1 00:00:06,077 --> 00:00:06,577 >> HELLO. 2 00:00:06,577 --> 00:00:11,115 AND WELCOME TO THE 276th 3 00:00:11,115 --> 00:00:13,117 MEETING OF THE NATIONAL ADVISORY 4 00:00:13,117 --> 00:00:15,219 MENTAL HEALTH COUNCIL. 5 00:00:15,219 --> 00:00:18,323 I'M ELIZABETH, EXECUTIVE 6 00:00:18,323 --> 00:00:20,024 SECRETARY FOR THE COUNCIL AND 7 00:00:20,024 --> 00:00:23,161 ACTING DIRECTOR FOR THE NATIONAL 8 00:00:23,161 --> 00:00:26,030 THE SUITATEITUTE OF MENTAL 9 00:00:26,030 --> 00:00:26,264 HEALTH. 10 00:00:26,264 --> 00:00:28,599 BEFORE WE MOVE ON TO THE 11 00:00:28,599 --> 00:00:30,635 DIRECTOR'S UPDATE, I WANT TO 12 00:00:30,635 --> 00:00:31,869 REMIND YOU OF A FEW ITEMS. 13 00:00:31,869 --> 00:00:34,305 THIS OPEN SESSION IS BEING 14 00:00:34,305 --> 00:00:36,808 BROADCAST TO THE NIH COMMUNITY 15 00:00:36,808 --> 00:00:37,475 AND THE VIEWING PUBLIC. 16 00:00:37,475 --> 00:00:41,112 ALLOWING PEOPLE TO WATCH AND 17 00:00:41,112 --> 00:00:43,614 LISTEN REMOTELY. 18 00:00:43,614 --> 00:00:44,615 THE VIDEO IS ALSO BEING 19 00:00:44,615 --> 00:00:46,651 RECORDING TO ALLOW VIEWING 20 00:00:46,651 --> 00:00:48,219 ON-DEMAND AT A LATER DATE. 21 00:00:48,219 --> 00:00:49,887 COUNCILMEMBERS, THANK YOU FOR 22 00:00:49,887 --> 00:00:51,189 TURNING ON YOUR CAMERAS, I 23 00:00:51,189 --> 00:00:53,057 ENCOURAGE YOU TO KEEP YOUR VIDEO 24 00:00:53,057 --> 00:00:54,826 ON THROUGHOUT THE MEETING. 25 00:00:54,826 --> 00:00:56,461 NIMH STAFF WITH A PRESENTATION 26 00:00:56,461 --> 00:00:58,830 ROLE, WE ASK THAT YOU TURN YOUR 27 00:00:58,830 --> 00:00:59,731 VIDEO ON DURING YOUR 28 00:00:59,731 --> 00:01:00,064 PRESENTATION. 29 00:01:00,064 --> 00:01:04,035 IF YOU JOINED THIS MEETING VIA 30 00:01:04,035 --> 00:01:04,602 MS TEAMS, PLEASE MAKE SURE 31 00:01:04,602 --> 00:01:07,138 YOU'RE MUTED WHEN YOU'RE NOT 32 00:01:07,138 --> 00:01:08,272 SPEAKING. 33 00:01:08,272 --> 00:01:09,874 IT IS NOW MY PLEASURE TO 34 00:01:09,874 --> 00:01:11,209 INTRODUCE THE ACTING DIRECTOR OF 35 00:01:11,209 --> 00:01:14,746 THE NIMH, DR. ANDREA 36 00:01:14,746 --> 00:01:15,480 BECKEL-MITCHENER. 37 00:01:15,480 --> 00:01:17,682 ANDREA HAS SERVED AS THE ACTING 38 00:01:17,682 --> 00:01:19,884 DIRECTOR SINCE APRIL OF THIS 39 00:01:19,884 --> 00:01:21,052 YEAR. 40 00:01:21,052 --> 00:01:23,254 PREVIOUSLY, ANDREA SERVED AND 41 00:01:23,254 --> 00:01:25,523 CONTINUES IN OUR ROLE AS THE 42 00:01:25,523 --> 00:01:27,625 DEPUTY DIRECTOR OF THE BRAIN 43 00:01:27,625 --> 00:01:30,661 RESEARCH THROUGH ADVANCING 44 00:01:30,661 --> 00:01:32,063 INNOVATIVE NEUROTECHNOLOGY OR 45 00:01:32,063 --> 00:01:35,767 THE BRAIN INITIATIVE SINCE 2021. 46 00:01:35,767 --> 00:01:36,534 HER EXPERIENCE ALSO INCLUDES 47 00:01:36,534 --> 00:01:38,202 DIRECTOR POSITIONS AT THE NIMH 48 00:01:38,202 --> 00:01:41,172 IN THE IN THE DISPARITIES 49 00:01:41,172 --> 00:01:42,874 RESEARCH OFFICE, THE OFFICE OF 50 00:01:42,874 --> 00:01:44,909 RURAL MENTAL HEALTH RESEARCH, 51 00:01:44,909 --> 00:01:48,613 AND AS CHIEF OF THE FUNCTIONAL 52 00:01:48,613 --> 00:01:50,014 NEUROGENOMICS PROGRAM AND THE 53 00:01:50,014 --> 00:01:51,816 DIVISION OF NEUROSCIENCE AND 54 00:01:51,816 --> 00:01:53,618 BASIC BEHAVIORAL SCIENCE. 55 00:01:53,618 --> 00:01:58,089 IN ADDITION TO SERVING AS ACTING 56 00:01:58,089 --> 00:01:59,891 PREVISIONER -- DIRECTOR OF THE 57 00:01:59,891 --> 00:02:02,894 NIMH, SHE SERVES ON THE COUNCIL. 58 00:02:02,894 --> 00:02:03,728 I WILL NOW TURN THE MEETING OVER 59 00:02:03,728 --> 00:02:05,163 TO ANDREA. 60 00:02:05,163 --> 00:02:05,863 >> DR. ANDREA BECKEL-MITCHENER: 61 00:02:05,863 --> 00:02:07,432 THANK YOU, LIZ, FIRST I WANT TO 62 00:02:07,432 --> 00:02:09,233 THANK OUR ADVISORY COUNSELOR 63 00:02:09,233 --> 00:02:10,535 MEMBERS FOR THEIR CONTRIBUTIONS 64 00:02:10,535 --> 00:02:12,003 AND THE WORK THEY HAVE DONE TO 65 00:02:12,003 --> 00:02:13,871 PREPARE FOR TODAY. 66 00:02:13,871 --> 00:02:14,906 I ALSO THANK YOU FOR MAKING TIME 67 00:02:14,906 --> 00:02:16,307 TODAY. 68 00:02:16,307 --> 00:02:17,041 AND FOR PARTICIPATING IN THE 69 00:02:17,041 --> 00:02:19,177 COUNCIL MEETING ITSELF. 70 00:02:19,177 --> 00:02:21,379 AS A REMINDER OUR COUNCIL 71 00:02:21,379 --> 00:02:23,047 MEETING IS A TIME FOR 72 00:02:23,047 --> 00:02:25,049 INFORMATION EXCHANGE BETWEEN 73 00:02:25,049 --> 00:02:26,584 INSTITUTE STAFF AND 74 00:02:26,584 --> 00:02:27,752 COUNCILMEMBERS. 75 00:02:27,752 --> 00:02:28,352 AS WELL AS AN OPPORTUNITY FOR 76 00:02:28,352 --> 00:02:31,989 THE COUNCIL TO ADVISE THE NIMH 77 00:02:31,989 --> 00:02:34,358 ON SCIENTIFIC CONCEPTS AROUND 78 00:02:34,358 --> 00:02:36,094 POTENTIAL RESEARCH INITIATIVES 79 00:02:36,094 --> 00:02:38,262 AS WELL AS INSTITUTE POLICY AND 80 00:02:38,262 --> 00:02:40,765 RESEARCH PRIORITIES. 81 00:02:40,765 --> 00:02:42,266 NEXT I WANT TO ACKNOWLEDGE THE 82 00:02:42,266 --> 00:02:43,835 COUNCIL MEMBERS WERE PROVIDED 83 00:02:43,835 --> 00:02:52,677 WITH A SUSPECT 2024 -- SEPTEMBES 84 00:02:52,677 --> 00:02:55,480 THROUGH ELECT ABOUTIC AND VOTED 85 00:02:55,480 --> 00:02:57,582 IN APPROVAL BEFORE TODAY'S 86 00:02:57,582 --> 00:02:57,982 MEETING. 87 00:02:57,982 --> 00:02:59,484 NOW, I'M GOING TO TRANSITION TO 88 00:02:59,484 --> 00:03:02,086 THE NIMH DIRECTOR'S REPORT. 89 00:03:02,086 --> 00:03:04,288 I BELIEVE YOU CAN SEE MY SLIDES. 90 00:03:04,288 --> 00:03:06,824 WHICH IS A LITTLE BIT JITTERY. 91 00:03:06,824 --> 00:03:10,495 I'M GOING TO TURN MY CAMERA OFF 92 00:03:10,495 --> 00:03:11,596 JUST FOR NOW. 93 00:03:11,596 --> 00:03:14,265 IF THAT HELPS. 94 00:03:14,265 --> 00:03:23,975 SO, AS YOU'RE AWARE, 95 00:03:23,975 --> 00:03:26,911 OH, THAT IS 96 00:03:26,911 --> 00:03:28,713 LATER, I APOLOGIZE. 97 00:03:28,713 --> 00:03:31,682 LET ME GET MY SHEET -- MY CHEAT 98 00:03:31,682 --> 00:03:33,017 SHEET. 99 00:03:33,017 --> 00:03:35,186 SO AS LIZ WELL, WELCOME TO THE 100 00:03:35,186 --> 00:03:37,255 276th MEETING OF THE NATIONAL 101 00:03:37,255 --> 00:03:39,557 ADVISORY MENTAL HEALTH COUNCIL. 102 00:03:39,557 --> 00:03:40,158 LIKE ALL OF THE INSTITUTES AT 103 00:03:40,158 --> 00:03:42,093 THE NIMH, THERE IS SIGNIFICANT 104 00:03:42,093 --> 00:03:43,161 CHANGES IN THE LAST FEW MONTHS. 105 00:03:43,161 --> 00:03:45,062 TODAY I'M GOING TO SHARE 106 00:03:45,062 --> 00:03:48,399 IMPORTANT UPDATES ACROSS HHS, 107 00:03:48,399 --> 00:03:49,433 NIMH AND THAT ARE RELEVANT TO 108 00:03:49,433 --> 00:03:51,102 THE MENTAL HEALTH RESEARCH 109 00:03:51,102 --> 00:03:51,369 COMMUNITY. 110 00:03:51,369 --> 00:03:54,238 NOW, DURING, DUE TO ONGOING 111 00:03:54,238 --> 00:03:55,907 LITIGATION, SURROUNDING VARIOUS 112 00:03:55,907 --> 00:04:01,379 ACTIONS AT NIH OR HHS AND NIH, 113 00:04:01,379 --> 00:04:03,314 WE ARE NOT ABLE TO COMMENT ON A 114 00:04:03,314 --> 00:04:05,283 VARIETY OF TOPICS TODAY. 115 00:04:05,283 --> 00:04:08,586 YOU MAY HERE US SAY THAT AND 116 00:04:08,586 --> 00:04:11,022 AWAIT S ACQUAINTANCE ON HHS ON 117 00:04:11,022 --> 00:04:11,656 MANY OF THE ORGANIZATIONAL AND 118 00:04:11,656 --> 00:04:15,059 GRANT RELATED ITEMS YOU MAY HAVE 119 00:04:15,059 --> 00:04:15,459 QUESTIONS ABOUT. 120 00:04:15,459 --> 00:04:16,761 WE WILL DO OUR BEST TO ANSWER 121 00:04:16,761 --> 00:04:19,964 YOUR QUESTIONS OR TAKE THEM BACK 122 00:04:19,964 --> 00:04:21,232 FOR CONSULTATION AND RESPONSE 123 00:04:21,232 --> 00:04:22,300 ONCE WE HAVE IMPORTANT 124 00:04:22,300 --> 00:04:25,903 INFORMATION TO CHAIR SHARE. 125 00:04:25,903 --> 00:04:36,347 SO, I THINK I CLICK FORWARD. 126 00:04:36,347 --> 00:04:38,749 SO, LIZ MENTIONED I STARTED THIS 127 00:04:38,749 --> 00:04:40,518 ROLE IN APRIL AS ACTING DIRECTOR 128 00:04:40,518 --> 00:04:41,519 OF NIMH. 129 00:04:41,519 --> 00:04:44,722 I WANTED TO SAY DEEPLY GRATEFUL 130 00:04:44,722 --> 00:04:46,190 TO DR. SHELLY WHO SERVED AS 131 00:04:46,190 --> 00:04:48,492 ACTING NIMH DIRECTOR SINCE JUNE 132 00:04:48,492 --> 00:04:49,460 OF LAST YEAR. 133 00:04:49,460 --> 00:04:51,162 AND PRIOR TO THAT FOR MANY YEARS 134 00:04:51,162 --> 00:04:57,435 AS NIMH DEPUTY DIRECTOR. 135 00:04:57,435 --> 00:04:59,136 DOCTORS -- HAVE ASKED DOCTOR TO 136 00:04:59,136 --> 00:05:01,806 CONTINUECONTINUE TO SERVE IN HES 137 00:05:01,806 --> 00:05:03,307 ACTING DEPUTY DIRECTOR TO 138 00:05:03,307 --> 00:05:05,910 SUPPORT NIMH AT THIS TIME OF 139 00:05:05,910 --> 00:05:07,378 CHANGE. 140 00:05:07,378 --> 00:05:09,247 BOTH DOCTOR AND I BRING STRONG 141 00:05:09,247 --> 00:05:11,082 INSTITUTIONAL KNOWLEDGE AND 142 00:05:11,082 --> 00:05:14,885 EXPERIENCE LEADING HIGH-PROFILE 143 00:05:14,885 --> 00:05:19,056 NIMH AND NIH O EFFORTS AND ARE 144 00:05:19,056 --> 00:05:21,559 COMMITTING TO SERVING THE NIMH 145 00:05:21,559 --> 00:05:23,961 ESPECIALLY DURING SIGNIFICANT 146 00:05:23,961 --> 00:05:27,331 CHANGE AT NIH AND HHS. 147 00:05:27,331 --> 00:05:31,002 SO YOU KNOW, NIMH IS PLANNING TO 148 00:05:31,002 --> 00:05:31,669 RESUME RECRUITMENT FOR A NEW 149 00:05:31,669 --> 00:05:33,037 NIMH DIRECTOR. 150 00:05:33,037 --> 00:05:35,339 TO NOTE NIMH IS NOT RESPONSIBLE 151 00:05:35,339 --> 00:05:36,440 FOR CONDUCTING THE SEARCH 152 00:05:36,440 --> 00:05:37,308 ITSELF. 153 00:05:37,308 --> 00:05:39,410 AND NIH LEVEL COMMITTEE HANDLES 154 00:05:39,410 --> 00:05:41,746 THOSE PROCESSES AND IS, AS IT IS 155 00:05:41,746 --> 00:05:43,047 THE PRACTICE FOR ALL OPEN 156 00:05:43,047 --> 00:05:46,083 INSTITUTE DIRECTOR POSITIONS, 157 00:05:46,083 --> 00:05:47,018 BUT PLEASE STAY TUNED FOR MORE 158 00:05:47,018 --> 00:05:49,654 INFORMATION ON THAT. 159 00:05:49,654 --> 00:05:52,690 SO, HERE'S OUR AGENDA FOR TODAY. 160 00:05:52,690 --> 00:05:57,495 I'M GOING TO START OFF WITH HHS 161 00:05:57,495 --> 00:06:00,731 AND SOME HHS AND NIH LEADERSHIP 162 00:06:00,731 --> 00:06:03,934 CHANGES AND THEN GO ONTO T TO TE 163 00:06:03,934 --> 00:06:05,469 SUBSEQUENT ITEMS LATER. 164 00:06:05,469 --> 00:06:07,805 OH, SOMETHING, I GUESS I HAVE TO 165 00:06:07,805 --> 00:06:09,407 HAVE MY MOUSE ON THE RIGHT SIDE 166 00:06:09,407 --> 00:06:11,008 OF THE SCREEN. 167 00:06:11,008 --> 00:06:15,046 SO, IN, ON FEBRUARY 13th, 168 00:06:15,046 --> 00:06:16,247 ROBERT F KENNEDY JUNIOR WAS 169 00:06:16,247 --> 00:06:19,550 SWORN IN AS HHS SECRETARY. 170 00:06:19,550 --> 00:06:20,718 AS SECRETARY, MR. KENNEDY 171 00:06:20,718 --> 00:06:23,587 ADMINISTRATORS AND OVERSEES ALL 172 00:06:23,587 --> 00:06:25,489 HHS PROGRAMS, OPERATING 173 00:06:25,489 --> 00:06:27,491 DIVISIONS AND ABOUTS AND ON JUST 174 00:06:27,491 --> 00:06:29,960 RECENTLY ON JUNE 9th, JAMES 175 00:06:29,960 --> 00:06:35,266 O'NEILL WAS SWORN IN AS HHS 176 00:06:35,266 --> 00:06:35,866 DEPUTY SECRETARY. 177 00:06:35,866 --> 00:06:39,603 ON MARCH 25th, DR. J WAS 178 00:06:39,603 --> 00:06:42,373 CONFIRMED AS THE 18th DIRECTOR 179 00:06:42,373 --> 00:06:43,641 OF NIH. 180 00:06:43,641 --> 00:06:47,745 HE REPLACED DOCTOR MONICA WHO 181 00:06:47,745 --> 00:06:52,383 SERVED AS NIH DIRECTOR SINCE 182 00:06:52,383 --> 00:06:52,983 #2023 THROUGH JANUARY OF THIS 183 00:06:52,983 --> 00:06:53,384 YEAR. 184 00:06:53,384 --> 00:06:55,720 THANKS TO DOCTOR WHO SERVED AS 185 00:06:55,720 --> 00:06:57,955 THE ACTOR NIH DIRECTOR FROM 186 00:06:57,955 --> 00:06:59,890 JANUARY 22nd UNTIL THE 187 00:06:59,890 --> 00:07:01,525 DOCTOR'S CONFIRMATION, AND 188 00:07:01,525 --> 00:07:03,260 DOCTOR EMILY REMAINS IN A 189 00:07:03,260 --> 00:07:05,262 POSITION OF PRINCIPLE DEPUTY 190 00:07:05,262 --> 00:07:06,697 UNDER DOCTOR. 191 00:07:06,697 --> 00:07:08,566 DOCTOR IS A PHYSICIAN. 192 00:07:08,566 --> 00:07:11,235 RESEARCHERS, AND HEALTH 193 00:07:11,235 --> 00:07:13,404 ECONOMIST AND HELD A TENURED 194 00:07:13,404 --> 00:07:15,606 PROFESSORSHIP AT STANFORD 195 00:07:15,606 --> 00:07:17,274 UNIVERSITY, JUNE OF MEDICINE. 