THE 1803 01:17:26,920 --> 01:17:28,880 NIH PROVIDED RESEARCHES WHICH 1804 01:17:28,880 --> 01:17:30,160 WE'RE COVERING TODAY, A NUMBER 1805 01:17:30,160 --> 01:17:31,920 OF INSTITUTIONS MIGHT HAVE 1806 01:17:31,920 --> 01:17:33,640 EXISTING RESOURCES AND COULD BE 1807 01:17:33,640 --> 01:17:35,680 VERY HELPFUL WHEN YOU ARE 1808 01:17:35,680 --> 01:17:37,160 CONSIDERING THE BEST WAY TO 1809 01:17:37,160 --> 01:17:38,560 MANAGE AND SHARE YOUR DATA AND 1810 01:17:38,560 --> 01:17:40,760 PARTICULAR DATA LIBRARIANS ARE 1811 01:17:40,760 --> 01:17:42,200 AN EXCELLENT RESEARCH THAT THEY 1812 01:17:42,200 --> 01:17:45,600 ARE AVAILABLE TO YOU. 1813 01:17:45,600 --> 01:17:48,360 AND HE ENCOURAGE TO LOOK AT THE 1814 01:17:48,360 --> 01:17:50,400 RELEVANT SAMPLE PLANS NOT SO THE 1815 01:17:50,400 --> 01:17:52,360 PLANS ARE AN EXCELLENT RESEARCH 1816 01:17:52,360 --> 01:17:54,640 THAT YOU HAVE AVAILABLE TO SEE 1817 01:17:54,640 --> 01:17:58,880 HOW THESE PLANS MIGHT BE 1818 01:17:58,880 --> 01:17:59,680 DESCRIBED. 1819 01:17:59,680 --> 01:18:01,240 TO DRY DRAFTING THE PLAN 1820 01:18:01,240 --> 01:18:02,640 YOURSELF EVEN IF YOU DON'T NEED 1821 01:18:02,640 --> 01:18:03,280 ONE YET. 1822 01:18:03,280 --> 01:18:05,800 JUST A GOOD IDEA TO KIND OF GET 1823 01:18:05,800 --> 01:18:07,760 SOME PRACTICE TO SEE WHETHER YOU 1824 01:18:07,760 --> 01:18:10,240 ARE PRACTICES, YOUR DATA SHARING 1825 01:18:10,240 --> 01:18:11,080 PRACTICES MIGHT NEED TO CHANGE 1826 01:18:11,080 --> 01:18:14,440 AT ALL. 1827 01:18:14,440 --> 01:18:16,280 YOU'VE BEEN SUBJECT TO OTHER 1828 01:18:16,280 --> 01:18:17,680 POLICIES AND GUIDELINES COMING 1829 01:18:17,680 --> 01:18:20,080 FROM FUNDERS AND TAKE A LOOK AT 1830 01:18:20,080 --> 01:18:21,480 WHAT YOU'VE BEEN DOING AND SEE 1831 01:18:21,480 --> 01:18:22,840 WHETHER ANY CHANGES ARE NEEDED 1832 01:18:22,840 --> 01:18:24,840 WITH THIS NEW NIH POLICY. 1833 01:18:24,840 --> 01:18:30,360 AND THEN FINALLY, WHEN YOU ARE 1834 01:18:30,360 --> 01:18:31,240 APPLYING WE ENCOURAGE YOU TO 1835 01:18:31,240 --> 01:18:32,720 READ THAT CAREFULLY BECAUSE 1836 01:18:32,720 --> 01:18:33,880 THERE MIGHT BE ADDITIONAL 1837 01:18:33,880 --> 01:18:34,840 PROGRAMS SPECIFIC NOT DATA 1838 01:18:34,840 --> 01:18:36,000 SHARING REQUIREMENTS FOR 1839 01:18:36,000 --> 01:18:37,080 INSTRUCTIONS THAT YOU NEED TO 1840 01:18:37,080 --> 01:18:44,600 TAKE INTO ACCOUNT. 1841 01:18:44,600 --> 01:18:45,800 NEXT STEMS FOR US WE ARE 1842 01:18:45,800 --> 01:18:47,920 PLANNING ON EVALUATION OF THE 1843 01:18:47,920 --> 01:18:49,280 DMS POLICY AND AGAIN WE ARE 1844 01:18:49,280 --> 01:18:50,240 REALLY IN LEARNING MODE HERE AND 1845 01:18:50,240 --> 01:18:51,200 IT'S A PRIORITY FOR US TO 1846 01:18:51,200 --> 01:18:54,160 UNDERSTAND NOT ONLY THE IMPACT 1847 01:18:54,160 --> 01:18:55,200 OF POLICY AND ALSO 1848 01:18:55,200 --> 01:18:59,000 IMPLEMENTATIONS WHAT IS WORKING 1849 01:18:59,000 --> 01:19:00,360 ADDITIONAL INFORMATION MIGHT BE 1850 01:19:00,360 --> 01:19:01,240 NEEDED. 1851 01:19:01,240 --> 01:19:03,040 AND SO NIH LEADERSHIP HAS 1852 01:19:03,040 --> 01:19:04,800 DESCRIBED PREVIOUSLY IN VARIOUS 1853 01:19:04,800 --> 01:19:09,480 BLOGS AND PUBLICATIONS, IS THIS 1854 01:19:09,480 --> 01:19:11,440 AIMS TO BRING ABOUT A CULTURAL 1855 01:19:11,440 --> 01:19:13,040 NIST RESEARCH SO INTEGRATING 1856 01:19:13,040 --> 01:19:14,560 DATA SHARING AS A FUNDAMENTAL 1857 01:19:14,560 --> 01:19:16,160 PART OF THE CONFLICT OF SCIENCE 1858 01:19:16,160 --> 01:19:18,360 AT NIH WE HAVE ONE LARGE TO PLAY 1859 01:19:18,360 --> 01:19:20,760 HERE BUT BEYOND OUR NIH SPECIFIC 1860 01:19:20,760 --> 01:19:22,160 IMPLEMENTATION ACTIVITIES, THIS 1861 01:19:22,160 --> 01:19:23,360 REALLY IS GOING TO BE A 1862 01:19:23,360 --> 01:19:25,560 COLLABORATION ACROSS THE ENTIRE 1863 01:19:25,560 --> 01:19:27,040 RESEARCH ECOSYSTEM SO WE HAVE 1864 01:19:27,040 --> 01:19:28,760 BEEN PARTICIPATING IN 1865 01:19:28,760 --> 01:19:29,680 CONVERSATIONS OTHER RELEVANT 1866 01:19:29,680 --> 01:19:31,440 PARTIES AND PUBLISHERS AND 1867 01:19:31,440 --> 01:19:34,960 RESEARCHERS AND INSTITUTIONAL 1868 01:19:34,960 --> 01:19:36,040 OFFICIALS AND PROFESSIONAL 1869 01:19:36,040 --> 01:19:38,680 ORGANIZATIONS ON THE TOP OF 1870 01:19:38,680 --> 01:19:39,280 INCENTIVIZING DATA SHARING 1871 01:19:39,280 --> 01:19:41,640 ACROSS THIS BIOMEDICAL 1872 01:19:41,640 --> 01:19:41,960 ECOSYSTEM. 1873 01:19:41,960 --> 01:19:45,560 NEXT SLIDE, PLEASE. 1874 01:19:45,560 --> 01:19:47,320 FOR THE LAST SLIDE WE WANT TO 1875 01:19:47,320 --> 01:19:48,520 LEAVE YOU WITH WHERE YOU CAN GO 1876 01:19:48,520 --> 01:19:49,320 FOR MORE INFORMATION. 1877 01:19:49,320 --> 01:19:50,600 THE SHARING WEBSITE IS THE HOME 1878 01:19:50,600 --> 01:19:52,280 TO ALL OF OUR RESOURCES ON THE 1879 01:19:52,280 --> 01:19:53,560 DATA MANAGEMENT AND SHARING 1880 01:19:53,560 --> 01:19:56,280 POLICY AND WE HAVE A DEDICATED 1881 01:19:56,280 --> 01:19:57,160 E-MAIL BOX FOR ANY QUESTIONS 1882 01:19:57,160 --> 01:19:59,320 FROM THE COMMUNITY SHARING AT 1883 01:19:59,320 --> 01:20:02,720 NIH.GOV AS WELL AS A SEPARATE 1884 01:20:02,720 --> 01:20:04,760 E-MAIL BOX NOR BUDGET OR COSTING 1885 01:20:04,760 --> 01:20:07,840 QUESTIONS SPECIFICALLY. 1886 01:20:07,840 --> 01:20:09,120 WE HAVE TIME FROM QUESTIONS FOR 1887 01:20:09,120 --> 01:20:11,280 YOU SO THAT'S THE END OF OUR 1888 01:20:11,280 --> 01:20:12,280 PRESENTATION AND WE'RE HAPPY TO 1889 01:20:12,280 --> 01:20:15,880 TAKE QUESTIONS OR COMMENTS. 1890 01:20:15,880 --> 01:20:23,160 >>THANK YOU SO MUCH. 1891 01:20:23,160 --> 01:20:23,600 OKAY, MARGARITE A. 1892 01:20:23,600 --> 01:20:25,760 >>THANK YOU SO MUCH FOR THIS 1893 01:20:25,760 --> 01:20:26,240 PRESENTATION. 1894 01:20:26,240 --> 01:20:28,240 THAT WAS A LOT OF REALLY GREAT 1895 01:20:28,240 --> 01:20:28,800 INFORMATION. 1896 01:20:28,800 --> 01:20:33,080 ONE QUESTION THAT I HAVE, ONE 1897 01:20:33,080 --> 01:20:37,360 THING I -- THOSE DOING 1898 01:20:37,360 --> 01:20:38,800 QUALITATIVE RESEARCHES, HOW DO 1899 01:20:38,800 --> 01:20:41,200 THEY MAKE THAT JUSTIFICATION FOR 1900 01:20:41,200 --> 01:20:42,600 LIMITING SHARING AS A DATA AND I 1901 01:20:42,600 --> 01:20:44,000 WONDER IF YOU COULD SHARE WHO 1902 01:20:44,000 --> 01:20:47,920 AND HOW ARE THOSE DECISIONS 1903 01:20:47,920 --> 01:20:50,960 MADE? 1904 01:20:50,960 --> 01:20:53,000 OF I MEAN, MAYBE I'LL JUST START 1905 01:20:53,000 --> 01:20:54,400 SO YOU HAVE A SPECIFIC QUESTION 1906 01:20:54,400 --> 01:21:04,920 ABOUT A CERTAIN TIME OF IS AND 1907 01:21:08,400 --> 01:21:10,240 IT ALLOWS THE RESEARCHERS AND 1908 01:21:10,240 --> 01:21:12,440 THOSE ARE PROPOSING THE 1909 01:21:12,440 --> 01:21:14,040 APPROACHES THAT MAKE SENSE FOR 1910 01:21:14,040 --> 01:21:16,040 THEIR DATA IT'S BALANCED WITH A 1911 01:21:16,040 --> 01:21:18,880 NUMBER OF FAQs AND ADDITIONAL 1912 01:21:18,880 --> 01:21:22,080 RESOURCES FOR TO HELP YOU MAKE 1913 01:21:22,080 --> 01:21:22,480 THOSE DECISIONS. 1914 01:21:22,480 --> 01:21:23,480 I DON'T KNOW IF YOU WANT TO 1915 01:21:23,480 --> 01:21:25,240 POINT OUT ANY SPECIFIC RESOURCES 1916 01:21:25,240 --> 01:21:26,840 ON THAT QUESTION. 1917 01:21:26,840 --> 01:21:29,680 IT MIGHT BE USEFUL. 1918 01:21:29,680 --> 01:21:31,680 >>SPECIFIC, JUST TO CLARIFY IT 1919 01:21:31,680 --> 01:21:34,000 WAS INTERESTED IN WHO IS THE 1920 01:21:34,000 --> 01:21:35,400 PERSON WHO A PROVES? 1921 01:21:35,400 --> 01:21:37,840 WE CAN COME UP WITH A PLAN BUT 1922 01:21:37,840 --> 01:21:39,200 APPROVERS, HOW ARE THEY MAKING 1923 01:21:39,200 --> 01:21:40,600 THOSE DECISION AND WE WANT TO 1924 01:21:40,600 --> 01:21:43,160 COME UP WITH A PLAN THAT 1925 01:21:43,160 --> 01:21:44,080 ADDRESSING THE CONCERNS THAT THE 1926 01:21:44,080 --> 01:21:48,440 PEOPLE ARE APPROVING. 1927 01:21:48,440 --> 01:21:51,680 OF THE PROGRAM OFFICER NAMED ON 1928 01:21:51,680 --> 01:21:54,040 THE NO FOE WILL MAKE THAT 1929 01:21:54,040 --> 01:21:55,400 DECISION AND THERE'S CERTAINLY 1930 01:21:55,400 --> 01:21:56,560 OPPORTUNITIES FOR A VISION BOTH 1931 01:21:56,560 --> 01:22:03,280 DURING THE JUST IN TIME PROCESS 1932 01:22:03,280 --> 01:22:07,360 AND THE RESEARCH CHANGE DATA 1933 01:22:07,360 --> 01:22:08,360 MANAGEMENT AND SHARING PLANS CAN 1934 01:22:08,360 --> 01:22:10,360 CHANGE TOO AND I DID WANT TO 1935 01:22:10,360 --> 01:22:12,200 ACKNOWLEDGE WE HAVE RECEIVED THE 1936 01:22:12,200 --> 01:22:14,960 QUESTION OF QUALITATIVE DATA AND 1937 01:22:14,960 --> 01:22:16,680 IT'S CHALLENGING TO THINK ABOUT 1938 01:22:16,680 --> 01:22:18,240 HOW TO PROTECT PRIVACY AND 1939 01:22:18,240 --> 01:22:19,040 SHARING THAT DATA AND MAKING 1940 01:22:19,040 --> 01:22:21,120 THAT ACCESSIBLE SO WE REALIZE 1941 01:22:21,120 --> 01:22:21,960 IT'S A DIFFICULT BALANCE AND 1942 01:22:21,960 --> 01:22:23,240 THERE ARE DIFFERENT CHALLENGES 1943 01:22:23,240 --> 01:22:27,520 ACROSS DIFFERENT KINDS OF 1944 01:22:27,520 --> 01:22:28,480 SCIENTIFIC DATA. 1945 01:22:28,480 --> 01:22:29,400 >>HELLO. 1946 01:22:29,400 --> 01:22:31,280 >>HI, I HAVE A SIMILAR QUESTION 1947 01:22:31,280 --> 01:22:32,720 ABOUT A DIFFERENT TYPE OF DATA. 1948 01:22:32,720 --> 01:22:34,720 FIRST OF ALL, THANK YOU FOR THE 1949 01:22:34,720 --> 01:22:35,280 INFORMATIVE PRESENTATION. 1950 01:22:35,280 --> 01:22:36,960 I THINK THE SAMPLE PLANS AND THE 1951 01:22:36,960 --> 01:22:41,640 NIH APPROVED REPOSITORIES ARE 1952 01:22:41,640 --> 01:22:42,240 GREAT. 1953 01:22:42,240 --> 01:22:42,880 RESOURCE. 1954 01:22:42,880 --> 01:22:44,760 I DIDN'T SEE HOW DO I MANAGE THE 1955 01:22:44,760 --> 01:22:46,640 DATA THAT WE'RE COLLECTING FROM 1956 01:22:46,640 --> 01:22:48,040 SMARTPHONES AND WEARABLE DEVICES 1957 01:22:48,040 --> 01:22:49,560 AND THAT CAN BE SHARED AT 1958 01:22:49,560 --> 01:22:50,960 DIFFERENT LEVELS OF GRANULARITY 1959 01:22:50,960 --> 01:22:52,760 AND I'M WONDERING IF THERE ARE 1960 01:22:52,760 --> 01:22:56,440 ANY STANDARDS OR EXPECTATIONS 1961 01:22:56,440 --> 01:23:00,280 FOR WHAT LEVEL OF DETAILED 1962 01:23:00,280 --> 01:23:10,720 GRANULARITY ONE OF THE AREAS 1963 01:23:19,840 --> 01:23:20,960 WE'RE HOPING TO LEARN ABOUT WHEN 1964 01:23:20,960 --> 01:23:22,200 WE'RE TOGETHER WITH THE 1965 01:23:22,200 --> 01:23:26,280 COMMUNITY IS BOTH FROM THIS DATA 1966 01:23:26,280 --> 01:23:36,520 WHICH CAN BE. 1967 01:23:49,560 --> 01:23:50,760 >>THANK YOU FOR THE 1968 01:23:50,760 --> 01:23:51,480 PRESENTATION, I'M STRUCK BY THE 1969 01:23:51,480 --> 01:23:52,840 FACT THAT ONE HAS TO BE THINKING 1970 01:23:52,840 --> 01:23:57,160 ABOUT THESE ISSUES WHEN YOU ARE 1971 01:23:57,160 --> 01:24:07,680 DEVELOPING YOUR SO IN TERMS OF 1972 01:24:39,440 --> 01:24:40,640 THE RESOURCES WE HAVE TO HELP 1973 01:24:40,640 --> 01:24:42,440 INVESTIGATORS THINKING ABOUT 1974 01:24:42,440 --> 01:24:43,960 THESE, NIH RECENTLY SHARED A 1975 01:24:43,960 --> 01:24:49,440 POINTS TO CONSIDER DOCUMENT FOR 1976 01:24:49,440 --> 01:25:00,000 DEVELOPING INFORMS CONSENT A LOT 1977 01:25:20,920 --> 01:25:22,760 OF DIFFERENT FACTORS IS THAT GO 1978 01:25:22,760 --> 01:25:24,320 INTO INFORMED CONSENT DOCUMENTS. 1979 01:25:24,320 --> 01:25:26,800 WE ALSO HAVE A NUMBER OF 1980 01:25:26,800 --> 01:25:28,160 SUPPLEMENTAL NOT MATERIALS THAT 1981 01:25:28,160 --> 01:25:29,440 GETS GENERAL BEST PRACTICES OF 1982 01:25:29,440 --> 01:25:30,960 THINKING ABOUT PROTECTING 1983 01:25:30,960 --> 01:25:33,000 PRIVACY ACROSS DIFFERENT KINDS 1984 01:25:33,000 --> 01:25:36,120 OF DATA TYPES AND HUMAN RESOURCE 1985 01:25:36,120 --> 01:25:37,840 AND ANOTHER DOCUMENT THAT 1986 01:25:37,840 --> 01:25:39,840 FOCUSES ON CONSIDERATIONS WHEN 1987 01:25:39,840 --> 01:25:42,840 ENGAGING WITH TRIBAL COMMUNITIES 1988 01:25:42,840 --> 01:25:45,000 AND RESEARCH SO THERE ARE GOOD 1989 01:25:45,000 --> 01:25:46,040 STARTING POINTS AND I THINK THIS 1990 01:25:46,040 --> 01:25:48,960 IS ANOTHER REALLY GOOD EXAMPLE 1991 01:25:48,960 --> 01:25:50,280 OF DIALOGUE OF THE CONVERSATIONS 1992 01:25:50,280 --> 01:25:51,920 AND HOPEFULLY THAT WILL HAPPEN 1993 01:25:51,920 --> 01:25:55,720 IN A COMMUNITY ACROSS DIFFERENT 1994 01:25:55,720 --> 01:25:57,320 SCIENTIFIC AREAS TO HELP SHARE 1995 01:25:57,320 --> 01:26:02,080 LANGUAGE AND APPROACHES. 1996 01:26:02,080 --> 01:26:04,120 >>MATT. 1997 01:26:04,120 --> 01:26:05,360 >>THANK YOU. 1998 01:26:05,360 --> 01:26:07,040 THANK YOU FOR PRESENTING THIS 1999 01:26:07,040 --> 01:26:09,280 AND AS ALWAYS IT'S HELPFUL TO 2000 01:26:09,280 --> 01:26:10,160 SEE THE TEMPLATES. 2001 01:26:10,160 --> 01:26:14,640 I WANTED TO PUT, SECOND ABOUT 2002 01:26:14,640 --> 01:26:15,960 SMARTPHONES AND MONITORING AND 2003 01:26:15,960 --> 01:26:17,440 PUTTING A POINT ON A PIECE OF 2004 01:26:17,440 --> 01:26:18,960 THIS I'VE HEARD FROM RESEARCHERS 2005 01:26:18,960 --> 01:26:22,520 IN THE SI SCIENTIFIC COMMUNITY 2006 01:26:22,520 --> 01:26:24,520 DOING WORK WHERE GPS IS 2007 01:26:24,520 --> 01:26:26,200 COLLECTED AND THERE'S PRIVACY 2008 01:26:26,200 --> 01:26:27,560 CONCERN BECAUSE YOU SEE WHERE 2009 01:26:27,560 --> 01:26:29,600 PEOPLE ARE SLEEPING EVERY NIGHT 2010 01:26:29,600 --> 01:26:33,720 AND THEY HALT PEOPLE ON CHILDREN 2011 01:26:33,720 --> 01:26:35,520 AND PEOPLE AND SUICIDAL BEHAVIOR 2012 01:26:35,520 --> 01:26:36,800 AND VIOLENCE AND MENTAL HEALTH 2013 01:26:36,800 --> 01:26:38,720 AND DISORDERS AND SO ON THERE'S 2014 01:26:38,720 --> 01:26:42,360 CONCERN ABOUT SHARING THE DATA 2015 01:26:42,360 --> 01:26:42,640 IN RAW FORM. 2016 01:26:42,640 --> 01:26:43,800 I THINK DIFFERENT THINGS FROM 2017 01:26:43,800 --> 01:26:46,720 NIH SAYING NO, MUCH SHARE 2018 01:26:46,720 --> 01:26:48,200 EVERYTHING RAW IN RAW FORM AND 2019 01:26:48,200 --> 01:26:49,480 RESEARCHERS SAYING I DON'T WANT 2020 01:26:49,480 --> 01:26:52,040 TO, I'M PROTECTING THE PRIVACY 2021 01:26:52,040 --> 01:26:54,080 OF AND THEY EXPECT WE WON'T 2022 01:26:54,080 --> 01:26:54,800 SHARE RAW DATA. 2023 01:26:54,800 --> 01:26:56,520 IS THIS TO BE A CASE BY CASE 2024 01:26:56,520 --> 01:26:59,040 DATA WITH A PROGRAM OFFICER OR 2025 01:26:59,040 --> 01:27:00,520 GUIDANCE COMING ABOUT IF THE 2026 01:27:00,520 --> 01:27:01,240 DATA IS CERTAIN TYPE. 2027 01:27:01,240 --> 01:27:04,200 FOR INSTANCE, THEY'RE 2028 01:27:04,200 --> 01:27:07,360 DEFINITIVELY IDENTIFIABLE THEN 2029 01:27:07,360 --> 01:27:10,320 THEY'LL BE REQUEST IN SUMMARY 2030 01:27:10,320 --> 01:27:11,000 FORM AND PEOPLE ARE THINKING 2031 01:27:11,000 --> 01:27:12,080 ABOUT IT AND THEY'RE CONCERNED 2032 01:27:12,080 --> 01:27:12,680 ABOUT IT. 2033 01:27:12,680 --> 01:27:15,400 SO ANY GUIDANCE IS VERY MUCH 2034 01:27:15,400 --> 01:27:17,000 APPRECIATIVE. 2035 01:27:17,000 --> 01:27:17,360 THANK YOU. 2036 01:27:17,360 --> 01:27:19,320 >>SO I CAN JUST START OFF IN 2037 01:27:19,320 --> 01:27:20,760 TERMS OF WHETHER THERE'S A 2038 01:27:20,760 --> 01:27:23,240 REQUIREMENT TO SHARE ANY 2039 01:27:23,240 --> 01:27:24,040 GRANULARITY OF DATA. 2040 01:27:24,040 --> 01:27:25,800 THE POLICY DOES NOT DICTATE 2041 01:27:25,800 --> 01:27:26,480 THAT. 2042 01:27:26,480 --> 01:27:29,480 IT REALLY DOES ALLOW THAT TO BE 2043 01:27:29,480 --> 01:27:30,960 DETERMINED IN TERMS OF WHAT DATA 2044 01:27:30,960 --> 01:27:32,280 DO UNDERLYING RESULTS BECAUSE 2045 01:27:32,280 --> 01:27:34,720 IT'S REALLY THE FOCUS OF THIS 2046 01:27:34,720 --> 01:27:35,640 HERE AND FOR A PARTICULAR 2047 01:27:35,640 --> 01:27:38,160 PROJECT IT MIGHT BE THAT PERHAPS 2048 01:27:38,160 --> 01:27:40,920 THE MOST USEFUL OR SOME SUMMARY. 2049 01:27:40,920 --> 01:27:42,040 NOW OF COURSE THERE MIGHT BE 2050 01:27:42,040 --> 01:27:43,120 SPECIFIC FUNDING OPPORTUNITIES 2051 01:27:43,120 --> 01:27:45,720 AND THEY CAN INTRODUCE SPECIFIC 2052 01:27:45,720 --> 01:27:46,800 EXPECTATIONS THERE AND THEY 2053 01:27:46,800 --> 01:27:48,760 MIGHT LAYOUT SOMETHING LIKE THAT 2054 01:27:48,760 --> 01:27:50,800 BUT IN GENERAL, IT'S REALLY MORE 2055 01:27:50,800 --> 01:27:52,840 OF A CASE BY CASE FOR 2056 01:27:52,840 --> 01:27:54,680 DETERMINING WHAT ACTUALLY IS 2057 01:27:54,680 --> 01:27:55,640 MAXIMIZING APPROPRIATE DATA 2058 01:27:55,640 --> 01:27:57,120 SHARING BECAUSE THAT'S THE 2059 01:27:57,120 --> 01:27:58,280 EXPECTATIONS OF THE POLICY 2060 01:27:58,280 --> 01:27:58,880 INTRODUCES. 2061 01:27:58,880 --> 01:28:00,080 IT DOESN'T REQUIRE YOU SHARE ALL 2062 01:28:00,080 --> 01:28:01,680 DATA, IT'S NOT A DIRECT 2063 01:28:01,680 --> 01:28:02,640 REQUIREMENT FOR SHARING IT'S 2064 01:28:02,640 --> 01:28:04,360 REALLY DETERMINING WHAT IS 2065 01:28:04,360 --> 01:28:05,920 APPROPRIATE AND IN SOME CASES IT 2066 01:28:05,920 --> 01:28:07,840 MIGHT MEAN LIMITING SHARING OR 2067 01:28:07,840 --> 01:28:10,480 SHARING IN A PARTICULAR WAY. 2068 01:28:10,480 --> 01:28:12,360 I DON'T KNOW IF YOU HAVE JUST 2069 01:28:12,360 --> 01:28:13,880 THINKING OF THE GENOMIC DATA 2070 01:28:13,880 --> 01:28:15,280 SHARING POLICY, FOR EXAMPLE, 2071 01:28:15,280 --> 01:28:16,680 WHICH IS IN A PLACE FOR A NUMBER 2072 01:28:16,680 --> 01:28:19,200 OF YEARS THAT MIGHT BE SOME 2073 01:28:19,200 --> 01:28:20,680 RELEVANT LESSON LEARNED HERE IN 2074 01:28:20,680 --> 01:28:23,000 TERMS OF WAYS TO SHARE THE DATA 2075 01:28:23,000 --> 01:28:25,280 WHEN THERE ARE PRIVACY 2076 01:28:25,280 --> 01:28:25,800 CONSIDERATIONS. 2077 01:28:25,800 --> 01:28:29,480 >>SO, JUST TO ADD A COUPLE OF 2078 01:28:29,480 --> 01:28:31,960 THINGS TO CINDY'S RESPONSE. 2079 01:28:31,960 --> 01:28:34,080 AND JUST INQUIRING THAT THE 2080 01:28:34,080 --> 01:28:37,760 POLICY EXPECTATIONS AND 2081 01:28:37,760 --> 01:28:40,960 REQUIREMENTS SO THE POLICY 2082 01:28:40,960 --> 01:28:42,240 EXISTS OF OTHER REGULATION 2083 01:28:42,240 --> 01:28:44,200 THAT'S HAVE PROTECTIONS FOR DATA 2084 01:28:44,200 --> 01:28:45,320 FOR RESEARCH DATA AND CLINICAL 2085 01:28:45,320 --> 01:28:45,960 DATA. 2086 01:28:45,960 --> 01:28:48,680 SO, YOU KNOW, THE POLICY DOES 2087 01:28:48,680 --> 01:28:51,960 NOT IN ANYWAY SUPERSEDE HIPPA OR 2088 01:28:51,960 --> 01:28:57,000 THE FDA PROTECTION REGULATIONS 2089 01:28:57,000 --> 01:28:59,040 AND STATE LAWS AS WELL SO I 2090 01:28:59,040 --> 01:29:01,120 THINK THAT THERE'S A LOT OF ROOM 2091 01:29:01,120 --> 01:29:03,280 FOR RESEARCHERS TO THINK VERY 2092 01:29:03,280 --> 01:29:05,240 CAREFULLY IN THE WAY THAT SIGNED 2093 01:29:05,240 --> 01:29:07,000 MENTION BESIDES WHAT ARE OUR 2094 01:29:07,000 --> 01:29:07,800 APPROPRIATE WAYS TO SHARE DATA 2095 01:29:07,800 --> 01:29:10,840 AND FORMATS TO SHARE DATA IN A 2096 01:29:10,840 --> 01:29:14,160 WAY THAT PROTECTS PARTICIPANTS, 2097 01:29:14,160 --> 01:29:15,080 ESPECIALLY PARTICIPANTS THAT ARE 2098 01:29:15,080 --> 01:29:17,280 MEMBERS OF PEDIATRIC COMMUNITIES 2099 01:29:17,280 --> 01:29:18,560 AND OTHER VULNERABLE GROUPS. 2100 01:29:18,560 --> 01:29:19,920 THE OTHER THING TO ADD AND THIS 2101 01:29:19,920 --> 01:29:24,480 IS MENTIONED IN SOME OF THE 2102 01:29:24,480 --> 01:29:25,440 CIVIL INFORMATION YOU REFERRED 2103 01:29:25,440 --> 01:29:29,600 TO THAT TALK ABOUT ROBUST 2104 01:29:29,600 --> 01:29:31,200 REPOSITORY CHARACTER IS I CAN, 2105 01:29:31,200 --> 01:29:33,320 MANY SUPPORT REPOSITORIES LIKE 2106 01:29:33,320 --> 01:29:34,680 THE GAP WHERE THEY GET IT 2107 01:29:34,680 --> 01:29:36,800 COVERED UNDER THE GDS POLICIES 2108 01:29:36,800 --> 01:29:39,320 HOUSED HAVE CERTIFICATES OF 2109 01:29:39,320 --> 01:29:40,720 CONFIDENTIAL TEE THAT APPLY TO 2110 01:29:40,720 --> 01:29:43,320 THEM SO THOSE CAN PROTECT DATA 2111 01:29:43,320 --> 01:29:45,520 FROM COMPELLED CLOSURES AND THAT 2112 01:29:45,520 --> 01:29:50,920 IS PARTICULARLY, WELL, IF THE 2113 01:29:50,920 --> 01:29:52,400 JUDGE, THERE'S A LOT NOT NOT 2114 01:29:52,400 --> 01:29:57,800 MORE THAN IS THE INTENT AND 2115 01:29:57,800 --> 01:29:58,520 OBVIOUSLY THESE THINGS ARE 2116 01:29:58,520 --> 01:30:00,800 NEGOTIATED OUT IN COURT BUT THE 2117 01:30:00,800 --> 01:30:04,000 INTENT IS TO HEROINEST THE 2118 01:30:04,000 --> 01:30:06,880 PROTECTION OF COCs FROM 2119 01:30:06,880 --> 01:30:08,920 DATASETS SO JUST ANOTHER TOOL 2120 01:30:08,920 --> 01:30:10,760 FOR INVESTIGATORS TO BE AWARE 2121 01:30:10,760 --> 01:30:11,800 OF. 2122 01:30:11,800 --> 01:30:14,880 BUT IN THE GENOMIC DATA SPACE, 2123 01:30:14,880 --> 01:30:16,600 CERTAINLY REPOSITORIES AGAIN 2124 01:30:16,600 --> 01:30:20,080 JUST USING DB GAP AS AN EXAMPLE 2125 01:30:20,080 --> 01:30:22,200 WILL DEIDENTIFY DATA WITH 2126 01:30:22,200 --> 01:30:24,040 QUALITY CHECKS WHEN DATA SECURE 2127 01:30:24,040 --> 01:30:27,560 TO MAKE SURE THAT THERE AREN'T 2128 01:30:27,560 --> 01:30:28,560 IDENTIFIERS THAT UNINTENTIONALLY 2129 01:30:28,560 --> 01:30:29,880 MAKE IT THROUGH SO I THINK IT'S 2130 01:30:29,880 --> 01:30:31,400 ALSO IMPORTANT TO BE THINKING 2131 01:30:31,400 --> 01:30:34,600 ABOUT WHEN CONSIDERING WHICH 2132 01:30:34,600 --> 01:30:36,960 REPOSITORY DEPOSIT INTO THAT 2133 01:30:36,960 --> 01:30:38,880 HAVE ACCESS CONTROLS AND 2134 01:30:38,880 --> 01:30:41,920 CREATION AND GIVEN THE KINDS OF 2135 01:30:41,920 --> 01:30:44,480 DATA THAT WILL BE DEPOSITED. 2136 01:30:44,480 --> 01:30:46,720 >>GREG, I SEE THAT YOU ARE 2137 01:30:46,720 --> 01:30:47,000 LINE. 2138 01:30:47,000 --> 01:30:49,800 DO YOU WANT TO COMMENT ABOUT 2139 01:30:49,800 --> 01:30:50,080 POLICY? 2140 01:30:50,080 --> 01:30:52,360 >>YEAH, I JUST WANTED TO JUMP 2141 01:30:52,360 --> 01:30:53,120 IN HERE BECAUSE MATT THE 2142 01:30:53,120 --> 01:30:54,800 QUESTION YOU RAISED IS ONE THAT 2143 01:30:54,800 --> 01:30:57,840 WE'VE BEEN THINKING ABOUT A LOT. 2144 01:30:57,840 --> 01:31:00,800 I CAN TELL YOU WHAT OUR CURRENT 2145 01:31:00,800 --> 01:31:03,240 PLAN IS IN THE NIMH DATA ARCHIVE 2146 01:31:03,240 --> 01:31:05,800 BUT I WANT TO ECHO WHAT CINDY 2147 01:31:05,800 --> 01:31:07,280 AND JULIA HAVE SAID THAT WE'RE 2148 01:31:07,280 --> 01:31:09,360 ALL LEARNING HERE, RIGHT. 2149 01:31:09,360 --> 01:31:10,600 SO, WHAT WE'RE PLANNING ON DOING 2150 01:31:10,600 --> 01:31:12,800 WITH THE DATA FROM PERSONAL 2151 01:31:12,800 --> 01:31:15,280 TRACKING DEVICES IS THAT ANY 2152 01:31:15,280 --> 01:31:17,920 DATA STREAM THAT ACTUALLY HAS 2153 01:31:17,920 --> 01:31:19,960 GEO-SPACIAL LOCATIONS WILL BE 2154 01:31:19,960 --> 01:31:22,080 SEPARATED FROM THE DERIVED DATA 2155 01:31:22,080 --> 01:31:24,600 FROM THE PERSONAL TRACKING 2156 01:31:24,600 --> 01:31:25,280 DEVICE. 2157 01:31:25,280 --> 01:31:28,760 WE WILL MAKE BOTH DATA STREAMS 2158 01:31:28,760 --> 01:31:31,280 AVAILABLE, BUT, IF YOU WANT 2159 01:31:31,280 --> 01:31:32,800 GEO-SPACIAL LOCATIONS DATA YOU 2160 01:31:32,800 --> 01:31:34,960 HAVE TO PROVIDE US WITH PROOF 2161 01:31:34,960 --> 01:31:37,120 THAT YOU ARE IRB HAS APPROVED 2162 01:31:37,120 --> 01:31:37,560 NOT. 2163 01:31:37,560 --> 01:31:42,200 YOU ACCESSING THAT DATA AND YOU 2164 01:31:42,200 --> 01:31:45,280 HAVE HAVE SHOWN THEM THAT UP 2165 01:31:45,280 --> 01:31:47,240 APPROPRIATE CONTROLS OVER THE 2166 01:31:47,240 --> 01:31:48,920 VERY SENSITIVE DATA. 2167 01:31:48,920 --> 01:31:50,440 SO, I THINK THERE ARE PROBABLY 2168 01:31:50,440 --> 01:31:55,680 WAYS TO SOLVE THE PROBLEM BUT I 2169 01:31:55,680 --> 01:31:57,240 THINK WE'LL LEARN A LOT OVER THE 2170 01:31:57,240 --> 01:32:00,160 NEXT 12 MONTHS OR SO. 2171 01:32:00,160 --> 01:32:02,240 >>SO THANK YOU FOR THAT 2172 01:32:02,240 --> 01:32:06,800 CLARIFICATION, CAN I ASK FOR 2173 01:32:06,800 --> 01:32:07,720 FURTHER CLARIFICATION. 2174 01:32:07,720 --> 01:32:11,480 WHEN WE GET IRB APPROVAL TO 2175 01:32:11,480 --> 01:32:14,600 COLLECT LONGITUDE DATA MAKING 2176 01:32:14,600 --> 01:32:15,600 PARTICIPANTS IDENTIFIABLE. 2177 01:32:15,600 --> 01:32:17,560 IT SOUNDS LIKE THERE'S AN NIH 2178 01:32:17,560 --> 01:32:18,360 EXPECTATION THAT THOSE DATA 2179 01:32:18,360 --> 01:32:20,760 WOULD THEN BE SHARED WITH NIH 2180 01:32:20,760 --> 01:32:23,240 AND NIH WOULD BE THE DETERMINED 2181 01:32:23,240 --> 01:32:25,800 WHO GETS ACCESS TO THE RAW DATA? 2182 01:32:25,800 --> 01:32:27,280 >>I DON'T THINK I WOULD GO AS 2183 01:32:27,280 --> 01:32:29,680 FAR AS SAYING THERE'S AN NIH 2184 01:32:29,680 --> 01:32:30,640 EXPECTATION, I THINK THAT FOR 2185 01:32:30,640 --> 01:32:34,080 THE PURPOSES OF NIMH PROGRAM 2186 01:32:34,080 --> 01:32:35,080 STAFF, THAT'S NOT HOW WE'RE 2187 01:32:35,080 --> 01:32:39,440 HOW WE'RE GOING TOSTART OUT ANDE 2188 01:32:39,440 --> 01:32:42,960 THEM AS WE NEED TO BUT YEAH, I 2189 01:32:42,960 --> 01:32:45,720 MEAN, YOU KNOW, IT'S SO EASY TO 2190 01:32:45,720 --> 01:32:48,000 IMAGINE THAT THE GEO-SPACIAL 2191 01:32:48,000 --> 01:32:52,640 LOCATION DATA REAL HE'S COULD 2192 01:32:52,640 --> 01:32:54,920 PROVIDE BIOMARKERS FOR THE SORTS 2193 01:32:54,920 --> 01:32:57,440 OF, THE SORTS OF DISEASES THAT 2194 01:32:57,440 --> 01:32:59,680 WE'RE INTERESTED IN THAT WE FEEL 2195 01:32:59,680 --> 01:33:07,400 IT'S QUITE 23508ISH TO SO 2196 01:33:07,400 --> 01:33:09,400 FOOLISH TO NOT COLLECT THAT DATA 2197 01:33:09,400 --> 01:33:10,400 UNTIL WE KNOW MORE. 2198 01:33:10,400 --> 01:33:13,560 >>THE SCHIZOPHRENIA IS THE 2199 01:33:13,560 --> 01:33:15,000 FIRST DATASET THAT HAS THIS 2200 01:33:15,000 --> 01:33:16,560 INFORMATION MADE AVAILABLE AND 2201 01:33:16,560 --> 01:33:19,880 THAT IS GOING TO GO PUBLIC 2202 01:33:19,880 --> 01:33:20,800 SHORTLY. 2203 01:33:20,800 --> 01:33:23,720 WE'RE TALKING IN A COUPLE OF 2204 01:33:23,720 --> 01:33:24,960 MONTHS, THE FIRST VERSION OF IT. 2205 01:33:24,960 --> 01:33:27,240 >>I WOULD ENCOURAGE US TO THINK 2206 01:33:27,240 --> 01:33:28,400 CAREFULLY AT NIH ABOUT HOW 2207 01:33:28,400 --> 01:33:29,920 SENSITIVE THE DATA IS AND THE 2208 01:33:29,920 --> 01:33:31,640 POTENTIAL FOR THEM TO BE SHARED 2209 01:33:31,640 --> 01:33:34,600 AND ESPECIALLY VULNERABLE MINORS 2210 01:33:34,600 --> 01:33:35,040 IDENTIFIED. 2211 01:33:35,040 --> 01:33:36,160 >>THANK YOU FOR THOSE COMMENTS, 2212 01:33:36,160 --> 01:33:36,840 MATT. 2213 01:33:36,840 --> 01:33:39,320 THOSE ARE HEAD. 2214 01:33:39,320 --> 01:33:49,920 NOT TED, YOU ARE NEXT AND I HAD 2215 01:33:54,560 --> 01:33:58,280 SOME KIND OF BROADER QUESTIONS 2216 01:33:58,280 --> 01:34:02,160 AND I'M KIND OF -- I SEE A LOT 2217 01:34:02,160 --> 01:34:03,320 OF THE CONVENTION BUT MINE IS 2218 01:34:03,320 --> 01:34:05,440 FROM THE PERSPECTIVE OF THE 2219 01:34:05,440 --> 01:34:07,240 SCIENTIFIC ENTERPRISE. 2220 01:34:07,240 --> 01:34:08,480 AND I'M A LITTLE WORRIED THAT 2221 01:34:08,480 --> 01:34:11,400 WE'RE GOING TO WIND UP IN A 2222 01:34:11,400 --> 01:34:13,120 SITUATION OF HAVING WATER AND 2223 01:34:13,120 --> 01:34:16,120 NOT A DROPPED DRINK WITH A WHOLE 2224 01:34:16,120 --> 01:34:18,200 BUNCH OF DATA THAT WE CAN'T MAKE 2225 01:34:18,200 --> 01:34:19,760 SENSE OF AND UNDERSTAND AND IN 2226 01:34:19,760 --> 01:34:23,960 ANY EXPERIENCE, IN UNDERSTANDING 2227 01:34:23,960 --> 01:34:30,000 COMPLEX SCIENTIFIC PAPERS AND 2228 01:34:30,000 --> 01:34:32,960 IT'S BEEN ACCESSED TO REAGENTS 2229 01:34:32,960 --> 01:34:43,480 AND METHODOLOGY, AND OF FIRSTLY, 2230 01:35:13,840 --> 01:35:18,280 SOME OF THAT DATA CAN'T BE 2231 01:35:18,280 --> 01:35:28,800 ARCHIVED AND FAIR ENOUGH AND WE 2232 01:35:32,360 --> 01:35:33,720 NEED TO FIGURE OUT HOW TO STORE 2233 01:35:33,720 --> 01:35:38,000 ALL OF THIS AND WHILE WE THINK 2234 01:35:38,000 --> 01:35:40,640 ABOUT STORING THIS, LET'S THINK 2235 01:35:40,640 --> 01:35:42,240 IF WE CAN USE IT AND I'M WORRIED 2236 01:35:42,240 --> 01:35:43,400 ABOUT THAT. 2237 01:35:43,400 --> 01:35:44,680 THAT'S MY GENERAL COMMENT WHICH 2238 01:35:44,680 --> 01:35:46,800 DOESN'T HELP IN IMPLEMENTING IT 2239 01:35:46,800 --> 01:35:49,120 BUT THERE MAY BE PILOT 2240 01:35:49,120 --> 01:35:50,480 INITIATIVES YOU CAN DO. 2241 01:35:50,480 --> 01:35:52,480 THERE'S CLEAR DATABASES AND 2242 01:35:52,480 --> 01:35:53,880 DATASETS THAT ARE -- I'M NOT A 2243 01:35:53,880 --> 01:36:00,600 DATA SIGN TIVE AND BUT THAT 2244 01:36:00,600 --> 01:36:02,320 THINKING ABOUT CELL PHONE DATA 2245 01:36:02,320 --> 01:36:06,720 AND BEHAVIORAL DATA FROM 2246 01:36:06,720 --> 01:36:11,800 SUBJECTS AND GOING TO A GAR 2247 01:36:11,800 --> 01:36:14,440 GRAPH AND NO ACTUAL DATA SO YOU 2248 01:36:14,440 --> 01:36:16,040 DO A DATA SHARING PLANT AND YOU 2249 01:36:16,040 --> 01:36:20,880 HAVE VIDEOS AVAILABLE AND THAT 2250 01:36:20,880 --> 01:36:26,120 IN A CASE OF EMERGING 2251 01:36:26,120 --> 01:36:26,760 TECHNOLOGIES, LIKE SPACIAL THAT 2252 01:36:26,760 --> 01:36:28,320 AREN'T EMERGING ANYMORE YOU HAVE 2253 01:36:28,320 --> 01:36:29,840 TO MERGE ALL OF THE IMAGING 2254 01:36:29,840 --> 01:36:30,640 DATABASE WHICH ARE HARD ENOUGH 2255 01:36:30,640 --> 01:36:32,560 TO GENERATE WITH ALL THE GENE 2256 01:36:32,560 --> 01:36:34,400 EXPRESSION DATABASE AND HARD 2257 01:36:34,400 --> 01:36:35,720 ENOUGH TO GENERATE AND PUT THEM 2258 01:36:35,720 --> 01:36:36,360 TOGETHER. 2259 01:36:36,360 --> 01:36:37,440 THERE ARE REAL SPECIFIC, WITHIN 2260 01:36:37,440 --> 01:36:40,680 THE NIMH AREAS OF TRACTION THAT 2261 01:36:40,680 --> 01:36:44,200 ONE CAN THINK ABOUT AND I'M SURE 2262 01:36:44,200 --> 01:36:45,840 MOW BROADLY ACROSS NIH IS THE 2263 01:36:45,840 --> 01:36:46,760 CASE AND THINKING ABOUT 2264 01:36:46,760 --> 01:36:53,280 INVESTMENTS OF THEM SO WE CAN 2265 01:36:53,280 --> 01:36:56,200 ACTUALLY NOT JUST FOR HEALTH BUT 2266 01:36:56,200 --> 01:36:56,680 FOR UNDERSTANDING. 2267 01:36:56,680 --> 01:37:07,160 SO THAT'S MY GENERAL COMMENT. 2268 01:37:35,880 --> 01:37:38,400 IS THINKING ABOUT A PUBLICATION 2269 01:37:38,400 --> 01:37:40,000 WOULD BE MAYBE NOT INVALUABLE 2270 01:37:40,000 --> 01:37:41,520 BECAUSE IT'S CHANGING AND THE 2271 01:37:41,520 --> 01:37:43,480 OTHER THING IN THIS SPACE THAT I 2272 01:37:43,480 --> 01:37:46,880 THINK I ACTUALLY REALLY LIKE IS 2273 01:37:46,880 --> 01:37:49,800 THE DISRUPTION THAT YOU HAVE AN 2274 01:37:49,800 --> 01:37:51,640 OPPORTUNITY TO CAUSE IN THE 2275 01:37:51,640 --> 01:37:52,760 SCIENTIFIC COMMUNITY AND THAT IS 2276 01:37:52,760 --> 01:37:55,240 THE DISRUPTION IN THINKING ABOUT 2277 01:37:55,240 --> 01:37:58,920 THE WORTH OF A SCIENTIST BEYOND 2278 01:37:58,920 --> 01:38:02,760 HIS OR HER H INDEX EYESIGHT 2279 01:38:02,760 --> 01:38:05,160 NUMBER AND AS WE HAVE DATASETS 2280 01:38:05,160 --> 01:38:07,000 AND THINGS WE HAVE TO FIGURE OUT 2281 01:38:07,000 --> 01:38:08,520 HOW WE ACKNOWLEDGE THE 2282 01:38:08,520 --> 01:38:09,480 CONTRIBUTIONS OF INDIVIDUALS TO 2283 01:38:09,480 --> 01:38:11,080 ALL OF THIS ENTERPRISE AND 2284 01:38:11,080 --> 01:38:12,760 THAT'S JUST A COMMENT TO SPACE 2285 01:38:12,760 --> 01:38:14,760 AS MANY OF MINE HAVE BEEN BUT 2286 01:38:14,760 --> 01:38:16,600 THEY'RE IN IMPORTANT 2287 01:38:16,600 --> 01:38:18,360 IMPLICATIONS OF THIS AND WHAT IS 2288 01:38:18,360 --> 01:38:19,600 TERRIFIC ABOUT ALL OF THIS I 2289 01:38:19,600 --> 01:38:21,600 THINK YOU ALL, IT'S GREAT TO SEE 2290 01:38:21,600 --> 01:38:25,720 THE THINGS EVOLVE. 2291 01:38:25,720 --> 01:38:28,160 IS THE THOUGHT TO EVOLVE THIS SO 2292 01:38:28,160 --> 01:38:32,720 THAT THE REVIEW MIGHT EVENTUALLY 2293 01:38:32,720 --> 01:38:34,480 BE, THE REVIEW MIGHT BE IN THE 2294 01:38:34,480 --> 01:38:35,560 HANDS OF THE VIEWERS OR IS IT 2295 01:38:35,560 --> 01:38:39,680 THOUGHT IT WILL STAY WITH THE 2296 01:38:39,680 --> 01:38:39,920 PROGRAM. 