Journal of the American Academy of Child & Adolescent Psychiatry
SPECIAL COMMUNICATIONThe NIMH Blueprint for Change Report: Research Priorities in Child and Adolescent Mental Health
Section snippets
BRIEF BACKGROUND
Ten years ago, after the Institute of Medicine released the report Research on Children and Adolescents With Mental, Behavioral, and Developmental Disorders (Institute of Medicine, 1989), the NIMH issued a National Plan for Research on Child and Adolescent Mental Disorders, which helped shape the research agenda for the 1990s (National Advisory Mental Health Council, 1990). As a result of this national plan, research in the field of child and adolescent mental health expanded dramatically. In
KEY RESEARCH FINDINGS
To accomplish the tasks assigned to it, the CAMHCW first reviewed the entire portfolio of child and adolescent research grants funded by NIMH since 1990, spanning all of the major domains of relevant scientific study applied to pediatric populations. This covered studies from the fields of molecular biology, developmental neuroscience, genetics, behavioral science, epidemiology, prevention, treatment, economics, and services research. The CAMHCW then identified key research findings where
CROSSING THE BOUNDARIES: WHY INTERDISCIPLINARY RESEARCH IS NEEDED
While the CAMHCW found the scientific progress to be substantial across many areas of psychiatric research, excitement about it was tempered by concerns about the increasing specialization and disciplinary contraction that threatens to inhibit the application or usefulness of significant public health advances at the very time when an integrated and clinically relevant knowledge base is sorely needed. That is, it became apparent to the CAMHCW that too few scientists were able to draw upon and
THEMES, PRIORITIES, AND RECOMMENDATIONS
In recognition of these challenges, the CAMHCW centered the Blueprint for Change Report around two major themes:
First, interdisciplinary research activities will require that linkages be made and supported across a range of scientific disciplines and between scientists and practitioners. In particular, translational research activities should incorporate (as feasible) perspectives drawn from diverse areas, including developmental neuroscience, genetics, epidemiology, behavioral science,
CLOSING REMARKS
This report was written to serve as a strategic guide for transforming the form, function, and purpose of research on child and adolescent mental health. Three key issues were identified as essential to this transformation: (1) the recognition of the lack of connection between basic science (developmental neurobiology and behavioral science) and clinical intervention development, (2) a commitment to accelerating the pace of intervention development by contextual repositioning of such
NIMH CAMHCW MEMBERS
Chair
Mary Jane England, M.D.
Washington Business Group on Health
Washington, DC
Members
William Beardslee, M.D.
Judge Baker Children's Center
Boston, MA
Marilyn Benoit, M.D.
Howard University Medical School & Hospital and Georgetown University Medical Center
Washington, DC
Barbara J. Burns, Ph.D.
Duke University Medical Center
Durham, NC
Ron Dahl, M.D.
University of Pittsburgh
Pittsburgh, PA
Mary L. Durham, Ph.D.
Kaiser/Group Health and Kaiser
Foundation Hospitals
Portland, OR
Graham Emslie, M.D.
University
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From the National Institute of Mental Health, Bethesda, MD.