Workshop
Behavioral health conditions, which include mental health and substance use disorders, affect approximately 20 percent of Americans. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. As many as 80 percent of patients with behavioral health conditions seek treatment in emergency rooms and primary care clinics, and between 60 and 70 percent of them are discharged without receiving behavioral health care services. More than two-thirds of primary care providers report that they are unable to connect patients with behavioral health providers because of a shortage of mental health providers and health insurance barriers. Part of the explanation for the lack of access to care lies in a historical legacy of discrimination and stigma that makes people reluctant to seek help and also led to segregated and inhumane services for those facing mental health and substance use disorders.
In an effort to understanding the challenges and opportunities of providing essential components of care for people with mental health and substance use disorders in primary care settings, the National Academies of Sciences, Engineering, and Medicine's Forum on Mental Health and Substance Use Disorders convened three webinars held on June 3, July 29, and August 26, 2020. The webinars addressed efforts to define essential components of care for people with mental health and substance use disorders in the primary care setting for depression, alcohol use disorders, and opioid use disorders; opportunities to build the health care workforce and delivery models that incorporate those essential components of care; and financial incentives and payment structures to support the implementation of those care models, including value-based payment strategies and practice-level incentives. This publication summarizes the presentations and discussion of the webinars.
122 pages
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ISBN Paperback: 0-309-68268-1
ISBN Ebook: 0-309-68269-X
DOI:
https://doi.org/10.17226/25927
National Academies of Sciences, Engineering, and Medicine. 2020. Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press.
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Rural areas can provide a rich context for learning science, technology, engineering and mathematics (STEM), but these communities and the students in them are often overlooked in ongoing efforts to expand access to high-quality K-12 STEM education and workforce development. Addressing barriers, often related to funding, and promoting unrecognized assets for STEM learning can enhance the ability of individuals in rural areas to further engage in and contribute to their communities or to broader scientific exploration and discovery.
K-12 STEM Education and Workforce Development in Rural Areas makes recommendations to federal, state, and local educational agencies, programs, and other relevant stakeholders to advance STEM education and workforce development for rural America. This report comes in response to a mandate within the CHIPS and Science Act of 2022.
280 pages
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6 x 9
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paperback
ISBN Paperback: 0-309-73004-X
ISBN Ebook: 0-309-73005-8
DOI:
https://doi.org/10.17226/28269
National Academies of Sciences, Engineering, and Medicine. 2025. K-12 STEM Education and Workforce Development in Rural Areas. Washington, DC: The National Academies Press.
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Eight-hundred fifty-seven fatalities occurred in work zones in the United States in 2020. One work zone fatality occurs for every 4 billion vehicle miles of travel and for every $112 million of roadway construction expenditures.
NCHRP Web-Only Document 418: Modern Solutions to Safe and Efficient Work Zone Travel, from TRB's National Cooperative Highway Research Program, is supplemental to NCHRP Research Report 1142: Innovative Approaches to Enhancing Safety and Efficiency in Work Zones: A Guide and seeks to identify best practices in leveraging technology to help the traveling public navigate roadway maintenance or construction work zones.
127 pages
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8.5 x 11
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ISBN Ebook: 0-309-09933-1
DOI:
https://doi.org/10.17226/29097
National Academies of Sciences, Engineering, and Medicine. 2025. Modern Solutions to Safe and Efficient Work Zone Travel. Washington, DC: The National Academies Press.
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The Transportation Emergency Response Application (TERA) is a scenario-based training system that provides training and exercise scenarios and materials for command-level and operational roles in public transportation agencies, state departments of transportation, and airport emergency operations centers for natural and human-made disaster incidents.
TCRP Research Report 253: Transportation Emergency Response Application (TERA): Migration Options Beyond 2025, from TRB's Transit Cooperative Research Program, identifies migration and repurpose options for the content of TERA to one or more platforms and describes materials that have the most value as resources for tabletop exercises.
48 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-73555-6
ISBN Ebook: 0-309-73556-4
DOI:
https://doi.org/10.17226/29074
National Academies of Sciences, Engineering, and Medicine. 2025. Transportation Emergency Response Application (TERA): Migration Options Beyond 2025. Washington, DC: The National Academies Press.
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Workshop_in_brief
Historical exclusion of women from basic, translational, and clinical research has led to an inadequate understanding of sex-based biological differences on health and disease burden and lack of therapies for women's health. In October 2024, the National Academies Forum on Regenerative Medicine and Forum on Temporomandibular Disorders hosted a public workshop to consider gaps within regenerative medicine research related to conditions that are female-specific and/or are more common in or differently impact women; explore emerging and potential regenerative medicine therapies and technologies for these conditions; and examine women's representation within the regenerative medicine workforce.
