HSR&D Research Career Scientist Award

物质使用障碍(SODS)在退伍军人健康管理局(VHA)患者中很常见 与退伍军人面临的一些最紧迫的问题密切相关，包括服药过量、自杀风险 和无家可归的人。VHA在提供高质量的SUD治疗方面处于全国领先地位 以及开发一个证据基础，以告知和改善对患有肥皂泡的退伍军人的护理。 然而，关键的差距仍然存在，特别是对于患有肥皂泡和精神疾病和/或共病的退伍军人来说 医疗条件。尽管如此，仍有明显的潜力扩大实质性的积极影响- 通过改善获得行为健康治疗的机会并将这些 将服务转化为成瘾治疗。马克·伊尔根博士开发了一个研究组合，重点是 通过开展以退伍军人为中心的健康服务，量身定做SUD治疗以解决患者的共病问题 关于成瘾的研究。这项工作的两个主要主题目标是：目标1：改善待遇 在患有肥皂泡和慢性疼痛的退伍军人中，结果和减少不良事件的风险； 目标2：降低患有肥皂泡的退伍军人的自杀风险。这两个主题领域直接 与积极的治疗结果有关，以及减少不良事件的可能性，其中 带着肥皂泡的退伍军人。伊尔根博士对这些领域的贡献从他资助的研究中可见一斑 在退伍军人健康服务研究和开发(HSR&D)的支持下， 国防部和国家药物滥用研究所，以及超过165个同行审查的科学 出版物。伊尔根博士在退伍军人管理局积极指导了9名早期职业调查人员和/或实习生 曾在退伍军人事务部安娜堡创新中心(COIN)担任重要行政职务 领导团队成员和导师关系核心的共同领导。考虑到他的积极和多产 研究组合，以及他对指导同事发展退伍军人管理局的承诺 在研究生涯方面，伊尔根博士是卫生服务研究职业科学家奖的有力候选人。 拟议的研究职业科学家奖将支持他继续研究，以及扩大 在指导和培训下一代HSR&D研究人员方面的作用。这份研究档案中有 解决VHA中一些最关键和最令人烦恼的行为健康相关优先事项的潜力 并改善对一些在VHA内接受治疗的最具挑战性和最高风险的退伍军人的护理 系统。

Substance Use Disorders (SUDs) are common in Veterans Health Administration (VHA) patients and are closely linked to some of the most pressing problems facing Veterans including overdose, suicide risk and homelessness. The VHA is a national leader in providing access to high-quality SUD treatment as well as the development of an evidence-base to inform and improve care for Veterans with SUDs. However, key gaps remain, particularly for Veterans who have co-occurring SUDs and psychiatric and/or medical conditions. Nonetheless, there is the clear potential to expand the positive impact of substance- oriented services within the VA by improving access to behavioral health treatments and integrating these services into addictions treatment. Mark Ilgen, Ph.D. has developed a research portfolio focused on tailoring SUD treatment to address patient comorbidity by conducting Veteran-centric health services research on addiction. The two primary thematic aims of this work are: Aim 1: to improve treatment outcomes and reduce risk of adverse events among Veterans with co-occurring SUDs and chronic pain; and, Aim 2: to decrease the risk of suicide among Veterans with SUDs. These two thematic areas directly relate to positive treatment outcomes, as well as reducing the likelihood of adverse events, among Veterans with SUDs. Dr. Ilgen's contributions to these areas are evidenced by his grant-funded research with support from the VA Health Services Research and Development (HSR&D), the Department of Defense and the National Institute on Drug Abuse, in addition to over 165 peer-reviewed scientific publications. Dr. Ilgen has actively mentored nine early career investigators and/or trainees within the VA and has held key administrative positions within the Ann Arbor VA Center of Innovation (COIN), as a member of the leadership team and the co-lead of the Mentorship Core. Given his active and productive research portfolio, as well as his demonstrated commitment to mentoring colleagues in developing VA research careers, Dr. Ilgen is a strong candidate for a Health Services Research Career Scientist Award. The proposed Research Career Scientist Award will support his continued research, as well an expanded role in mentorship and training of the next generation of HSR&D researchers. This research portfolio has the potential to address some of the most-critical and vexing behavioral health-related priorities in VHA and improve care for some of the most challenging and highest-risk Veterans treated within the VHA system.