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SPIN - Science Policy Insider NewsAPA's Science Policy Insider News
August 2004

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Winding Up When We Normally Wind Down

As loyal SPIN readers already know, August tends to be a slow news month here in Science Policy. Time spent preparing for, and recovering from, APA Convention, along with the August Congressional recess, usually leaves us with little to write about. However, the release of the final report of the "National Commission on Terrorist Attacks Upon the United States" (9/11 Commission Report) has generated unprecedented activity on Capitol Hill during August with multiple hearings in the House and Senate dedicated to examining the recommendations of the Commission's Report.

Several recommendations suggest the need for greater coordination of intelligence gathering and other counter terrorism activities. To that end we are hopeful that the series of collaborative workshops APA has co-sponsored through partnerships with the FBI's Behavioral Sciences Unit, the CIA, RAND and others will inform at least some of the legislative proposals under development. In this pre-election season, there appears to be mounting political pressure for this Congress to enact legislation codifying at least some of the Commission's recommendations before adjournment on October 1. That pressure continues to be reinforced in a bipartisan manner by individual Commission members who regularly convey a mounting sense of urgency to overhaul the organization of our domestic and international intelligence gathering, analysis and dissemination efforts. Science policy staff will continue to look for ways that psychological and behavioral science might inform those changes. One opportunity should present itself shortly with the release of a much anticipated report from the National Science and Technology Council Task Force on Anti-Terrorism Research and Development which will highlight research priorities and research resources within the social, behavioral and economic sciences.

So in what would normally be a quiescent run-up to the Presidential election, Congress now finds itself in the unenviable position of having to develop a response to the 9/11 Commission Report (or explain why it can't/won't) as well as finish work on 13 of the 14 annual appropriations bills needed to fund the government. Science Policy staff will be following all of the excitement under the sultry haze of an ongoing orange alert in these, the dog days of summer.

More information about the hearings on the 9/11 Commission Report

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APA Psychologists Central to Center Review

In the last issue of SPIN we reported on the release of the Broad Agency Announcement (BAA) by the Department of Homeland Security (DHS) for a university-based Center of Excellence in Behavioral and Social Aspects of Terrorism and Counter-Terrorism. On August 4th, Geoff Mumford, Director of Science Policy, met with DHS staff and staff of the White House Office of Science and Technology Policy to discuss the progress of the competition and how to develop a comprehensive, balanced external peer review panel. Because letters of intent were not required under this announcement it won't be clear until the September 30 deadline just how many proposals DHS will ultimately receive, but DHS did receive 36 letters of intent by the July 30 deadline, suggesting that this will be a vigorous competition.

Inquiries from the field suggested that there are individual scientists who have an interest in being part of a center but may not have access to an established proposal network. In order to facilitate requests by those trying to join an evolving center network, DHS has developed a web database to allow would-be collaborators to self-identify their interest area. By toggling on the "view current opportunities" section of the website, those with proposals under development can look for additional expertise that might be useful in fleshing out their final proposal.

Responding to a request by DHS to nominate candidate peer reviewers, Science Policy staff worked with the leadership of 14 APA Divisions to solicit experts from a wide range of psychology subdisciplines that we thought should inform the construction of a comprehensive review. While it will be up to DHS staff to determine how to balance the expertise from the psychology community against other behavioral and social sciences, we are, as always, extremely grateful to the Division leadership for their collective willingness to help with these nominations on relatively short notice. The current tentative review timeline would involve a mid-November external peer review, late November site visits followed by an award in mid-December. We will continue to monitor  the progress of this competition and report back in future editions of SPIN….may the best Center win!

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APA Offers Expertise for a New FDA Advisory Panel

There has been much in the news recently about whether or not the Food and Drug Administration has adequate safeguards in place to govern the administration of pharmacotherapeutics to pediatric patients. Perhaps because a number of ethical and methodological issues complicate research involving minors, most pharmacotherapeutics have been evaluated for safety and efficacy in adult populations and then, if administered to children, their use has been considered "off-label" (i.e., the use of FDA-approved drugs for purposes/populations that have not been approved by the agency). Several high-profile controversies of interest to psychological scientists and a range of mental health professionals appear to have evolved as a result. Recent examples have included concerns about whether certain acne medications or antidepressants may cause suicidal ideation in subsets of pediatric patients. In 2003, the President signed The Best Pharmaceuticals for Children Act (Public Law 107-109), and as amended by the Pediatric Research Equity Act of 2003 (Public Law 108-155), it provides for the establishment of a new FDA Pediatric Advisory Committee (PAC).

This committee "will provide advice and make recommendations to the Commissioner of Food and Drugs on matters relating to pediatric therapeutics, pediatric research, and any other matter involving pediatrics for which the Food and Drug Administration has regulatory responsibility". Although NIH and FDA have worked up a preliminary list of 25 medications for which pediatric studies are needed (two of which have psychotherapeutic indications), it is likely that others will be added to the list down the line.

In August, Science Policy staff worked with Division leadership to solicit nominations for scientists with research expertise in pediatric populations for FDA's consideration as it assembles the new committee. A subcommittee of the parent Committee has been established "to address pediatric ethical issues, as well as IRB referrals related to clinical investigations involving children as subjects and IRB referrals that involve both FDA regulated products and research involving children as subjects that is conducted or supported by the Department of Health and Human Services". Interestingly, one of the first issues that the Pediatric Ethics Subcommittee will consider at its September 10 meeting is an NIMH intramural study to evaluate the use of dextroamphetamine in attention deficit hyperactivity disorder (ADHD) in which both children with ADHD and healthy children will serve as participants.

Read background materials related to discussion of the Dextroamphetamine protocol
Watch a webcast or order a video/DVD of this meeting

Read relevant notices from the Federal Register 
Establishment of a Pediatric Advisory Committee
Formation of a Pediatric Ethics Subcommittee
Notice of a meeting of the Pediatric Advisory Committee
Notice of a meeting of the Pediatric Ethics Subcommittee
Solicitation of Public Review and Comment on Research Protocol

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Stemming Drug Abuse One Formulation At A Time

Following a very successful "Conference on the Abuse Liability Assessment of CNS Drugs" held in October 2002 (see Drug and Alcohol Dependence, Vol 70, Issue 3 Supplement, June 5, 2003 and November 2002 SPIN) APA will again partner with other professional scientific societies to co-sponsor a conference examining the "Impact of Drug Formulation on Abuse Liability, Safety and Regulatory Decisions" to be held here in DC April 19-20, 2005. The conference, conceptualized by the College on Problems of Drug Dependence (CPDD) has been designed to bring together scientific, public health and regulatory stakeholders to review the history, current issues and research needs for the future of drug formulations. CPDD Past-President and APA Fellow, Charles (Bob) R. Schuster will serve as Co-Chair of the conference and CPDD member and APA's Director of Science Policy, Geoff Mumford, will reprise his role as liaison to the co-sponsoring scientific organizations trying to garner as much support as possible from the academic science community.

View the CPDD conference program for the "Impact of Drug Formulation on Abuse Liability, Safety and Regulatory Decisions" [PDF 380K]

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Any questions?

If you have any questions regarding SPIN or specific science policy issues, please feel free to contact any of APA’s Science PPO staff.

Geoff Mumford, Ph.D., Director of Science Policy

Pat Kobor, Senior Science Policy Analyst

Heather O'Beirne Kelly, Ph.D., Senior Legislative and Federal Affairs Officer

Karen Studwell, J.D., Legislative and Federal Affairs Officer

Sara Robinson, Legislative Assistant

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