14 pages
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8.5 x 11
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ISBN Ebook: 0-309-09899-8
DOI:
https://doi.org/10.17226/29088
National Academies of Sciences, Engineering, and Medicine. 2025. The Intersection of Regenerative Medicine and Women's Health: Proceedings of a Workshop—in Brief. Washington, DC: The National Academies Press.
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Veterans are more likely than non-veterans to experience pain, trauma, and mental health challenges due to training and combat-related service. Treatment often results in the prescription of opioid and benzodiazepine medications.
In 2024, the National Academies were tasked with convening a committee of experts to evaluate the effects of these medications on all-cause mortality of veterans, including suicide, regardless of whether information relating to such deaths was reported to the U.S. Centers for Disease Control and Prevention.
The resulting report examines newly dispensed opioid pharmacotherapy in veterans without and with current benzodiazepine pharmacotherapy; varying levels of the initial baseline dosage and dosage escalation of dispensed opioid pharmacotherapy; and newly dispensed benzodiazepine compared to alternative non-benzodiazepine pharmacotherapy in veterans with consistent opioid pharmacotherapy.
334 pages
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paperback
ISBN Paperback: 0-309-73133-X
ISBN Ebook: 0-309-73128-3
DOI:
https://doi.org/10.17226/28584
National Academies of Sciences, Engineering, and Medicine. 2025. Veterans, Prescription Opioids and Benzodiazepines, and Mortality, 2007–2019: Three Target Trial Emulations. Washington, DC: The National Academies Press.
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Advances in artificial intelligence (AI) promise to improve productivity significantly, but there are many questions about how AI could affect jobs and workers.
Recent technical innovations have driven the rapid development of generative AI systems, which produce text, images, or other content based on user requests - advances which have the potential to complement or replace human labor in specific tasks, and to reshape demand for certain types of expertise in the labor market.
Artificial Intelligence and the Future of Work evaluates recent advances in AI technology and their implications for economic productivity, the workforce, and education in the United States. The report notes that AI is a tool with the potential to enhance human labor and create new forms of valuable work - but this is not an inevitable outcome. Tracking progress in AI and its impacts on the workforce will be critical to helping inform and equip workers and policymakers to flexibly respond to AI developments.
200 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-71714-0
ISBN Ebook: 0-309-71715-9
DOI:
https://doi.org/10.17226/27644
National Academies of Sciences, Engineering, and Medicine. 2025. Artificial Intelligence and the Future of Work. Washington, DC: The National Academies Press.
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Workshop
The National Academies of Sciences, Engineering, and Medicine Committee on Law and Justice hosted a two-day workshop on September 24-25, 2024 to explore models of prosecutorial programs and practices, implications for public policy, and priorities for future research. The workshop showcased practices, programs, and policies that offer promising alternatives to incarceration and promoted continuous quality improvement and accountability within prosecutors' offices.This proceedings summarizes the workshop themes, including pressing challenges and opportunities, and areas for further consideration and guidance.
122 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-73435-5
ISBN Ebook: 0-309-73436-3
DOI:
https://doi.org/10.17226/29037
National Academies of Sciences, Engineering, and Medicine. 2025. Examining Prosecution: Proceedings of a Workshop. Washington, DC: The National Academies Press.
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U.S. airports that receive assistance from the federal government are required to comply with a number of obligations imposed by federal law.
The TRB Airport Cooperative Research Program's ACRP Web-Only Document 65: DOT and FAA Airport Legal Determination and Opinion Letter Abstracts of 2023 covers case-specific guidance from U.S. DOT or FAA on various federal airport compliance matters released since the previous update to ACRP Legal Research Digest 21.
This document is supplemental to ACRP Legal Research Digest 21: Compilation of DOT and FAA Airport Legal Determinations and Opinion Letters as of December 31, 2023, which contains agency determinations covering administrative cases brought against large and small airports throughout the United States, as well as DOT and FAA opinion letters, memoranda, and related documents. These documents cover legal matters that include reasonableness of contractual terms, leasing practices, airport rules and regulations, airport charges imposed on aeronautical users, including airlines, and the standards for determining airport sponsor compliance with other federal obligations.
47 pages
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8.5 x 11
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ISBN Ebook: 0-309-73306-5
DOI:
https://doi.org/10.17226/28856
National Academies of Sciences, Engineering, and Medicine. 2025. DOT and FAA Airport Legal Determination and Opinion Letter Abstracts of 2023. Washington, DC: The National Academies Press.
