March 28, 2011
When Creating A New Institute, The Devil’s In The Details
With the decision to merge the NIAAA and NIDA into a single institution, many leading alcohol researchers believe that this could hinder alcoholism and addiction research
* A recent decision was made to merge the National Institute on Alcohol Abuse and Alcoholism (NIAAA) and the National Institute on Drug Abuse (NIDA) into a yet unnamed institution
* Other leading scientists (including the leading alcohol researchers who co-authored the paper) believe that since alcohol is the most commonly used addictive substance in the U.S., merging the two institutes could significantly hinder the scientific understanding about alcohol problems and alcoholism
* According to the authors of the commentary, to avoid these potential pitfalls, seven critical themes must be addressed: Organizational structure, future advances in neuroscience, alcohol is not an average drug, comorbidity, increasing training, future growth and development, and new leadership
One of the main issues, according to leading alcohol researchers who co-authored the paper, is that merging the two institutes could significantly slow progress in our scientific understanding about alcohol problems and alcoholism.
According to Bankole Johnson, Professor and Chairman of the Department of Psychiatry and Neurobehavioral Sciences at the University of Virginia and lead author on the paper, the goal of the commentary was to give people an explanation of all the possible challenges and opportunities that could arise from the creation of the new institute.
The commentary focuses on seven critical themes that must be addressed for a proper transition for NIAAA and NIDA: Organizational structure, future advances in neuroscience, alcohol is not an average drug, comorbidity, increasing training, future growth and development, and new leadership. According to Johnson, "maximizing these opportunities through critical thinking cannot be done without first increasing collaboration."
The decision to dissolve NIAAA and NIDA into one institute was made by the Substance Use, Abuse, and Addiction (SUAA) working group in 2010, based on the potential positives of the union. The National Institutes of Health (NIH) approved this decision in November of last year, and the planning on how to integrate so many different objectives, staff and materials is currently being discussed.
According to Johnson, the first step is defining the precise organizational structure of the new institution, followed by the appointment of a new leader who will understand both the alcohol and addiction research communities. It is very important to unite them, as both are different sides of the same coin.
"Alcohol is widely used and generally has low addiction potential," said Johnson. "However, because of the large number of users, the impact of alcohol-use disorders is highest for all drugs of abuse."
The idea of merging two separate institutes into a larger one has both opportunities and challenges, but there are a lot of aspects to be considered, both organizational and fiduciary, that must be worked out first. The key is to be aware of the "devil in the details," to be able to prepare and prevent any potential problems.
*PLEASE NOTE: An accompanying piece to the commentary above appeared in the March 2011 edition of Alcoholism: Clinical & Experimental Research by Bridget F. Grant, Deborah A. Dawson, and Howard B. Moss titled "Disaggregating the Burden of Substance Dependence in the United States." This article is quoted by Johnson et al. repeatedly and draws on some important research stating that alcohol dependence is almost five times as prevalent as dependence on any other illicit drug. Therefore, research on both alcohol and drug abuse can be mutually beneficial, which is something that Johnson et al. states as well.
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