2297 01:38:39,920 --> 01:38:42,080 >>RIGHT NOW THAT DECISION THERE 2298 01:38:42,080 --> 01:38:43,480 WAS A LOT OF CONSIDERATION 2299 01:38:43,480 --> 01:38:45,400 DURING THE POLICY DEVELOPMENT 2300 01:38:45,400 --> 01:38:47,600 PHASE AND AS IT STANDS ON THE 2301 01:38:47,600 --> 01:38:48,880 FINAL POLICY THE DECISION WAS 2302 01:38:48,880 --> 01:38:50,000 MADE THAT THE PROGRAM STAFF 2303 01:38:50,000 --> 01:38:52,680 WOULD BE REVIEWED NOT AND PEER 2304 01:38:52,680 --> 01:38:54,200 REVIEWERS SO AS OF NOW, THERE'S 2305 01:38:54,200 --> 01:39:04,640 NO PLANS TO CHANGE THAT AND. 2306 01:39:13,280 --> 01:39:14,320 >>THANK YOU, THAT WAS A LOT OF 2307 01:39:14,320 --> 01:39:16,320 INFORMATION AND I APPRECIATE ALL 2308 01:39:16,320 --> 01:39:17,440 THE COMMENTS COMING FROM MY 2309 01:39:17,440 --> 01:39:18,160 COLLEAGUES. 2310 01:39:18,160 --> 01:39:20,120 I'M GOING TO ACTUALLY SHIFT TO A 2311 01:39:20,120 --> 01:39:22,920 VERY SIMPLE PRACTICAL TYPE OF 2312 01:39:22,920 --> 01:39:23,960 THING. 2313 01:39:23,960 --> 01:39:27,080 ONE OF THE CONCERNS THAT HAS 2314 01:39:27,080 --> 01:39:32,760 REALLY GROWN UP IS OUR ABILITY 2315 01:39:32,760 --> 01:39:37,840 TO ENGAGE, TRAIN, WORK WITH 2316 01:39:37,840 --> 01:39:39,400 PERSONS WHO ARE NEARLY NEW TO 2317 01:39:39,400 --> 01:39:41,120 THE WHOLE PROCESS ITSELF. 2318 01:39:41,120 --> 01:39:42,480 SO, YOU MAY HAVE MENTIONED IT 2319 01:39:42,480 --> 01:39:53,000 AND I APOLOGIZE THE POLL SEC, 2320 01:39:55,520 --> 01:39:56,600 METHODOLOGY AND THE ELEMENTS OF 2321 01:39:56,600 --> 01:40:02,360 THAT AND THEN THE ACTUAL PERSONS 2322 01:40:02,360 --> 01:40:05,360 THEMSELVES ARE THEY WORK WITH 2323 01:40:05,360 --> 01:40:06,840 PRE DOCUMENTS AND POSTDOCS AND 2324 01:40:06,840 --> 01:40:08,640 WHO ARE JUST BEGINNING AND 2325 01:40:08,640 --> 01:40:19,200 WALKING INTO THIS AND THEY HAVE 2326 01:40:20,200 --> 01:40:23,120 BACKGROUND OR NO BACKGROUND SO 2327 01:40:23,120 --> 01:40:24,520 IT'S IMPORTANT BECAUSE IT'S 2328 01:40:24,520 --> 01:40:27,120 IMPORTANT FOR US TO CONSIDER THE 2329 01:40:27,120 --> 01:40:29,160 LONG-TERM PART OF THIS IS THAT A 2330 01:40:29,160 --> 01:40:30,360 LOT OF US, A LOT OF PEOPLE HAVE 2331 01:40:30,360 --> 01:40:33,400 A GOOD UNDERSTANDING OF THIS 2332 01:40:33,400 --> 01:40:34,200 BECAUSE THEY HAVE BEEN DOING IT 2333 01:40:34,200 --> 01:40:35,760 FOR A WHILE BUT THERE'S A LOT OF 2334 01:40:35,760 --> 01:40:37,400 PEOPLE COMING IN WHO DO NOT AND 2335 01:40:37,400 --> 01:40:39,000 I'M MORE CONCERNED ABOUT THEM 2336 01:40:39,000 --> 01:40:40,160 COMING IN BECAUSE WE GIVE THEM 2337 01:40:40,160 --> 01:40:43,960 OUR RESPONSIBILITY AND THEY DO 2338 01:40:43,960 --> 01:40:54,040 NOT. 2339 01:41:11,360 --> 01:41:13,680 THEY CLAIRELY HAVE THEIR OWN 2340 01:41:13,680 --> 01:41:15,640 CHALLENGE, THEIR OWN SPECIFICS 2341 01:41:15,640 --> 01:41:17,400 IN TERMS OF WHAT THEY ALLOW AND 2342 01:41:17,400 --> 01:41:18,560 WHAT THEY WON'T ALLOW IN TERMS 2343 01:41:18,560 --> 01:41:22,520 OF DATA SHARING AND THAT SORT OF 2344 01:41:22,520 --> 01:41:27,240 THING. 2345 01:41:27,240 --> 01:41:29,560 WE TRAIN TO RESPOND TO RISK 2346 01:41:29,560 --> 01:41:30,720 AVERSE TYPES OF PERSON AS WELL. 2347 01:41:30,720 --> 01:41:32,240 IT ALL INVOLVES AROUND TRAINING 2348 01:41:32,240 --> 01:41:33,960 IN TERMS OF METHOD AND IN TERMS 2349 01:41:33,960 --> 01:41:36,760 OF STRATEGY AND THAT IS REALLY 2350 01:41:36,760 --> 01:41:37,760 IMPORTANT BECAUSE IN THE LONG 2351 01:41:37,760 --> 01:41:39,520 RUN IT IS WHAT GOES TO TODAY TO 2352 01:41:39,520 --> 01:41:40,360 ANSWER TO Y'ALL. 2353 01:41:40,360 --> 01:41:44,200 I HOPE THAT WASN'T TOO 2354 01:41:44,200 --> 01:41:48,080 COMPLICATED OR TOO -- TO 2355 01:41:48,080 --> 01:41:49,640 CONGREGATED TYPE OF QUESTIONS 2356 01:41:49,640 --> 01:41:51,160 BUT I THOUGHT ABOUT IT LISTENING 2357 01:41:51,160 --> 01:41:52,720 TO EVERYTHING THAT IS GOING ON 2358 01:41:52,720 --> 01:41:55,480 BUT THANK YOU FOR THIS. 2359 01:41:55,480 --> 01:41:57,080 >>SO A LOT OF GOOD POINTS THERE 2360 01:41:57,080 --> 01:41:57,680 AND QUESTIONS. 2361 01:41:57,680 --> 01:42:00,120 IN TERMS OF TRAINING, SO, 2362 01:42:00,120 --> 01:42:02,080 THERE'S TRAINING ON WHAT THE NIH 2363 01:42:02,080 --> 01:42:03,640 POLICY REQUIRES AND EXPECTS AND 2364 01:42:03,640 --> 01:42:05,960 WE HAVE A LOT OF RESOURCES ON 2365 01:42:05,960 --> 01:42:06,600 THAT IN PARTICULAR. 2366 01:42:06,600 --> 01:42:09,120 I WOULD ENCOURAGE YOU OR ANY NOT 2367 01:42:09,120 --> 01:42:10,400 TRAINEES OR POSTDOCS WHO ARE 2368 01:42:10,400 --> 01:42:11,560 INTERESTED AND THEY CAN GO BACK 2369 01:42:11,560 --> 01:42:14,120 AND LOOK AT THE TWO-PART WEBINAR 2370 01:42:14,120 --> 01:42:18,000 AND IN THE SUM YOUR WORSHIP OF 2371 01:42:18,000 --> 01:42:19,600 2022 AND THEY WERE EACH 90 2372 01:42:19,600 --> 01:42:21,680 MINUTES AND COVERING ALL THE 2373 01:42:21,680 --> 01:42:22,480 AVAILABLE RESOURCES WE HAD AND 2374 01:42:22,480 --> 01:42:23,560 COMMON QUESTIONS ABOUT THE 2375 01:42:23,560 --> 01:42:24,640 POLICY IN TERMS OF GETTING 2376 01:42:24,640 --> 01:42:26,040 FAMILIAR WITH WHAT IS NEEDED AND 2377 01:42:26,040 --> 01:42:27,640 HOW THAT MIGHT CHANGE THEIR 2378 01:42:27,640 --> 01:42:30,720 PRACTICES, AND ONE AREA TO POINT 2379 01:42:30,720 --> 01:42:31,720 FOLKS TO. 2380 01:42:31,720 --> 01:42:32,440 BEYOND THAT I REMEMBER ALSO 2381 01:42:32,440 --> 01:42:36,720 GETTING INTO THE QUESTIONS AND 2382 01:42:36,720 --> 01:42:40,040 TRAINING AND RESEARCH BASED ON 2383 01:42:40,040 --> 01:42:42,160 WHAT YOUR INSTITUTION MIGHT 2384 01:42:42,160 --> 01:42:43,240 REQUIRE AND YOUR INDEPENDENT 2385 01:42:43,240 --> 01:42:44,440 AREA OF SCIENCE AND IT'S GOING 2386 01:42:44,440 --> 01:42:54,920 TO VARY SO ONE THING TO MOVE 2387 01:43:25,720 --> 01:43:26,920 SCIENCE FORWARD AND WE HAVE 2388 01:43:26,920 --> 01:43:28,520 COLLEAGUES AND NIH OFFICE OF 2389 01:43:28,520 --> 01:43:31,640 DATA SHARING STRATEGIES OR ODSS 2390 01:43:31,640 --> 01:43:33,240 AND I'M NOT PUTTING ANYTHING 2391 01:43:33,240 --> 01:43:35,000 SPECIFIC HERE BUT JUST MENTIONED 2392 01:43:35,000 --> 01:43:38,440 THEY HAVE AN INTEREST IN LOOKING 2393 01:43:38,440 --> 01:43:41,640 AT HOW DATA CAN BE REUSED AND IN 2394 01:43:41,640 --> 01:43:42,800 PARTICULAR THE HIGHLIGHTED SOME 2395 01:43:42,800 --> 01:43:45,560 EXAMPLES OF HOW RESEARCHERS HAVE 2396 01:43:45,560 --> 01:43:47,160 DONE SOME ARE DATASETS AND 2397 01:43:47,160 --> 01:43:48,760 DEVELOPED SOME NEW KNOWLEDGE 2398 01:43:48,760 --> 01:43:50,480 FROM THAT SO WE MAY BE SEEING 2399 01:43:50,480 --> 01:43:53,840 SOME PRACTICAL EXAMPLES OF THAT 2400 01:43:53,840 --> 01:43:54,560 MIGHT HELP. 2401 01:43:54,560 --> 01:43:58,480 ANY OTHER THOUGHTS ON THAT ONE? 2402 01:43:58,480 --> 01:44:00,680 >>ANY RESOURCES THAT WE CAN 2403 01:44:00,680 --> 01:44:00,920 ADD. 2404 01:44:00,920 --> 01:44:04,440 I DO THINK THAT THERE'S FORMS 2405 01:44:04,440 --> 01:44:07,280 AND WE KNOW THAT PROJECT PILOT 2406 01:44:07,280 --> 01:44:11,960 BUT THAT'S ONE MENU WHERE 2407 01:44:11,960 --> 01:44:12,800 ADMINISTRATORS CAN COME TOGETHER 2408 01:44:12,800 --> 01:44:15,200 AND HAVE CONVERSATIONS JUST 2409 01:44:15,200 --> 01:44:16,120 ABOUT BEST PRACTICES AND OTHER 2410 01:44:16,120 --> 01:44:17,320 INSTITUTIONS SO I THINK THAT 2411 01:44:17,320 --> 01:44:19,160 HOPEFULLY THEY'LL BE INCREASING 2412 01:44:19,160 --> 01:44:20,520 FORMS FOR GENERAL COUNCIL 2413 01:44:20,520 --> 01:44:24,360 OFFICES AND OTHER KINDS OF NOT 2414 01:44:24,360 --> 01:44:26,000 RULES IN THE ENTERPRISE TO HAVE 2415 01:44:26,000 --> 01:44:27,680 CONVERSATIONS ABOUT DATA 2416 01:44:27,680 --> 01:44:28,000 SHARING. 2417 01:44:28,000 --> 01:44:30,560 >>I'M SORRY, DID YOU SAY FORUMS 2418 01:44:30,560 --> 01:44:30,960 OR FORMS? 2419 01:44:30,960 --> 01:44:33,400 I'M SORRY. 2420 01:44:33,400 --> 01:44:33,560 NOT. 2421 01:44:33,560 --> 01:44:35,800 >>I'M THINKING ABOUT FORUMS AND 2422 01:44:35,800 --> 01:44:38,640 OPPORTUNITIES FOR THOSE ROLES TO 2423 01:44:38,640 --> 01:44:39,120 COME TOGETHER. 2424 01:44:39,120 --> 01:44:42,720 >>LAURA -- 2425 01:44:42,720 --> 01:44:44,440 >>HI, THANK YOU VERY MUCH. 2426 01:44:44,440 --> 01:44:45,840 I MISSED THE FIRST PART OF THE 2427 01:44:45,840 --> 01:44:47,320 PRESENTATION SO THIS MAY BE 2428 01:44:47,320 --> 01:44:49,080 REPETITIVE SO JUST LET ME KNOW. 2429 01:44:49,080 --> 01:44:51,680 I'M CURIOUS ABOUT THIS AS 2430 01:44:51,680 --> 01:44:52,960 SOMEONE WHO HAS HAD PEOPLE IN 2431 01:44:52,960 --> 01:44:56,560 THEIR GROUP WRESTLE FOR DB GAPS 2432 01:44:56,560 --> 01:44:58,040 SOMETIMES FOR YEARS. 2433 01:44:58,040 --> 01:45:00,520 TO GET DATA IN. 2434 01:45:00,520 --> 01:45:03,280 IF THERE ARE BENCHMARKS, THAT 2435 01:45:03,280 --> 01:45:07,000 ARE GOING TO BE PUT IN PLACE FOR 2436 01:45:07,000 --> 01:45:09,840 THE GOVERNMENTAL DATASETS, THAT 2437 01:45:09,840 --> 01:45:12,200 WOULD SAY YOU KNOW, THE 2438 01:45:12,200 --> 01:45:13,680 EXPECTATION IS THAT PEOPLE WILL 2439 01:45:13,680 --> 01:45:19,720 BE GOTTEN BACK TO IN X AMOUNT OF 2440 01:45:19,720 --> 01:45:22,160 DAYS AND THAT THINGS WILL BE 2441 01:45:22,160 --> 01:45:23,520 ESCALATED TO SOLVE PROBLEMS SO 2442 01:45:23,520 --> 01:45:26,600 THAT ON AVERAGE, WHEN SOMEONE 2443 01:45:26,600 --> 01:45:28,880 STARTS TO SUBMIT THEIR DATA, 2444 01:45:28,880 --> 01:45:31,400 DATA WILL BE IN WITHIN A MONTH, 2445 01:45:31,400 --> 01:45:34,280 WITHIN TWO MONTHS AND WHAT 2446 01:45:34,280 --> 01:45:36,640 METRICS AND I GUESS ALSO WHAT 2447 01:45:36,640 --> 01:45:38,600 RESOURCES EACH DATABASE IS 2448 01:45:38,600 --> 01:45:40,360 PLANNING TO PUT IN PLACE SO THAT 2449 01:45:40,360 --> 01:45:43,000 THIS REALLY WORKS SO THAT DATA 2450 01:45:43,000 --> 01:45:52,400 IS IN A TIMELY WAY DEPOSITED. 2451 01:45:52,400 --> 01:45:53,720 >>I REALLY APPRECIATE THAT 2452 01:45:53,720 --> 01:45:54,280 QUESTION. 2453 01:45:54,280 --> 01:45:55,160 IT'S NOT THE FIRST TIME THAT 2454 01:45:55,160 --> 01:45:59,840 WE'VE HEARD THAT DB GAP CAN BE 2455 01:45:59,840 --> 01:46:01,680 CHALLENGING TO THE DATA IN AND 2456 01:46:01,680 --> 01:46:03,600 TO GET DATA OUT. 2457 01:46:03,600 --> 01:46:05,600 I WORK CLOSELY WITH OUR 2458 01:46:05,600 --> 01:46:06,600 COLLEAGUES -- I WILL SAY OVER 2459 01:46:06,600 --> 01:46:09,400 THE LAST COUPLE OF YEARS, NC BYE 2460 01:46:09,400 --> 01:46:11,000 HAS DEVOTED A LOT OF THINKING 2461 01:46:11,000 --> 01:46:13,000 AND RESOURCES TO WORKFLOWS AND 2462 01:46:13,000 --> 01:46:14,920 SUPPORTING AND ENHANCING DATA 2463 01:46:14,920 --> 01:46:17,240 STAFF TO MAKE THAT PROCESSES 2464 01:46:17,240 --> 01:46:19,880 YEAR FOR DATA SUBMITTERS AND ON 2465 01:46:19,880 --> 01:46:22,240 THE OTHER SIDE DATA ACCESSERS. 2466 01:46:22,240 --> 01:46:25,880 AND THERE ARE SOME METRICS WE 2467 01:46:25,880 --> 01:46:26,800 HAVE USABILITY OF REQUESTS AND 2468 01:46:26,800 --> 01:46:29,400 THE ACCESS SIDE. 2469 01:46:29,400 --> 01:46:32,280 THAT GO INTO DB GAP TO BE 2470 01:46:32,280 --> 01:46:36,560 TRANSPARENT ABOUT THE VOLUME OF 2471 01:46:36,560 --> 01:46:38,840 OF REQUESTS THAT WE RECEIVED AND 2472 01:46:38,840 --> 01:46:40,680 THE VOLUME HAS GONE UP 2473 01:46:40,680 --> 01:46:44,760 SIGNIFICANTLY OVER THE PAST FIVE 2474 01:46:44,760 --> 01:46:46,280 TO SEVEN YEARS. 2475 01:46:46,280 --> 01:46:50,040 JURY POINT IS TAKEN ABOUT BEING 2476 01:46:50,040 --> 01:46:51,760 AWARE OF REPOSITORIES NOT 2477 01:46:51,760 --> 01:46:53,480 DEMONSTRATE ABOUT THE PROCESSES 2478 01:46:53,480 --> 01:46:55,760 AND THE TIME LINES REQUIRED 2479 01:46:55,760 --> 01:46:57,480 BETWEEN THE TIME THAT AN 2480 01:46:57,480 --> 01:46:58,960 INVESTIGATOR IS SUBMITTED THAT 2481 01:46:58,960 --> 01:47:00,880 DATA CAN BE MADE ACCESSIBLE SO 2482 01:47:00,880 --> 01:47:07,720 THOSE ARE REALLY IMPORTANT 2483 01:47:07,720 --> 01:47:07,960 POINTS. 2484 01:47:07,960 --> 01:47:08,400 >>BRIAN. 2485 01:47:08,400 --> 01:47:09,400 >>YEAH. 2486 01:47:09,400 --> 01:47:12,800 JUST A SHORT QUESTION. 2487 01:47:12,800 --> 01:47:16,080 AND A COMMENT. 2488 01:47:16,080 --> 01:47:18,200 IN THE STRUCTURAL BIOLOGY AND 2489 01:47:18,200 --> 01:47:20,000 CHEMICAL BIOLOGY FIELDS WE'VE 2490 01:47:20,000 --> 01:47:23,640 BEEN SHARING OUR DATA FOR A LONG 2491 01:47:23,640 --> 01:47:26,680 TIME. 2492 01:47:26,680 --> 01:47:29,600 THE RAW DATA IS THE MAPS ARE 2493 01:47:29,600 --> 01:47:33,760 UPLOADED INTO THE PROTEIN 2494 01:47:33,760 --> 01:47:35,640 DATABASE. 2495 01:47:35,640 --> 01:47:38,040 RAW IMAGES CAN BE UPLOADED INTO 2496 01:47:38,040 --> 01:47:40,880 THE EMPIRE DATABASE AS WELL. 2497 01:47:40,880 --> 01:47:42,920 AND THE QUESTION IS, THOUGH, 2498 01:47:42,920 --> 01:47:47,320 WHEN WE PUBLISH THE PAPERS NOW, 2499 01:47:47,320 --> 01:47:48,960 SORT OF IN THE BIG JOURNALS, 2500 01:47:48,960 --> 01:47:51,400 THEY REQUIRE THE RAW DATA AS 2501 01:47:51,400 --> 01:47:53,840 PART OF THE ACCEPTANCE PROCESS. 2502 01:47:53,840 --> 01:47:56,040 SO THE RAW DATA IS POST WITH THE 2503 01:47:56,040 --> 01:47:57,440 PAPER BASICALLY. 2504 01:47:57,440 --> 01:48:01,280 SO THE QUESTION IS THIS 2505 01:48:01,280 --> 01:48:03,360 REQUIREMENT TO HAVE THE RAW DATA 2506 01:48:03,360 --> 01:48:04,880 AVAILABLE OR DO WE HAVE TO 2507 01:48:04,880 --> 01:48:08,840 REPOST THE RAW DATA TO ANOTHER 2508 01:48:08,840 --> 01:48:09,400 (INAUDIBLE)? 2509 01:48:09,400 --> 01:48:10,880 THAT'S THE QUESTION AND THEN I 2510 01:48:10,880 --> 01:48:11,840 HAVE A COMMENT. 2511 01:48:11,840 --> 01:48:14,240 SO I SHARE THE CONCERN ABOUT THE 2512 01:48:14,240 --> 01:48:17,160 GEO LOCATION DATA BEING SHARED 2513 01:48:17,160 --> 01:48:17,880 WITH ANYONE. 2514 01:48:17,880 --> 01:48:21,600 PARTICULARLY IN THE GOVERNMENT, 2515 01:48:21,600 --> 01:48:24,480 ACTUALLY. 2516 01:48:24,480 --> 01:48:27,560 I'M STRONGLY AGAINST THIS. 2517 01:48:27,560 --> 01:48:29,760 I THINK IT'S A REALLY BAD IDEA. 2518 01:48:29,760 --> 01:48:33,160 I DON'T DO HUMAN CLINICAL 2519 01:48:33,160 --> 01:48:34,000 RESEARCH. 2520 01:48:34,000 --> 01:48:36,720 IT'S ENOUGH THAT APPLE KNOWS 2521 01:48:36,720 --> 01:48:39,840 WHERE I GO, I DON'T REALLY WANT 2522 01:48:39,840 --> 01:48:41,840 THE GOVERNMENT, IF I'M IN A 2523 01:48:41,840 --> 01:48:42,720 CLINICAL TRIAL, FOR WHATEVER, I 2524 01:48:42,720 --> 01:48:43,720 DO NOT WANT THE GOVERNMENT TO 2525 01:48:43,720 --> 01:48:47,960 HAVE ACCESS TO MY GEO LOCATION. 2526 01:48:47,960 --> 01:48:51,960 I THINK IT'S A REALLY BAD IDEA. 2527 01:48:51,960 --> 01:48:57,960 SO, THAT'S ALL I HAVE TO SAY. 2528 01:48:57,960 --> 01:48:59,840 >>SO ON THE QUESTION OF WHEN 2529 01:48:59,840 --> 01:49:01,800 YOU ARE SHARING DATA AS PART OF 2530 01:49:01,800 --> 01:49:06,160 THE PUN LA INDICATION PROCESS, I 2531 01:49:06,160 --> 01:49:07,800 PUBLICATION IS IT'S HOW IT'S 2532 01:49:07,800 --> 01:49:08,400 SHARED. 2533 01:49:08,400 --> 01:49:09,920 SAY YOU ARE DEPOSIT IN A RE POS 2534 01:49:09,920 --> 01:49:11,640 TORI ALONGSIDE THE METADATA THAT 2535 01:49:11,640 --> 01:49:14,200 YOU NEED TO REUSE THAT DATA, AND 2536 01:49:14,200 --> 01:49:15,800 THAT SOUNDS LIKE IT WOULD 2537 01:49:15,800 --> 01:49:17,760 PROBABLY BE FINDABLE ACCESSIBLE 2538 01:49:17,760 --> 01:49:19,080 AND ENTERSER OPERABLE AND 2539 01:49:19,080 --> 01:49:19,360 REUSABLE. 2540 01:49:19,360 --> 01:49:22,560 >>IF YOU GO TO THE PUBMed 2541 01:49:22,560 --> 01:49:25,360 RECORD, AND YOU CLICK ON THE 2542 01:49:25,360 --> 01:49:26,480 LINK, TYPICALLY THERE'S A LINK 2543 01:49:26,480 --> 01:49:28,200 TO THE DATA RIGHT THERE. 2544 01:49:28,200 --> 01:49:28,840 >>YEAH. 2545 01:49:28,840 --> 01:49:33,400 >>BUT FUR SAY DEPOSITING IT AND 2546 01:49:33,400 --> 01:49:34,760 THERE'S ONE ANSWER FOR 2547 01:49:34,760 --> 01:49:37,920 EVERYTHING BUT IF IT'S SHARED AS 2548 01:49:37,920 --> 01:49:41,320 WITH SUPPLEMENTAL PUBLICATION 2549 01:49:41,320 --> 01:49:43,240 FILE THAT MAY OR MAIN BE EASY TO 2550 01:49:43,240 --> 01:49:45,600 USE BUT THE POLICY DOESN'T SHARE 2551 01:49:45,600 --> 01:49:47,120 MUCH ON THIS PARTICULAR IN THIS 2552 01:49:47,120 --> 01:49:48,200 PARTICULAR WAY SO IF YOU ARE 2553 01:49:48,200 --> 01:49:49,720 PLANNING ON DEPOSITING IN IT, 2554 01:49:49,720 --> 01:49:53,040 KIND OF SUITABLE LOCATION, THEN 2555 01:49:53,040 --> 01:49:55,200 IT MAKES SENSE TO MENTION THAT 2556 01:49:55,200 --> 01:49:56,920 IN YOUR PLAN. 2557 01:49:56,920 --> 01:49:58,080 WITHOUT KNOWING THE SPECIFICS 2558 01:49:58,080 --> 01:49:59,480 I'M NOT THINKING ON YOUR ISSUES 2559 01:49:59,480 --> 01:49:59,680 THERE. 2560 01:49:59,680 --> 01:50:03,000 >>SCIENCE NATURE AND INAWE 2561 01:50:03,000 --> 01:50:07,040 REQUIRE YOU TO UP LOAD THE RAW 2562 01:50:07,040 --> 01:50:10,080 DATA. 2563 01:50:10,080 --> 01:50:11,320 (INAUDIBLE). 2564 01:50:11,320 --> 01:50:13,480 IT WOULD SEEM JUST NAIVELY IT 2565 01:50:13,480 --> 01:50:14,800 WOULD SEEM TO ME THAT WOULD 2566 01:50:14,800 --> 01:50:16,080 FULFILL THE REQUIREMENT BECAUSE 2567 01:50:16,080 --> 01:50:17,960 YOU DON'T HAVE TO SUBSCRIBE TO 2568 01:50:17,960 --> 01:50:22,160 THE JOURNAL OF ACCESS THE DATA. 2569 01:50:22,160 --> 01:50:22,880 IT'S THERE. 2570 01:50:22,880 --> 01:50:24,520 EVEN IF YOU ARE NOT SUBSCRIBE TO 2571 01:50:24,520 --> 01:50:25,640 THE JOURNAL. 2572 01:50:25,640 --> 01:50:27,960 YOU CAN GET IT AND YOU CAN GET 2573 01:50:27,960 --> 01:50:32,440 THE PAPER FROM IT. 2574 01:50:32,440 --> 01:50:35,960 SO, WOULDN'T THAT BE ACCEPTABLE? 2575 01:50:35,960 --> 01:50:38,680 ARE WE GOING TO HAVE TO -- IS 2576 01:50:38,680 --> 01:50:41,840 THERE A POLICY ON THIS? 2577 01:50:41,840 --> 01:50:44,240 >>WE DON'T HAVE A SPECIFIC FAQ 2578 01:50:44,240 --> 01:50:47,440 ON THAT BUT I THINK THE POLICY 2579 01:50:47,440 --> 01:50:48,720 ALLOWS FLEXIBILITY IN WHAT'S PRO 2580 01:50:48,720 --> 01:50:50,680 PRO AT FOR A GIVEN RESEARCH 2581 01:50:50,680 --> 01:50:52,680 PROJECT AND A GIVEN DMS PLAN SO 2582 01:50:52,680 --> 01:50:55,440 IT'S SOMETHING THAT CAN BE 2583 01:50:55,440 --> 01:50:57,920 INCLUDED IN THE PLAN AND 2584 01:50:57,920 --> 01:50:59,160 DISCUSSED AFTER THE (INAUDIBLE) 2585 01:50:59,160 --> 01:51:02,240 SPECIFIC PROJECT. 2586 01:51:02,240 --> 01:51:08,000 >>MARGARITE A AND THEN JOEL. 2587 01:51:08,000 --> 01:51:14,400 AND IT DEPENDS. 2588 01:51:14,400 --> 01:51:16,360 >>THIS IS SUPER HARD. 2589 01:51:16,360 --> 01:51:20,280 AND THIS IS NOT THE FIRST MAJOR 2590 01:51:20,280 --> 01:51:21,840 CHANGE THAT HAS HAPPENED IN NIH. 2591 01:51:21,840 --> 01:51:23,320 I REMEMBER THINKING I COULD 2592 01:51:23,320 --> 01:51:25,640 NEVER DO MY PROPOSALS AND NOW 2593 01:51:25,640 --> 01:51:27,760 I'M NEVER GOING BACK. 2594 01:51:27,760 --> 01:51:30,320 SO I DON'T ENVY YOU IN THIS JOB 2595 01:51:30,320 --> 01:51:32,240 AND I APPRECIATE ALL THE 2596 01:51:32,240 --> 01:51:35,360 LEARNING APPROACHES YOU ALL ARE 2597 01:51:35,360 --> 01:51:35,760 TAKING. 2598 01:51:35,760 --> 01:51:36,880 I HAVE TWO COMMENTS AND NOT 2599 01:51:36,880 --> 01:51:38,560 QUESTIONS. 2600 01:51:38,560 --> 01:51:40,760 ONE IS, GIVEN WHAT I'M HEARING 2601 01:51:40,760 --> 01:51:42,400 FROM COLLEAGUES, FOLKS ARE GOING 2602 01:51:42,400 --> 01:51:44,480 TO WANT TO KNOW HOW CAN THEY 2603 01:51:44,480 --> 01:51:48,200 APPEAL TO THE DECISION AROUND 2604 01:51:48,200 --> 01:51:50,480 THEIR MAKING -- IF THEY'RE 2605 01:51:50,480 --> 01:51:52,400 MAKING A CASE FOR LIMITING 2606 01:51:52,400 --> 01:51:54,080 SHARING THEIR DATA AND LET'S SAY 2607 01:51:54,080 --> 01:51:56,360 THE P.O. DECIDE IT'S NOT 2608 01:51:56,360 --> 01:51:58,880 APPROPRIATE, WHAT CAN THEY DO 2609 01:51:58,880 --> 01:52:00,040 THEN? 2610 01:52:00,040 --> 01:52:01,320 I SUSPECT AND KNOW THAT THEY'RE 2611 01:52:01,320 --> 01:52:03,920 GOING TO BE FOLKS WHO WANT TO GO 2612 01:52:03,920 --> 01:52:06,120 TO ANOTHER LEVEL TO TRY TO 2613 01:52:06,120 --> 01:52:08,760 ADDRESS THAT AND THEN IF THIS IS 2614 01:52:08,760 --> 01:52:11,360 ALL, IF THE DECISIONS AROUND 2615 01:52:11,360 --> 01:52:13,960 THESE EXCEPTIONS OR LIMITATIONS 2616 01:52:13,960 --> 01:52:15,960 OR FOR LIMITING THE DATA, ARE 2617 01:52:15,960 --> 01:52:18,720 BEING HELD AT THE P.O. LEVEL I 2618 01:52:18,720 --> 01:52:21,600 WOULD ENCOURAGE THE, WITH ANY 2619 01:52:21,600 --> 01:52:23,440 INSTITUTE THAT THE P.O. ARE IN 2620 01:52:23,440 --> 01:52:24,240 CONVERSATIONS WITH EACH OTHER 2621 01:52:24,240 --> 01:52:25,520 BECAUSE THERE'S AMONG MORE 2622 01:52:25,520 --> 01:52:27,120 FRUSTRATING THAN GETTING 2623 01:52:27,120 --> 01:52:28,920 DIFFERENT ANSWERS FROM DIFFERENT 2624 01:52:28,920 --> 01:52:31,240 PEOPLE AND SO JUSTEN SOARING 2625 01:52:31,240 --> 01:52:33,720 THAT THEY'RE ALL SHARING 2626 01:52:33,720 --> 01:52:34,920 INFORMATION AND LEVEL SETTING TO 2627 01:52:34,920 --> 01:52:36,320 MAKE SURE THEY'RE CONSISTENT IN 2628 01:52:36,320 --> 01:52:38,360 HOW THEY'RE MAKING THE DECISIONS 2629 01:52:38,360 --> 01:52:41,120 COULD BE REALLY HELPFUL. 2630 01:52:41,120 --> 01:52:44,720 >>AND JOEL. 2631 01:52:44,720 --> 01:52:48,400 >>JUST THREE QUICK THINGS. 2632 01:52:48,400 --> 01:52:50,840 I WANT TO ECHO THANKS FOR BOTH 2633 01:52:50,840 --> 01:52:52,320 THE OPEN MINDEDNESS AND THE 2634 01:52:52,320 --> 01:52:53,160 PROCESS OF LEARNING AS WELL AS 2635 01:52:53,160 --> 01:52:55,440 THE TREMENDOUSLY RICH SET OF 2636 01:52:55,440 --> 01:52:57,760 RESOURCES ON-LINE TO HELP WITH 2637 01:52:57,760 --> 01:52:57,960 THIS. 2638 01:52:57,960 --> 01:52:58,760 IT'S VERY, VERY HELPFUL. 2639 01:52:58,760 --> 01:53:01,400 I WOULD UNDERSCORE THE POINT 2640 01:53:01,400 --> 01:53:03,560 ABOUT LINKING THIS TO THE 2641 01:53:03,560 --> 01:53:04,840 EFFICIENCY OF THE GOVERNMENT 2642 01:53:04,840 --> 01:53:06,120 DATASETS, NOT JUST IN THE GAP 2643 01:53:06,120 --> 01:53:06,840 BUT ALL OF THEM. 2644 01:53:06,840 --> 01:53:10,160 I MEAN, THAT ONE OF THE CHARGES 2645 01:53:10,160 --> 01:53:10,640 GETTING DATA UP LOAD 2646 01:53:10,640 --> 01:53:16,080 SECOND-DEGUPLOADED AND USINGDATF 2647 01:53:16,080 --> 01:53:16,760 PUBLICATION IS YOU CAN'T. 2648 01:53:16,760 --> 01:53:18,400 YOU CAN SUBMIT IT BUT IT WON'T 2649 01:53:18,400 --> 01:53:20,280 BE UPLOADED UNTIL ALL KINDS OF 2650 01:53:20,280 --> 01:53:22,880 OTHER STEPS ARE TAKEN THAT YOU 2651 01:53:22,880 --> 01:53:23,640 CAN'T CONTROL AND THERE'S VERY 2652 01:53:23,640 --> 01:53:25,600 SLOW SO I WANT TO ECHO THE POINT 2653 01:53:25,600 --> 01:53:27,800 AND JUST ENCOURAGING LINKING 2654 01:53:27,800 --> 01:53:31,320 THIS TO THE AVAILABILITY AND THE 2655 01:53:31,320 --> 01:53:32,440 EFFICIENCY OF THE RESPONSE 2656 01:53:32,440 --> 01:53:37,840 DATASETS AND THEN ON THE POINT, 2657 01:53:37,840 --> 01:53:41,480 IN GIVING ADVICE ON WHAT TO DO 2658 01:53:41,480 --> 01:53:42,880 WITH SOME OF THE RULES THAT SEEM 2659 01:53:42,880 --> 01:53:45,520 LIKE YOU CAN'T OBEY THEM WITHOUT 2660 01:53:45,520 --> 01:53:48,000 VIOLATING SOME OTHER RULE, IT'S 2661 01:53:48,000 --> 01:53:49,120 A CHALLENGE BECAUSE THERE'S A 2662 01:53:49,120 --> 01:53:50,920 LOT OF THOSE AND SO FREQUENTLY 2663 01:53:50,920 --> 01:53:54,000 THERE ARE THINGS THAT HAVE TO BE 2664 01:53:54,000 --> 01:53:57,720 ADJUDICATED OR ESCALATED BUT 2665 01:53:57,720 --> 01:53:59,360 THEN IT'S UNCLEAR WHO THE 2666 01:53:59,360 --> 01:54:00,640 AUTHORITY IS BECAUSE THE P.O. IS 2667 01:54:00,640 --> 01:54:04,720 ONE AUTHORITY AND SO IS THE 2668 01:54:04,720 --> 01:54:05,640 SUPERVISOR WHOEVER WHAT DATABASE 2669 01:54:05,640 --> 01:54:07,160 YOU ARE WORKING WITH ON THE 2670 01:54:07,160 --> 01:54:09,320 RULES OF THE GOVERNMENT PLAN. 2671 01:54:09,320 --> 01:54:10,920 SO THE COORDINATION THERE 2672 01:54:10,920 --> 01:54:13,720 DECIDING WHO REALLY SHOULD 2673 01:54:13,720 --> 01:54:14,840 ADJUDICATE THESE QUESTIONS IS 2674 01:54:14,840 --> 01:54:16,320 VERY IMPORTANT IN TERMS OF THE 2675 01:54:16,320 --> 01:54:18,480 POLICY AS YOU IMPLEMENT IT AND 2676 01:54:18,480 --> 01:54:19,920 AS YOU SAY, I KNOW THIS IS GOING 2677 01:54:19,920 --> 01:54:21,120 TO BE LEARNING BY EXPERIENCE FOR 2678 01:54:21,120 --> 01:54:22,880 ALL OF US SO I WANT TO 2679 01:54:22,880 --> 01:54:23,520 UNDERSCORE THOSE POINTS. 2680 01:54:23,520 --> 01:54:26,760 THANK YOU, VERY MUCH. 2681 01:54:26,760 --> 01:54:28,600 >>GREAT. 2682 01:54:28,600 --> 01:54:30,240 LOOKS LIKE THAT'S ALL QUESTIONS 2683 01:54:30,240 --> 01:54:32,280 WE HAVE SO JULIA, THANK YOU SO 2684 01:54:32,280 --> 01:54:34,320 MUCH FOR THE VERY INFORMATIVE 2685 01:54:34,320 --> 01:54:35,160 PRESENTATION AND ALL THE WORK 2686 01:54:35,160 --> 01:54:35,880 THAT YOU'VE DID NOT DOING. 2687 01:54:35,880 --> 01:54:38,040 THANK YOU ALL FOR YOUR COMMENTS. 2688 01:54:38,040 --> 01:54:42,080 WE HAVE A BREAK NOW UNTIL 2:30. 2689 01:54:42,080 --> 01:54:43,920 SO, ENJOY. 2690 01:54:43,920 --> 01:54:46,120 CATCH UP ON E-MAILS, THANK YOU. 2691 01:54:46,120 --> 01:54:51,880 BYE-BYE. 2692 01:54:51,880 --> 01:54:53,760 >>THANK YOU FOR YOUR 2693 01:54:53,760 --> 01:54:54,320 FORBEARANCE THIS AFTERNOON. 2694 01:54:54,320 --> 01:54:56,080 I'M SORRY I COULDN'T BE WITH YOU 2695 01:54:56,080 --> 01:54:57,240 IN-PERSON TO START THE MEETING 2696 01:54:57,240 --> 01:54:58,400 AND I HAD TO MISS MUCH OF THE 2697 01:54:58,400 --> 01:54:59,800 FIRST HALF OF THE MEETING FOR 2698 01:54:59,800 --> 01:55:01,680 ANOTHER EVENT THAT WAS TAKING 2699 01:55:01,680 --> 01:55:02,600 PLACE ON AMOUNT PUSS BUT I'M 2700 01:55:02,600 --> 01:55:06,200 REALLY PLEASED TO JOIN YOU 2701 01:55:06,200 --> 01:55:11,840 TODAY. 2702 01:55:11,840 --> 01:55:12,880 >> Joshua Gordon: GIVE YOU THE 2703 01:55:12,880 --> 01:55:15,680 UPDATE FROM MY PERSPECTIVE AND 2704 01:55:15,680 --> 01:55:16,880 STUFF PUTTING IT TOGETHER. 2705 01:55:16,880 --> 01:55:18,480 I'M EXCITED TO WHAT WE HAVE TO 2706 01:55:18,480 --> 01:55:20,120 TALK ABOUT THAT INCLUDES 2707 01:55:20,120 --> 01:55:24,120 RESOURCES THAT WE HOPE WILL HELP 2708 01:55:24,120 --> 01:55:27,360 OUR INVESTIGATORS AND HEARING 2709 01:55:27,360 --> 01:55:28,400 THE PUBLIC COMMENT RETURN NOW 2710 01:55:28,400 --> 01:55:35,360 THAT WE ARE IN THIS HYBRID MODE. 2711 01:55:35,360 --> 01:55:35,840 SO THANK YOU AGAIN. 2712 01:55:35,840 --> 01:55:41,560 NOT JOINING THE AUDIO. 2713 01:55:41,560 --> 01:55:42,920 FOR THE OPPORTUNITY TO TELL YOU 2714 01:55:42,920 --> 01:55:45,400 WHAT IS HAPPENING AROUND THE NIH 2715 01:55:45,400 --> 01:55:47,720 AND NIMH. 2716 01:55:47,720 --> 01:55:48,680 LET'S SEE. 2717 01:55:48,680 --> 01:55:49,720 WHO IS RUNNING THIS SLIDES. 2718 01:55:49,720 --> 01:55:54,320 SHOULD I DO IT FROM HERE? 2719 01:55:54,320 --> 01:55:56,640 >>THEY'RE RUNNING IT. 2720 01:55:56,640 --> 01:56:07,160 I'LL WAIT FOR THEM TO APPEAR. 2721 01:56:20,560 --> 01:56:21,280 HERE WE GO. 2722 01:56:21,280 --> 01:56:23,480 SO IF I CAN HAVE THE NEXT SLIDE. 2723 01:56:23,480 --> 01:56:24,480 PLEASE. 2724 01:56:24,480 --> 01:56:26,800 SO, AS USUAL FROM MY TALK IT'S A 2725 01:56:26,800 --> 01:56:28,720 PACKED AGENDA, I'LL TALK TO YOU 2726 01:56:28,720 --> 01:56:29,760 ABOUT SOME CONGRESSIONAL 2727 01:56:29,760 --> 01:56:31,320 INTERACTIONS APPROPRIATIONS AND 2728 01:56:31,320 --> 01:56:32,200 BUDGET UPDATES. 2729 01:56:32,200 --> 01:56:34,360 AS I MENTIONED LAST TIME, 2730 01:56:34,360 --> 01:56:35,960 CONTINUED GOODS NEWS IN TERMS OF 2731 01:56:35,960 --> 01:56:38,240 INTEREST IN THE WHITE HOUSE AND 2732 01:56:38,240 --> 01:56:41,680 ALSO UPDATES AND HHS AND AROUND 2733 01:56:41,680 --> 01:56:43,000 THE NIH SOME NEWS TO KNOW FROM 2734 01:56:43,000 --> 01:56:44,240 OUR INSTITUTE AND I'LL CLOSE 2735 01:56:44,240 --> 01:56:47,520 WITH A COUPLE OF HIGHLIGHTS 2736 01:56:47,520 --> 01:56:49,440 BEFORE REMINDING YOU ABOUT THE 2737 01:56:49,440 --> 01:56:55,920 75th ANNIVERSARY TO END. 2738 01:56:55,920 --> 01:56:59,200 IS WE'VE HAD A BUSY SPRING AND 2739 01:56:59,200 --> 01:57:00,520 OF COURSE THAT IS TYPICAL FOR 2740 01:57:00,520 --> 01:57:02,800 THE LEAD INTO TO THE PREPARATION 2741 01:57:02,800 --> 01:57:04,640 SEASON AND IT'S A TYPICAL IN 2742 01:57:04,640 --> 01:57:06,480 TERMS OF AS I'VE BEEN MENTIONING 2743 01:57:06,480 --> 01:57:08,920 NOW FOR A WHILE, CONTINUED 2744 01:57:08,920 --> 01:57:11,560 INCREASES AND INTEREST AMONGST 2745 01:57:11,560 --> 01:57:12,240 CONGRESSIONAL MEMBERS AND 2746 01:57:12,240 --> 01:57:14,000 HEARING FROM NIMH BOTH IN ELSE 2747 01:57:14,000 --> 01:57:18,280 IT O TRYING TO WHAT WE NEED TO 2748 01:57:18,280 --> 01:57:19,880 UNDERSTAND OUR RESEARCH AND 2749 01:57:19,880 --> 01:57:21,440 UNDERSTANDING WHAT INFORMATION 2750 01:57:21,440 --> 01:57:31,920 WE CAN PROVIDE BETWEEN MYSELF 2751 01:57:33,400 --> 01:57:34,720 AND OTHER STAFF WE PARTICIPATED 2752 01:57:34,720 --> 01:57:36,480 IN SEVEN DIFFERENT CONGRESSIONAL 2753 01:57:36,480 --> 01:57:37,160 BRIEFINGS WITH MEMBERS AND 2754 01:57:37,160 --> 01:57:37,560 STAFF. 2755 01:57:37,560 --> 01:57:39,600 THE TOPICS INCLUDE SUICIDE 2756 01:57:39,600 --> 01:57:41,480 PREVENTION, HEALTH DISPARITIES, 2757 01:57:41,480 --> 01:57:43,560 SERIOUS MENTAL ILLNESS, SOCIAL 2758 01:57:43,560 --> 01:57:52,080 MEDIA AND MORE AND ONE OF THOSE 2759 01:57:52,080 --> 01:57:53,040 THEY'RE TWO SEPARATE CAUCUSES IN 2760 01:57:53,040 --> 01:57:55,800 THE HOUSE AND THEY CAME TOGETHER 2761 01:57:55,800 --> 01:57:59,320 WHERE IT WAS MYSELF AND SOMEONE 2762 01:57:59,320 --> 01:58:02,360 FROM THE OFFICE OF NATIONAL DRUG 2763 01:58:02,360 --> 01:58:04,800 CONTROL AND POLICY AND REALLY 2764 01:58:04,800 --> 01:58:07,280 TALKING ABOUT ALL THINGS, MENTAL 2765 01:58:07,280 --> 01:58:09,120 HEALTH AND SUBSTANCE ABUSE AND 2766 01:58:09,120 --> 01:58:16,200 IT WAS REALLY A VERY RICH EFFORT 2767 01:58:16,200 --> 01:58:17,440 AND IT WENT ON. 2768 01:58:17,440 --> 01:58:19,880 WE ARE IN APPROPRIATIONS SEASON. 2769 01:58:19,880 --> 01:58:25,120 AS THE HOUSE AND SENATE BEGIN TO 2770 01:58:25,120 --> 01:58:31,840 CONTEMPLATE THE OF 2024 BUDGET. 2771 01:58:31,840 --> 01:58:33,200 THERE'S BEEN HEARING BETWEEN 2772 01:58:33,200 --> 01:58:35,600 MARCH AND MAY WHICH INCLUDED THE 2773 01:58:35,600 --> 01:58:40,120 OF THE SECRETARY OF HHS OF 2774 01:58:40,120 --> 01:58:50,480 COURSE AND ALSO IT WAS 2775 01:59:04,000 --> 01:59:05,720 PRIVILEGED HE ANSWERED A 2776 01:59:05,720 --> 01:59:07,440 UNPRESIDENT NUMBER OF QUESTIONS 2777 01:59:07,440 --> 01:59:07,920 ON MENTAL HEALTH. 2778 01:59:07,920 --> 01:59:09,320 INTEREST IN THE SAME TOPICS THAT 2779 01:59:09,320 --> 01:59:12,120 I JUST MENTIONED BEFORE AND ALSO 2780 01:59:12,120 --> 01:59:13,440 INTEREST IN UNDERSTANDING MORE 2781 01:59:13,440 --> 01:59:15,720 ABOUT OUR PRECISION PSYCHIATRY 2782 01:59:15,720 --> 01:59:16,880 INITIATIVES WHICH WERE MENTIONED 2783 01:59:16,880 --> 01:59:20,880 IN THE PRESIDENT'S JUDGE ET AS 2784 01:59:20,880 --> 01:59:26,000 WELL AS OUR INITIATIVES OF YOUTH 2785 01:59:26,000 --> 01:59:27,200 MENTAL HEALTH MORE BROADLY. 2786 01:59:27,200 --> 01:59:29,480 IT WAS A POSITIVE GIVE-AND-TAKE 2787 01:59:29,480 --> 01:59:37,440 WITH THE SENATORS REALLY VOICING 2788 01:59:37,440 --> 01:59:40,720 THEIR SUPPORT FOR NIH. 2789 01:59:40,720 --> 01:59:41,880 OF COURSE WE DON'T KNOW WHERE 2790 01:59:41,880 --> 01:59:44,000 THAT WILL PUT THE BUDGET FOR 2791 01:59:44,000 --> 01:59:46,040 2024 BUT I WANT TO GO OVER SOME 2792 01:59:46,040 --> 01:59:47,720 UPDATES THROUGH THE 2023 BUDGET. 2793 01:59:47,720 --> 01:59:48,720 NEXT SLIDE. 