196 00:07:17,274 --> 00:07:19,543 HE PLACED AN INSTRUMENTAL ROLE 197 00:07:19,543 --> 00:07:23,013 OF SHAMING NIH -- HE WILL PLAY A 198 00:07:23,013 --> 00:07:25,282 INSTRUMENTAL ROLE IN PLACING NIH 199 00:07:25,282 --> 00:07:26,484 ACTIVITIES AND VISION AND MAKE 200 00:07:26,484 --> 00:07:29,120 SURE THAT THEY ALIGN WITH 201 00:07:29,120 --> 00:07:29,954 ADMINISTER'S PRIORITIES. 202 00:07:29,954 --> 00:07:33,224 DOCTOR HAS ELUCIDATED SOME OF 203 00:07:33,224 --> 00:07:36,160 HIS KEY, FIVE KEY PRIORITY AREAS 204 00:07:36,160 --> 00:07:38,195 HE WOULD LIKE TO FOCUS ON. 205 00:07:38,195 --> 00:07:42,366 FIRST HE WANTS NIH TO IMPROVE 206 00:07:42,366 --> 00:07:43,601 POPULATION HEALTH BY PREVENTING, 207 00:07:43,601 --> 00:07:45,903 TREATING AND CURING CHRONIC 208 00:07:45,903 --> 00:07:46,170 DISEASES. 209 00:07:46,170 --> 00:07:49,507 HE ALSO WANTS NIH TO ENSURE 210 00:07:49,507 --> 00:07:53,210 RELIABLE RESULTS BY FOCUS ON 211 00:07:53,210 --> 00:07:54,044 REPRODUCIBILITY AND SCIENTIFIC 212 00:07:54,044 --> 00:07:55,413 RIGOR. 213 00:07:55,413 --> 00:07:58,082 AND THIRDLY, HE WANTS NIH TO 214 00:07:58,082 --> 00:08:00,017 INVEST IN INNOVATION AND EMBRACE 215 00:08:00,017 --> 00:08:02,019 NEW IDEAS TECHNOLOGY, AND 216 00:08:02,019 --> 00:08:03,087 APPROACHES. 217 00:08:03,087 --> 00:08:03,721 DOCTOR IS LOOKING TO STRENGTHEN 218 00:08:03,721 --> 00:08:06,590 PUBLIC TRUST BY IMPROVING 219 00:08:06,590 --> 00:08:08,192 OVERSIGHT AND MAINTAIN SAFETY 220 00:08:08,192 --> 00:08:09,994 AND TRANSPARENCY ESPECIALLY WITH 221 00:08:09,994 --> 00:08:10,928 FOREIGN COLLABORATIONS. 222 00:08:10,928 --> 00:08:14,698 AND FINALLY, HE WANTS TO 223 00:08:14,698 --> 00:08:16,467 ENCOURAGE ACADEMIC FREEDOM 224 00:08:16,467 --> 00:08:18,636 FOSTERING A CUSTOMER THERE IS 225 00:08:18,636 --> 00:08:20,571 OPEN ACADEMIC DISCUSSIONS. 226 00:08:20,571 --> 00:08:23,707 HE ALREADY PROPOSED SOME CHANGES 227 00:08:23,707 --> 00:08:24,975 IN THE INTERMURAL RESEARCH 228 00:08:24,975 --> 00:08:26,076 PROGRAM. 229 00:08:26,076 --> 00:08:28,245 SO WE HOPE TO INVITE DOCTOR TO A 230 00:08:28,245 --> 00:08:29,280 FUTURE COUNCIL MEETING. 231 00:08:29,280 --> 00:08:31,849 HE HAS BEEN DOING THE ROUNDS AT 232 00:08:31,849 --> 00:08:32,416 OTHER COUNCILS. 233 00:08:32,416 --> 00:08:33,984 THAT WAY YOU WILL BE ABLE TO 234 00:08:33,984 --> 00:08:36,887 HEAR DIRECTLY FROM THEM ON THESE 235 00:08:36,887 --> 00:08:42,526 PRIORITIES AND ORD OTHERS. 236 00:08:42,526 --> 00:08:42,760 WHOOPS. 237 00:08:42,760 --> 00:08:44,061 SORRY. 238 00:08:44,061 --> 00:08:45,029 I SEEM TO BE CLICKING ON THE 239 00:08:45,029 --> 00:08:49,500 WRONG -- WRONG AREAS. 240 00:08:49,500 --> 00:08:50,901 HOPEFULLY, DID THE SLIDE CHANGE 241 00:08:50,901 --> 00:08:52,570 TO NEW ACTING DIRECTORS? 242 00:08:52,570 --> 00:08:54,905 I THINK IT MUST HAVE. 243 00:08:54,905 --> 00:08:55,306 >> YES. 244 00:08:55,306 --> 00:08:55,940 WE'RE GOOD. 245 00:08:55,940 --> 00:08:56,774 >> DR. ANDREA BECKEL-MITCHENER: 246 00:08:56,774 --> 00:08:56,974 OKAY. 247 00:08:56,974 --> 00:08:57,975 THANKS. 248 00:08:57,975 --> 00:09:02,179 THERE SEEMS TO BE A DELAY O ON Y 249 00:09:02,179 --> 00:09:02,580 SIDE. 250 00:09:02,580 --> 00:09:04,215 SO MANY MORE CHANGES AT NIH. 251 00:09:04,215 --> 00:09:06,050 THERE ARE SEVERAL INSTITUTES AND 252 00:09:06,050 --> 00:09:09,620 CENTERS WITH NEW ACTING 253 00:09:09,620 --> 00:09:09,887 DIRECTORS. 254 00:09:09,887 --> 00:09:10,955 FIVE OF THEM ARE HERE. 255 00:09:10,955 --> 00:09:13,858 SO THAT MAKES SIX INCLUDING 256 00:09:13,858 --> 00:09:14,091 MYSELF. 257 00:09:14,091 --> 00:09:25,002 W[LISTING DIRECTORS]YOU KNOW, NS 258 00:09:28,339 --> 00:09:28,739 UNDERLINED THERE. 259 00:09:28,739 --> 00:09:31,542 SO MANY OF, ALL OF THESE 260 00:09:31,542 --> 00:09:32,343 INDIVIDUALS ACTUALLY BRING LOTS 261 00:09:32,343 --> 00:09:35,713 OF NIH EXPERIENCE TO THEIR 262 00:09:35,713 --> 00:09:39,283 ROLES. 263 00:09:39,283 --> 00:09:41,218 SO NEXT I'LL PROVIDE AN UPDATE 264 00:09:41,218 --> 00:09:45,022 ON APPROPRIATIONS AND BUDGET ON 265 00:09:45,022 --> 00:09:48,225 MARCH 15th, FOR TRUMP SIGNED 266 00:09:48,225 --> 00:09:49,860 THE FULL YEAR CONTINUING 267 00:09:49,860 --> 00:09:53,264 APPROPRIATIONS AND EXTENSION ACT 268 00:09:53,264 --> 00:09:53,931 OF 2025. 269 00:09:53,931 --> 00:09:57,101 THE FULL YEAR CR CONTINUING 270 00:09:57,101 --> 00:10:01,205 RESOLUTION PROVIDES 271 00:10:01,205 --> 00:10:04,842 $45.5 BILLION TO NIH INCLUDING 272 00:10:04,842 --> 00:10:05,342 $322 BILLION TO NATIONAL 273 00:10:05,342 --> 00:10:06,443 ADVISORY MENTAL HEALTH COUNCIL. 274 00:10:06,443 --> 00:10:07,211 DIRECT APPROPRIATION IS 275 00:10:07,211 --> 00:10:10,047 CONSISTENT WITH OUR FY24 FUNDING 276 00:10:10,047 --> 00:10:10,281 LEVELS. 277 00:10:10,281 --> 00:10:13,884 THERE WAS A, A PREDICTED KNOWN 278 00:10:13,884 --> 00:10:16,587 REDUCTION IN OUR CURES 279 00:10:16,587 --> 00:10:18,289 APPROPRIATION DOWN TO 280 00:10:18,289 --> 00:10:20,724 $40.5 MILLION THIS YEAR. 281 00:10:20,724 --> 00:10:26,363 SOMETHING WE ALREADY KNEW ABOUT. 282 00:10:26,363 --> 00:10:28,599 ON MAY 2nd, THE WHITE HOUSE 283 00:10:28,599 --> 00:10:32,303 RELEASED THE PRESIDENT'S, FY26 284 00:10:32,303 --> 00:10:35,573 BUDGET WHICH REQUESTS 285 00:10:35,573 --> 00:10:38,242 $94.7 BILLION IN DISCRETIONARY 286 00:10:38,242 --> 00:10:39,843 BUDGET AUTHORITY FOR HHS. 287 00:10:39,843 --> 00:10:44,715 THAT IS A 20% REDUCTION FROM '2. 288 00:10:44,715 --> 00:10:49,853 THE FY26 PRESIDENT BUDGET 289 00:10:49,853 --> 00:10:51,355 PROPELLEDS 26 BILLION FOR 290 00:10:51,355 --> 00:10:54,858 RESEARCH, THAT'S A REDUCTION OF 291 00:10:54,858 --> 00:10:56,860 18 BILLION, 39%, THE BUDGET 292 00:10:56,860 --> 00:10:59,129 AUTHORITY COMPARED TO OUR 293 00:10:59,129 --> 00:10:59,430 '25 LEVELS. 294 00:10:59,430 --> 00:11:01,298 IT IS IMPORTANT TO NOTE, THIS IS 295 00:11:01,298 --> 00:11:02,066 A PROPOSAL AND CONGRESS WILL SET 296 00:11:02,066 --> 00:11:05,102 THE BUDGET WITH ANECTED 297 00:11:05,102 --> 00:11:06,637 LEGISLATION, WE LOOK FORWARD TO 298 00:11:06,637 --> 00:11:08,939 SEEING WHAT NUMBERS THEY COME UP 299 00:11:08,939 --> 00:11:11,609 WITH. 300 00:11:11,609 --> 00:11:14,678 ON MAY 14th, OF THIS YEAR, IN 301 00:11:14,678 --> 00:11:16,914 MAY 25th, I THINK, YES, MAY 302 00:11:16,914 --> 00:11:21,151 20th, SORRY, SECRETARY KENNEDY 303 00:11:21,151 --> 00:11:22,286 TESTIFIED BEFORE THE HOUSE 304 00:11:22,286 --> 00:11:24,355 APPROPRIATIONS COMMITTEE, THE 305 00:11:24,355 --> 00:11:26,123 SENATE HEALTH EDUCATION AND 306 00:11:26,123 --> 00:11:28,192 LABOR PASSIONS COMMITTEE AND THE 307 00:11:28,192 --> 00:11:30,494 SENATE APPROPRIATES LABOR HEALTH 308 00:11:30,494 --> 00:11:33,631 AND HUMAN SERVICES, EDUCATED 309 00:11:33,631 --> 00:11:35,399 RELATED AGENCY SUBCOMMITTEE ON 310 00:11:35,399 --> 00:11:37,301 THE PRESIDENT'S FY26 BUDGET. 311 00:11:37,301 --> 00:11:39,803 AND THEN, AGAIN, JUST RECENTLY 312 00:11:39,803 --> 00:11:43,907 ON JUNE 10th, DOCTOR TESTIFIED 313 00:11:43,907 --> 00:11:44,742 BEFORE THAT? 314 00:11:44,742 --> 00:11:46,744 APPROPRIATIONS THE LHHS 315 00:11:46,744 --> 00:11:51,915 SUBCOMMITTEE ON THE FY26 BUDGET 316 00:11:51,915 --> 00:11:54,418 JUSTIFICATION. 317 00:11:54,418 --> 00:11:55,953 SO, HERE'S A LITTLE BIT MORE 318 00:11:55,953 --> 00:11:57,187 INFORMATION ON NIMH FUNDING. 319 00:11:57,187 --> 00:11:59,757 WE SHOW THESE NUMBERS EVERY 320 00:11:59,757 --> 00:12:01,925 YEAR. 321 00:12:01,925 --> 00:12:06,296 IN FISCAL YEAR 24 NIMH FUNDED 322 00:12:06,296 --> 00:12:08,332 600 NEW AND COMPETING RESEARCH 323 00:12:08,332 --> 00:12:10,434 GRANTS WITH A SUCCESS RATE OF 324 00:12:10,434 --> 00:12:10,834 21%. 325 00:12:10,834 --> 00:12:11,902 THE SUCCESS RATE IS DEFINED AS 326 00:12:11,902 --> 00:12:14,905 THE NUMBER OF APLOCATED FUNDED 327 00:12:14,905 --> 00:12:16,440 DIVIDED BY THE NUMBER OF 328 00:12:16,440 --> 00:12:18,075 APPLICATIONS RECEIVED. 329 00:12:18,075 --> 00:12:19,843 YOU THOUGHT THROUGH 2024, WE 330 00:12:19,843 --> 00:12:21,211 HAVE BEEN, WE HAVE BEEN 331 00:12:21,211 --> 00:12:23,514 APPROXIMATELY LEVEL. 332 00:12:23,514 --> 00:12:26,450 AND ALSO QUITE CONSISTENT WITH 333 00:12:26,450 --> 00:12:32,356 OUR SUCCESS RATES. 334 00:12:32,356 --> 00:12:36,260 THIS FIGURE SHOWS NIMH BUDGET 335 00:12:36,260 --> 00:12:39,697 FOR FY25 AND AS IT RELATES TO 336 00:12:39,697 --> 00:12:43,133 THE PREVIOUS NINE YEARS OF 337 00:12:43,133 --> 00:12:44,668 APPROPRIATED CURRENT VERSUS 338 00:12:44,668 --> 00:12:46,003 CONSTANT DOLLARS. 339 00:12:46,003 --> 00:12:48,939 SO THE DARKER BLUE BAND IS 340 00:12:48,939 --> 00:12:52,943 APPROPRIATION IN FY, SORRY, 2016 341 00:12:52,943 --> 00:12:56,346 BUDGET DOLLARS, THE LIGHTER BLUE 342 00:12:56,346 --> 00:12:58,549 BAND SHOWS THE DIRECT 343 00:12:58,549 --> 00:12:59,416 APPROPRIATION AND WHAT YOU'LL 344 00:12:59,416 --> 00:13:00,884 NOTE HERE IS THAT WHILE OVER THE 345 00:13:00,884 --> 00:13:04,455 PAST DECADE OR SO, ACTUAL 346 00:13:04,455 --> 00:13:06,990 PURCHASING POWER REMAINED FAIRLY 347 00:13:06,990 --> 00:13:09,493 CONSTANT UNTIL WE SAW A DROP IN 348 00:13:09,493 --> 00:13:13,464 2024 AND THIS IS THE DROP YOU'LL 349 00:13:13,464 --> 00:13:14,832 SEE IN THE DARK BLUE BAND AND 350 00:13:14,832 --> 00:13:17,167 WHAT LOOKS LIKE ANOTHER DROP IN 351 00:13:17,167 --> 00:13:17,501 2025. 352 00:13:17,501 --> 00:13:19,336 THESE NUMBERS ARE ADJUSTED FOR 353 00:13:19,336 --> 00:13:20,404 INFLATION. 354 00:13:20,404 --> 00:13:21,772 SO WE KNOW OUR INFLATION RATE 355 00:13:21,772 --> 00:13:22,740 WAS HIGHER THAN IT HAD BEEN OVER 356 00:13:22,740 --> 00:13:24,241 THE LAST FEW YEARS. 357 00:13:24,241 --> 00:13:25,776 SO, REALLY WHAT YOU'RE SAYING 358 00:13:25,776 --> 00:13:27,311 HERE IS THAT OUR PURCHASING 359 00:13:27,311 --> 00:13:29,379 POWER HAS DROPPED AND WE 360 00:13:29,379 --> 00:13:34,084 ANTICIPATE THAT AGAIN FOR 2025. 361 00:13:34,084 --> 00:13:41,291 WE'LL MOVE TO A FEW HHS UPDATES. 362 00:13:41,291 --> 00:13:45,295 ON OCTOBER 16th OF LAST YEAR, 363 00:13:45,295 --> 00:13:47,598 HHS ADOPTED A NEW SCIENTIFIC 364 00:13:47,598 --> 00:13:49,900 INTEGRITY POLICY TO ENSURE THE 365 00:13:49,900 --> 00:13:52,269 INTEGRITY OF ALL ASPECTS OF HHS 366 00:13:52,269 --> 00:13:53,971 SCIENTIFIC ACTIVITIES INCLUDING 367 00:13:53,971 --> 00:13:55,939 PROPOSING, CONDUCTING, 368 00:13:55,939 --> 00:13:57,875 REVIEWING, MANAGING, AND 369 00:13:57,875 --> 00:13:59,510 COMMUNICATING ABOUT THE SCIENCE 370 00:13:59,510 --> 00:14:01,011 AND SCIENTIFIC ACTIVITIES. 371 00:14:01,011 --> 00:14:03,046 AND USING THE RESULTS AND 372 00:14:03,046 --> 00:14:07,251 SCIENCE TO INFORM POLICY AND 373 00:14:07,251 --> 00:14:07,851 DECISIONMAKING. 374 00:14:07,851 --> 00:14:09,720 THEN ON FEBRUARY 13th, UNDER 375 00:14:09,720 --> 00:14:11,588 THIS ADMINISTRATION, PRESIDENT 376 00:14:11,588 --> 00:14:14,458 TRUMP SIGNED AN EXECUTIVE ORDER 377 00:14:14,458 --> 00:14:16,226 TO ESTABLISH THE MAKE AMERICA 378 00:14:16,226 --> 00:14:16,760 HEALTHY AGAIN COMMISSION. 379 00:14:16,760 --> 00:14:20,264 THIS IS CHAIRED BY SECRETARY 380 00:14:20,264 --> 00:14:20,664 KENNEDY. 381 00:14:20,664 --> 00:14:22,566 THE COMMISSION IS TASKED WITH 382 00:14:22,566 --> 00:14:23,667 INVESTIGATING AND ADDRESSING THE 383 00:14:23,667 --> 00:14:26,170 ROOT CAUSES OF AMERICA'S 384 00:14:26,170 --> 00:14:28,839 ESCALATING HEALTH CRISIS WITH AN 385 00:14:28,839 --> 00:14:30,908 INITIAL FOCUS ON CHILDHOOD 386 00:14:30,908 --> 00:14:31,308 CHRONIC DISEASES. 387 00:14:31,308 --> 00:14:34,912 THE STRATEGY IS DETAILED IN THE 388 00:14:34,912 --> 00:14:38,749 REPORT WHICH WAS RELEASED ON MAE 389 00:14:38,749 --> 00:14:43,387 ACCESSED ONLINE. 