PREPARED STATEMENT There are times, Mr. Chairman, really in the history of every biomedical research discipline when the conceptual framework combines with the scientific technology to restructure and reorient an entire field and to thrust it forward in a quantum leap of progress. That is precisely what is happening at the NIMH today. And we would urge your strong consideration to maintain that thrust by the consideration of the budget that NAMI and the others are requesting for the NIMH of this year, $867.9 million. We are prepared to answer any questions you may have. [The statement follows:) STATEMENT OF DR. LEWIS L. JUDD Thank you Chairman Harkin, it is indeed a pleasure to appear before you and this distinguished Subcommittee today in behalf of years of research. I do not think these two events are unrelated. efforts if we are to learn more about how to prevent and treat the crippling or malfunction of the mind." Mr. Chairman, those words were contained in the Message To The Congress from President John relax our effort to push back the frontiers of knowledge in basic and applied research into the mental processes, in therapy, and in other phases of research with a bearing upon mental illness." Now, just last month, President Bush's Coordinator for the Decade of the Brain effort, Dr. D. Allan Bromley, wrote in NAMI's research quarterly, The Decade of_the_Brain, "It has always seemed we do about the three pounds of tissue inside our own heads. Brain research is truly one of the great frontier areas of science it is a frontier that promises enormous practical payoff in the form of new treatments and possibly new ways of prevention." Mr. Chairman, I agree with Dr. Bromley, that even in these enlightened times, it is clear that mental illness, a problem of major proportions which adversely affects our health, well-being, and productivity as a Nation, is still shrouded in mystery, shame, Aizheimer's disease, manic depressive illness or anxiety disorders. Tragically, only one-fifth of all adults with a diagnosable mental illness in this country actually receive the treatment they measure the cost of the untold human suffering experienced by our also clear even if one considers only the amount of time Americans Depression, in fact, has been shown to have a higher morbidity rate costs of mental disorders add up to a staggering $129 billion each year. Mr. Chairman, I also agree with Dr. Bromley that unparalleled only to overcome mental disorders but also to eliminate associated As a part of its leadership role, NIMH has completed a series the 21st Century: Opportunities for NIMH Neuroscience Research; The rational Pian for Research on Schizophrenia and the Brain; The This new research plan represents a systematic, science-based attack on the inadequacy and low quality of services provided to severely mentally ill persons in this country. I am pleased to report that NAMI is sponsoring two seminars to explain the details Director of the Division of Applied and Services Research, will direct the NIMH presentations on May 8 from 9:00 am to 11:30 am in this building, Room SD-562, and on June 6 in the Gold Room 2168 of provide an over-arching strategy to guide NIMH research programs throughout this decade. Unfortunately, however, despite ?resident Kennecy's challenge over a quarter of a century ago, the unfair and unreasonable attitudes associated with illnesses of the mind and brain were carried-over into our public policies for many years. As a result, the mental health field was chronically and severely The Office of Management and Budget (OMB), and the Congress, under-funded and has been struggling to catch-up. for some time were considered as having an unhealthy tradition of these projects, followed by the action by your's and the House's Labor-his-Education Appropriations Subcommittees last year, 1992 does not indicate any change in this situation at OMB, but I promises, as they did last year, making significant increases for the NIMH budget. Therefore, I come here today with optimism to advocate for an increase in research funding for NIMH. in order to take optimum advantage of existing circumstances, this Subcommittee should adopt AMI's alternative budget which is endorsed by the Mental fealth Liaison Group (MHLG). Although the president's budget shows a $40 million increase President's request is actually a reduction of $.3 million below the amount needed to maintain the current levels (* providing the services adjusted for the rate of inflation) same programs in NIMH. This means the overall award rate for competing grants will decrease from 28 percent in Y 1991 to 23 percent in FY 1992, the lowest in NIMH history. |