2794 01:59:48,720 --> 01:59:50,320 WHICH NOW WE'RE WELL INTO OF 2795 01:59:50,320 --> 01:59:55,200 COURSE THIS REPRESENTS THE LAST 2796 01:59:55,200 --> 01:59:56,360 FULL COUNCIL FOR GRANTS AND IT 2797 01:59:56,360 --> 02:00:01,400 WILL BE FUNDED FOR 2023 AND WE 2798 02:00:01,400 --> 02:00:02,640 DO GRANTS IN AUGUST AND 2799 02:00:02,640 --> 02:00:04,200 SEPTEMBER THAT COME IN ADVANCE 2800 02:00:04,200 --> 02:00:05,400 OF THE OCTOBER COUNCIL. 2801 02:00:05,400 --> 02:00:07,640 ON DECEMBER 29th, LAST TIME, 2802 02:00:07,640 --> 02:00:09,600 PRESIDENT JOE BIDEN SIGNED INTO 2803 02:00:09,600 --> 02:00:12,920 LAW THE COMBINED OR CONSOLIDATED 2804 02:00:12,920 --> 02:00:14,760 APPROPRIATIONS ACT WHICH GAVE 2805 02:00:14,760 --> 02:00:16,920 $2.3 BILLION TO THE NATIONAL 2806 02:00:16,920 --> 02:00:18,440 INSTITUTE OF MENTAL HEALTH 2807 02:00:18,440 --> 02:00:20,960 INCLUDING A LARGE FROM THE CURES 2808 02:00:20,960 --> 02:00:23,200 ACT TO HELP FUND THE AMBITIOUS 2809 02:00:23,200 --> 02:00:25,680 NOT AND BRAIN INITIATIVE. 2810 02:00:25,680 --> 02:00:30,760 AND NOTE, TWO LINE ITEMS IN 2811 02:00:30,760 --> 02:00:31,760 THERE, $25 MILLION TO OUR 2812 02:00:31,760 --> 02:00:33,400 INSTITUTE TO EXPAND OUR RESEARCH 2813 02:00:33,400 --> 02:00:34,680 ON COVID-19 AND MENTAL HEALTH. 2814 02:00:34,680 --> 02:00:35,920 YOU WILL SEE SOME OF THOSE 2815 02:00:35,920 --> 02:00:37,880 GRANTS IN THE PORTFOLIO THAT WE 2816 02:00:37,880 --> 02:00:38,920 REVIEWED TOMORROW AND CLOSED 2817 02:00:38,920 --> 02:00:39,440 SESSION. 2818 02:00:39,440 --> 02:00:44,280 IT ALSO INCLUDES AN INCREASE OF 2819 02:00:44,280 --> 02:00:46,560 $5 MILLION FOR APPROACHES AND 2820 02:00:46,560 --> 02:00:50,800 SERVICE DELIVERY AND WE'ROUSING 2821 02:00:50,800 --> 02:00:53,200 THIS AND OTHER APPROACHES AND 2822 02:00:53,200 --> 02:00:57,480 SYSTEMS DELIVERY. 2823 02:00:57,480 --> 02:00:59,240 NEXT SLIDE. 2824 02:00:59,240 --> 02:01:01,680 THIS IS THE COMBINED NUMBER OF 2825 02:01:01,680 --> 02:01:02,520 APPLICATIONS AND NUMBER OF 2826 02:01:02,520 --> 02:01:07,160 GRANTS AWARDED THAT WE HAVE THE 2827 02:01:07,160 --> 02:01:09,760 LAST SIX YEARS AND INCLUSIVE 2828 02:01:09,760 --> 02:01:13,520 LAST YEAR 2022 AND AN ESTIMATED 2829 02:01:13,520 --> 02:01:14,840 AMOUNT FOR 2023 AND OF COURSE 2830 02:01:14,840 --> 02:01:17,280 WE'RE NOT FINISHED FOR 2023 BUT 2831 02:01:17,280 --> 02:01:18,200 IT'S ESTIMATED. 2832 02:01:18,200 --> 02:01:22,440 YOU WILL NOTE WE SEE SUSTAINED 2833 02:01:22,440 --> 02:01:24,880 INTEREST AND WITH THE GRANT 2834 02:01:24,880 --> 02:01:29,080 NUMBERS AND SLIGHTLY LAST YEAR 2835 02:01:29,080 --> 02:01:29,880 AND WE HAVE APPROXIMATELY 2836 02:01:29,880 --> 02:01:31,680 SIMILAR MEMBERS OF GRANTS AWARD 2837 02:01:31,680 --> 02:01:33,400 AND THE ABSOLUTE NUMBER IS A 2838 02:01:33,400 --> 02:01:35,480 SLIGHT DECREASE AND DUE TO THE 2839 02:01:35,480 --> 02:01:39,000 INCREASE IN THE SIZE OF AWARDS. 2840 02:01:39,000 --> 02:01:40,280 PARTICULARLY TRUE OF THE BRAIN 2841 02:01:40,280 --> 02:01:41,760 INITIATIVE AWARDS THAT WE GIVE 2842 02:01:41,760 --> 02:01:47,040 OUT AS WELL AND SO THAT IS THE 2843 02:01:47,040 --> 02:01:49,040 REASONS WHY AND AND WE SEE A 2844 02:01:49,040 --> 02:01:50,840 SLIGHT DECREASE IN THE NUMBER OF 2845 02:01:50,840 --> 02:01:52,200 AWARDS WE ANTICIPATE GIVING IN 2846 02:01:52,200 --> 02:01:54,920 2023. 2847 02:01:54,920 --> 02:01:55,680 NEXT SLIDE. 2848 02:01:55,680 --> 02:01:57,320 THIS IS THE CHART OF THE BUDGET 2849 02:01:57,320 --> 02:02:05,400 THAT I'VE BEEN SHOWING YOU FOR A 2850 02:02:05,400 --> 02:02:07,800 WHILE YOU CAN SEE THE BRAIN 2851 02:02:07,800 --> 02:02:10,880 INITIATIVE FROM THE CURES ACT. 2852 02:02:10,880 --> 02:02:13,400 THIS IS NOT -- DID NOT RESULT IN 2853 02:02:13,400 --> 02:02:18,000 THE TOTAL DOLLARS TO NMIH AND 2854 02:02:18,000 --> 02:02:21,400 SPENDING O THE BRAIN INITIATIVE 2855 02:02:21,400 --> 02:02:25,080 AND THE BULK WAS MADE IN A 2856 02:02:25,080 --> 02:02:28,240 DECREASE HITTEN THERE WHICH SAY 2857 02:02:28,240 --> 02:02:31,880 SLIGHT BLUE, IT'S PART OF OUR 2858 02:02:31,880 --> 02:02:33,880 BASE BUDGET THAT WE'VE BEEN 2859 02:02:33,880 --> 02:02:34,560 SPENDING ON THE BRAIN INITIATIVE 2860 02:02:34,560 --> 02:02:41,960 SINCE ITS INCEPTION IN 2016. 2861 02:02:41,960 --> 02:02:46,560 SO, ACT APPROPRIATIONS AS 2862 02:02:46,560 --> 02:02:48,400 OPPOSED TO GENERAL 2863 02:02:48,400 --> 02:02:49,120 APPROPRIATIONS BY CONGRESS. 2864 02:02:49,120 --> 02:02:50,840 YOU WILL SEE AGAIN, FOR I THINK 2865 02:02:50,840 --> 02:02:53,400 IT'S SEVEN STRAIGHT YEARS, THE 2866 02:02:53,400 --> 02:02:55,280 BUYING PAUSH OF NIMH SPONSORED 2867 02:02:55,280 --> 02:02:57,440 RESEARCH HAS INCREASED SO WE ARE 2868 02:02:57,440 --> 02:02:58,760 KEEPING ABOVE INFLATION EVEN 2869 02:02:58,760 --> 02:03:01,400 WITH THE SIGNIFICANT INCREASE IN 2870 02:03:01,400 --> 02:03:04,080 INFLATION AND THE PAST YEAR AND 2871 02:03:04,080 --> 02:03:08,560 THE MORE MODEST INCREASE IN OUR 2872 02:03:08,560 --> 02:03:11,840 BUDGET. 2873 02:03:11,840 --> 02:03:14,520 I HAVE IDEA AND SUPPORT FROM 2874 02:03:14,520 --> 02:03:17,760 CONGRESS AND BOTH HOUSES ARE 2875 02:03:17,760 --> 02:03:19,160 INTERESTED IN SUPPORT FROM 2876 02:03:19,160 --> 02:03:20,240 ROBUST AND BIGGER ISSUES AT PLAY 2877 02:03:20,240 --> 02:03:21,800 IN THE CONGRESSIONAL DISCUSSIONS 2878 02:03:21,800 --> 02:03:24,080 OVER THE BUDGET LINE TO SEE HOW 2879 02:03:24,080 --> 02:03:25,720 IT PLAYS OUT IN THE COMING 2880 02:03:25,720 --> 02:03:28,920 MONTHS. 2881 02:03:28,920 --> 02:03:30,520 NEXT SLIDE. 2882 02:03:30,520 --> 02:03:32,480 AS A FORESHADOWING OF THAT 2883 02:03:32,480 --> 02:03:35,200 BUDGET DISCUSSION ON MARCH 9 2884 02:03:35,200 --> 02:03:37,480 THE, THE PRESIDENT RELEASED THE 2885 02:03:37,480 --> 02:03:40,320 BUDGET REQUEST FOR FISCAL YEAR 2886 02:03:40,320 --> 02:03:42,440 2024, IT ESSENTIALLY PROPOSES A 2887 02:03:42,440 --> 02:03:48,040 VERY MODEST INCREASE FROM NIH OF 2888 02:03:48,040 --> 02:03:50,360 $920 MILLION OVER 1/5 OF THAT 2889 02:03:50,360 --> 02:03:51,400 BUDGET INCREASE THE PRESIDENT 2890 02:03:51,400 --> 02:03:53,720 PROPOSED TO COME TO THE NIMH 2891 02:03:53,720 --> 02:03:58,000 THAT WOULD BE A NEAR 10% 2892 02:03:58,000 --> 02:04:02,040 INCREASE IN OUR NON BRAIN BUDGET 2893 02:04:02,040 --> 02:04:02,880 AND SPECIFICALLY AROUND 2894 02:04:02,880 --> 02:04:09,800 PRIORITIES THAT WE IDENTIFIED 2895 02:04:09,800 --> 02:04:14,640 WITH TREE, THESE ARE INITIATIVES 2896 02:04:14,640 --> 02:04:16,720 THAT YOU ALL APPROVED ALREADY IN 2897 02:04:16,720 --> 02:04:17,760 THE PAST AND OTHER INITIATIVES 2898 02:04:17,760 --> 02:04:25,400 THAT WE PLAN TO BRING FORWARD. 2899 02:04:25,400 --> 02:04:27,480 TO DEVELOP NOVEL TREATMENTS AND 2900 02:04:27,480 --> 02:04:29,600 SPECIFIC NOT SET ASIDE 2901 02:04:29,600 --> 02:04:30,440 $20 MILLION FOR MENTAL HEALTH 2902 02:04:30,440 --> 02:04:32,200 IMPACT OF SOCIAL MEDIA AND 2903 02:04:32,200 --> 02:04:33,600 $50 MILLION TO SUPPORT THE 2904 02:04:33,600 --> 02:04:35,640 CHRISTIAN PSYCHIATRY INITIATIVE 2905 02:04:35,640 --> 02:04:37,960 THAT WE'VE BEGUN AND HOPE TO 2906 02:04:37,960 --> 02:04:39,360 EXPAND IF WE RECEIVE THIS 2907 02:04:39,360 --> 02:04:40,520 INCREASE IN APPROPRIATIONS. 2908 02:04:40,520 --> 02:04:42,800 THIS IS THE PRESIDENT'S REQUEST. 2909 02:04:42,800 --> 02:04:49,120 WE ALSO HAD THE CHANCE TO MEET 2910 02:04:49,120 --> 02:04:51,080 WITH STAFF OF THE HOUSE AND 2911 02:04:51,080 --> 02:04:52,440 SENATE TO EXPLAIN THIS REQUEST 2912 02:04:52,440 --> 02:04:54,560 AND TO PROVIDE WHAT IS CALLED A 2913 02:04:54,560 --> 02:04:55,800 PROFESSIONAL JUDGMENT BUDGET 2914 02:04:55,800 --> 02:04:59,880 WHICH GOES BEYOND THIS REQUEST 2915 02:04:59,880 --> 02:05:01,520 AND TO SAY WHAT WE NEED IF WE 2916 02:05:01,520 --> 02:05:03,000 WANTED TO MAXIMIZE OUR ADDRESSES 2917 02:05:03,000 --> 02:05:04,880 OF CHALLENGING AND SERIOUS 2918 02:05:04,880 --> 02:05:07,480 MENTAL ILLNESS AND SO, WE'LL SEE 2919 02:05:07,480 --> 02:05:08,640 WHAT CONGRESS DOES WITH BOTH OF 2920 02:05:08,640 --> 02:05:09,840 INFORMATION THAT WE GAVE THEM 2921 02:05:09,840 --> 02:05:11,520 THROUGH THAT PROFESSIONAL 2922 02:05:11,520 --> 02:05:12,360 JUDGMENT BUDGET AS WELL AS AS 2923 02:05:12,360 --> 02:05:14,320 THE PRESIDENT'S OWN BUDGET 2924 02:05:14,320 --> 02:05:17,560 REQUEST. 2925 02:05:17,560 --> 02:05:21,920 NEXT SLIDE. 2926 02:05:21,920 --> 02:05:23,720 SO NOT MUCH MORE TO DO WITH 2927 02:05:23,720 --> 02:05:26,120 20924 BUDGET EX SEPARATE AND 2928 02:05:26,120 --> 02:05:27,960 WE'LL GO OVER TO OTHER NEWS FROM 2929 02:05:27,960 --> 02:05:30,320 THE WHITE HOUSE AND HHS AND NIH. 2930 02:05:30,320 --> 02:05:32,280 FIRST SOME ANNOUNCEMENTS AND 2931 02:05:32,280 --> 02:05:35,400 INITIATIVES. 2932 02:05:35,400 --> 02:05:42,840 NEXT SLIDE. 2933 02:05:42,840 --> 02:05:44,520 THE WHITE HOUSE PUT OUT A REPORT 2934 02:05:44,520 --> 02:05:45,600 ACROSS THE GOVERNMENT AND I WANT 2935 02:05:45,600 --> 02:05:49,400 TO MENTION THE WORK OF THE 2936 02:05:49,400 --> 02:05:51,480 SHELLY AND BOB SIGN SEN WHO 2937 02:05:51,480 --> 02:05:54,120 WORKED HARD WITH MEMBERS OF OSDP 2938 02:05:54,120 --> 02:05:55,600 AND REALLY OTHERS ACROSS 2939 02:05:55,600 --> 02:05:59,760 GOVERNMENT AND BACKED UP WHICH 2940 02:05:59,760 --> 02:06:02,600 MANY, MANY DIFFERENT PROGRAM 2941 02:06:02,600 --> 02:06:06,080 STAFF TONE SURE THAT THESE 2942 02:06:06,080 --> 02:06:07,360 PRIORITIES MET OR AGREED WITH 2943 02:06:07,360 --> 02:06:08,920 MOST OF ANYMORE'S PRIORITIES AS 2944 02:06:08,920 --> 02:06:10,920 WELL AND THE AREAS OF 'EM IF SIS 2945 02:06:10,920 --> 02:06:13,400 AND GOVERNMENT WIDE PERSPECTIVE 2946 02:06:13,400 --> 02:06:14,440 INCLUDE MENTAL HEALTH INEQUITIES 2947 02:06:14,440 --> 02:06:16,080 AND UNDERSTANDING DIGITAL MENTAL 2948 02:06:16,080 --> 02:06:18,480 HEALTH INTERVENTIONS AND 2949 02:06:18,480 --> 02:06:19,000 SUPPORTING MENTAL HEALTH 2950 02:06:19,000 --> 02:06:20,680 WORKFORCE AND THE REPORT 2951 02:06:20,680 --> 02:06:21,840 HIGHLIGHTS SEVERAL RESEARCH 2952 02:06:21,840 --> 02:06:24,400 INITIATIVES THAT ARE ALREADY 2953 02:06:24,400 --> 02:06:25,840 UNDERWAY AS WELL AS PROPOSING TO 2954 02:06:25,840 --> 02:06:27,320 ENHANCE SOME OF THE ONCE THAT WE 2955 02:06:27,320 --> 02:06:31,520 HOPE TO DO IN THE FUTURE. 2956 02:06:31,520 --> 02:06:33,600 NEXT SLIDE. 2957 02:06:33,600 --> 02:06:34,880 THE WHITE HOUSE HAS BEEN 2958 02:06:34,880 --> 02:06:36,160 THINKING ABOUT MENTAL HEALTH 2959 02:06:36,160 --> 02:06:37,400 IT'S ALSO BEEN THINKING ABOUT 2960 02:06:37,400 --> 02:06:38,440 RESEARCH IN GENERAL. 2961 02:06:38,440 --> 02:06:40,160 AS YOU KNOW IN 2022 THE WHITE 2962 02:06:40,160 --> 02:06:41,240 HOUSE OFFICE OF SCIENCE AND 2963 02:06:41,240 --> 02:06:43,640 TECHNOLOGY POLICY RELEASED A 2964 02:06:43,640 --> 02:06:45,640 MEMORANDUM ON ENSURING FREE AND 2965 02:06:45,640 --> 02:06:47,040 IMMEDIATE EQUITABLE ACCESS TO 2966 02:06:47,040 --> 02:06:51,160 FEDERAL FUNDED RESEARCH AND THIS 2967 02:06:51,160 --> 02:06:52,320 MEMORANDUM AND A EXECUTIVE ORDER 2968 02:06:52,320 --> 02:06:54,280 FROM THE PRESIDENT ESTABLISHES 2969 02:06:54,280 --> 02:06:58,040 THAT NIMH SUPPORTED RESEARCH 2970 02:06:58,040 --> 02:07:01,120 WILL NEED TO BE IMPROVE PUBLIC 2971 02:07:01,120 --> 02:07:03,120 ACCESS TO PUBLICATIONS INCLUDING 2972 02:07:03,120 --> 02:07:06,680 ELIMINATING THE 12-MONTH WAITING 2973 02:07:06,680 --> 02:07:08,560 PERIOD FOR RESEARCH TO BE 2974 02:07:08,560 --> 02:07:08,960 PUBLICLY ACCESSED. 2975 02:07:08,960 --> 02:07:10,400 WE HAVE A FEW YEARS BEFORE THIS 2976 02:07:10,400 --> 02:07:12,040 TAKES EFFECT BUT WE WANT TO MAKE 2977 02:07:12,040 --> 02:07:15,400 SURE THAT OUR RESEARCHERS AND 2978 02:07:15,400 --> 02:07:17,240 THE JOURNALS AND THAT EVERYONE 2979 02:07:17,240 --> 02:07:19,760 ELSE IN THE KNOWS WHAT TO HE 2980 02:07:19,760 --> 02:07:21,440 EXPECT AND WE HAVE LISTENING 2981 02:07:21,440 --> 02:07:23,120 SESSIONS AND SEEK PUBLIC ACCESS 2982 02:07:23,120 --> 02:07:25,640 AND PUBLIC GUIDANCE ON OUR PLAN 2983 02:07:25,640 --> 02:07:27,280 TO ENHANCE PUBLIC ACCESS 2984 02:07:27,280 --> 02:07:28,560 INCLUDING A LISTENING SESSION 2985 02:07:28,560 --> 02:07:33,600 THAT TOOK PLACE IN APRIL. 2986 02:07:33,600 --> 02:07:35,800 THE NIH HAS ALSO DEVELOPED A 2987 02:07:35,800 --> 02:07:38,080 STRATEGIC PLAN FOR DIVERSITY 2988 02:07:38,080 --> 02:07:40,040 EQUITY INCLUSION AND 2989 02:07:40,040 --> 02:07:41,400 ACCESSIBILITY COVERING THE 2990 02:07:41,400 --> 02:07:43,480 FISCAL YEAR THROUGH 2027. 2991 02:07:43,480 --> 02:07:46,680 THIS STRATEGIC PLAN ARTICULATES 2992 02:07:46,680 --> 02:07:50,000 NIH'S COMMITMENT TO EMBRACING, 2993 02:07:50,000 --> 02:07:53,320 STRENGTHENING AND INTEGRATING 2994 02:07:53,320 --> 02:07:55,280 DEIA INTRAMURALLY AND 2995 02:07:55,280 --> 02:07:56,120 EXTRAMURALLY AND ENCOURAGE YOU 2996 02:07:56,120 --> 02:07:58,480 TO TAKE A LOOK AT THIS STRATEGIC 2997 02:07:58,480 --> 02:07:59,240 PLAN. 2998 02:07:59,240 --> 02:08:00,000 MANY OF THE PRIORITIES 2999 02:08:00,000 --> 02:08:01,080 IDENTIFIED IN HERE ARE THINGS 3000 02:08:01,080 --> 02:08:03,680 THAT NIMH HAS ALREADY BEEN 3001 02:08:03,680 --> 02:08:05,440 WORKING ON AND HAS ALREADY 3002 02:08:05,440 --> 02:08:06,800 INCORPORATED TO ITS STRATEGIC 3003 02:08:06,800 --> 02:08:08,920 PLAN ALTHOUGH AS I SAY IN A 3004 02:08:08,920 --> 02:08:15,760 MOMENT, WE JUST FINISHED AN 3005 02:08:15,760 --> 02:08:26,280 UPDATE ANNOUNCED IN A NEW PRIZE 3006 02:08:33,440 --> 02:08:36,080 COMPETITION FOR INSTITUTIONAL IN 3007 02:08:36,080 --> 02:08:38,480 DEIA ACTIVITIES AND IT WAS 3008 02:08:38,480 --> 02:08:40,080 ANNOUNCED APRIL 4th AND 3009 02:08:40,080 --> 02:08:41,040 DEADLINE IS THIS SEPTEMBER AND 3010 02:08:41,040 --> 02:08:43,080 FOR THOSE WHO ARE INTERESTED IN 3011 02:08:43,080 --> 02:08:44,920 HELPING THEIR INSTITUTION APPLY 3012 02:08:44,920 --> 02:08:49,680 FOR THESE PRIZES, THE -- THERE'S 3013 02:08:49,680 --> 02:08:50,960 AN INFORMATIONAL WEBINAR 3014 02:08:50,960 --> 02:08:52,080 TOMORROW AT 1:00. 3015 02:08:52,080 --> 02:08:54,040 YOU CAN LOOK ON THE NIH WEBSITE 3016 02:08:54,040 --> 02:08:59,800 TO FIND OUT MORE ABOUT IT. 3017 02:08:59,800 --> 02:09:01,880 THE ALL OF US RESEARCH PROGRAM 3018 02:09:01,880 --> 02:09:04,080 PARTNERING WITH NIMH TO HELP US 3019 02:09:04,080 --> 02:09:06,720 IN OUR EFFORTS TO UNDERSTAND HOW 3020 02:09:06,720 --> 02:09:07,680 BEHAVIORAL TESTS MIGHT BE ABLE 3021 02:09:07,680 --> 02:09:10,280 TO INFORM DECISIONS ABOUT -- 3022 02:09:10,280 --> 02:09:11,680 DIAGNOSTICS AND DECISIONS ABOUT 3023 02:09:11,680 --> 02:09:12,720 CLINICAL PREDICTION. 3024 02:09:12,720 --> 02:09:15,120 THE ALL OF US HAS BEEN REALLY 3025 02:09:15,120 --> 02:09:18,320 BUSY RAMPING UP THEIR ENROLLMENT 3026 02:09:18,320 --> 02:09:20,160 AND IMPORTANTLY RELEASING DATA 3027 02:09:20,160 --> 02:09:21,760 PACKAGES AND DATA PLATFORMS AS 3028 02:09:21,760 --> 02:09:24,160 WELL AS DATA ANALYTICS PLATFORMS 3029 02:09:24,160 --> 02:09:26,160 AND ON MARCH 29th THROUGH THE 3030 02:09:26,160 --> 02:09:27,560 31st THEY HOST AID VIRTUAL 3031 02:09:27,560 --> 02:09:28,720 RESEARCHERS CONVENTION TO 3032 02:09:28,720 --> 02:09:30,000 PROVIDE AN OPPORTUNITY FOR 3033 02:09:30,000 --> 02:09:31,720 RESEARCHERS WHO USE ALL OF US 3034 02:09:31,720 --> 02:09:33,440 DATA AND TOOLS TO SHOWCASE THEIR 3035 02:09:33,440 --> 02:09:35,360 WORK AND TO LEARN BEST 3036 02:09:35,360 --> 02:09:36,840 PRACTICES. 3037 02:09:36,840 --> 02:09:38,640 AND FOR THOSE DATA SCIENTISTS 3038 02:09:38,640 --> 02:09:40,520 OUT THERE AND IN THE UNIVERSE I 3039 02:09:40,520 --> 02:09:42,600 WILL REMIND THEM OF DATA I'VE 3040 02:09:42,600 --> 02:09:43,960 SHOWN IN THE PAST AND OF THE 3041 02:09:43,960 --> 02:09:46,160 TALK WE HEARD FROM ALL OF US 3042 02:09:46,160 --> 02:09:47,000 RECENTLY WHERE IT'S VERY CLEAR 3043 02:09:47,000 --> 02:09:49,120 THAT THE ENROLLMENT IS INCLUSIVE 3044 02:09:49,120 --> 02:09:50,840 OF INDIVIDUALS WITH A VARIETY OF 3045 02:09:50,840 --> 02:09:52,520 MENTAL ILLNESSES SO THERE'S MUCH 3046 02:09:52,520 --> 02:09:54,840 TO BE LEARNED FROM THE DATA THAT 3047 02:09:54,840 --> 02:09:56,240 AWFUL US HAS ALREADY RELEASED 3048 02:09:56,240 --> 02:09:57,680 AND THE DATA THAT WILL CONTINUE 3049 02:09:57,680 --> 02:09:59,360 TO BE RELEASED IN THE FUTURE AND 3050 02:09:59,360 --> 02:10:01,120 FOR THOSE OF YOU WHO ARE 3051 02:10:01,120 --> 02:10:03,520 PERSONALLY INTERESTED IN 3052 02:10:03,520 --> 02:10:04,560 PARTICIPATING IN ENROLLMENT 3053 02:10:04,560 --> 02:10:06,280 CONTINUES IT'S EASY AND YOU CAN 3054 02:10:06,280 --> 02:10:10,640 GO ON-LINE AND YOU CAN GO TO ONE 3055 02:10:10,640 --> 02:10:14,480 OF THEIR MANY PHYSICAL EXAM AND 3056 02:10:14,480 --> 02:10:16,080 SAMPLE SELECTION SITES ACROSS 3057 02:10:16,080 --> 02:10:17,080 THE UNITED STATES AND DONATE A 3058 02:10:17,080 --> 02:10:20,080 LITTLE BIT OF BLOOD AND GET 3059 02:10:20,080 --> 02:10:20,760 YOURSELF MEASURED AND YOU ARE ON 3060 02:10:20,760 --> 02:10:22,040 THE WAY. 3061 02:10:22,040 --> 02:10:24,680 IT'S A GREAT WAY TO CONTRIBUTE 3062 02:10:24,680 --> 02:10:27,080 TO SCIENTIFIC ADVANCEMENT AND 3063 02:10:27,080 --> 02:10:30,040 YOU CAN DONATE YOUR CLINICAL 3064 02:10:30,040 --> 02:10:31,360 RECORDS WITH PRESS OF A FEW 3065 02:10:31,360 --> 02:10:34,920 CLICKS OF YOUR MOUSE AND THE 3066 02:10:34,920 --> 02:10:36,720 RESULTS OF THIS RESEARCH ARE 3067 02:10:36,720 --> 02:10:40,880 SHARED WITH YOU AS A PARTICIPANT 3068 02:10:40,880 --> 02:10:45,400 IN THE PROGRAM. 3069 02:10:45,400 --> 02:10:46,880 ANOTHER INITIATIVE IS THE BRAIN 3070 02:10:46,880 --> 02:10:48,360 INITIATIVE. 3071 02:10:48,360 --> 02:10:49,200 ALMOST HALF OF THE BRAIN 3072 02:10:49,200 --> 02:10:51,760 INITIATIVE BRANCH COME THROUGH 3073 02:10:51,760 --> 02:10:52,120 THE NIH. 3074 02:10:52,120 --> 02:10:54,760 THE NIMH AND IN PARTNERSHIP WITH 3075 02:10:54,760 --> 02:10:56,640 THE NATIONAL INSTITUTE OF 3076 02:10:56,640 --> 02:10:58,040 NEUROLOGICAL DISEASE AND STROKE, 3077 02:10:58,040 --> 02:10:59,840 WE LEAD THE BRAIN INITIATIVE 3078 02:10:59,840 --> 02:11:01,400 WHICH NOW OF COURSE HAS A 3079 02:11:01,400 --> 02:11:04,120 PERMANENT DIRECTOR IN JOHN NAI 3080 02:11:04,120 --> 02:11:10,200 AND DEPUTY DIRECTOR ANDREA 3081 02:11:10,200 --> 02:11:10,560 BECKEL-MITCHNER. 3082 02:11:10,560 --> 02:11:11,680 THEY WILL HOST THE NINTH 3083 02:11:11,680 --> 02:11:12,920 NATIONAL BRAIN INITIATIVE 3084 02:11:12,920 --> 02:11:13,600 MEETING. 3085 02:11:13,600 --> 02:11:17,520 JUST NEXT MONTH. 3086 02:11:17,520 --> 02:11:19,400 IT WILL HAVE IN-PERSON AND 3087 02:11:19,400 --> 02:11:21,000 VIRTUAL COMPONENTS AND IF YOU 3088 02:11:21,000 --> 02:11:23,280 ARE INTERESTED TO SIGN UP AND 3089 02:11:23,280 --> 02:11:25,120 ATTEND HERE IN THE D.C. AREA OR 3090 02:11:25,120 --> 02:11:29,680 IF YOU CAN'T MAKE IT. 3091 02:11:29,680 --> 02:11:30,000 NEXT SLIDE. 3092 02:11:30,000 --> 02:11:31,840 I WANTED TO GIVE YOU AN UPDATE 3093 02:11:31,840 --> 02:11:33,320 ON A PROGRAM THAT WE'RE 3094 02:11:33,320 --> 02:11:35,760 ESPECIALLY PROUD OF, THE 3095 02:11:35,760 --> 02:11:37,440 ACCELERATED MEDICINE PARTNERSHIP 3096 02:11:37,440 --> 02:11:40,160 PROGRAM FOR SCHIZOPHRENIA. 3097 02:11:40,160 --> 02:11:42,200 AS YOU WILL REMEMBER, THOSE OF 3098 02:11:42,200 --> 02:11:43,720 YOU ARE ON COUNCIL AND MANY OF 3099 02:11:43,720 --> 02:11:46,320 YOU IN THE AUDIENCE WHO HAVE 3100 02:11:46,320 --> 02:11:47,520 BEEN WITH US BEFORE. 3101 02:11:47,520 --> 02:11:49,080 THE AMPS SCHIZOPHRENIA PROGRAM 3102 02:11:49,080 --> 02:11:51,360 IS ONE THAT SEEKS TO UNDERSTAND 3103 02:11:51,360 --> 02:11:53,600 WHETHER WE CAN USE BIOMARKERS 3104 02:11:53,600 --> 02:11:55,680 AND FOR TREATMENT DEVELOPMENT 3105 02:11:55,680 --> 02:11:58,800 AND IT WILL HELP BOTH REDUCE 3106 02:11:58,800 --> 02:12:00,200 SYMPTOMS AND PERHAPS PREVENT 3107 02:12:00,200 --> 02:12:03,000 TRANSITION TO PSYCHOSIS IN YOUTH 3108 02:12:03,000 --> 02:12:05,080 AND YOUNG ADULTS AND TEENAGERS 3109 02:12:05,080 --> 02:12:07,520 AT RISK FOR A FIRST EPISODE OF 3110 02:12:07,520 --> 02:12:09,880 PSYCHOSIS AND THIS IS A TRUE 3111 02:12:09,880 --> 02:12:13,360 GLOBAL EFFORT AS YOU CAN SEE BIT 3112 02:12:13,360 --> 02:12:16,560 MANY DIFFERENT SITES DISTRIBUTED 3113 02:12:16,560 --> 02:12:22,960 ACROSS MULTIPLE CONTINENTS AND 3114 02:12:22,960 --> 02:12:24,320 IT SOLVES TWO SEPARATE NETWORKS 3115 02:12:24,320 --> 02:12:25,520 THAT HAVE AGREED, THEY HAVE 3116 02:12:25,520 --> 02:12:27,040 AGREED TO USE THE SAME 3117 02:12:27,040 --> 02:12:31,400 PROTOCOLS, SAME OUTCOME MEASURES 3118 02:12:31,400 --> 02:12:33,920 AND SHARE THEIR DATA TO MAXIMIZE 3119 02:12:33,920 --> 02:12:38,080 OUR ABILITY TO REACH NOT THIS 3120 02:12:38,080 --> 02:12:41,080 IMPORTANT GROUP AND A MILLER 3121 02:12:41,080 --> 02:12:44,160 EIGHT PSYCHOPATHOLOGY AND 3122 02:12:44,160 --> 02:12:45,040 PREVENT 123 WORSING OF THAT TYPE 3123 02:12:45,040 --> 02:12:46,560 OF PATHOLOGY. 3124 02:12:46,560 --> 02:12:47,520 THE PARTNERSHIP IS ONE THAT IS 3125 02:12:47,520 --> 02:12:50,960 RUN BY THE FOUNDATION FOR THE 3126 02:12:50,960 --> 02:12:51,880 NATIONAL INSTITUTE OF HEALTH. 3127 02:12:51,880 --> 02:12:53,520 IT'S A PUBLIC-PRIVATE 3128 02:12:53,520 --> 02:12:55,000 PARTNERSHIP INVOLVING 3129 02:12:55,000 --> 02:12:56,280 PHARMACEUTICAL COMPANIES, NIMH 3130 02:12:56,280 --> 02:12:57,800 AND ADVOCACY ORGANIZATIONS THE 3131 02:12:57,800 --> 02:13:06,280 AND OTHER NON PROFITS AND AND 3132 02:13:06,280 --> 02:13:07,360 WE'RE PROUD WE'VE BEGUN 3133 02:13:07,360 --> 02:13:10,680 ENROLLMENT INTO THESE COHORTS 3134 02:13:10,680 --> 02:13:12,360 AND THEY ARE RAMPING UP AS WE 3135 02:13:12,360 --> 02:13:14,680 SPEAK TO FULL STATUS AND WE HOPE 3136 02:13:14,680 --> 02:13:16,120 TO BE ABLE TO SHARE WITH YOU 3137 02:13:16,120 --> 02:13:18,320 INTERESTING RESULTS FROM THAT AS 3138 02:13:18,320 --> 02:13:22,600 IT BECOMES IN THE COMING YEARS. 3139 02:13:22,600 --> 02:13:23,880 NEXT SLIDE. 3140 02:13:23,880 --> 02:13:28,880 IN JUNE OF 2022 IS WHEN A YEAR 3141 02:13:28,880 --> 02:13:31,280 AGO NOW, RESEARCH STUDY 3142 02:13:31,280 --> 02:13:33,400 PARTICIPANTS IN ENROLLING AND IN 3143 02:13:33,400 --> 02:13:39,560 DECEMBER OF 2022, THE FNIH 3144 02:13:39,560 --> 02:13:40,960 RELEASED A REQUEST FOR 3145 02:13:40,960 --> 02:13:42,120 INFORMATION ON COMPOUNDS THAT 3146 02:13:42,120 --> 02:13:43,720 COULD BE USED IN THE PROOF OF 3147 02:13:43,720 --> 02:13:44,760 PRINCIPLE CLINICAL TRIALS THAT 3148 02:13:44,760 --> 02:13:48,640 COULD BE USED TO TRY TO ASSIST 3149 02:13:48,640 --> 02:13:49,560 INDIVIDUALS IN THESE GROUPS. 3150 02:13:49,560 --> 02:13:53,120 THEY RECEIVED A NUMBER OF 3151 02:13:53,120 --> 02:13:54,400 DIFFERENT POTENTIAL, A NUMBER OF 3152 02:13:54,400 --> 02:13:55,080 DIFFERENT SUGGESTIONS FOR 3153 02:13:55,080 --> 02:13:59,480 POTENTIAL COMPOUNDS TO EVALUATE 3154 02:13:59,480 --> 02:14:01,240 AND THAT WORK IS ON GOING AND WE 3155 02:14:01,240 --> 02:14:03,960 HOPE TO BE ABLE TO BEGIN 3156 02:14:03,960 --> 02:14:05,400 CLINICAL TRIALS IN THIS GROUP IN 3157 02:14:05,400 --> 02:14:06,600 THE NEXT MISS CAL YEAR IN 3158 02:14:06,600 --> 02:14:10,240 FEBRUARY OF 2023, SCHIZOPHRENIA 3159 02:14:10,240 --> 02:14:11,680 DEVELOPERS REPORTED ON THE 3160 02:14:11,680 --> 02:14:13,080 FINALIZATION OF HARMONIZED 3161 02:14:13,080 --> 02:14:14,360 CLINICAL OUTCOME ASSESSMENT USED 3162 02:14:14,360 --> 02:14:17,600 AT THE ALL THE SITES AND THIS 3163 02:14:17,600 --> 02:14:19,640 SPRING WE HOPE TO PUBLISH A 3164 02:14:19,640 --> 02:14:21,160 FUNDING ANNOUNCEMENT ON THOSE 3165 02:14:21,160 --> 02:14:22,880 CLINICAL TRIALS THAT WE'LL HOPE 3166 02:14:22,880 --> 02:14:33,400 TO GIVE IN THE NEXT FISCAL YEAR. 3167 02:14:33,400 --> 02:14:36,160 ANOTHER NIH WIDE INITIATIVE IS 3168 02:14:36,160 --> 02:14:37,680 POSTDOCTORAL FELLOWS AND HOW TO 3169 02:14:37,680 --> 02:14:38,520 SUPPORT BEST. 3170 02:14:38,520 --> 02:14:40,200 THERE'S INCREASING RECOGNITION 3171 02:14:40,200 --> 02:14:46,160 THAT LEVE LEVELS LEVELS OF SUPP, 3172 02:14:46,160 --> 02:14:49,760 FINANCIAL SUPPORT, RESOURCES OR 3173 02:14:49,760 --> 02:14:51,160 BENEFITS ARE INSUFFICIENT TO 3174 02:14:51,160 --> 02:14:52,560 SUPPORT EARLY CAREER SCIENTISTS 3175 02:14:52,560 --> 02:14:55,120 AND ENSURE THEY STAY ENGAGE IN 3176 02:14:55,120 --> 02:14:58,560 THEIR SCIENTIFIC CAREERS AND AS 3177 02:14:58,560 --> 02:15:02,400 A RESULT THE NIH DIRECTOR ASKED 3178 02:15:02,400 --> 02:15:04,200 THE ADVISORY HAD COMMITTEE ON 3179 02:15:04,200 --> 02:15:07,120 REIN-VISIONING NIH SUPPORTED 3180 02:15:07,120 --> 02:15:08,040 POSTDOCTORAL TRAINING AND THIS 3181 02:15:08,040 --> 02:15:09,880 GROUP HAS ISSUED A REQUEST FOR 3182 02:15:09,880 --> 02:15:12,520 INFORMATION WHICH IS NOW CLOSED 3183 02:15:12,520 --> 02:15:15,560 BUT WE'VE RECEIVED THOUSANDS OF 3184 02:15:15,560 --> 02:15:16,880 SUBMISSIONS AND IS CONDUCTING A 3185 02:15:16,880 --> 02:15:18,640 SERIES OF WORKING GROUP 3186 02:15:18,640 --> 02:15:21,760 LISTENING SESSIONS HEARING FROM 3187 02:15:21,760 --> 02:15:25,720 POSTDOCS AND OTHERS ABOUT THE 3188 02:15:25,720 --> 02:15:27,320 ISSUES THEY FACER AND FROM 3189 02:15:27,320 --> 02:15:27,920 CHILDCARE COMPENSATION ALL THE 3190 02:15:27,920 --> 02:15:30,360 WAY THROUGH TO CAREER PROSPECTS 3191 02:15:30,360 --> 02:15:32,640 AND QUALITY OF LIFE AND WE HOPE 3192 02:15:32,640 --> 02:15:34,240 TO HEAR A REPORT THAT WE CAN 3193 02:15:34,240 --> 02:15:36,440 THEN ADOPT NIH WIDE TO TRY TO 3194 02:15:36,440 --> 02:15:38,760 IMPROVE THE LOT OF OUR 3195 02:15:38,760 --> 02:15:39,800 POSTDOCTORAL WHO DO MUCH OF THE 3196 02:15:39,800 --> 02:15:44,520 WORK THAT YOU ALL APPROVE EACH 3197 02:15:44,520 --> 02:15:48,640 YEAR AND O TO BE FUNDED. 3198 02:15:48,640 --> 02:15:50,280 NEXT SLIDE. 3199 02:15:50,280 --> 02:15:55,240 ANOTHER ISSUE EFFECTING TRAINING 3200 02:15:55,240 --> 02:15:59,600 IS THE PLANNED REVISION OR 3201 02:15:59,600 --> 02:16:02,280 REVIEW OF THE IS CRITERIA FOR 3202 02:16:02,280 --> 02:16:04,560 NATIONAL RESEARCH SERVICE AWARD 3203 02:16:04,560 --> 02:16:08,440 FELLOWSHIPS AND NRSA FELLOWSHIPS 3204 02:16:08,440 --> 02:16:10,200 ARE PRE-DOCTORAL AND 3205 02:16:10,200 --> 02:16:12,440 POSTDOCTORAL AND THE HOPE IS 3206 02:16:12,440 --> 02:16:14,760 THAT IF WE CAN GET THE REVIEW 3207 02:16:14,760 --> 02:16:15,320 CRITERIA CORRECT. 3208 02:16:15,320 --> 02:16:20,960 THAT WE CAN HELP IN THE GOAL OF 3209 02:16:20,960 --> 02:16:26,040 DIVERSIFYING OUR WORKFORCE BASED 3210 02:16:26,040 --> 02:16:28,280 ON MERIT AND NOT OTHER VARIABLES 3211 02:16:28,280 --> 02:16:30,920 I NOTE THE PROPOSED REVIEW 3212 02:16:30,920 --> 02:16:31,520 CRITERIA MODIFICATIONS HERE 3213 02:16:31,520 --> 02:16:33,280 WHICH INCLUDE A FOCUS ON THE 3214 02:16:33,280 --> 02:16:34,440 APPLICATION POTENTIAL AND THE 3215 02:16:34,440 --> 02:16:38,040 STRENGTH AND SCIENCE AND IS A 3216 02:16:38,040 --> 02:16:40,920 BETTER DEFINED CRITERIA AND 3217 02:16:40,920 --> 02:16:42,400 APPLICANTS AND THAT GIVES LESS 3218 02:16:42,400 --> 02:16:46,400 ADVANTAGE APPLICANTS A FAIR 3219 02:16:46,400 --> 02:16:56,880 CHANCE AND ARE AND THE SHOP 3220 02:17:03,040 --> 02:17:03,920 THROUGH THIS REVIEW WE CAN 3221 02:17:03,920 --> 02:17:07,320 IMPROVE OUR ABILITY TO EVALUATE 3222 02:17:07,320 --> 02:17:08,520 FELLOW SHOP APPLICATIONS AND 3223 02:17:08,520 --> 02:17:12,560 MAKE THE PROCESS FAIR. 3224 02:17:12,560 --> 02:17:15,560 WE'RE SEEKING FEEDBACK NOW ON 3225 02:17:15,560 --> 02:17:17,520 THIS REVISION AND SO, I'LL CALL 3226 02:17:17,520 --> 02:17:21,560 YOUR ATTENTION TO THE REQUEST 3227 02:17:21,560 --> 02:17:23,200 FOR INFORMATION THAT CSR PUT OUT 3228 02:17:23,200 --> 02:17:25,240 ON THE PROPOSED CHANGES THAT 3229 02:17:25,240 --> 02:17:28,360 THOSE RESPONSES ARE DO AT THE 3230 02:17:28,360 --> 02:17:29,200 END OF JUNE AND AS WELL AS 3231 02:17:29,200 --> 02:17:30,520 DETAILS ON THE RECOMMENDATIONS 3232 02:17:30,520 --> 02:17:34,160 FOR IMPROVING NRSA FELLOWSHIP 3233 02:17:34,160 --> 02:17:43,960 REVIEW AVAILABLE ON THE WEBSITE. 3234 02:17:43,960 --> 02:17:46,560 I CO-CHAIR THE AWE TIM COMMITTEE 3235 02:17:46,560 --> 02:17:47,520 ON BEHALF OF THE SECRETARY FOR 3236 02:17:47,520 --> 02:17:49,240 HEATH AND HUMAN SERVICE AND WE 3237 02:17:49,240 --> 02:17:54,040 AT NIMH THROUGH THE RESEARCH 3238 02:17:54,040 --> 02:17:55,320 COORDINATION RUN THAT AND 3239 02:17:55,320 --> 02:17:56,240 PROVIDE REPORTS TO CONGRESS AND 3240 02:17:56,240 --> 02:17:57,560 THE PUBLIC ON THE STATE OF 3241 02:17:57,560 --> 02:18:00,960 AFFAIRS FOR AUTISM AS WELL AS A 3242 02:18:00,960 --> 02:18:02,400 STRATEGIC PLAN FOR AUTISM CARE 3243 02:18:02,400 --> 02:18:05,320 AND RESEARCH AND ON APRIL 4th, 3244 02:18:05,320 --> 02:18:06,760 AND INFORMING A RESEARCH AGENDA 3245 02:18:06,760 --> 02:18:11,240 HERE AT NIH, THE IACC HELD A 3246 02:18:11,240 --> 02:18:12,600 VIRTUAL MEETING AND WE DISCUSSED 3247 02:18:12,600 --> 02:18:14,000 UPDATES FROM THE U.S. CENTERS 3248 02:18:14,000 --> 02:18:18,840 FOR DISEASE CONTROL ON AUTISM 3249 02:18:18,840 --> 02:18:20,200 PREVALENCE AS WELL AS DISCUSS 3250 02:18:20,200 --> 02:18:23,400 RACIAL OF ECONOMIC AND AUTISM 3251 02:18:23,400 --> 02:18:25,360 SPECTRUM DISORDER AND HOLD ON TO 3252 02:18:25,360 --> 02:18:26,280 THAT THOUGHT BECAUSE THE SCIENCE 3253 02:18:26,280 --> 02:18:27,720 WILL HIGHLIGHT THOSE IN JUST A 3254 02:18:27,720 --> 02:18:28,640 FEW MOMENTS. 3255 02:18:28,640 --> 02:18:33,040 IN APRIL IN HONOR OF AUTISM 3256 02:18:33,040 --> 02:18:34,160 AWARENESS MONTH. 3257 02:18:34,160 --> 02:18:36,800 THEY HOSTED THE AUTISM SPECIAL 3258 02:18:36,800 --> 02:18:42,600 EVENT SHOWING ARTISTS WHO ARE ON 3259 02:18:42,600 --> 02:18:44,120 THE SPECTRUM AND THEIR WORKS IS 3260 02:18:44,120 --> 02:18:46,720 REALLY A WONDERFUL SHOWCASE AND 3261 02:18:46,720 --> 02:18:50,280 I URGE YOU TO TAKE A LOOK AT THE 3262 02:18:50,280 --> 02:18:51,760 MATERIAL FROM THAT EVENT AND TO 3263 02:18:51,760 --> 02:18:53,520 LOOK AT THE ARTIST WORK WHICH IS 3264 02:18:53,520 --> 02:18:55,000 AVAILABLE OVER THE INTERNET TO 3265 02:18:55,000 --> 02:18:56,840 LOOK AT AND IT'S REALLY 3266 02:18:56,840 --> 02:18:58,680 ASTOUNDING STUFF AND ABSOLUTELY 3267 02:18:58,680 --> 02:19:01,560 BEAUTIFUL AND SPEAKS TO THE 3268 02:19:01,560 --> 02:19:02,360 CREATIVITY OF MANY INDIVIDUALS 3269 02:19:02,360 --> 02:19:06,640 ON THE SPECTRUM AND THEIR 3270 02:19:06,640 --> 02:19:10,680 CAPABILITIES. 3271 02:19:10,680 --> 02:19:12,280 ONE OF THE THINGS WE'RE CHARGED 3272 02:19:12,280 --> 02:19:14,800 WITH AT NIMH AND NIH MORE 3273 02:19:14,800 --> 02:19:17,000 BREEDLY IS ENSURING THAT OUR 3274 02:19:17,000 --> 02:19:20,720 RESEARCH RESULTS IN PUBLIC HEATH 3275 02:19:20,720 --> 02:19:21,120 IMPACT. 3276 02:19:21,120 --> 02:19:22,960 AND AS MANY OF YOU KNOW, THERE 3277 02:19:22,960 --> 02:19:26,240 ARE MEMBERS OF OUR RESEARCH 3278 02:19:26,240 --> 02:19:28,640 FIELD WHO FREQUENTLY SAYS THAT 3279 02:19:28,640 --> 02:19:30,360 RESEARCH AND MENTAL HEALTH HAS 3280 02:19:30,360 --> 02:19:34,400 NOT ACHIEVED PUBLIC-HEALTH 3281 02:19:34,400 --> 02:19:35,640 IMPACT. 3282 02:19:35,640 --> 02:19:37,360 AND WE RECOGNIZE THAT THIS IS 3283 02:19:37,360 --> 02:19:40,520 FALSE AND THAT MUCH OF THE 3284 02:19:40,520 --> 02:19:42,640 INVESTMENTS MADE THROUGH THE NIM 3285 02:19:42,640 --> 02:19:45,000 AND OTHER PLACES HAVE PAID OFF 3286 02:19:45,000 --> 02:19:46,480 TREMENDOUSLY IN TERMS OF 3287 02:19:46,480 --> 02:19:47,080 BENEFITS FOR INDIVIDUALS WITH 3288 02:19:47,080 --> 02:19:49,920 MENTAL ILLNESS AND THEIR 3289 02:19:49,920 --> 02:19:50,720 FAMILIES AND COMMUNITIES. 