Creative Minds
Taking a Community-Based Approach to Youth Substance Abuse Prevention
Posted on by Dr. Francis Collins
As a child born and raised in a low-income, urban neighborhood of Jersey City, NJ, Ijeoma Opara counted herself lucky. She had strong support from her parents, both college-educated Nigerian immigrants. But she also saw firsthand the devastating effects that gang violence, crime, drugs, and alcohol were having on too many young people in her community. When she was in high school, her family bought their first house about 20 miles away in the middle-class, suburban neighborhood of Roselle, NJ. The dramatic differences between these two worlds drove home for her how significant a zip code can be in determining a child’s outlook and opportunities.
Today, inspired by this childhood moment of truth, Opara, an assistant professor of social work at The State University Stony Brook University, NY, is the recipient of an NIH Director’s Early Independence Award, tackling the complex relationships between neighborhoods, substance use, and mental health among urban youth. She’s focusing her efforts on Paterson, NJ, a city of about 150,000 people where the rates of substance abuse are among the highest in the country. She hopes to develop community engagement models that will work not only in Paterson, but in struggling urban communities across the United States.
Opara first explored the streets of Paterson, which is located about 20 miles west of New York City, and ultimately fell in love with the place as a PhD fellow studying substance abuse and mental health services. She got to know the youth of Paterson and heard from them directly about what their community was lacking to help them build a brighter future.
She also fell in love with community-based participatory research (CBPR). In this approach, researchers immerse themselves in a community and work as partners with community members, leaders, and organizations to understand the issues that matter, gather essential information and data, and translate them into efforts needed for a community and its youth to thrive.
When Opara decided to apply for the high-risk, high-reward Early Independence Award, she knew her proposal must be innovative and creative. Ultimately, though, Opara realized she needed to propose an idea about which she was passionate.
Opara remembered her love for Paterson and decided to go back there, focusing her attention on filling the many gaps in that community to prevent substance abuse among young people. True to her CBPR approach to research, she also spent weeks meeting with the people of Paterson to ensure that her work would address the community’s most-critical needs and strongest desires from day one.
Opara’s first aim is to look at neighborhoods across the city of Paterson and their relationship to substance abuse and mental health symptoms, including anxiety and depression among its youth. Her work will factor in access to safe housing, healthy food, parks, and playgrounds.
She’ll also recruit young people, including those who are most at risk, to get their take on their community including the prevalence of drug use. Opara won’t just be checking with kids at school. She’ll also spend lots of time with them on basketball courts, in grocery store parking lots, or wherever they like to congregate. What she learns will help her craft evidence-based and community-driven substance abuse interventions for young people at risk. She’ll then work with her partners in the community to help put the interventions to the test.
She recognizes that many consider urban youth too hard to reach. In her view, that’s simply not true. It’s her job to meet these young people where they hang out, learn to engage them, and listen to their needs.
In Paterson, she wants to build vibrant neighborhood models that will enrich the community and help more of its children get ahead. Most of all, she wants to change the way substance abuse and mental health work is done in urban communities like Paterson, and see to it that more resources for youth are put into place.
Opara hopes one day to inhabit a world where urban kids have access to the emotional and mental health resources that they need to cope with the many challenges that confront them. She also wants to inhabit a world where young girls growing up in the inner-city, as she did not so long ago, will be nurtured to move upward and onward as leaders. Her efforts and the strength of her example are certainly a push in the right direction.
Links:
Ijeoma Opara (The State University Stony Brook University, NY)
The Substance Abuse and Sexual Health Lab (Stony Brook)
Opara Project Information (NIH RePORTER)
NIH Director’s Early Independence Award
NIH Support: Common Fund
A Scientist Whose Music Gives Comfort
Posted on by Dr. Francis Collins
Over the past few years, my blog has highlighted a wide range of Creative Minds from across biomedical research. But creative minds come in many forms, and, for a change of pace, I’d like to kick back this August and highlight some talented scientists who are also doing amazing things in the arts, from abstract painting to salsa dancing to rock’n’roll.
My first post introduces you to Dr. Pardis Sabeti, a computational geneticist at the Broad Institute of Massachusetts Institute of Technology (MIT) and Harvard, Cambridge, and one of Time Magazine’s 2014 People of the Year for her work to contain the last major Ebola outbreak in West Africa. When she’s not in the lab studying viruses, Sabeti is the hard-driving voice of the indie rock band Thousand Days that has been rocking Boston for more than a decade.
Creative Minds: Can Microbes Influence Mental Health?
Posted on by Dr. Francis Collins
Elaine Hsiao
Credit: NIH Common Fund
While sitting in microbiology class as a college sophomore, Elaine Hsiao was stunned to learn that the human gut held between as much as 6 pounds of bacteria—twice the weight of an adult human brain. She went on to learn during her graduate studies in neurobiology that these microbes had co-evolved with humans and played important roles in our bodies, aiding digestion and immune function, for example. But more intriguing to her, by far, was new research that suggested that gut bacteria might even be influencing our thoughts, moods, and behavior.
Now a senior research fellow at the California Institute of Technology, Hsiao is launching her own effort to explore how these microbes can affect brain function—a very creative endeavor made possible through NIH’s Early Independence Award program—also known as the “skip the postdoc” award.
Creative Minds: Lighting Up Memory
Posted on by Dr. Francis Collins
One of the most debilitating, and heartbreaking, consequences of Alzheimer’s disease is the way it slowly robs people of their memories. Unfortunately, we don’t yet have a cure for Alzheimer’s, let alone a good understanding of exactly how this disease destroys memory skills. That’s why, in this first post in my series highlighting some of the awardees in NIH Common Fund’s High-Risk, High-Reward Research Program, I’m excited to introduce a young scientist who’s using some cool technology to tackle this formidable challenge: Christine Ann Denny.
A winner of a 2013 NIH Director’s Early Independence Awards (often called the “skip-the-postdoc” award), Denny has developed a technique to label the cells that encode individual memories in the brains of mice. That’s right: she tags the nerve cells that build these memories, the neurons, with a fluorescent molecule that glows.
Driving Innovation and Creativity with High Risk Research
Posted on by Dr. Francis Collins
Caption: One of the many faces of NIH-supported innovation, Stanford’s Christina Smolke is exploring how synthetic biology and microbes can be used to produce new drugs. She is a 2012 Pioneer Award winner.
Credit: Linda Cicero/Stanford News Service
High-risk research isn’t for the faint of heart. It’s for fearless researchers who envision and develop innovative projects with unconventional approaches that, if successful, may yield great leaps in our understanding of health problems and/or biological mechanisms. It takes nerve and creativity to conceive such projects—and, often, special support to bring them to fruition. And, as the name implies, there is a significant chance of failure.