390 00:14:43,387 --> 00:14:49,026 A FEW NIH UPDATES FOR YOU. 391 00:14:49,026 --> 00:14:52,596 WE RECENTLY BUILDING ONE, NIH 392 00:14:52,596 --> 00:14:55,432 CENTRAL, AS WE CALL IT, RECENTLY 393 00:14:55,432 --> 00:14:57,367 INITIATED A FEW NEW PROGRAMS ON 394 00:14:57,367 --> 00:14:59,837 APRIL 29th, NIH ANNOUNCING THE 395 00:14:59,837 --> 00:15:00,971 INTENT TO ESTABLISH A NEW 396 00:15:00,971 --> 00:15:03,574 OFFICE, THE OFFICE OF RESEARCH, 397 00:15:03,574 --> 00:15:04,741 INNOVATION, VALIDATION, AND 398 00:15:04,741 --> 00:15:05,576 APPLICATION, WITHIN THE NIH 399 00:15:05,576 --> 00:15:08,178 OFFICE OF THE DIRECTOR. 400 00:15:08,178 --> 00:15:09,980 THIS NEW OFFICE WILL COORDINATE 401 00:15:09,980 --> 00:15:13,483 NIH WIDE EFFORTS TO DEVELOP AND 402 00:15:13,483 --> 00:15:14,885 VAL AND SCALE THE USE OF 403 00:15:14,885 --> 00:15:17,020 NONANIMAL APPROACHES ACROSS THE 404 00:15:17,020 --> 00:15:19,089 AGENCY AND SURF AS A HUB FOR 405 00:15:19,089 --> 00:15:21,291 INTERAGENCY COORDINATION AND 406 00:15:21,291 --> 00:15:21,825 REGULATORY TRANSLATION FOR 407 00:15:21,825 --> 00:15:24,628 PUBLIC HEALTH PROTECTION. 408 00:15:24,628 --> 00:15:26,430 ANOTHER UPDATE FOR YOU ALL 409 00:15:26,430 --> 00:15:28,465 RELEVANT FOR THIS COMMUNITY, FOR 410 00:15:28,465 --> 00:15:31,768 OUOUR COMMUNITY ON MAY 27th, NIH 411 00:15:31,768 --> 00:15:33,837 SHARED A NEW RESEARCH 412 00:15:33,837 --> 00:15:35,906 OPPORTUNITY FOR AUTISM, CALLED 413 00:15:35,906 --> 00:15:38,408 THE AUTISM DATA SCIENCE 414 00:15:38,408 --> 00:15:39,042 INITIATIVE. 415 00:15:39,042 --> 00:15:39,443 ADSI. 416 00:15:39,443 --> 00:15:40,677 THIS INITIATIVE, WHICH IS BEING 417 00:15:40,677 --> 00:15:44,548 LED BY NIH OD, SEEKS TO BRING 418 00:15:44,548 --> 00:15:45,582 TOGETHER DIVERSE DATA RESOURCES 419 00:15:45,582 --> 00:15:47,517 TO EXPLORE POSSIBLE 420 00:15:47,517 --> 00:15:49,953 CONTRIBUTIONS TO THE CAUSES OF 421 00:15:49,953 --> 00:15:50,487 AUTISM. 422 00:15:50,487 --> 00:15:53,156 THE TIMELINE FOR THIS IS QUITE 423 00:15:53,156 --> 00:15:53,457 COMPRESSED. 424 00:15:53,457 --> 00:15:56,126 SINCE AWARDS NEED TO BE MADE 425 00:15:56,126 --> 00:15:56,526 THIS FISCAL YEAR. 426 00:15:56,526 --> 00:15:58,295 IT USES THE FUNDING AUTHORITY 427 00:15:58,295 --> 00:16:00,130 WITH AN ACCELERATED PROCESS. 428 00:16:00,130 --> 00:16:02,032 SO IMPORTANTLY, RESEARCH 429 00:16:02,032 --> 00:16:07,237 APPLICATIONS ARE DUE JUNE 2 430 00:16:07,237 --> 00:16:10,107 JUNE 27th. 431 00:16:10,107 --> 00:16:12,910 THERE HAVE BEEN NUMEROUS NIH 432 00:16:12,910 --> 00:16:16,079 POLICY UPDATES RELATED THE 433 00:16:16,079 --> 00:16:16,313 GRANTS. 434 00:16:16,313 --> 00:16:18,248 WE ENCOURAGE YOU TO PLEASE CHECK 435 00:16:18,248 --> 00:16:19,850 AND REGULARLY REVIEW THE FULLEST 436 00:16:19,850 --> 00:16:22,219 OF NOTICES OF NIH POLICY CHANGES 437 00:16:22,219 --> 00:16:24,388 TO STAY UP-TO-DATE ON WHAT NEW 438 00:16:24,388 --> 00:16:26,556 POLICIES AND GUIDANCE ARE 439 00:16:26,556 --> 00:16:27,124 AVAILABLE. 440 00:16:27,124 --> 00:16:28,792 WHO REHIGHLIGHTING A FEW HERE, 441 00:16:28,792 --> 00:16:32,396 THIS IS BY NO MEANS EXHAUSTIVE. 442 00:16:32,396 --> 00:16:34,631 SO THE NIIMPLEMENTED SEVERAL 443 00:16:34,631 --> 00:16:35,799 CHANGES FOR GRANT APPLICATIONS 444 00:16:35,799 --> 00:16:39,336 WITH DUE DATES ON OR 445 00:16:39,336 --> 00:16:40,337 AFTERJANUARY 25th OF THIS 446 00:16:40,337 --> 00:16:40,971 YEAR. 447 00:16:40,971 --> 00:16:43,373 INCLUDING SIMPLIFIED REVIEW 448 00:16:43,373 --> 00:16:44,808 FRAMEWORK, YOU MAY HAVE HEARD OF 449 00:16:44,808 --> 00:16:46,910 THIS, FOR PEER RER VIEW OF GRANT 450 00:16:46,910 --> 00:16:50,147 APPLICATIONS AND REVISIONS TO 451 00:16:50,147 --> 00:16:53,483 INSTRUCTIONS AND REVIEW CRITERIA 452 00:16:53,483 --> 00:16:54,751 FOR FELLOWSHIP APPLICATIONS AND 453 00:16:54,751 --> 00:16:56,853 INSTITUTIONAL TRAINING GRANTS. 454 00:16:56,853 --> 00:17:00,324 NIH, THE ADOPTION OF THE COMMON 455 00:17:00,324 --> 00:17:03,460 FORM BIOGRAPHICAL SKETCH, AND A 456 00:17:03,460 --> 00:17:05,862 NEW BIOGRAPHICAL SKETCH 457 00:17:05,862 --> 00:17:07,164 SUPPLEMENT ORIGINALLY SCHEDULED 458 00:17:07,164 --> 00:17:08,732 FOR MAY OF THIS YEAR IS 459 00:17:08,732 --> 00:17:08,999 POSTPONED. 460 00:17:08,999 --> 00:17:12,469 PLEASE CONTINUE TO USE THE NIH 461 00:17:12,469 --> 00:17:14,972 SPECIFIC FORMAT PAGES CURRENTLY 462 00:17:14,972 --> 00:17:17,474 AVAILABLE UNTIL FURTHER NOTICE. 463 00:17:17,474 --> 00:17:20,444 AND FINALLY IN DECEMBER OF 2024, 464 00:17:20,444 --> 00:17:22,813 NIH PUBLISHED AN UPDATED PUBLIC 465 00:17:22,813 --> 00:17:24,748 ACCESS POLICY. 466 00:17:24,748 --> 00:17:28,452 WE REMOVING THE EMBARGO PERIODS 467 00:17:28,452 --> 00:17:29,920 SO RESEARCHERS, STUDENTS AND 468 00:17:29,920 --> 00:17:32,122 MEMBERS OF THE PUBLIC HAVE RAPID 469 00:17:32,122 --> 00:17:33,924 ACCESS TO RESEARCH FINDINGS. 470 00:17:33,924 --> 00:17:35,492 THE ORIGINAL IMPLEMENTATION DATE 471 00:17:35,492 --> 00:17:38,295 WAS THE END OUT THIS CALENDAR 472 00:17:38,295 --> 00:17:39,596 YEAR. 473 00:17:39,596 --> 00:17:41,465 THAT HAS BEEN MOVED UP TO 474 00:17:41,465 --> 00:17:44,167 JULY 1st, 2025. 475 00:17:44,167 --> 00:17:44,668 THAT'S RAPIDLY UPCOMING. 476 00:17:44,668 --> 00:17:46,470 THIS IS A PLANNED PROCESS. 477 00:17:46,470 --> 00:17:49,673 THEY JUST MOVED IT UP BY SIX 478 00:17:49,673 --> 00:17:51,041 MONTHS. 479 00:17:51,041 --> 00:17:57,547 SO NEXT I WILL MOVE TO A FEW -- 480 00:17:57,547 --> 00:17:58,582 OKAY. 481 00:17:58,582 --> 00:17:59,016 NIMH NEWS. 482 00:17:59,016 --> 00:18:01,918 AND TO KNOW. 483 00:18:01,918 --> 00:18:06,023 SO, FIRST OF ALL, THIS NEXT FEW 484 00:18:06,023 --> 00:18:07,958 SLIDES ARE REQUIRED TO BE 485 00:18:07,958 --> 00:18:11,528 PRESENTED TO COUNSEL EVERY THREE 486 00:18:11,528 --> 00:18:11,862 YEARS. 487 00:18:11,862 --> 00:18:17,501 THE NIMH REVITALIZATION AC ACT F 488 00:18:17,501 --> 00:18:20,937 1993, THAT THERE MUST BE A 489 00:18:20,937 --> 00:18:22,039 REPORT ON A TRIENNIAL BASIS HOW 490 00:18:22,039 --> 00:18:28,512 THE INSTITUTE COMPLIE COMPLIED H 491 00:18:28,512 --> 00:18:30,347 REQUIREMENTS WITH WOMEN AND 492 00:18:30,347 --> 00:18:30,714 RESEARCH. 493 00:18:30,714 --> 00:18:32,082 SO THERE ARE SIMILAR STANDARDS 494 00:18:32,082 --> 00:18:35,052 FOR MAINTAINING, COLLECTING DATA 495 00:18:35,052 --> 00:18:35,886 ON RACE AND ETHNICITY. 496 00:18:35,886 --> 00:18:39,456 THE GOALS OF THE POLICY ARE TO 497 00:18:39,456 --> 00:18:41,458 ENSURE THAT WOMEN AND MINORITIES 498 00:18:41,458 --> 00:18:45,862 ARE INCLUDED IN NIH FUNDED 499 00:18:45,862 --> 00:18:46,329 RESEARCH. 500 00:18:46,329 --> 00:18:49,266 AND NIH PHASE III CLINICAL 501 00:18:49,266 --> 00:18:51,535 TRIALS ARE DEFINED IN A MANNER 502 00:18:51,535 --> 00:18:52,669 TO EXAMINE DIFFERENTIAL EFFECTS 503 00:18:52,669 --> 00:18:54,037 OF INTERVENTION ON MEN AND 504 00:18:54,037 --> 00:18:57,874 WOMEN, AND RACI RACIAL AND ETHNC 505 00:18:57,874 --> 00:18:58,408 MINORITY GROUPS. 506 00:18:58,408 --> 00:19:01,511 SO A SPECIAL THANKS TO OUR 507 00:19:01,511 --> 00:19:02,245 OFFICE OF CLINICAL RESEARCH. 508 00:19:02,245 --> 00:19:04,915 NIH FUNDED OUR DATA ON OUR 509 00:19:04,915 --> 00:19:08,018 FUNDED AND EXTRA MURAL CLINICAL 510 00:19:08,018 --> 00:19:12,322 RESEARCH AND NIH PHASE III 511 00:19:12,322 --> 00:19:13,723 CLINICAL TRIALS. 512 00:19:13,723 --> 00:19:14,524 SO COUNCILMEMBERVISE RECEIVED 513 00:19:14,524 --> 00:19:16,660 THIS REPORT AND VOTED ON ITS 514 00:19:16,660 --> 00:19:16,927 APPROVAL. 515 00:19:16,927 --> 00:19:18,061 WE THANK YOU FOR THAT. 516 00:19:18,061 --> 00:19:19,930 BUT TO BE IN COMPLIANCE THE NEXT 517 00:19:19,930 --> 00:19:22,466 FEW SLIDES I WILL JUST PROVIDE 518 00:19:22,466 --> 00:19:26,103 AN OVERVIEW OF FEW OF THE KEY 519 00:19:26,103 --> 00:19:26,603 FINDINGS. 520 00:19:26,603 --> 00:19:28,405 THE SLIDES SHOW THE SEX OF 521 00:19:28,405 --> 00:19:30,841 PARTICIPANTS ON THE LEFT IS 522 00:19:30,841 --> 00:19:32,509 EXTRA MURAL CLINICAL RESEARCH. 523 00:19:32,509 --> 00:19:34,311 ON THE RIGHT IS OUR INTERMURAL 524 00:19:34,311 --> 00:19:35,212 PROGRAM. 525 00:19:35,212 --> 00:19:36,246 AS INDICATED BY THE N, THE 526 00:19:36,246 --> 00:19:38,615 NUMBER OF SHOWN ON THE X AXIS 527 00:19:38,615 --> 00:19:41,118 THERE WAS AN INCREASED IN 528 00:19:41,118 --> 00:19:42,819 PARTICIPANT ENROLLMENT, WITH 529 00:19:42,819 --> 00:19:45,489 EXTRA MURAL STUDIES. 530 00:19:45,489 --> 00:19:47,324 NOTE THE VERY LARGE INCREASE IN 531 00:19:47,324 --> 00:19:48,992 IN RORAL CAN MOSTLY BE 532 00:19:48,992 --> 00:19:51,761 ATTRIBUTED TO A DENTIN MENTAL 533 00:19:51,761 --> 00:19:55,565 HEALTH STUDY THAT ENROLLED 534 00:19:55,565 --> 00:19:56,633 2.6 MILLION PARTICIPANTS AND 535 00:19:56,633 --> 00:19:57,968 MANY OF THE PARTICIPANTS NOT 536 00:19:57,968 --> 00:19:58,502 REPORTING THEIR SEX. 537 00:19:58,502 --> 00:20:00,937 YOU WILL SEE A VERY LARGE 538 00:20:00,937 --> 00:20:02,739 INCREASE IN UNKNOWN/NOT 539 00:20:02,739 --> 00:20:03,807 REPORTED. 540 00:20:03,807 --> 00:20:05,041 AND THREN THERE WAS A STARK 541 00:20:05,041 --> 00:20:07,811 DECREASE IN THE PERCENTAGE OF 542 00:20:07,811 --> 00:20:09,546 MEN ENROLLED. 543 00:20:09,546 --> 00:20:11,448 ACROSS ALL FISCAL YEARS 544 00:20:11,448 --> 00:20:13,650 ENROLLMENT PERCENTAGES OF WOMEN 545 00:20:13,650 --> 00:20:14,518 REMAINED CONSISTENT. 546 00:20:14,518 --> 00:20:17,487 BUT LOOKING AT THE INTERMURAL 547 00:20:17,487 --> 00:20:19,089 CLINICAL RESEARCH PROGRAM, THE 548 00:20:19,089 --> 00:20:20,957 PERCENTAGES FOR ALL CATEGORIES 549 00:20:20,957 --> 00:20:22,659 REMAINED CONSISTENT ACROSS THE 550 00:20:22,659 --> 00:20:25,962 THREE FISCAL YEARS. 551 00:20:25,962 --> 00:20:29,299 THIS SLIDE DISPLAYS THE RACE OF 552 00:20:29,299 --> 00:20:29,799 PARTICIPANTS. 553 00:20:29,799 --> 00:20:34,104 IT IS A VERY SIMILAR PROFILE. 554 00:20:34,104 --> 00:20:35,572 EXTRA MURAL RESEARCH, AGAIN, A 555 00:20:35,572 --> 00:20:36,673 SIGNIFICANT RESEARCH IN THE 556 00:20:36,673 --> 00:20:38,542 UNKNOWN AND NOT REPORTED DUE TO 557 00:20:38,542 --> 00:20:41,778 THE LARGE EXTRA MURAL PROJECT I 558 00:20:41,778 --> 00:20:42,979 JUST MENTIONED. 559 00:20:42,979 --> 00:20:45,148 AGAIN -- THIS IS -- ALL 560 00:20:45,148 --> 00:20:47,817 CONSISTENT WITH -- WE ARE IN 561 00:20:47,817 --> 00:20:49,252 COMPLIANCE AND CONSISTENT WITH 562 00:20:49,252 --> 00:20:50,053 THE NUMBERS THAT WE COULD EXPECT 563 00:20:50,053 --> 00:20:53,023 TO SEE. 564 00:20:53,023 --> 00:20:55,392 MOST PARTICIPANTS IDENTIFIED AS 565 00:20:55,392 --> 00:20:56,459 WHITE. 566 00:20:56,459 --> 00:20:58,562 FOR THE INTERMURAL PROGRAM, 67% 567 00:20:58,562 --> 00:21:02,465 OR SO AND OUR LARGEST AND RACIAL 568 00:21:02,465 --> 00:21:04,434 ETHNIC MINORITY GROUP WERE BLACK 569 00:21:04,434 --> 00:21:06,069 OR AMERICAN PARTICIPANTS, 570 00:21:06,069 --> 00:21:07,671 AVERAGING ABOUT 11%. 571 00:21:07,671 --> 00:21:10,574 THAT FULFILLS OUR DUTY. 572 00:21:10,574 --> 00:21:13,276 A FEW OTHER STAFF UPDATES. 573 00:21:13,276 --> 00:21:17,247 AGAIN, YOU HAVE SEEN HOW MANY 574 00:21:17,247 --> 00:21:18,982 POSITIONS WE HAVE THAT ARE 575 00:21:18,982 --> 00:21:19,482 ACTING. 576 00:21:19,482 --> 00:21:21,117 I WANT TO ACKNOWLEDGE FEW 577 00:21:21,117 --> 00:21:22,519 LEADERSHIP CHANGES HERE AT NIMH. 578 00:21:22,519 --> 00:21:25,488 YOU MET DOCTOR LIZ WHO IS NOW 579 00:21:25,488 --> 00:21:28,658 THE ACTING DIRECTOR OF THE DEA. 580 00:21:28,658 --> 00:21:29,593 THE DIVISION OF EXTRA MURAL 581 00:21:29,593 --> 00:21:30,227 ACTIVITIES. 582 00:21:30,227 --> 00:21:32,829 I ALSO WANT TO NOTE THAT DOCTOR 583 00:21:32,829 --> 00:21:34,965 WAS APPOINTED ACTING DIRECTOR OF 584 00:21:34,965 --> 00:21:36,032 THE NATIONAL ADVISORY MENTAL 585 00:21:36,032 --> 00:21:36,600 HEALTH COUNCIL'S DIVISION OF 586 00:21:36,600 --> 00:21:39,502 TRANSLATIONAL RESEARCH. 587 00:21:39,502 --> 00:21:41,571 DR. RUBEN IS SERVING AS ACTING 588 00:21:41,571 --> 00:21:43,607 DIRECTOR OF THE DIVISION OF DATA 589 00:21:43,607 --> 00:21:45,342 SCIENCE AND TECHNOLOGY. 