3290 02:19:50,720 --> 02:19:52,560 IS IT WANTS YOU TO HELP MESSAGE 3291 02:19:52,560 --> 02:19:53,640 THE NOTION THAT RESEARCH NOT 3292 02:19:53,640 --> 02:19:55,600 INVESTMENTS IN THE BIOMEDICAL 3293 02:19:55,600 --> 02:19:57,360 SPACE DO PAYOFF IN TERMS OF 3294 02:19:57,360 --> 02:20:00,040 PUBLIC-HEALTH RESEARCH AND SO 3295 02:20:00,040 --> 02:20:02,040 THEY REVAMPED THEIR WEB PAGE 3296 02:20:02,040 --> 02:20:03,320 THAT DETAIL THE IMPACT OF THE 3297 02:20:03,320 --> 02:20:07,240 NIH RESEARCH AND I'M PROUD TO 3298 02:20:07,240 --> 02:20:10,520 SAY THAT THE EFFORTS TO HELP 3299 02:20:10,520 --> 02:20:12,760 WITH FIRST PSYCHOSIS OR FUTURE 3300 02:20:12,760 --> 02:20:13,800 PROM INNANTLY NOW ON THE WEBSITE 3301 02:20:13,800 --> 02:20:16,720 WITH THE HANDOUT THAT'S 3302 02:20:16,720 --> 02:20:18,800 AVAILABLE AND IS EXPLAINS HOW 3303 02:20:18,800 --> 02:20:22,200 RESEARCH ENCORE DINNATED 3304 02:20:22,200 --> 02:20:28,560 SPECIALTY CARE HAS TRANSFORMED 3305 02:20:28,560 --> 02:20:32,760 THE THIS RESEARCH MILESTONES AND 3306 02:20:32,760 --> 02:20:37,400 SPECIALTY CARE FOR EARL 3307 02:20:37,400 --> 02:20:40,800 SCHIZOPHRENIA I ENCOURAGE YOU TO 3308 02:20:40,800 --> 02:20:42,560 LOOK AT IT AND SHARE IT WITH 3309 02:20:42,560 --> 02:20:43,600 YOUR COLLEAGUES BECAUSE TOO 3310 02:20:43,600 --> 02:20:45,360 OFTEN IN OUR FIELD, WE EMPHASIZE 3311 02:20:45,360 --> 02:20:47,320 WHAT WE DON'T KNOW AND WHAT WE 3312 02:20:47,320 --> 02:20:48,480 HAVEN'T ACCOMPLISHED AND IT'S 3313 02:20:48,480 --> 02:20:49,960 GREAT BECAUSE WE SHOULD BE 3314 02:20:49,960 --> 02:20:53,680 LOOKING FOR WHAT WE CAN DO TO 3315 02:20:53,680 --> 02:20:56,960 HELP PEOPLE SUFFERING FROM 3316 02:20:56,960 --> 02:20:57,920 MENTAL ILLNESS AND WE SHOULD 3317 02:20:57,920 --> 02:21:02,640 LOOK AT WHAT WE HAVEN'T DONE AND 3318 02:21:02,640 --> 02:21:05,040 THE GAPS AND NEEDS AND IF WE 3319 02:21:05,040 --> 02:21:07,360 DON'T PAUSE TO RECOGNIZE WHAT 3320 02:21:07,360 --> 02:21:08,760 RESEARCH HAS ACCOMPLISHED, HOW 3321 02:21:08,760 --> 02:21:10,200 CAN WE ASK CONGRESS FOR DOLLARS 3322 02:21:10,200 --> 02:21:12,600 OF RESEARCH WHICH IN THE END 3323 02:21:12,600 --> 02:21:13,040 DON'T PAYOFF. 3324 02:21:13,040 --> 02:21:14,200 IF WE CAN SHOW THEM WHAT WE'VE 3325 02:21:14,200 --> 02:21:17,240 DONE WITH THE MONEY IN, WHAT THE 3326 02:21:17,240 --> 02:21:18,880 RESEARCH OF ALL OF YOU AND THE 3327 02:21:18,880 --> 02:21:20,160 RESEARCH OF THOUSANDS AND 3328 02:21:20,160 --> 02:21:21,800 THOUSANDS OF PEOPLE AROUND THE 3329 02:21:21,800 --> 02:21:23,280 GLOBE HAVE ACCOMPLISHED IN 3330 02:21:23,280 --> 02:21:27,320 MENTAL HEALTH DELIVERY WE HAVE A 3331 02:21:27,320 --> 02:21:28,720 BETTER CASE FOR ADDRESSING THE 3332 02:21:28,720 --> 02:21:32,000 GAPS AND NEEDS THAT WE ALL 3333 02:21:32,000 --> 02:21:33,440 HIGHLIGHT SO I WANTED TO CALL 3334 02:21:33,440 --> 02:21:37,480 THIS OUT TO YOU AND MAKE SURE 3335 02:21:37,480 --> 02:21:47,840 YOU RECOGNIZE THAT. 3336 02:22:01,400 --> 02:22:06,800 >>NEXT SLIDE. 3337 02:22:06,800 --> 02:22:07,760 IT WAS ANNOUNCED YESTERDAY THE 3338 02:22:07,760 --> 02:22:09,480 WHITE HOUSE INTENDS TO APPOINT 3339 02:22:09,480 --> 02:22:18,240 MONDAYA MONICABERTAGNOLLI THE SO 3340 02:22:18,240 --> 02:22:21,520 PERMANENTLY LEAD THE DIRECTOR OF 3341 02:22:21,520 --> 02:22:23,360 THE NIH AND IF SHE'S CONFIRMED 3342 02:22:23,360 --> 02:22:27,520 BY THE SENATE AND UNTIL THAT, 3343 02:22:27,520 --> 02:22:28,880 SHE WILL REMAIN AS A COLLEAGUE 3344 02:22:28,880 --> 02:22:31,720 OF MINE AND THE DIRECTOR OF THE 3345 02:22:31,720 --> 02:22:33,400 NATIONAL CANCER INSTITUTE AND 3346 02:22:33,400 --> 02:22:36,440 DR. TABAK WILL CONTINUE AS 3347 02:22:36,440 --> 02:22:40,520 ACTING DIRECTOR OF NIH SINCE THE 3348 02:22:40,520 --> 02:22:51,040 INTENTION TO NOMINATE WAS MADE. 3349 02:22:51,480 --> 02:22:54,200 ON MAY SIXTH, A LONGSTANDING 3350 02:22:54,200 --> 02:22:56,520 CONTRIBUTING TO MANY COMPELLING 3351 02:22:56,520 --> 02:22:57,920 POLICIES INCLUDING THOSE ON DATA 3352 02:22:57,920 --> 02:23:02,080 SHARING, CLINICAL TRIALS AND 3353 02:23:02,080 --> 02:23:03,320 OTHER TRIALS STEPPED DOWN FROM 3354 02:23:03,320 --> 02:23:04,880 HER THEN ROLE AS SENIOR ADVISER 3355 02:23:04,880 --> 02:23:06,080 IN THE OFFICE OF THE DIRECTOR 3356 02:23:06,080 --> 02:23:09,120 FOR A LONG TIME SHE SAID THE 3357 02:23:09,120 --> 02:23:10,520 OFFICE OF SCIENCE POLICY IN 3358 02:23:10,520 --> 02:23:12,280 BUILDING ONE AT NIH AND REALLY 3359 02:23:12,280 --> 02:23:13,600 INFLUENCED A LOT OF THE THINGS 3360 02:23:13,600 --> 02:23:15,040 THAT WE TALK A LOT ABOUT 3361 02:23:15,040 --> 02:23:17,760 INCLUDING THE DATA SHARING STUFF 3362 02:23:17,760 --> 02:23:21,440 AND AND MANY OTHER THINGS. 3363 02:23:21,440 --> 02:23:24,080 AND SHE IS MOVING ON TO NEW MASS 3364 02:23:24,080 --> 02:23:27,240 TIMES AND ADVENTURES BUT WE WISH 3365 02:23:27,240 --> 02:23:29,320 HER LUCK. 3366 02:23:29,320 --> 02:23:36,360 IS ON APRIL 24th, KARINA 3367 02:23:36,360 --> 02:23:37,640 WALTERS IS BEGAN SEARCHING AT 3368 02:23:37,640 --> 02:23:39,560 THE TRIBAL HEALTH RESEARCH 3369 02:23:39,560 --> 02:23:41,200 OFFICE AND REPLACING Dr. DAVID 3370 02:23:41,200 --> 02:23:43,720 WILSON WHO IS ASSIGNMENT TO THE 3371 02:23:43,720 --> 02:23:45,400 WHITE HOUSE COUNCIL ON NATIVE 3372 02:23:45,400 --> 02:23:46,720 AMERICAN AFFAIRS AND WE'RE HAPPY 3373 02:23:46,720 --> 02:23:48,720 TO HAVE Dr. WALTERS LEAD THIS 3374 02:23:48,720 --> 02:23:51,000 IMPORTANT OFFICE WHICH HAS MANY 3375 02:23:51,000 --> 02:23:57,000 COLLABORATIONS WITH THE NIMH AND 3376 02:23:57,000 --> 02:23:57,680 SHE'S A MEMBER OF THE CAUCUS 3377 02:23:57,680 --> 02:23:59,440 FOUNDATION OF OKLAHOMA AND SHE 3378 02:23:59,440 --> 02:24:00,720 COMES TO US FROM THE UNIVERSITY 3379 02:24:00,720 --> 02:24:02,240 OF WASHINGTON WHERE HER RESEARCH 3380 02:24:02,240 --> 02:24:05,920 IS 'E IMPECCABLE. 3381 02:24:05,920 --> 02:24:07,640 ANOTHER TRANSITION WE NOTE THAT 3382 02:24:07,640 --> 02:24:10,840 Dr. MARINE GOODNOW 3383 02:24:10,840 --> 02:24:11,680 TRANSITIONED FROM HER ROLE FOR 3384 02:24:11,680 --> 02:24:12,920 AIDS RESEARCH AND DIRECTOR OF 3385 02:24:12,920 --> 02:24:14,680 THE NIH OFFICE OF AIDS RESEARCH 3386 02:24:14,680 --> 02:24:17,360 TO A NEW ROLE AS SENIOR ADVICE 3387 02:24:17,360 --> 02:24:19,080 TORE DR. TABAK IN HIS ACTING 3388 02:24:19,080 --> 02:24:21,720 ROLE AS NIH DIRECTOR. 3389 02:24:21,720 --> 02:24:26,280 SHE WILL BE SUCCEEDED BY IS CAP' 3390 02:24:26,280 --> 02:24:27,240 GIANNIS OF SIDES RESEARCH AND 3391 02:24:27,240 --> 02:24:29,400 I'LL POINT OUT THAT OAR AND THE 3392 02:24:29,400 --> 02:24:31,840 ASSOCIATE DIRECTOR HAVE BEEN 3393 02:24:31,840 --> 02:24:33,200 TREMENDOUSLY SUPPORTIVE OF NIH 3394 02:24:33,200 --> 02:24:34,880 INITIATIVES AND RELATED TO THE 3395 02:24:34,880 --> 02:24:38,840 NEUROSCIENCE AND BEHAVIORAL 3396 02:24:38,840 --> 02:24:42,920 HEALTH IN AIDS AND HIS TREATMENT 3397 02:24:42,920 --> 02:24:47,960 AND WE WILL PUTTING RESOURCES 3398 02:24:47,960 --> 02:24:49,920 AND EFFORT TO OUR WAY RECOGNIZE 3399 02:24:49,920 --> 02:24:51,480 THE IMPORTANCE OF THESE 3400 02:24:51,480 --> 02:24:52,440 BEHAVIORAL APPROACHES TO ENDING 3401 02:24:52,440 --> 02:24:56,480 THE EPIDEMIC. 3402 02:24:56,480 --> 02:25:00,840 NEXT SLIDE. 3403 02:25:00,840 --> 02:25:01,880 ADRIENNE HAW LET STEPPED DOWN 3404 02:25:01,880 --> 02:25:03,280 FOR THE NIH OFFICE OF 3405 02:25:03,280 --> 02:25:06,400 LEGISLATIVE POLICY AND ANALYSIS. 3406 02:25:06,400 --> 02:25:11,120 ADRIAN HAS BEEN A REAL ADVISER 3407 02:25:11,120 --> 02:25:16,200 TO THE LEGISLATIVE ADVISER HERE 3408 02:25:16,200 --> 02:25:19,480 AND HELPING US ACHIEVE OUR GOALS 3409 02:25:19,480 --> 02:25:20,120 WITHIN CONGRESS AND I'VE TOLD 3410 02:25:20,120 --> 02:25:21,760 YOU ABOUT THE WONDERFUL 3411 02:25:21,760 --> 02:25:22,720 INTERACTIONS WE'VE BEEN HAVING 3412 02:25:22,720 --> 02:25:24,320 OVER THE LAST COUPLE OF YEARS 3413 02:25:24,320 --> 02:25:25,920 AND THE MENTAL HEALTH AND I 3414 02:25:25,920 --> 02:25:27,640 THINK THAT IS NO SMALL PART DUE 3415 02:25:27,640 --> 02:25:29,640 TO ADRIAN'S ADVISE OVER THE 3416 02:25:29,640 --> 02:25:31,720 YEARS AND SHE SUCCEEDED BY 3417 02:25:31,720 --> 02:25:34,800 LAWYER INHIGGINS WHO IS SERVING 3418 02:25:34,800 --> 02:25:39,600 WHILE THE SEARCH IS ON GOING. 3419 02:25:39,600 --> 02:25:41,840 SO NOW WE'LL TURN OUR ATTENTION 3420 02:25:41,840 --> 02:25:44,280 TO NIMH AND NEXT SLIDE TO THE 3421 02:25:44,280 --> 02:25:45,680 STRATEGIC PLAN THAT I MENTIONED 3422 02:25:45,680 --> 02:25:46,280 EARLIER. 3423 02:25:46,280 --> 02:25:47,840 SO AS YOU ALL KNOW THE STRATEGIC 3424 02:25:47,840 --> 02:25:49,680 PLAN IS NOW A LIVING DOCUMENT ON 3425 02:25:49,680 --> 02:25:54,440 THE WEB AND WE UPDATED 3426 02:25:54,440 --> 02:25:56,360 FREQUENTLY AND AT LEAST ANNUALLY 3427 02:25:56,360 --> 02:25:58,240 AND I'LL ALSO OUT IN ADDITION TO 3428 02:25:58,240 --> 02:26:00,360 THE UP STATES THERE'S SCIENCE 3429 02:26:00,360 --> 02:26:01,760 HIGHLIGHTS AND LINKS AND YOU CAN 3430 02:26:01,760 --> 02:26:04,120 SEE THE RESEARCH WE SUPPORT AND 3431 02:26:04,120 --> 02:26:05,760 THE RESULTS OF THAT RESEARCH 3432 02:26:05,760 --> 02:26:07,440 LinkedIn TO THE DIFFERENT 3433 02:26:07,440 --> 02:26:10,320 AREAS OF PRIORITY IN THE 3434 02:26:10,320 --> 02:26:11,000 STRATEGIC PLAN. 3435 02:26:11,000 --> 02:26:12,440 I'LL POINT OUT THAT WITH THIS 3436 02:26:12,440 --> 02:26:18,360 NEW UPDATE IN 2023, THERE ARE 3437 02:26:18,360 --> 02:26:18,840 CHANGES. 3438 02:26:18,840 --> 02:26:20,720 WE'RE EMPHASISSING NOT THE 3439 02:26:20,720 --> 02:26:22,440 COMMITMENT TO FUNDING RESEARCH 3440 02:26:22,440 --> 02:26:24,160 AIMED AT REDUCING MENTAL HEALTH 3441 02:26:24,160 --> 02:26:25,400 DISPARITIES AND THIS WAS 3442 02:26:25,400 --> 02:26:28,080 PREVIOUSLY IN THE PLAN AS A 3443 02:26:28,080 --> 02:26:30,720 CROSS PUTTING MEASURE BUT NOW 3444 02:26:30,720 --> 02:26:34,120 ELEMENTS OF THESE AIMS ARE IN 3445 02:26:34,120 --> 02:26:35,280 SEVERAL DIFFERENT GOALS TO NOTE 3446 02:26:35,280 --> 02:26:38,880 THAT THE IMPORTANCE FOR EXAMPLE 3447 02:26:38,880 --> 02:26:41,080 IS INEL CONSIDERING DISPARITIES 3448 02:26:41,080 --> 02:26:44,040 AND EQUITIES AS WE EXAMINE 3449 02:26:44,040 --> 02:26:45,880 MENTAL HEALTH TRAJECTORIES OR 3450 02:26:45,880 --> 02:26:50,920 MENTAL HEALTH SERVICES. 3451 02:26:50,920 --> 02:26:53,440 WE CHANGED THE TITLE OF THE 3452 02:26:53,440 --> 02:26:55,200 FOURTH GOAL SPECIFICALLY FOCUSES 3453 02:26:55,200 --> 02:27:00,080 ON SERVICES AS OPPOSED TO OTHER 3454 02:27:00,080 --> 02:27:01,160 PORT GOAL ALTHOUGH WE HAVE THE 3455 02:27:01,160 --> 02:27:03,200 GAME TO IMPACT PUBLIC MENTAL 3456 02:27:03,200 --> 02:27:05,720 HEALTH AND STRENGTHEN 3457 02:27:05,720 --> 02:27:07,320 PUBLIC-HEALTH AND WE FELT IT WAS 3458 02:27:07,320 --> 02:27:09,880 REALLY EXCLUSIVELY FOCUSED ON 3459 02:27:09,880 --> 02:27:11,000 ADVANCING MEMBER HEALTH AND SO 3460 02:27:11,000 --> 02:27:14,800 WE WANTED TO REFLECT THE NEED 3461 02:27:14,800 --> 02:27:15,480 DISCUSSED THERE UNDER THE 3462 02:27:15,480 --> 02:27:18,120 CONTROL AND WE'VE ALSO UPDATED 3463 02:27:18,120 --> 02:27:20,200 THE DESCRIPTIONS OF EXISTING 3464 02:27:20,200 --> 02:27:22,440 NIMH RESOURCES TO HELP FOSTER 3465 02:27:22,440 --> 02:27:24,000 RESOURCE OF DATA SHARING AND 3466 02:27:24,000 --> 02:27:25,160 EXPANDED ON OUR INTEREST IN 3467 02:27:25,160 --> 02:27:27,240 STUDYING THE IMPACT OF SOCIAL 3468 02:27:27,240 --> 02:27:29,960 DETERMINANTS OF HEALTH AND 3469 02:27:29,960 --> 02:27:35,920 MENTAL ILLNESS TRAJECTORY. 3470 02:27:35,920 --> 02:27:38,760 WE ALSO PUBLISH EACH YEAR A 3471 02:27:38,760 --> 02:27:43,280 STRATEGIC PLAN PROGRESS REPORT 3472 02:27:43,280 --> 02:27:45,240 AND IS IT HIGHLIGHTS INITIATIVES 3473 02:27:45,240 --> 02:27:47,160 FUNDED IN THE PAST YEAR AND HERE 3474 02:27:47,160 --> 02:27:49,240 IN THIS YEAR WE TALK ABOUT THE 3475 02:27:49,240 --> 02:27:52,440 BRAIN INITIATIVE AND 3476 02:27:52,440 --> 02:27:53,200 SCHIZOPHRENIA AND AUTISM 3477 02:27:53,200 --> 02:27:54,560 SCREENING AND SUICIDE RISK IN 3478 02:27:54,560 --> 02:27:57,080 YOUTH AND A NEW APPROACH TO METH 3479 02:27:57,080 --> 02:27:58,440 HEALTH DISPARITY RESEARCH AND 3480 02:27:58,440 --> 02:27:59,440 FACTS AND FIGURES ABOUT GRANTS 3481 02:27:59,440 --> 02:28:03,480 IN THE PREVIOUS YEARS SO IT'S A 3482 02:28:03,480 --> 02:28:06,560 WONDERFUL HANDOUT THAT CAN YOU 3483 02:28:06,560 --> 02:28:07,880 SHARE WITH FOLKS WHO YOU MIGHT 3484 02:28:07,880 --> 02:28:12,320 WANT TO EDUCATE THE ROLE OF NIMH 3485 02:28:12,320 --> 02:28:16,760 IN THE RESEARCH OF THE SYSTEM. 3486 02:28:16,760 --> 02:28:17,920 NEXT SLIDE. 3487 02:28:17,920 --> 02:28:19,560 IS VERY EXCITED AN INITIATIVE 3488 02:28:19,560 --> 02:28:21,680 THAT YOU APPROVED LAST YEAR THAT 3489 02:28:21,680 --> 02:28:26,200 WE CONCEPT CLEARED LAST YEAR IS 3490 02:28:26,200 --> 02:28:28,600 LAUNCHED. 3491 02:28:28,600 --> 02:28:30,280 THIS IS THE IMPACT OF MENTAL 3492 02:28:30,280 --> 02:28:33,040 HEALTH INITIATIVE AS YOU RECALL, 3493 02:28:33,040 --> 02:28:34,800 IS THIS IS TO GATHER VARIOUS 3494 02:28:34,800 --> 02:28:36,480 TYPES OF DATA BUT ESPECIALLY 3495 02:28:36,480 --> 02:28:38,480 DATA ON BEHAVIORAL FUNCTION 3496 02:28:38,480 --> 02:28:42,280 ACROSS MULTIPLE DOMAINS AND TO 3497 02:28:42,280 --> 02:28:43,560 COUPLE THAT WITH CLINICAL 3498 02:28:43,560 --> 02:28:44,320 INFORMATION ABOUT INDIVIDUALS 3499 02:28:44,320 --> 02:28:46,320 AND ASK HOW THAT DATA CAN BE 3500 02:28:46,320 --> 02:28:48,840 USED TO AIMING PROVE CLINICAL 3501 02:28:48,840 --> 02:28:53,120 PREDICTIONS AND TO HELP CLINICAL 3502 02:28:53,120 --> 02:28:55,160 DECISION-MAKING. 3503 02:28:55,160 --> 02:28:57,560 THE IMPACT INITIATIVE WILL 3504 02:28:57,560 --> 02:28:59,600 CREATE A INFORM STRUCTURE IS 3505 02:28:59,600 --> 02:29:01,800 BIAS FREE AND INTEGRATES MULTI 3506 02:29:01,800 --> 02:29:04,440 MOTTAL DATASETS REPRESENTED 3507 02:29:04,440 --> 02:29:06,160 DIVERSE AND AGAINER EYES ABLE 3508 02:29:06,160 --> 02:29:11,080 AND THE FUNDING OPPORTUNITIES 3509 02:29:11,080 --> 02:29:11,960 INCLUDE OPPORTUNITIES FOR 3510 02:29:11,960 --> 02:29:13,280 INDIVIDUAL COHORTS AND FOR A 3511 02:29:13,280 --> 02:29:16,000 DATA COORDINATION CENTER THAT 3512 02:29:16,000 --> 02:29:18,520 WILL ENSURE THAT THESE DIFFERENT 3513 02:29:18,520 --> 02:29:20,480 COHORTS ARE UNITED AND THEY WILL 3514 02:29:20,480 --> 02:29:22,680 USE TO POSSIBLE COMMON OUTCOME 3515 02:29:22,680 --> 02:29:24,480 MEASURES AND COMMON DATA 3516 02:29:24,480 --> 02:29:25,760 STRUCTURES AND APPROXIMATE WE'RE 3517 02:29:25,760 --> 02:29:29,760 VERY, VERY EXCITED ABOUT THIS 3518 02:29:29,760 --> 02:29:39,760 INITIATIVE. 3519 02:29:39,760 --> 02:29:43,400 IS WE WILL EXPAND AND MORE 3520 02:29:43,400 --> 02:29:44,680 RAPIDLY IMPLEMENT THESE AND 3521 02:29:44,680 --> 02:29:47,200 ADDITIONAL FUNDING OPPORTUNITIES 3522 02:29:47,200 --> 02:29:50,920 TO FOLLOW. 3523 02:29:50,920 --> 02:29:53,920 NEXT SLIDE. 3524 02:29:53,920 --> 02:29:56,320 HOA WE'VE BEEN WORKING HARD AS I 3525 02:29:56,320 --> 02:29:57,480 DETAILED TO THIS GROUP WE'VE 3526 02:29:57,480 --> 02:30:01,360 BEEN WORKING HARD TO REMEDY 3527 02:30:01,360 --> 02:30:02,840 FAILURES IN OUR REVIEW SYSTEM 3528 02:30:02,840 --> 02:30:07,240 AND OUR GRAND MAKING SYSTEM TO 3529 02:30:07,240 --> 02:30:10,440 ENSURE EQUITY. 3530 02:30:10,440 --> 02:30:12,680 WE CAN EX PANNED ON OUR PEER 3531 02:30:12,680 --> 02:30:14,920 REVIEW PANEL SO I WILL MAKE A 3532 02:30:14,920 --> 02:30:15,800 NAKED PLEA TO EVERYONE LISTENING 3533 02:30:15,800 --> 02:30:17,360 TO THIS, IF YOU ARE INTERESTED 3534 02:30:17,360 --> 02:30:19,280 IN FUNDING THE BEST MENTAL 3535 02:30:19,280 --> 02:30:20,280 HEALTH RESEARCH WE NEED YOU. 3536 02:30:20,280 --> 02:30:24,120 WE NEED SCIENTISTS TO VOLUNTEER 3537 02:30:24,120 --> 02:30:25,640 AND TO PARTICIPATE ON OUR PEER 3538 02:30:25,640 --> 02:30:27,240 REVIEW PANELS SO YOU CAN APPLY 3539 02:30:27,240 --> 02:30:29,240 TO BE A PEER REVIEWER FOR NIH 3540 02:30:29,240 --> 02:30:33,120 GRANTS AND IT'S A VERY SIMPLE 3541 02:30:33,120 --> 02:30:34,560 APPLICATION AND IT'S A WONDERFUL 3542 02:30:34,560 --> 02:30:36,240 OPPORTUNITY TO VOLUNTEER YOUR 3543 02:30:36,240 --> 02:30:38,280 SERVICE AND IT WILL ENABLE US TO 3544 02:30:38,280 --> 02:30:40,000 BUILD A DATABASE OF REVIEWERS 3545 02:30:40,000 --> 02:30:43,040 AND THEIR EXPERTISE TO ENSURE WE 3546 02:30:43,040 --> 02:30:45,080 KNOW IS OUT THERE ABLE TO REVIEW 3547 02:30:45,080 --> 02:30:46,840 IN DIFFERENT YEARS AND MAKE SURE 3548 02:30:46,840 --> 02:30:50,680 TO MAXIMIZE OUR PEER REVIEW 3549 02:30:50,680 --> 02:30:54,400 PROCESS THROUGH DIVERSITY AND 3550 02:30:54,400 --> 02:30:59,560 INCLUSION. 3551 02:30:59,560 --> 02:31:00,960 IS FINALLY, LAST TWO YEARS, WE 3552 02:31:00,960 --> 02:31:05,160 HAVE AWARDED THE JAMES JACKSON 3553 02:31:05,160 --> 02:31:05,640 MEMORIAL AWARD. 3554 02:31:05,640 --> 02:31:08,640 NAMED IN Dr. OF JAMES JACKSON 3555 02:31:08,640 --> 02:31:09,280 A RENOWNED SOCIAL EYE COL GIFT 3556 02:31:09,280 --> 02:31:11,720 AND MEMBER OF THIS COUNCIL AND 3557 02:31:11,720 --> 02:31:14,680 IS WE WILL AWARD ANOTHER IS 3558 02:31:14,680 --> 02:31:16,200 AWARD THIS YEAR. 3559 02:31:16,200 --> 02:31:17,720 NOMINATIONS ARE DUE SOON. 3560 02:31:17,720 --> 02:31:18,640 MAY 22nd. 3561 02:31:18,640 --> 02:31:21,080 WE SEEK NOMINATIONS FOR 3562 02:31:21,080 --> 02:31:23,480 EXCEPTIONAL INTRAMURAL OR 3563 02:31:23,480 --> 02:31:25,200 EXTRAMURAL MENTAL HEALTH 3564 02:31:25,200 --> 02:31:26,360 DISPARITIES RESEARCHERS AND YOU 3565 02:31:26,360 --> 02:31:27,520 CAN VISIT OUR WEBSITE TO LEARN 3566 02:31:27,520 --> 02:31:31,920 HOW TO APPLY. 3567 02:31:31,920 --> 02:31:34,320 ON TO STAFF NOW. VERY PLEASED 3568 02:31:34,320 --> 02:31:36,160 TOANCE NO THE APPOINTMENT OF 3569 02:31:36,160 --> 02:31:37,960 Dr. MARY JUNE REWHO HAS BEEN A 3570 02:31:37,960 --> 02:31:40,360 PROGRAM OFFICER AT THE NIMH 3571 02:31:40,360 --> 02:31:42,400 DIVISION OF RESEARCH AS THE 3572 02:31:42,400 --> 02:31:44,000 ASSOCIATE DIRECTOR FOR 3573 02:31:44,000 --> 02:31:46,520 PREVENTION AND THIS IS A 3574 02:31:46,520 --> 02:31:49,640 CONGRESS LEHMAN DATED POSITION 3575 02:31:49,640 --> 02:31:51,600 AND IT'S A POSITION 245 HAS BEEN 3576 02:31:51,600 --> 02:31:55,160 AN IMPORTANT ONE FOR US AS WE 3577 02:31:55,160 --> 02:31:56,080 SEEK TO DEVELOP BETTER 3578 02:31:56,080 --> 02:31:57,120 APPROACHES TO UNDERSTANDING HOW 3579 02:31:57,120 --> 02:31:59,320 TO PREVENT MENTAL ILLNESSES AS 3580 02:31:59,320 --> 02:32:02,560 OPPOSED TO TREATING THEM AND 3581 02:32:02,560 --> 02:32:04,080 MUCH OF OUR WORK HAS BEEN 3582 02:32:04,080 --> 02:32:05,480 ADVANCED IN THIS AREA BECAUSE OF 3583 02:32:05,480 --> 02:32:10,080 DIRECTORS INCLUDING EVE RIDER 3584 02:32:10,080 --> 02:32:13,040 WHO DID AN OUTSTANDING JOB. 3585 02:32:13,040 --> 02:32:14,560 Dr. RUDY WILL BE OUR 3586 02:32:14,560 --> 02:32:19,120 REPRESENTATIVE TO NIH OFFICE OF 3587 02:32:19,120 --> 02:32:20,040 DISEASE PREVENTION AS WELL AS 3588 02:32:20,040 --> 02:32:23,240 OTHER VARIOUS OTHER COMMITTEES 3589 02:32:23,240 --> 02:32:24,960 ON WHICH NIH GETS TO WORK IN 3590 02:32:24,960 --> 02:32:28,920 PREVENTION INITIATIVES. 3591 02:32:28,920 --> 02:32:31,360 IS Dr. KAREN BURR MAN CHIEF OF 3592 02:32:31,360 --> 02:32:33,800 THE CLINICAL AND TRANSLATIONAL 3593 02:32:33,800 --> 02:32:36,440 NURSE SCIENCE BRANCH AND NEURO 3594 02:32:36,440 --> 02:32:38,160 IMAGES AND PSYCHOSIS STUDY 3595 02:32:38,160 --> 02:32:40,240 SECTION IN OUR INTRAMURAL 3596 02:32:40,240 --> 02:32:41,960 RESEARCH PROGRAM HAS OVER HER 3597 02:32:41,960 --> 02:32:44,600 CAREER ACHIEVED ACCOLADES 3598 02:32:44,600 --> 02:32:45,960 INCONCLUDING OF COURSE, THE 3599 02:32:45,960 --> 02:32:47,200 NATIONAL ACADEMY OF MEDICINE AND 3600 02:32:47,200 --> 02:32:49,560 SHE WAS A FELLOW OF THE AMONG 3601 02:32:49,560 --> 02:32:52,680 ASSOCIATION ADVANCE OF THE 3602 02:32:52,680 --> 02:32:56,040 SCIENCE CONGRATULATIONS TO HER. 3603 02:32:56,040 --> 02:32:57,120 AND OPPORTUNITIES ALL GOOD NEWS. 3604 02:32:57,120 --> 02:32:59,760 WE'RE SAD TO ANNOUNCE THE 3605 02:32:59,760 --> 02:33:01,040 PASSION OF TWO REALLY STALWARTS 3606 02:33:01,040 --> 02:33:06,480 OF OUR INTRAMURAL PROGRAM IN 3607 02:33:06,480 --> 02:33:07,440 APRIL LAST MONTH. 3608 02:33:07,440 --> 02:33:15,160 Dr. BARRIE KAPLAN AND Dr. 3609 02:33:15,160 --> 02:33:18,840 EDITHA NOTTELMANN. 3610 02:33:18,840 --> 02:33:25,800 THEIR PRESENCE WILL BE MISSED. 3611 02:33:25,800 --> 02:33:28,880 LET'S TURN OUR ATTENTION TO SOME 3612 02:33:28,880 --> 02:33:30,520 SCIENCE AND AS ALWAYS I WANT TO 3613 02:33:30,520 --> 02:33:32,120 THANK THE MANY CONTRIBUTIONS 3614 02:33:32,120 --> 02:33:34,040 THAT WERE SUGGESTED FOR 3615 02:33:34,040 --> 02:33:39,680 HIGHLIGHTING HERE BY OUR PROGRAM 3616 02:33:39,680 --> 02:33:40,840 STAFF AND OUR COLLEAGUE. 3617 02:33:40,840 --> 02:33:42,520 I ONLY HAVE TIME FOR TWO OF THEM 3618 02:33:42,520 --> 02:33:43,760 TODAY SO I'LL TURN OUR ATTENTION 3619 02:33:43,760 --> 02:33:45,920 TO EACH OF THOSE IN BETWEEN AND 3620 02:33:45,920 --> 02:33:48,080 THEY DO COVER THE BREADTH OF 3621 02:33:48,080 --> 02:33:50,560 RESEARCH THAT WE HAVE HERE AT 3622 02:33:50,560 --> 02:33:52,760 LEAST FROM MOLECULAR TO SERVICES 3623 02:33:52,760 --> 02:33:53,440 NEXT SLIDE. 3624 02:33:53,440 --> 02:33:55,200 THE FIRST ONE IS IN THE 3625 02:33:55,200 --> 02:33:59,680 NEUROSCIENCE DOMAIN AND THE IS 3626 02:33:59,680 --> 02:34:01,960 TITLE MIGHT CONFUSE YOU AND 3627 02:34:01,960 --> 02:34:04,720 FRANKLY THE ARTICLE CONFUSED ME 3628 02:34:04,720 --> 02:34:06,440 UNTIL I DOUG INTO IT. 3629 02:34:06,440 --> 02:34:09,080 THIS IS WORK THAT COMES OUT OF 3630 02:34:09,080 --> 02:34:09,760 REALLY COLLABORATION BETWEEN 3631 02:34:09,760 --> 02:34:11,720 DAVID ANDERSON AND ANN KENNEDY 3632 02:34:11,720 --> 02:34:15,480 AND IT WAS CARRIED OUT BY A 3633 02:34:15,480 --> 02:34:17,520 NUMBER OF INVESTIGATORS AND 3634 02:34:17,520 --> 02:34:19,760 THESE ARE FOLKS WHO HAVE GONE 3635 02:34:19,760 --> 02:34:22,560 BRAIN INITIATIVE FUNDING AND 3636 02:34:22,560 --> 02:34:24,520 NIMH FUNDING AND THIS RESEARCH 3637 02:34:24,520 --> 02:34:25,560 IS STUDYING AN IMPORTANT PROBLEM 3638 02:34:25,560 --> 02:34:27,120 FOR US TO ADDRESS WHICH IS 3639 02:34:27,120 --> 02:34:29,160 AGGRESSION IN THE COP TEXT OF 3640 02:34:29,160 --> 02:34:33,680 MENTAL ILLNESS AND IT'S OF IS 3641 02:34:33,680 --> 02:34:35,320 CONCERN IN TERMS OF INDIVIDUALS 3642 02:34:35,320 --> 02:34:37,520 WHO HAVE BEEN THE VICTIM OF 3643 02:34:37,520 --> 02:34:39,240 VIOLENCE OR NOT VICTIMS BY 3644 02:34:39,240 --> 02:34:40,840 VIRTUE OF THEIR ILLNESS CARRY 3645 02:34:40,840 --> 02:34:42,720 OUT VIOLENT ACTS AND SO IT'S 3646 02:34:42,720 --> 02:34:44,480 IMPORTANT THAT WE UNDERSTAND THE 3647 02:34:44,480 --> 02:34:45,760 NEUROBIOLOGY UNDERLYING 3648 02:34:45,760 --> 02:34:46,840 AGGRESSIVE BEHAVIOR AS MANY OF 3649 02:34:46,840 --> 02:34:49,520 YOU KNOW, WE HAVE FORMULATED 3650 02:34:49,520 --> 02:34:51,240 NIMH'S APPROACH WHICH LOOKS AT 3651 02:34:51,240 --> 02:34:52,360 THE INTERSECTION OF MENTAL 3652 02:34:52,360 --> 02:34:54,320 ILLNESS AND AGGRESSION AND 3653 02:34:54,320 --> 02:34:55,560 VIOLENCE IN THE FORM OF A NOTICE 3654 02:34:55,560 --> 02:35:00,960 TO OUR INVESTIGATORS AND WE FEEL 3655 02:35:00,960 --> 02:35:02,680 IT ADHERES TO THE PRINCIPLES 3656 02:35:02,680 --> 02:35:05,400 IDENTIFIED IN THAT NOTICE. 3657 02:35:05,400 --> 02:35:07,400 ALTHOUGH WE'RE LOOKING AT 3658 02:35:07,400 --> 02:35:08,920 AGGRESSIVE BEHAVIOR THE FOCUS IS 3659 02:35:08,920 --> 02:35:11,800 A WAY TO ANALYZE NEURO DATA AND 3660 02:35:11,800 --> 02:35:16,200 TO UNDERSTAND HOW NEURONS DRIVE 3661 02:35:16,200 --> 02:35:17,920 BEHAVIOR SO ALTHOUGH WE THINK 3662 02:35:17,920 --> 02:35:18,880 IT'S SOMETHING WE WANT TO 3663 02:35:18,880 --> 02:35:20,720 UNDERSTAND IN TERMS OF BEHAVIOR, 3664 02:35:20,720 --> 02:35:21,680 AGGRESSION FOR THE PURPOSE OF 3665 02:35:21,680 --> 02:35:25,120 THIS PAPER, IS JUST A BEHAVIOR. 3666 02:35:25,120 --> 02:35:29,560 WE HAVE TO BE TALKING ABOUT IT 3667 02:35:29,560 --> 02:35:30,360 RATIONALLY. 3668 02:35:30,360 --> 02:35:34,400 THE MOTIVATION FOR THIS WORK 3669 02:35:34,400 --> 02:35:35,400 COMES FROM EARLY RESULTS FROM 3670 02:35:35,400 --> 02:35:37,400 LABS INCLUDING THE LABS THAT 3671 02:35:37,400 --> 02:35:38,800 COLLABORATE ON THIS GROUP THAT 3672 02:35:38,800 --> 02:35:41,000 SHOW A CERTAIN SUBSET OF NEURONS 3673 02:35:41,000 --> 02:35:48,280 IN A STRUCTURE DEEP WITHIN OUR 3674 02:35:48,280 --> 02:35:54,160 BRAIN, NOT I'M PULLING ONE OUT 3675 02:35:54,160 --> 02:35:55,920 FROM A PRIOR ART CALLS NOT THE 3676 02:35:55,920 --> 02:35:58,840 ONE WHERE WE'RE CONCERNED WITH 3677 02:35:58,840 --> 02:36:01,920 HERE, SHOWING IF YOU TAKE A 3678 02:36:01,920 --> 02:36:05,960 MOLECULE THAT IS ABLE TO 3679 02:36:05,960 --> 02:36:08,160 ACTIVATE NEURONS SHOULD YOU 3680 02:36:08,160 --> 02:36:09,440 SHINE LIGHT ON THAT MOLECULE AND 3681 02:36:09,440 --> 02:36:10,800 IT'S EXPRESSED WITHIN THESE 3682 02:36:10,800 --> 02:36:12,200 NEURONS, THIS SUBSET OF NEURONS 3683 02:36:12,200 --> 02:36:16,960 IN THE HYPOTHALIMUS, AND YOU 3684 02:36:16,960 --> 02:36:18,320 SHINE LIGHT ON THOSE NEURONS, 3685 02:36:18,320 --> 02:36:20,400 YOU CAN GET DIFFERENT BEHAVIORS 3686 02:36:20,400 --> 02:36:22,120 OUT OF THE MOUSE WHEN YOU EXCITE 3687 02:36:22,120 --> 02:36:25,800 THOSE NEURONS INCLUDING A 3688 02:36:25,800 --> 02:36:27,280 MOUNTING BEHAVIOR WHICH CAN BE 3689 02:36:27,280 --> 02:36:30,160 SEXUAL OR DOMINANCE, DEPENDING 3690 02:36:30,160 --> 02:36:32,400 WHETHER IT'S TO AN INDIVIDUAL OF 3691 02:36:32,400 --> 02:36:36,400 THE SAME OR OF THE OPPOSITE SEX. 3692 02:36:36,400 --> 02:36:37,960 YOU CAN ALSO GET AN ATTACK 3693 02:36:37,960 --> 02:36:41,000 BEHAVIOR WHICH IS FRANKLY A 3694 02:36:41,000 --> 02:36:43,080 VIOLENT ACT AND OR MIXED 3695 02:36:43,080 --> 02:36:46,840 BEHAVIOR AND YOU WILL SEE THE 3696 02:36:46,840 --> 02:36:48,600 MOUNTING IN GREEN, YELLOW AND 3697 02:36:48,600 --> 02:36:51,640 IT'S AN ATTACK AND THE FREQUENCY 3698 02:36:51,640 --> 02:36:53,440 OF THE ATTACK BEHAVIORS 3699 02:36:53,440 --> 02:36:55,840 INCREASES WITH THE STRENGTHS OF 3700 02:36:55,840 --> 02:36:56,880 ACTIVATION OF THOSE NEURONS 3701 02:36:56,880 --> 02:36:58,440 WITHIN THE OF HYPOTHALIMUS SO 3702 02:36:58,440 --> 02:37:00,840 THIS IS THE OBSERVATION AND THE 3703 02:37:00,840 --> 02:37:01,520 QUESTION IS, OKAY, SO THIS IS 3704 02:37:01,520 --> 02:37:05,360 WHAT HAPPENS WHEN YOU 3705 02:37:05,360 --> 02:37:06,640 ARTIFICIALLY ACTIVATE THIS 3706 02:37:06,640 --> 02:37:08,120 SUBSET OF NEURONS IN THE BRAIN 3707 02:37:08,120 --> 02:37:10,240 REGION IT SUGGESTS THAT THAT 3708 02:37:10,240 --> 02:37:11,760 BRAIN REGION IS IMPORTANT FOR 3709 02:37:11,760 --> 02:37:15,640 NATURAL PATTERNS OF AGGRESSIVE 3710 02:37:15,640 --> 02:37:16,920 BEHAVIOR AND HOW IS IT 3711 02:37:16,920 --> 02:37:17,400 IMPORTANT? 3712 02:37:17,400 --> 02:37:18,440 CAN WE UNDERSTAND HOW IT'S 3713 02:37:18,440 --> 02:37:19,000 IMPORTANT. 3714 02:37:19,000 --> 02:37:22,320 THE NEXT STEP IN NEUROSCIENCE IS 3715 02:37:22,320 --> 02:37:24,280 TO RECORD ACTIVITY FROM THOSE 3716 02:37:24,280 --> 02:37:27,120 NEURONS DURING BEHAVIOR. 3717 02:37:27,120 --> 02:37:28,880 SO THAT'S THE FIRST EXPERIMENT 3718 02:37:28,880 --> 02:37:31,280 DOES IN THIS PAPER AND HERE IS 3719 02:37:31,280 --> 02:37:35,520 A, WHAT LOOKS LIKE A BEWILDERING 3720 02:37:35,520 --> 02:37:37,360 GRAPH BUT IT'S ESSENTIALLY A 3721 02:37:37,360 --> 02:37:39,720 ZEST RECORDING FROM MANY NEURONS 3722 02:37:39,720 --> 02:37:41,360 AND EACH IS A COLUMN IN THIS 3723 02:37:41,360 --> 02:37:42,640 GRAPH FROM TWO DIFFERENT BRAIN 3724 02:37:42,640 --> 02:37:46,600 REGIONS ON THE LEFT SIDE OF THE 3725 02:37:46,600 --> 02:37:50,200 WHITE LINE IS A DAVE BRAIN 3726 02:37:50,200 --> 02:37:54,160 REGION AND THE SECOND IS 9 VEN 3727 02:37:54,160 --> 02:37:55,320 RAL MEDIAL HYPOTHALIMUS AND IT'S 3728 02:37:55,320 --> 02:37:57,480 IS A NEURON AND EACH ROW IS A 3729 02:37:57,480 --> 02:37:58,760 PARTICULAR BEHAVIOR THAT THE 3730 02:37:58,760 --> 02:38:00,440 ANIMAL IS ENGAGE IN AND THE 3731 02:38:00,440 --> 02:38:01,600 BRIGHTNESS OF THE COLOR 3732 02:38:01,600 --> 02:38:03,640 INDICATES WHETHER THE NEURON IS 3733 02:38:03,640 --> 02:38:05,440 ACTIVE OR NOT DURING THAT KIND 3734 02:38:05,440 --> 02:38:09,680 OF BEHAVIOR. 3735 02:38:09,680 --> 02:38:15,920 AND IN ARE I WANT YOU TO FOCUS 3736 02:38:15,920 --> 02:38:17,200 ON THE DIFFERENCES BETWEEN THE 3737 02:38:17,200 --> 02:38:17,960 LEFT AND THE RIGHT SIDE OF THE 3738 02:38:17,960 --> 02:38:18,560 GRAPH. 3739 02:38:18,560 --> 02:38:19,960 THE LEFT SIDE OF THE GRAPH, YOU 3740 02:38:19,960 --> 02:38:22,120 SEE LITTLE BLOCKS OF BRIGHTNESS. 3741 02:38:22,120 --> 02:38:23,160 WHAT DOES IT MEAN? 3742 02:38:23,160 --> 02:38:28,800 IT MEANS THAT FOR THE MOST PART, 3743 02:38:28,800 --> 02:38:32,040 A NEURON IS ACTIVE IN ONE OR A 3744 02:38:32,040 --> 02:38:33,440 HANDFUL OF BEHAVIORS AND NOT 3745 02:38:33,440 --> 02:38:36,400 ACTIVE IN THE OTHER BEHAVIOR AND 3746 02:38:36,400 --> 02:38:38,480 WE CALL IT A FORM OF SELECTIVITY 3747 02:38:38,480 --> 02:38:42,320 AND ONE CAN SAY, THERE'S A 3748 02:38:42,320 --> 02:38:43,720 NEURON THAT IS ACTIVE DURING AND 3749 02:38:43,720 --> 02:38:45,320 MAY BE RESPONSIBLE FOR 3750 02:38:45,320 --> 02:38:46,720 APPROACHED BEHAVIORS OR 3751 02:38:46,720 --> 02:38:48,120 SOMETHING CALLED INTERMISSION 3752 02:38:48,120 --> 02:38:50,320 BEHAVIOR WHICH IS A SEXUAL 3753 02:38:50,320 --> 02:38:50,960 BEHAVIOR IN FEMALES. 3754 02:38:50,960 --> 02:38:52,360 IN MALES, YOU CAN SEE THAT IT 3755 02:38:52,360 --> 02:38:54,480 MIGHT BE APPROACHED OR ATTACK 3756 02:38:54,480 --> 02:38:55,840 SOME OF THE YELLOW SQUARES THAT 3757 02:38:55,840 --> 02:38:57,560 YOU SEE ON THE RIGHT-HAND SIDE 3758 02:38:57,560 --> 02:38:59,400 OF THAT LEFT-HAND BLOCK OF 3759 02:38:59,400 --> 02:39:00,000 ACTIVITIES. 3760 02:39:00,000 --> 02:39:01,360 NOW IF YOU LOOK ON THE RIGHT 3761 02:39:01,360 --> 02:39:04,640 SIDE OF THE WHITE LINE IN THE 3762 02:39:04,640 --> 02:39:05,720 ACTIVITY IT'S A DIFFERENT STORY. 3763 02:39:05,720 --> 02:39:07,640 YOU SEE THAT MOST OF THE NEURONS 3764 02:39:07,640 --> 02:39:10,160 ARE INVOLVED OR ACTIVE DURING 3765 02:39:10,160 --> 02:39:12,320 MANY DIFFERENT BEHAVIORS. 3766 02:39:12,320 --> 02:39:14,520 AND SO WE CALL THIS MIXED 3767 02:39:14,520 --> 02:39:15,520 SELECTION ACTIVITY. 3768 02:39:15,520 --> 02:39:18,160 HOW CAN MIXED SELECTION ACTIVITY 3769 02:39:18,160 --> 02:39:19,880 GIVE YOU A RESULT LIKE WE JUST 3770 02:39:19,880 --> 02:39:21,080 SHOWED YOU BEFORE. 3771 02:39:21,080 --> 02:39:23,200 WHEN YOU ACTIVATE THOSE NEURONS, 3772 02:39:23,200 --> 02:39:26,080 AND YOU ACTIVATE THEM STRONGLY 3773 02:39:26,080 --> 02:39:28,360 ENOUGH YOU GET A SPECIFIC 3774 02:39:28,360 --> 02:39:28,840 BEHAVIOR. 3775 02:39:28,840 --> 02:39:29,400 NEXT SLIDE. 3776 02:39:29,400 --> 02:39:31,000 SO IN ORDER TO LOOK AT THIS, 3777 02:39:31,000 --> 02:39:33,400 THEY LOOKED A LOT THE ACTUAL 3778 02:39:33,400 --> 02:39:35,680 DYNAMIC OR CHANGES IN TIME, IN 3779 02:39:35,680 --> 02:39:36,840 ACTIVITIES IN THESE NEURONS SO 3780 02:39:36,840 --> 02:39:38,440 THEY REPORTED THOSE SAME NEURONS 3781 02:39:38,440 --> 02:39:40,560 AND IT'S THE SAME NEURONS BUT 3782 02:39:40,560 --> 02:39:42,040 NOW WE ANALYZE THEM DIFFERENTLY. 