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              <text>Jarero, I., Manfield, P., Shapiro, E., Quinn, G., &amp;amp; Robinson, R. M. (2025, August). Panel on EMDR early interventions. Keynote at the 3rd annual EMDR HAP conference, Denver, CO</text>
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                <text>This expert panel brings together leading voices in the field of EMDR Early Interventions (EEIs) to explore cutting-edge protocols and practical applications in post-trauma settings. Panelists will discuss the TEP Suite (R-TEP, G-TEP, G-REP, 4 Elements), the GAP Suite (ASSYST, IGTP, PRECI), ISP, and Flash, focusing on when and how to apply these interventions, as well as their limitations and challenges. The discussion will emphasize collaboration, shared expertise, and the collective mission to mitigate trauma and foster resilience across diverse populations.</text>
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              <text>Derek Farrell&lt;br /&gt;&lt;span&gt;Sonny Provetto&lt;/span&gt;&lt;br /&gt;&lt;span&gt;Johnny Moran&lt;/span&gt;</text>
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              <text>Farrell, D., Provetto, S., &amp;amp; Moran, J. (2024, September). Intensive treatment for PTSD &amp;amp; moral injury - The Vermont protocol: A proof-of-concept study. &lt;span&gt;Presentation at the at the 29th EMDR International Association Conference, Virtual&lt;/span&gt;</text>
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                <text>This presentation will outline how compassion-focused EMDR group intervention is used in the treatment of PTSD and Moral Injury. It will highlight the core aspects of the Acute Stress Adaptive Protocol (ASAP) - a modification of the Group Traumatic Episode Protocol (GTEP) developed in conjunction with first responders and emergency workers. Additionally, the integration of core elements from Compassion-Focused Therapy (CFT) is also used to address community trauma factors and moral injury. This presentation will outline how this intervention is used as part of a four day, intensive treatment intervention. It will also present research data from an ongoing research trial exploring the effectiveness of this treatment intervention with first responders and emergency workers from Vermont, USA. The study is a collaboration between the Vermont Centre for Responder Wellness (USA) and Northumbria University (UK).</text>
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              <text>Varese, F. (2023). &lt;a href="https://doi.org/10.1111/eip.13408"&gt;Trauma-focused therapy in early intervention for psychosis settings: Results of a feasibility RCT of 'EMDR for psychosis'.&lt;/a&gt; Presentation at the IEPA International Conference on Early Intervention in Mental Health, Lausanne, Switzerland</text>
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                <text>Trauma is particularly prevalent amongst Early Intervention (EI) patients and is associated with adverse clinical and prognostic outcomes. To determine the feasibility of a large-scale randomized controlled trial (RCT) of an 'EMDR for psychosis' intervention for trauma survivors with active psychotic symptoms supported by EI services, we conducted a single-blind RCT comparing 16 sessions of EMDRp + TAU versus TAU only. Method(s) EMDRp therapy and trial assessments were completed both in-person and remotely during the COVID-19 pandemic, and key feasibility outcomes (recruitment &amp;amp; retention, therapy attendance/ engagement, adherence to EMPRp treatment protocol, and the 'promise of efficacy' of EMDRp on relevant clinical outcomes) were examined at 6- and 12-month post-randomization assessments. Results and Conclusion(s) 60 participants (100% of the recruitment target) received TAU or EMDR + TAU. The feasibility criteria examined in this trial were fully met, and EMDRp was associated with promising signals of efficacy on a range of valuable post-treatment outcomes, including improved psychotic symptoms (PANSS), subjective recovery (QPR), post-traumatic symptoms (PCL-5;ITQ), depression (PHQ-9), anxiety (GAD-7) and general health status (EQ-5D-VAS) at the 6-month assessment. Signals of efficacy at 12-month were less pronounced, but remained robust for trauma symptoms and general health status. The findings will be discussed with relevance to future clinical trials of trauma-focused therapy in clients with early psychosis, and the provision of more tailored trauma therapies for EI service users.</text>
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              <text>Morris, H., Hatzikiriakidis, Savaglio, M., Dwyer, J., Lewis, C., Miller, R., &amp;amp; Skouteris, H. (2022, January). &lt;a href="https://doi.org/10.1002/jts.22792"&gt;Eye movement desensitization and reprocessing for the treatment and early intervention of trauma among first responders: A systematic review.&lt;/a&gt;  Journal of Traumatic Stress.  doi:10.1002/jts.22792</text>