590 00:21:45,342 --> 00:21:47,510 AND DR. KRISTINA WAS APPOINTED 591 00:21:47,510 --> 00:21:50,680 AS ACTING DIRECTOR FOR NIMH'S 592 00:21:50,680 --> 00:21:51,748 DIVISION OF SERVICES AND 593 00:21:51,748 --> 00:21:54,451 INTERVENTION RESEARCH UPON THE 594 00:21:54,451 --> 00:21:57,454 DEPARTURE OF PAT. 595 00:21:57,454 --> 00:22:00,123 AND I'M NOTING THE TIME, I'M 596 00:22:00,123 --> 00:22:01,124 PROBABLY GOING TO HAVE TO SPEED 597 00:22:01,124 --> 00:22:02,459 UP A LITTLE BIT, BUT I'M NOT 598 00:22:02,459 --> 00:22:03,393 GOING TO SPEED THROUGH THIS 599 00:22:03,393 --> 00:22:05,028 SLIDE BECAUSE IT IS IMPORTANT TO 600 00:22:05,028 --> 00:22:06,696 NOTE AND CELEBRATE OUR NIMH 601 00:22:06,696 --> 00:22:07,731 STAFF ACCOMPLISHMENTS. 602 00:22:07,731 --> 00:22:10,900 WE HAVE A NUMBER OF NIMHERS, WE 603 00:22:10,900 --> 00:22:12,802 ARE VERY PROUD THEY HAVE BEEN 604 00:22:12,802 --> 00:22:17,307 RECOGNIZED FOR THEIR EFFORTS. 605 00:22:17,307 --> 00:22:27,617 [LISTING EFFORTS] 606 00:23:15,298 --> 00:23:16,366 SO, I -- I THINK WHAT I'M GOING 607 00:23:16,366 --> 00:23:18,768 TO DO, WE HAD A NUMBER OF 608 00:23:18,768 --> 00:23:22,238 SCIENCE SLIDES THAT WE WANTED TO 609 00:23:22,238 --> 00:23:23,740 HIGHLIGHT. 610 00:23:23,740 --> 00:23:24,441 UNFORTUNATELY, SINCE WE HAD TWO 611 00:23:24,441 --> 00:23:26,009 COUNCIL ROUNDS WE HAVE A VERY 612 00:23:26,009 --> 00:23:29,312 COMPRESSED CYCLE, I THINK I'M 613 00:23:29,312 --> 00:23:30,613 GOING TO TALK ABOUTING 614 00:23:30,613 --> 00:23:33,616 DIRECTOR'S PREROGATIVE AND 615 00:23:33,616 --> 00:23:37,153 NOT -- PRESENT THIS AMAZING 616 00:23:37,153 --> 00:23:37,654 SCIENCE. 617 00:23:37,654 --> 00:23:39,956 SO WE LEAVE ENOUGH TIME FOR 618 00:23:39,956 --> 00:23:42,892 QUESTIONS AND COMMENTS FROM 619 00:23:42,892 --> 00:23:45,862 COUNCIL. 620 00:23:45,862 --> 00:23:47,697 SO, WITH THAT, I WILL CLOSE THE 621 00:23:47,697 --> 00:23:50,567 DIRECTOR'S UPDATE. 622 00:23:50,567 --> 00:24:00,977 AND OPEN FOR QUESTIONS. 623 00:24:02,746 --> 00:24:06,816 SO I BELIEVE -- AM I STILL 624 00:24:06,816 --> 00:24:12,122 SHARING? 625 00:24:12,122 --> 00:24:12,989 >> NO, YOU'RE GOOD, ANDREA. 626 00:24:12,989 --> 00:24:14,657 >> DR. ANDREA BECKEL-MITCHENER: 627 00:24:14,657 --> 00:24:15,091 OKAY. 628 00:24:15,091 --> 00:24:16,159 ALL I CAN SEE IS -- OH, OKAY. 629 00:24:16,159 --> 00:24:17,994 HERE WE ARE. 630 00:24:17,994 --> 00:24:21,364 APOLOGIES. 631 00:24:21,364 --> 00:24:21,564 OKAY! 632 00:24:21,564 --> 00:24:23,600 ANY QUESTIONS ON COMMENTS FROM 633 00:24:23,600 --> 00:24:30,206 COUNCIL? 634 00:24:30,206 --> 00:24:32,442 LIZ, CAN I ASK YOU TO CALL ON 635 00:24:32,442 --> 00:24:34,444 FOLKS? 636 00:24:34,444 --> 00:24:34,711 >> YES. 637 00:24:34,711 --> 00:24:35,578 >> THANK YOU, DR. ANDREA 638 00:24:35,578 --> 00:24:38,014 BECKEL-MITCHENER FOR THAT 639 00:24:38,014 --> 00:24:38,348 PRESENTATION. 640 00:24:38,348 --> 00:24:42,018 I WAS CURIOUS ABOUT WHERE YOU 641 00:24:42,018 --> 00:24:42,986 COULD SHARE ANYTHING ABOUT WHAT 642 00:24:42,986 --> 00:24:45,755 THE STRATEGY MIGHT LOOK LIKE FOR 643 00:24:45,755 --> 00:24:49,492 FY26 GIVEN THE POTENTIAL BUDGET 644 00:24:49,492 --> 00:24:49,759 DECREASES. 645 00:24:49,759 --> 00:24:50,593 I UNDERSTAND WE DON'T KNOW WHAT 646 00:24:50,593 --> 00:24:51,728 THAT WOULD LOOK LIKE. 647 00:24:51,728 --> 00:24:52,962 BUT I LOVE TO HEAR A LITTLE BIT 648 00:24:52,962 --> 00:24:54,831 ABOUT WHAT YOU ALL ARE THINKING 649 00:24:54,831 --> 00:24:56,733 WITH REGARD HOW TO MANAGE 650 00:24:56,733 --> 00:24:58,668 POTENTIAL CUTS OF THE SCOPE THAT 651 00:24:58,668 --> 00:24:59,602 HAVE BEEN DESCRIBED. 652 00:24:59,602 --> 00:25:00,303 >> DR. ANDREA BECKEL-MITCHENER: 653 00:25:00,303 --> 00:25:00,470 YES. 654 00:25:00,470 --> 00:25:02,705 SO WE HAVE TO MODEL OUR BUDGET 655 00:25:02,705 --> 00:25:04,974 FOR ALL POTENTIAL OUTCOMES 656 00:25:04,974 --> 00:25:07,243 INCLUDING WHAT MIGHT BE THIS 657 00:25:07,243 --> 00:25:07,610 LARGE CUT. 658 00:25:07,610 --> 00:25:09,412 SO WE'RE DOING THAT. 659 00:25:09,412 --> 00:25:11,347 AND ACTUALLY, THIS WAS RELEASED 660 00:25:11,347 --> 00:25:12,949 AS PART OF THE PRESIDENT'S 661 00:25:12,949 --> 00:25:15,018 BUDGET AS WELL. 662 00:25:15,018 --> 00:25:16,119 WE HAVE A FEW TRICKS UP OUR 663 00:25:16,119 --> 00:25:17,787 SLEEVE THAT WE CAN USE THAT 664 00:25:17,787 --> 00:25:19,522 ALLOWS US TO SPEND MORE MONEY 665 00:25:19,522 --> 00:25:21,324 THIS YEAR AND THAT WOULD RESERVE 666 00:25:21,324 --> 00:25:23,827 MONEY FOR NEXT YEAR. 667 00:25:23,827 --> 00:25:25,762 WE ARE UNSURE HOW MUCH WE'RE 668 00:25:25,762 --> 00:25:28,097 GOING TO BE ABLE TO USE THOSE 669 00:25:28,097 --> 00:25:30,099 TOOLS AND HOW MANY, YOU KNOW, TO 670 00:25:30,099 --> 00:25:32,869 GET THE GRANT DOLLARS OUT THE 671 00:25:32,869 --> 00:25:33,303 DOOR FOR THIS YEAR. 672 00:25:33,303 --> 00:25:34,671 EVERYTHING WE SPEND THIS YEAR 673 00:25:34,671 --> 00:25:36,072 IMPACTS OUR SPENDING FOR NEXT 674 00:25:36,072 --> 00:25:36,773 YEAR. 675 00:25:36,773 --> 00:25:38,508 SO, I DON'T HAVE SPECIFICS FOR 676 00:25:38,508 --> 00:25:38,675 YOU. 677 00:25:38,675 --> 00:25:41,211 BUT WE ARE MODELING FOR THE 678 00:25:41,211 --> 00:25:42,178 POTENTIAL OUTCOME. 679 00:25:42,178 --> 00:25:43,346 AGAIN, THAT'S JUST A PROPOSAL. 680 00:25:43,346 --> 00:25:47,116 AND WE'RE LOOKING FORWARD TO 681 00:25:47,116 --> 00:25:48,718 SEEING WHAT CONGRESS COMES UP 682 00:25:48,718 --> 00:25:51,521 WITH AND HOPEFULLY, YOU KNOW, WE 683 00:25:51,521 --> 00:25:52,689 WILL WORK WITH WITHOUT EVER 684 00:25:52,689 --> 00:25:54,324 CONGRESS GIVES US, OF COURSE. 685 00:25:54,324 --> 00:25:57,894 BUT WE DON'T HAVE ANY SPECIFIC 686 00:25:57,894 --> 00:25:58,194 STRATEGIES. 687 00:25:58,194 --> 00:26:00,029 YOU KNOW, AS MYSELF AND MY 688 00:26:00,029 --> 00:26:01,865 COLLEAGUES AND ACTING POSITIONS, 689 00:26:01,865 --> 00:26:04,801 WE ARE -- COMMITTED TO FUNDING 690 00:26:04,801 --> 00:26:07,337 THE AREAS, THE PRIORITY AREAS 691 00:26:07,337 --> 00:26:10,039 THAT HAVE ALREADY BEEN 692 00:26:10,039 --> 00:26:10,340 IDENTIFIED. 693 00:26:10,340 --> 00:26:13,209 PART OF OUR STRUT ARE STRATEGIC 694 00:26:13,209 --> 00:26:14,677 PLAN, THE ADVISE OF COUNCIL OVER 695 00:26:14,677 --> 00:26:16,446 THE LAST SEVERAL YEARS. 696 00:26:16,446 --> 00:26:18,548 SO THOSE WILL REMAIN OUR 697 00:26:18,548 --> 00:26:19,215 PRIORITY AREAS. 698 00:26:19,215 --> 00:26:24,821 WE ARE NOT ANTICIPATING CHANGES 699 00:26:24,821 --> 00:26:26,789 DIRECTION IN ANY SIGNIFICANT WAY 700 00:26:26,789 --> 00:26:28,324 AND AWAIT A NEW DIRECTOR FOR 701 00:26:28,324 --> 00:26:33,496 THAT POSSIBILITY. 702 00:26:33,496 --> 00:26:33,863 >> DR. MURRAY? 703 00:26:33,863 --> 00:26:34,697 >> THANK YOU FOR THAT VERY 704 00:26:34,697 --> 00:26:35,732 THOROUGH REPORT. 705 00:26:35,732 --> 00:26:39,102 I'M ALSO WONDERING WHEN OR NOT 706 00:26:39,102 --> 00:26:42,105 STUD SECTION MEMBERS HAVE BEEN 707 00:26:42,105 --> 00:26:44,841 TRAINED SPECIFICALLY FOR THE NEW 708 00:26:44,841 --> 00:26:48,011 SIMPLIFIED FRAMEWORK? 709 00:26:48,011 --> 00:26:49,445 TRAINING ON GOING FOR THAT? 710 00:26:49,445 --> 00:26:50,213 >> DR. ANDREA BECKEL-MITCHENER: 711 00:26:50,213 --> 00:26:53,650 I -- SO, I'M AWARE THROUGH THE 712 00:26:53,650 --> 00:26:54,484 GRAPEVINE THAT YES, THEY HAVE 713 00:26:54,484 --> 00:26:59,355 BEEN GIVEN DIRECTION FROM CSR 714 00:26:59,355 --> 00:27:00,557 AND EVERYBODY HAS BEEN MADE 715 00:27:00,557 --> 00:27:03,660 FULLY AWARE O OF THAT. 716 00:27:03,660 --> 00:27:04,227 I PERSONALLY DON'T KNOW THE 717 00:27:04,227 --> 00:27:05,528 EXTENT OF THAT TRAINING, IF LIZ, 718 00:27:05,528 --> 00:27:06,829 YOU HAVE MORE INFORMATION ON 719 00:27:06,829 --> 00:27:07,297 THAT? 720 00:27:07,297 --> 00:27:07,564 >> YEAH. 721 00:27:07,564 --> 00:27:09,666 THEY HAVE BEEN TRAINED. 722 00:27:09,666 --> 00:27:12,569 AND ON THE CSR AND THE OFFICE OF 723 00:27:12,569 --> 00:27:14,203 EXTRA MURAL RESEARCH WEB PAGE, 724 00:27:14,203 --> 00:27:15,305 THE TRAINING SLIDES POSTED. 725 00:27:15,305 --> 00:27:17,307 SO THAT THE EXTRA MURAL 726 00:27:17,307 --> 00:27:17,907 COMMUNITY CAN SEE HOW THAT 727 00:27:17,907 --> 00:27:19,642 TRAINING OCCURRED. 728 00:27:19,642 --> 00:27:20,743 OR WHAT WAS INCLUDED IN THE 729 00:27:20,743 --> 00:27:28,351 TRAINING. 730 00:27:28,351 --> 00:27:30,420 OKAY. 731 00:27:30,420 --> 00:27:31,487 YES? 732 00:27:31,487 --> 00:27:31,754 >> YES. 733 00:27:31,754 --> 00:27:32,255 THANK YOU VERY MUCH. 734 00:27:32,255 --> 00:27:34,924 AND THANK YOU FOR THAT 735 00:27:34,924 --> 00:27:36,993 PRESENTATION. 736 00:27:36,993 --> 00:27:39,395 THE -- THERE ARE -- A COUPLE 737 00:27:39,395 --> 00:27:39,662 QUESTIONS. 738 00:27:39,662 --> 00:27:44,033 ONE OF THE THINGS THAT YOU -- 739 00:27:44,033 --> 00:27:45,969 ALLUDED TO BRIEFLY WAS THE 740 00:27:45,969 --> 00:27:47,670 SEARCH FOR A PERTINENT DIRECTOR 741 00:27:47,670 --> 00:27:49,005 AND SAID THAT IS NOT IN THE 742 00:27:49,005 --> 00:27:51,040 HANDS OF NIMH, BUT ANY 743 00:27:51,040 --> 00:27:53,076 INFORMATION THAT YOU MAY HAVE IN 744 00:27:53,076 --> 00:27:55,345 TERMS OF TIMELINES AND IN TERMS 745 00:27:55,345 --> 00:27:58,982 OF HOW THAT COMMITTEE IS MOVING 746 00:27:58,982 --> 00:28:00,016 FORWARD WOULD, I THINK, BE 747 00:28:00,016 --> 00:28:01,250 HELPFUL TO THIS GROUP. 748 00:28:01,250 --> 00:28:04,554 THE OTHER MAJOR ISSUE THAT CAME 749 00:28:04,554 --> 00:28:05,855 UP THIS SPRING IS AROUND 750 00:28:05,855 --> 00:28:08,024 INDIRECT COST RECOVERY AND I, I 751 00:28:08,024 --> 00:28:10,126 DON'T WANT TO SAY, YOU KNOW, 752 00:28:10,126 --> 00:28:13,529 LEAD THE QUESTION, BUT -- I 753 00:28:13,529 --> 00:28:16,332 THINK THAT -- THE -- BROADER 754 00:28:16,332 --> 00:28:17,367 COMMUNITY IS INTERESTED IN HOW 755 00:28:17,367 --> 00:28:20,303 THOSE DISCUSSIONS ARE CONTINUING 756 00:28:20,303 --> 00:28:24,540 AND -- AND -- WHAT -- WHAT 757 00:28:24,540 --> 00:28:28,344 SCOPE FOR -- FOR MOVING FORWARD 758 00:28:28,344 --> 00:28:31,347 NIMH IS FINDING -- WITHIN YOUR 759 00:28:31,347 --> 00:28:32,982 VARIOUS CONSTRAINTS. 760 00:28:32,982 --> 00:28:34,183 >> DR. ANDREA BECKEL-MITCHENER: 761 00:28:34,183 --> 00:28:37,053 SO I WILL ANSWER THE SECOND PART 762 00:28:37,053 --> 00:28:37,253 FIRST. 763 00:28:37,253 --> 00:28:39,288 INDIRECT COST RATE IS ONE OF THE 764 00:28:39,288 --> 00:28:40,957 ITEM WE CAN NOT COMMENT ON. 765 00:28:40,957 --> 00:28:42,592 THERE IS PENDING LITIGATION ON 766 00:28:42,592 --> 00:28:42,792 THAT. 767 00:28:42,792 --> 00:28:44,727 SO WE DON'T HAVE ANY INFORMATION 768 00:28:44,727 --> 00:28:47,130 OTHER THAN WHAT YOU'RE READING 769 00:28:47,130 --> 00:28:47,430 IN THE NEWS. 770 00:28:47,430 --> 00:28:50,566 IN TERMS OF THE DIRECTOR'S 771 00:28:50,566 --> 00:28:51,567 SEARCH, YOU MAY RECALL THIS WAS 772 00:28:51,567 --> 00:28:54,070 AN OPEN SEARCH LAST YEAR. 773 00:28:54,070 --> 00:28:56,372 IT, THERE WAS A SEARCH COMMITTEE 774 00:28:56,372 --> 00:28:58,474 CONVENED FOR IT. 775 00:28:58,474 --> 00:29:00,543 THAT SEARCH WAS PUT ON PAUSE. 776 00:29:00,543 --> 00:29:03,312 AND W WE HAVE UNOFFICIAL 777 00:29:03,312 --> 00:29:04,881 ASSURANCES THAT WE HAVE, I 778 00:29:04,881 --> 00:29:06,949 GUESS, WE COULD CALL THEM MOSTLY 779 00:29:06,949 --> 00:29:08,618 ALSO ASSURANCES THAT THEY ARE 780 00:29:08,618 --> 00:29:12,722 AWARE OF THE VACS AGENCY, 781 00:29:12,722 --> 00:29:14,023 OFFICIALLY LEFT BY JOSH, OF 782 00:29:14,023 --> 00:29:18,061 COURSE, AND -- THIS EXECUTIVE 783 00:29:18,061 --> 00:29:20,196 RECRUITMENT OFFICE AT NIH WE 784 00:29:20,196 --> 00:29:21,831 UNDERSTAND THAT IT IS ONGOING 785 00:29:21,831 --> 00:29:22,165 AND UNDERWAY. 786 00:29:22,165 --> 00:29:23,666 BUT WE DO NOT GET ANY 787 00:29:23,666 --> 00:29:25,301 INFORMATION ON THAT. 788 00:29:25,301 --> 00:29:30,540 IT IS REALLY HANDLED AT THE NIH 789 00:29:30,540 --> 00:29:36,846 LEVEL. 