CSR’s Mission and Function and What’s New in Peer Review Martha M. Faraday, Ph.D. Scientific Review Officer Division of AIDS, Behavioral & Population Sciences Risk Prevention & Health Behavior IRG Psychosocial Risk & Disease Prevention Study Section Date : April 22, 2009 National Institutes of Health U.S. Department of Health and Human Services 1
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National Institutes of Health Office of Extramural Research Office of the Director National Institute on Aging National Institute on Alcohol Abuse and Alcoholism National Institute of Allergy and Infectious Diseases National Institute of Arthritis and Musculoskeletal and Skin Diseases National Cancer Institute National Institute of Child Health and Human Development National Institute on Deafness and Other Communication Disorders National Institute of Dental and Craniofacial Research National Institute of Diabetes and Digestive and Kidney Diseases National Institute on Drug Abuse National Institute of Environmental Health Sciences National Eye Institute National Institute of General Medical Sciences National Heart, Lung, and Blood Institute National Human Genome Research Institute National Institute of Mental Health National Institute of Neurological Disorders and Stroke Fogarty International Center National Center for Research Resources National Center on Minority Health and Health Disparities National Center for Complementary and Alternative Medicine NIH Clinical Center Center for Information Technology National Library of Medicine Center for Scientific Review National Institute of Nursing Research National Institute of Biomedical Imaging and Bioengineering No funding authority3
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National Institutes of Health Office Officeof ofthe theDirector Director National NationalInstitute Institute on onAging Aging National NationalInstitute Institute on onAlcohol AlcoholAbuse Abuse and andAlcoholism Alcoholism National NationalInstitute Institute of ofAllergy Allergyand and Infectious InfectiousDiseases Diseases National NationalInstitute Institute of ofArthritis Arthritisand and Musculoskeletal Musculoskeletal and andSkin SkinDiseases Diseases National NationalCancer Cancer Institute Institute National NationalInstitute Institute of ofChild ChildHealth Health and andHuman Human Development Development National NationalInstitute Instituteon on Deafness Deafnessand andOther Other Communication Communication Disorders Disorders National NationalInstitute Institute of ofDental Dentaland and Craniofacial Craniofacial Research Research National NationalInstitute Institute of ofDiabetes Diabetesand and Digestive Digestiveand and Kidney KidneyDiseases Diseases National NationalInstitute Institute on onDrug DrugAbuse Abuse National NationalInstitute Institute of ofEnvironmental Environmental Health HealthSciences Sciences National NationalEye Eye Institute Institute National NationalInstitute Institute of ofGeneral General Medical MedicalSciences Sciences National NationalHeart, Heart, Lung, Lung,and andBlood Blood Institute Institute National NationalHuman Human Genome GenomeResearch Research Institute Institute National NationalInstitute Institute of ofMental MentalHealth Health National NationalInstitute Institute of ofNeurological Neurological Disorders Disordersand and Stroke Stroke National NationalInstitute Institute of ofNursing NursingResearch Research National NationalInstitute Instituteof of Biomedical BiomedicalImaging Imaging and andBioengineering Bioengineering National NationalCenter Center for forComplementary Complementary and andAlternative Alternative Medicine Medicine Fogarty Fogarty International International Center Center National NationalCenter Center for forResearch Research Resources Resources National NationalLibrary Library of ofMedicine Medicine National NationalCenter Centeron on Minority Health Minority Healthand and Health HealthDisparities Disparities Clinical ClinicalCenter Center Center Centerfor for Information Information Technology Technology Center for Scientific Review