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                <text>First responders are exposed to repetitive work-related trauma and, thus, are at risk of developing posttraumatic stress disorder (PTSD). Eye-movement desensitization and reprocessing (EMDR) is a psychotherapy intervention designed to treat symptoms of posttraumatic stress. We conducted a systematic review to examine the viability of EMDR among first responders. The primary aim of this review was to identify studies that have trialed EMDR among first responders and evaluate its effectiveness in reducing trauma-related symptoms; a secondary aim was to identify whether EMDR has been used as an early intervention for this cohort and determine its effectiveness as such. Four databases were searched. Studies were included if they evaluated the extent to which EMDR was effective in alleviating symptoms stemming from work-related trauma exposure among first responders. The findings from each study were reported descriptively, and eight studies that evaluated the efficacy of EMDR in this population were included. There was substantial variation in how EMDR was implemented, particularly in the type, duration, frequency, and timing. The findings suggest that EMDR can alleviate symptoms of work-related trauma exposure among first responders; however, findings regarding early intervention were inconclusive, and a methodological quality assessment revealed that all studies were classified as being of either weak or medium quality. Although this review provides preliminary insights into the effectiveness of EMDR for first responders, the conclusions that can be drawn from the literature are limited, and the findings highlight several gaps in the literature.</text>
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                <text>The availability of trauma-informed practitioners (both mental health clinicians and medical/health workers without mental health specialism) varies significantly from country to country. Projects to build local capacity using EMDR-based EI and CBT-based LII for trauma treatment in Pakistan, Myanmar, Cambodia, Thailand, Palestine, Lebanon and Iraq will be presented. Psychological First, Second and Third Aid in high-income countries will be distinguished from those in low- to middle-income countries from the perspective of clinical practice, research and development, and teaching and learning.</text>
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              <text>Yurtsever, A.(2018, June).  EMDR early intervention: A large scale disaster management model  Atatürk Airport bombing. In Terrorist attacks, war, disaster. Presentation at the 19th EMDR Europe Conference, Strasbourg, France</text>
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                <text>Early Trauma Intervention is one of the most important topics especially when there is a large number of people affected by disasters. Turkey shares about 1200 km of border with Syria, Iran and Iraq. During the war in Middle East, especially in Syria, more than 3.5 million refugees from Syria moved to Turkey during the last 6 years. Until recently, Turkey has become the playground of major terrorist organizations and intelligence services of many countries. Bombings reached its peak during 2016, the last heartbreaking terrorist attack took place in Ataturk Airport in Istanbul in June 2016. It has been reported that 42 people died and more than 230 people have been injured. (www.bbc.co.uk) As EMDR Turkey Association we managed to go and reach out the victims 22 hours later. We reached out 1397 people and did psycho-educational meetings neutralizing the traumatic experience and screening the PTSD symptoms (IES-R ≥33). We did G-TEP groups and R-TEP with individuals who are in need. However, only two weeks after the bombing, the coup attempt happened and this time the same victims had a second trauma and all therapists were traumatized too. Our aim is sharing our EMDR Early Intervention Model for large scale disaster management within the experience of Ataturk Airport bombing. The steps are as follows: 1. EMDR Turkey Association has 1000 members, scattered around the country. Half of them are volunteers and members of EMDR Trauma Recovery Group. They begin sending messages how many and which days and how long they can work. In this project 40 therapists worked for 2.5 months. In 24 hours the airport began fully functioning. 2. Reaching the CEOs and the managers of the business organizations operating at the airport, discuss the intervention program and get permission to contact with the victims 3. Psychoeducational groups: Aiming normalization, introducing our psychosocial support system and screening. 4. Intervention to crisis individually and in organizational basis: Systemic interventions; leading the leaders, checking the organizations’ crisis models and give feedback in order to restrain secondary crisis. 5. Individual and group interventions: After screening, inviting who are in need of EMDR G-TEP and EMDR R-TEP for further support. 6. Creating opportunity for new therapists to learn managing the disaster, doing EMDR R-TEP and running the EMDR G-TEP. Every disaster is an opportunity for a talented young professional to become a leader in future projects. 7. What happens if a second trauma happens; a strategy for traumatized therapists 8. A small study: Is there a relationship between ACE Score and PTSD Diagnosis. It seems there is. We believe our model sets basis for cooperation with other organizations and within our therapist groups. Participants will learn an alternative intervention model can be applied quickly in any crisis situation which is structured for both therapists and other crisis intervention personnel.</text>
