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Welcome from the Director
Dr. Thomas R. Insel
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It is a pleasure to
welcome you to the National Institute of Mental Health
(NIMH). The NIMH is the lead Federal agency for research on mental
and behavioral disorders.
Our mission is to reduce the burden of mental illness and behavioral disorders
through research on mind, brain, and behavior. The burden is enormous.
The World Health Organization’s Global Burden of Disease study reported
that mental disorders comprise four of the top five sources of premature
death and disability in 15-44 year olds in the Western world. Schizophrenia,
bipolar disorder, depression, autism, and other mental disorders are serious,
often life-threatening illnesses for which we need reliable diagnostic tests,
new treatments, and effective strategies for prevention. Our public health
mission mandates a focus on those with the most serious mental illness.
This is reflected in dollars, with increasing expenditures over the past NIMH fiscal years (FY):
NIMH Research Funding
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FY l999 |
FY 2003 |
Increase Over FY 1999 |
Major Depression |
112,654,749 |
212,766,139 |
89% |
Schizophrenia |
196,515,314 |
311,812,660 |
59% |
Bipolar Disorder |
57,805,403 |
86,882,796 |
50% |
Autism |
19,278,940 |
51,096,483 |
165% |
All NIMH Research |
823,528,000 |
1,285,475,000 |
56% |
NIMH needs both basic science and clinical studies to reduce the burden
of mental illness. Neuroscience offers us the opportunity for advances on
each of these disorders just as molecular and cellular biology offer great
hope for cancer, heart disease, and diabetes. As with these other medical
illnesses, we recognize that progress in mental disorders requires an understanding
of environmental as well as genetic factors. NIMH is uniquely positioned
to advance the understanding of gene-environment interactions, given our
long history of support for the behavioral sciences. By working with other
NIH institutes on major “Roadmap”
goals, NIMH is part of a broad, ambitious coalition to ensure that
the best biomedical science has a major impact on public health.
We recognize that developing new treatments for mental disorders means
finding treatments that are effective for people of diverse socioeconomic,
racial, and ethnic backgrounds; for people with multiple health problems;
and for people who might not qualify for a traditional clinical trial.
Through its clinical trials, NIMH provides
opportunities for patients and families to participate in treatment research
as well as evaluation and prevention studies. The involvement of the many
people who participate in our clinical research studies is essential for
generating knowledge with public health impact and is greatly appreciated.
People with mental disorders need new treatments, but they also need access
to the successful, evidence-based treatments already developed through research.
The President’s New
Freedom Commission on Mental Health report describes the need to transform
mental health care in America. As explained in this historic report, research
must ensure that science in the laboratory links to service in the community.
NIMH has developed a services research portfolio
and large-scale clinical trials that address the problems of identifying
and receiving the best, currently available treatments.
NIMH is also committed to educating the public about mental disorders and
has developed many booklets and fact sheets that provide the latest research-based
information on these illnesses. For instance, our national public education
campaign, Real Men Real Depression, aims
to increase recognition of depressive disorders in men, who are typically
under-diagnosed and under-treated. The campaign is leading to a broader
understanding of depression in all people as a major illness.
NIMH receives policy and planning guidance from the National Advisory Mental Health
Council, a statutorily established group made up of scientists and representatives
of the general public. The Advisory Council plays an active role in helping
the Institute plan its research portfolio to best meet urgent public health
needs. We also benefit from the insights of our outreach partners across
the country in the NIMH Outreach Partnership Program,
and the many dedicated advocates for people with mental disorders.
This web site provides information to the public, researchers, and clinicians
on a range of mental disorders affecting adults and children, including:
depression, bipolar disorder, schizophrenia, anxiety disorders, eating disorders,
suicide that occurs in the context of mental disorders, autism-spectrum
disorders, attention deficit hyperactivity disorder, and other behavioral
conditions that can adversely affect a child's healthy development. Clinicians
will find a variety of consensus conference reports and patient education
materials. There are also links to other Federal government web sites and
resources such as the landmark Surgeon
General's Report on Mental Health.
We hope you find our web site informative and helpful. We update this
site continuously to keep readers apprised of our progress on a broad scientific
front, and thus invite you to return. Please contact us at nimhinfo@nih.gov if you are unable to find answers to your questions. Join
our listserv to receive news and web site updates via e-mail.
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