790 00:29:36,846 --> 00:29:37,847 >> YES? 791 00:29:37,847 --> 00:29:38,114 >> YEAH. 792 00:29:38,114 --> 00:29:38,881 THANK YOU. 793 00:29:38,881 --> 00:29:41,350 IN REVIEWING THE MAHA REPORT, I 794 00:29:41,350 --> 00:29:43,586 SAW A STRONG EMPHASIS ON 795 00:29:43,586 --> 00:29:44,454 CHILDREN'S BEHAVIORAL HEALTH. 796 00:29:44,454 --> 00:29:46,923 I WAS CURIOUS TO LEARN MORE 797 00:29:46,923 --> 00:29:49,892 ABOUT HOW NIMH CONSTITUENTS MAY 798 00:29:49,892 --> 00:29:52,562 HAVE BEEN ENGAGED IN THE PROCESS 799 00:29:52,562 --> 00:29:53,429 AND HOW IT MAY INFORM FUTURE 800 00:29:53,429 --> 00:29:54,797 STRATEGY FOR NIMH? 801 00:29:54,797 --> 00:29:55,665 >> DR. ANDREA BECKEL-MITCHENER: 802 00:29:55,665 --> 00:29:57,967 TO MY KNOWLEDGE, THE NIH 803 00:29:57,967 --> 00:30:00,703 RESEARCH COMMUNITY MAYBE HAD 804 00:30:00,703 --> 00:30:02,171 LIMITED CONTACT IF AT ALL ON 805 00:30:02,171 --> 00:30:05,241 GENERATING THE MAHA REPORT. 806 00:30:05,241 --> 00:30:06,275 THE INFORMATION IN THERE. 807 00:30:06,275 --> 00:30:10,613 I WILL SAY, HOWEVER, STAFF AT 808 00:30:10,613 --> 00:30:11,681 THE INSTITUTE ARE VERY 809 00:30:11,681 --> 00:30:13,883 INTERESTED IN GETTING INTO THE 810 00:30:13,883 --> 00:30:14,117 DETAILS. 811 00:30:14,117 --> 00:30:16,219 WE HAVE ALREADY DONE A LITTLE 812 00:30:16,219 --> 00:30:17,620 BIT OF WORK INTERNALLY TO 813 00:30:17,620 --> 00:30:20,723 UNDERSTAND HOW THE DISORDERS 814 00:30:20,723 --> 00:30:23,359 THAT HEALTH CARES MOST ABOUT AND 815 00:30:23,359 --> 00:30:24,927 THE CONDITIONS ARE REFLECTED IN 816 00:30:24,927 --> 00:30:26,629 THAT REPORT AND HOW WE CAN 817 00:30:26,629 --> 00:30:28,998 CONTRIBUTE TO RESEARCH, THE 818 00:30:28,998 --> 00:30:29,699 RESEARCH OPPORTUNITIES AROUND 819 00:30:29,699 --> 00:30:35,438 THE ITEMS THAT WERE IDENTIFIED. 820 00:30:35,438 --> 00:30:37,173 >> AND NOW, WE'RE READY TO MOVE 821 00:30:37,173 --> 00:30:39,675 ONTO THE CONCEPT CLEARANCES. 822 00:30:39,675 --> 00:30:40,343 >> DR. ANDREA BECKEL-MITCHENER: 823 00:30:40,343 --> 00:30:40,877 YOU'RE KEEPING US ON TIME. 824 00:30:40,877 --> 00:30:43,346 [ LAUGHTER ] 825 00:30:43,346 --> 00:30:44,013 OKAY. 826 00:30:44,013 --> 00:30:45,848 THANKS, LIZ. 827 00:30:45,848 --> 00:30:46,449 OKAY. 828 00:30:46,449 --> 00:30:48,985 SO, AS YOU ARE AWARE, COUNCIL 829 00:30:48,985 --> 00:30:50,486 MEETINGS THIS IS ONE OF THE FUN 830 00:30:50,486 --> 00:30:52,522 THINGS, NIMH MAY PRESENT 831 00:30:52,522 --> 00:30:55,758 SCIENTIFIC CONCEPTS FOR COUNSEL 832 00:30:55,758 --> 00:30:55,992 REVIEW. 833 00:30:55,992 --> 00:30:59,662 OUR CONCEPT PRESENTATIONS ARE 834 00:30:59,662 --> 00:31:00,363 INTENTIONALLY GOOD INARE, THE 835 00:31:00,363 --> 00:31:02,431 PURPOSE OF THE CONCEPT 836 00:31:02,431 --> 00:31:04,000 CLEARANCES IS FOR NIMH TO 837 00:31:04,000 --> 00:31:05,902 RECEIVE YOUR EARLY FEEDBACK ON 838 00:31:05,902 --> 00:31:07,036 THE POSSIBLE FUTURE RESEARCH 839 00:31:07,036 --> 00:31:09,472 DIRECTIONS INCLUDING SUGGESTIONS 840 00:31:09,472 --> 00:31:11,774 TO HELP FURTHER SHAPE THE 841 00:31:11,774 --> 00:31:12,642 POTENTIAL INITIATIVES. 842 00:31:12,642 --> 00:31:15,178 SO FOLLOWING MY BRIEF COMMENT, A 843 00:31:15,178 --> 00:31:17,180 BRIEF DESCRIPTION OF EACH 844 00:31:17,180 --> 00:31:18,548 CONCEPT WILL BE MADE AVAILABLE 845 00:31:18,548 --> 00:31:20,683 TO YOU VIA THE ASR. 846 00:31:20,683 --> 00:31:22,151 I THINK IT IS ALREADY PRESENT IN 847 00:31:22,151 --> 00:31:23,152 THERE. 848 00:31:23,152 --> 00:31:25,655 WE HAVE FOUR CONCEPTS TO PRESENT 849 00:31:25,655 --> 00:31:25,855 TODAY. 850 00:31:25,855 --> 00:31:27,623 GIVEN OUR TIME CONSTRAINTS WE 851 00:31:27,623 --> 00:31:29,458 ARE ASKING THAT YOU PLEASE HOLD 852 00:31:29,458 --> 00:31:30,927 QUESTIONS AND COMMENTS UNTIL ALL 853 00:31:30,927 --> 00:31:32,428 FOUR CONCEPTS HAVE BEEN 854 00:31:32,428 --> 00:31:33,496 PRESENTED. 855 00:31:33,496 --> 00:31:35,198 BUT KEEP THEM IN YOUR MIND, 856 00:31:35,198 --> 00:31:37,200 BECAUSE WE WILL RETURN TO YOUR 857 00:31:37,200 --> 00:31:38,434 COMMENTS AND QUESTIONS FOLLOWING 858 00:31:38,434 --> 00:31:41,771 THE FINAL PRESENTATION. 859 00:31:41,771 --> 00:31:44,473 SO FIRST PRESENTATION IS FROM 860 00:31:44,473 --> 00:31:47,310 DR. JOEL SHERYL ON RESEARCH TO 861 00:31:47,310 --> 00:31:50,146 OPTIMIZE THE EFFECTIVENESS AND 862 00:31:50,146 --> 00:31:52,448 DEPLOYAL OF SUICIDE DEPRESSION 863 00:31:52,448 --> 00:31:52,715 SERVICES. 864 00:31:52,715 --> 00:31:54,283 THANK YOU, IT WAY, JOEL. 865 00:31:54,283 --> 00:31:54,584 >> GREAT. 866 00:31:54,584 --> 00:31:55,818 THANK YOU, ANDREA. 867 00:31:55,818 --> 00:31:59,322 GOOD AFTERNOON, EVERYONE. 868 00:31:59,322 --> 00:32:02,692 I APPRECIATE THIS CONCEPT. 869 00:32:02,692 --> 00:32:04,627 ON BEHALF OF JANE, STEVEN, AND 870 00:32:04,627 --> 00:32:05,795 OTHER INSTITUTE COLLEAGUES. 871 00:32:05,795 --> 00:32:12,602 NEXT SLIDE PLEASE. 872 00:32:12,602 --> 00:32:14,036 RESEARCHERS YIELDED 873 00:32:14,036 --> 00:32:15,338 EVIDENCE-BASED PREVENTION 874 00:32:15,338 --> 00:32:16,973 STRATEGIES AND TOOLS FOR 875 00:32:16,973 --> 00:32:17,640 SCREENING, FOR RISK 876 00:32:17,640 --> 00:32:18,074 IDENTIFICATION, AND 877 00:32:18,074 --> 00:32:20,209 STRATIFICATION, AND FOR 878 00:32:20,209 --> 00:32:21,644 INTERVENING TO REDO SUICIDE 879 00:32:21,644 --> 00:32:22,678 RISK. 880 00:32:22,678 --> 00:32:25,281 YET, THE LACK OF SCALABLE 881 00:32:25,281 --> 00:32:27,149 APPROACHES FOR TRAINING, 882 00:32:27,149 --> 00:32:27,850 SUPERVISING AND MONITORING THE 883 00:32:27,850 --> 00:32:30,186 QUALITY OF DELIVERY BY ARE BY 884 00:32:30,186 --> 00:32:31,921 CLINICIANS AND OTHER PROVIDERS 885 00:32:31,921 --> 00:32:34,257 LIMITS ACCESS TO EFFECTIVE 886 00:32:34,257 --> 00:32:35,458 EVIDENCE-BASED SUICIDE 887 00:32:35,458 --> 00:32:35,758 PREVENTION. 888 00:32:35,758 --> 00:32:37,226 AS ILLUSTRATED BY THIS MAP, 889 00:32:37,226 --> 00:32:39,228 COUNTY LEVEL BEHAVIORM HEALTH 890 00:32:39,228 --> 00:32:41,163 PROVIDER SHORTAGES THAT IMPACT 891 00:32:41,163 --> 00:32:43,132 LARGE SEGMENTS OF THE U.S. 892 00:32:43,132 --> 00:32:44,400 POPULATION FURTHER UNDERSCORE 893 00:32:44,400 --> 00:32:47,169 THE NEED FOR A MORE ROBUST 894 00:32:47,169 --> 00:32:48,037 COMPLIMENTERARY AND WELL 895 00:32:48,037 --> 00:32:50,473 STRAINED PROVIDER BASE INCLUDING 896 00:32:50,473 --> 00:32:52,408 SUSTAINABLE STRATEGY FOR 897 00:32:52,408 --> 00:32:53,509 INTEGRATING PEER SUPPORT 898 00:32:53,509 --> 00:32:55,878 SPECIALISTS AND OTHER 899 00:32:55,878 --> 00:32:56,913 PARAPROFESSIONALS INTO CLINICAL 900 00:32:56,913 --> 00:32:59,215 AND COMMUNITY PRACTICE SETTINGS. 901 00:32:59,215 --> 00:33:01,717 NEXT SLIDE PLEASE. 902 00:33:01,717 --> 00:33:03,552 ACCORDINGLY, THE GOAL OF THIS 903 00:33:03,552 --> 00:33:05,021 CONCEPT IS TO ENCOURAGE RESEARCH 904 00:33:05,021 --> 00:33:06,856 THAT IS FOCUSED ON OPTIMIZING 905 00:33:06,856 --> 00:33:08,891 AND TESTING PROVIDING TRAINING 906 00:33:08,891 --> 00:33:10,459 STRATEGIES AND QUALITY 907 00:33:10,459 --> 00:33:12,228 MONITORING TOOLS FOR SUSTAINED 908 00:33:12,228 --> 00:33:15,965 FIDELITY IN DELIVER OF 909 00:33:15,965 --> 00:33:18,000 EVIDENCE-BASED SUICIDE 910 00:33:18,000 --> 00:33:18,501 PREVENTION SERVICES AND 911 00:33:18,501 --> 00:33:20,603 DEVELOPING AND TESTING SCALABLE 912 00:33:20,603 --> 00:33:23,773 AND SUSTAINABLE PEER SUPPORT 913 00:33:23,773 --> 00:33:24,707 THAT COMPLIMENT AND EXTEND 914 00:33:24,707 --> 00:33:27,143 CLINICAL SERVICES AND CLINICAL 915 00:33:27,143 --> 00:33:27,643 AND COMMUNITY SETTINGS. 916 00:33:27,643 --> 00:33:30,579 WITH THIS CONCEPT WE ENCOURAGE 917 00:33:30,579 --> 00:33:32,214 RESEARCH THAT INFORMED BY END 918 00:33:32,214 --> 00:33:34,884 USERS INCLUDING SERVICE USERS, 919 00:33:34,884 --> 00:33:36,352 OTHERS WITH LIVED EXPERIENCES 920 00:33:36,352 --> 00:33:37,853 PROVIDERS AND ADMINISTRATORS WHO 921 00:33:37,853 --> 00:33:39,288 MAKE DECISIONS ABOUT THE 922 00:33:39,288 --> 00:33:41,924 ADOPTION, CREDENTIALING AND 923 00:33:41,924 --> 00:33:43,392 REIMBURSING OF SERVICES AND 924 00:33:43,392 --> 00:33:44,961 EMPHASIZE RESEARCH INFORMED 925 00:33:44,961 --> 00:33:46,963 APPROPRIATES THAT ARE SCALABLE 926 00:33:46,963 --> 00:33:47,330 AND SUSTAINABLE. 927 00:33:47,330 --> 00:33:49,365 NEXT SLIDE PLEASE. 928 00:33:49,365 --> 00:33:51,600 SO, FOR EXAMPLE, RESEARCH ON 929 00:33:51,600 --> 00:33:53,235 PROVIDER TRAINING AND QUALITY 930 00:33:53,235 --> 00:33:54,303 MONITORING APPROPRIATES MIGHT 931 00:33:54,303 --> 00:33:55,938 INVOLVE CLINICAL TRIALS TO 932 00:33:55,938 --> 00:33:58,240 OPTIMIZE AND TEST PROVIDER LEVEL 933 00:33:58,240 --> 00:33:59,675 TRAINING AND SUPERVISION 934 00:33:59,675 --> 00:34:01,444 STRATEGIES TO ACHIEVE INITIAL 935 00:34:01,444 --> 00:34:02,979 COMPETENCY AND SUSTAINED 936 00:34:02,979 --> 00:34:04,246 FIDELITY AND EVIDENCE-BASED 937 00:34:04,246 --> 00:34:05,781 ASSESSMENT AND INTERVENTIONS. 938 00:34:05,781 --> 00:34:07,149 OTHER RESEARCH MIGHT FOCUS ON 939 00:34:07,149 --> 00:34:11,120 DEVELOPING AND PSYCHOMETRICALLY 940 00:34:11,120 --> 00:34:12,288 VALIDATING SCALABLE APPROPRIATES 941 00:34:12,288 --> 00:34:15,758 TO MEASURING, MONITORING AND 942 00:34:15,758 --> 00:34:16,359 PROMOTING SUICIDE PREVENTION 943 00:34:16,359 --> 00:34:18,427 SERVICES AND ACROSS THE RESEARCH 944 00:34:18,427 --> 00:34:20,763 ENCOURAGE USE OF NOVEL 945 00:34:20,763 --> 00:34:22,498 TECHNOLOGIES TO SUPPORT TRAINING 946 00:34:22,498 --> 00:34:24,100 AND REALTIME MONITORING OF 947 00:34:24,100 --> 00:34:25,434 SERVICE DELIVERY AND QUALITY. 948 00:34:25,434 --> 00:34:30,272 ADDITIONAL RESEARCH FOCUSED ON 949 00:34:30,272 --> 00:34:32,375 EXTENDING CLINICIAN SERVICES, 950 00:34:32,375 --> 00:34:33,876 MIGHT ADDRESS PILOT TRIALS WITH 951 00:34:33,876 --> 00:34:34,944 THE FEASIBILITY, ACCEPTABILITY, 952 00:34:34,944 --> 00:34:36,679 SAFETY AND THE EFFECTIVENESS OF 953 00:34:36,679 --> 00:34:39,215 PEER SUPPORT MODELS THAT TEST 954 00:34:39,215 --> 00:34:40,983 CLEAR ROLES FOR PEER SUPPORT 955 00:34:40,983 --> 00:34:43,719 SPECIALISTS ALIGNED WITH THEIR 956 00:34:43,719 --> 00:34:45,521 TRAINING AND UNIQUE SKILL SET 957 00:34:45,521 --> 00:34:49,191 AND UNDERSTANDING FOCUSING ON 958 00:34:49,191 --> 00:34:49,658 UNDERSTANDING TARGETS 959 00:34:49,658 --> 00:34:53,229 EFFECTIVENESS, AND EMPHASIZING 960 00:34:53,229 --> 00:34:54,030 AND ANTICIPATING NEEDED SUPPORT 961 00:34:54,030 --> 00:34:55,931 FOR RISK MANAGEMENT, OUTCOME 962 00:34:55,931 --> 00:34:57,233 MONITORING, TRAINING AND 963 00:34:57,233 --> 00:34:59,135 SUPERVISION AND MODELS THAT 964 00:34:59,135 --> 00:35:01,070 ANTICIPATE CREDENTIALING AND 965 00:35:01,070 --> 00:35:04,373 REIMBURSEMENT SITUATIONS. 966 00:35:04,373 --> 00:35:05,975 AND OTHER HEALTH RECORDS AND 967 00:35:05,975 --> 00:35:08,911 ADMINISTRATIVE DATA TO EVALUATE 968 00:35:08,911 --> 00:35:10,046 INNOVATIVE APPROPRIATES TO FOR 969 00:35:10,046 --> 00:35:12,181 DEPLOYING SUPPORT SERVICES 970 00:35:12,181 --> 00:35:13,883 INCLUDING TELEHEALTH AND 971 00:35:13,883 --> 00:35:15,251 INNOVATIVE REIMBURSEMENT 972 00:35:15,251 --> 00:35:15,518 POLICIES. 973 00:35:15,518 --> 00:35:17,119 THANK YOU FOR YOUR TIME AND 974 00:35:17,119 --> 00:35:18,254 ATTENTION. 975 00:35:18,254 --> 00:35:19,321 >> THANK YOU, JOEL. 976 00:35:19,321 --> 00:35:25,795 WE WILL MOVE RIGHT INTO DOCTOR . 977 00:35:25,795 --> 00:35:29,598 JOVDR.JOVIER EVANS. 978 00:35:29,598 --> 00:35:30,199 >> GOOD AFTERNOON. 979 00:35:30,199 --> 00:35:32,068 I'M PLEASED TO PRESENT THIS 980 00:35:32,068 --> 00:35:33,502 INITIATIVE WHICH WAS PREPARED IN 981 00:35:33,502 --> 00:35:35,371 COLLABORATION WITH MY COLLEAGUES 982 00:35:35,371 --> 00:35:37,606 FROM THE DECISION OF SERVICES 983 00:35:37,606 --> 00:35:39,809 AND THE INTERVENTIONS AND 984 00:35:39,809 --> 00:35:40,976 RESEARCH. 985 00:35:40,976 --> 00:35:44,413 [LISTING COLLEAGUES [. 986 00:35:44,413 --> 00:35:50,352 NEXT SLIDE PLEASE. 