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                <text>In Terrorist attacks, war, disaster. Presentation at the 19th EMDR Europe Conference, Strasbourg, France</text>
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                <text>Although the study of early intervention has accelerated greatly in the last decade, and this acceleration has increased following September 11, 2001, the early intervention evidence base remains very limited. Early intervention is defined here as intervention designed to prevent chronic emotional problems and minimize long-term deterioration in quality of life following trauma exposure. A conference, sponsored by a number of federal agencies (including the Department of Defense, Department of Veterans Affairs, Department of Justice, National Center for PTSD, National Institute of Mental Health, and American Red Cross), recently assembled experts from around the world to arrive at a consensus about early interventions following incidents of mass violence. Conference attendees concluded that the evidence available from methodologicallystrong randomized controlled trials (RCTs) does not permit definitive confirmation or refutation of the effectiveness of any early psychological intervention following major incidents (see www.ncptsd.org/facts/disasters/fs_consensus.html). The majority of RCTs in this field have investigated treatments following the aftermath of individual traumas, rather than collective traumas, but strong conclusions about individual preventive treatments are also unwarranted at present. Moreover, there are no RCTs that specifically address early intervention with traumatized children. [Excerpt]</text>
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                <text>PTSD can be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit "silent terror" or extreme stress.The Emergency Response Procedure (ERP) described in Marilyn Luber's : EMDR Scripted Protocols: Basic and Special Situations.(2009) &amp;amp; Implementing EMDR Early Mental Health Interventions for Man-Made and Natural Disasters: Models, Scripted Protocols (2013) was developed to deal with victims of natural and man made disaster within hours of exposure to trauma. Participants in this workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This same basic approach can be applied in the event of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions. Similarly, ERP may also be considered for patients exhibiting this "silent terror" or extreme stress during initial treatment at the scene of an accident or in ambulances en route to medical facilities. Case examples will illustrate treatment of ASR &amp;amp;ASD with survivors of the Tsunami in Thailand, and victims of terror and war. R-TEP, developed by Elan Shapiro and Brurit Laub will be described as it is used in the event that ERP is not sufficient in the emergency settings where multiple patients need rapid treatment. A practicum will follow on ERP.</text>
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                <text>The accessibility of EMDR therapy in emergency and disaster situations is often limited by the shortage of trained clinicians immediately available when relatively large numbers of trauma victims are involved. Inspired by Rolf Carriere's call for 'scaling up' EMDR, the issues involved are discussed and a new group EMDR protocol is presented. This presentation gives a brief overview of the EMDR Recent Traumatic Episode Protocol (R-TEP) and presents a new practical application: the EMDR G-TEP (Group Traumatic Episode Protocol) –with its worksheet format for simplified utilisation in emergency situations. Further applications are discussed. The EMDR R-TEP and G-TEP have shown beneficial results in controlled studies conducted by Turkish colleagues working with Syrian refugees.</text>
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                <text>Presenter: Filiz Kaya&lt;br /&gt;&lt;br /&gt;The present study is carried out within a psychological counseling project which is governed by Istanbul metroplitan Municipality. The study was designed to assess the effects of Early EMDR Intervention (EEI) on the victims of a terrorist bombing in Gungoren, Istanbul. Subjects were the victims of a terrorist bombing in Gungoren, Istanbul. The participants were selected from a pool of children and adults, who lived in Gungoren and scored high on the Turkish version of 'Impact of Event Scale' (IES) and PTSD Symptom Checklist. The subjects were contacted 2 days after the bomb attack so that we were able to measure the event impact right after the traumatic experience, which will help us to demonstrate how EMDR affects the impact of the event more accurately. Eye Movement Desensitization (EMD) as an EEI technique was used to treat the child participants, whereas Recent Traumatic Event Protocol (R-TEP) which incorporates the EMD and Recent Event (RE) protocols, was received by the adult participants The therapists (EMDR certified therapists, who were receiving supervision) met with the participants weekly to work only on the trauma of the bombing and participants completed impact of Event Scale prior to each session. The number of the sessions was restricted to the completion of EMD and R-TEP. The study is completed with a three month follow-up. Analyses of the data collected from the participants demonstrates the level of effectiveness of EMDR in children and adults, in prevention of PTSD and the use of EMDR as a crises intervention tool.</text>
