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Public Safety committee  Thank you. Actually, we developed these tools on a very low budget. It was very much, in fact, my time. I've done a lot of the programming myself. Some of it I've outsourced, but at quite a low budget. The software is relatively simple to acquire. It's really more the creativity that goes into developing the stimuli, for example.

May 5th, 2016Committee meeting

Paul Frewen

Public Safety committee  Thanks very much. In this particular Internet-based intervention—MMTT, I'll call it for short—all of them are inspired and validated interventions. The journaling activity is part of a cognitive behaviour therapy standard approach, the automatic thought record. It is to take those six principles that I described and apply them to everyday stressors that the individual is experiencing, using those concepts and applying them to regulate themselves to be able to manage their distress, reflect, and respond in a more adaptive way.

May 5th, 2016Committee meeting

Paul Frewen

Public Safety committee  Thank you. These practices are self-directed. They could be part of an additional therapy, and that's ideally how I would recommend them. I would recommend that they augment additional approaches, such as the face-to-face psychotherapy that a person might have, but as we know, they may not have access to the other evidence-based psychotherapies, so doing this on one's own—

May 5th, 2016Committee meeting

Paul Frewen

Public Safety committee  I think it was touched on earlier that part of the job is to present it in a way that is palatable for the particular target group. Much of that can be rectified through, for example, conductive focus groups with the target population. It may have much to do with how it's packaged and what it is in the end.

May 5th, 2016Committee meeting

Paul Frewen

Public Safety committee  Yes. Thanks very much. These drugs, both marijuana and other forms of recreational drugs, are being used, and I think they're being used for their effects on the nervous system. They have direct effects, of course, whether they be relaxants or stimulants. They have various dissociative qualities, which you mentioned, such as the suppression of memory and distress in the immediate short term.

May 5th, 2016Committee meeting

Paul Frewen

Public Safety committee  Absolutely. Right here, these practices themselves don't require so much the therapist or the clinician. We do want to provide the instruction and ensure that everything we suggest is evidence based. These practices, of course, are ancient history and are increasingly being validated in the current conventions of randomized controlled trials that we heard about earlier, and indeed have actually been shown to have direct effects on the brain and body through the neuroimaging approaches that were also referenced earlier.

May 5th, 2016Committee meeting

Paul Frewen

Public Safety committee  Yes, thanks. Indeed, we're currently using this particular website with a number of populations, men and women of various trauma types. We've so far only published on it, actually, an open sort of web use, but in that case persons varied. We grouped them based on their PTSD symptomatology.

May 5th, 2016Committee meeting

Paul Frewen

Public Safety committee  Thanks very much. In comparison with the decentring, we want to contrast that with avoidance. We'll be rejecting the present. With dissociation, we leave the present. Finally, that last principle is acceptance and change. It really is a sort of balance that typically the trauma survivor is trying to avoid.

May 5th, 2016Committee meeting

Paul Frewen

Public Safety committee  Thank you. For example, we can combine the biofeedback approaches with the mindfulness practices to achieve an even better benefit. Thanks very much.

May 5th, 2016Committee meeting

Paul Frewen

Public Safety committee  Thanks. In response to both, I think these interventions indeed could be a mental preparation for the difficult types of workspaces we're finding trauma and PTSD to come from. This could be done up front and throughout and encouraged as a well-being practice. I'm sensitive also to the point around language.

May 5th, 2016Committee meeting

Paul Frewen

Public Safety committee  We teach six therapeutic principles. The first is about how a person can stay present. The second increases awareness of both mind and body. The third helps a person understand how to let go of difficult forms of distress. The fourth refers to metta, which has to do with loving kindness and self-compassion.

May 5th, 2016Committee meeting

Paul Frewen

Public Safety committee  Thank you for having me. Indeed, I did share the website, and my presentation will pertain directly to it. Thanks very much. I'm going to share my screen now. You can see it in a moment. What I'm going to be describing to you is a therapy that we've developed that combines an Internet-based approach with making use of mindfulness meditation and other types of meditation that I feel would be a good intervention for post-traumatic stress in first responders as well as other populations.

May 5th, 2016Committee meeting

Paul Frewen