BEHAVIORAL THERAPIES DEVELOPMENT PROGRAM NIH GUIDE, Volume 25, Number 16, May 17, 1996 PA NUMBER: PA-94-078 P.T. 34 Keywords: Drugs/Drug Abuse Behavioral/Social Studies/Service Rehabilitation/Therapy, Emotional 0745007 Psychotherapy National Institute on Drug Abuse PURPOSE This notice is an addendum to program announcement PA-94-078, published in the NIH Guide, Vol. 22, No. 26, July 15, 1994. The purpose of this addendum is to encourage research on the development and testing of assessment instruments and brief behavioral therapies for drug abuse and dependence and related HIV/AIDS risk behaviors for patients that are seen in office- based (e.g., pediatrics, adolescent medicine, family medicine, internal medicine, ob-gyn) and other health care settings. Many patients seek medical treatment for medical problems related to undetected or untreated drug abuse, and there is a need for screening instruments to detect these individuals and interventions to treat their drug abuse. The National Institute on Drug Abuse (NIDA) is supporting the study of behavioral therapies (including, but not limited to, psychotherapy, behavior therapy, cognitive therapy, family therapy, skills training, and counseling approaches) that will potentially have a significant impact on reducing drug abuse and addiction and reducing HIV/AIDS risk behaviors. For those investigators applying for grants under the Behavioral Therapies Development Program, this notice is meant to supplement Program Announcement PA-94-078, which is still in effect and should be consulted in conjunction with this addendum. RESEARCH OBJECTIVES Individuals who abuse psychoactive drugs (nicotine, marijuana, cocaine, prescription drugs, etc.) receive health care in a variety of office-based treatment settings from health professionals who may fail to recognize drug abuse or be unsure how to intervene once the problem is identified. Most of the screening and assessment tools currently in use have been developed to identify alcohol abuse and alcohol-related problems. There is a need to develop and test a) psychometrically reliable and valid screening and assessment instruments to detect drug use disorders and b) brief therapeutic interventions directed at the drug abuse and related health risk behaviors that can be used by health professionals in health care settings outside the conventional drug treatment program system. Such instruments and interventions may provide an opportunity for brief therapeutic interventions with individuals in early stages of drug abuse disorders and/or may increase patient acceptance of referrals to more intensive treatment for individuals more refractory to brief behavioral interventions. These approaches have been primarily studied in individuals who abuse alcohol and/or tobacco and are now just beginning to be studied in individuals who abuse illicit drugs and engage in other health risk behaviors. Research on brief therapeutic interventions that may be delivered by a range of health professionals (physicians, nurses, social workers, counselors, and others) is needed. Studies are needed to determine: o effects of brief behavioral interventions given prior to or instead of intensive treatment; o effects of brief interventions upon referrals to intensive treatment and upon treatment outcome; o effects of brief interventions upon treatment compliance; o the critical elements that account for therapeutic efficacy; and o the appropriate duration and intensity of this treatment approach. In addition, studies are sought on the development and testing of psychometrically reliable and valid screening and assessment instruments to detect drug abuse and addiction and related health risk behaviors in office-based and other health care settings by a variety of health professionals. Applicants are strongly encouraged to develop and test brief behavioral therapies that address the unique needs and perspectives of women, children, adolescents, and racial and ethnic minorities. In addition, applicants are encouraged to address reducing drug abuse related health risk behaviors such as injection and high risk sexual behaviors relevant to HIV/AIDS transmission in the development and testing of brief behavioral therapies. All applications must be submitted on the grant application form PHS (rev. 5/95) using the receipt dates in the form. INQUIRIES Direct inquiries regarding programmatic issues to: Dorynne Czechowicz, M.D. Division of Clinical and Services Research National Institute on Drug Abuse 5600 Fishers Lane, Room 10A-12 Rockville, MD 20857 Telephone: (301) 443-0107 Email: dczechow@aoads.ssw.dhhs.gov .
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