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It’s really not this bad! Office Officeofofthe theDirector Director National NationalInstitute Institute on onAging Aging National NationalInstitute Institute on onAlcohol AlcoholAbuse Abuse and andAlcoholism Alcoholism National NationalInstitute Institute ofofAllergy Allergyand and Infectious InfectiousDiseases Diseases National NationalInstitute Institute ofofArthritis Arthritisand and Musculoskeletal Musculoskeletal and andSkin SkinDiseases Diseases National NationalCancer Cancer Institute Institute Eunice EuniceKennedy Kennedy Shriver ShriverNational NationalInstitute Institute ofofChild ChildHealth Healthand and Human HumanDevelopment Development National NationalInstitute Instituteon on Deafness Deafnessand andOther Other Communication Communication Disorders Disorders National NationalInstitute Institute ofofDental Dentaland and Craniofacial Craniofacial Research Research National NationalInstitute Institute ofofDiabetes Diabetesand and Digestive Digestiveand and Kidney Diseases Kidney Diseases National NationalInstitute Institute on onDrug DrugAbuse Abuse National NationalInstitute Institute ofofEnvironmental Environmental Health Sciences Health Sciences National NationalEye Eye Institute Institute National NationalInstitute Institute ofofGeneral General Medical Sciences Medical Sciences National NationalHeart, Heart, Lung, Lung,and andBlood Blood Institute Institute National NationalHuman Human Genome GenomeResearch Research Institute Institute National NationalInstitute Institute ofofMental MentalHealth Health National NationalInstitute Institute ofofNeurological Neurological Disorders Disordersand and Stroke Stroke National NationalInstitute Institute ofofNursing NursingResearch Research National NationalCenter Center for forComplementary Complementary and Alternative and Alternative Medicine Medicine John JohnE. E.Fogarty Fogarty International International Center Center National NationalCenter Center for forResearch Research Resources Resources National NationalLibrary Library ofofMedicine Medicine National NationalInstitute Instituteofof Biomedical BiomedicalImaging Imaging and andBioengineering Bioengineering Clinical ClinicalCenter Center Understanding NIH Center Centerfor for Information Information Technology Technology Slide 10 National NationalInstitute Instituteon on Minority MinorityHealth Healthand and Health Disparities Health Disparities Center Centerfor for Scientific ScientificReview Review 8 November 2017
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UA Contacts Know Your Security and Privacy Officer: • University-wide Privacy Officer: Jan Chaisson • University-wide Security Officer: Ashley Ewing • University Medical Center Privacy Officer is Jan Chaisson • University Medical Center Security Officer is Amy Sherwood • Brewer Porch Privacy/Security Officer is Warren Williams • Speech and Hearing Privacy/Security Officer is JoAnne Payne • Autism Spectrum Disorders Clinic Privacy/Security Officer is Sarah Ryan • UA Group Health Plan/FSA Privacy Officer is Emily Marbutt • UA Group Health Plan/FSA Security Officer is Greg Gaddis • WellBAMA Program Privacy/Security Officer is Heather Clayton • Working on Womanhood Program (WOW) Privacy/Security Officer is Jill Beck • Center for Advanced Public Safety (CAPS) Privacy/Security Officer is Vaughn Poe • Institutional Review Board Compliance Officer is Tanta Myles • College of Education Alabama Medicaid Agency Project Privacy/Security Officer: Rick Houser INTERNAL USE ONLY 32
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U.S. Dept. of Health & Human Services Secretary Secretary of of Health and Health and Human Human Services Services Administration Administration for for Administration Administration on on Children and Families Aging Children and Families Aging (ACF) (AoA) (ACF) (AoA) Center Center for for Medicare Medicare & & Medicaid Medicaid Services Services (CMS) (CMS) Agency Agency for for Healthcare Healthcare Research Research and and Quality Quality (AHRQ) (AHRQ) Centers Centers for for Disease Disease Control Control and and Prevention Prevention (CDC) (CDC) Food Food and and Drug Drug Administration Administration (FDA) (FDA) Indian Indian Health Health Services Services (IHS) (IHS) Agency Agency for for Toxic Toxic Substances Substances and and Disease Disease Registry Registry (ATSDR) (ATSDR) Health Health Resources Resources and Services and Services Administration Administration (HRSA) (HRSA) National National Institutes Institutes of Health of Health (NIH) (NIH) Substance Substance Abuse Abuse and and Mental Mental Health Health Services Services Administration Administration (SAMHSA) (SAMHSA) 2