3783 02:39:42,040 --> 02:39:44,080 WE LOOK NOT AT THE ACTIVITY OF A 3784 02:39:44,080 --> 02:39:45,480 INDIVIDUAL NEURON IN CAN I 3785 02:39:45,480 --> 02:39:49,680 BEHAVDIFFERENTBEHAVIOR BUT ALL D 3786 02:39:49,680 --> 02:39:51,080 COLLECTIVELY AND HOW THAT 3787 02:39:51,080 --> 02:39:52,440 DIFFERENT TEE CHANGES FROM 3788 02:39:52,440 --> 02:39:55,880 MILLEY SECOND TO MILL A SECOND. 3789 02:39:55,880 --> 02:39:57,560 SO NOW WE CAN SEE ILLUSTRATED 3790 02:39:57,560 --> 02:40:01,360 EACH NEURON IS NOW A ROW AND THE 3791 02:40:01,360 --> 02:40:02,200 ACTIVITY OF THAT NEURON OVER 3792 02:40:02,200 --> 02:40:04,520 TIME IS ILLUSTRATED IN THE 3793 02:40:04,520 --> 02:40:05,600 BLUE-LINE AND SOME GO UP AND 3794 02:40:05,600 --> 02:40:06,800 DOWN AND OTHERS GO DOWN THERE 3795 02:40:06,800 --> 02:40:14,160 AND UP HERE AND IT IF YOU 3796 02:40:14,160 --> 02:40:16,600 IMAGINE, WE CAN DISPLAY THEIR 3797 02:40:16,600 --> 02:40:17,640 ACTIVITY ALL SIMULTANEOUSLY AND 3798 02:40:17,640 --> 02:40:18,880 WE CAN SAY THAT THE ACTIVITY AND 3799 02:40:18,880 --> 02:40:26,080 THE WHOLE NEURAL POPULATION IS 3800 02:40:26,080 --> 02:40:28,200 CHANGING OVER TIME. 3801 02:40:28,200 --> 02:40:30,960 IT'S MOVING THROUGH A MULTI 3802 02:40:30,960 --> 02:40:32,720 DIMENSIONAL SPACE OVER TIME AND 3803 02:40:32,720 --> 02:40:33,640 THAT'S ILLUSTRATED IN THE RIGHT 3804 02:40:33,640 --> 02:40:35,640 HAND HERE IS A GRAPH, IF YOU 3805 02:40:35,640 --> 02:40:38,160 WILL, OF ALL OF THE NEURONS AS 3806 02:40:38,160 --> 02:40:40,080 IT CHANGES OVER TIME AS THE 3807 02:40:40,080 --> 02:40:41,120 ANIMALS BEHAVE. 3808 02:40:41,120 --> 02:40:43,400 OF COURSE, WE CAN'T SEE IN 3809 02:40:43,400 --> 02:40:46,040 MULTIPLE DIMENSIONS WE CAN ONLY 3810 02:40:46,040 --> 02:40:47,280 SEE IN THREE AND REALLY ONLY 3811 02:40:47,280 --> 02:40:49,440 WELL IN TWO WHEN WE LOOK AT A 3812 02:40:49,440 --> 02:40:51,440 JOURNAL ARTICLE SO WE'LL 3813 02:40:51,440 --> 02:40:53,840 REPRESENT THAT ACTIVITY AS A 3814 02:40:53,840 --> 02:40:55,120 MOVEMENT THROUGH SPACE IN TWO OR 3815 02:40:55,120 --> 02:40:59,040 THREE DIMENSIONS. 3816 02:40:59,040 --> 02:41:01,560 SO HERE IS ONE OF THOSE 3817 02:41:01,560 --> 02:41:04,560 DIMENSIONS ILLUSTRATED AND THEY 3818 02:41:04,560 --> 02:41:07,160 LOOKED FOR A DIMENSION THAT 3819 02:41:07,160 --> 02:41:09,400 CORRELATED WITH THIS ATTACK-LIKE 3820 02:41:09,400 --> 02:41:10,640 BEHAVIOR AND SO THIS IS NOT 3821 02:41:10,640 --> 02:41:12,200 LOOKING AT SUBSETS OF NEURONS 3822 02:41:12,200 --> 02:41:15,120 IT'S LOOKING AT A PARTICULAR WAY 3823 02:41:15,120 --> 02:41:17,320 THE NEURONS CHANGE IN TIME AND 3824 02:41:17,320 --> 02:41:20,160 TO SEE WHETHER ONE OF THOSE WAYS 3825 02:41:20,160 --> 02:41:21,440 CORRESPONDS WITH A THE ATTACK 3826 02:41:21,440 --> 02:41:23,960 AND THIS ONE DIMENSION WHICH HAS 3827 02:41:23,960 --> 02:41:26,960 VERY SLOW DYNAMICS, IT CHANGES 3828 02:41:26,960 --> 02:41:28,440 VERY SLOWLY IS ASSOCIATED WITH 3829 02:41:28,440 --> 02:41:29,960 ATTACK SO YOU CAN SEE THAT 3830 02:41:29,960 --> 02:41:30,800 REPRESENTS IN THE MIDDLE GRAPH 3831 02:41:30,800 --> 02:41:33,120 ON THE Y AXIS AND TIME IS ON THE 3832 02:41:33,120 --> 02:41:34,880 X AXIS AND THE LITTLE BOUTS OF 3833 02:41:34,880 --> 02:41:42,440 ATTACK ARE ELEVA ILLUSTRATED BYE 3834 02:41:42,440 --> 02:41:43,840 RED BAR AND IF THERE'S AN ATTACK 3835 02:41:43,840 --> 02:41:46,920 IT'S HIGH AND IF NOT IT'S LOW. 3836 02:41:46,920 --> 02:41:49,320 WHAT YOU CAN SEE, THIS IS HOW 3837 02:41:49,320 --> 02:41:51,840 QUANTIFY ON THE RIGHT-HAND SIDE 3838 02:41:51,840 --> 02:41:53,560 WHERE YOU SUM UP ATTACKS AND 3839 02:41:53,560 --> 02:41:55,200 OTHER KINDS OF BEHAVIOR YOU CAN 3840 02:41:55,200 --> 02:41:57,280 SEE THAT WHEN THE ANIMALS ENGAGE 3841 02:41:57,280 --> 02:41:59,000 IN ATTACK THIS DIMENSION OF 3842 02:41:59,000 --> 02:42:00,640 ACTIVITIES IS VERY, VERY HIGH 3843 02:42:00,640 --> 02:42:02,840 AND WHEN IT'S ENGAGE IN OTHER 3844 02:42:02,840 --> 02:42:07,160 BEHAVIOR IT'S LOWER. 3845 02:42:07,160 --> 02:42:08,720 NOW, THERE'S ANOTHER WAY TO 3846 02:42:08,720 --> 02:42:09,720 THINK ABOUT THIS. 3847 02:42:09,720 --> 02:42:14,960 WHICH IS TO SAY, THAT YES, IT'S 3848 02:42:14,960 --> 02:42:16,400 ATTRACTIVE TO THE DIMENSIONS BUT 3849 02:42:16,400 --> 02:42:18,400 CAN WE LOOK AT THE SHAPE OF THAT 3850 02:42:18,400 --> 02:42:19,920 TRACK THROUGH DIMENSIONS AND 3851 02:42:19,920 --> 02:42:21,560 ALTHOUGH THERE'S MULTIPLE 3852 02:42:21,560 --> 02:42:22,080 DIFFERENT SHAPES THAT ARE 3853 02:42:22,080 --> 02:42:23,480 POSSIBLE, THERE ARE TWO THAT 3854 02:42:23,480 --> 02:42:25,400 REALLY EXCITE BEHAVIORISTS WHEN 3855 02:42:25,400 --> 02:42:28,680 THEY'RE TRYING TO MAP NEURAL 3856 02:42:28,680 --> 02:42:29,960 ACTIVITY AND THEY'RE CALLED A 3857 02:42:29,960 --> 02:42:30,480 TRACTORS. 3858 02:42:30,480 --> 02:42:31,880 WELL YOU CAN SEE IF YOU LOOK AT 3859 02:42:31,880 --> 02:42:35,440 THE BOTTOM GRAPH HERE THERE ARE 3860 02:42:35,440 --> 02:42:37,920 WAYS THAT NEURAL ACTIVITY WILL 3861 02:42:37,920 --> 02:42:39,480 FLOW OVER TIME SO ONE OF THOSE 3862 02:42:39,480 --> 02:42:41,200 WAYS IS A POINT ATTRACT OR WHERE 3863 02:42:41,200 --> 02:42:43,040 IF YOU IMAGINE THAT SOME TOTAL 3864 02:42:43,040 --> 02:42:45,120 OF NEURAL ACTIVITY IS IN THE 3865 02:42:45,120 --> 02:42:46,400 MULTI DIMENSIONAL SPACE RIGHT 3866 02:42:46,400 --> 02:42:48,360 BUT WHERE IT IS IN THAT MULTI 3867 02:42:48,360 --> 02:42:49,560 DIMENSIONAL SPACE DUE TO THE 3868 02:42:49,560 --> 02:42:51,000 EFFECTS OF WE CAN CALL IT 3869 02:42:51,000 --> 02:42:54,600 GRAVITY, IT'S GOING TO FALL INTO 3870 02:42:54,600 --> 02:42:55,640 THE MIDDLE TO A PARTICULAR POINT 3871 02:42:55,640 --> 02:43:00,040 SO THE WHOLE NEURAL NETWORK IS 3872 02:43:00,040 --> 02:43:02,480 SET UP TO DRIVE TO A SINGLE 3873 02:43:02,480 --> 02:43:04,760 POINT IN STATE SPACE AND A 3874 02:43:04,760 --> 02:43:06,080 SINGLE KIND OF PATTERN OF 3875 02:43:06,080 --> 02:43:07,480 ACTIVITY SO EVERYWHERE YOU ARE 3876 02:43:07,480 --> 02:43:09,400 IN THAT SPACE YOU ARE MOVING TO 3877 02:43:09,400 --> 02:43:10,840 ONE POINT IT'S CALLED A POINT OF 3878 02:43:10,840 --> 02:43:11,520 TRACK. 3879 02:43:11,520 --> 02:43:13,080 THAT'S USEFUL IF YOU WANT TO GET 3880 02:43:13,080 --> 02:43:14,120 SOMEWHERE AND STAY THERE. 3881 02:43:14,120 --> 02:43:16,320 BUT NOT IF YOU WANT TO EVOLVE A 3882 02:43:16,320 --> 02:43:19,200 PATTERN OF ACTIVITY OVER TIME. 3883 02:43:19,200 --> 02:43:21,960 THEN YOU NEED A LINE ATTRACTER. 3884 02:43:21,960 --> 02:43:22,800 WHERE YOU ARE IN THE SPACE YOU 3885 02:43:22,800 --> 02:43:27,240 ARE GOING TO SOME PLACE IN A 3886 02:43:27,240 --> 02:43:28,680 TROUGH THAT TUNNELS YOU ALONG 3887 02:43:28,680 --> 02:43:30,320 THAT TROUGH AND SO THAT YOU 3888 02:43:30,320 --> 02:43:31,880 START OUT WHERE YOU START ON 3889 02:43:31,880 --> 02:43:33,840 THAT LITTLE V-SHAPED THING YOU 3890 02:43:33,840 --> 02:43:35,440 GO FIRST TO THE TROUGH AND THEN 3891 02:43:35,440 --> 02:43:38,200 YOU GO ALONG THE TROUGH AND WHAT 3892 02:43:38,200 --> 02:43:41,040 THAT WOULD DO IS CAUSE THE 3893 02:43:41,040 --> 02:43:44,720 NEURONS TO FORM A CHANNEL OR 3894 02:43:44,720 --> 02:43:46,280 PATTERN OF ACTIVITY THAT GOES 3895 02:43:46,280 --> 02:43:48,120 ALONG A PATTERN TO EVOKE A 3896 02:43:48,120 --> 02:43:49,960 SERIES OF BEHAVIORS. 3897 02:43:49,960 --> 02:44:00,520 AND THAT IS WHAT HAPPENS IN THE 3898 02:44:04,200 --> 02:44:06,320 SAME TEST AND YOU CAN SEE THAT 3899 02:44:06,320 --> 02:44:07,800 ACTIVITIES STARTS FAR AWAY FROM 3900 02:44:07,800 --> 02:44:10,560 THE DOTTED LINE WHICH IS LIKE 3901 02:44:10,560 --> 02:44:12,200 THAT TRAM IN A LINEAR A TRACK 3902 02:44:12,200 --> 02:44:13,120 TER AND IT MOVES TOWARDS THE 3903 02:44:13,120 --> 02:44:17,760 LINE AND THEN MOVES ALONG THE 3904 02:44:17,760 --> 02:44:19,160 LINE AS THE ATTACK CONTINUES. 3905 02:44:19,160 --> 02:44:22,240 WHEN IT'S OVER IT GOES OFF THE 3906 02:44:22,240 --> 02:44:23,880 LINE AND OF IT GOES BACK TO THE 3907 02:44:23,880 --> 02:44:25,600 LINE AND MOVES ALONG THE LINE AS 3908 02:44:25,600 --> 02:44:30,440 THE ATTACK IS NOTED. 3909 02:44:30,440 --> 02:44:32,920 NEXT SLIDE. 3910 02:44:32,920 --> 02:44:35,080 THE STRENGTH, THE DEGREE TO 3911 02:44:35,080 --> 02:44:38,480 WHICH THE NEURONS ARE FORCED 3912 02:44:38,480 --> 02:44:40,560 INTO THIS LINE, IS RELATED TO 3913 02:44:40,560 --> 02:44:43,080 THE DEGREE TO WHICH THE MOUSE 3914 02:44:43,080 --> 02:44:44,880 SPENDS TIME ATTACKING SO THE 3915 02:44:44,880 --> 02:44:48,120 STRENGTH OF THIS LINEAR A TRACK 3916 02:44:48,120 --> 02:44:53,840 TER DETERMINES HOW MUCH ATTACK 3917 02:44:53,840 --> 02:44:54,920 THE MOUSE IS ENGAGE IN. 3918 02:44:54,920 --> 02:44:57,480 IT'S PART OF OF A LONG LINE OF 3919 02:44:57,480 --> 02:44:58,800 RECOGNIZE THE IMPORTANCE OF 3920 02:44:58,800 --> 02:45:01,120 NUMBER ONE OF MULTIPLE O 3921 02:45:01,120 --> 02:45:02,520 MULTIPLE NEURONS COOPERATE TO GO 3922 02:45:02,520 --> 02:45:06,600 DO A BEHAVIOR AND WE LEARNED 3923 02:45:06,600 --> 02:45:08,000 THROUGH THE BRAIN INITIATIVE WE 3924 02:45:08,000 --> 02:45:09,840 CAN'T JUST STUDY A SINGLE NEURON 3925 02:45:09,840 --> 02:45:11,560 OR A SMALL GROUP OF NEURONS WE 3926 02:45:11,560 --> 02:45:13,240 HAVE TO STUDY PATTERNS ACROSS 3927 02:45:13,240 --> 02:45:16,640 MULTIPLE NEURONS AND NUMBER TWO, 3928 02:45:16,640 --> 02:45:17,560 IT IND INDICATES THE IMPORTANCE 3929 02:45:17,560 --> 02:45:20,080 OF CHANGES OVER TIME IN A NEURAL 3930 02:45:20,080 --> 02:45:21,480 SYSTEM AND WE CAN'T CONCERN 3931 02:45:21,480 --> 02:45:22,520 OURSELVES JUST WITH LOOKING AT 3932 02:45:22,520 --> 02:45:29,120 WINDOWS AND TIME, JUST LIKE WE 3933 02:45:29,120 --> 02:45:31,680 HAVE TO LEARN HOW THOUGH UNFOLD 3934 02:45:31,680 --> 02:45:34,160 OVER TIME AND BEHAVIOR AND 3935 02:45:34,160 --> 02:45:39,720 NUMBER THREE THAT WE CAN LEARN 3936 02:45:39,720 --> 02:45:41,000 DETAILS CAUSE PSYCHIATRIC 3937 02:45:41,000 --> 02:45:44,040 RELATIVE BEHAVIORS DOING THESE 3938 02:45:44,040 --> 02:45:45,080 COMPUTATION ALANAL SIS AND NOW 3939 02:45:45,080 --> 02:45:47,520 WE IMAGINE, WELL, LET'S JUST 3940 02:45:47,520 --> 02:45:49,280 SHUT OFF ACTIVITY WE MIGHT BE 3941 02:45:49,280 --> 02:45:51,080 ABLE TO HELP PEOPLE WHO HAVE 3942 02:45:51,080 --> 02:45:54,760 PROBLEMS WITH AGGRESSION AND 3943 02:45:54,760 --> 02:45:58,520 LET'S SAY SEVERE DISORDER WHO 3944 02:45:58,520 --> 02:46:00,360 ACTS OUT VIOLENTLY AND HERE WE 3945 02:46:00,360 --> 02:46:02,440 LEARN OF COURSE, WE KNOW THAT 3946 02:46:02,440 --> 02:46:04,400 THE HYPO THAT WILL MISS IS 3947 02:46:04,400 --> 02:46:05,560 IMPORTANT FOR THINGS THAT ARE 3948 02:46:05,560 --> 02:46:05,920 IMPORTANT. 3949 02:46:05,920 --> 02:46:08,120 IF WE DON'T TURN IT OFF WE DON'T 3950 02:46:08,120 --> 02:46:09,680 KNOW WHAT DAMAGE WE WOULD DO BUT 3951 02:46:09,680 --> 02:46:11,000 WE CAN IMAGINE IDENTIFYING 3952 02:46:11,000 --> 02:46:12,400 PERIODS OF TIME DUE TO THE 3953 02:46:12,400 --> 02:46:16,040 DYNAMICS OF THE NEURON WHERE AN 3954 02:46:16,040 --> 02:46:17,040 INDIVIDUAL MIGHT BE SLIPPING 3955 02:46:17,040 --> 02:46:18,880 INTO THIS TROUGH AND DISRUPTING 3956 02:46:18,880 --> 02:46:24,520 THAT TROUGH IN SOME WAY AND IS 3957 02:46:24,520 --> 02:46:25,800 LOTS OF THINGS WE CAN LEARN FROM 3958 02:46:25,800 --> 02:46:27,280 THIS PAPER AND I THOUGHT IT WAS 3959 02:46:27,280 --> 02:46:28,480 WONDERFUL TO HIGHLIGHT AND I 3960 02:46:28,480 --> 02:46:30,240 WANT TO THANK OUR STAFF WHO 3961 02:46:30,240 --> 02:46:35,280 SUGGESTED IT TO ME. 3962 02:46:35,280 --> 02:46:36,800 1 LET'S GO TO THE OTHER END OF 3963 02:46:36,800 --> 02:46:39,520 OUR SPECTRUM OF RESEARCH AND 3964 02:46:39,520 --> 02:46:41,400 LET'S TALK ABOUT AN EFFORT TO 3965 02:46:41,400 --> 02:46:48,160 IMPROVE ACCESS OF CARE AND TO 3966 02:46:48,160 --> 02:46:49,280 INDIVIDUALS AND TODDLERS WITH 3967 02:46:49,280 --> 02:46:50,360 AUTISM IN THEIR FAMILIES. 3968 02:46:50,360 --> 02:46:51,480 THIS IS IMPORTANT. 3969 02:46:51,480 --> 02:46:55,440 FOR SEVERAL DIFFERENT REASONS. 3970 02:46:55,440 --> 02:46:57,440 NUMBER ONE, WE KNOW EARLY ACCESS 3971 02:46:57,440 --> 02:46:58,800 TO CARE FOR INDIVIDUALS WITH 3972 02:46:58,800 --> 02:47:00,440 AUTISM MATTERS AND IT MALTERS 3973 02:47:00,440 --> 02:47:01,600 BECAUSE THEY WILL DO BETTER IN 3974 02:47:01,600 --> 02:47:03,480 THE LONG RUN AND IT MATTERS 3975 02:47:03,480 --> 02:47:04,400 BECAUSE THEY ARE MORE AMENABLE 3976 02:47:04,400 --> 02:47:06,120 TO THERAPY, IT MATTERS BECAUSE 3977 02:47:06,120 --> 02:47:07,680 WE WANT TO TRY TO IDENTIFY AND 3978 02:47:07,680 --> 02:47:08,600 RESCUE LANGUAGE IN PARTICULAR 3979 02:47:08,600 --> 02:47:12,680 BECAUSE LANGUAGE IS AN IMPORTANT 3980 02:47:12,680 --> 02:47:14,480 OUTCOME. 3981 02:47:14,480 --> 02:47:17,120 IT WILL ENSURE SUCCESS IN 3982 02:47:17,120 --> 02:47:18,840 DOMAINS IN LIFE AND THE EARLIER 3983 02:47:18,840 --> 02:47:20,280 WE CAN INTERVENE THE BETTER. 3984 02:47:20,280 --> 02:47:22,240 NUMBER TWO, THERE ARE 3985 02:47:22,240 --> 02:47:23,040 DISPARITIES, FORTUNATELY IN THIS 3986 02:47:23,040 --> 02:47:24,480 COUNTRY NARROWING DISPARITIES 3987 02:47:24,480 --> 02:47:25,320 AND WE'RE LEARNING SOMETHING 3988 02:47:25,320 --> 02:47:29,360 FROM THIS ABOUT WHY PERHAPS BUT 3989 02:47:29,360 --> 02:47:31,240 THERE ARE DISPARITIES THE AGE IN 3990 02:47:31,240 --> 02:47:32,920 WHICH WE DIAGNOSE INDIVIDUALS 3991 02:47:32,920 --> 02:47:35,280 WITH AUTISM AND WE DIAGNOSE THEM 3992 02:47:35,280 --> 02:47:41,760 LATER IN MINORTIZIED INDIVIDUALS 3993 02:47:41,760 --> 02:47:43,600 AND THE OUTCOMES MAY BE WORSE 3994 02:47:43,600 --> 02:47:49,160 AND SO WE NEED BETTER MOLDS TO 3995 02:47:49,160 --> 02:47:50,520 IDENTIFY AND REFER INDIVIDUALS 3996 02:47:50,520 --> 02:47:53,280 WITH AUTISM AND SCREENING MODELS 3997 02:47:53,280 --> 02:47:55,600 BECAUSE O IT CAN BE DIFFICULT TO 3998 02:47:55,600 --> 02:47:56,920 RECOGNIZE AUTISM TODDLERS. 3999 02:47:56,920 --> 02:48:00,680 WE SUPPORT BOTH AT NIMH AND THE 4000 02:48:00,680 --> 02:48:02,560 CENTERS OF EXCELLENCE MOST OTHER 4001 02:48:02,560 --> 02:48:06,600 INSTITUTES AT NIH SUPPORT 4002 02:48:06,600 --> 02:48:08,040 RESEARCH INTO THE MODELS OF 4003 02:48:08,040 --> 02:48:09,280 SCREENING AND ONE OF THEM THAT 4004 02:48:09,280 --> 02:48:11,320 WE SUPPOSE SORT THIS GET SET 4005 02:48:11,320 --> 02:48:17,400 EARLY PROGRAM WHICH INVOLVES A 4006 02:48:17,400 --> 02:48:18,440 DIGITAL APPROACH AS WELL AS 4007 02:48:18,440 --> 02:48:20,160 QUESTIONNAIRES TO THE FAMILY 4008 02:48:20,160 --> 02:48:21,800 MEMBERS AND THEY'RE DONE IN 4009 02:48:21,800 --> 02:48:25,480 PRIMARY CARE SETTINGS AND THIS 4010 02:48:25,480 --> 02:48:27,440 IS A TEST OF THIS PROCESS. 4011 02:48:27,440 --> 02:48:28,640 NUMBER ONE IT'S A TEST TO SEE 4012 02:48:28,640 --> 02:48:30,240 WHETHER IT WORKS AND IT'S A TEST 4013 02:48:30,240 --> 02:48:32,680 TO SEE WHETHER IT WILL REDUCE 4014 02:48:32,680 --> 02:48:34,640 DISPARITIES AND NOT JUST DIS PAR 4015 02:48:34,640 --> 02:48:36,040 TIES IN IDENTIFICATION BUT LATER 4016 02:48:36,040 --> 02:48:40,160 ON DISPARITIES IN ACCESS TO 4017 02:48:40,160 --> 02:48:44,320 CARE. 4018 02:48:44,320 --> 02:48:46,560 SO IT LOOKED AT THOUSANDS OF 4019 02:48:46,560 --> 02:48:47,160 SCREENS IN THE SAN DIEGO AREA 4020 02:48:47,160 --> 02:48:48,760 AND IN A POPULATION THAT 4021 02:48:48,760 --> 02:48:52,480 INCLUDES LARGE NUMBERS OF 4022 02:48:52,480 --> 02:48:55,320 HISPANICS. 4023 02:48:55,320 --> 02:48:58,360 ASKED WERE WHETHER THIS MODEL 4024 02:48:58,360 --> 02:49:02,800 WITH BILINGUAL CAPABILITIES AND 4025 02:49:02,800 --> 02:49:03,520 WILL RESULT IN EARLY 4026 02:49:03,520 --> 02:49:04,640 IDENTIFICATION OF RISK AND 4027 02:49:04,640 --> 02:49:08,160 EARLIER REFERRAL AND DIAGNOSIS 4028 02:49:08,160 --> 02:49:14,120 AND APPROXIMATE BETTER CARE. 4029 02:49:14,120 --> 02:49:16,160 THIS IS A SCHEMATIC OF THE OVER 4030 02:49:16,160 --> 02:49:18,120 ALL PROCESS AND THE ENGLISHES OF 4031 02:49:18,120 --> 02:49:20,000 THE NOT INTERVENTION IN A REAL 4032 02:49:20,000 --> 02:49:22,920 WORLD SETTING SO WE DON'T HAVE A 4033 02:49:22,920 --> 02:49:25,000 CONTROL IN THIS STUDY BECAUSE WE 4034 02:49:25,000 --> 02:49:30,960 ALREADY KNOW THIS WORKS AND THIS 4035 02:49:30,960 --> 02:49:32,480 IS AN IMPLEMENTATION STUDY AND 4036 02:49:32,480 --> 02:49:34,360 IT'S A DISPARITY STUDY. 4037 02:49:34,360 --> 02:49:35,960 WILL IT WORK WELL FOR 4038 02:49:35,960 --> 02:49:36,640 INDIVIDUALS OF DIFFERENT RACIAL 4039 02:49:36,640 --> 02:49:38,400 AND ETHNIC BACKGROUNDS SO THE 4040 02:49:38,400 --> 02:49:43,480 RESULTS OF THIS STUDY ARE 4041 02:49:43,480 --> 02:49:44,840 INTERESTING AND CONCLUSIVE AND 4042 02:49:44,840 --> 02:49:46,480 LESS SO SO FIRST ON THE 4043 02:49:46,480 --> 02:49:47,600 LEFT-HAND SIDE YOU SEE THE 4044 02:49:47,600 --> 02:49:49,440 AVERAGE SCREENING AGE IN THE 4045 02:49:49,440 --> 02:49:51,080 CONTEXT OF THE GET SET EARLY 4046 02:49:51,080 --> 02:49:58,600 MODEL IN REAL WORLD SETTINGS AND 4047 02:49:58,600 --> 02:49:59,800 BROKEN OUT WITH ETHNICITY AND 4048 02:49:59,800 --> 02:50:02,120 RACE AND YOU SEE THE AVERAGE AGE 4049 02:50:02,120 --> 02:50:03,000 AT WHICH TODDLERS ARE SCREENED 4050 02:50:03,000 --> 02:50:05,400 WITH THE GET SET ARTICLE PROGRAM 4051 02:50:05,400 --> 02:50:08,680 AND IT'S BETWEEN 16 AND 17 4052 02:50:08,680 --> 02:50:09,600 MONTHS AND RIGHT GO 17 MONTHS 4053 02:50:09,600 --> 02:50:12,320 AND THAT IT'S MORE OR LESS THE 4054 02:50:12,320 --> 02:50:14,840 SAME FOR DIFFERENT RACES AND ETH 4055 02:50:14,840 --> 02:50:19,280 NICE TEASE AND IF YOU LOOK AT 4056 02:50:19,280 --> 02:50:22,120 THEY WERE SET FOR AN EVALUATION. 4057 02:50:22,120 --> 02:50:23,280 MOST BUN ALL WERE DONE AT THE 4058 02:50:23,280 --> 02:50:24,320 UNIVERSITY OF CALIFORNIA SAN 4059 02:50:24,320 --> 02:50:25,720 DIEGO WHICH OFFERED FREE 4060 02:50:25,720 --> 02:50:26,880 EVALUATIONS AND THE CONTEXT OF 4061 02:50:26,880 --> 02:50:28,680 THE GET SET EARLY MODEL AND 4062 02:50:28,680 --> 02:50:30,400 THERE WERE OTHER COMMUNITY BASED 4063 02:50:30,400 --> 02:50:31,360 PLACES WHERE INDIVIDUALS COULD 4064 02:50:31,360 --> 02:50:37,680 BE EVALUATED AND SO THE AGE AND 4065 02:50:37,680 --> 02:50:38,800 EVALUATION WAS JUST AFTER 20 4066 02:50:38,800 --> 02:50:39,040 MONTHS. 4067 02:50:39,040 --> 02:50:42,680 IT WAS A THREE MONTH DELAY AND I 4068 02:50:42,680 --> 02:50:44,560 DON'T KNOW HOW REALISTIC IT IS 4069 02:50:44,560 --> 02:50:46,040 IN OTHER SETTINGS BUT THIS IS 4070 02:50:46,040 --> 02:50:50,640 WHAT THEY'RE ABLE TO ACHIEVE IN 4071 02:50:50,640 --> 02:50:51,360 SAN DIEGO AND THERE'S VARIANCE 4072 02:50:51,360 --> 02:50:52,880 BASED ON ETHNICITY AND RACE BUT 4073 02:50:52,880 --> 02:50:54,720 IT WAS NOT STATISTICALLY 4074 02:50:54,720 --> 02:50:56,320 SIGNIFICANT EVEN WITH THE LARGE 4075 02:50:56,320 --> 02:50:58,440 NUMBERS OF HISPANIC AND 4076 02:50:58,440 --> 02:50:59,920 NON-HISPANIC AND WITHIN RACES 4077 02:50:59,920 --> 02:51:01,720 YOU SEE THEY'RE VERY SMALL 4078 02:51:01,720 --> 02:51:04,120 NUMBERS OF SCREEN POSITIVE 4079 02:51:04,120 --> 02:51:07,360 INDIVIDUALS WHO ARE AFRICAN 4080 02:51:07,360 --> 02:51:08,760 AMERICAN AND SOME OF THE OTHER 4081 02:51:08,760 --> 02:51:10,160 MINORITY GROUPS BECAUSE THIS IS 4082 02:51:10,160 --> 02:51:16,720 ONE THAT HAS HEAVY HISPANIC 4083 02:51:16,720 --> 02:51:18,320 INCLUSION AND IF YOU LOOK AT THE 4084 02:51:18,320 --> 02:51:20,920 AVERAGE TIME WHICH THOSE WHO 4085 02:51:20,920 --> 02:51:22,440 EVALUATED POSITIVE THAT IS 4086 02:51:22,440 --> 02:51:27,080 RECEIVED A DIAGNOSIS OF AUTISM 4087 02:51:27,080 --> 02:51:37,600 PECK TRUMP DISORDER THAT STARTED 4088 02:51:38,360 --> 02:51:41,440 YOU CAN SEE THE AGE OF ONSET 4089 02:51:41,440 --> 02:51:42,240 DIDN'T DID YOU EVER BETWEEN 4090 02:51:42,240 --> 02:51:45,480 HISPANICS AND NO NON HISPANICS D 4091 02:51:45,480 --> 02:51:48,320 THE QUANTITY WAS LOWER BUT NOT 4092 02:51:48,320 --> 02:51:49,200 SIGNIFICANTLY DIFFERENT IN 4093 02:51:49,200 --> 02:51:50,400 INDIVIDUALS FROM HISPANIC 4094 02:51:50,400 --> 02:51:52,000 COMMUNITIES VERSUS NON-HISPANIC 4095 02:51:52,000 --> 02:51:54,280 COMMUNITIES AND THERE WAS MORE 4096 02:51:54,280 --> 02:51:55,240 VARIANCE BY RACE NEW NOTHING 4097 02:51:55,240 --> 02:51:57,360 SIGNIFICANT BECAUSE OF THE 4098 02:51:57,360 --> 02:51:58,480 SMALLER NUMBERS. 4099 02:51:58,480 --> 02:52:00,560 SO THE AUTHORS ARGUE HERE THE 4100 02:52:00,560 --> 02:52:03,280 EARLY MODEL IN THE CONTEXT OF 4101 02:52:03,280 --> 02:52:03,920 THE SAN DIEGO COMMUNITY CARE 4102 02:52:03,920 --> 02:52:05,640 SYSTEM WHICH IS SOMETHING THAT 4103 02:52:05,640 --> 02:52:10,320 THEY TALK A LOT IN THE PAPER IS 4104 02:52:10,320 --> 02:52:12,120 SUCCESSFULLY ABLE TO ACHIEVE 4105 02:52:12,120 --> 02:52:15,800 EQUITABLE SCREENING AND 4106 02:52:15,800 --> 02:52:16,600 EVALUATION AND TREATMENT WHEN 4107 02:52:16,600 --> 02:52:20,960 IT'S INSTITUTED IN THE CONTEXT 4108 02:52:20,960 --> 02:52:22,400 OF CARE. 4109 02:52:22,400 --> 02:52:23,440 APPROXIMATE ONE OF THE THINGS 4110 02:52:23,440 --> 02:52:26,240 THAT THEY LOOKED AT WAS 4111 02:52:26,240 --> 02:52:31,240 ENGAGEMENT LEVELS ANDEL BY RAISE 4112 02:52:31,240 --> 02:52:39,120 AND ETHNICITY AND THEY FOUND THE 4113 02:52:39,120 --> 02:52:40,360 ENGAGEMENT LEVELS WITH HISPANIC 4114 02:52:40,360 --> 02:52:42,600 AND NON-HISPANIC COMMUNITIES DID 4115 02:52:42,600 --> 02:52:42,920 NOT DIFFER. 4116 02:52:42,920 --> 02:52:44,560 THEY ALSO DIDN'T DIFFER WHITE TO 4117 02:52:44,560 --> 02:52:46,360 MINORITY RACES BUT YOU COULD SEE 4118 02:52:46,360 --> 02:52:47,920 DIFFERENCES THAT JUST WEREN'T 4119 02:52:47,920 --> 02:52:51,800 STATISTIC AND DIG BASED ON THE 4120 02:52:51,800 --> 02:52:53,640 NUMBERS. 4121 02:52:53,640 --> 02:52:55,600 ALL RIGHT, SO THAT IS IT FOR THE 4122 02:52:55,600 --> 02:52:57,640 SCIENCE HIGHLIGHTS AND THE 4123 02:52:57,640 --> 02:53:01,400 CONCLUSIONS OF THIS PAPER ARE 4124 02:53:01,400 --> 02:53:02,240 EQUALLY PROFOUND AND MORE 4125 02:53:02,240 --> 02:53:04,080 DIRECTLY IMPORTANT FOR PUBLIC 4126 02:53:04,080 --> 02:53:05,480 MENTAL HEALTH AND YOU CAN IN 4127 02:53:05,480 --> 02:53:07,800 REAL WORLD SETTINGS INTRODUCE 4128 02:53:07,800 --> 02:53:09,080 UNIVERSAL SCREENING METHODS AND 4129 02:53:09,080 --> 02:53:11,000 PRIMARY CARE SETTINGS AND THEY 4130 02:53:11,000 --> 02:53:13,120 CAN RESULT IN BETTER EQUITY AND 4131 02:53:13,120 --> 02:53:18,920 AT LEAST WITHIN THE HISPANIC 4132 02:53:18,920 --> 02:53:19,800 POPULATION HAD MEMBERS TESTIFY 4133 02:53:19,800 --> 02:53:26,800 DIAGNOSIS AND ACCESS TO CARE. 4134 02:53:26,800 --> 02:53:28,520 APPROXIMATE SO WITH THAT I'LL 4135 02:53:28,520 --> 02:53:31,560 CLOSE WITH ANOTHER MENTION AND 4136 02:53:31,560 --> 02:53:32,960 WE TALKED ABOUT OUR 70 4137 02:53:32,960 --> 02:53:34,080 ANNIVERSARY PROGRAMS. 4138 02:53:34,080 --> 02:53:36,240 NEXT SLIDE. 4139 02:53:36,240 --> 02:53:38,440 SO, NEXT YEAR STARTING IN 4140 02:53:38,440 --> 02:53:39,920 SEPTEMBER 2023, WE WILL 4141 02:53:39,920 --> 02:53:40,840 CELEBRATE 75 YEARS OF 4142 02:53:40,840 --> 02:53:41,880 TRANSFORMING THE UNDERSTANDING 4143 02:53:41,880 --> 02:53:44,720 OF TREATMENT OF MENTAL ILLNESS. 4144 02:53:44,720 --> 02:53:46,120 IT WILL BE A YEAR LONG 4145 02:53:46,120 --> 02:53:49,680 CELEBRATION WITH SYMPOSIUMS, 4146 02:53:49,680 --> 02:53:51,760 LECTURES, SCIENTIFIC MEETINGS 4147 02:53:51,760 --> 02:53:53,080 AND STORIES AND OTHER RESOURCES. 4148 02:53:53,080 --> 02:53:54,600 I WANT TO NOTE THAT ALTHOUGH 4149 02:53:54,600 --> 02:53:56,160 WE'RE CELEBRATING 4150 02:53:56,160 --> 02:53:59,600 ACCOMPLISHMENTS WE'RE NOT 4151 02:53:59,600 --> 02:54:00,240 WHITEWASHING NIMH HISTORY WE'LL 4152 02:54:00,240 --> 02:54:01,720 TALK ABOUT THIS INSTITUTE AND 4153 02:54:01,720 --> 02:54:02,640 WHAT WE HAVE ACCOMPLISHED AND 4154 02:54:02,640 --> 02:54:03,480 WHAT WE HAVE NOT ACCOMPLISHED 4155 02:54:03,480 --> 02:54:05,040 AND WHAT WE NEED TO DO A BETTER 4156 02:54:05,040 --> 02:54:07,280 JOB OF BUT I ENCOURAGE YOU TO 4157 02:54:07,280 --> 02:54:09,400 LOOK AT THE FULL ACTIVITY AND 4158 02:54:09,400 --> 02:54:13,080 RESOURCES THAT WE WILL HAVE NEXT 4159 02:54:13,080 --> 02:54:14,120 SLIDE. 4160 02:54:14,120 --> 02:54:15,560 THE FIRST ONE I WANT TO ANNOUNCE 4161 02:54:15,560 --> 02:54:18,120 IS THE INAUGURAL EVENT THAT WILL 4162 02:54:18,120 --> 02:54:20,720 BE A SYMPOSIUM ON 4163 02:54:20,720 --> 02:54:21,880 SEPTEMBER 13th THAT WILL HAVE 4164 02:54:21,880 --> 02:54:22,920 IN-PERSON AND VIRTUAL OPTIONS 4165 02:54:22,920 --> 02:54:27,840 AND WE'LL EXPLORE KEY SAD 4166 02:54:27,840 --> 02:54:28,880 ADVANCES IN MENTAL HEALTH 4167 02:54:28,880 --> 02:54:31,200 RESEARCH AND SUPPORTED BY NIMH 4168 02:54:31,200 --> 02:54:35,400 AND HEAR VISIONARIES, HYPOTHESIS 4169 02:54:35,400 --> 02:54:37,840 ABOUT WHAT OUR FUTURE MIGHT LOOK 4170 02:54:37,840 --> 02:54:38,320 LIKE. 4171 02:54:38,320 --> 02:54:40,240 SAVE THE DATE. 4172 02:54:40,240 --> 02:54:41,560 THOSE OF YOU THAT CAN ATTEND 4173 02:54:41,560 --> 02:54:42,680 WONDERFUL. 4174 02:54:42,680 --> 02:54:48,360 IF YOU CAN'T, JOIN US VIRTUALLY. 4175 02:54:48,360 --> 02:54:48,960 THAT'S IT. 4176 02:54:48,960 --> 02:54:50,320 I'LL END WITH THIS SLIDE. 4177 02:54:50,320 --> 02:54:53,520 YOU CAN LOOK UP MORE ACTIVITIES 4178 02:54:53,520 --> 02:54:57,040 ON WEBSITE. 4179 02:54:57,040 --> 02:55:00,200 I'LL OPEN IT UP FOR QUESTIONS. 4180 02:55:00,200 --> 02:55:01,480 WE'RE OVER 15 MINUTES. 4181 02:55:01,480 --> 02:55:02,720 BOY. 4182 02:55:02,720 --> 02:55:11,440 I JUST GOT TOO EXCITED. 4183 02:55:11,440 --> 02:55:16,040 >>I THINK MY HAND IS UP THERE 4184 02:55:16,040 --> 02:55:17,880 FIRST. 4185 02:55:17,880 --> 02:55:25,080 I WOULD LIKE TO COMMENT ON IS 4186 02:55:25,080 --> 02:55:26,800 THE PROGRESS IN TREATMENT OF 4187 02:55:26,800 --> 02:55:28,320 SERIOUS MENTAL ILLNESSES THAT 4188 02:55:28,320 --> 02:55:30,360 HAS OCCURRED IN THE LAST FEW 4189 02:55:30,360 --> 02:55:36,440 YEARS. 4190 02:55:36,440 --> 02:55:41,160 SO, I RECOGNIZE YOU POINTED OUT 4191 02:55:41,160 --> 02:55:45,080 OR ACKNOWLEDGE THAT NIMH GETS A 4192 02:55:45,080 --> 02:55:52,920 LOT OF CRITICISM FROM THE 4193 02:55:52,920 --> 02:55:53,760 CLINICAL AUDIENCE THAT THERE'S 4194 02:55:53,760 --> 02:55:57,320 BEEN NO TREATMENT OVER THE LAST 4195 02:55:57,320 --> 02:56:00,320 SEVERAL DECADES AND AS I WAS 4196 02:56:00,320 --> 02:56:02,800 SITTING HERE, I TOOK A NOTE OF 4197 02:56:02,800 --> 02:56:07,080 NEW ADVANCES. 4198 02:56:07,080 --> 02:56:09,560 SO, OVER THE LAST COUPLE OF 4199 02:56:09,560 --> 02:56:13,440 YEARS, THERE HAVE BEEN SEVERAL 4200 02:56:13,440 --> 02:56:14,480 MEDICATION THAT'S HAVE BEEN 4201 02:56:14,480 --> 02:56:16,200 APPROVED FOR TREATING SERIOUS 4202 02:56:16,200 --> 02:56:17,640 MENTAL ILLNESSES FOR WHICH WE 4203 02:56:17,640 --> 02:56:19,600 HAD NO TREATMENTS BEFORE. 4204 02:56:19,600 --> 02:56:25,400 SO THIS INCLUDES RECENTLY I 4205 02:56:25,400 --> 02:56:32,160 THINK LAST WEEK RICKS PEPPERSOL 4206 02:56:32,160 --> 02:56:34,160 FOR PSYCHOTIC AGITATION. 4207 02:56:34,160 --> 02:56:34,960 THIS IS A BREAK THROUGH IN THE 4208 02:56:34,960 --> 02:56:36,160 TREATMENT OF THIS DISEASE OF THE 4209 02:56:36,160 --> 02:56:37,440 WE HAVE NOTHING THAT IS APPROVED 4210 02:56:37,440 --> 02:56:43,720 FOR TREATING SIGH COT I CAN 4211 02:56:43,720 --> 02:56:43,960 AGITATION. 4212 02:56:43,960 --> 02:56:48,920 IT OCCURS AND EVERY HAS A BLACK 4213 02:56:48,920 --> 02:56:55,520 BOX SAYING SHOULD AND WE NOW 4214 02:56:55,520 --> 02:57:05,920 HAVE NIMH SPENT VAST SUMS OF 4215 02:57:05,920 --> 02:57:07,800 MONEY ON INCLUDING SOME TO MY 4216 02:57:07,800 --> 02:57:11,560 LEFT, YEARS AGO, TRYING TO 4217 02:57:11,560 --> 02:57:14,800 DETERMINE HOW THAT DRUG WORKS. 4218 02:57:14,800 --> 02:57:17,400 ANOTHER BREAK THROUGH MEDICATION 4219 02:57:17,400 --> 02:57:20,520 IS THE MEDICATION 4220 02:57:20,520 --> 02:57:27,920 PEMABANFRIENDSHIPBANFREN TREATMY 4221 02:57:27,920 --> 02:57:29,280 PSYCHOSIS AND IT IS APPROVED 4222 02:57:29,280 --> 02:57:31,240 SPECIFICALLY FOR TREATING 4223 02:57:31,240 --> 02:57:35,880 PSYCHOSIS AND PARKINSON'S 4224 02:57:35,880 --> 02:57:37,360 DISEASE AND IS DEVOID OF ANY 4225 02:57:37,360 --> 02:57:41,080 SIDE EFFECTS AND FOR INDIVIDUALS 4226 02:57:41,080 --> 02:57:45,240 THAT RESPOND TO THIS, IT'S 4227 02:57:45,240 --> 02:57:46,160 TRANSFORMATIVE. 4228 02:57:46,160 --> 02:57:47,200 ANOTHER MEDICATION THAT HAS 4229 02:57:47,200 --> 02:57:52,880 RECENTLY BEEN APPROVED AS IS 4230 02:57:52,880 --> 02:57:53,200 BREXANALONE. 4231 02:57:53,200 --> 02:57:58,440 WE HAD NOTHING FOR POSTPARTUM 4232 02:57:58,440 --> 02:58:00,760 DEPRESSION FOR SERIOUS CASES AND 4233 02:58:00,760 --> 02:58:02,560 FOR ANTI-DIE PRESENTS WHICH 4234 02:58:02,560 --> 02:58:04,000 DON'T WORK VERY WELL AND NOW WE 4235 02:58:04,000 --> 02:58:12,000 KNOW ONE DAY INFUSION, 4236 02:58:12,000 --> 02:58:14,160 BREXANALOE IS TREATING WOMEN WHO 4237 02:58:14,160 --> 02:58:15,680 SUFFER FROM POSTPARTUM AND 4238 02:58:15,680 --> 02:58:16,520 DEPRESSION AND THIS IS 4239 02:58:16,520 --> 02:58:17,760 HIGHLIGHTED IN THE "NEW YORK 4240 02:58:17,760 --> 02:58:20,600 TIMES" OVER THE WEEKEND. 4241 02:58:20,600 --> 02:58:27,000 HIGHLIGHTED WORK FROM FROM UNC D 4242 02:58:27,000 --> 02:58:28,960 THIS IS AN INTERESTING MOLECULE. 4243 02:58:28,960 --> 02:58:31,160 IT'S A MODULATOR OF GAB A 4244 02:58:31,160 --> 02:58:35,200 RECEPTORS AND OF COURSE NIMH IT 4245 02:58:35,200 --> 02:58:36,480 AROSE FROM THE NATIONAL 4246 02:58:36,480 --> 02:58:38,080 INSTITUTE OF MENTAL HEALTH AND 4247 02:58:38,080 --> 02:58:41,040 STEVE PAUL'S LAB MANY YEARS AGO. 4248 02:58:41,040 --> 02:58:43,880 AND THE INSTITUTE HAS FUNDED 4249 02:58:43,880 --> 02:58:47,120 THAT RESEARCH FOR DECADES 4250 02:58:47,120 --> 02:58:48,440 BASICALLY. 4251 02:58:48,440 --> 02:58:53,560 AND THE LAST NEW APPROVAL IS 4252 02:58:53,560 --> 02:58:54,840 ESKATAMINE FOR TREATING 4253 02:58:54,840 --> 02:58:56,800 DEPRESSION, THIS CAME FROM NIMH 4254 02:58:56,800 --> 02:58:59,000 FUNDING RESEARCH AT YALE ABOUT 4255 02:58:59,000 --> 02:58:59,800 20 YEARS AGO. 4256 02:58:59,800 --> 02:59:01,760 SHOWING THAT A SINGLE DOSE OF 4257 02:59:01,760 --> 02:59:03,040 KETAMINE IS EFFECTIVE IN 4258 02:59:03,040 --> 02:59:04,760 TREATING DEPRESSION. 4259 02:59:04,760 --> 02:59:07,680 ALL OF THESE FOUR APPROVED 4260 02:59:07,680 --> 02:59:10,480 MEDICATIONS AND THERE ARE 4261 02:59:10,480 --> 02:59:11,400 SEVERAL MEDICATIONS THAT ARE 4262 02:59:11,400 --> 02:59:13,880 ANTICIPATED TO HAVE APPROVAL 4263 02:59:13,880 --> 02:59:15,080 NEXT YEAR. 4264 02:59:15,080 --> 02:59:17,680 THE FIRST IS THE NOAM A LEAN A 4265 02:59:17,680 --> 02:59:21,120 COMBINATION AND TIE ASPER OWN 4266 02:59:21,120 --> 02:59:23,160 FOR SCHIZOPHRENIA AND THIS HAS 4267 02:59:23,160 --> 02:59:25,560 ALREADY HAD POSITIVE PHASE 3 4268 02:59:25,560 --> 02:59:26,760 CLINICAL TRIALS. 4269 02:59:26,760 --> 02:59:28,480 EXTREMELY ROBUST EFFECT. 