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                <text>EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian Assistance Program’s (HAP) Disaster Manual and Marilyn Luber’s : EMDR Scripted Protocols: Basic and Special Situations.(2009) was developed to deal with victims of natural and man made disaster within hours of exposure to trauma. Participants in this workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in ambulances en route to medical facilities. Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war. In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine Shapiro in 1989, will be described and compared to the standard EMDR protocol with emphasis as used in emergency settings where multiple patients need rapid treatment. The EMDR Group Protocol will be presented as utilized in the Tsunami of 2004 and during war. A practicum will follow.</text>
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                <text>Considerable professional debate exists regarding the role of mental health professionals in the early intervention following disasters. Emotional first aid is a natural part of disaster response in western countries, while the active involvement of mental health professionals is debated. The current paradigm is to screen to find those at risk after a period of time (usually &amp;gt; 1 month) and then refer those in need to more active traumatherapeutic assistance based on the screening results. Dr. Dyregrov will argue for an active role for mental health professionals in the early response, but will discuss and question whether EMDR or other specific trauma therapy should be offered within the first few weeks following a disaster.</text>
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                <text>The U.K. armed forces are currently involved in a number of military operations throughout the world. Offering structured psychological interventions such as eye movement desensitization and reprocessing (EMDR) in theater has a number of potential advantages. This single-case study describes how the EMDR recent event protocol (Shapiro, 1995) was used in theater with a 27-year-old active-duty U.K. soldier who was experiencing an acute stress reaction after treating a land mine casualty. The intervention took place 2 weeks posttrauma with four sessions conducted on consecutive days, resulting in a positive outcome, with the soldier able to return immediately to frontline duties. Treatment response was assessed with administration of four standardized measures at pretreatment, posttreatment, and 18-month follow-up. Treatment effects remained at 18-month follow-up. The challenges of conducting EMDR in operational theaters and clinical implications are explored. </text>
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              <text>Hacker-Hughes, J., &amp;amp; Wesson, M. (2008, June). EMDR on the frontline: Early interventions during military operations. Presentation at the 9th EMDR Europe Association Conference, London, England</text>
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                <text>EMDR on the frontline: Early interventions during military operations</text>
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                <text>Presentation at the 9th EMDR Europe Association Conference, London, England</text>
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                <text>Some of the earliest applications of EMDR were with military veterans (Shapiro 1995, Shapiro &amp;amp; Forrest 1997). EMDR is now widely used to treat UK military personnel suffering from combat related PTSD. This presentation will consider extending the use of EMDR as an early intervention during frontline operations. Research suggests the importance of early detection in PTSD (Lee et al 2005) and the benefits of early intervention (North 2001). Current practice is that UK personnel who are having significant difficulties in functioning after exposure to trauma are sent back to the UK for treatment after a brief period of watchful waiting. This is can be detrimental, both to the unit and individual (Shepard 2000, Solomon et al 2005). EMDR offers a potential solution to this problem. A case study will be presented of a soldier who was suffering significant post trauma symptoms whilst serving in Afghanistan. Through the successful use of EMDR in theatre just 2 weeks after the trigger event, he was able to resume his normal duties and hence avoid the negative effects of being returned to the UK for treatment. The use of EMDR as a frontline treatment has far reaching implications but currently there is little evidence for its use as an early intervention with military personnel (Russell 2006). Future research to evaluate this novel application of EMDR is planned. This presentation will introduce participants to the challenges of providing psychological treatment during military operations and the potential value of EMDR in this setting.</text>
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