987 00:35:50,352 --> 00:35:53,422 ADULTS AGING WITH SMI ARE MORE 988 00:35:53,422 --> 00:35:56,992 LIKELY THEN THOSE WITHOUT MENTAL 989 00:35:56,992 --> 00:36:00,296 ILLNESS TO PRESENT CHALLENGES 990 00:36:00,296 --> 00:36:02,631 THAT IMPACT THEIR PHYSICAL AND 991 00:36:02,631 --> 00:36:03,499 MENTAL HEALTH. 992 00:36:03,499 --> 00:36:05,167 INCLUDING CLINICAL CHANGES, 993 00:36:05,167 --> 00:36:07,570 HEALTH CONDITIONS, RESIDENTIAL 994 00:36:07,570 --> 00:36:10,539 MOBILITY CHANGES, AND FRAGMENT 995 00:36:10,539 --> 00:36:12,641 CHANGES WITH REGARD TO SERVICES 996 00:36:12,641 --> 00:36:14,477 AND SUPPORTS ACROSS HEALTHCARE 997 00:36:14,477 --> 00:36:16,378 SERVICES AND SYSTEMS. 998 00:36:16,378 --> 00:36:22,418 DESPITE THE HIGH RISK OF MEDICAL 999 00:36:22,418 --> 00:36:25,187 COMORBIDITY AND 1000 00:36:25,187 --> 00:36:26,288 INSTITUTIONALIZATION, OLDER 1001 00:36:26,288 --> 00:36:28,157 ADULTS ARE UNDER TREATED, 1002 00:36:28,157 --> 00:36:29,425 HIGHLIGHTING THE NEED FOR 1003 00:36:29,425 --> 00:36:30,759 EFFECTIVE INTERVENTIONS THAT 1004 00:36:30,759 --> 00:36:32,361 ADDRESS THE MENTAL HEALTH NEEDS 1005 00:36:32,361 --> 00:36:34,930 OF THIS PARTICULAR POPULATION. 1006 00:36:34,930 --> 00:36:36,365 AND SOME PROGRESS HAS BEEN MADE 1007 00:36:36,365 --> 00:36:37,633 IN ESTABLISHING THE 1008 00:36:37,633 --> 00:36:38,934 EVIDENCE-BASED IN EFFECTIVE 1009 00:36:38,934 --> 00:36:40,136 INTERVENTIONS, THOSE EFFORTS TO 1010 00:36:40,136 --> 00:36:42,771 TEND TO BE SPECIFIC TO LATE LIFE 1011 00:36:42,771 --> 00:36:44,206 DEPRESSION OR ANXIETY DISORDERS. 1012 00:36:44,206 --> 00:36:49,512 AND FEW STUDIES FOC FOCUS ON THE 1013 00:36:49,512 --> 00:36:53,115 ADAPTATION AND IMPLANTATION OF 1014 00:36:53,115 --> 00:36:54,183 EVIDENCE-BASED PRACTICES FOR 1015 00:36:54,183 --> 00:36:57,853 OLDER ADULTS WITH SEVERE MENTAL 1016 00:36:57,853 --> 00:36:58,087 ILLNESS. 1017 00:36:58,087 --> 00:36:59,421 MANY WHO EXPERIENCE OR AT 1018 00:36:59,421 --> 00:37:00,356 HIGH-RISK OF DEVELOPING 1019 00:37:00,356 --> 00:37:02,324 COOCCURRING CHRONIC HEALTH 1020 00:37:02,324 --> 00:37:04,560 CONDITIONS. 1021 00:37:04,560 --> 00:37:07,029 FURTHER THESE INTERVENTIONS AND 1022 00:37:07,029 --> 00:37:08,097 SERVICES DON'T SUFFICIENTLY 1023 00:37:08,097 --> 00:37:11,834 ADDRESS OTHER VARIABLES ADDRESS 1024 00:37:11,834 --> 00:37:14,803 OLDER ADULTS WITH SMI ACCESSES 1025 00:37:14,803 --> 00:37:15,804 AND RECEIVE AND RESPOND TO 1026 00:37:15,804 --> 00:37:18,007 TREATMENT INCLUDING SOCIAL 1027 00:37:18,007 --> 00:37:20,176 SUPPORTS, ISOLATION, PHYSICAL 1028 00:37:20,176 --> 00:37:21,610 MORBIDITY, LIMITATIONS AND THEIR 1029 00:37:21,610 --> 00:37:23,612 RESIDENTIAL STATUS. 1030 00:37:23,612 --> 00:37:27,116 HEALTHCARE SYSTEM STRATEGY FOR 1031 00:37:27,116 --> 00:37:27,950 IMPROVING ADOPTION, 1032 00:37:27,950 --> 00:37:29,818 IMPLEMENTATION, AND 1033 00:37:29,818 --> 00:37:31,253 SUSTAINABILITY OF EVIDENCE-BASED 1034 00:37:31,253 --> 00:37:32,588 INTERVENTIONS ARE ALSO LIMITED. 1035 00:37:32,588 --> 00:37:35,824 THIS IS UNFORTUNATE GIVEN KNOWN 1036 00:37:35,824 --> 00:37:36,825 BARRIERS TO SERVING OLDER ADULTS 1037 00:37:36,825 --> 00:37:39,628 LIVING WITH SMI, INCLUDING LACK 1038 00:37:39,628 --> 00:37:43,365 OF ACCESS TO SPECIALTY MENTAL 1039 00:37:43,365 --> 00:37:46,068 HEALTH PROVIDERS, LACK OF 1040 00:37:46,068 --> 00:37:47,570 COORDINATION MOON PSYCHIATRIC 1041 00:37:47,570 --> 00:37:49,905 SOCIAL AND AGING SERVICES. 1042 00:37:49,905 --> 00:37:52,074 INSUFFICIENT WORKFORCE WITH 1043 00:37:52,074 --> 00:37:56,245 GERIATRIC EXPERTIZE AND OTHER 1044 00:37:56,245 --> 00:37:58,113 ITEMS FROM GENERAL HEALTHCARE TO 1045 00:37:58,113 --> 00:37:59,748 GERIATRIC SERVICES. 1046 00:37:59,748 --> 00:38:00,416 NEXT SLIDE PLEASE. 1047 00:38:00,416 --> 00:38:04,286 SO, THE GOAL OF THIS PARTICULAR 1048 00:38:04,286 --> 00:38:05,521 CONCEPT IS TO TRY TO ADDRESS 1049 00:38:05,521 --> 00:38:07,690 THESE GAPS THAT THERE'S A CLEAR 1050 00:38:07,690 --> 00:38:09,358 PUBLIC HEALTH NEED WITH REGARD 1051 00:38:09,358 --> 00:38:11,794 TO THERAPEUTIC AND SERVICES 1052 00:38:11,794 --> 00:38:12,061 RESEARCH. 1053 00:38:12,061 --> 00:38:14,263 THAT WILL HELP ADDRESS PRACTICE 1054 00:38:14,263 --> 00:38:15,998 RELEVANT ISSUES AND IT CAN 1055 00:38:15,998 --> 00:38:17,366 CONDUCTED IN SETTINGS WHERE 1056 00:38:17,366 --> 00:38:19,568 OLDER ADULTS WITH SMI ARE MOST 1057 00:38:19,568 --> 00:38:21,870 LIKELY TO RECEIVE OR NEED MENTAL 1058 00:38:21,870 --> 00:38:23,372 HEALTH CARE. 1059 00:38:23,372 --> 00:38:25,808 THUS, THE CONCEPT IS ALIGNED 1060 00:38:25,808 --> 00:38:27,810 WITH ASPECTS OF THE TRIENNIALLER 1061 00:38:27,810 --> 00:38:29,878 STRATEGIC PLAN FOR RESEARCH 1062 00:38:29,878 --> 00:38:32,414 AIMED TO SUPPORT RESEARCH THAT 1063 00:38:32,414 --> 00:38:34,383 SUPPORTS THE UP A TUIMATION 1064 00:38:34,383 --> 00:38:35,985 EQUATION, EFFECTIVENESS, 1065 00:38:35,985 --> 00:38:38,487 IMPLEMENTITATION, AND 1066 00:38:38,487 --> 00:38:40,656 SUSTAINABILITY OF EMPIRICALLY 1067 00:38:40,656 --> 00:38:45,861 SUPPORTED INTERVENTION INTERVENS 1068 00:38:45,861 --> 00:38:47,630 ROUTINE CARE SETTINGS FOR OLDER 1069 00:38:47,630 --> 00:38:49,898 ADULTS LIVING WITH SMI. 1070 00:38:49,898 --> 00:38:51,133 NEXT SLIDE PLEASE. 1071 00:38:51,133 --> 00:38:52,534 HERE ARE CLEAR EXAMPLES OF 1072 00:38:52,534 --> 00:38:53,936 RELEVANT RESEARCH THAT WOULD BE 1073 00:38:53,936 --> 00:38:55,104 SUPPORTED BY THE INITIATIVES 1074 00:38:55,104 --> 00:38:56,872 THAT WOULD INCLUDE, BUT THEY NOT 1075 00:38:56,872 --> 00:38:58,907 BE LIMITED TO RESEARCH RELATED 1076 00:38:58,907 --> 00:39:02,911 TO ADAPTING, OPTIMIZING, AND 1077 00:39:02,911 --> 00:39:03,846 IMPLEMENTING EFFFACING 1078 00:39:03,846 --> 00:39:05,347 TREATMENTS AND STRATEGIES TO 1079 00:39:05,347 --> 00:39:06,915 IMPROVE BOTH CLINICAL AND 1080 00:39:06,915 --> 00:39:07,850 FUNCTIONAL OUTCOMES. 1081 00:39:07,850 --> 00:39:10,419 WHICH MAY INCLUDE THE REDUCTION 1082 00:39:10,419 --> 00:39:12,488 OF COOCCURRING CHRONIC HEALTH 1083 00:39:12,488 --> 00:39:13,989 SYSTEMS AND CONDITIONS AMONG 1084 00:39:13,989 --> 00:39:15,190 PEOPLE AGING WITH SMI. 1085 00:39:15,190 --> 00:39:19,061 RESEARCH THAT MAY EXAMINE 1086 00:39:19,061 --> 00:39:20,296 INNOVATIVE IMPLEMENTATION 1087 00:39:20,296 --> 00:39:22,164 STRATEGIES FOR IMPROVING THE 1088 00:39:22,164 --> 00:39:23,332 UPTAKE, EFFECTIVENESS, AND 1089 00:39:23,332 --> 00:39:25,501 MAINTENANCE OF THE EMPIRICALLY 1090 00:39:25,501 --> 00:39:27,303 SUPPORTED INTERVENTION IN 1091 00:39:27,303 --> 00:39:28,671 ROUTINE PRACTICE COMMUNITY AND 1092 00:39:28,671 --> 00:39:29,872 OTHER SERVICE SETTINGS. 1093 00:39:29,872 --> 00:39:31,206 AND FINALLY RESEARCH THAT MAY 1094 00:39:31,206 --> 00:39:32,808 FOCUS ON HEALTHCARE SYSTEM LEVEL 1095 00:39:32,808 --> 00:39:34,510 FACTORS AND APPROPRIATES FOR 1096 00:39:34,510 --> 00:39:35,911 ADDRESSING LATE LIFE SMI AND 1097 00:39:35,911 --> 00:39:38,247 IMPROVING ACCESS ORGANIZATION 1098 00:39:38,247 --> 00:39:40,282 AND SUSTAINABILITY OF THESE 1099 00:39:40,282 --> 00:39:41,684 EVIDENCE-BASED INTERVENTIONS AND 1100 00:39:41,684 --> 00:39:43,118 RELEVANT CARE SETTINGS. 1101 00:39:43,118 --> 00:39:46,655 THANK YOU FOR YOUR TIME AND 1102 00:39:46,655 --> 00:39:56,832 ATTENTION. 1103 00:40:02,705 --> 00:40:04,273 >> ANDREA, I THINK YOU'RE ON 1104 00:40:04,273 --> 00:40:04,473 MUTE. 1105 00:40:04,473 --> 00:40:05,607 >> DR. ANDREA BECKEL-MITCHENER: 1106 00:40:05,607 --> 00:40:05,941 THAT IS GOOD. 1107 00:40:05,941 --> 00:40:10,012 BECAUSE I MISPRONOUNCED THE 1108 00:40:10,012 --> 00:40:12,514 PSYCHOMIMETIC AGENTS. 1109 00:40:12,514 --> 00:40:17,319 SO DR. JONATHAN SABBAGH FOR THIS 1110 00:40:17,319 --> 00:40:17,553 CONCEPT. 1111 00:40:17,553 --> 00:40:18,454 >> HELLO. 1112 00:40:18,454 --> 00:40:19,788 AND THANK YOU ALL FOR THE 1113 00:40:19,788 --> 00:40:20,956 OPPORTUNITY TO PRESENT THIS 1114 00:40:20,956 --> 00:40:21,557 CONCEPT. 1115 00:40:21,557 --> 00:40:22,825 I WILL ACCELERATING SOLUTIONS TO 1116 00:40:22,825 --> 00:40:25,260 UNDERSTAND THE POTENTIAL 1117 00:40:25,260 --> 00:40:26,862 FAST-ACTING AGENTS. 1118 00:40:26,862 --> 00:40:34,269 NEXT SLIDE PLEASE. 1119 00:40:34,269 --> 00:40:38,073 SO PSYCHOMIMETIC AGENTS, PMAs 1120 00:40:38,073 --> 00:40:42,978 ARE SEVERAL CLASSES OF DRUGS, 1121 00:40:42,978 --> 00:40:44,513 [LISTING DRUGS]. 1122 00:40:44,513 --> 00:40:47,149 OVER THE LAST 20 YEARS OR SO, 1123 00:40:47,149 --> 00:40:57,860 THERE'S BEEN A VENEWELLED RENEWT 1124 00:40:59,061 --> 00:41:01,363 IN LOOKING AT THE DRUGS. 1125 00:41:01,363 --> 00:41:03,198 THERE'S ALSO BEEN A GROUNDSWELL 1126 00:41:03,198 --> 00:41:04,466 OF INTEREST AND INVESTMENT IN 1127 00:41:04,466 --> 00:41:06,001 THESE DRUGS AND RELATE ULMALL 1128 00:41:06,001 --> 00:41:07,236 EGGS FROM INDUSTRY. 1129 00:41:07,236 --> 00:41:08,904 THE FIGURE TON THE RIGHT IS A 1130 00:41:08,904 --> 00:41:09,805 SNAP A LOT OF THE DOZENS OF 1131 00:41:09,805 --> 00:41:13,876 COMPANIES THAT ARE PURSUING GIRL 1132 00:41:13,876 --> 00:41:22,818 DETHAT ARE PURSUING DRUGDEVELOP. 1133 00:41:22,818 --> 00:41:28,090 NEXT SLIDE PLEASE. 1134 00:41:28,090 --> 00:41:28,824 HOWEVER, THERE ARE SEVERAL 1135 00:41:28,824 --> 00:41:30,826 CHALLENGES ASSOCIATED WITH 1136 00:41:30,826 --> 00:41:31,326 PMAs. 1137 00:41:31,326 --> 00:41:33,195 THE PREFOUND SUBJECTIVE EFFECTS 1138 00:41:33,195 --> 00:41:34,196 THAT TYPICALLY OCCUR FOLLOWING 1139 00:41:34,196 --> 00:41:37,166 THE ADMINISTRATION OF THE DRUGS, 1140 00:41:37,166 --> 00:41:39,601 AND IT LEADS TO FUNCTIONAL 1141 00:41:39,601 --> 00:41:40,702 UNBLINDING IN CLINICAL TRIALS 1142 00:41:40,702 --> 00:41:42,604 WHERE IN PARTICIPANTS ARE 1143 00:41:42,604 --> 00:41:44,106 ACUTELY AWARE OF IF THEY 1144 00:41:44,106 --> 00:41:49,478 RECEIVED ACTIVE DRUG OR PLACEBO. 1145 00:41:49,478 --> 00:41:52,714 COUPLED WITH THE LARGEECT 1146 00:41:52,714 --> 00:41:53,849 PACTANCY EFFECTS THAT THE 1147 00:41:53,849 --> 00:41:55,684 TREATMENT NONSPECIFIC EFFECTS 1148 00:41:55,684 --> 00:41:56,852 MAY BE CONTRIBUTING TO POSITIVE 1149 00:41:56,852 --> 00:41:58,821 TRIAL RESULTS. 1150 00:41:58,821 --> 00:42:01,390 THE CHOICE OF WHICH PLACEBO TO 1151 00:42:01,390 --> 00:42:04,660 USE, WHETHER INSERT OR 1152 00:42:04,660 --> 00:42:06,795 PSYCHOACTIVE TO MIMIC ASPECTS IS 1153 00:42:06,795 --> 00:42:07,930 DEVELOPMENT AND NOT UNIFORM 1154 00:42:07,930 --> 00:42:09,832 ACROSS STUDIES. 1155 00:42:09,832 --> 00:42:10,499 THE ROLE THAT PSYCHOTHERAPY 1156 00:42:10,499 --> 00:42:13,235 PLAYS IN THE BENEFICIAL EFFECTS 1157 00:42:13,235 --> 00:42:14,369 OBSERVED IS ALSO AN OPEN 1158 00:42:14,369 --> 00:42:16,872 QUESTIONS WITH SOME TRIALS 1159 00:42:16,872 --> 00:42:18,941 UTILIZING A STANDARDIZED 1160 00:42:18,941 --> 00:42:21,243 APPROACH AND OTHERS WITH MINIMAL 1161 00:42:21,243 --> 00:42:22,244 SUPPORT. 1162 00:42:22,244 --> 00:42:24,413 PMAs HAVE COMPLEX 1163 00:42:24,413 --> 00:42:25,214 PHARMACOLOGY, AS EVIDENCED BY 1164 00:42:25,214 --> 00:42:27,382 THE FIGURE ON THE RIGHT, WHICH 1165 00:42:27,382 --> 00:42:30,085 DEFECTS RECEPTOR TARGETS FOR LSD 1166 00:42:30,085 --> 00:42:31,420 WITH THE RED AND GREEN DOTS. 1167 00:42:31,420 --> 00:42:35,858 THIS IS COMPLICATED DRUG 1168 00:42:35,858 --> 00:42:41,497 DEVELOPMENT EFFORTS I IT IS NOT 1169 00:42:41,497 --> 00:42:44,433 CLEAR WHAT ARE THE EFFECTS OR 1170 00:42:44,433 --> 00:42:46,268 MECHANISM OF ACTION ARE 1171 00:42:46,268 --> 00:42:46,568 UNDERSTOOD. 1172 00:42:46,568 --> 00:42:48,937 THE CHALLENGES ARE NOT UNIQUE TO 1173 00:42:48,937 --> 00:42:51,340 PMAs TH THEY ARE EXACERBATED BY 1174 00:42:51,340 --> 00:42:53,242 THE INTENSE EFFECTS OF THE DRUGS 1175 00:42:53,242 --> 00:42:55,210 IN THE HIGH ENTHUSIASM ON THE 1176 00:42:55,210 --> 00:42:58,046 PATIENTS AND CLINICIANS. 1177 00:42:58,046 --> 00:43:02,050 NEXT SLIDE PLEASE. 