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A COMMUNITY NEEDS ASSESSMENT OF HOLOCAUST SURVIVORS Melissa Pullman, PhD1, Wendy Zeitlin, PhD2, Charles Auerbach, PhD1 , Kelly Klinger, BA2 Yeshiva University, New York, New York; 2Montclair State University, Montclair, New Jersey 1 Discussion Unclosable Gaps: Two gaps were identified that would be unable to be closed by traditional resources alone, as they deal with structural problems in society-at-large. Congregate care – skilled nursing facilities and/or assisted living could be helpful for some survivors if there could be a community of survivors that could live together AND appropriate services (including home care for those who live in assisted living facilities) existed. Because this population had been traumatized by institutionalization previously, congregate care generally designed for the elderly, is considered undesirable. As such, without specialized services, it is highly desirable for survivors to remain in their homes in situations which differ from those of other elderly. To date, no such facility has been built in the US, and it is anticipated that this is a need that is not feasible to meet. In-home psychiatric care – while numerous research participants indicated that this service is needed, there are an insufficient number of psychiatrists nationwide, and the need for psychiatric care, in general, is growing for all populations. It is not likely that this gap will be closed any time as the number of psychiatrists retiring continues to rise, and the number of residency spots for new psychiatrists is held steady. www.eposterboards.com Discussion (cont.) Existing services: Professional Social Work Services - includes services such as case management, clinical social work, mental health counseling, friendly visiting, financial guardianship, and social programs. In short, social work services include all services that would include direct services provided by licensed social workers and those overseen by licensed social workers. Services such as social work/case management are not adequately funded currently. One participant stated the need for these services clearly: The social worker helps them [survivors] to get hooked up to services they are resistant to or helps them through the barriers. They help them think about what their needs are. It is hard to get through the door and win their trust. On- on-one service is very expensive. Home Care - includes services such as housekeeping, companionship, in-home nursing and home health aides. There was unanimous agreement that one of the most import factors in preserving the dignity of survivors is the ability to remain at home. An important theme, more knowledge about survivors to the home health aides, emerged from the data. Specialized home care services were addressed by one participant: Aides are trained to understand the history and special needs of the survivors. For example, even knowing that chemical smells can trigger memories for the client. Transportation - includes door-to-door transportation to both medical appointments and social events designed for Holocaust survivors. While underfunded, participants agreed that this service was needed to help survivors remain in their homes and maintain their dignity: Survivors need transportation, otherwise they can’t access the city services. Food support - includes Meals-On-Wheels and additional supplementary support for food, including grocery store vouchers. Having abundant food was an important issue to survivors, who often hoard because they are afraid food will run out. One provider commented on the importance of food in keeping survivors in the community. Another noted the needed for Meals-On-Wheels: Food stamps don’t fulfill food for a whole week; some can’t go to the grocery store, so they need already made meals. Emergency Cash Assistance - The German government currently provides a limited amount of emergency cash to survivors for one-time expenses. This is similar to a small business’s “petty cash.” This is currently used for a wide range of expenses, some of which are actually long-term needs. Examples of how emergency cash is used includes: rent, utility bill, durable medical equipment such as hearing aids or hospital beds, and dental bills. One interviewee noted how this is often insufficient: It is not a generous enough cap for the survivors to maintain their dignity.… basic needs aren’t even met, capped at $2,500 is too little. Sometimes they are in the middle of their medical/dental work and they don’t know what to do when the $2,500 runs out. Conclusion and Implications While it is unlikely that some needs identified in this research will be able to be met in survivors’ lifetimes, many could. While most services identified in this research currently exist, all service providers indicated that inadequate funding make it likely that an increasing number of survivors’ needs will go unmet in the future. The population of Holocaust survivors is aging with the youngest being in their 70s. Research indicates that this population is expected to be reduced by 74% within 15 years (SSRS, 2016); however, the needs of the