This proposal will establish a unique training program in a developing area of transdisciplinary research, co-occurring substance use and other mental disorders (COD). The need for this scientific focus is vital given that COD is more the norm than the exception among those with addictive disorders. The philosophy of this program asserts that to effectively impact the problems of addiction and mental illness, one must be fully aware of their co-existence, etiologies, phenomenology, and clinical manifestations. Moreover, knowledge of clinical approaches and the healthcare systems that serve those with addiction and mental illness is necessary to inform the questions to be asked in laboratory and clinical research studies. Embracing COD as a primary perspective is not a widely accepted approach for the training of scientists. Of NIDA's approximate sixty T32 programs, none include the words co-morbidity, dual diagnosis, or other indicators of a focus on COD. Establishing programs that prioritize training in this area will lead to the development of advanced methods for finding innovative strategies for serving those with COD. We propose to develop such a program by utilizing the unique resources and opportunities available at Dartmouth. Six interconnected groups will provide research opportunities in social, behavioral, and neurobiological mechanisms, treatment development (psychosocial and pharmacological), technology-assisted treatment and dissemination, and health services practices and implementation. Faculty include preeminent leaders in COD research, MD and PhD investigators with strong histories of training scientists, and a team of support faculty committed to establishing a structured training program in COD. Research teams include neuroscientists, behavioral health technologists, clinical trials and contingency management experts, anthropologists, statisticians, economists, and family therapists. Currently the faculty has 27 NIH-funded projects (NIDA [12], NIAAA [4], NIMH [8], NCI [2]; NICHD [1]), and multiple foundation, Department of Education, and VA supported studies. Predoctoral and postdoctoral students mentored by core faculty in the past 10 years have co-authored over 150 publications related to their training activities and were first author on approximately 50% of those. This program will train 5-7 predoctoral and 9-11 postdoctoral students in the initial funding period. The stellar reputation of the faculty and participating research programs, in concert with rigorous criteria for trainee selection and a strong commitment to attracting diverse trainees, will ensure the development of scientists with greater knowledge about the scope of issues that science must address to effectively impact addiction and mental illness. This cohort will be more equipped with broad areas of expertise and a commitment to multidisciplinary approaches to their questions of interest.

Public Health Relevance

This proposed training program is highly relevant to public health because it will train a new cohort of scientists to conceptualize and research addiction from a primary perspective that substance use disorders most often co-occur with other types of mental disorders.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Institutional National Research Service Award (T32)
Project #
5T32DA037202-03
Application #
9094537
Study Section
Special Emphasis Panel (ZDA1)
Program Officer
Aklin, Will
Project Start
2014-07-01
Project End
2019-06-30
Budget Start
2016-07-01
Budget End
2017-06-30
Support Year
3
Fiscal Year
2016
Total Cost
Indirect Cost
Name
Dartmouth College
Department
Psychiatry
Type
Schools of Medicine
DUNS #
041027822
City
Hanover
State
NH
Country
United States
Zip Code
Borodovsky, Jacob T; Budney, Alan J (2018) Cannabis regulatory science: risk-benefit considerations for mental disorders. Int Rev Psychiatry 30:183-202
Knapp, Ashley A; Lee, Dustin C; Borodovsky, Jacob T et al. (2018) Emerging Trends in Cannabis Administration Among Adolescent Cannabis Users. J Adolesc Health :
Jackson, Kristina M; Janssen, Tim; Gabrielli, Joy (2018) Media/Marketing Influences on Adolescent and Young Adult Substance Abuse. Curr Addict Rep 5:146-157
McClure, Auden C; Gabrielli, Joy; Sargent, James D et al. (2018) Aspirational Brand Choice and Underage Alcohol Use. J Stud Alcohol Drugs 79:408-416
Gabrielli, Joy; Jackson, Yo; Huffhines, Lindsay et al. (2018) Maltreatment, Coping, and Substance Use in Youth in Foster Care: Examination of Moderation Models. Child Maltreat 23:175-185
Borodovsky, Jacob T; Levy, Sharon; Fishman, Marc et al. (2018) Buprenorphine Treatment for Adolescents and Young Adults With Opioid Use Disorders: A Narrative Review. J Addict Med 12:170-183
Gabrielli, Joy; Marsch, Lisa; Tanski, Susanne (2018) TECH Parenting to Promote Effective Media Management. Pediatrics 142:
Knapp, Ashley A; Babbin, Steven F; Budney, Alan J et al. (2018) Psychometric assessment of the marijuana adolescent problem inventory. Addict Behav 79:113-119
Borodovsky, Jacob T; Marsch, Lisa A; Budney, Alan J (2018) Studying Cannabis Use Behaviors With Facebook and Web Surveys: Methods and Insights. JMIR Public Health Surveill 4:e48
Jackson, Yo; Huffhines, Lindsay; Stone, Katie J et al. (2017) Coping styles in youth exposed to maltreatment: Longitudinal patterns reported by youth in foster care. Child Abuse Negl 70:65-74

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