Rethinking funding priorities in mental health research

Lewis‐Fernández, Roberto; Rotheram‐Borus, Mary Jane; Betts, Virginia Trotter; Greenman, Lisa; Essock, Susan M.; Escobar, Javier I.; Deanna,; Hogan, Michael; Areán, Patricia A.; Druss, Benjamin G.; DiClemente, Ralph J.; McGlashan, Thomas H.; Jeste, Dilip V.; Proctor, Enola K.; Ruiz, Pedro; Rush, A. John; Canino, Glorisa; Bell, Carl C.; Henry, Renata; Iversen, Portia

doi:10.1192/bjp.bp.115.179895

Cited by 41 publications

(29 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, the progression of vascular abnormalities appears to be more pronounced in youth-onset type 2 diabetes compared with type 1 diabetes of similar duration, including ischemic heart disease and stroke (210). (211)(212)(213)(214)(215), but given the sociocultural context for many youth and the medical burden and obesity associated with type 2 diabetes, ongoing surveillance of mental health/behavioral health is indicated. Symptoms of depression and disordered eating are common and associated with poorer glycemic control (212,216,217).…”

Section: Management Of Cardiovascular Risk Factorsmentioning

confidence: 99%

13. Children and Adolescents: Standards of Medical Care in Diabetes−2020

2019

Diabetes Care

224

106

View full text Add to dashboard Cite

The American Diabetes Association (ADA) "Standards of Medical Care in Diabetes" includes the ADA's current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee (https://doi.org/10.2337/dc20-SPPC), are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidencegrading system for ADA's clinical practice recommendations, please refer to the Standards ofCare Introduction (https://doi.org/10.2337/dc20-SINT). Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC. The management of diabetes in children and adolescents cannot simply be derived from care routinely provided to adults with diabetes. The epidemiology, pathophysiology, developmental considerations, and response to therapy in pediatric-onset diabetes are different from adult diabetes. There are also differences in recommended care for children and adolescents with type 1 as opposed to type 2 diabetes. This section first addresses care for children and adolescents with type 1 diabetes and next addresses care for children and adolescents with type 2 diabetes. Figure 13.1 provides guidance on managing new-onset diabetes in youth with overweight or obesity before type 1 or type 2 diabetes is diagnosed and so applies to all youth with overweight or obesity. Lastly, guidance is provided in this section on transition of care from pediatric to adult providers to ensure that the continuum of care is appropriate as the child with diabetes develops into adulthood. Due to the nature of clinical research in children, the recommendations for children and adolescents with diabetes are less likely to be based on clinical trial evidence. However, expert opinion and a review of available and relevant experimental data are summarized in the American Diabetes Association (ADA) position statements "Type 1 Diabetes in Children and Adolescents" (1) and "Evaluation and Management of Youth-Onset Type 2 Diabetes" (2). The ADA consensus report "Youth-Onset Type 2 Diabetes Consensus Report: Current Status, Challenges, and Priorities" (3) characterizes type 2 diabetes in children and evaluates treatment options but also discusses knowledge gaps and recruitment challenges in clinical and translational research in youth-onset type 2 diabetes. Monogenic diabetes (neonatal diabetes and maturity-onset diabetes in the young [MODY]), which often present in youth, are discussed in section 2 "Classification and Diagnosis of Diabetes" (

show abstract

Section: Management Of Cardiovascular Risk Factorsmentioning

confidence: 99%

13. Children and Adolescents: Standards of Medical Care in Diabetes−2020

2019

Diabetes Care

224

106

View full text Add to dashboard Cite

show abstract

“…The other strategies of the exercise should be repeated regularly, to ensure the continued participation of service users and clinicians. Recently, calls have been made to involve the public and services users in the prioritization processes [ 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

Priority setting for mental health research in Chile

Zitko

Borghero

Zavala

et al. 2017

Int J Ment Health Syst

View full text Add to dashboard Cite

BackgroundScientific knowledge is a fundamental tool for making informed health policy decisions, but the link between health research and public policy decision-making is often missing. This study aims to identify and prioritize a national set of research gaps in mental health.MethodsA multi-approach method to identify gaps in knowledge was developed, including (1) document analysis and identification of possible research questions, (2) interviews to Ministry of Health key informants, (3) focus groups with different stakeholders, and (4) a web consultation addressed to academics. The identified gaps were translated to a standardized format of research questions. Criteria for prioritization were extracted from interviews and focus groups. Then, a team of various professionals applied them for scoring each question research.FindingsFifty-four people participated in the knowledge gaps identification process through an online consultation (n = 23) and focus groups (n = 18). Prioritization criteria identified were: extent of the knowledge gap, size of the objective population, potential benefit, vulnerability, urgency and applicability. 155 research questions were prioritized, of which 44% were related to evaluation of systems and/or health programs, and 26% to evaluation of interventions, including questions related to cost-effectiveness. 30% of the research questions came from the online consultation, and 36% from key informants. Users groups contributed with 10% of total research questions.ConclusionA final priority setting for mental health research was reached, making available for authorities and research agencies a list of 155 research questions ordered by relevance. The experience documented here could serve to other countries interested in developing a similar process.Electronic supplementary materialThe online version of this article (doi:10.1186/s13033-017-0168-9) contains supplementary material, which is available to authorized users.

show abstract

“…Yet, the broad category of 'major depression' conveys little information from which to make more than bare bones pharmacotherapy or psychotherapy decisions. NIMH National Advisory Mental Health Council members, while acknowledging the potential long-term value of neurosciencebased depression research, have called for a rebalancing of funding priorities to align better with patients' more immediate and urgent mental healthcare needs [30].…”

Section: Needed: a Better Integration Of Neuroscience With Clinical Pmentioning

confidence: 99%