1178 00:43:02,050 --> 00:43:04,019 THE OVERALL GOAL OF THIS CONCEPT 1179 00:43:04,019 --> 00:43:05,621 IS TO FOSTER RESEARCH THAT AIMS 1180 00:43:05,621 --> 00:43:07,890 TO BETTER UNDERSTAND THE 1181 00:43:07,890 --> 00:43:08,790 MECHANISMS AND POTENTIAL 1182 00:43:08,790 --> 00:43:10,726 THERAPEUTIC IMPACT OF PMAs. 1183 00:43:10,726 --> 00:43:12,194 EXAMPLES OF RESEARCH QUESTIONS 1184 00:43:12,194 --> 00:43:14,796 THAT COULD BE POSED INCLUDE HOW 1185 00:43:14,796 --> 00:43:16,431 CAN TRIAL DESIGNS TO BE 1186 00:43:16,431 --> 00:43:17,866 OPTIMIZED TO ADDRESS AND 1187 00:43:17,866 --> 00:43:18,400 POTENTIALLY OVERCOME THE 1188 00:43:18,400 --> 00:43:20,536 CHALLENGES ASSOCIATED WITH 1189 00:43:20,536 --> 00:43:21,837 PMAs. 1190 00:43:21,837 --> 00:43:24,540 AND WHAT TRANSLATABLE 1191 00:43:24,540 --> 00:43:26,074 PHARMACODYNAMIC BIOMARKERS CAN 1192 00:43:26,074 --> 00:43:28,410 BE DEVELOPED FOR A BETTER DRUG 1193 00:43:28,410 --> 00:43:29,411 EFFECT. 1194 00:43:29,411 --> 00:43:31,547 AND HOW CAN WE BETTER UNDERSTAND 1195 00:43:31,547 --> 00:43:33,882 WHERE PSYCHOTHERAPY AND THE 1196 00:43:33,882 --> 00:43:35,918 PRONOUNCED EFFECTIVE PLAY A ROLE 1197 00:43:35,918 --> 00:43:38,353 IN MEEDATING THE EFFICACY OF THE 1198 00:43:38,353 --> 00:43:38,887 AGENTS. 1199 00:43:38,887 --> 00:43:40,022 THATHANK YOU. 1200 00:43:40,022 --> 00:43:42,357 I LOOK FORWARD TO QUESTIONS. 1201 00:43:42,357 --> 00:43:43,225 >> THANK YOU, JONATHAN. 1202 00:43:43,225 --> 00:43:46,595 AND FINALLY, WE HAVE DR. SUZANNE 1203 00:43:46,595 --> 00:43:48,730 GARCIA TO PRESENT ON THE 1204 00:43:48,730 --> 00:43:50,532 ACCELERATING MEDICINES 1205 00:43:50,532 --> 00:43:53,168 PARTNERSHIP FOR SCHIZOPHRENIA. 1206 00:43:53,168 --> 00:43:53,869 >> GREAT. 1207 00:43:53,869 --> 00:43:54,136 THANK YOU. 1208 00:43:54,136 --> 00:43:54,803 GOOD AFTERNOON. 1209 00:43:54,803 --> 00:43:57,272 I'M DR. SUZANNE GARCIA. 1210 00:43:57,272 --> 00:43:58,840 I'M PLEASED TO PRESENT THIS 1211 00:43:58,840 --> 00:44:01,076 CONCEPT FOR ACCELERATING 1212 00:44:01,076 --> 00:44:06,248 MEDICINES PARTNERSHIP FOR 1213 00:44:06,248 --> 00:44:07,215 SCHIZOPHRENIA. 1214 00:44:07,215 --> 00:44:10,719 NEXT SLIDE PLEASE. 1215 00:44:10,719 --> 00:44:17,492 THIS IS A LARGE HI HIGH-PROFILE 1216 00:44:17,492 --> 00:44:19,628 PUBLIC AND PRIVATE PARTNERSHIP 1217 00:44:19,628 --> 00:44:21,763 FROM NIMH AND PUBLIC AND PRIVATE 1218 00:44:21,763 --> 00:44:23,498 PARTNERS TO CONDUCT THE MOST 1219 00:44:23,498 --> 00:44:26,902 CAMERA HENCEMENT LONGITUDINAL 1220 00:44:26,902 --> 00:44:28,437 STUDIES ON INDIVIDUALS AT RISK 1221 00:44:28,437 --> 00:44:29,605 FOR SCHIZOPHRENIA. 1222 00:44:29,605 --> 00:44:32,074 THE STUDY IS FOCUSED ON 1223 00:44:32,074 --> 00:44:33,542 DEVELOPING BIOMARKERS AND 1224 00:44:33,542 --> 00:44:34,543 CLINICAL OUTCOME MEASURES YOU 1225 00:44:34,543 --> 00:44:37,079 CAN SEE ON THE DIAGRAM ON THE 1226 00:44:37,079 --> 00:44:37,512 RIGHT. 1227 00:44:37,512 --> 00:44:40,182 SOME OF THE MARKERS INCLUDE 1228 00:44:40,182 --> 00:44:42,751 NEUROIMAGING, ASSESSMENTS, 1229 00:44:42,751 --> 00:44:45,187 NEUROPHYSIOLOGY, GENETIC 1230 00:44:45,187 --> 00:44:46,221 BIOMARKERS, SPEECH AND FACIAL 1231 00:44:46,221 --> 00:44:49,858 EXPRESSION AND DIGITAL MEASURES. 1232 00:44:49,858 --> 00:44:52,527 COMBINED THE MEASURES WILL 1233 00:44:52,527 --> 00:44:57,899 SUPPORTWILLSUPPORT ALGORITHMS. 1234 00:44:57,899 --> 00:45:01,603 THE DATA ARE COLLECTED FROM 1235 00:45:01,603 --> 00:45:02,638 STUDY PARTICIPANTING AT BASELINE 1236 00:45:02,638 --> 00:45:03,672 AND CONTINUING THROUGH 24 MONTHS 1237 00:45:03,672 --> 00:45:06,341 AND THE STUDY IS PROJECTED TO BE 1238 00:45:06,341 --> 00:45:08,510 COMPLETED IN JUNE OF 2027. 1239 00:45:08,510 --> 00:45:11,246 THE OVERARCHING GOAL OF THE 1240 00:45:11,246 --> 00:45:14,950 STUDY IS THE DEVELOPMENT OF THE 1241 00:45:14,950 --> 00:45:16,184 STOOLS TO IDENTIFY EVERY RISK 1242 00:45:16,184 --> 00:45:17,419 FOR SCHIZOPHRENIA THAT CAN BE 1243 00:45:17,419 --> 00:45:19,287 USED IN FUTURE CLINICAL TRIALS 1244 00:45:19,287 --> 00:45:21,289 TO ASSESS NOVEL INTERVENTIONS. 1245 00:45:21,289 --> 00:45:24,259 THIS CONCEPT WOULD SUPPORT THE 1246 00:45:24,259 --> 00:45:26,328 SCHIZOPHRENIA DATA PROCESSING 1247 00:45:26,328 --> 00:45:28,630 ANALYSIS AND COORDINATION CENTER 1248 00:45:28,630 --> 00:45:29,231 THE COMPLETE FINAL DATA 1249 00:45:29,231 --> 00:45:31,400 PROCESSING AND ANALYSIS REQUIRED 1250 00:45:31,400 --> 00:45:33,535 TO COMPLETE THE 24 MONTH 1251 00:45:33,535 --> 00:45:34,569 LONGITUDINAL STUDIES. 1252 00:45:34,569 --> 00:45:42,678 NEXT SLIDE PLEASE. 1253 00:45:42,678 --> 00:45:45,380 TO DATE, THE STUDY HAS ALREADY 1254 00:45:45,380 --> 00:45:47,983 RECRUITED OVER 2,600 STUDY 1255 00:45:47,983 --> 00:45:50,452 PARTICIPANTS AND THEY HAVE MET 1256 00:45:50,452 --> 00:45:52,788 THEIR RECRUITMENT TARGETS. 1257 00:45:52,788 --> 00:45:56,591 ALL PARTICIPANTS HAVE COMPLETED 1258 00:45:56,591 --> 00:45:58,760 BASELINE MONTH ONE AND TWO TIME 1259 00:45:58,760 --> 00:45:59,227 POINTS. 1260 00:45:59,227 --> 00:45:59,995 HOWEVER, CONTINUE COLLECTION OF 1261 00:45:59,995 --> 00:46:01,329 THE BIOMARKERS AND CLINICAL 1262 00:46:01,329 --> 00:46:03,832 OUTCOME DATA ACROSS THE FULL 24 1263 00:46:03,832 --> 00:46:05,767 MONTH IS NEEDED TO COMPLETE THE 1264 00:46:05,767 --> 00:46:07,202 FULL DATASET. 1265 00:46:07,202 --> 00:46:08,403 BY CONTINUING THE DATA 1266 00:46:08,403 --> 00:46:10,706 PROCESSING ANALYSIS THE CENTER 1267 00:46:10,706 --> 00:46:13,675 WILL ENSURE CONTINUED DATA WITH 1268 00:46:13,675 --> 00:46:15,811 REALTIME QUALITY ASSURANCE AND 1269 00:46:15,811 --> 00:46:17,779 QUALITY CONTROL DATA PROCESSING, 1270 00:46:17,779 --> 00:46:19,281 CURATION AND SHARING AND 1271 00:46:19,281 --> 00:46:20,449 ULTIMATELY COMPLETION OF THE 1272 00:46:20,449 --> 00:46:23,218 PRIMARY ANALYSIS OF THIS WHOLE 1273 00:46:23,218 --> 00:46:23,719 DATASET. 1274 00:46:23,719 --> 00:46:28,223 NEXT SLIDE PLEASE. 1275 00:46:28,223 --> 00:46:31,093 THERE ARE FOUR EXPECTED OUTCOMES 1276 00:46:31,093 --> 00:46:32,427 FOR SCHIZOPHRENIA. 1277 00:46:32,427 --> 00:46:35,731 ONE, WE EXPECT TO SEE HIGH 1278 00:46:35,731 --> 00:46:36,398 QUALITY LONGITUDE CAN MULTIMODAL 1279 00:46:36,398 --> 00:46:38,166 DATA AND CLINICAL OUTCOMES FROM 1280 00:46:38,166 --> 00:46:40,302 A RELATIVELY UNDER STUDIES 1281 00:46:40,302 --> 00:46:42,537 POPULATION ACROSS 24 MONTHS. 1282 00:46:42,537 --> 00:46:46,041 THTHE CURATED DATA WILL BE SHARD 1283 00:46:46,041 --> 00:46:49,711 AS A RESOURCE THROUGH THE NIMH 1284 00:46:49,711 --> 00:46:52,647 DATA ARCHIVE OR NDA. 1285 00:46:52,647 --> 00:46:53,915 SCHIZOPHRENIA WILL DELIVER ON 1286 00:46:53,915 --> 00:46:57,652 THE LARGE PUBLIC AND PRIVATE 1287 00:46:57,652 --> 00:46:59,087 ASSESSMENTS FOR THE USE IN 1288 00:46:59,087 --> 00:47:00,455 CLINICAL TRIALS OF NOVEL 1289 00:47:00,455 --> 00:47:01,123 INTERVENTIONS. 1290 00:47:01,123 --> 00:47:03,558 AND FINALLY, THIS INITIATIVE 1291 00:47:03,558 --> 00:47:08,830 WILL SIGNIFIC SIGNIFICA SIGNIFIW 1292 00:47:08,830 --> 00:47:10,398 THERAPIES FOR THOSE AT RISK FOR 1293 00:47:10,398 --> 00:47:11,266 SCHIZOPHRENIA. 1294 00:47:11,266 --> 00:47:11,900 THANK YOU FOR YOUR TIME AND 1295 00:47:11,900 --> 00:47:12,167 ATTENTION. 1296 00:47:12,167 --> 00:47:13,702 >> DR. ANDREA BECKEL-MITCHENER: 1297 00:47:13,702 --> 00:47:13,969 GREAT. 1298 00:47:13,969 --> 00:47:20,375 THANK YOU, SPACEWALKING SI DR. . 1299 00:47:20,375 --> 00:47:21,076 THANK YOU ALL. 1300 00:47:21,076 --> 00:47:23,478 NOW, WE WILL OPEN IT UP FOR ANY 1301 00:47:23,478 --> 00:47:28,316 OF THE FOUR CONCEPTS PRESENTED. 1302 00:47:28,316 --> 00:47:28,583 >> YES? 1303 00:47:28,583 --> 00:47:30,285 >> I JUST WANTED TO EXPRESS MY 1304 00:47:30,285 --> 00:47:32,320 STRONG SUPPORT FOR THE CONCEPT 1305 00:47:32,320 --> 00:47:34,990 CLEARANCE ON OLDER ADULTS LIVING 1306 00:47:34,990 --> 00:47:38,360 WITH SERIOUS MENTAL ILLNESS. 1307 00:47:38,360 --> 00:47:39,895 I THINK THIS IS A REALLY 1308 00:47:39,895 --> 00:47:42,164 IMPORTANT PROBLEM THAT RESONATES 1309 00:47:42,164 --> 00:47:43,598 WITH ME JUST BASED ON THE 1310 00:47:43,598 --> 00:47:45,300 PATIENTS I SAW IN MY CLINIC LAST 1311 00:47:45,300 --> 00:47:48,637 WEEK THAT REALLY SURFER FROM 1312 00:47:48,637 --> 00:47:49,504 FRACTURED CARE THAT THEY GET 1313 00:47:49,504 --> 00:47:52,674 BECAUSE OF AN EMPHASIS ON 1314 00:47:52,674 --> 00:47:54,376 SPECIALIST AND A LACK OF 1315 00:47:54,376 --> 00:47:54,676 INTEGRATION. 1316 00:47:54,676 --> 00:47:56,812 SO I THINK BETTER INTERVENTIONS 1317 00:47:56,812 --> 00:47:59,848 THAT ADDRESS THE SORT OF 1318 00:47:59,848 --> 00:48:00,448 MULTIMORBIDITY WE SEE IN THE 1319 00:48:00,448 --> 00:48:03,819 PATIENTS WILL BE VERY IMPACTFUL. 1320 00:48:03,819 --> 00:48:05,887 >> DR. ANDREA BECKEL-MITCHENER: 1321 00:48:05,887 --> 00:48:08,857 THANK YOU. 1322 00:48:08,857 --> 00:48:09,124 >> NEXT? 1323 00:48:09,124 --> 00:48:09,391 >> YEAH. 1324 00:48:09,391 --> 00:48:11,326 I WAS GLAD TO SEE THE CONTINUED 1325 00:48:11,326 --> 00:48:12,761 EMPHASIZE ON IMPLEMENTATION 1326 00:48:12,761 --> 00:48:14,896 SCIENCE, WHICH IS AN AREA THAT 1327 00:48:14,896 --> 00:48:16,598 NIMH HAS BEEN AN ABSOLUTE LEADER 1328 00:48:16,598 --> 00:48:18,967 IN THE PAST TWO DECADES AND 1329 00:48:18,967 --> 00:48:21,169 REALLY ALLOW OUR DISCOVERY TO 1330 00:48:21,169 --> 00:48:22,637 HAVE IMPACT. 1331 00:48:22,637 --> 00:48:23,972 I HAVE COMMENTS FOR THE FIRST 1332 00:48:23,972 --> 00:48:26,474 THREE CLEARANCES I WILL BE 1333 00:48:26,474 --> 00:48:28,610 BRIEF. 1334 00:48:28,610 --> 00:48:30,779 DR. SHERYL, WAS HOPING IT COULD 1335 00:48:30,779 --> 00:48:32,113 EMPHASIS GOING BEYOND INDIVIDUAL 1336 00:48:32,113 --> 00:48:33,648 FACTORS AND RECOGNIZING THAT 1337 00:48:33,648 --> 00:48:35,083 TRAINING IS NECESSARY BUT NOT 1338 00:48:35,083 --> 00:48:37,185 SUFFICIENT FOR BEHAVIOR CHANGE 1339 00:48:37,185 --> 00:48:38,353 AND THINKING ABOUT A MORE 1340 00:48:38,353 --> 00:48:40,088 MULTILEVEL LENS. 1341 00:48:40,088 --> 00:48:42,724 DR. EVANS, WAS CURIOUS ABOUT 1342 00:48:42,724 --> 00:48:46,061 EMPHASIZING HYBRID STUDIES TO 1343 00:48:46,061 --> 00:48:47,963 SPEED UP THE PACE AND 1344 00:48:47,963 --> 00:48:48,396 EFFECTIVENESS AND 1345 00:48:48,396 --> 00:48:54,636 IMPLEMENTATION, AND DR. JONATHAN 1346 00:48:54,636 --> 00:48:57,539 SABBAGH IF THERE IS A WA WA %AO 1347 00:48:57,539 --> 00:48:58,940 INCORPORATE THAT KIND OF 1348 00:48:58,940 --> 00:49:00,275 THINKING NOW INTO THAT CONCEPT 1349 00:49:00,275 --> 00:49:01,076 CLEARANCE I WOULD RECOMMEND IT. 1350 00:49:01,076 --> 00:49:03,011 THANK YOU. 1351 00:49:03,011 --> 00:49:04,412 >> DR. ANDREA BECKEL-MITCHENER: 1352 00:49:04,412 --> 00:49:05,247 GREAT, THANK YOU FOR THOSE 1353 00:49:05,247 --> 00:49:09,351 COMMENTS. 1354 00:49:09,351 --> 00:49:09,651 >> LAURA? 1355 00:49:09,651 --> 00:49:11,486 >> THANK YOU. 1356 00:49:11,486 --> 00:49:16,391 I ALSO WAS VERY IMPRESSED WITH 1357 00:49:16,391 --> 00:49:19,794 THE PROJECT FOR OLDER 1358 00:49:19,794 --> 00:49:21,796 INDIVIDUALS TO IMPROVING CARE 1359 00:49:21,796 --> 00:49:22,063 FOR THEM. 1360 00:49:22,063 --> 00:49:25,500 SO VERY HIGHLY SUPPORT THAT. 1361 00:49:25,500 --> 00:49:27,535 AND A QUESTION FOR THE 1362 00:49:27,535 --> 00:49:28,703 SCHIZOPHRENIA PROJECT. 1363 00:49:28,703 --> 00:49:34,342 WHETHER A STUDY ENDS IN 2027, 1364 00:49:34,342 --> 00:49:35,243 RIGHT? 