4270 02:59:28,480 --> 02:59:31,800 THIS WILL BE THE FIRST NON 4271 02:59:31,800 --> 02:59:34,320 DOPAMINE FOR SCHIZOPHRENIA THAT 4272 02:59:34,320 --> 02:59:35,000 WE'VE HAD. 4273 02:59:35,000 --> 02:59:39,880 AND NIMH FUNDED RESEARCH AND 4274 02:59:39,880 --> 02:59:42,720 SYSTEM PRIMARILY FROM JEFF CON'S 4275 02:59:42,720 --> 02:59:44,560 GROUP I THINK. 4276 02:59:44,560 --> 02:59:46,600 AGAIN, FOR DECADES. 4277 02:59:46,600 --> 02:59:50,560 AND RATIONALE FOR THIS DRUG AND 4278 02:59:50,560 --> 02:59:52,360 PUSHING IT ALONG WOULD NEVER 4279 02:59:52,360 --> 02:59:55,560 HAVE OCCURRED WITHOUT NIMH'S 4280 02:59:55,560 --> 02:59:56,040 SUPPORT. 4281 02:59:56,040 --> 03:00:01,040 AND FINALLY WE HAVE MDMA WHICH 4282 03:00:01,040 --> 03:00:02,640 WILL LIKELY REVOLUTIONIZE THE 4283 03:00:02,640 --> 03:00:04,040 TREATMENT OF POST TRAUMATIC 4284 03:00:04,040 --> 03:00:06,200 STRESS DISORDER AND I'LL GO ON 4285 03:00:06,200 --> 03:00:07,960 THE RECORD TO SAY THAT. 4286 03:00:07,960 --> 03:00:11,120 THERE ARE NOW TWO POSITIVE PHASE 4287 03:00:11,120 --> 03:00:11,720 3 CLINICAL TRIALS. 4288 03:00:11,720 --> 03:00:13,240 ONE WAS REPORTED IN NATURE 4289 03:00:13,240 --> 03:00:14,840 MEDICINE AND THE OTHER HAS NOT 4290 03:00:14,840 --> 03:00:16,360 YET BEEN REPORTED PUBLICLY BUT 4291 03:00:16,360 --> 03:00:18,080 THE RESULTS HAVE BEEN REPORTED 4292 03:00:18,080 --> 03:00:18,560 PUBLICLY. 4293 03:00:18,560 --> 03:00:20,520 THEY'RE GOING TO THE FDA. 4294 03:00:20,520 --> 03:00:24,760 THEY'RE GOING TO THE FDA IN 2024 4295 03:00:24,760 --> 03:00:25,480 FOR APPROVAL. 4296 03:00:25,480 --> 03:00:28,800 THIS WILL TRANSFORM HOW WE TREAT 4297 03:00:28,800 --> 03:00:30,600 PTSD AND WE HAVE SIL SA 4298 03:00:30,600 --> 03:00:31,760 CYBERSECURITY INFOR DEPRESSION 4299 03:00:31,760 --> 03:00:43,080 SASIBEN.I WAS THE ONLY INVESTIGR 4300 03:00:44,840 --> 03:00:48,160 FUNDED TO STUDY PSYCHEDELICS AND 4301 03:00:48,160 --> 03:00:50,440 IT WAS FUNDED THROUGH NIMH. 4302 03:00:50,440 --> 03:00:53,800 MANY YEARS AGO I CAME TO THIS 4303 03:00:53,800 --> 03:00:56,680 MEETING AS A GUEST AND YOU 4304 03:00:56,680 --> 03:00:58,120 HIGHLIGHTED OUR STRUCTURAL WORK 4305 03:00:58,120 --> 03:01:03,320 ON THE LSD PSYCHEDELICS WHICH 4306 03:01:03,320 --> 03:01:04,280 WAS PUBLISHED. 4307 03:01:04,280 --> 03:01:07,160 AT THAT TIME THINK I WAS THE 4308 03:01:07,160 --> 03:01:09,920 ONLY, LITERALLY THE ONLY PERSON 4309 03:01:09,920 --> 03:01:13,400 FUNDED TO STUDY PSYCHEDELICS AND 4310 03:01:13,400 --> 03:01:17,880 FINALLY, THERE'S A BREXANALON 4311 03:01:17,880 --> 03:01:21,400 SHOWING POSITIVE RESULTS FOR 4312 03:01:21,400 --> 03:01:21,960 DEPRESSION. 4313 03:01:21,960 --> 03:01:23,240 SO WE HAVE THESE MEDICATIONS 4314 03:01:23,240 --> 03:01:25,800 THAT REALLY ARE TRANSFORMING HOW 4315 03:01:25,800 --> 03:01:29,920 PSYCHIATRY IS BEING DONE AND YOU 4316 03:01:29,920 --> 03:01:34,320 MIGHT IN YOUR TALKS, YOU MIGHT 4317 03:01:34,320 --> 03:01:37,160 HIGHLIGHT THE IMPORTANCE OF NIMH 4318 03:01:37,160 --> 03:01:39,960 FUNDING ON THE BASIC MECHANISMS 4319 03:01:39,960 --> 03:01:41,760 OF THESE MOLECULES. 4320 03:01:41,760 --> 03:01:45,280 YOU KNOW, IF WE DIDN'T HAVE THIS 4321 03:01:45,280 --> 03:01:47,400 RESEARCH, WE WOULDN'T HAVE A 4322 03:01:47,400 --> 03:01:48,200 CLUE HOW THESE MEDICATIONS 4323 03:01:48,200 --> 03:01:48,800 WORKED. 4324 03:01:48,800 --> 03:01:50,520 PHARMA IS NOT GOING TO FUND THAT 4325 03:01:50,520 --> 03:01:51,240 WORK. 4326 03:01:51,240 --> 03:01:53,840 NOW BECAUSE OF THESE 4327 03:01:53,840 --> 03:01:56,360 ADVANCEMENTS AND THESE SUCCESS 4328 03:01:56,360 --> 03:01:58,520 STORIES, I'M NOW GETTING, I 4329 03:01:58,520 --> 03:02:02,680 WOULDN'T SAY WEEKLY BUT I WOULD 4330 03:02:02,680 --> 03:02:04,320 SAY OCCASIONAL QUERIES FROM 4331 03:02:04,320 --> 03:02:05,720 MAJOR PHARMA, WHO ARE 4332 03:02:05,720 --> 03:02:09,760 CONSIDERING GOING BACK TO THAN 4333 03:02:09,760 --> 03:02:11,160 THIS SPACE. 4334 03:02:11,160 --> 03:02:13,760 AND NIMH CAN TAKE SOME CREDIT 4335 03:02:13,760 --> 03:02:15,600 FOR THAT SO I WOULD SAY IN THE 4336 03:02:15,600 --> 03:02:18,040 FUTURE, DON'T BE SO HARD ON YOUR 4337 03:02:18,040 --> 03:02:18,240 SELF. 4338 03:02:18,240 --> 03:02:20,240 >>IT'S WONDERFUL AS I MENTIONED 4339 03:02:20,240 --> 03:02:22,440 TO ENSURE THAT WE RECOGNIZE 4340 03:02:22,440 --> 03:02:23,280 SUCCESSES. 4341 03:02:23,280 --> 03:02:25,320 AND ALTHOUGH THE ONE THAT I 4342 03:02:25,320 --> 03:02:26,360 MENTIONED FEATURES THE SUCCESS 4343 03:02:26,360 --> 03:02:28,240 THAT'S REALLY ABOUT THE 4344 03:02:28,240 --> 03:02:29,600 TRANSFORMATION OF SERVICES, YOU 4345 03:02:29,600 --> 03:02:31,120 ARE POINTING OUT SEVERAL 4346 03:02:31,120 --> 03:02:34,480 SUCCESSES IN THE RECENT PAST AND 4347 03:02:34,480 --> 03:02:35,640 SOON-TO-BE FUTURE THAT WHERE WE 4348 03:02:35,640 --> 03:02:37,440 HAVE SOME OF THOSE ADVANCES THAT 4349 03:02:37,440 --> 03:02:39,400 HAVE LED FROM NEUROSCIENCE TO 4350 03:02:39,400 --> 03:02:40,200 DRUG DISCOVERY. 4351 03:02:40,200 --> 03:02:42,920 WE HAVE OTHERS WE CAN CLAIM EVEN 4352 03:02:42,920 --> 03:02:43,760 FURTHER BACK, WE'LL TALK ABOUT 4353 03:02:43,760 --> 03:02:48,160 IT IN THE CONTEXT OF THE 4354 03:02:48,160 --> 03:02:49,560 ANNIVERSARY TO NEUROSCIENCE FROM 4355 03:02:49,560 --> 03:02:50,840 PSYCHE SEW AND SOCIAL 4356 03:02:50,840 --> 03:02:51,360 INTERVENTIONS AS WELL. 4357 03:02:51,360 --> 03:02:52,400 THANK YOU, BRIAN. 4358 03:02:52,400 --> 03:02:53,280 >>MARGARITE AA. 4359 03:02:53,280 --> 03:02:54,520 >>I HAVE A QUICK QUESTION. 4360 03:02:54,520 --> 03:02:55,800 THANK YOU FOR YOUR PRESENTATION. 4361 03:02:55,800 --> 03:02:57,120 IT WAS INFORMATIVE. 4362 03:02:57,120 --> 03:02:59,200 I KNOW MANY OF US ARE CONCERNED 4363 03:02:59,200 --> 03:03:02,760 THAT WE'RE LOSING DIVERSE TALENT 4364 03:03:02,760 --> 03:03:04,600 BECAUSE OF THE FUNDING LEVELS 4365 03:03:04,600 --> 03:03:05,760 THAT POSTDOCS GET SO I WAS 4366 03:03:05,760 --> 03:03:09,440 REALLY EXCITED TO SEE THAT YOU 4367 03:03:09,440 --> 03:03:10,560 ALL RECEIVED THOUSANDS OF 4368 03:03:10,560 --> 03:03:12,240 RESPONSES TO THE RFI AND I WAS 4369 03:03:12,240 --> 03:03:13,920 JUST WONDERING IF YOU KNOW THE 4370 03:03:13,920 --> 03:03:15,320 TIMELINE FOR THE WORKGROUP IN 4371 03:03:15,320 --> 03:03:16,520 TERMS OF THE WORK THAT THEY'RE 4372 03:03:16,520 --> 03:03:18,040 DOING TO LOOK AT THAT DATA AND 4373 03:03:18,040 --> 03:03:20,080 THEN MAKE RECOMMENDATIONS? 4374 03:03:20,080 --> 03:03:20,600 APPROXIMATE. 4375 03:03:20,600 --> 03:03:23,480 >>I THINK THAT THERE WILL BE A 4376 03:03:23,480 --> 03:03:24,320 REPORT OUT NEXT MONTH. 4377 03:03:24,320 --> 03:03:27,000 I DON'T KNOW WHETHER THAT WILL 4378 03:03:27,000 --> 03:03:31,480 INCLUDE SPECIFIC RECOMMENDATIONS 4379 03:03:31,480 --> 03:03:35,880 AT THAT TIME. 4380 03:03:35,880 --> 03:03:36,560 >> Joshua Gordon: THERE ARE NO 4381 03:03:36,560 --> 03:03:37,320 OTHER QUESTIONS OR COMMENTS FROM 4382 03:03:37,320 --> 03:03:39,080 THE COUNCIL, I APPRECIATE YOUR 4383 03:03:39,080 --> 03:03:39,360 FORBEARANCE. 4384 03:03:39,360 --> 03:03:41,560 WE HAVE A PLAN TO RESCUE THE 4385 03:03:41,560 --> 03:03:44,000 CONCLUSION OF THE DAY. 4386 03:03:44,000 --> 03:03:44,840 WE'LL SEE HOW MUCH TIME WE CAN 4387 03:03:44,840 --> 03:03:49,200 MAKE UP IN THE MEANTIME. 4388 03:03:49,200 --> 03:03:51,040 NEXT WE HAVE AN ISSUE BEFORE YOU 4389 03:03:51,040 --> 03:03:56,080 THAT WE ARE SEEKING YOUR ADVICE 4390 03:03:56,080 --> 03:03:56,560 ON. 4391 03:03:56,560 --> 03:03:58,200 IT DOESN'T REQUIRE A VOTE. 4392 03:03:58,200 --> 03:04:00,360 BUT WE WOULD LOVE TO HEAR FROM 4393 03:04:00,360 --> 03:04:01,720 YOU. 4394 03:04:01,720 --> 03:04:03,520 AND FOR OTHERS IN THE COMMUNITY 4395 03:04:03,520 --> 03:04:06,240 AS WE LEARN ABOUT THIS. 4396 03:04:06,240 --> 03:04:07,520 I'M GOING TO PROVIDE AN 4397 03:04:07,520 --> 03:04:08,600 INTRODUCTION AND THEN I'M GOING 4398 03:04:08,600 --> 03:04:15,360 TO TURN IT OVER TO Dr. 4399 03:04:15,360 --> 03:04:17,200 JOHNATHAN PERCENTNER TEAM LEAD 4400 03:04:17,200 --> 03:04:19,840 FOR OUR GENOMICS TEAM IN JUST A 4401 03:04:19,840 --> 03:04:21,400 MOMENT BUT BEFORE I DO THAT, LET 4402 03:04:21,400 --> 03:04:22,760 ME GIVE YOU A LITTLE BIT OF 4403 03:04:22,760 --> 03:04:23,560 BACKGROUND HERE. 4404 03:04:23,560 --> 03:04:25,360 SO AS YOU ALL KNOW, THERE WAS A 4405 03:04:25,360 --> 03:04:29,440 WORKGROUP OF THIS COUNCIL SOME 4406 03:04:29,440 --> 03:04:32,800 YEARS BACK THAT RECOMMENDED THAT 4407 03:04:32,800 --> 03:04:36,000 NIMH REVAMP OUR APPROACH TO 4408 03:04:36,000 --> 03:04:38,360 GENOMICS IN GENERAL AND 4409 03:04:38,360 --> 03:04:40,720 SPECIFICALLY THAT WE ONLY -- 4410 03:04:40,720 --> 03:04:42,440 THAT IN ORDER FOR US TO FUND 4411 03:04:42,440 --> 03:04:52,960 RESEARCH NA IS BASED ACHIEVE A 4412 03:04:56,600 --> 03:04:58,960 CERTAIN LEVEL OF STATISTICAL 4413 03:04:58,960 --> 03:04:59,720 CONFIDENCE THAT THAT GENE IS 4414 03:04:59,720 --> 03:05:03,640 LINKED TO THE DISORDER THAT 4415 03:05:03,640 --> 03:05:05,320 PURPORT TO BE STUDYING THROUGH 4416 03:05:05,320 --> 03:05:06,120 THEIR APPLICATION, OTHERWISE WE 4417 03:05:06,120 --> 03:05:09,000 CAN STUDY ANY GENE OR PROTEIN OR 4418 03:05:09,000 --> 03:05:13,680 BIOLOGICAL PROCESS THAT YOU LIKE 4419 03:05:13,680 --> 03:05:15,440 BUT ONLY FROM A SCIENCE 4420 03:05:15,440 --> 03:05:16,920 STANDPOINT AND IT'S LINKED TO A 4421 03:05:16,920 --> 03:05:19,320 IT IS ORDER AND THIS HAS BEEN A 4422 03:05:19,320 --> 03:05:22,280 REALLY IMPORTANT DEVELOPMENT AND 4423 03:05:22,280 --> 03:05:23,200 IT'S A LOT OF THE DECISIONS I 4424 03:05:23,200 --> 03:05:25,200 HAVE MADE AND MY STAFF HAS MADE 4425 03:05:25,200 --> 03:05:26,360 AND YOU HAVE ALL CONFERRED WITH 4426 03:05:26,360 --> 03:05:30,040 OVER THE YEARS AND ONE REFRAIN 4427 03:05:30,040 --> 03:05:32,760 FROM RESEARCHERS WHO HAVE BEEN, 4428 03:05:32,760 --> 03:05:35,400 YOU KNOW, DOWNGRADED IN THEIR 4429 03:05:35,400 --> 03:05:36,480 PRIORITY FROM RESEARCH AND YOU 4430 03:05:36,480 --> 03:05:38,280 DON'T WANT ME STUDYING GENE X, 4431 03:05:38,280 --> 03:05:43,120 WHAT GENE SHOULD I BE STUDYING? 4432 03:05:43,120 --> 03:05:46,240 SO WE, LET'S SAY I'VE BEEN 4433 03:05:46,240 --> 03:05:49,440 ASKING VARIOUS MEMBERS OF OUR 4434 03:05:49,440 --> 03:05:51,720 STAFF THAT TO HELP ME WITH A 4435 03:05:51,720 --> 03:05:57,120 LOOSE TO THIS PROBLEM AND TO 4436 03:05:57,120 --> 03:06:00,960 COME UP WITH THE THE POLICY THAW 4437 03:06:00,960 --> 03:06:02,600 MUST PROPOSE A STUDY ON A GENE 4438 03:06:02,600 --> 03:06:04,880 ONLY IF IT IS ACHIEVED GENE WISE 4439 03:06:04,880 --> 03:06:07,520 SIGNIFICANCE AND WE WANT TO 4440 03:06:07,520 --> 03:06:09,320 PROPOSE A IS CAROLE TO OUR 4441 03:06:09,320 --> 03:06:10,760 COMMUNITY THAT HERE IS A LIST OF 4442 03:06:10,760 --> 03:06:13,680 GENES THAT WE HAVE RELATIVELY 4443 03:06:13,680 --> 03:06:15,760 HAD HAVE ACHIEVED THAT 4444 03:06:15,760 --> 03:06:17,680 SIGNIFICANCE AND IT'S NOT AN 4445 03:06:17,680 --> 03:06:19,080 EXAUSTIVE LIST AND IT'S NOT ALL 4446 03:06:19,080 --> 03:06:21,480 GENES BECAUSE WE'RE NOT ALL 4447 03:06:21,480 --> 03:06:23,680 KNOWING AND ALL SEEING AND IT'S 4448 03:06:23,680 --> 03:06:25,280 NOT MEANT TO BE ON THIS LIST. 4449 03:06:25,280 --> 03:06:28,080 YOU CAN'T APPLY TO STUDY IT BUT 4450 03:06:28,080 --> 03:06:29,480 IT'S A LIST OF SUGGESTIONS THAT 4451 03:06:29,480 --> 03:06:34,000 WE CAN GIVE OUR COMMUNITY TO SAY 4452 03:06:34,000 --> 03:06:36,720 IT'S ACCEPTS AND GENES AND 4453 03:06:36,720 --> 03:06:37,680 HAVING GENE WIDE SIGNIFICANCE 4454 03:06:37,680 --> 03:06:39,840 AND NOT ONLY THAT, WE'RE 4455 03:06:39,840 --> 03:06:41,480 PROPOSING A LIST BUT WE'RE ALSO 4456 03:06:41,480 --> 03:06:43,680 PROPOSING A COMPANION DOCUMENT 4457 03:06:43,680 --> 03:06:45,720 AND IT EXPLAINS THE REASONING 4458 03:06:45,720 --> 03:06:48,200 AND SAYS TO OUR INVESTIGATORS IF 4459 03:06:48,200 --> 03:06:50,160 YOU HAVE A GENE THAT'S NOT ON 4460 03:06:50,160 --> 03:06:52,440 THIS LIST USE THIS REASONING AND 4461 03:06:52,440 --> 03:06:53,480 DEFINANCED YOUR DECISIONS TO 4462 03:06:53,480 --> 03:06:56,920 STUDY IT IF YOU USE A GENETIC 4463 03:06:56,920 --> 03:06:58,520 JUSTIFICATION SO THAT IS THE 4464 03:06:58,520 --> 03:06:59,000 BACKGROUND. 4465 03:06:59,000 --> 03:07:00,440 THAT'S WHAT I ASKED JOHNATHAN TO 4466 03:07:00,440 --> 03:07:05,120 COME UP WITH AND I'M GOING TO 4467 03:07:05,120 --> 03:07:06,320 TURN IT OVER THE I BELIEVE YOU 4468 03:07:06,320 --> 03:07:07,480 ALSO HAVE RECEIVED AND THEY 4469 03:07:07,480 --> 03:07:08,920 RECEIVED THE LIST, NO, THEY HAVE 4470 03:07:08,920 --> 03:07:09,120 NOT. 4471 03:07:09,120 --> 03:07:12,760 WE CAN PROVIDE IT LATER AND ALSO 4472 03:07:12,760 --> 03:07:14,280 THE COMPANION DOCUMENT IF YOU'D 4473 03:07:14,280 --> 03:07:16,120 LIKE TO REVIEW IT TO HELP US 4474 03:07:16,120 --> 03:07:17,400 MAKE SURE YOU ARE GETTING THE 4475 03:07:17,400 --> 03:07:20,600 RIGHT MESSAGE ACROSS. 4476 03:07:20,600 --> 03:07:21,000 JOHNATHAN. 4477 03:07:21,000 --> 03:07:29,080 >>THANK YOU. 4478 03:07:29,080 --> 03:07:39,480 I'M HAVING THE SLIDES. 4479 03:07:45,960 --> 03:07:47,360 IS HOW WE CREATE AND MAINTAIN 4480 03:07:47,360 --> 03:07:49,400 THE LIST AND HOW THE LIST MAY BE 4481 03:07:49,400 --> 03:07:51,240 USED AND THE PROGRAMMATIC STAFF 4482 03:07:51,240 --> 03:07:57,080 AND THE RESEARCH COMMUNITIES AND 4483 03:07:57,080 --> 03:07:59,040 IS Dr. OR JORD ON AS OUTLINED 4484 03:07:59,040 --> 03:08:06,320 A CHALLENGE WE FACE AND AND EACH 4485 03:08:06,320 --> 03:08:07,480 STAFF MAY REFER THAT 4486 03:08:07,480 --> 03:08:10,080 INVESTIGATOR TO THE 2018 REPORT 4487 03:08:10,080 --> 03:08:12,040 OF THE NATIONAL ADVISORY MENTAL 4488 03:08:12,040 --> 03:08:14,040 HEALTH COUNCIL WORKGROUP ON 4489 03:08:14,040 --> 03:08:23,520 GENOMICS AND DOCUMENT IT'S NOT 4490 03:08:23,520 --> 03:08:25,280 RESPONSIVE AND THAT P.I. MAY NOT 4491 03:08:25,280 --> 03:08:27,560 BE FAMILIAR WITH THE CRITERIA WE 4492 03:08:27,560 --> 03:08:29,800 USE AND TO DECIDE OR DETERMINE 4493 03:08:29,800 --> 03:08:31,640 WHETHER A PARTICULAR STUDY OF A 4494 03:08:31,640 --> 03:08:34,840 GENE IS RESPONSIVE AND OFTEN 4495 03:08:34,840 --> 03:08:36,320 PROGRAM STAFF DO NOT HAVE A WAY 4496 03:08:36,320 --> 03:08:37,480 TO RECEIVE FEEDBACK FROM THE 4497 03:08:37,480 --> 03:08:38,160 COMMUNITY. 4498 03:08:38,160 --> 03:08:39,320 SO WE'RE TRYING TO ADDRESS THAT 4499 03:08:39,320 --> 03:08:43,200 HERE IN THE NEXT SLIDE, PLEASE. 4500 03:08:43,200 --> 03:08:46,440 THE REPORT OF THE NATIONAL 4501 03:08:46,440 --> 03:08:47,920 ADVISORY MENTAL HEALTH COUNCIL 4502 03:08:47,920 --> 03:08:50,040 WORKGROUP WAS RELEASED IN 2018. 4503 03:08:50,040 --> 03:08:52,120 THAT WORKGROUP RECOMMENDED THAT 4504 03:08:52,120 --> 03:08:54,200 NIMH PRIORITIZED ACCORDING TO 4505 03:08:54,200 --> 03:08:55,360 RESEARCH ON GENES HAVING 4506 03:08:55,360 --> 03:08:57,200 RIGOROUS STATISTICAL SUPPORT FOR 4507 03:08:57,200 --> 03:09:00,600 ASSOCIATION TO A MENTAL ILLNESS 4508 03:09:00,600 --> 03:09:03,040 AND SPECIFICALLY THEY SHOULD 4509 03:09:03,040 --> 03:09:05,160 PASS THRESHOLDS AND IMAGE FROM 4510 03:09:05,160 --> 03:09:06,800 THAT WEBSITE WHERE THE 4511 03:09:06,800 --> 03:09:08,440 RECOMMENDATIONS WERE POSTED, IS 4512 03:09:08,440 --> 03:09:14,480 SHOWN HERE ALONG WITH A LINK. 4513 03:09:14,480 --> 03:09:24,920 GIVEN THAT GUIDANCE AND FOR 4514 03:09:30,520 --> 03:09:31,360 EXCLUDING PARTICULAR GENES. 4515 03:09:31,360 --> 03:09:32,640 SO WE'LL CONSIDER WHETHER AN 4516 03:09:32,640 --> 03:09:34,160 APPLICATION ADDRESSES THE 4517 03:09:34,160 --> 03:09:34,960 CRITERIA FOR DIGGANCE 4518 03:09:34,960 --> 03:09:37,800 RECOMMENDED IN THE COUNCIL GROUP 4519 03:09:37,800 --> 03:09:40,240 AS OPERATIONAL IN THE GENE LIST. 4520 03:09:40,240 --> 03:09:42,440 NEXT SLIDE, PLEASE. 4521 03:09:42,440 --> 03:09:44,240 SO AN OVERVIEW AND THE NEXT 4522 03:09:44,240 --> 03:09:45,040 SLIDE, PLEASE. 4523 03:09:45,040 --> 03:09:48,520 I WILL START WITH WHAT IT LOOKS 4524 03:09:48,520 --> 03:09:48,880 LIKE. 4525 03:09:48,880 --> 03:09:52,880 IT'S IN AN XL SPREAD SHEET AND 4526 03:09:52,880 --> 03:09:53,800 EACH ROW CORRESPONDS TO A GENE 4527 03:09:53,800 --> 03:09:56,400 THAT HAS 5% FALSE DISCOVERY RATE 4528 03:09:56,400 --> 03:09:58,600 FOR FDR SUPPORT AND IN SOME 4529 03:09:58,600 --> 03:10:00,240 CASES FOR ANY SUPPORT AND THAT 4530 03:10:00,240 --> 03:10:03,560 MEANS WHEN WE TALK ABOUT 4531 03:10:03,560 --> 03:10:05,800 SIGNIFICANCE THERE'S LENIENT 4532 03:10:05,800 --> 03:10:09,360 THRESHOLDS SUCH AS 5% FDR AND 4533 03:10:09,360 --> 03:10:10,120 RIGOROUS THRESHOLDS SUCH AS A 4534 03:10:10,120 --> 03:10:12,320 CORRECTION AND WE TAKE, WE 4535 03:10:12,320 --> 03:10:14,440 RECORD THE INFORMATION ON BOTH 4536 03:10:14,440 --> 03:10:17,040 OF THOSE THRESHOLDS AND 4537 03:10:17,040 --> 03:10:18,600 CURRENTLY THERE ARE 700 UNIQUE 4538 03:10:18,600 --> 03:10:21,000 GOWNS AND 1,000 GOALS AND THE 4539 03:10:21,000 --> 03:10:22,440 GOAL IS FOR THE LIST TO BE AS 4540 03:10:22,440 --> 03:10:23,840 COMPREHENSIVE AS POSSIBLE AS WE 4541 03:10:23,840 --> 03:10:25,120 UPDATE IT OVER TIME. 4542 03:10:25,120 --> 03:10:27,920 NEXT SLIDE, PLEASE. 4543 03:10:27,920 --> 03:10:29,520 FOR COMMON VARIATION THE 4544 03:10:29,520 --> 03:10:30,840 SITUATION IS DIFFERENT. 4545 03:10:30,840 --> 03:10:36,280 WE ALSO HAVE A TAB OF AN XL 4546 03:10:36,280 --> 03:10:37,760 SPREAD SHEET BUT THEY'RE 4547 03:10:37,760 --> 03:10:39,800 IDENTIFIED AND GENOME WIDE 4548 03:10:39,800 --> 03:10:41,400 ASSOCIATION STUDIES AND THOSE 4549 03:10:41,400 --> 03:10:44,160 SHOW LOW SITE WHICH REQUIRE 4550 03:10:44,160 --> 03:10:46,080 STATISTICAL FIND MAPPING TO 4551 03:10:46,080 --> 03:10:50,040 IDENTIFY SPECIFIC CAUSAL GENES 4552 03:10:50,040 --> 03:10:51,840 AND THEY HAVE 200 GENES FROM 4553 03:10:51,840 --> 03:10:53,240 SEVERAL PUBLISHED STUDIES THAT 4554 03:10:53,240 --> 03:10:55,680 ARE REPRESENTED OF WELL 4555 03:10:55,680 --> 03:10:58,000 SUPPORTED GENES FROM GWAS AS 4556 03:10:58,000 --> 03:10:59,520 OPPOSED TO BEING COMPREHENSIVE 4557 03:10:59,520 --> 03:11:00,600 IT'S REPRESENTATIVE. 4558 03:11:00,600 --> 03:11:02,760 NEXT SLIDE, PLEASE AND THE THIRD 4559 03:11:02,760 --> 03:11:04,160 PART IS A WORD DOCUMENT THAT 4560 03:11:04,160 --> 03:11:08,400 EXPLAINS THE PURPOSE AND USE OF 4561 03:11:08,400 --> 03:11:09,480 THE GENE LISTED. 4562 03:11:09,480 --> 03:11:12,120 SO HERE IS A SCREEN SHOT. 4563 03:11:12,120 --> 03:11:14,600 WHAT YOU SEE ON THIS PART OF THE 4564 03:11:14,600 --> 03:11:17,440 GENE LIST IS A LIST OF GENE 4565 03:11:17,440 --> 03:11:19,200 SYMBOLS AND THE OFFICIAL 4566 03:11:19,200 --> 03:11:21,040 APPROVED NAMES AND IDENTIFIERS 4567 03:11:21,040 --> 03:11:23,000 AND THE STRAITS SUCH AS NDD FOR 4568 03:11:23,000 --> 03:11:25,080 NEURAL DEVELOPMENT DISORDERS AND 4569 03:11:25,080 --> 03:11:26,800 SUICIDE AND SCHIZOPHRENIA AND 4570 03:11:26,800 --> 03:11:28,280 THE E. PERMENT AND THEN THE 4571 03:11:28,280 --> 03:11:29,800 SOURCE AND THERE'S A PUBMed 4572 03:11:29,800 --> 03:11:31,840 LINK FOR EACH OF THESE. 4573 03:11:31,840 --> 03:11:33,560 NEXT SLIDE, PLEASE. 4574 03:11:33,560 --> 03:11:36,400 SO, ALL GENES ON THE LIST PASS 4575 03:11:36,400 --> 03:11:38,880 5% FDR AS AN INCLUSION CRITERION 4576 03:11:38,880 --> 03:11:41,480 AND NEXT SLIDE, SOME OF THEM 4577 03:11:41,480 --> 03:11:45,400 PASS FOR STRICT OR THRESHOLD. 4578 03:11:45,400 --> 03:11:47,160 SOMETIMES ONE GENE SYMBOL IS 4579 03:11:47,160 --> 03:11:49,240 SEEN HERE ON THREE DIFFERENT 4580 03:11:49,240 --> 03:11:50,520 ROWS BECAUSE ONE GENE CAN BE 4581 03:11:50,520 --> 03:11:55,560 REPRESENTED IN MULTIPLE STUDIES. 4582 03:11:55,560 --> 03:11:57,160 NEXT PLEASE. 4583 03:11:57,160 --> 03:12:00,920 AND SO APPARENTLY THERE ARE 4584 03:12:00,920 --> 03:12:01,360 1,075 GENES. 4585 03:12:01,360 --> 03:12:03,480 ON THE NEXT SLIDE WE'LL GO ON SO 4586 03:12:03,480 --> 03:12:05,200 I'D LIKE TO ADDRESS THE QUESTION 4587 03:12:05,200 --> 03:12:07,560 HOW WAS THIS CREATE AND HOW DO 4588 03:12:07,560 --> 03:12:09,760 WE PROPOSE TO MAINTAIN IT? 4589 03:12:09,760 --> 03:12:12,800 CREATION WAS ACCOMPLISHED BY A 4590 03:12:12,800 --> 03:12:13,560 GROUP OF STAFF. 4591 03:12:13,560 --> 03:12:15,360 THERE WERE 14 OF US WHO 4592 03:12:15,360 --> 03:12:16,960 SUPPORTED DEVELOPMENT OF THE 4593 03:12:16,960 --> 03:12:17,640 GENE LIST. 4594 03:12:17,640 --> 03:12:20,280 FOR RARE VARIATION, THE BASIC 4595 03:12:20,280 --> 03:12:22,760 WORK WAS TO SEARCH THE 4596 03:12:22,760 --> 03:12:24,400 LITERATURE AND FIND SUPPLEMENTAL 4597 03:12:24,400 --> 03:12:25,880 TABLES AND PUT THEM INTO A LIST 4598 03:12:25,880 --> 03:12:29,200 WITH AN INTENTION TO BE 4599 03:12:29,200 --> 03:12:30,120 COMPREHENSION I HAVE AND 4600 03:12:30,120 --> 03:12:31,960 INCLUSION CRITERIA WHERE THERE'S 4601 03:12:31,960 --> 03:12:36,120 THE 5% OF FALSE DISCOVERY RATE. 4602 03:12:36,120 --> 03:12:38,280 SO FOR COMMON VARIATION AS I 4603 03:12:38,280 --> 03:12:39,960 MENTIONED, WE ONLY INCLUDE 4604 03:12:39,960 --> 03:12:42,480 REPRESENTATIVE EXAMPLES AND IN 4605 03:12:42,480 --> 03:12:44,400 THE FIELD THERE'S NO CONSENSUS 4606 03:12:44,400 --> 03:12:45,920 ON WHICH SPECIFIC GENES SHOULD 4607 03:12:45,920 --> 03:12:49,000 BE NOMINATED FROM MAPPING SO 4608 03:12:49,000 --> 03:12:50,760 RATHER THAN ATTEMPT TO DO THAT 4609 03:12:50,760 --> 03:12:52,720 TASK, WE SIMPLY SHOW THE KINDS 4610 03:12:52,720 --> 03:12:57,120 OF APPROACHES THAT WE FEEL ARE 4611 03:12:57,120 --> 03:12:59,280 APPROPRIATE TO TAKE. 4612 03:12:59,280 --> 03:13:01,120 NOW, HOW IS THIS GENE LIST 4613 03:13:01,120 --> 03:13:01,600 MAINTAINED? 4614 03:13:01,600 --> 03:13:03,000 WE HAVE A VERSION NUMBER FOR 4615 03:13:03,000 --> 03:13:04,720 EACH LIST AND A DATE AND WE 4616 03:13:04,720 --> 03:13:06,880 PROPOSE TO UPDATE IT REGULAR 4617 03:13:06,880 --> 03:13:09,480 INTERVALS SUCH AS ONCE EVERY 4618 03:13:09,480 --> 03:13:10,600 THREE MONTHS FOR EVERY SIX 4619 03:13:10,600 --> 03:13:11,160 MONTHS. 4620 03:13:11,160 --> 03:13:12,360 WE WELCOME FEEDBACK FROM THE 4621 03:13:12,360 --> 03:13:13,520 COMMUNITY AND EXPECT 4622 03:13:13,520 --> 03:13:14,480 INVESTIGATORS TO SUGGEST THE 4623 03:13:14,480 --> 03:13:18,240 ADDITION OF MORE GENES FROM 4624 03:13:18,240 --> 03:13:19,840 PUBLICATIONS, WE WERE APPROVED 4625 03:13:19,840 --> 03:13:22,520 WITHIN E-MAIL ADDRESS AND SO WE 4626 03:13:22,520 --> 03:13:25,640 WILL POST THIS ON AN WEBSITE 4627 03:13:25,640 --> 03:13:27,640 MAKING IT PUBLICLY ACCESSIBLE 4628 03:13:27,640 --> 03:13:29,400 AND THEN WELCOME FEEDBACK 4629 03:13:29,400 --> 03:13:30,600 THROUGH THAT' MEAL ADDRESS. 4630 03:13:30,600 --> 03:13:33,800 WE INTEND TO INTRODUCE A LIST OF 4631 03:13:33,800 --> 03:13:36,640 VARIANTS AS A FUTURE DEVELOPMENT 4632 03:13:36,640 --> 03:13:39,640 FOR CNBs THAT ARE ASSOCIATED 4633 03:13:39,640 --> 03:13:43,320 WITH MENTAL ILLNESS. 4634 03:13:43,320 --> 03:13:45,560 ARE NOW, HOW DO WE ANTICIPATE 4635 03:13:45,560 --> 03:13:48,600 THAT THIS GENE LIST WILL BE 4636 03:13:48,600 --> 03:13:49,280 USED? 4637 03:13:49,280 --> 03:13:51,600 BY PROBLEMATIC STAFF WE EXPECT 4638 03:13:51,600 --> 03:13:54,160 TO USE THE GENE LIST CONSIDERING 4639 03:13:54,160 --> 03:13:55,240 WHETHER A APPLICATION ADDRESSES 4640 03:13:55,240 --> 03:13:56,760 THE CRITERIA FOR SIGNIFICANCE 4641 03:13:56,760 --> 03:13:58,360 RECOMMENDED IN THE COUNCIL 4642 03:13:58,360 --> 03:14:01,080 WORKGROUP REPORT AND STAFF WILL 4643 03:14:01,080 --> 03:14:03,120 ENCOURAGE WELL SUPPORTED GENES 4644 03:14:03,120 --> 03:14:04,560 WHEN ASSOCIATION TO A MENTAL 4645 03:14:04,560 --> 03:14:06,840 ILLNESS IS CLAIMED AND THIS IS 4646 03:14:06,840 --> 03:14:09,120 AS OPPOSED TO CANDIDATE GENES 4647 03:14:09,120 --> 03:14:11,200 THAT NOT SUPPORTED. 4648 03:14:11,200 --> 03:14:12,680 THE DOCUMENTATION IS LANGUAGE 4649 03:14:12,680 --> 03:14:15,880 THAT MAYBE USEFUL TO PROGRAM AS 4650 03:14:15,880 --> 03:14:18,560 NIMH STAFF COMMUNICATE WITH 4651 03:14:18,560 --> 03:14:23,040 INVESTIGATORS AND I'D LIKE TO 4652 03:14:23,040 --> 03:14:27,200 THIS IS NOT AN EXCLUSIVE LIST OF 4653 03:14:27,200 --> 03:14:28,880 THE ONLY LIST STUDYING AND A 4654 03:14:28,880 --> 03:14:30,040 GUIDE TO THE THINKING OF HOW WE 4655 03:14:30,040 --> 03:14:32,680 WANT TO ADHERE TO THE GUIDANCE 4656 03:14:32,680 --> 03:14:36,200 OF THE NIMH COUNCIL REPORT. 4657 03:14:36,200 --> 03:14:38,280 IT MAY BE USEFUL FOR PLANNING 4658 03:14:38,280 --> 03:14:40,120 AND NOTICES OF FUNDING 4659 03:14:40,120 --> 03:14:42,160 OPPORTUNITIES AND ONE EXAMPLE IS 4660 03:14:42,160 --> 03:14:44,760 THE RECENTLY LAUNCHED GENES TO 4661 03:14:44,760 --> 03:14:47,000 BIOLOGY INITIATIVE CALLED SSI 4662 03:14:47,000 --> 03:14:47,880 GENE IN WHICH SEVERAL HUNDRED 4663 03:14:47,880 --> 03:14:49,760 GENES ARE TO BE STUDIED 4664 03:14:49,760 --> 03:14:50,920 FUNCTIONALLY AND THE GENE LIST 4665 03:14:50,920 --> 03:14:54,080 WOULD BE HELPFUL IN SELECTING 4666 03:14:54,080 --> 03:14:55,320 GREENS FOR A PROJECT LIKE TO AND 4667 03:14:55,320 --> 03:15:00,760 HERE, IT MAY MAYING USEFUL FOR 4668 03:15:00,760 --> 03:15:02,160 SCIENTISTS WITH EXPERIMENTAL 4669 03:15:02,160 --> 03:15:06,800 SYSTEMS OR WELL SUPPORTED HUMAN 4670 03:15:06,800 --> 03:15:07,400 RISK GENES. 4671 03:15:07,400 --> 03:15:11,240 HOW DO WE THINK THIS -- I'M 4672 03:15:11,240 --> 03:15:12,120 GOING A EXAMPLE. 4673 03:15:12,120 --> 03:15:13,360 AN INVESTIGATOR PROPOSES 4674 03:15:13,360 --> 03:15:15,520 FUNCTIONAL STUDIES THE GENE 4675 03:15:15,520 --> 03:15:18,600 AP300 FOR ITS ROLE IN NEURAL 4676 03:15:18,600 --> 03:15:19,440 DEVELOPMENTAL DISORDERS WE CAN 4677 03:15:19,440 --> 03:15:21,400 LOOK TO THE LIST AND SEE THERE'S 4678 03:15:21,400 --> 03:15:23,240 APPROPRIATE GENOME WIDE SUPPOSE 4679 03:15:23,240 --> 03:15:24,920 AUTHORITY THIS CASE FROM THREE 4680 03:15:24,920 --> 03:15:25,840 SEPARATE STUDIES. 4681 03:15:25,840 --> 03:15:30,160 ANOTHER EXAMPLE IS YOU MAY SEE 4682 03:15:30,160 --> 03:15:31,640 ENA APPROXIMATE ON THE LIST AND 4683 03:15:31,640 --> 03:15:35,320 THEY STUDY ENO4 ENCODING 4. 4684 03:15:35,320 --> 03:15:36,960 THAT'S NOT ON THE LIST AND 4685 03:15:36,960 --> 03:15:38,800 PROGRAM MIGHT ADVISING THE 4686 03:15:38,800 --> 03:15:41,400 INVESTIGATOR THAT NIMH MAY BASIC 4687 03:15:41,400 --> 03:15:43,600 RESEARCH STUDIES OF THIS GENE 4688 03:15:43,600 --> 03:15:46,560 AND NOT AS A CANDIDATE, OR A 4689 03:15:46,560 --> 03:15:49,120 GENE, SIGNIFICANT ASSOCIATION TO 4690 03:15:49,120 --> 03:15:50,760 A PARTICULAR NOT PHENOTYPE OR 4691 03:15:50,760 --> 03:15:55,040 SUCH AS NEURO DEVELOPMENTAL 4692 03:15:55,040 --> 03:16:00,040 DISORDERS. 4693 03:16:00,040 --> 03:16:01,800 OF AND NOW APPLICANTS MAY REVIEW 4694 03:16:01,800 --> 03:16:03,080 AND THE RECOMMENDATION THAT'S 4695 03:16:03,080 --> 03:16:04,360 COME IN THE WORD DOCUMENT AS 4696 03:16:04,360 --> 03:16:14,120 THEY PREPARE GRAND APPLICATIONS 4697 03:16:14,120 --> 03:16:20,920 INVESTIGATORS THEY SUCK SUCH 4698 03:16:20,920 --> 03:16:22,320 SUPPORT AND THEY MAY CHOSE TO 4699 03:16:22,320 --> 03:16:23,240 STUDY THE PROPERTIES OF THE 4700 03:16:23,240 --> 03:16:25,400 GENES ON THIS LIST FOR EXAMPLE, 4701 03:16:25,400 --> 03:16:26,400 THEY MIGHT INTERSECT WITH THE 4702 03:16:26,400 --> 03:16:28,680 GENE LIST WITH FDA APPROVED DRUG 4703 03:16:28,680 --> 03:16:31,520 TARGETS AND STUDY PLAY 4704 03:16:31,520 --> 03:16:33,080 EVOLUTIONARY CONSTRAINT AND FOR 4705 03:16:33,080 --> 03:16:34,920 MANY OTHER KINDS OF FUNCTIONAL 4706 03:16:34,920 --> 03:16:36,080 ANNOTATION OF THE LIST AND SO 4707 03:16:36,080 --> 03:16:37,240 THIS WOULD BE AVAILABLE FOR 4708 03:16:37,240 --> 03:16:43,000 ANYONE TO DO THAT. 4709 03:16:43,000 --> 03:16:46,600 SO I'D LIKE TO CONCLUDE THE NEXT 4710 03:16:46,600 --> 03:16:47,760 SLIDE. 4711 03:16:47,760 --> 03:16:49,400 WE HAVE DEVELOPED GENE LISTS FOR 4712 03:16:49,400 --> 03:16:51,120 RARE AND COMMON VARIATION AND 4713 03:16:51,120 --> 03:16:52,760 THIS IS AN EFFORT ON OUR PART TO 4714 03:16:52,760 --> 03:16:54,800 BE RESPONSIVE TO THE 2018 4715 03:16:54,800 --> 03:16:57,320 COUNCIL WORKGROUP REPORT ON 4716 03:16:57,320 --> 03:16:59,400 GENOMICS AND NIH PROGRAM STAFF 4717 03:16:59,400 --> 03:17:02,760 PROPOSES TO OFFER THE GENE LIST 4718 03:17:02,760 --> 03:17:05,160 AND DOCUMENTATION VIA PUBLIC 4719 03:17:05,160 --> 03:17:06,920 FACING NIH WEBSITE AND MAKING IT 4720 03:17:06,920 --> 03:17:08,720 PUBLIC WE'RE TRANSPARENT ABOUT 4721 03:17:08,720 --> 03:17:10,480 THE PROCESS BY WHICH WE EVALUATE 4722 03:17:10,480 --> 03:17:10,920 GENES. 4723 03:17:10,920 --> 03:17:12,640 FOR INVESTIGATORS THE GENE LIST 4724 03:17:12,640 --> 03:17:14,040 MAY HELP PREPARE GRANT 4725 03:17:14,040 --> 03:17:15,920 APPLICATIONS WITH THE FOCUS ON 4726 03:17:15,920 --> 03:17:17,600 WELL SUPPORTED GENES AND FOR 4727 03:17:17,600 --> 03:17:19,360 STAFF THE GENE LIST MAY BE 4728 03:17:19,360 --> 03:17:20,760 HELPFUL RESOURCE WHEN 4729 03:17:20,760 --> 03:17:22,920 PRIORITIZING GRANT APPLICATIONS. 4730 03:17:22,920 --> 03:17:24,040 AND FINALLY WE HOPE INTERACT 4731 03:17:24,040 --> 03:17:25,520 WITH THE COMMUNITY TO EXPAND THE 4732 03:17:25,520 --> 03:17:26,680 GENE LIST OVER TIME AND CORRECT 4733 03:17:26,680 --> 03:17:28,320 IT AS NEEDED FOR WHEN WE LOOK 4734 03:17:28,320 --> 03:17:30,640 FORWARD TO FEEDBACK FROM THE 4735 03:17:30,640 --> 03:17:30,920 COMMUNITY. 4736 03:17:30,920 --> 03:17:33,040 I'D LIKE TO END WITH A 4737 03:17:33,040 --> 03:17:34,200 ACKNOWLEDGMENT SLIDE OF THE TEAM 4738 03:17:34,200 --> 03:17:35,880 THAT WORKED TOGETHER ON THIS 4739 03:17:35,880 --> 03:17:37,640 PROJECT AND THIS INCLUDES 4740 03:17:37,640 --> 03:17:39,720 MEMBERS OF THE DIVISION OF BASIC 4741 03:17:39,720 --> 03:17:40,560 BEHAVIORAL SCIENCE AND THE 4742 03:17:40,560 --> 03:17:42,520 DIVISION OF TRANSLATIONAL 4743 03:17:42,520 --> 03:17:43,800 RESEARCH, OFFICE OF TECHNOLOGY 4744 03:17:43,800 --> 03:17:45,320 DEVELOPMENT AND COORDINATION AND 4745 03:17:45,320 --> 03:17:48,360 THE DIVISION OF IRP AND SO THANK 4746 03:17:48,360 --> 03:17:49,760 YOU AND I'M HAPPY TO TAKE ANY 4747 03:17:49,760 --> 03:17:53,400 QUESTIONS OR HAVE ANY 4748 03:17:53,400 --> 03:17:59,920 DISCUSSION. 4749 03:17:59,920 --> 03:18:00,480 >> Joshua Gordon: ELLEN. 4750 03:18:00,480 --> 03:18:03,120 >>YES, I JUST THINK IT'S A 4751 03:18:03,120 --> 03:18:04,360 REALLY INTERESTING RESOURCE TO 4752 03:18:04,360 --> 03:18:06,800 HAVE, ESPECIALLY IF WE ALSO 4753 03:18:06,800 --> 03:18:08,720 INCLUDED MAYBE INFORMATION ABOUT 4754 03:18:08,720 --> 03:18:10,800 SAMPLE SIZE AND THE HOMO GENEITY 4755 03:18:10,800 --> 03:18:13,320 OF THE POPULATION AND UNDER 4756 03:18:13,320 --> 03:18:16,360 STUDY I KNOW PROBABLY IT COULD 4757 03:18:16,360 --> 03:18:18,400 BE OBTAINED FROM THE REFERENCES 4758 03:18:18,400 --> 03:18:20,160 YOU PROVIDE BUT WHETHER 4759 03:18:20,160 --> 03:18:20,800 DETERMINING A PARTICULAR GENE 4760 03:18:20,800 --> 03:18:22,760 HAS REALLY ROBUST FINDINGS IT 4761 03:18:22,760 --> 03:18:24,800 WOULD BE ALSO USEFUL TO KNOW IF 4762 03:18:24,800 --> 03:18:25,760 IT WAS DONE IN A LARGE ENOUGH 4763 03:18:25,760 --> 03:18:29,160 SAMPLE SIZE ON IN A SAMPLE THAT 4764 03:18:29,160 --> 03:18:30,360 REPRESENTS THE SAMPLE THAT I'D 4765 03:18:30,360 --> 03:18:34,520 LIKE TO STUDY IN MY OWN 4766 03:18:34,520 --> 03:18:35,280 RESEARCH. 4767 03:18:35,280 --> 03:18:41,360 >>THANK YOU FOR 245 COMMENT. 4768 03:18:41,360 --> 03:18:41,840 THAT COMMENT. 