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Motor vehicle crash rates for teen drivers during the learner's permit phase are relatively low and comparable to those of adult drivers. However, once teenagers begin driving independently, the crash risk increases significantly at licensure and remains high during the first few months of solo driving.
BTSCRP Research Report 13: Outcomes of Variability in Teen Driving Experience and Exposure: Evidence from Naturalistic Driving Studies, from TRB's Behavioral Traffic Safety Cooperative Research Program, provides insights on how exposure to driving during the learner's permit period and the first months of driving independently, including driving in diverse environments, impacts safety outcomes in later driving.
60 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-72312-4
ISBN Ebook: 0-309-72313-2
DOI:
https://doi.org/10.17226/29066
National Academies of Sciences, Engineering, and Medicine. 2025. Outcomes of Variability in Teen Driving Experience and Exposure: Evidence from Naturalistic Driving Studies. Washington, DC: The National Academies Press.
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There is widespread material degradation that affects all components of bridges, often limiting their service lives. For reinforced concrete bridge members, that deterioration is predominately caused by corrosion of the internal steel reinforcement.
NCHRP Synthesis 641: State DOT Policies and Practices on the Use of Corrosion-Resistant Reinforcing Bars, from TRB's National Cooperative Highway Research Program, documents the policies and practices of state departments of transportation related to their use of corrosion-resistant reinforcing bars.
186 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-73449-5
ISBN Ebook: 0-309-73450-9
DOI:
https://doi.org/10.17226/29045
National Academies of Sciences, Engineering, and Medicine. 2025. State DOT Policies and Practices on the Use of Corrosion-Resistant Reinforcing Bars. Washington, DC: The National Academies Press.
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The repair of transverse cracks and longitudinal paving joints and cracks in asphalt and asphalt-surfaced pavements is a common maintenance activity for state departments of transportation (DOTs). One of the limitations of crack sealing and filling, however, is the width of the crack for which these repairs are successful.
NCHRP Synthesis 640: Wide Cracks and Joints in Flexible and Composite Pavements: State DOT Maintenance Practices, from TRB's National Cooperative Highway Research Program, documents practices used by state DOTs for flexible and composite pavement maintenance for wide transverse and longitudinal cracks and joints.
138 pages
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paperback
ISBN Paperback: 0-309-73427-4
ISBN Ebook: 0-309-73428-2
DOI:
https://doi.org/10.17226/29035
National Academies of Sciences, Engineering, and Medicine. 2025. Wide Cracks and Joints in Flexible and Composite Pavements: State DOT Maintenance Practices. Washington, DC: The National Academies Press.
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In the modern history of the United States, investment in the teaching of science, technology, engineering and mathematics has resulted in a rich variety of education innovations (programs, practices, models, and technologies). Although a number of these innovations have had the potential to impact learners on a broad scale, that potential often remains unrealized. Efforts vary in their success in widescale implementation and sustainability across different educational contexts - leaving questions about how to achieve the major improvements to STEM education that many policy leaders seek.
Scaling and Sustaining Pre-K-12 STEM Education Innovations: Systemic Challenges, Systemic Responses examines the interconnected factors at local, regional, and national levels that foster or hinder the widespread implementation of promising, evidence-based Pre-K-12 STEM education innovations, to identify gaps in the research, and to provide guidance on how to address barriers to implementation. This report comes in response to a mandate within the CHIPS and Science Act of 2022.
438 pages
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6 x 9
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paperback
ISBN Paperback: 0-309-72602-6
ISBN Ebook: 0-309-72603-4
DOI:
https://doi.org/10.17226/27950
National Academies of Sciences, Engineering, and Medicine. 2025. Scaling and Sustaining Pre-K-12 STEM Education Innovations: Systemic Challenges, Systemic Responses. Washington, DC: The National Academies Press.
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The transportation industry is working toward a common understanding of integrating transportation resilience into various agency processes and exploring new methods for evaluating resilience investments.
Transportation Insights 5: Transportation Resilience 2023 presents the discussions and presentations from an international conference hosted by TRB in November 2023 in Washington, DC.
86 pages
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8.5 x 11
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ISBN Ebook: 0-309-73314-6
DOI:
https://doi.org/10.17226/28858
National Academies of Sciences, Engineering, and Medicine. 2025. Transportation Resilience 2023: International Conference on Extreme Weather and Climate Change Challenges. Washington, DC: The National Academies Press.
