W06 – Capacity Building to Address the Trauma Care Gap: Spread and Scale of Multimodal Motion-Assisted Memory Desensitization and Reconsolidation in the Canadian Context
Le jeudi 19 octobre
14:30 – 15:30 (1 hr)
Salle de réunion : Port Alberni (4th floor – North Tower)
Lisa Burback*, MD; Eric Vermetten, MD; Lisa Burback, MD; Suzette Bremault-Phillips, PhD; Olga Winkler, MD
Rôles CanMEDS :
- Expert médical
- Promoteur de la santé
- Érudit
À la conclusion de cette activité, les participants seront en mesure de : 1) List and appreciate barriers to recovery from post-traumatic stress disorder (PTSD); 2) Describe the components of multimodal motion-assisted memory desensitization (3MDR) and how they represent psychotherapy innovation for PTSD; and 3) Consider how the scale and spread of 3MDR and reconsolidation within the public health system might address care gaps and issues of equity, diversity, and inclusion.
Post-traumatic stress disorder (PTSD) is a complex disorder with contributions from genetics, premorbid developmental and adverse experiences, stress sensitization, altered neurocircuitry and neurohormonal responses, and contextual aspects of trauma. World events, such as the COVID-19 pandemic, war in the Ukraine, mass shootings, and civil unrest globally have highlighted the need for effective treatments to address trauma’s consequences, including PTSD. However, multiple barriers contribute to successful recovery, and many patients with PTSD suffer from chronic and debilitating symptoms despite receiving first-line therapies, demonstrating the need for treatment innovation. Further, there is a need to address issues of equity, diversity, and inclusion (EDI) limiting access to and engagement with trauma-focused psychotherapy.
Multimodal motion-assisted memory desensitization and reconsolidation (3MDR) is a brief, novel, virtual reality–assisted therapy that targets factors linked to treatment failure, including avoidance. Initially successfully trialed in military populations, work is underway to study its use in civilian populations and to embed this treatment within mental health clinics. This workshop will introduce this psychotherapy innovation, review the current evidence base, and then focus on current efforts to scale and spread 3MDR within the Canadian public health care system. This includes establishing and evaluating a training program for therapists within community clinics. Opportunities to address EDI imbalances will also be discussed. Presenters include Colonel (retired) Eric Vermetten, MD, PhD, an internationally recognized expert in PTSD and the creator of 3MDR, and Canadian researchers conducting 3MDR studies in Edmonton, Alberta.
Références :
- Burback L, Bremault-Phillips S, Nijdam M, et al. Treatment of posttraumatic stress disorder: a state-of-the-art review. Curr Neuropharmacol 2023. Online ahead of print.
- van Gelderen MJ, Nijdam MJ, Vermetten E. An innovative framework for delivering psychotherapy to patients with treatment-resistant posttraumatic stress disorder: rationale for interactive motion-assisted therapy. Front Psychiatry 2018;9:176.