4769 03:18:41,840 --> 03:18:44,480 WE ONLY HAVE GENES THAT REQUIRES 4770 03:18:44,480 --> 03:18:46,080 INADEQUATE SAMPLE SIZE BUT I 4771 03:18:46,080 --> 03:18:47,600 WOULD LIKE TO FOLLOW-UP ON YOUR 4772 03:18:47,600 --> 03:18:49,000 SUGGESTION AND DO THAT. 4773 03:18:49,000 --> 03:18:51,760 WE ACTUALLY CAN, WE ABSOLUTELY 4774 03:18:51,760 --> 03:18:53,560 CAN INCLUDE THAT KIND OF 4775 03:18:53,560 --> 03:18:54,240 INFORMATION. 4776 03:18:54,240 --> 03:18:55,960 IN TERMS OF THE POPULATION, THAT 4777 03:18:55,960 --> 03:18:58,160 BOB A LOT MORE WORK AS EACH 4778 03:18:58,160 --> 03:19:00,400 STUDY HAS ITS OWN PARTICULAR 4779 03:19:00,400 --> 03:19:02,800 SAMPLE BUT NIMH AND OTHER 4780 03:19:02,800 --> 03:19:05,120 PROJECTS IS DEEPLY COMMITTED TO 4781 03:19:05,120 --> 03:19:08,240 INCREASING OUR UNDERSTANDING OF 4782 03:19:08,240 --> 03:19:10,200 ANCESTORIAL DIVERSITY AND 4783 03:19:10,200 --> 03:19:11,680 STUDYING MENTAL HEALTH ACROSS 4784 03:19:11,680 --> 03:19:13,480 THE GLOBE IN DIFFERENT 4785 03:19:13,480 --> 03:19:14,880 POPULATIONS WHERE THE RELEVANCE 4786 03:19:14,880 --> 03:19:18,320 OF DIFFERENT GENES MAY DIFFER. 4787 03:19:18,320 --> 03:19:19,680 >>I THINK THAT WOULD BE VERY 4788 03:19:19,680 --> 03:19:20,920 IMPORTANT AS WE CONTINUE UP TO 4789 03:19:20,920 --> 03:19:23,680 DATE THE LIST TO MAKE SURE THAT 4790 03:19:23,680 --> 03:19:25,840 WE -- THAT IT BECOMES MORE 4791 03:19:25,840 --> 03:19:27,120 INCLUSIVE OF GENES THAT ARE 4792 03:19:27,120 --> 03:19:28,560 RELEVANT TO MORE THAN JUST THE 4793 03:19:28,560 --> 03:19:29,680 CAUCASIAN POPULATION, WHICH IS 4794 03:19:29,680 --> 03:19:31,880 THE PRIMARY SOURCE FOR MUCH OF 4795 03:19:31,880 --> 03:19:33,400 THE DATA THAT IS GOING TO BE 4796 03:19:33,400 --> 03:19:40,800 PRESENTED IN THESE LISTS. 4797 03:19:40,800 --> 03:19:41,400 >> Joshua Gordon: LAURA -- 4798 03:19:41,400 --> 03:19:44,880 >>THANK YOU, VERY MUCH. 4799 03:19:44,880 --> 03:19:48,920 SO, I AM CURIOUS ABOUT THE 4800 03:19:48,920 --> 03:19:51,200 EXACTLY WHAT RARE AND THE 4801 03:19:51,200 --> 03:19:53,400 SOURCES OF. 4802 03:19:53,400 --> 03:19:57,320 SO, I THINK THAT RARE MEANS, AT 4803 03:19:57,320 --> 03:19:58,920 THIS POINT, THE INFORMATION IS 4804 03:19:58,920 --> 03:20:02,080 COMING FROM EX ON BASED STUDIES? 4805 03:20:02,080 --> 03:20:03,440 IS THAT RIGHT? 4806 03:20:03,440 --> 03:20:06,320 WHERE YOU HAVE A CODING VARIANT 4807 03:20:06,320 --> 03:20:07,800 IN A GENE OR SOMETHING THAT 4808 03:20:07,800 --> 03:20:10,400 LOOKS LIKE IT'S IN THAT GENE. 4809 03:20:10,400 --> 03:20:10,520 O. 4810 03:20:10,520 --> 03:20:11,480 >>THAT'S RIGHT. 4811 03:20:11,480 --> 03:20:13,640 THE DEFINITION TYPICALLY IS OF A 4812 03:20:13,640 --> 03:20:15,120 PARTICULAR NOT ALLELE FREQUENCY 4813 03:20:15,120 --> 03:20:17,560 CUT OFF IN THE POPULATION WHERE 4814 03:20:17,560 --> 03:20:19,480 RARE VARIATION OCCURS AT LESS 4815 03:20:19,480 --> 03:20:21,760 THAN 1% POPULATION OF FREQUENCY 4816 03:20:21,760 --> 03:20:24,200 AND COMMON FROM GWASS INVOLVES 4817 03:20:24,200 --> 03:20:27,880 MORE FREQUENTLY OCCURRING AND 4818 03:20:27,880 --> 03:20:29,360 VARIATION SO YES IN THE RARE 4819 03:20:29,360 --> 03:20:31,320 VARIATION STUDIES TYPICALLY 4820 03:20:31,320 --> 03:20:34,120 INVOLVE FULL EX OWN OR WHOLE FEE 4821 03:20:34,120 --> 03:20:38,080 NOAM SEQUENCING AND IT FOCUS ON 4822 03:20:38,080 --> 03:20:42,000 GENES WITH BURDEN TESTS. 4823 03:20:42,000 --> 03:20:43,400 >>SO THOSE STUDIES ARE NICE IN 4824 03:20:43,400 --> 03:20:48,680 THE SENSE THAT YOU REALLY KNOW 4825 03:20:48,680 --> 03:20:50,080 YOU THINK YOU KNOW ERRORS OF 4826 03:20:50,080 --> 03:20:51,240 BIAS AND WHAT PEOPLE HAVE DONE 4827 03:20:51,240 --> 03:20:53,680 YOU HAVE TARGETED RIGHT, AN 4828 03:20:53,680 --> 03:20:55,320 ACTUAL GENE SO I THINK THAT THAT 4829 03:20:55,320 --> 03:20:57,400 IS A GREAT IDEA. 4830 03:20:57,400 --> 03:21:01,400 FOR THE COMMON VARIATION, I 4831 03:21:01,400 --> 03:21:06,080 GUESS I WOULD LIKE TO BE ABLE TO 4832 03:21:06,080 --> 03:21:09,040 SEE HOW ACTUALLY THOSE GENES 4833 03:21:09,040 --> 03:21:11,400 HAVE GOTTEN APPLIED BECAUSE IT 4834 03:21:11,400 --> 03:21:16,880 IS HOW THOSE GENES ARE -- LET ME 4835 03:21:16,880 --> 03:21:17,760 BACK UP. 4836 03:21:17,760 --> 03:21:19,640 WITH COMMON VARIATION YOU DON'T 4837 03:21:19,640 --> 03:21:21,680 KNOW WHAT THE GENE IS. 4838 03:21:21,680 --> 03:21:23,400 YOU HAVE ALMOST NO WAY TO KNOW 4839 03:21:23,400 --> 03:21:24,880 WHAT THAT GENE IS. 4840 03:21:24,880 --> 03:21:25,440 RIGHT. 4841 03:21:25,440 --> 03:21:32,160 WITH WHAT WE KNOW AT THIS POINT. 4842 03:21:32,160 --> 03:21:42,360 PEOPLE HAVE GREEN AND IT'S 4843 03:21:42,360 --> 03:21:43,760 REALLY DIFFICULT IT COMES DOWN 4844 03:21:43,760 --> 03:21:54,280 TO I THINK STILL A CRAP SHOOT. 4845 03:22:36,960 --> 03:22:39,120 >>THANK YOU SO MUCH FOR THESE 4846 03:22:39,120 --> 03:22:41,400 QUESTIONS AND ONE TAKES A LARGE 4847 03:22:41,400 --> 03:22:42,720 NUMBER OF INDIVIDUALS WHO ARE 4848 03:22:42,720 --> 03:22:44,880 EFFECTIVE WITH A CONDITION SUCH 4849 03:22:44,880 --> 03:22:46,360 AS 10,000 PEOPLE WITH MAJOR 4850 03:22:46,360 --> 03:22:48,800 DEPRESSIVE DISORDER AND 10,000 4851 03:22:48,800 --> 03:22:50,480 CONTROLS. 4852 03:22:50,480 --> 03:22:53,400 ONE MEASURES DNA VARIATION 4853 03:22:53,400 --> 03:22:56,600 ACROACROSS THE GENOME BY SEQUENG 4854 03:22:56,600 --> 03:22:58,120 AND ONE IDENTIFIES AND A 4855 03:22:58,120 --> 03:23:00,040 CHALLENGE COMES NOT JUST IN 4856 03:23:00,040 --> 03:23:00,920 FINDING BOTH SIDES THAT ARE 4857 03:23:00,920 --> 03:23:02,440 SIGNIFICANT BUT IN UNDERSTANDING 4858 03:23:02,440 --> 03:23:04,680 WHAT GENES ARE IN THOSE LOW SIGH 4859 03:23:04,680 --> 03:23:09,800 BECAUSE OF THE PROPERTY OF 4860 03:23:09,800 --> 03:23:12,200 LINKAGE LD AND IT MAY BE THERE 4861 03:23:12,200 --> 03:23:19,040 ARE 100 GENES IN THE LD BLOCK 4862 03:23:19,040 --> 03:23:21,760 AND IT'S NOT ENOUGH TO HAVE A 4863 03:23:21,760 --> 03:23:23,360 GENE FROM A PARTICULAR SITE AND 4864 03:23:23,360 --> 03:23:24,680 YOU NEED GO ANOTHER STEP OR TWO 4865 03:23:24,680 --> 03:23:26,600 AND EXAMPLE OF THAT STEP OR TWO 4866 03:23:26,600 --> 03:23:30,720 IS TO ADD AND SOME STATISTICS 4867 03:23:30,720 --> 03:23:34,240 RANDOMIZATION AND SMR OR TO ADD 4868 03:23:34,240 --> 03:23:36,320 TWASS STUDIES AND EVEN GENOMICS 4869 03:23:36,320 --> 03:23:38,640 STRUCTURAL EQUATION MODELING AND 4870 03:23:38,640 --> 03:23:39,680 THEY'RE DIFFERENT APPROACHES 4871 03:23:39,680 --> 03:23:41,400 THAT ARE TAKING TO GO STEP 4872 03:23:41,400 --> 03:23:48,920 FURTHER AND YOU MENTIONED EQTL 4873 03:23:48,920 --> 03:23:59,280 AND HAD AND STATISTIC 4874 03:24:19,160 --> 03:24:20,600 RANDOMIZATION AND OTHER LAYERS 4875 03:24:20,600 --> 03:24:22,400 OF EVIDENCE AS EX POLICE CAR OF 4876 03:24:22,400 --> 03:24:24,080 THE KIND OF RIG OR WE'RE LOOKING 4877 03:24:24,080 --> 03:24:24,320 FOR. 4878 03:24:24,320 --> 03:24:25,400 >>GREAT. 4879 03:24:25,400 --> 03:24:30,160 I WOULD SAY THAT HAVING WORKED 4880 03:24:30,160 --> 03:24:40,640 SOME WITH IS WHERE IT CAN BE 4881 03:24:54,080 --> 03:24:56,360 PUSHED OFF BY A SICKEL VARIANT 4882 03:24:56,360 --> 03:24:59,560 THAT HAS A STRONG EFFECT, RIGHT. 4883 03:24:59,560 --> 03:25:01,160 THAT MAY NOT HOLD UP WHEN YOU 4884 03:25:01,160 --> 03:25:09,120 LOOK AT THAT AND MAYBE IT'S A 4885 03:25:09,120 --> 03:25:16,040 LONGER CONVERSATION AT THIS 4886 03:25:16,040 --> 03:25:16,920 THINK WOULD YOU FIND THOUSANDS 4887 03:25:16,920 --> 03:25:20,280 OF GENES, RIGHT, THAT HAVE THE 4888 03:25:20,280 --> 03:25:22,800 EFFECT SO I REALLY APPRECIATE 4889 03:25:22,800 --> 03:25:26,120 THE TRYING TO NARROW DOWN AND I 4890 03:25:26,120 --> 03:25:29,120 THINK 9 TOOLS IS INCREDIBLY 4891 03:25:29,120 --> 03:25:32,000 BLUNT AND NON SPECIFIC IF IT'S. 4892 03:25:32,000 --> 03:25:33,720 >>I'LL SAY THANK YOU AND I LOOK 4893 03:25:33,720 --> 03:25:35,160 FORWARD TO FEEDBACK ON THE 4894 03:25:35,160 --> 03:25:38,920 WRITTEN DOCUMENTATION AND ALSO 4895 03:25:38,920 --> 03:25:40,760 PRESENTS OUR APPROACH TO 4896 03:25:40,760 --> 03:25:41,800 RECOMMENDING ADDITIONAL STRENGTH 4897 03:25:41,800 --> 03:25:52,360 OF SUPPORT TO REDUCE AND IT WILL 4898 03:25:58,440 --> 03:26:08,880 BE ONE AND THE MOST IMPORTANT 4899 03:26:16,000 --> 03:26:19,760 AND AND THE AT THE MOST 4900 03:26:19,760 --> 03:26:30,120 IMPORTANT AND AND I THINK IT 4901 03:26:30,120 --> 03:26:32,520 WILL HELP AND I THINK THIS 4902 03:26:32,520 --> 03:26:42,960 TRANSPARENT AND PARTICULARLY 4903 03:26:47,840 --> 03:26:49,080 IT'S ENCOURAGING TO HAVE DETAIL 4904 03:26:49,080 --> 03:26:51,280 FOR A SHORT REPORT AND GENOMIC 4905 03:26:51,280 --> 03:26:55,720 WORKING GROUP AND I THINK THAT 4906 03:26:55,720 --> 03:27:02,280 THE COMMENTS AND ONE CAN SAY 4907 03:27:02,280 --> 03:27:04,480 THAT IN A DIFFERENT WAY AND THAT 4908 03:27:04,480 --> 03:27:07,440 IS THAT THE STUDIES THAT WE DO, 4909 03:27:07,440 --> 03:27:10,520 LOOK AT THE ASSOCIATION OF 4910 03:27:10,520 --> 03:27:13,600 PARTICULAR MUTATIONS THAT ARE 4911 03:27:13,600 --> 03:27:15,720 EITHER SNIPS OR SINGLE 4912 03:27:15,720 --> 03:27:16,880 NUCLEOTIDE VARIANTS WITH A 4913 03:27:16,880 --> 03:27:18,800 DISEASE DIAGNOSIS. 4914 03:27:18,800 --> 03:27:22,160 NOW AS YOU TEASE THAT APART 4915 03:27:22,160 --> 03:27:23,520 THERE'S A COUPLE OF CHALLENGES 4916 03:27:23,520 --> 03:27:24,040 WITH THAT. 4917 03:27:24,040 --> 03:27:25,320 THE FIRST CHALLENGE LAURA 4918 03:27:25,320 --> 03:27:27,080 POINTED OUT IS THE MUTATIONS MAY 4919 03:27:27,080 --> 03:27:29,280 NOT HAVE THE RESOLUTION THAT YOU 4920 03:27:29,280 --> 03:27:31,360 WANT AND THEY ALSO MIGHT NOT BE 4921 03:27:31,360 --> 03:27:41,880 IN GENES AND THE WORLD IS NOT 4922 03:28:19,200 --> 03:28:20,640 AND NOT JUST IS FINDING PROTEIN 4923 03:28:20,640 --> 03:28:22,600 AND I KNOW WAY TOO MUCH ABOUT IT 4924 03:28:22,600 --> 03:28:24,360 AND BUT, WHAT I WILL SAY AND IF 4925 03:28:24,360 --> 03:28:25,800 YOU LOOK AT THE MUTATIONS 4926 03:28:25,800 --> 03:28:27,280 THERE'S A GROUP OF MUTATIONS 4927 03:28:27,280 --> 03:28:30,480 THAT APPEAR TO BE LINKED TO 4928 03:28:30,480 --> 03:28:31,120 INTELLECTUAL DISABILITY AND IT 4929 03:28:31,120 --> 03:28:32,720 WAS OTHER MUTATIONS SEEM TO BE 4930 03:28:32,720 --> 03:28:36,040 LINKED TO AN AUTISM DIAGNOSIS 4931 03:28:36,040 --> 03:28:37,640 ACTUALLY AND THOSE ARE DIFFERENT 4932 03:28:37,640 --> 03:28:41,920 DOMAINS OF THE PROTEIN AND THE 4933 03:28:41,920 --> 03:28:44,920 QUEEN AND WE MIGHT STUDY A GENE 4934 03:28:44,920 --> 03:28:46,640 THAT DOES ONE THING OR ANOTHER 4935 03:28:46,640 --> 03:28:47,840 AND IT'S WORTH REALIZING THERE 4936 03:28:47,840 --> 03:28:49,600 MAY BE SOME MUTATIONS IN IT THAT 4937 03:28:49,600 --> 03:28:51,000 HAVE NOTHING TO DO WITH 4938 03:28:51,000 --> 03:28:54,680 PSYCHIATRIC DISEASE AND HAVE TO 4939 03:28:54,680 --> 03:28:58,320 DO WITH CRANIAL FACIAL SYMPTOMS 4940 03:28:58,320 --> 03:29:01,080 AND CARDIAC SYMPTOMS SO THE 4941 03:29:01,080 --> 03:29:03,120 LABEL IS NOT MUTATION AND 4942 03:29:03,120 --> 03:29:04,280 FUNCTION, AND THAT IS THE ONE 4943 03:29:04,280 --> 03:29:06,840 PART OF WHAT I SAID OF LINKING 4944 03:29:06,840 --> 03:29:07,880 MUTATIONS TO DISEASE AND LET'S 4945 03:29:07,880 --> 03:29:11,040 TALK ABOUT DISEASE. 4946 03:29:11,040 --> 03:29:13,440 AND WELL, JOSH PRESENTED 4947 03:29:13,440 --> 03:29:14,040 AGGRESSION. 4948 03:29:14,040 --> 03:29:15,400 WE WANT TO UNDERSTAND 4949 03:29:15,400 --> 03:29:16,120 AGGRESSION. 4950 03:29:16,120 --> 03:29:19,000 BECAUSE AGGRESSION IS IMPORTANT 4951 03:29:19,000 --> 03:29:23,000 PART OF A NUMBER OF PSYCHIATRIC 4952 03:29:23,000 --> 03:29:23,680 DISORDERS. 4953 03:29:23,680 --> 03:29:25,960 IT'S NOT A DISEASE DIAGNOSIS SO 4954 03:29:25,960 --> 03:29:27,840 NO GENE ON THIS LIST WILL HELP 4955 03:29:27,840 --> 03:29:30,760 US PROVIDE IN SIGHT INTO 4956 03:29:30,760 --> 03:29:31,560 AGGRESSION. 4957 03:29:31,560 --> 03:29:33,200 BRIAN IN HIS LIST OF THE 4958 03:29:33,200 --> 03:29:35,000 ACCOMPLISHMENTS OF NIMH, YOU 4959 03:29:35,000 --> 03:29:37,600 WILL NOTE, SAID THAT DRUGS WERE 4960 03:29:37,600 --> 03:29:40,120 DEVELOPED NOT FOR SCHIZOPHRENIA 4961 03:29:40,120 --> 03:29:43,600 BUT FOR PSYCHOTIC AGITATION OR 4962 03:29:43,600 --> 03:29:45,560 INFORM PSYCHOSIS WITH 4963 03:29:45,560 --> 03:29:48,080 PARKINSON'S DISEASE AND OR FOR 4964 03:29:48,080 --> 03:29:52,080 DEPRESSION THAT IS IN WOMEN 4965 03:29:52,080 --> 03:29:53,680 RELATED TO PREGNANCY AND SO ONE 4966 03:29:53,680 --> 03:29:57,720 THING I'M CONCERNED ABOUT IN 4967 03:29:57,720 --> 03:30:07,360 THIS RESTRICTION IT MAY NOT COME 4968 03:30:07,360 --> 03:30:09,760 FROM THIS LIST SO I HOPE IT 4969 03:30:09,760 --> 03:30:11,480 DOESN'T BECOME EVERYTHING IS NOT 4970 03:30:11,480 --> 03:30:12,720 IMAGINE IN THE PHILOSOPHY OF 4971 03:30:12,720 --> 03:30:15,120 THIS LIST AND I HOPE NIMH 4972 03:30:15,120 --> 03:30:16,240 REALIZES THAT THAT'S THE CASE 4973 03:30:16,240 --> 03:30:19,680 AND I WONDER IF THIS LIST WOULD 4974 03:30:19,680 --> 03:30:22,680 HAVE INFORMED US TO LOOK AT THE 4975 03:30:22,680 --> 03:30:24,120 MEDIA HYPOTHALIMUS FOR 4976 03:30:24,120 --> 03:30:27,120 AGGRESSION OR LOOK AT PARTICULAR 4977 03:30:27,120 --> 03:30:29,760 CANDIDATES TO TREAT PSYCHOTIC 4978 03:30:29,760 --> 03:30:30,920 AGITATION IN ALZHEIMER'S OR 4979 03:30:30,920 --> 03:30:32,360 PARKINSON'S SO I'M A LITTLE 4980 03:30:32,360 --> 03:30:33,400 WORRIED WE'RE BUILDING A HOUSE 4981 03:30:33,400 --> 03:30:39,040 OF CARDS ON TOP OF SOME THINGS 4982 03:30:39,040 --> 03:30:39,880 WE ARE WEARING OF WHAT WE'RE 4983 03:30:39,880 --> 03:30:43,720 DOING AND THAT'S THE MOST 4984 03:30:43,720 --> 03:30:47,560 IMPORTANT THING AND I WANT TO 4985 03:30:47,560 --> 03:30:49,000 SAY ONE LAST WORD AND IT'S 4986 03:30:49,000 --> 03:30:49,240 POLYGENIC. 4987 03:30:49,240 --> 03:30:51,200 I WANT TO THROW THAT IN THE ROOM 4988 03:30:51,200 --> 03:30:58,160 AND IN PARTICULAR, THAT'S WHAT 4989 03:30:58,160 --> 03:30:59,560 IS MENTIONED AND THE MAJORITY OF 4990 03:30:59,560 --> 03:31:00,880 DISEASE IN THE CASE OF AUTISM 4991 03:31:00,880 --> 03:31:02,600 WHICH IS A DIE SEES THAT I LIVE 4992 03:31:02,600 --> 03:31:05,360 WITH EVERYDAY WITH OUR SON. 4993 03:31:05,360 --> 03:31:07,760 HE IS NOT HAVE A SINGLE GENETIC 4994 03:31:07,760 --> 03:31:09,920 MUTATION BUT I'M SURE IT'S 4995 03:31:09,920 --> 03:31:11,760 GENETIC IN NATURE BUT IF IT IS 4996 03:31:11,760 --> 03:31:13,720 GENETIC IN NATURE IT'S POLYGENIC 4997 03:31:13,720 --> 03:31:14,840 IN NATURE SO THINKING ABOUT HOW 4998 03:31:14,840 --> 03:31:20,160 WE CAN UNDERSTAND THAT IS 4999 03:31:20,160 --> 03:31:20,640 IMPORTANT. 5000 03:31:20,640 --> 03:31:22,240 THERE'S A VERY IMPORTANT PAPER 5001 03:31:22,240 --> 03:31:24,880 LAST YEAR LOOKING AT THE 16P11 5002 03:31:24,880 --> 03:31:27,240 LOCUS WHICH IS A COPY NUMBER 5003 03:31:27,240 --> 03:31:28,880 VARIATION THAT WE STUDY IN MICE 5004 03:31:28,880 --> 03:31:31,400 AND LINKING IT TO POLYGENIC 5005 03:31:31,400 --> 03:31:32,840 COMMON VARIATIONS SO YOU DON'T 5006 03:31:32,840 --> 03:31:35,240 SEE IT LINKED TO RARE 5007 03:31:35,240 --> 03:31:35,880 VARIATIONS. 5008 03:31:35,880 --> 03:31:39,920 SO I JUST WANT TO THROW THE WORD 5009 03:31:39,920 --> 03:31:41,080 POLYGENIC INTO SPACE AFTER THAT 5010 03:31:41,080 --> 03:31:42,560 AND IT'S A LOT TO SAY AND I'M 5011 03:31:42,560 --> 03:31:45,200 LOOKING FORWARD TO THE FUTURE 5012 03:31:45,200 --> 03:31:46,200 DISCUSSIONS AND MOSTLY I HOPE 5013 03:31:46,200 --> 03:31:53,240 THIS IS A WORK IN PROGRESS THAT 5014 03:31:53,240 --> 03:31:56,760 ACKNOWLEDGES OF THE SUBTLE TEE O 5015 03:31:56,760 --> 03:31:59,760 ACHIEVE AND WE NOT LIMIT THAT. 5016 03:31:59,760 --> 03:32:01,000 >>THANK YOU. 5017 03:32:01,000 --> 03:32:01,880 >> Joshua Gordon: THANK YOU FOR 5018 03:32:01,880 --> 03:32:03,840 ALL THOSE COMMENTS AND TIME 5019 03:32:03,840 --> 03:32:04,880 PERMITTING I'LL GIVE A BRIEF 5020 03:32:04,880 --> 03:32:07,280 ANSWER THAT I THINK THAT YOU ARE 5021 03:32:07,280 --> 03:32:12,040 COMMENT ABOUT EP300 AND CORRECT 5022 03:32:12,040 --> 03:32:14,760 BINDING PROTEIN AND YOU THINK 5023 03:32:14,760 --> 03:32:16,800 ABOUT RARE VARIATION BUT ALSO 5024 03:32:16,800 --> 03:32:18,800 ABOUT RARE DISORDERS AND THERE'S 5025 03:32:18,800 --> 03:32:22,560 SOME CONDITIONS THAT EFFECT 5026 03:32:22,560 --> 03:32:23,760 RELATIVELY FEW INDIVIDUALS. 5027 03:32:23,760 --> 03:32:26,240 AN EXAMPLE IS MUTATIONS 5028 03:32:26,240 --> 03:32:27,280 IDENTIFIED IN 17 INDIVIDUALS FOR 5029 03:32:27,280 --> 03:32:29,360 THE LOSS OF FUNCTION ALL 17 HAVE 5030 03:32:29,360 --> 03:32:31,240 THE SAME AUTISM-LIKE PHENOTYPE 5031 03:32:31,240 --> 03:32:33,840 AND THEY'RE LIKELY TO BE GENES 5032 03:32:33,840 --> 03:32:34,760 THAT WILL NEVER REACH 5033 03:32:34,760 --> 03:32:39,280 SIGNIFICANCE AND THE MEDICAL 5034 03:32:39,280 --> 03:32:40,520 GENETICS WILL LIST THOSE AND 5035 03:32:40,520 --> 03:32:43,040 WHICH ARE REALLY A DIFFERENT 5036 03:32:43,040 --> 03:32:45,120 EMPHASIS THAN HERE AND IN THIS 5037 03:32:45,120 --> 03:32:46,320 CONTEXT, THERE ARE MANY 5038 03:32:46,320 --> 03:32:50,160 INVESTIGATORS WHO WANT TO STUDY 5039 03:32:50,160 --> 03:32:52,040 GENE AND SUGGEST IT'S FOR AUTISM 5040 03:32:52,040 --> 03:32:53,640 OR RELATED TO AUTISM OR 5041 03:32:53,640 --> 03:32:56,240 ASSOCIATED WITH AUTISM AND THE 5042 03:32:56,240 --> 03:32:58,080 DATA DON'T SHOW THAT SO WE'RE 5043 03:32:58,080 --> 03:33:01,840 MAKING SURE THAT THAT WORK IS 5044 03:33:01,840 --> 03:33:03,280 PROPERLY CLAIMING SEWIZATION BUT 5045 03:33:03,280 --> 03:33:05,160 NOT IN NAME TRYING TO BE 5046 03:33:05,160 --> 03:33:07,680 RESTRICTIVE ABOUT STUDYING RARE 5047 03:33:07,680 --> 03:33:09,160 VARIATION IN THE GENE, I GUESS, 5048 03:33:09,160 --> 03:33:14,400 THE CASE THAT EP300 IS ON THE 5049 03:33:14,400 --> 03:33:14,600 LIST. 5050 03:33:14,600 --> 03:33:16,360 >>I DON'T KNOW IF IT'S NOT THE 5051 03:33:16,360 --> 03:33:18,120 LIST BUT IT SHOWS UP NOW. 5052 03:33:18,120 --> 03:33:19,360 SO, YEAH. 5053 03:33:19,360 --> 03:33:21,200 >>SO A BROADER IDEA IS WHAT ARE 5054 03:33:21,200 --> 03:33:23,160 WE TRYING TO DO? 5055 03:33:23,160 --> 03:33:26,960 IT'S ABOUT SCIENTIFIC RIGOR AND 5056 03:33:26,960 --> 03:33:29,400 MAKE SURE ONE DOESN'T STUDY A 5057 03:33:29,400 --> 03:33:30,840 FAVORITE GENE WHICH SEEMS 5058 03:33:30,840 --> 03:33:32,360 APPEALING BUT NOT ASSOCIATED TO 5059 03:33:32,360 --> 03:33:34,040 A CONDITION. 5060 03:33:34,040 --> 03:33:35,880 IN TERMS OF POLYGENIC THANK YOU 5061 03:33:35,880 --> 03:33:37,280 FOR MENTIONING THAT WORD AND 5062 03:33:37,280 --> 03:33:38,440 THESE DISORDERS OFTEN ARE IN 5063 03:33:38,440 --> 03:33:41,080 TERMS OF BRIAN'S COMMENTS AND 5064 03:33:41,080 --> 03:33:51,520 FOR Dr. ROSS IN TERMS OF 5065 03:33:51,880 --> 03:33:52,600 PHENOTYPES THAT NEED TO BE 5066 03:33:52,600 --> 03:33:53,680 CONSIDERED IN AGGRESSION AND 5067 03:33:53,680 --> 03:33:54,960 DIFFERENT KINDS OF AGGRESSION 5068 03:33:54,960 --> 03:33:58,360 EVEN AND ONE CAN GO TO HUMAN 5069 03:33:58,360 --> 03:33:59,960 GENOTYPE ONCOLOGY AND GET A LIST 5070 03:33:59,960 --> 03:34:01,400 OF GENES AND USE THIS LIST TO 5071 03:34:01,400 --> 03:34:03,000 UNDERSTAND WHICH OF THOSE 5072 03:34:03,000 --> 03:34:03,720 ALREADY HAVE GINO WIDE SUPPORT 5073 03:34:03,720 --> 03:34:05,800 TO KNOW WHICH OF THEM MIGHT BE 5074 03:34:05,800 --> 03:34:07,320 APPROPRIATE TO STUDY OR MIGHT BE 5075 03:34:07,320 --> 03:34:08,640 HELPFUL TO STUDY SO THIS CAN BE 5076 03:34:08,640 --> 03:34:10,480 A GUIDE AND I WANT TO AGREE WITH 5077 03:34:10,480 --> 03:34:13,920 YOUR COMMENT ABOUT OUR INTEREST 5078 03:34:13,920 --> 03:34:16,400 IN BEING TRANSPAR TRANSPARENT AE 5079 03:34:16,400 --> 03:34:17,760 ARE MANY DIFFERENT APPROACHES TO 5080 03:34:17,760 --> 03:34:19,520 THIS PROGRAM AND THAT WE'RE 5081 03:34:19,520 --> 03:34:20,560 SUPPORTIVE OF HEARING FROM THE 5082 03:34:20,560 --> 03:34:23,160 COMMUNITY AND FROM COUNCIL NOW 5083 03:34:23,160 --> 03:34:26,160 ABOUT BEST WAYS TO GO FORWARD. 5084 03:34:26,160 --> 03:34:28,040 >>LET ME JUST EMPHASIZE, THIS 5085 03:34:28,040 --> 03:34:29,640 IS AGAIN, IT'S A SET OF MY 5086 03:34:29,640 --> 03:34:30,000 INTRODUCTION. 5087 03:34:30,000 --> 03:34:31,520 THIS IS NOT MEANT TO BE 5088 03:34:31,520 --> 03:34:32,000 RESTRICTIVE. 5089 03:34:32,000 --> 03:34:32,560 WE HAVE THAT. 5090 03:34:32,560 --> 03:34:33,600 WE HAVE THAT DOWN. 5091 03:34:33,600 --> 03:34:35,080 WE RESTRICT ALL THE TIME. 5092 03:34:35,080 --> 03:34:37,400 AND IN FACT, UNFORTUNATELY WE 5093 03:34:37,400 --> 03:34:38,360 RESTRICT WITHOUT TRANSPARENCY 5094 03:34:38,360 --> 03:34:39,760 BECAUSE IT'S REALLY HARD TO 5095 03:34:39,760 --> 03:34:42,040 CREATE A LIST OF GENES THAT WE 5096 03:34:42,040 --> 03:34:43,320 WON'T STUDY, RIGHT. 5097 03:34:43,320 --> 03:34:44,680 THIS IS MEANT TO BE THE OTHER 5098 03:34:44,680 --> 03:34:50,480 END OF THE SPECTRUM AND WE WANT 5099 03:34:50,480 --> 03:34:55,120 2TO PINT PEOPLE TO GENES AND ITS 5100 03:34:55,120 --> 03:34:56,160 NOT MEANT TO BE THE ONLY PIECE 5101 03:34:56,160 --> 03:34:57,520 OF INFORMATION TO DEVICE A 5102 03:34:57,520 --> 03:34:59,880 STRATEGY FOR STUDYING THINGS. 5103 03:34:59,880 --> 03:35:01,960 SO YEAH, IF THEY WANT TO STUDY 5104 03:35:01,960 --> 03:35:04,600 EP300 AND SUGGEST A KNOCKOUT 5105 03:35:04,600 --> 03:35:05,760 THEY BEST DAMN BE SURE THAT 5106 03:35:05,760 --> 03:35:08,040 THAT'S THE RIGHT ONE AND JUSTIFY 5107 03:35:08,040 --> 03:35:09,400 THAT ON THE GRANT. 5108 03:35:09,400 --> 03:35:11,200 >>THANK YOU, JOHNATHAN. 5109 03:35:11,200 --> 03:35:12,120 I APPRECIATE THE PRESENTATION 5110 03:35:12,120 --> 03:35:14,280 AND THE FEEDBACK. 5111 03:35:14,280 --> 03:35:15,480 WE HAVE SOME DISCUSS ON THE 5112 03:35:15,480 --> 03:35:16,760 COMMON VARIATION BETWEEN YOU AND 5113 03:35:16,760 --> 03:35:18,640 ME AND BEFORE WE MOVE FORWARD. 5114 03:35:18,640 --> 03:35:23,800 >>I JUST A COMMENT AND WE'VE 5115 03:35:23,800 --> 03:35:27,600 HEARD COMMENTS AGAINST THIS AND 5116 03:35:27,600 --> 03:35:30,320 I THINK THIS IS A GREAT IDEA. 5117 03:35:30,320 --> 03:35:34,000 FOR THOSE OF YOU WHO HAVEN'T 5118 03:35:34,000 --> 03:35:36,240 SORT FOLLOWED THIS AREA FOR 5119 03:35:36,240 --> 03:35:37,640 DECADES, THERE ARE REALLY SORT 5120 03:35:37,640 --> 03:35:42,480 OF NOTORIOUS CASES OF GENES THAT 5121 03:35:42,480 --> 03:35:45,120 HAVE SOPPED UP VAST SUMS OF 5122 03:35:45,120 --> 03:35:45,840 MONEY PARTICULARLY IN MENTAL 5123 03:35:45,840 --> 03:35:48,080 HEALTH THAT WERE SHOWN IN GINO 5124 03:35:48,080 --> 03:35:52,200 ONE ASSOCIATION STUDIES AND NOT 5125 03:35:52,200 --> 03:35:57,960 TO BE ANYWHERE -- NOT TO BE 5126 03:35:57,960 --> 03:35:58,600 (INAUDIBLE). 5127 03:35:58,600 --> 03:36:01,400 AND I KNOW AS A REVIEWER, WHEN I 5128 03:36:01,400 --> 03:36:02,840 WOULD REVIEW THESE GRANTS, I 5129 03:36:02,840 --> 03:36:05,400 WOULD HAVE TO DIG INTO THE 5130 03:36:05,400 --> 03:36:07,920 PRIMARY LITERATURE MYSELF AND 5131 03:36:07,920 --> 03:36:10,760 IT'S GREAT THAT THIS IS HERE NOW 5132 03:36:10,760 --> 03:36:14,800 AND SO YOU KNOW AT SOME POINT IN 5133 03:36:14,800 --> 03:36:25,240 THE FUTURE, AND ONE OF THE 5134 03:36:29,880 --> 03:36:37,880 THINGS THAT WHEEL FROM THIS IS A 5135 03:36:37,880 --> 03:36:39,120 LOT OF THE VACCINES LINKED TO 5136 03:36:39,120 --> 03:36:40,200 PSYCHIATRIC DISEASES PEOPLE WILL 5137 03:36:40,200 --> 03:36:41,000 STUDY THEM BECAUSE THEY'RE ON 5138 03:36:41,000 --> 03:36:45,120 THE LIST AND THEY'LL THINK NIH 5139 03:36:45,120 --> 03:36:47,800 IS INTERESTED AND SO YOU WILL 5140 03:36:47,800 --> 03:36:48,840 SEE GRANTS AND IT'S A GREAT 5141 03:36:48,840 --> 03:36:49,040 THING. 5142 03:36:49,040 --> 03:36:53,120 >>I APPRECIATE THE POSITIVE 5143 03:36:53,120 --> 03:36:54,720 FEEDBACK. 5144 03:36:54,720 --> 03:36:56,240 I APPRECIATE THE DISCUSSION 5145 03:36:56,240 --> 03:36:58,440 WE'VE HAD SO FAR AND IT WILL BE 5146 03:36:58,440 --> 03:37:00,160 AN ONGOING GIVE-AND-TAKE. 5147 03:37:00,160 --> 03:37:04,000 JUST A MOTEL A NOTE TO CHRISTOPD 5148 03:37:04,000 --> 03:37:05,360 PAULINE, WE HAVE TO POSTPONE 5149 03:37:05,360 --> 03:37:08,320 YOUR PRESENTATIONS TO THE NEXT 5150 03:37:08,320 --> 03:37:09,040 COUNCIL ON THE KUM PES PROGRAM. 5151 03:37:09,040 --> 03:37:10,880 THIS IS REALLY EXCITING PROGRAM 5152 03:37:10,880 --> 03:37:12,160 AND WE WILL BRING TO COUNCIL AND 5153 03:37:12,160 --> 03:37:14,160 WE WANT YOU ALL TO HEAR ABOUT IT 5154 03:37:14,160 --> 03:37:16,080 AND UNDERSTAND THAT NIH ROLE BUT 5155 03:37:16,080 --> 03:37:17,160 WE DON'T HAVE TIME TODAY. 5156 03:37:17,160 --> 03:37:18,560 WE'RE GOING TO MOVE TO THE NEXT 5157 03:37:18,560 --> 03:37:22,000 ITEM ON THE AGENDA WHICH IS 5158 03:37:22,000 --> 03:37:26,160 Dr. NITA FARAHANY TO JOIN US 5159 03:37:26,160 --> 03:37:32,000 TO TELL US ABOUT A CONSULTATION 5160 03:37:32,000 --> 03:37:33,120 BRAIN ETHNIC WORKING GROUP AND 5161 03:37:33,120 --> 03:37:35,480 NIH IS ONE OF THE TWO SUITS AND 5162 03:37:35,480 --> 03:37:37,040 ONE OF 10 DIFFERENT INSTITUTES 5163 03:37:37,040 --> 03:37:37,960 AND SUPPORTS THE BRAIN 5164 03:37:37,960 --> 03:37:39,600 INITIATIVE AND THERE'S A STRONG 5165 03:37:39,600 --> 03:37:41,200 NEUROETHICS COMPONENT TO THE 5166 03:37:41,200 --> 03:37:42,080 BRAIN INITIATIVE AND ONE OF 5167 03:37:42,080 --> 03:37:47,080 THOSE COMPONENTS IS TO PERFORM 5168 03:37:47,080 --> 03:37:48,120 CONSULTATIONS TO GRANTS AND 5169 03:37:48,120 --> 03:37:49,960 PROGRAMS THAT MIGHT RAISE NEURO 5170 03:37:49,960 --> 03:37:51,280 ETHICAL ISSUES AND FROM TIME TO 5171 03:37:51,280 --> 03:37:52,800 TIME, THOSE ARE DISCUSSED IN THE 5172 03:37:52,800 --> 03:37:53,960 WORKING GROUP AND THEY NEED TO 5173 03:37:53,960 --> 03:37:55,680 BE PRESENTED AT A OPEN SESSION 5174 03:37:55,680 --> 03:37:58,760 OF A COUNCIL IN ORDER FOR BRAIN 5175 03:37:58,760 --> 03:38:00,480 STAFF TO BE ABLE TO TAKE THAT 5176 03:38:00,480 --> 03:38:01,640 ADVICE AND HAND AND THAT'S WHAT 5177 03:38:01,640 --> 03:38:02,640 WE'RE DOING TODAY AND WE'RE 5178 03:38:02,640 --> 03:38:08,400 GOING TO HEAR FROM Dr. 5179 03:38:08,400 --> 03:38:10,040 FARAHANY AND A CO-CHAIR IN THE 5180 03:38:10,040 --> 03:38:12,360 BRAIN NEURO ETHICS WORKING GROUP 5181 03:38:12,360 --> 03:38:14,320 AND SHE COMES TO US TO SHARE 5182 03:38:14,320 --> 03:38:15,760 SOME CONSIDERATION FROM THAT 5183 03:38:15,760 --> 03:38:18,400 GROUP ON SHARING AND ACCESS OF 5184 03:38:18,400 --> 03:38:19,720 GENOMIC SEQUENCING DATA AND THIS 5185 03:38:19,720 --> 03:38:21,600 IS FOR YOUR AWARENESS. 5186 03:38:21,600 --> 03:38:23,080 THERE'S NO VOTE AFTERWARDS AND 5187 03:38:23,080 --> 03:38:25,800 Dr. FARAHANY, DID YOU FOR 5188 03:38:25,800 --> 03:38:28,840 JOINING IS. 5189 03:38:28,840 --> 03:38:39,120 >>AND COULD YOU GO TO THE NEXT 5190 03:38:39,120 --> 03:38:39,480 SLIDE, PLEASE. 5191 03:38:39,480 --> 03:38:41,520 SO, I WANTED TO BEGIN JUST BY 5192 03:38:41,520 --> 03:38:45,680 GIVING YOU AN OVERVIEW OF THE 5193 03:38:45,680 --> 03:38:47,440 BRAIN INITIATIVE ATLAS NETWORK 5194 03:38:47,440 --> 03:38:52,080 TO THEN GET INTO THE CONTEXT OF 5195 03:38:52,080 --> 03:38:54,840 THE CONSULTATION THAT WE DID AND 5196 03:38:54,840 --> 03:38:57,080 SO THE OL HERE IS BUILDING 5197 03:38:57,080 --> 03:38:58,400 REFERENCE BRAIN DIALYSIS THAT 5198 03:38:58,400 --> 03:38:59,520 WILL BE USED THROUGHOUT THE 5199 03:38:59,520 --> 03:39:00,640 COMMUNITY WHICH GIVES THE 5200 03:39:00,640 --> 03:39:02,160 FOUNDATIONAL FRAMEWORK FOR CROSS 5201 03:39:02,160 --> 03:39:04,440 SPECIES STUDY OF BRAIN EVOLUTION 5202 03:39:04,440 --> 03:39:06,960 AND FUNCTION AND INVOLVES THE 5203 03:39:06,960 --> 03:39:13,040 COLLECTION OF BRAIN SPECIMENS 5204 03:39:13,040 --> 03:39:23,560 AND ALLOWS FOR LARGE-SCALE HUMAN 5205 03:39:36,720 --> 03:39:38,040 DENOAM I CAN TO BE SHARED AND 5206 03:39:38,040 --> 03:39:38,880 UNDER RESTRICTED OR CONTROLLED 5207 03:39:38,880 --> 03:39:40,080 MANNER BASED ON WHICH APPROACH 5208 03:39:40,080 --> 03:39:41,680 IS INDICATED IN INSTITUTIONAL 5209 03:39:41,680 --> 03:39:42,960 CERTIFICATION FORMS THAT ARE 5210 03:39:42,960 --> 03:39:44,960 PROVIDED BY THE INSTITUTIONS AND 5211 03:39:44,960 --> 03:39:47,400 CURRENTLY THE BUY CAN FOA 5212 03:39:47,400 --> 03:39:48,760 STIPULATE LATE DATA TO BE SHARED 5213 03:39:48,760 --> 03:39:50,640 VIA OPEN AND UNRESTRICTED ACCESS 5214 03:39:50,640 --> 03:39:54,920 AND IT'S THAT POINT WE WANTED TO 5215 03:39:54,920 --> 03:39:57,200 FOCUS ON. 5216 03:39:57,200 --> 03:39:59,000 SO, NIH OF COURSE NAMES TO HAVE 5217 03:39:59,000 --> 03:40:00,960 GOOD DATA STEWARDSHIP WHILE MACK 5218 03:40:00,960 --> 03:40:05,560 HIMAXIMIZINGDATA SHARING AND THE 5219 03:40:05,560 --> 03:40:07,440 IN CONTENTION WITH ONE ANOTHER 5220 03:40:07,440 --> 03:40:08,720 AND OTHER NIH INITIATIVES HAVE 5221 03:40:08,720 --> 03:40:11,560 USED OPEN AND UNRESTRICTED 5222 03:40:11,560 --> 03:40:15,200 ACCESS AND USING PUBLICLY 5223 03:40:15,200 --> 03:40:16,800 AVAILABLE DATA OR CONTROLLED OR 5224 03:40:16,800 --> 03:40:17,640 TIER ACCESS WHICH REQUIRES A 5225 03:40:17,640 --> 03:40:19,080 REQUEST WITH RELEVANT 5226 03:40:19,080 --> 03:40:20,520 DOCUMENTATION AND WHILE 5227 03:40:20,520 --> 03:40:21,240 INSTITUTIONAL CERTIFICATIONS MAY 5228 03:40:21,240 --> 03:40:23,080 ALLOW GRANTEE INSTITUTIONS TO 5229 03:40:23,080 --> 03:40:24,920 AFFIRM THAT SUBJECTS HAVE 5230 03:40:24,920 --> 03:40:26,560 CONSENTED, TO ALLOW THEIR 5231 03:40:26,560 --> 03:40:28,320 GENOMIC DATA TO BE SHARED 5232 03:40:28,320 --> 03:40:31,760 THROUGH UNRESTRICTED OR OPEN 5233 03:40:31,760 --> 03:40:33,960 ACCESS AND IMPLEMENTATION IS 5234 03:40:33,960 --> 03:40:35,520 PRIMARY SEQUENCE DATA IS TO BE 5235 03:40:35,520 --> 03:40:36,520 MANAGED THROUGH CONTROLLED 5236 03:40:36,520 --> 03:40:38,280 ACCESS AND REGARDLESS OF HOW THE 5237 03:40:38,280 --> 03:40:40,560 SUBJECTS HAVE CONSENTED AND THE 5238 03:40:40,560 --> 03:40:42,760 NIH OFFICE OF EXTRAMURAL 5239 03:40:42,760 --> 03:40:45,200 RESEARCH HAS INDICATED THEY 5240 03:40:45,200 --> 03:40:48,080 WOULD CONSIDER A NIH CONVENED 5241 03:40:48,080 --> 03:40:49,160 BIOETHICS CONSULTATION AND THEIR 5242 03:40:49,160 --> 03:40:50,000 DELIBERATIONS ON THIS MATTER 5243 03:40:50,000 --> 03:40:54,080 WHICH IS WHAT WE'RE TALKING 5244 03:40:54,080 --> 03:40:58,880 ABOUT HERE. 5245 03:40:58,880 --> 03:41:05,000 SO, ON JANUARY THEY, THEY HAD A 5246 03:41:05,000 --> 03:41:06,320 CONSULT RELATED TO UNPRESELECTED 5247 03:41:06,320 --> 03:41:10,160 TO SEQUENCE DATA AND WE STARTED 5248 03:41:10,160 --> 03:41:13,320 THIS CONSULTATION FROM WITH THE 5249 03:41:13,320 --> 03:41:15,600 BRAIN STAFF THAT PROVIDED 5250 03:41:15,600 --> 03:41:17,080 BACKGROUND MATERIALS WHICH 5251 03:41:17,080 --> 03:41:18,240 INCLUDED AN OVERVIEW OF THE 5252 03:41:18,240 --> 03:41:20,760 CONSULT REQUEST, GENETIC DATA 5253 03:41:20,760 --> 03:41:22,040 SHARING LANGUAGE FROM 5254 03:41:22,040 --> 03:41:23,400 PROCUREMENT SITES AND 5255 03:41:23,400 --> 03:41:24,000 INSTITUTIONAL CERTIFICATION 5256 03:41:24,000 --> 03:41:26,600 FORMS AND INSTITUTIONAL SPECIFIC 5257 03:41:26,600 --> 03:41:29,520 CONSENT FORMS AND WE HEARD FROM 5258 03:41:29,520 --> 03:41:36,760 EXPERTS THAT Dr. DAVID 5259 03:41:36,760 --> 03:41:39,080 PANCHENSO H AND ELLEN CLAYTON AD 5260 03:41:39,080 --> 03:41:40,760 WE INVITED THESE FOLKS BOTH TO 5261 03:41:40,760 --> 03:41:44,360 GIVE US AN UPDATE ABOUT THESE 5262 03:41:44,360 --> 03:41:45,760 DIFFERENT POLICIES AND Dr. 5263 03:41:45,760 --> 03:41:48,200 CLAYTON WHO HAS DONE RESEARCH ON 5264 03:41:48,200 --> 03:41:49,920 THE ETHNIC OF DATA SHARING WITH 5265 03:41:49,920 --> 03:41:51,120 GENOMIC DATA OUGHT TO BE. 5266 03:41:51,120 --> 03:41:52,160 THIS SUMMARY PRESENTS WHAT WAS 5267 03:41:52,160 --> 03:41:53,920 HEARD FROM THE SPEAKERS AND THE 5268 03:41:53,920 --> 03:41:56,280 SUBSEQUENT DISCUSSIONS THAT THEY 5269 03:41:56,280 --> 03:41:57,640 HAD AND NOT AWFUL THE POINTS 5270 03:41:57,640 --> 03:42:08,160 THAT ARE IN HERE MAY BE SO THE 5271 03:42:13,360 --> 03:42:14,200 DISCUSSION QUESTIONS WERE FIRST 5272 03:42:14,200 --> 03:42:17,400 WHAT ARE THE POTENTIAL RISKS OF 5273 03:42:17,400 --> 03:42:19,840 HAVING UNPREDICTED OR OPEN 5274 03:42:19,840 --> 03:42:20,560 VERSUS CONTROLLED OR TIRED DATA 5275 03:42:20,560 --> 03:42:22,400 ACCESS TO PRIMARY SEQUENCE DATA 5276 03:42:22,400 --> 03:42:25,160 OF LIVING VERSUS DECEASED 5277 03:42:25,160 --> 03:42:27,440 PARTICIPANTS AND SOME OF THE 5278 03:42:27,440 --> 03:42:29,800 MISUSE CONCERNS NOT OF SHARED 5279 03:42:29,800 --> 03:42:31,720 PRIMARY DATA SEQUENCE COULD 5280 03:42:31,720 --> 03:42:33,440 INVOLVE FOR EXAMPLE ANY RISK TO 5281 03:42:33,440 --> 03:42:34,480 PARTICIPANTS IF LIVING RATHER 5282 03:42:34,480 --> 03:42:38,320 THAN POSTMORTEM RECIPIENTS, 5283 03:42:38,320 --> 03:42:39,360 POSTMORTEM INDIVIDUALS 5284 03:42:39,360 --> 03:42:40,960 PARTICIPANTS FAMILY MEMBERS OF 5285 03:42:40,960 --> 03:42:41,920 PARTICIPANTS WHO DIDN'T CONSENT 5286 03:42:41,920 --> 03:42:43,960 TO THE RESEARCH BUT OBVIOUSLY 5287 03:42:43,960 --> 03:42:46,080 COULD BE EITHER IDENTIFIED OR I 5288 03:42:46,080 --> 03:42:47,960 IMPLICATED AS A RESULT OF THE 5289 03:42:47,960 --> 03:42:49,320 GENETIC SEQUENCING DATA AND 5290 03:42:49,320 --> 03:42:53,080 COMMUNITIES AND SOCIETIES WHERE 5291 03:42:53,080 --> 03:42:53,880 THERE'S LITERATURE AND 5292 03:42:53,880 --> 03:42:55,840 SCHOLARSHIP AROUND THE 5293 03:42:55,840 --> 03:42:57,160 IMPLICATIONS FOR COMMUNITIES AND 5294 03:42:57,160 --> 03:42:58,200 SOCIETIES WITH RESPECT TO THE 5295 03:42:58,200 --> 03:43:05,040 SHARING OF GENOMIC DATA AND ANY 5296 03:43:05,040 --> 03:43:11,120 RISK OF HARM THAT MAY PLOW FROM 5297 03:43:11,120 --> 03:43:16,720 REIDENTIFICATION AND THE RISK OF 5298 03:43:16,720 --> 03:43:18,320 OPEN DATA SHARING TO THEMSELVES 5299 03:43:18,320 --> 03:43:20,520 AND THEIR FAMILY MEMBERS AND 5300 03:43:20,520 --> 03:43:22,240 WHETHER IT'S EFFICIENT FOR FULLY 5301 03:43:22,240 --> 03:43:24,160 INFORMED CONSENT LOOK LIKE IN 5302 03:43:24,160 --> 03:43:25,120 THAT CONTEXT. 