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Virtual Professional Training in Evidence Based Psychotherapies, Gaming for Behavioral Health Providers

The mental health consequences for veterans can range from post-traumatic stress disorder, major depressive disorder, traumatic brain injury, insomnia to suicide. The Center for Deployment Psychology of the Uniform Services University has a virtual education center offering evidence-based psychotherapy workshops to DoD and civilian mental health providers. The workshops leverage the inherent motivation to play games, utilizing Second Life to create an experiential learning environment.

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Virtual Professional Training in Evidence Based Psychotherapies, Gaming for Behavioral Health Providers

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  1. Virtual Provider Training In Evidence-Based Psychotherapies Serious Play Conference, July 2017 Kevin M. Holloway, PhD

  2. Disclaimer The views expressed are those of the presenter and do not necessarily reflect the opinions of the Uniformed Services University of the Health Sciences, the Department of Defense, or the U.S. Government.

  3. Operation Enduring Freedom (OEF) & Operation Iraqi Freedom (OIF)

  4. Mental Health Consequences < 50% Post-Traumatic Stress Disorder Major Depressive Disorder Traumatic Brain Injury Insomnia Suicide

  5. PE CPT EMDR CBT-D CBT-I CBT-SI Evidence-Based Psychotherapies

  6. Barriers to Implementing EBPs Lack of Adequate Training Lack of Sufficient Consultation post-training Unsupported Modifications Understanding of Underlying Theory Lack of Motivation to Do Something New Insufficient Institutional Support Borah, Elisa V., Edward C. Wright, D. Allen Donahue, Elizabeth M. Cedillos, David S. Riggs, William C. Isler, and Alan L. Peterson, "Implementation Outcomes of Military Provider Training in Cognitive Processing Therapy and Prolonged Exposure Therapy for PostTraumatic Stress Disorder," Military Medicine, Vol. 178, No. 9, September 2013, pp. 939-944. Wilk, Joshua E., Joyce C. West, Farifteh F. Duffy, Richard K. Herrell, Donald S. Rae, and Charles W. Hoge, "Use of Evidence-Based Treatment for Posttraumatic Stress Disorder in Army Behavioral Healthcare," Psychiatry, Vol. 76, No. 4, Winter, 2013, pp. 336-348.

  7. Traditional Workshops Two-Day Face to Face Instructor Eyes On Observed Role Play Consultation Offered Centralized Locations Travel Costs Days out of Clinic Limited Discussion Scheduling

  8. CDP’s Virtual Education Center

  9. Why Second Life? Free Accounts Customizable Synergistic Learning Roleplay Accountability

  10. Why Second Life? Persistence Return for Consultation More Engaged Higher Presence

  11. • Monthly Monthly EBP Workshops in Second Life Since • 1,223 1,223 Providers Trained to date: DoD & Civ April 2014 • Approximately 20% 20%have attended more than one training workshop • Registration open to any MH providers any MH providers 1,223 MENTAL HEALTH PROVIDERS TRAINED IN EBPS IN SECOND LIFE TO DATE • Future training models to be tested • 4x4 – 4 sessions of 4 hrs each held weekly • 8x2 – 8 sessions of 2 hrs each held weekly • Consultation wrapped into training • Experiential, on-demand homework

  12. LEVERAGING GAMING MOTIVATION

  13. Leveraging Gaming Motivation CREATING EXPERIENTIAL LEARNING Operation AVATAR CAPS Trainer Snoozeum

  14. CDP’s PTSD Learning Center

  15. Operation AVATAR in Second Life

  16. CDP’s “Snoozeum”

  17. FUTURE DIRECTIONS

  18. CAPS Trainer Concept

  19. deploymentpsych.org tinyurl.com/cdpsltrain

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