Department of Psychiatry
Administration Business: 503-494-8144
Patient Related Calls: 503-494-6176
Public
Psychiatry Research Opportunities
This is an overview of
public and services related psychiatric research opportunities,
developed by the Public Psychiatry Training Program and its Research
Director, Bentson McFarland. It will be updated periodically. For
further clarification and support in developing research proposals,
please contact Dr. McFarland (mcfarlab@ohsu.edu).
National overview:
National Institutes of Health:
Translation / Human Genome / Roadmap / “Bench to
bedside” (? To Board Room ?)
Community-based Participatory Research.
Focus on translation and genetics. Return on investment in the human
genome.
Some money available for projects that involve the community.
National Institute of Mental Health multi-site trials and follow-ups:
Clinical antipsychotic trials of intervention effectiveness (CATIE)
Sequenced treatment alternatives to relieve depression (STAR-D)
Systematic treatment enhancement program for bipolar disorder (STEP-BD)
VA here is the site for a bi-polar study.
Big money in multi-site trials and genetics.
Diagnostic and Statistical Manual
Fifth Edition:
Possible involvement in next edition of the DSM which is expected
in 2010 or 2011. Positions available for persons of multi-cultural
background and/or females.
Wes Sowers is the AACP contact. They may be able to nominate commitee
members.
No payment for time on committee but travel expenses are compensated.
Agency for Healthcare Research and Quality – literature reviews
/ ? guidelines ?
Financing for literature reviews
Robert Wood Johnson Foundation (early psychosis / obesity / vulnerable
populations)
Focusing its remaining funds for psychiatric issues on
early psychosis.
Focus switched to obesity.
Used to have large substance abuse now it is folded into vulnerable
populations.
Grants are easier to submit, they are on-line. Submit 4-5 pages,
one hears back in 1-2
months. Grants are typically $100,000.
Pharmaceutical industry: ? / reactions to CATIE and STAR-D
Pharmaceutical industry is still reacting to CATIE and STAR-D.
Pharmaceutical companies may be shrinking which may affect research.
Pharmaceutical industry anxious about Medicare part D
State level projects and activities
OHREC – Oregon Health Research and Evaluation Collaborative
Developing proposals to analyze the process and outcomes
of the new reprioritization of the Oregon Health Plan
Several other services research projects, some of which have behavioral
health components.
Safety Net research group
now forming
Kaiser and OHSU
Practice based research network and safety net clinic database development.
Key contact: John Saultz, OHSU Family Medicine and Mark Spofford,
KaiserResearch
Problem gambling (John Marotta, Oregon Addiction and MH Division
Problem Gambling Coordinator). Has access to small grant funds for
clinical and outcomes studies.
University overview:
Oregon Clinical and Translational Research Institute (University and
Kaiser research)
Formerly General Clinical Research Center – transformed
to OCTRI.
Now connecting to health care systems (specifically Kaiser).
Start up projects usually about $50,000.
Interest in in-patient studies.
Pilot projects
Methamphetamine Abuse Research Center (Behavioral Neuroscience / Portland
Veterans Hospital)
Mostly at the Veterans Hospital.
Most research on mice.
Imaging
Pilot projects. There is money for research projects. Need more
human involvement.
Portland Alcohol Research Center (Behavioral Neuroscience / Portland
Veterans hospital)
Veterans Hospital internationally known for its research
on mice and alcohol.
Mice
Mouse genetics
National Institute on Drug Abuse Clinical Trials Network (Public Health
and Preventive Medicine)
Oregon / Hawaii node. OHSU is headquarters.
Randomized effectiveness trials in community-based treatment programs
Always have trials going on. Dennis McCarty the contact.
Evidence-based practice related entities at OHSU centers
Three different entities at OHSU
Opportunity for literature reviews
Funds are available
EPC – Evidence-Based Practice Center
(within Medical Informatics and Clinical Epidemiology department)
CEBP – Center for Evidence Based Policy
Organizes and operates the DERP – Drug Effectiveness Review
Project,
for which the EPC provides the technical and methodological support
Eisenberg Center – (within Internal Medicine department)
Communication and translation of complex concepts to understandable
language for policy makers, non-research focused clinicians, and
lay people.
Public psychiatry selections:
American Indian substance abuse prevention and treatment (Dale Walker
et al.)
Urban Indian substance abuse treatment outcomes (Portland and Seattle)
Native American Rehabilitation Association in Portland
Seattle Indian Health Board
Traditional healing (Larry Murillo)
Tribal alcohol policies and impacts (Bentson McFarland) -- Robert
Wood Johnson grant.
Quality of care in behavioral health (Bentson McFarland et al.)
Standardized patients in substance abuse treatment (Colleen Lewy
et al.)
Length of stay in residential substance abuse treatment (Bentson
McFarland) -- data analysis.
Medicaid and treatment for people with substance abuse book (Bentson
McFarland et al.)
Primary care mental health
Depression and intimate partner violence (Christina Nicolaidis,
General Internal Medicine)
(Robert Wood Johnson grant and National Institute of Mental Health
grants)
Cultural component with emphasis on Latina and African American
populations.
Primary care behavioral health (Steven Dobshca, Portland Veterans
hospital)
Research on depression., chronic pain (opaites).
Interested in research on alcohol.
Rural mental health (hopefully a growth area)
Rural child telepsychiatry (Nancy Winters)
funding from Academy of Child and Adolescent Psychiatry
Oregon Rural Practice Research Network (LJ Fagnan, Family Medicine)
funded from University development resources
Resources available including research assistants
Conference every June on primary care interface and mental health
research
32 clinics in outlying areas which would like to do research.
Some clinics have a specific interest in mental health
Identification of behavioral components related to mental health
issues.
Pharmaceutical policy projects
Medication management algorithms (Jennifer Wisdom)
Collaboration with Oregon State University College of Pharmacy
Academic detailing (Method of informing prescribers)
Dose consolidation.
Emergency department research projects
Robert Lowe MD (emergency medicine)
John McConnell PhD (Health Economist)
Linkage of emergency departments and behavioral health
Forensic psychiatry fellowship
Research interests in involuntary treatment / civil commitment
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