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Workshop
Early life disadvantages have been associated with a higher risk of dementia, but the risk may be modified by early life and midlife exposures. While attention is often given to individuals' behavior and choices, structural and institutional forces may be more effective in addressing risk factors.
The Committee on Population held a two-day public workshop on August 29-30, 2024 that examined what measures, data infrastructure needs, and analytic measures can advance understanding of how midlife social exposures can address early life risk factors. Participants discussed the state of knowledge and identified conceptual approaches to guide research on better understanding midlife exposures that may be modifiable in reducing the risk of later-life dementia. This publication summarizes the presentations and discussion from the workshop.
106 pages
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6 x 9
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paperback
ISBN Paperback: 0-309-73376-6
ISBN Ebook: 0-309-73377-4
DOI:
https://doi.org/10.17226/28909
National Academies of Sciences, Engineering, and Medicine. 2025. Identifying Midlife Social Exposures That Might Modify Risks of Cognitive Impairment Associated with Early Life Disadvantage: Proceedings of a Workshop. Washington, DC: The National Academies Press.
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Bridge construction inspection is a critical component in fulfilling the mission of state departments of transportation (DOTs) and the U.S. Federal Highway Administration to deliver high-performing transportation systems that adhere to or surpass specified quality standards.
NCHRP Synthesis 649: Bridge Construction Inspection Training: Resources and Practices, from TRB's National Cooperative Highway Research Program, collects resources and documents practices used by state DOTs in training and setting qualifications of the bridge construction inspection workforce.
156 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-73411-8
ISBN Ebook: 0-309-73412-6
DOI:
https://doi.org/10.17226/29031
National Academies of Sciences, Engineering, and Medicine. 2025. Bridge Construction Inspection Training Resources and Practices. Washington, DC: The National Academies Press.
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The Roundtable on Mentorship, Well-being, and Professional Development convened a workshop on October 28 and 29th, 2024 to explore how the well-being, professional development, and interpersonal and mentoring relationships of graduate students, postdoctoral scholars, and faculty are affected by national and global events, cultural shifts, and legal changes.
13 pages
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8.5 x 11
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ISBN Ebook: 0-309-09918-8
DOI:
https://doi.org/10.17226/29093
National Academies of Sciences, Engineering, and Medicine. 2025. Mentorship, Well-Being, and Professional Development in Times of Societal Change and Institutional Disruptions: Proceedings of a Workshop—in Brief. Washington, DC: The National Academies Press.
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The National Academies of Sciences, Engineering, and Medicine appointed a committee to conduct an Independent Analysis of the Department of Defense's Autism Care Demonstration (ACD). The ACD provides applied behavior analysis (ABA) services to TRICARE-eligible military families.
To support this effort, the National Academies convened a public workshop on November 22, 2024, to explore methods for assessing program and clinical effectiveness in autism care. Presentations examined the strengths and limitations of current outcome measures, ethical considerations in data use and informed consent, and standards for ABA assessment and progress monitoring.
This Proceedings of a Workshop—in Brief summarizes key insights shared during the session and highlights considerations for improving care quality, accountability, and the lived experience of military families navigating autism services.
11 pages
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8.5 x 11
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ISBN Ebook: 0-309-09894-7
DOI:
https://doi.org/10.17226/29086
National Academies of Sciences, Engineering, and Medicine. 2025. Understanding Methods for Measuring Program Effectiveness and Clinical Effectiveness: Proceedings of a Workshop—in Brief. Washington, DC: The National Academies Press.
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To explore opportunities for improving equitable diagnosis to reduce health disparities in the U.S., the Forum on Advancing Diagnostic Excellence at the National Academies hosted a public workshop in September 2024 in collaboration with the Roundtable on the Promotion of Health Equity. Speakers highlighted factors contributing to diagnostic inequities and suggested potential strategies to advance health equity through technology, education, research, and patient- and community-centered approaches.
Speakers at the workshop discussed potential strategies including using technological innovations such as remote monitoring and telehealth, improving education in cultural humility and holistic care, enhancing high quality data collection on historically underserved communities, increasing patient engagement, improving clinician communication, and strengthening community partnerships to build trust with patients. This publication highlights the presentations and discussions that occurred at the workshop.
14 pages
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8.5 x 11
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ISBN Ebook: 0-309-73083-X
DOI:
https://doi.org/10.17226/28573
National Academies of Sciences, Engineering, and Medicine. 2025. Advancing Equity in Diagnostic Excellence to Reduce Health Disparities: Proceedings of a Workshop—in Brief. Washington, DC: The National Academies Press.
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