existing survivors will increase as they age. This will likely put a strain on survivors, their families, and the communities in which they live. Future research should focus on how to best expand and fund services for Holocaust survivors as they continue to age. References Cohen, S. M., Ukeles, J. B., & Miller, R. (2012). Jewish community study of New York: 2011 comprehensive report. New York: UJA Federation of New York. Eriksson, M., Räikkönen, K., & Eriksson, J. G. (2014). Early life stress and later health outcomes—findings from the Helsinki Birth Cohort Study. American Journal of Human Biology, 26(2), 111–116. Keinan-Boker, L., Shasha-Lavsky, H., Eilat-Zanani, S., Edri-Shur, A., & Shasha, S. M. (2015). Chronic health conditions in Jewish Holocaust survivors born during World War II. The Israel Medical Association Journal: IMAJ, 17(4), 206–212. Meyer, M. H., & Daniele, E. A. (2016). Gerontology: Changes, Challenges, and Solutions [2 volumes]: Changes, Challenges, and Solutions. ABC-CLIO. Mitka, M. (2014). Holocaust survivors’ health needs. JAMA, 311(10), 1005. SSRS. (2016). Gap analysis of services to holocaust survivors in New York City, Westchester, and Long Island. Media, PA: Author. Funding for this study was provided by UJA-Federation of New York
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PRAIRIE VIEW A&M UNIVERSITY Colleges and Departments College Of Agriculture & Human Sciences Department of Agriculture Department of Human Sciences School of Architecture College Of Arts & Sciences Department of Music and Drama Department of Biology Department of Chemistry Department of English, Foreign Languages and Communications Department of Mathematics Department of Physics & High Energy Physics Department of Army ROTC Department of Navy ROTC Department of Social and Political Science College Of Business Department of Accounting/Information Systems Department of Management/Marketing College Of Education Department of Curriculum and Instruction Department of Health and Human Performance Department of Industrial Technology Department of School Services College Of Engineering Department of Chemical Engineering Department of Civil Engineering Department of Computer Science Department of Electrical Engineering Department of Mechanical Engineering Department of Engineering Technology College Of Nursing Cooperative Extension Program Graduate School
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Organizational Structure of NIH Office of the Director http://www.nih.gov/ic d National Institute on Aging National Institute on Alcohol Abuse and Alcoholism National Institute of Allergy and Infectious Diseases National Institute of Arthritis and Musculoskeletal and Skin Diseases National Cancer Institute National Institute of Child Health and Human Development National Institute on Deafness and Other Communication Disorders National Institute of Dental and Craniofacial Research National Institute of Diabetes and Digestive and Kidney Diseases National Institute on Drug Abuse National Institute of Environmental Health Sciences National Eye Institute National Institute of General Medical Sciences National Heart, Lung, and Blood Institute National Human Genome Research Institute National Institute of Mental Health National Institute of Neurological Disorders and Stroke National Institute of Nursing Research National Center on Minority Health and Health Disparities National Center for Complementary and Alternative Medicine Fogarty International Center National Center for Research Resources National Library of Medicine National Institute of Biomedical Imaging and Bioengineering No funding authority 18 18
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UA Contacts Know Your Security and Privacy Officer • University-wide Privacy Officer: Jan Chaisson • University-wide Security Officer: Ashley Ewing • University Medical Center Privacy Officer: Jan Chaisson • University Medical Center Security Officer: Amy Sherwood • Brewer Porch Privacy/Security Officer: Warren Williams • Speech and Hearing Privacy/Security Officer: JoAnne Payne • Autism Spectrum Disorders Clinic Privacy/Security Officer: Sarah Ryan • UA Group Health Plan/FSA/WellBama Privacy Officer: Emily Marbutt • UA Group Health Plan/FSA/WellBama Security Officer: Greg Gaddis • Working on Womanhood Program (WOW) Privacy/Security Officer: Jill Beck • Center for Advanced Public Safety (CAPS) Privacy/Security Officer: Vaughn Poe • Institutional Review Board Compliance Officer: Tanta Myles • College of Education Alabama Medicaid Agency Project Privacy/Security Officer: Rick Houser INTERNAL USE ONLY
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