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Hoping to give a leg up to young scientists studying the brain and mental illness, Butler Hospital has launched an unusual effort to establish a research endowment. The psychiatric hospital in Providence announced Tuesday that it plans to raise $1.2 million for a new Butler Endowment Fund. The fund will give out small grants to researchers so they can do the preliminary work that would position them for bigger grants, and also will cover overhead costs so the hospital can host more research. Dr. Patricia R. Recupero, Butler president, said the hospital's researchers are "pushing the envelope" with work zapping the brain with magnets and buzzing it with surgically implanted electrodes -- new methods to adjust the malfunctioning neurons that underlie depression and obsessive-compulsive disorder. "With funding being difficult, we want to ensure this continues," she said. While all not-for-profit hospitals hold fund-raising campaigns from time to time, such efforts usually finance building projects. And while most hospitals have endowments, typically they start with large, targeted gifts from donors rather than fund-raising campaigns. Butler does have an endowment, currently valued at $15 million, but it consists primarily of restricted gifts that can be used only for such things as maintaining the grounds, providing free care and educating the staff. In fundraising to create a new research endowment, Butler "is definitely taking a leadership role in the field," said Mark Covall, president and chief executive officer of the National Association of Psychiatric Health Systems. "I'm not aware of any hospital that is specifically doing what Butler is trying to do." The fund has already quietly raised $575,000, much of it from the hospital's board of trustees, executives and physicians. Now Butler is seeking money from throughout Rhode Island. "There are a lot of individuals and families out there whose lives have been affected by loved ones with psychiatric illness and try to imagine what they can to do to be helpful," said Dr. Lawrence H. Price, Butler's director of research. At a news conference at Butler announcing the fund Tuesday, Laurie White, president of the Greater Providence Chamber of Commerce, called the fund another way to "leverage the power of the knowledge economy" to bring jobs and money to Rhode Island. Dr. Steven A. Rasmussen, Butler's medical director, said the hospital receives about $18 million in research funding, mostly from the National Institutes of Health and organizations concerned with specific diseases. "One of the things we're hoping to do is develop more young researchers who will provide the basic research," he said. Career development grants for up-and-coming researchers cover only a fraction of the overhead costs associated with the research. As a result, the hospital loses money on this work and has to limit the number of such grants its researchers can apply for. The endowment, it is hoped, "will allow us to put in as many grants as we have worthy researchers," Rasmussen said. It will also provide money for pilot projects demonstrating that a research concept is promising and feasible, work that often must precede a bigger grant. Butler is affiliated with the Warren Alpert Medical School of Brown University, and Rasmussen will soon become Brown's interim chairman of psychiatry. But Brown is not involved in this effort. "Brown unfortunately doesn't have a whole bunch of money to give for its medical school," Rasmussen said. The fund has not established any rules limiting who can donate. Dr. Roy Poses, director of the Rhode Island-based Foundation for Integrity and Responsibility in Medicine, a group concerned with conflicts of interest in health care, said that question "ought to be on the minds of people setting up such a fund." In recent years, doctors who received money from pharmaceutical companies have been accused of skewing their data to benefit the drug companies. The controversy has primarily involved psychiatrists, including Brown's outgoing chairman of psychiatry, Dr. Martin Keller. "If there are no rules for this fund," Poses said, "there is a risk that donors from the health care sector could influence what research is done, how it is done, and the how the results are reported -- to the detriment of science and patient care." But Price, Butler's research director, said it had never occurred to him that a drug company might give to this endowment. Price and others pointed out that donations would be pooled and interest from them later disbursed in small amounts. Unlike with the controversial research, there would be no opportunity for direct industry funding of specific studies. And if anyone offered a donation with strings attached, Price said, "We would decline it." |
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