Director’s Blog: NIMH
By Thomas Insel
February 05, 2013
In a commentary just published on innovation in health care, Narayan and colleagues describe the need for integrated solutions to mental health care. Moving beyond “magic bullets” and the magical thinking of a single intervention for a complex problem, they recommend a comprehensive model that includes early detection, better access to care, monitoring, and patient-reported outcomes. None of this would be particularly innovative, except that Narayan and his colleagues all work for a pharmaceutical company [Janssen]. They aren’t just suggesting new health care policy, they are recommending that pharmaceutical R&D redefine innovation around a holistic approach to patient needs rather than a singular focus on molecular targets.
What Narayan and colleagues are suggesting is that pharmaceutical companies can follow the IBM lead and the RAISE model to develop similar toolkits that bundle medical and psychosocial care. The jury is still out on whether this will work for mental health care as well as it has worked for information technology. But there is little question that we need better “solutions” for patients with serious mental illness. It’s time to think beyond magic bullets.
Beyond magic bullets: true innovation in health care.
by Narayan VA, Mohwinckel M, Pisano G, Yang M, and Manji HK
Nature Reviews. Drug Discovery. 2013 12:85-86.
The time has come to move beyond product-focused ‘magic bullet’ therapeutic development strategies towards models that can also incorporate devices, tools and services to provide integrated health-care solutions.
Janssen Neuroscientists and Colleagues Challenge Healthcare Industry to Create Integrated Approaches to Healthcare Innovation in Newly Published Article
Scientists and business leaders call for models of care that include therapeutics, devices, tools and services
Feb. 5, 2013TITUSVILLE, N.J./PRNewswire/ — Janssen Research & Development, LLC, ["Janssen"] announced today the publication of a new article that addresses integrated approaches to healthcare solutions. The authors challenge the healthcare industry to expand its thinking beyond product-focused, "magic bullet" drug development and discuss the need for an integrated approach to patient care, including use of devices, tools and services to help a patient’s progress. The commentary, "Beyond magic bullets: true innovation in health care," was published in the February 2013 issue of Nature Reviews Drug Discovery…
But the real reason I lingered on Dr. Insel’s blog post is his comment, "It’s time to think beyond magic bullets." This is quite a change from the Tom Insel circa 2005 who wanted to call psychiatry "clinical neuroscience" and laid out our timetable for the future: