Combating the Opioid Epidemic! A Project-Based Grant Proposal to Assist Transitioning Military Members and Veteran Population Struggling with Opioid Use Disorder Open Access

Heard, Kimberly (Fall 2018)

Permanent URL: https://etd.library.emory.edu/concern/etds/9880vr93j?locale=en
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Abstract

Presently, the opioid epidemic is a critical focal point on the national stage. The escalating opioid-related overdoses and deaths has caused significant, socio-economical challenges and placed heavy burdens upon the society as a whole.

This epidemic is distinctly connected and has been catalytically driven by the treatment of chronic, nonmalignant pain which has also evolved into a substantial public health problem in the United States (Debono, Hoeksema, Hobbs, (2013). Currently, the extent of usage for opioid analgesics in the United States is unprecedented in the country’s history and unparalleled to anywhere else in the world. Americans make up 4.6% of the world’s population and yet consume approximately 80% of the world’s opioid supply (Blozen, 2013).

Researchers have identified that the states suffering the most devastation from this crisis are located along the Appalachian Mountain Region where West Virginia (WV) is glaring with the highest rate of deaths from drug overdoses than any other state. West Virginia classifies as a challenged state due to its makeup of socio-economically, disadvantaged populations and underserved, rural populations. Also, vulnerable subpopulations at highest risk include youth and young adults, older adults, prisoners, military personnel, veterans, and populations with comorbidity of psychiatric disorders. Distinctly, active duty military and veteran populations face unique challenges in controlling the risk factors associated with opioid abuse and dependence.

Researchers suggests that tackling the complexities of the opioid epidemic demands an urgent, multidimensional and multi-sectoral effort (ex. Coalition-Based Model- Max, Garrow, & Willis, 2018).  Specific to this grant thesis, a coalition-based project will be proposed to help transitioning military members and other veterans residing in West Virginia explore the many challenges associated with bridging access to multi-modal treatment options.

Table of Contents

Chapter I: Introduction......................................................................................1

Problem Statement.......................................................................................... 8

Purpose Statement...........................................................................................11

Objectives to be answered by the Proposal.........................................................12

Significance Statement.................................................................................... 13

Definition of Terms......................................................................................... 14

Chapter II: Literature Review.............................................................................15

Introduction.................................................................................................. 15

Literature Review............................................................................................ 15

Summary of Current Problem and Proposal Relevance...................................... 40

Chapter III: Methodology................................................................................. 42

Introduction.................................................................................................. 42

A Review of Funding Agencies..........................................................................46

Funding Agencies............................................................................................49

A Summary of the Grant Announcement..........................................................52

The Grant Review Process...............................................................................57

Proposal Criteria........................................................................................... 57

Description of Grant Reviewers........................................................................58

Protection of Human Subjects.......................................................................... 61

Chapter IV: Incorporation of Reviewers Comments..........................................62

Reviewer 1 Comments: Iris Smith…................................................................ 62

Reviewer 2 Comments: Keli Edwards................................................................62

Reviewer 3 Comments: Cassandra Jackson....................................................... 66

Reviewer 4 Comments: Tammy Cook............................................................... 67

Reviewer 5 Comments: Patricia Sims................................................................ 67

Chapter V: Final Version of Grant Proposal....................................................... 70

Project Title................................................................................................... 70

Abstract........................................................................................................ 70

Proposal Narrative .........................................................................................71

Specific Aims .................................................................................................71

Research Strategy………………………….………………………………...................……72

Appendices..........................................................................................75

NIH Cover Letter (suggested)……………………………….….75

Biographical Sketch (example)…………………………………79

TEAM ACE Logic Model………………………………....………80

Grant Reviewer Questionnaire…………..……………………...81

Opioid Use Disorder (OUD) Strategic Map(example)……….....83

References .............................................................................................84

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