1365 00:49:35,243 --> 00:49:37,178 THERE ARE BIOMARKERS AND MANY 1366 00:49:37,178 --> 00:49:39,948 THINGS THAT MEANS THAT SUPPORT 1367 00:49:39,948 --> 00:49:42,817 IS GOING TO NEED TO GO ON 1368 00:49:42,817 --> 00:49:44,619 CONCEIVABLY FOR A VERY LONG 1369 00:49:44,619 --> 00:49:44,819 TIME. 1370 00:49:44,819 --> 00:49:48,323 SO I WAS CURIOUS ABOUT IT TIME 1371 00:49:48,323 --> 00:49:49,190 FRAME, RIGHT OF THE CONTINUED 1372 00:49:49,190 --> 00:49:51,993 SUPPORT THAT THIS WAS PROPOSING 1373 00:49:51,993 --> 00:49:54,029 AND PROBABLY EVEN LONGER TERM 1374 00:49:54,029 --> 00:49:57,332 SUPPORT THAN THAT. 1375 00:49:57,332 --> 00:49:59,434 >> SO THE TIMELINE THAT WE HAVE 1376 00:49:59,434 --> 00:50:02,070 GIVEN, WILL ALLOW FOR THE 1377 00:50:02,070 --> 00:50:03,438 COMPLETE ANALYSIS OF ALL OF THE 1378 00:50:03,438 --> 00:50:04,839 DATA POINTS WE WILL BE 1379 00:50:04,839 --> 00:50:10,779 RECEIVING. 1380 00:50:10,779 --> 00:50:13,214 >> SO THIS IS ESPECIALLY AN 1381 00:50:13,214 --> 00:50:15,216 EXTENSION OF AN ONGOING PROGRAM 1382 00:50:15,216 --> 00:50:17,686 AND THE TIMELINE, I THINK, IS 1383 00:50:17,686 --> 00:50:18,520 ALREADY BEEN BUILT IN SO THIS 1384 00:50:18,520 --> 00:50:22,557 WILL WILL BE READY TO GO SHOULDT 1385 00:50:22,557 --> 00:50:28,396 BECOME AN AN INITIATIVE, SHOULT 1386 00:50:28,396 --> 00:50:29,864 BE ALLOWED TO BE AN INITIATIVE 1387 00:50:29,864 --> 00:50:30,598 AT THAT POINT. 1388 00:50:30,598 --> 00:50:33,535 IS THAT RIGHT, DR. SUZANNE 1389 00:50:33,535 --> 00:50:33,768 GARCIA. 1390 00:50:33,768 --> 00:50:35,537 >> THAT IS EXACTLY RIGHT. 1391 00:50:35,537 --> 00:50:38,573 THANK YOU, ANDREA. 1392 00:50:38,573 --> 00:50:39,441 >> VELMA. 1393 00:50:39,441 --> 00:50:40,875 >> HI, , I WOULD LIKE TO OFFER 1394 00:50:40,875 --> 00:50:43,211 STRONG SUPPORT FOR JOEL'S 1395 00:50:43,211 --> 00:50:45,313 PRESENTATION REGARDING THE 1396 00:50:45,313 --> 00:50:47,615 TRAINING OF THE WORKFORCE. 1397 00:50:47,615 --> 00:50:49,784 AND WOULD LIKE TO ALSO 1398 00:50:49,784 --> 00:50:53,688 EMPHASIZE, I LIKE THE SUGGESTIN 1399 00:50:53,688 --> 00:50:55,123 WAS MULTILEVEL TRAINING, BUT 1400 00:50:55,123 --> 00:50:58,159 ALSO THINKING OF WAYS TO REALLY 1401 00:50:58,159 --> 00:50:58,793 LEVERAGE COMMUNITY HEALTH 1402 00:50:58,793 --> 00:51:01,863 WORKERS AS A WAY OF REACHING 1403 00:51:01,863 --> 00:51:04,899 WIDER POPULATIONS, PARTICULARLY 1404 00:51:04,899 --> 00:51:07,502 RURAL COMMUNITIES, BECAUSE 1405 00:51:07,502 --> 00:51:09,070 TELEHEALTH, IT IS A GREAT 1406 00:51:09,070 --> 00:51:11,339 PLATFORM FOR DELIVERY, THE MAIL 1407 00:51:11,339 --> 00:51:12,507 NOT NECESSARILY BE VIABLE FOR 1408 00:51:12,507 --> 00:51:13,742 SOME POPULATIONS. 1409 00:51:13,742 --> 00:51:16,177 SO TO REALLY ENCOURAGE 1410 00:51:16,177 --> 00:51:18,046 APPLICATIONS I HAVE TO THINK 1411 00:51:18,046 --> 00:51:19,214 MUCH MORE BROADLY ABOUT ONE 1412 00:51:19,214 --> 00:51:20,682 TRAINING AND THE DELIVERY OF 1413 00:51:20,682 --> 00:51:21,816 TRAINING REACHING WIDE 1414 00:51:21,816 --> 00:51:24,185 POPULATIONS. 1415 00:51:24,185 --> 00:51:24,552 >> THANK YOU. 1416 00:51:24,552 --> 00:51:31,526 THANK YOU FOR THAT COMMENT. 1417 00:51:31,526 --> 00:51:31,860 >> IGNACE? 1418 00:51:31,860 --> 00:51:33,161 >> THANKS SO MUCH. 1419 00:51:33,161 --> 00:51:34,429 AND FOR ALL OF THE WORK THAT 1420 00:51:34,429 --> 00:51:37,032 FOLKS ARE DOING TO PULL THESE 1421 00:51:37,032 --> 00:51:37,298 TOGETHER. 1422 00:51:37,298 --> 00:51:41,870 MY COMMENT FOR DOCTOR REGARDING 1423 00:51:41,870 --> 00:51:47,142 THE SUICIDE APPLICATION, IS THE 1424 00:51:47,142 --> 00:51:48,209 IMPORTANCE OF GETTING OTHER 1425 00:51:48,209 --> 00:51:51,513 STAKEHOLDERS LIKE SAMSA 1426 00:51:51,513 --> 00:51:52,347 INVOLVED. 1427 00:51:52,347 --> 00:51:53,181 I KNOW I HAVE MADE THAT COMMENT 1428 00:51:53,181 --> 00:51:53,982 BEFORE. 1429 00:51:53,982 --> 00:51:57,952 BUT IN TERMS OF FACILITATING, 1430 00:51:57,952 --> 00:51:59,921 WELL, THE -- THE POINTS THAT HE 1431 00:51:59,921 --> 00:52:02,424 WAS MAKING AND MOVING FROM THE 1432 00:52:02,424 --> 00:52:06,194 RESEARCH TO THE IMPLEMENTATION. 1433 00:52:06,194 --> 00:52:08,963 HAVING THAT, THOSE FOLKS AT THE 1434 00:52:08,963 --> 00:52:09,964 TABLE. 1435 00:52:09,964 --> 00:52:10,832 THEY KNOW A LOT ABOUT THAT KIND 1436 00:52:10,832 --> 00:52:11,766 OF THING. 1437 00:52:11,766 --> 00:52:14,202 AND THEY MAY BE THERE. 1438 00:52:14,202 --> 00:52:16,671 IT WOULD BE GREAT TO HAVE THEM. 1439 00:52:16,671 --> 00:52:17,839 I THINK MY MAIN COMMENTS, 1440 00:52:17,839 --> 00:52:21,876 THOUGH, ARE FOR DR. SUZANNE 1441 00:52:21,876 --> 00:52:23,545 GARCIA -- SORRY? 1442 00:52:23,545 --> 00:52:26,047 FOR DR. SUZANNE GARCIA WITH 1443 00:52:26,047 --> 00:52:28,149 REGARDS TO THE SCHIZOPHRENIA. 1444 00:52:28,149 --> 00:52:29,517 BECAUSE THIS, IT SOUNDS LIKE 1445 00:52:29,517 --> 00:52:31,653 MOST OF THE OTHER CONCEPT 1446 00:52:31,653 --> 00:52:33,288 CLEARANCES AND THE CONCEPT 1447 00:52:33,288 --> 00:52:35,457 CLEARANCES THAT I'M, THAT I'M 1448 00:52:35,457 --> 00:52:37,358 ACCUSTOMED TO ARE IN THE CONTEXT 1449 00:52:37,358 --> 00:52:38,693 OF RFAs. 1450 00:52:38,693 --> 00:52:41,229 AND THAT ARE, THAT ARE GOING TO 1451 00:52:41,229 --> 00:52:43,598 BE DRAWING IN PROPOSALS. 1452 00:52:43,598 --> 00:52:45,300 THIS, THIS SEEMED LIKE A, A 1453 00:52:45,300 --> 00:52:48,236 GROUP THAT, WELL, FIRST OFF, IT 1454 00:52:48,236 --> 00:52:52,240 ITIS A GROUP, YOU KNOW, TH THEYT 1455 00:52:52,240 --> 00:52:53,908 GREAT FOLKS WORKING THERE. 1456 00:52:53,908 --> 00:52:56,911 IT IS IMPORTANT TO KEEP THAT, 1457 00:52:56,911 --> 00:52:59,781 THAT GROUP TOGETHER. 1458 00:52:59,781 --> 00:53:01,883 I -- I CONCUR. 1459 00:53:01,883 --> 00:53:04,285 BUT IT -- MADE ME WONDER WHAT IS 1460 00:53:04,285 --> 00:53:08,790 THE NATURE OF THIS CONCEPT 1461 00:53:08,790 --> 00:53:10,758 CLEARANCE AND WHAT ARE THE 1462 00:53:10,758 --> 00:53:14,262 MECHANISMS THAT NIMH HAS FOR 1463 00:53:14,262 --> 00:53:16,131 ALLOCATING FUNDS TO A RESEARCH 1464 00:53:16,131 --> 00:53:18,433 CENTER IT WANTS TO SUPPORT IN A 1465 00:53:18,433 --> 00:53:21,336 NONCOMPETITIVE MANNER IT SEEMS 1466 00:53:21,336 --> 00:53:23,438 SILLY TO MAKE THIS A PUBLISHED 1467 00:53:23,438 --> 00:53:23,838 COMPETITIVE RFA. 1468 00:53:23,838 --> 00:53:25,573 BUT IT WOULD MAKE SENSE TO HAVE 1469 00:53:25,573 --> 00:53:30,178 THE BUDGET SCRUTINIZED AT -- 1470 00:53:30,178 --> 00:53:33,281 BASED ON WHAT IT IS THAT THOSE 1471 00:53:33,281 --> 00:53:35,783 FUNDS ARE GOING TO BE USED FOR, 1472 00:53:35,783 --> 00:53:39,320 HOW TO MAKE THE MOST OF THEM. 1473 00:53:39,320 --> 00:53:42,724 AND ALSO, WHAT IS THE -- IT IS A 1474 00:53:42,724 --> 00:53:44,559 PUBLIC-PRIPUBLIC-PRIVATE PARTNES 1475 00:53:44,559 --> 00:53:46,494 THERE ANY EXPECTATION THAT THE 1476 00:53:46,494 --> 00:53:48,296 PRIVATE SECTOR IS GOING TO COME 1477 00:53:48,296 --> 00:53:52,500 FORWARD AND -- AND -- THEY ARE 1478 00:53:52,500 --> 00:53:56,004 CERTAINLY BENEFITING FROM THIS. 1479 00:53:56,004 --> 00:53:58,573 HOW, WHAT IS THEIR STAKE IN 1480 00:53:58,573 --> 00:53:59,707 THIS? 1481 00:53:59,707 --> 00:54:00,909 AND SO THOSE ARE MY COMMENTS 1482 00:54:00,909 --> 00:54:03,678 WITH REGARDS TO -- TRYING TO 1483 00:54:03,678 --> 00:54:07,882 MOVE THAT FORWARD. 1484 00:54:07,882 --> 00:54:08,483 >> EXCELLENT, THANK YOU FOR 1485 00:54:08,483 --> 00:54:09,484 THOSE COMMENTS. 1486 00:54:09,484 --> 00:54:12,187 YES, WE WILL CONTINUE HAVING THE 1487 00:54:12,187 --> 00:54:13,922 PUBLIC-PRIVATE PARTNERSHIP IN 1488 00:54:13,922 --> 00:54:14,389 THIS. 1489 00:54:14,389 --> 00:54:14,989 THEY WILL CONTINUE FINANCIALLY 1490 00:54:14,989 --> 00:54:16,457 HELPING US MOVE THIS FORWARD. 1491 00:54:16,457 --> 00:54:18,226 AND THE REASON THAT WE'RE ASKING 1492 00:54:18,226 --> 00:54:19,494 FOR THIS CONTINUED SUPPORT ON 1493 00:54:19,494 --> 00:54:22,230 THE MECHANISM WAS LARGELY DUE TO 1494 00:54:22,230 --> 00:54:24,732 THE FACT THAT THERE WAS MORE 1495 00:54:24,732 --> 00:54:25,333 TIME THEN WE EXPECTED THAT WAS 1496 00:54:25,333 --> 00:54:26,634 NEEDED TO FINALIZE THIS 1497 00:54:26,634 --> 00:54:27,602 PARTNERSHIP. 1498 00:54:27,602 --> 00:54:28,736 AND WE'RE HOPING TOKER BE ABLE 1499 00:54:28,736 --> 00:54:30,438 TO DOLLAR LIVE ON THE 1500 00:54:30,438 --> 00:54:33,041 PUBNICTIATE THAT WE HAVE 1501 00:54:33,041 --> 00:54:35,009 RECREATED. 1502 00:54:35,009 --> 00:54:36,544 >> SO, THIS IS A NEW MECHANISM? 1503 00:54:36,544 --> 00:54:37,979 >> WE DO HAVE A MECHANISM FOR 1504 00:54:37,979 --> 00:54:40,081 SINGLE SOURCE AMLUMICATIONS AT 1505 00:54:40,081 --> 00:54:40,648 THE NIH. 1506 00:54:40,648 --> 00:54:42,317 IT COMES WITH A LOT OF 1507 00:54:42,317 --> 00:54:45,887 ADDITIONAL JUSTIFICATIONS. 1508 00:54:45,887 --> 00:54:47,522 THAT WE HAVE -- THAT WE ARE 1509 00:54:47,522 --> 00:54:48,089 UNDERGOING. 1510 00:54:48,089 --> 00:54:50,024 AND WE WILL UNDERGO RIGOROUS 1511 00:54:50,024 --> 00:54:51,326 REVIEW FOR. 1512 00:54:51,326 --> 00:54:59,133 FROM THE NI NIH, AND OF COURSE,L 1513 00:54:59,133 --> 00:55:01,135 APPLICATIONS SUBMITTED WILL 1514 00:55:01,135 --> 00:55:02,103 UNDERGO PEER REVIEW. 1515 00:55:02,103 --> 00:55:04,072 >> AGAIN, IT IS IMPORTANT TO 1516 00:55:04,072 --> 00:55:05,873 NOTE AT THIS STAGE, IT IS 1517 00:55:05,873 --> 00:55:06,741 CONCEPT, IT IS STILL IN OUR BEST 1518 00:55:06,741 --> 00:55:10,411 INTEREST, AND CONCUR WITH 1519 00:55:10,411 --> 00:55:11,579 CONTINUING IN THIS VEIN. 1520 00:55:11,579 --> 00:55:13,314 WE HAVE A LOT OF WORK TO DO TO 1521 00:55:13,314 --> 00:55:15,483 KNOW HOW THAT SUPPORT MIGHT BE 1522 00:55:15,483 --> 00:55:15,750 PROVIDED. 1523 00:55:15,750 --> 00:55:18,786 WE TEND NOT TO COMMIT TO ANY 1524 00:55:18,786 --> 00:55:20,054 PARTICULAR GRANT MECHANISM OR 1525 00:55:20,054 --> 00:55:21,322 FUNDING MECHANISM AT THIS STAGE. 1526 00:55:21,322 --> 00:55:23,992 BUT WE ARE STILL VERY INTERESTED 1527 00:55:23,992 --> 00:55:27,528 IN CONTINUING THE -- THE 1528 00:55:27,528 --> 00:55:29,664 PROJECT, THE -- PROJECT WITH OUR 1529 00:55:29,664 --> 00:55:33,868 PRIVATE PARTNERS AS WELL. 1530 00:55:33,868 --> 00:55:35,069 WITH FMIH. 1531 00:55:35,069 --> 00:55:39,140 >> THANK YOU. 1532 00:55:39,140 --> 00:55:40,408 >> NOW, WE'RE AT THE PUBLIC 1533 00:55:40,408 --> 00:55:42,510 COMMENT TIME. 1534 00:55:42,510 --> 00:55:44,445 >> DR. ANDREA BECKEL-MITCHENER: 1535 00:55:44,445 --> 00:55:45,947 SO WE HAVE STAYED EXACTLY ON 1536 00:55:45,947 --> 00:55:46,147 TIME. 1537 00:55:46,147 --> 00:55:47,415 I'M ABSOLUTELY AMAZED. 1538 00:55:47,415 --> 00:55:50,351 THIS WOULD BE THE POINT IN OUR 1539 00:55:50,351 --> 00:55:52,987 MEETING WHERE WE WOULD ASK FOR 1540 00:55:52,987 --> 00:55:53,354 PUBLIC COMMENTS. 1541 00:55:53,354 --> 00:55:56,457 WE HAVE NOT RECEIVED ANY WRITTEN 1542 00:55:56,457 --> 00:55:57,992 COMMENTS PRIOR TO THE MEETING 1543 00:55:57,992 --> 00:56:02,230 THERE FORE WE HAVE NO PUBLIC 1544 00:56:02,230 --> 00:56:03,965 COMMONITARY FOR THE MEETING. 1545 00:56:03,965 --> 00:56:07,502 OUR PUBLIC IS WELCOME TO SUBMIT 1546 00:56:07,502 --> 00:56:08,469 COMMENTS THROUGH THE NORMAL 1547 00:56:08,469 --> 00:56:09,604 AVENUES THAT ARE AVAILABLE TO 1548 00:56:09,604 --> 00:56:11,472 US, YOU CAN SEE THAT ON THE 1549 00:56:11,472 --> 00:56:14,108 WEBSITE FOR ANYONE LISTENING OUT 1550 00:56:14,108 --> 00:56:14,375 THERE. 1551 00:56:14,375 --> 00:56:14,776 SO THANK YOU ALL. 1552 00:56:14,776 --> 00:56:15,843 THANK YOU FOR JOINING US FOR THE 1553 00:56:15,843 --> 00:56:17,211 OPEN SESSION. 1554 00:56:17,211 --> 00:56:20,782 WE APPRECIATE YOUR INPUT VERY 1555 00:56:20,782 --> 00:56:21,549 MUCH. 1556 00:56:21,549 --> 00:56:23,584 WE WILL ADJOURN THIS OPEN POLICY 1557 00:56:23,584 --> 00:56:24,152 SESSION. 1558 00:56:24,152 --> 00:56:26,854 FOR COUNCILMEMBERS OUR CLOSED 1559 00:56:26,854 --> 00:56:27,822 GRANT REVIEW SESSION, THE LAST 1560 00:56:27,822 --> 00:56:32,560 ONE OF THE DAY WILL CONVENE AT 1561 00:56:32,560 --> 00:56:34,796 1:15 P.M. EASTERN TIME, YOU CAN 1562 00:56:34,796 --> 00:56:36,264 AGAIN REMAIN ON THE TEAMS 1563 00:56:36,264 --> 00:56:37,198 MEETING YOU ARE ON NOW. 1564 00:56:37,198 --> 00:56:41,235 WE WILL SEE YOU JUST BEFORE 1:1. 1565 00:56:41,235 --> 00:56:42,036 THANK YOU ALL. 1566 00:56:42,036 --> 00:56:52,380 [ EVENT CONCLUDED ]