5303 03:43:25,120 --> 03:43:30,640 NEXT SLIDE, PLEASE. 5304 03:43:30,640 --> 03:43:33,880 SO WE DISCUSSED THE POTENTIAL 5305 03:43:33,880 --> 03:43:36,880 RISK OF UNRESTRICTED OPEN AND 5306 03:43:36,880 --> 03:43:39,480 TIRED DATA ACCESS TO PRIMARY 5307 03:43:39,480 --> 03:43:40,920 SEQUENCE DATA OF LIVING AND 5308 03:43:40,920 --> 03:43:43,400 DECEASED PATIENTS WOULD BE SO 5309 03:43:43,400 --> 03:43:44,080 CONTINUING THAT CONVERSATION 5310 03:43:44,080 --> 03:43:45,680 THERE MAY NOT EXIST CLEAR 5311 03:43:45,680 --> 03:43:48,400 EVIDENCE OF QUANTIFYING A 5312 03:43:48,400 --> 03:43:50,240 DIFFERENT IN RISK BETWEEN OPEN 5313 03:43:50,240 --> 03:43:51,920 AND CONTROLLED SHARING THAT IS 5314 03:43:51,920 --> 03:43:53,320 THERE'S NOT BEEN ENOUGH RESEARCH 5315 03:43:53,320 --> 03:43:54,760 TO REALLY LOOK AT THESE 5316 03:43:54,760 --> 03:43:56,360 DIFFERENCES AND WHAT THE 5317 03:43:56,360 --> 03:43:57,080 IMPLICATIONS MAY BE. 5318 03:43:57,080 --> 03:44:00,600 A DATA ACCESS OR REVIEW 5319 03:44:00,600 --> 03:44:02,280 COMMITTEE WOULD BE LIKELY TO 5320 03:44:02,280 --> 03:44:03,640 REDUCE THE LIKELY HOOD OF 5321 03:44:03,640 --> 03:44:05,600 REIDENTIFICATION OR USES THAT 5322 03:44:05,600 --> 03:44:06,560 COULD CAUSE COMMUNITY HARMS AND 5323 03:44:06,560 --> 03:44:08,520 COULD LIMIT THE USE TO 5324 03:44:08,520 --> 03:44:10,040 SCIENTIFIC PURPOSES AS OPPOSED 5325 03:44:10,040 --> 03:44:11,520 TO SOME OF THE MISUSE CONCERNS 5326 03:44:11,520 --> 03:44:14,680 FOR LEGAL OR COMMERCIAL OR OTHER 5327 03:44:14,680 --> 03:44:16,280 PURPOSES AND CONTROLLED ACCESS 5328 03:44:16,280 --> 03:44:19,360 INVOLVED RESEARCH INSTITUTIONS 5329 03:44:19,360 --> 03:44:21,000 AND OFTEN TIMES REDUCE THE RISK 5330 03:44:21,000 --> 03:44:22,640 OVER ALL AND PARTICULARLY GIVEN 5331 03:44:22,640 --> 03:44:24,760 THAT SOME OF THE HARMS THAT WERE 5332 03:44:24,760 --> 03:44:26,160 IDENTIFIED WOULD BE FROM EXTRA 5333 03:44:26,160 --> 03:44:27,560 RESEARCH INSTITUTIONS NOT FROM 5334 03:44:27,560 --> 03:44:29,520 RESEARCH INSTITUTIONS THEMSELVES 5335 03:44:29,520 --> 03:44:30,640 AND THEN CONCERNS ABOUT THE 5336 03:44:30,640 --> 03:44:36,280 EFFECT OF OPEN SHARING ON 5337 03:44:36,280 --> 03:44:38,800 POTENTIAL THEY HAD SHOWN SCIO 5338 03:44:38,800 --> 03:44:39,360 DEMOGRAPHIC VARIABLES AND 5339 03:44:39,360 --> 03:44:40,600 WILLINGNESS TO PARTICIPATE IN 5340 03:44:40,600 --> 03:44:43,040 RESEARCH THAT INVOLVED DATA 5341 03:44:43,040 --> 03:44:44,240 SHARING AND COMMUNITY ENGAGEMENT 5342 03:44:44,240 --> 03:44:46,280 COULD BE ONE WAY TO MITIGATE 5343 03:44:46,280 --> 03:44:46,800 THESE CONCERNS. 5344 03:44:46,800 --> 03:44:51,880 OF COURSE, MISUSE OF DATA WOULD 5345 03:44:51,880 --> 03:44:56,400 NEGATIVELY IMPACT SO THIS WAS A 5346 03:44:56,400 --> 03:44:57,560 CONCERN WE DISCUSSED AS WELL. 5347 03:44:57,560 --> 03:45:01,280 NEXT SLIDE, PLEASE. 5348 03:45:01,280 --> 03:45:03,800 OF COURSE, NO DISCUSSION ON THE 5349 03:45:03,800 --> 03:45:04,520 ETHICS WOULD BE COMPLETE WITHOUT 5350 03:45:04,520 --> 03:45:05,680 TRYING TO UNDERSTAND THE RISK 5351 03:45:05,680 --> 03:45:07,080 BENEFITS SO WE ALSO WANTED TO 5352 03:45:07,080 --> 03:45:10,800 TALK ABOUT THE BENEFITS AND 5353 03:45:10,800 --> 03:45:12,840 UNDERSTANDING THE BENEFITS 5354 03:45:12,840 --> 03:45:14,240 RELATIVE ANY OF THE RISK THAT WE 5355 03:45:14,240 --> 03:45:15,760 HAD IDENTIFIED SO THE QUESTIONS 5356 03:45:15,760 --> 03:45:17,000 THAT WE DISCUSSED AROUND WHAT 5357 03:45:17,000 --> 03:45:19,680 WERE THE POTENTIAL BENEFITS OF 5358 03:45:19,680 --> 03:45:25,720 CONTROLLED VERSUS TIERED DATA 5359 03:45:25,720 --> 03:45:27,440 ACCESS AND HOW OPENING SHARING 5360 03:45:27,440 --> 03:45:35,560 MORE THAN CONTROLLED SHARING AND 5361 03:45:35,560 --> 03:45:36,760 THERE ISN'T EVIDENCE HOW MUCH 5362 03:45:36,760 --> 03:45:38,160 MORE THIS IS USEFUL AND HOW MUCH 5363 03:45:38,160 --> 03:45:39,680 ADDITIONAL BENEFITS ARISES FROM 5364 03:45:39,680 --> 03:45:41,400 OPEN VERSUS CONTROL SHARING. 5365 03:45:41,400 --> 03:45:43,000 SECOND WE LOOKED AROUND OPEN 5366 03:45:43,000 --> 03:45:45,040 SHARING INVOLVING FEWER 5367 03:45:45,040 --> 03:45:47,640 ADMINISTRATIVE BURDENS, TIME AND 5368 03:45:47,640 --> 03:45:48,040 COST. 5369 03:45:48,040 --> 03:45:49,600 OF COURSE THE DEGREE TO WHICH 5370 03:45:49,600 --> 03:45:53,920 IT'S TRUDY PEN DEPENDS ON THE AD 5371 03:45:53,920 --> 03:45:56,320 AND SO THAT'S AN EMPIRICAL 5372 03:45:56,320 --> 03:45:58,480 QUESTION RATHER THAN A CERTAINTY 5373 03:45:58,480 --> 03:46:00,000 AND SOME LAG TIME COULD BE 5374 03:46:00,000 --> 03:46:01,720 ACCEPTABLE GIVEN THE OVER ALL 5375 03:46:01,720 --> 03:46:03,040 DURATION AND SCIENTIFIC PROJECTS 5376 03:46:03,040 --> 03:46:04,760 SO AGAIN IT'S NOT CLEAR HOW MUCH 5377 03:46:04,760 --> 03:46:06,360 ADDITIONAL BENEFIT THERE IS AND 5378 03:46:06,360 --> 03:46:07,960 HOW MUCH ADDITIONAL BURDEN THERE 5379 03:46:07,960 --> 03:46:09,360 IS. 5380 03:46:09,360 --> 03:46:10,720 THE PUBLIC ATTITUDES SURVEY 5381 03:46:10,720 --> 03:46:12,000 SUGGESTS THAT MOST PEOPLE WHO 5382 03:46:12,000 --> 03:46:14,080 ARE WILLING TO SHARE THEIR DATA 5383 03:46:14,080 --> 03:46:17,000 SAMPLES WITH CONTROL ACCESS 5384 03:46:17,000 --> 03:46:18,640 WOULD ALSO AGREE TO DO SO UNDER 5385 03:46:18,640 --> 03:46:21,120 OPEN ACCESS AND SO THIS MAY 5386 03:46:21,120 --> 03:46:23,840 REDUCE SOME OF THE CONCERNS THAT 5387 03:46:23,840 --> 03:46:25,160 WOULD BE ARISING FROM THE 5388 03:46:25,160 --> 03:46:26,880 NEGATIVE EFFECTS OF OPEN SHARING 5389 03:46:26,880 --> 03:46:28,600 IF THEY WERE JUST AS LIKELY TO 5390 03:46:28,600 --> 03:46:31,080 SHARE IN THAT ON TEXT AND HE 5391 03:46:31,080 --> 03:46:35,960 WILAS WELL ANDTHIS WOULD SHARE D 5392 03:46:35,960 --> 03:46:37,400 AUTONOMY OF THE PARTICIPANTS. 5393 03:46:37,400 --> 03:46:41,960 NEXT SLIDE, PLEASE. 5394 03:46:41,960 --> 03:46:44,360 SO CONTINUING THIS DISCUSSION, 5395 03:46:44,360 --> 03:46:48,040 WE LOOK AT GIVEN SOCIETAL TRENDS 5396 03:46:48,040 --> 03:46:49,920 AND OUTSIDE OF NIH SUPPORTED 5397 03:46:49,920 --> 03:46:52,280 RESEARCH SOME OF THE PEOPLE IN 5398 03:46:52,280 --> 03:46:53,320 THE DISCUSSION QUESTION THE 5399 03:46:53,320 --> 03:46:55,920 DEGREE TO WHICH NIH SHOULD 5400 03:46:55,920 --> 03:46:57,840 PROTECT PARTICIPANTS' PRIVACY 5401 03:46:57,840 --> 03:47:01,080 AND BY CONTRAST PERSONAL DATA IS 5402 03:47:01,080 --> 03:47:03,120 BEING MISUSED, THIS COULD 5403 03:47:03,120 --> 03:47:07,400 INCREASE NIH'S DUTY PROTECT 5404 03:47:07,400 --> 03:47:11,800 PERSONAL DATA. 5405 03:47:11,800 --> 03:47:14,200 IT ISN'T TO SAY IT NEVER HAPPENS 5406 03:47:14,200 --> 03:47:15,800 BUT THERE ARE NOT A LOT OF WELL 5407 03:47:15,800 --> 03:47:18,000 DESCRIBED MANY ABUSE CASES OF 5408 03:47:18,000 --> 03:47:20,400 USING DATA INVOLVED IN RESEARCH 5409 03:47:20,400 --> 03:47:21,920 SETTINGS AND THERE'S A LINE WITH 5410 03:47:21,920 --> 03:47:23,520 FUNDAMENTAL PRINCIPLE OF 5411 03:47:23,520 --> 03:47:25,400 SHIFTING TOWARDS OPEN SCIENCE 5412 03:47:25,400 --> 03:47:33,360 RELATIVE TO CONTROLLED ACCESS. 5413 03:47:33,360 --> 03:47:36,680 SO THIRD, WE THEN LOOKED AT WHAT 5414 03:47:36,680 --> 03:47:38,600 STRATEGIES MIGHT MINIMIZE RISK 5415 03:47:38,600 --> 03:47:40,200 SO ASSUMING THAT WE THINK 5416 03:47:40,200 --> 03:47:41,480 THERE'S STILL SOME RISK THAT 5417 03:47:41,480 --> 03:47:43,320 WOULD ARISE FROM AN OPEN ACCESS 5418 03:47:43,320 --> 03:47:46,120 APPROACH VERSUS THE CONTROLLED 5419 03:47:46,120 --> 03:47:47,920 TIRED ACTS WHAT ARE THE WAYS WE 5420 03:47:47,920 --> 03:47:50,240 CAN MITIGATE AGAINST THOSE RISKS 5421 03:47:50,240 --> 03:47:52,960 AND WE DISCUSSED IN PARTICULAR 5422 03:47:52,960 --> 03:47:54,360 NOT TWO MAJOR APPROACHES TO 5423 03:47:54,360 --> 03:47:56,200 DOING SO ONE WOULD BE IMPROVING 5424 03:47:56,200 --> 03:47:57,400 AND INFORMED CONCEPT SO THIS 5425 03:47:57,400 --> 03:47:59,400 WOULD BE UPDATING CONSENT FORMS 5426 03:47:59,400 --> 03:48:01,400 AND THAT CAN CLARIFY THE RISK OF 5427 03:48:01,400 --> 03:48:03,160 OPEN SHARING AND PROTECTION AND 5428 03:48:03,160 --> 03:48:07,320 THE RISK OF REIDENTIFICATION 5429 03:48:07,320 --> 03:48:09,080 PARTICULARLY GIVEN AGENCY AND 5430 03:48:09,080 --> 03:48:10,200 AUTONOMY OF INDIVIDUALS GIVING 5431 03:48:10,200 --> 03:48:12,160 FULLY INFORMED CONSENT WOULD 5432 03:48:12,160 --> 03:48:14,000 MEAN MAKING SURE THE LANGUAGE IS 5433 03:48:14,000 --> 03:48:16,120 WRITTEN AROUND AN EIGHTH GRADE 5434 03:48:16,120 --> 03:48:17,400 READING LEVEL AND THE 5435 03:48:17,400 --> 03:48:18,920 SUFFICIENCY OF INFORMED CONSENT 5436 03:48:18,920 --> 03:48:22,040 EVEN IMPROVED REMAINS UNCLEAR 5437 03:48:22,040 --> 03:48:24,760 BECAUSE MANY TIMES THESE ARE 5438 03:48:24,760 --> 03:48:27,040 TREATED AS PROFORMA FORMS FOR 5439 03:48:27,040 --> 03:48:28,200 PEOPLE TO FILL OUT RATHER THAN 5440 03:48:28,200 --> 03:48:31,200 KIND OF CAREFULLY READING AS 5441 03:48:31,200 --> 03:48:32,600 IT'S UNCLEAR THE EXTEND IT WOULD 5442 03:48:32,600 --> 03:48:34,040 DISCHARGE THE DUTY BUT IT WOULD 5443 03:48:34,040 --> 03:48:36,000 AT LEAST ENSURE THAT PEOPLE WERE 5444 03:48:36,000 --> 03:48:37,240 RECEIVING THE INFORMATION IF 5445 03:48:37,240 --> 03:48:38,920 THEY CHOSE TO DIE INTO IT AND 5446 03:48:38,920 --> 03:48:49,480 SECOND IS REQUIRING OPEN ACCESS 5447 03:50:01,440 --> 03:50:05,000 ONE WAY TO ADDRESS THIS WOULD 5448 03:50:05,000 --> 03:50:06,160 EMBED BIO ETH SIS IN BUY CAM 5449 03:50:06,160 --> 03:50:07,360 PROJECTS TO ASSIST 5450 03:50:07,360 --> 03:50:09,560 CONSIDERATIONS OF THESE 5451 03:50:09,560 --> 03:50:11,280 CHALLENGES TO FLUSH OUT CONSENT 5452 03:50:11,280 --> 03:50:12,200 FORMS AND TO THINK CAREFULLY 5453 03:50:12,200 --> 03:50:14,800 ABOUT THE RISK AND BENEFITS IN A 5454 03:50:14,800 --> 03:50:22,680 CONTEXT SPECIFIC WAY THAT'S IT. 5455 03:50:22,680 --> 03:50:26,720 YOU CAN LEARN MORE AT THIS LINK. 5456 03:50:26,720 --> 03:50:29,560 AND IS GRATEFUL ACKNOWLEDGMENTS 5457 03:50:29,560 --> 03:50:35,200 TO MY CO-CHAIRS. 5458 03:50:35,200 --> 03:50:38,280 WHO HELPED TO FACILITATE THE 5459 03:50:38,280 --> 03:50:40,200 CONSULTATION AS WELL AS TO 5460 03:50:40,200 --> 03:50:41,120 PREPARE THE BACKGROUND MATERIALS 5461 03:50:41,120 --> 03:50:45,320 AND THESE PRESENTATIONS AND 5462 03:50:45,320 --> 03:50:50,440 CONSULT REQUESTERS, Dr. JOHN 5463 03:50:50,440 --> 03:50:56,440 NYE, Dr. NCCIH MER, Dr. 5464 03:50:56,440 --> 03:50:57,680 Dr. YOUNG YAW AND THE SPEAKERS 5465 03:50:57,680 --> 03:51:03,200 WHO JOINED THAT DAY. 5466 03:51:03,200 --> 03:51:04,640 THAT'S JUST A LITTLE BIT OF 5467 03:51:04,640 --> 03:51:04,920 BACKGROUND. 5468 03:51:04,920 --> 03:51:06,120 WE HAVE A FEW MINUTES FOR 5469 03:51:06,120 --> 03:51:08,000 QUESTIONS AND I KNOW ANDREA IS 5470 03:51:08,000 --> 03:51:10,320 HERE TO ANSWER ADDITIONAL 5471 03:51:10,320 --> 03:51:11,520 QUESTIONS IF I AM UNABLE TO STAY 5472 03:51:11,520 --> 03:51:13,600 WITH YOU FOR MORE QUESTIONS. 5473 03:51:13,600 --> 03:51:14,960 >> Joshua Gordon: THANK YOU SO 5474 03:51:14,960 --> 03:51:15,280 MUCH. 5475 03:51:15,280 --> 03:51:16,600 ARE THERE QUESTIONS OR COMMENTS 5476 03:51:16,600 --> 03:51:21,160 FROM MEMBERS OF THE COUNCIL? 5477 03:51:21,160 --> 03:51:21,800 Dr. COLLINS. 5478 03:51:21,800 --> 03:51:23,920 >>THANK YOU FOR THE 5479 03:51:23,920 --> 03:51:24,680 PRESENTATION. 5480 03:51:24,680 --> 03:51:26,120 VERY T I JUST HAVE A QUESTION, 5481 03:51:26,120 --> 03:51:27,880 IS THERE A PORTFOLIO THAT IS 5482 03:51:27,880 --> 03:51:29,120 PART OF THE BRAIN INITIATIVES 5483 03:51:29,120 --> 03:51:30,520 THAT ACTUALLY STUDIES SOME OF 5484 03:51:30,520 --> 03:51:33,040 THESE ETHICS QUESTIONS AND CAN 5485 03:51:33,040 --> 03:51:34,680 GET PERSPECTIVES FROM 5486 03:51:34,680 --> 03:51:35,000 PARTICIPANTS? 5487 03:51:35,000 --> 03:51:38,480 >>THERE IS. 5488 03:51:38,480 --> 03:51:42,560 Dr. FARAMAMY OR DO YOU WANT TO 5489 03:51:42,560 --> 03:51:43,800 COMMENT HOW CLOSE THREE MIGHT 5490 03:51:43,800 --> 03:51:47,000 MATCH THESE ISSUES? 5491 03:51:47,000 --> 03:51:49,520 KHYAN LEGAL ANDREA JUMP IN ON 5492 03:51:49,520 --> 03:51:51,000 THAT TO SAY THERE'S BEEN A 5493 03:51:51,000 --> 03:51:52,800 NUMBER OF RFAs THAT ARE 5494 03:51:52,800 --> 03:51:54,640 RELATED TO NEUROETHICS AND 5495 03:51:54,640 --> 03:51:55,720 DIFFERENT FOLKS STUDYING 5496 03:51:55,720 --> 03:51:58,240 DIFFERENT ASPECTS THAT ARE BOTH 5497 03:51:58,240 --> 03:51:59,480 RELATED TO INFORMS CONSENT AND 5498 03:51:59,480 --> 03:52:01,600 RISK OF HARMS THAT ARISE FROM 5499 03:52:01,600 --> 03:52:04,880 USE OF SHARING OF DATA BUT 5500 03:52:04,880 --> 03:52:07,280 ANDREA MAY BE ABLE TO BETTER 5501 03:52:07,280 --> 03:52:08,720 ADDRESS THE PARTICULAR NOT 5502 03:52:08,720 --> 03:52:10,800 FUNDED RESEARCHERS ARE STUDYING 5503 03:52:10,800 --> 03:52:13,400 THIS ISSUE IN PARTICULAR. 5504 03:52:13,400 --> 03:52:15,800 >>YOU ANSWERED HE QUESTION. 5505 03:52:15,800 --> 03:52:19,840 WE DON'T HAVE SPECIFIC GRANTS 5506 03:52:19,840 --> 03:52:30,320 FUNDED FOR THIS IT STRUCK ME 5507 03:52:48,280 --> 03:52:52,160 THAT THOSE WHO CURRENTLY WANT TO 5508 03:52:52,160 --> 03:52:53,200 SHARE ARE FINE WITH CONTROLLED 5509 03:52:53,200 --> 03:52:55,000 ACCESS VERSUS OPEN ACCESS. 5510 03:52:55,000 --> 03:52:57,920 BUT I WONDER ABOUT THOSE WHO WE 5511 03:52:57,920 --> 03:52:59,280 ARE, WE TALKED ABOUT POPULATIONS 5512 03:52:59,280 --> 03:53:01,400 AND WE'RE TRYING TO ENCOURAGE TO 5513 03:53:01,400 --> 03:53:03,320 COME THESE THOSE STUDIES AND 5514 03:53:03,320 --> 03:53:04,200 WHETHER OR NOT THERE'S GOING TO 5515 03:53:04,200 --> 03:53:05,880 BE SOME WORK TO EXAMINE IF THERE 5516 03:53:05,880 --> 03:53:07,760 ARE DIFFERENCES WITH THOSE 5517 03:53:07,760 --> 03:53:09,120 POPULATIONS IN TERMS OF NOT WHAT 5518 03:53:09,120 --> 03:53:11,080 THEIR PREFERENCES ARE FOR 5519 03:53:11,080 --> 03:53:13,040 CONTROL VERSUS OPEN ACCESS AND 5520 03:53:13,040 --> 03:53:16,000 I'M ALSO WONDERING IF THERE'S A 5521 03:53:16,000 --> 03:53:17,120 HYPE OF POSSIBILITY THAT IS 5522 03:53:17,120 --> 03:53:22,000 OPTION THAT IS POSSIBLE. 5523 03:53:22,000 --> 03:53:22,360 >> 5524 03:53:22,360 --> 03:53:23,560 >>PLEASE, GO AHEAD. 5525 03:53:23,560 --> 03:53:25,000 >>YOU ARE SHORT ON TIME. 5526 03:53:25,000 --> 03:53:26,920 >>I WAS JUST GOING TO SAY, IT'S 5527 03:53:26,920 --> 03:53:29,200 INTERESTING BECAUSE THERE'S BEEN 5528 03:53:29,200 --> 03:53:31,120 A GOOD BIT OF RESEARCH YOU DONE 5529 03:53:31,120 --> 03:53:33,000 ON WILLINGNESS TO SHARE WITH 5530 03:53:33,000 --> 03:53:34,360 RESEARCHERS ACROSS DIFFERENT 5531 03:53:34,360 --> 03:53:37,120 COMMUNITIES AND THE NUMBERS STAY 5532 03:53:37,120 --> 03:53:41,680 PRETTY CONSTANT ACROSS DIFFERENT 5533 03:53:41,680 --> 03:53:50,240 COMMUNITIES AND AND OF THOSE 5534 03:53:50,240 --> 03:53:51,120 COMMUNITIES WHO ARE GENERALLY 5535 03:53:51,120 --> 03:53:53,080 INVOLVED YOU ARE LOOKING AT A 5536 03:53:53,080 --> 03:53:54,560 PRETTY CONSISTENT WILLINGNESS TO 5537 03:53:54,560 --> 03:53:57,160 SHARE AND IT BREAKS DOWN TO 5538 03:53:57,160 --> 03:53:58,760 USUALLY 80/20 AND DEPENDING ON 5539 03:53:58,760 --> 03:54:01,600 WHETHER IT'S AN OPT-IN OR 5540 03:54:01,600 --> 03:54:02,000 OPT-OUT APPROACH. 5541 03:54:02,000 --> 03:54:03,400 ONE OF THE PRESENTATIONS WE HAVE 5542 03:54:03,400 --> 03:54:04,680 FROM Dr. CLAYTON SHOWED THERE 5543 03:54:04,680 --> 03:54:06,280 WAS A SIGNIFICANT WILLINGNESS BY 5544 03:54:06,280 --> 03:54:07,800 PEOPLE TO SHARE THE CONTEXT 5545 03:54:07,800 --> 03:54:10,920 ALONG AS THEY WERE ADEQUATELY 5546 03:54:10,920 --> 03:54:12,000 GIVEN INFORMATION ABOUT THE RISK 5547 03:54:12,000 --> 03:54:16,960 AND BENEFITS OF DOING SO. 5548 03:54:16,960 --> 03:54:19,000 >>WE ACTUALLY DO HAVE SOME 5549 03:54:19,000 --> 03:54:21,640 STUDIES THAT ARE ON THAT TOPIC 5550 03:54:21,640 --> 03:54:22,720 SPECIFICALLY THAT WE'RE 5551 03:54:22,720 --> 03:54:24,080 SUPPORTING AND WE DON'T HAVE 5552 03:54:24,080 --> 03:54:25,480 DATA YET BUT WE HOPE TO HAVE IT 5553 03:54:25,480 --> 03:54:28,440 SOON AND I THINK SOME OF OUR 5554 03:54:28,440 --> 03:54:31,320 FOCUS HAS BEEN ON ENGAGEMENT AND 5555 03:54:31,320 --> 03:54:35,160 PROMOTING UNDERSTANDING. 5556 03:54:35,160 --> 03:54:36,920 >>TED -- 5557 03:54:36,920 --> 03:54:37,600 >>A COMMENT. 5558 03:54:37,600 --> 03:54:39,920 THANK YOU FOR THE PRESENTATION. 5559 03:54:39,920 --> 03:54:41,840 AND I WANTED TO RELAY ONE THING 5560 03:54:41,840 --> 03:54:45,080 THAT JOHN NYE PUT IN THE WEBINAR 5561 03:54:45,080 --> 03:54:46,720 CHAT THAT THERE ARE BIO EMPHASIS 5562 03:54:46,720 --> 03:54:48,480 EMBEDDED IN THE BUY CAM PROJECTS 5563 03:54:48,480 --> 03:54:52,400 AND IT'S WHAT I WANTED TO POINT 5564 03:54:52,400 --> 03:54:54,400 OUT THAT IS A TERRIFIC MODEL AND 5565 03:54:54,400 --> 03:54:57,480 THE IDEA OF HAVING BIO ETH A SIS 5566 03:54:57,480 --> 03:54:59,680 AS PART OF OUR LARGER PROJECTS 5567 03:54:59,680 --> 03:55:01,400 IS SOMETHING THAT I FIRST 5568 03:55:01,400 --> 03:55:02,400 ENCOUNTERED WITH THE BRAIN 5569 03:55:02,400 --> 03:55:06,640 INITIATIVE AN I'M THE 5570 03:55:06,640 --> 03:55:07,520 REPRESENTATIVE OF THIS COUNCIL 5571 03:55:07,520 --> 03:55:08,600 ON THE MULTI COUNCIL WORKING 5572 03:55:08,600 --> 03:55:10,200 GROUP AND I THINK IT'S A 5573 03:55:10,200 --> 03:55:11,600 TREMENDOUS IDEA AND I THINK THAT 5574 03:55:11,600 --> 03:55:13,200 THAT IS TO ME ONE OF THE MOST 5575 03:55:13,200 --> 03:55:14,840 PORT AM THINGS TO THINK ABOUT AS 5576 03:55:14,840 --> 03:55:16,800 A RESPONSE TO THIS AND WE MAY 5577 03:55:16,800 --> 03:55:18,240 WANT TO THINK ABOUT IT MORE 5578 03:55:18,240 --> 03:55:20,160 BROADLY AS WE THINK ABOUT OUR 5579 03:55:20,160 --> 03:55:22,680 LARGER CENTER INITIATIVES 5580 03:55:22,680 --> 03:55:24,400 BECAUSE I THINK THAT THE BIO ETH 5581 03:55:24,400 --> 03:55:26,680 SIS HAVE A LOT TO TEACH US AND 5582 03:55:26,680 --> 03:55:27,920 THE VERY NITTY GRITTY DISCUSSION 5583 03:55:27,920 --> 03:55:29,240 I HAD WAS ABOUT THE DIFFERENCE 5584 03:55:29,240 --> 03:55:30,680 OF HAVING A BRAIN SAMPLE AND 5585 03:55:30,680 --> 03:55:31,840 WHETHER YOU ARE GOING TO DO 5586 03:55:31,840 --> 03:55:35,360 SINGLE NUCLEAR RNA SEEK OR MULTI 5587 03:55:35,360 --> 03:55:36,920 OMIC WHERE YOU SEQUENCE THE 5588 03:55:36,920 --> 03:55:38,720 WHOLE GENOME. 5589 03:55:38,720 --> 03:55:40,720 YOU HAVE AN IRB AND YOU CAN HAVE 5590 03:55:40,720 --> 03:55:49,240 A SYMBOL BUT DON'T SEQUENCE MY 5591 03:55:49,240 --> 03:55:49,800 GENOME. 5592 03:55:49,800 --> 03:55:53,680 IT COMES IN UP BRAIN INITIATIVE 5593 03:55:53,680 --> 03:55:54,560 WHERE OPPORTUNITIES IS THE MORE 5594 03:55:54,560 --> 03:55:58,400 AND MORE PATIENTS THAT ARE IN 5595 03:55:58,400 --> 03:56:01,880 NEURO SURGICAL STUDIES AND BRAIN 5596 03:56:01,880 --> 03:56:03,200 COMPUTER INTERFACE STUDIES AND 5597 03:56:03,200 --> 03:56:05,160 HOW THOSE WORK WHICH IS ONE AREA 5598 03:56:05,160 --> 03:56:06,120 WHERE THEY'RE HEAVY INVOLVED 5599 03:56:06,120 --> 03:56:07,600 WHICH IS TREMENDOUSLY IMPORTANT 5600 03:56:07,600 --> 03:56:09,840 SO I THINK ONE THING FOR US TO 5601 03:56:09,840 --> 03:56:12,960 THINK ABOUT AT NIMH IS 5602 03:56:12,960 --> 03:56:15,120 INCORPORATING NOT NEUROETHICS IN 5603 03:56:15,120 --> 03:56:16,760 WHAT WE DO AND WHAT WE THINK 5604 03:56:16,760 --> 03:56:19,800 ABOUT MORE. 5605 03:56:19,800 --> 03:56:20,240 THANK YOU. 5606 03:56:20,240 --> 03:56:22,720 >>I'M GOING TO SAY HEAR HEAR TO 5607 03:56:22,720 --> 03:56:23,440 THAT ONE. 5608 03:56:23,440 --> 03:56:26,280 I WILL SAY THAT WHAT YOU SAID IS 5609 03:56:26,280 --> 03:56:28,200 IMPORTANT AND JOHN'S POINT HERE 5610 03:56:28,200 --> 03:56:30,080 ABOUT EMBEDDING IS THE IMPORTANT 5611 03:56:30,080 --> 03:56:31,880 WHICH IS, THE MORE IT'S PART OF 5612 03:56:31,880 --> 03:56:37,280 AN ONGOING DIALOGUE, THE MORE 5613 03:56:37,280 --> 03:56:38,320 THERE'S A ROLE AND MITIGATESSED 5614 03:56:38,320 --> 03:56:47,200 RIT'S MOREREACTIVE AND AFTER THR 5615 03:56:47,200 --> 03:56:49,800 IT'S HARDER TO HAVE AN 5616 03:56:49,800 --> 03:56:50,640 INTEGRATED AND THE PROGRESS OF 5617 03:56:50,640 --> 03:57:01,080 THE STUDY ITSELF ORS WHERE 5618 03:57:05,480 --> 03:57:06,760 PEOPLE ARE OFF ON AN ISLAND 5619 03:57:06,760 --> 03:57:08,160 DOING THEIR OWN THING RATHER 5620 03:57:08,160 --> 03:57:10,240 THAN INTEGRATING IT INTO THE 5621 03:57:10,240 --> 03:57:11,000 RESEARCH PROCESS ITSELF. 5622 03:57:11,000 --> 03:57:12,680 >>THANK YOU, VERY MUCH. 5623 03:57:12,680 --> 03:57:14,360 APPRECIATE IT. 5624 03:57:14,360 --> 03:57:16,360 AND HOPEFULLY JOHN AND ANDREA 5625 03:57:16,360 --> 03:57:18,840 YOU GOT ENOUGH TO THINK ABOUT OF 5626 03:57:18,840 --> 03:57:20,920 HOW YOU WILL MOVE FORWARD AND 5627 03:57:20,920 --> 03:57:22,600 WITH THAT WE'LL MOVE INTO THE 5628 03:57:22,600 --> 03:57:24,560 NEXT SEGMENT OF OUR MEETING 5629 03:57:24,560 --> 03:57:28,040 WHICH IS THE PUBLIC COMMENT 5630 03:57:28,040 --> 03:57:28,400 SECTION. 5631 03:57:28,400 --> 03:57:33,120 VERY PLEASED TO RETHE PUBLIC AND 5632 03:57:33,120 --> 03:57:37,600 I BELIEVE WE HAVE ONE PRIOR 5633 03:57:37,600 --> 03:57:39,080 REGISTRANT WHO WOULD LIKE TO 5634 03:57:39,080 --> 03:57:42,120 GIVE ORAL COMMENT. 5635 03:57:42,120 --> 03:57:43,360 RESTRICT YOUR COMMENTS TO THREE 5636 03:57:43,360 --> 03:57:44,440 MINUTES WHICH I WILL TIME TO 5637 03:57:44,440 --> 03:57:47,360 MAKE SURE THAT WE STICK TO IT 5638 03:57:47,360 --> 03:57:49,680 AND SO I INVITE FIRST THE PRIOR 5639 03:57:49,680 --> 03:57:53,400 REGISTRANT TO COME AND THIS IS 5640 03:57:53,400 --> 03:57:55,960 Dr. OKACHNGA AND THE PEOPLE OF 5641 03:57:55,960 --> 03:57:57,200 ETHICAL TREATMENT OF ANIMALS AND 5642 03:57:57,200 --> 03:57:58,600 I BELIEVE WE HAVE A MICROPHONE 5643 03:57:58,600 --> 03:58:02,160 SET UP FOR YOU. 5644 03:58:02,160 --> 03:58:06,080 >> 5645 03:58:06,080 --> 03:58:07,400 >>GOOD AFTERNOON, ALL. 5646 03:58:07,400 --> 03:58:13,240 MY NAME IS Dr. AKLCANA AND I 5647 03:58:13,240 --> 03:58:15,160 SERVE AS PRICE HAVE OF THE PITA 5648 03:58:15,160 --> 03:58:16,840 LABORATORY AND CASES AND THE 5649 03:58:16,840 --> 03:58:27,400 TREATMENT OF ANIMALS AND CARRIED 5650 03:58:28,560 --> 03:58:31,080 AT THE INTRAMURAL RESEARCH 5651 03:58:31,080 --> 03:58:33,760 PROGRAM AND IN THE LAB, MACAQUES 5652 03:58:33,760 --> 03:58:37,400 ARE SUBJECTED TO NUMEROUS AND 5653 03:58:37,400 --> 03:58:39,400 INVASIVE SURGERIES TO HAVE 5654 03:58:39,400 --> 03:58:41,880 TOXINS INJECTED INTO THEIR 5655 03:58:41,880 --> 03:58:43,680 BRAINS AND HEAD POSTS AND 5656 03:58:43,680 --> 03:58:44,920 CHAMBERS SCREWED TO THEIR 5657 03:58:44,920 --> 03:58:46,440 SKULLS. 5658 03:58:46,440 --> 03:58:49,000 THESE MONKEYS ARE RESTRAINED FOR 5659 03:58:49,000 --> 03:58:51,360 HOURS AT A TIME DEPRIVED OF FOOD 5660 03:58:51,360 --> 03:58:53,520 AND WATER SO THEY WILL COOPERATE 5661 03:58:53,520 --> 03:58:56,800 WHEN SUBJECTED TO BEHAVIORAL 5662 03:58:56,800 --> 03:58:58,880 TRIALS AND OFTEN FOR THEM IS 5663 03:58:58,880 --> 03:59:00,440 SOCIAL ISOLATION FOR YEARS 5664 03:59:00,440 --> 03:59:03,520 BEFORE BEING KILLED. 5665 03:59:03,520 --> 03:59:04,640 THESE EXPERIMENTS WHICH HAVE 5666 03:59:04,640 --> 03:59:07,760 BEEN GOING ON FOR FOUR DECADES, 5667 03:59:07,760 --> 03:59:10,080 AND HAVE COST TAXPAYERS 5668 03:59:10,080 --> 03:59:11,320 $50 MILLION, HAVE FAILED TO 5669 03:59:11,320 --> 03:59:12,600 PROVIDE DATA MEANINGFUL ENOUGH 5670 03:59:12,600 --> 03:59:15,520 TO IMPROVE HUMAN MENTAL HEALTH. 5671 03:59:15,520 --> 03:59:19,280 AS A CONSIDERABLE HARM INFLICTED 5672 03:59:19,280 --> 03:59:24,240 ON NON CONSENTING SEN TEE ANT 5673 03:59:24,240 --> 03:59:25,920 MONKEYS ARE EVIDENCE IN 5674 03:59:25,920 --> 03:59:28,520 DOCUMENTS MAINTAINED BY A LAB 5675 03:59:28,520 --> 03:59:31,160 WHICH WERE OBTAINED OF PETA 5676 03:59:31,160 --> 03:59:33,920 THROUGH FREEDOM OF INFORMATION 5677 03:59:33,920 --> 03:59:34,160 REQUEST. 5678 03:59:34,160 --> 03:59:35,560 I'LL SHARE THE STORY OF JUST ONE 5679 03:59:35,560 --> 03:59:36,360 MONKEY. 5680 03:59:36,360 --> 03:59:38,080 SAM SMITH, AS LAB STAFF NAMED 5681 03:59:38,080 --> 03:59:40,720 HIM WAS BORN AT A SOUTH CAROLINA 5682 03:59:40,720 --> 03:59:43,600 BASED MONKEY BREEDER AND DEALER 5683 03:59:43,600 --> 03:59:44,760 CALLED ALPHA GENESIS. 5684 03:59:44,760 --> 03:59:47,120 AND BROUGHT TO NIH WHEN HE WAS 5685 03:59:47,120 --> 03:59:47,800 TWO. 5686 03:59:47,800 --> 03:59:49,120 HE WAS NEARLY FIVE WHEN HE WAS 5687 03:59:49,120 --> 03:59:51,920 PLACED IN THE INTRAMURAL LAB AT 5688 03:59:51,920 --> 03:59:54,240 A NIMH. 5689 03:59:54,240 --> 03:59:56,040 SHORTLY THERE A. EXPERIMENTERS 5690 03:59:56,040 --> 03:59:58,920 CUT INTO SAM'S SKULL AND 5691 03:59:58,920 --> 04:00:02,440 INJECTED EXCITE OWE TOXINS INTO 5692 04:00:02,440 --> 04:00:04,560 HIS MIG DA LA CAUSING PERMANENT 5693 04:00:04,560 --> 04:00:05,320 BRAIN DAMAGE. 5694 04:00:05,320 --> 04:00:08,160 TWO WEEKS LATER HE WAS SUBJECTED 5695 04:00:08,160 --> 04:00:10,360 TO ANOTHER SURGERY THIS ONE TO 5696 04:00:10,360 --> 04:00:13,720 REMOVE A HEMATOMA FROM UNDER HIS 5697 04:00:13,720 --> 04:00:15,840 SKULL AFTER A BLOOD VESSEL WAS 5698 04:00:15,840 --> 04:00:17,240 CUT DURING THE PREVIOUS SURGERY. 5699 04:00:17,240 --> 04:00:19,880 A FEW WEEKS AFTER THAT. 5700 04:00:19,880 --> 04:00:22,280 SAM SMITH'S CORTEX WAS LESIONED 5701 04:00:22,280 --> 04:00:27,400 THROUGH ASPIRATION. 5702 04:00:27,400 --> 04:00:29,120 SAM SMITH HAS BEEN CAGED ALONE 5703 04:00:29,120 --> 04:00:31,880 SINCE JULY OF 2009. 5704 04:00:31,880 --> 04:00:34,160 NOTATIONS AND SAM SMITH'S 5705 04:00:34,160 --> 04:00:36,880 RECORDS INDICATE THAT HE ENGAGES 5706 04:00:36,880 --> 04:00:39,480 IN STEREO TYPING AND CIRCLING IN 5707 04:00:39,480 --> 04:00:41,800 HIS CAGE AND ROCKING BACK AND 5708 04:00:41,800 --> 04:00:43,520 FOURTH, HIS PSYCHOLOGICAL 5709 04:00:43,520 --> 04:00:45,400 DISTRESS IS EVIDENT IN HIS 5710 04:00:45,400 --> 04:00:51,320 EXTENSIVE HAIR LOSS. 5711 04:00:51,320 --> 04:00:52,240 UNABLE TO CONTROL ANYTHING IN 5712 04:00:52,240 --> 04:00:55,480 THEIR LIVES, MONKEYS IN LABS 5713 04:00:55,480 --> 04:00:58,160 PULL OUT THEIR OWN HAIR. 5714 04:00:58,160 --> 04:01:01,480 IT'S ONE THING THEY CAN CONTROL. 5715 04:01:01,480 --> 04:01:03,920 SAM SMITH HAS BEFORE STARVED, 5716 04:01:03,920 --> 04:01:04,520 SEDATED, STRAPPED INTO 5717 04:01:04,520 --> 04:01:07,680 RESTRAINTS AND FORCED TO ENDURE 5718 04:01:07,680 --> 04:01:08,560 PAINFUL PROCEDURES. 5719 04:01:08,560 --> 04:01:11,720 HE IS JUST ONE OF HUNDREDS OF 5720 04:01:11,720 --> 04:01:13,280 MONKEYS WHO HAVE BEEN HARMED IN 5721 04:01:13,280 --> 04:01:15,920 THIS INTRAMURAL LAB. 5722 04:01:15,920 --> 04:01:18,080 TO OUR KNOWLEDGE, SAM SMITH IS 5723 04:01:18,080 --> 04:01:18,560 STILL ALIVE. 5724 04:01:18,560 --> 04:01:23,440 AND IS ONE OF 91 RECESS MACAQUES 5725 04:01:23,440 --> 04:01:25,880 CURRENTLY HELD IN THIS LAB. 5726 04:01:25,880 --> 04:01:28,640 IS THAT THREE MINUTES? 5727 04:01:28,640 --> 04:01:30,680 WELL, I BELIEVE THE FULL 5728 04:01:30,680 --> 04:01:32,280 TRANSCRIPT OF MY COMMENTS ARE IN 5729 04:01:32,280 --> 04:01:32,640 YOUR RECORDS. 5730 04:01:32,640 --> 04:01:34,240 THANK YOU, VERY MUCH. 5731 04:01:34,240 --> 04:01:35,520 >>THAT'S RIGHT. 5732 04:01:35,520 --> 04:01:36,280 THANK YOU. 5733 04:01:36,280 --> 04:01:36,800 FULL COMMENTS ARE IN THE 5734 04:01:36,800 --> 04:01:37,040 RECORDS. 5735 04:01:37,040 --> 04:01:38,440 THANK YOU, VERY MUCH. 5736 04:01:38,440 --> 04:01:39,080 >> Joshua Gordon: ALL MEMBERS 5737 04:01:39,080 --> 04:01:40,360 OF OUR COUNCIL HAVE RECEIVED 5738 04:01:40,360 --> 04:01:40,800 THEM. 5739 04:01:40,800 --> 04:01:42,320 APPRECIATE YOU COMING TO US 5740 04:01:42,320 --> 04:01:42,760 TODAY. 5741 04:01:42,760 --> 04:01:45,000 ARE THERE OTHER MEMBERS OF 5742 04:01:45,000 --> 04:01:46,320 PUBLIC MEMBERS WHO WOULD LIKE TO 5743 04:01:46,320 --> 04:01:50,800 MAKE A COMMENT? 5744 04:01:50,800 --> 04:01:51,240 -THANK YOU. 5745 04:01:51,240 --> 04:01:52,600 ARE THERE ANY QUESTIONS OR 5746 04:01:52,600 --> 04:01:56,360 COMMENTS FROM THE COUNCIL? 5747 04:01:56,360 --> 04:01:57,160 ALL RIGHT. 5748 04:01:57,160 --> 04:01:58,800 WELL, WITH NO FURTHER ADIEU, I 5749 04:01:58,800 --> 04:02:01,480 THINK WE ACTUALLY ADJOURN ON 5750 04:02:01,480 --> 04:02:02,280 TIME. 5751 04:02:02,280 --> 04:02:03,800 APPRECIATE EVERYONE'S WORK TODAY 5752 04:02:03,800 --> 04:02:05,480 AND I ESPECIALLY APPRECIATE THE 5753 04:02:05,480 --> 04:02:06,880 WORK THAT WE WILL DO TOMORROW 5754 04:02:06,880 --> 04:02:08,880 DURING THE CLOSED SESSION AND 5755 04:02:08,880 --> 04:02:10,480 WITH THAT, I CONCLUDE THE OPEN 5756 04:02:10,480 --> 04:02:13,120 SESSION OF THIS COUNCIL. 5757 04:02:13,120 --> 04:02:23,520 I GET TO BIND THE GAVEL.