| WEDNESDAY, SEPTEMBER 11, 2024 – Please click on presentation title to view slides | ||||
| Decades After 9/11: Evolving Military & Veterans Health | ||||
| Welcome | 8:00am – 8:05am | Sofia Matta, MD, Senior Director of Medical Services, Home Base, Harvard Medical School | No CEs | |
| Color Guard | 8:05am – 8:07am | No CEs | ||
| Journey of the Summit | 8:07am – 8:15am | Lead Facilitator (Tom Kehner) | No CEs; Objectives, Flow of Day, Rules of Engagement | |
| Relationship Maker – What connects each of us to this work? | 8:15am – 8:30am | Breakout Groups (AI generated teams based on registration data to determine most effective teams for engineering serendipitous connections.) | Meet other participants and learn why this work is important to them. Ground everyone in the learning to come. What questions do we have coming in? | |
| From Revolution to Innovation; A chronicle of HealthSpan Evaluation | 8:30am – 8:45am | Joseph Bonvie, PsyD, ABPP, Senior Director of Clinical Services, Home Base, Harvard Medical School | Dr. Bonvie will take a historical look at the integrated, multidisciplinary Traumatic Brain Injury evaluation within military medicine and how it has evolved since inception to meet the multitude of exposures in today’s special operations forces personnel.
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| Moment of Silence | 8:46am – 8:47am | No CEs: 8:46 moment of silence | ||
| SOCOM Brain Health
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8:47am – 9:10am
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Amanda Robbins, PsyD, USSOCOM Command Psychologist, United States Special Operations Command
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As a pathfinder for the Department of Defense, SOCOM is striving to ensure the brain health and superior cognitive performance of the SOF Service Member. Through longitudinal monitoring, cognitive skill enhancement brain health research and links to quality treatment, SOCOM intends to proactively sustain and extend the lifecycle of its Forces and ensure optimal healthcare of our warfighters during and after service.
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| Traumatic Brain Injury Center of Excellence (TBICOE) | 9:10am – 9:35am | Katharine Stout, DPT, MBA, PT, NCS, Traumatic Brain Injury Center of Excellence | This presentation will discuss current TBI evaluation and treatment within TBICoE. | |
| KEYNOTE 1: Troops First Foundation | 9:35am – 10:00am | Frank Larkin, MS, COO Troops First Foundation | No CEs | |
| Special Operators | ||||
| Current Brain Health Initiatives and Findings in Army SOF | 10:00am – 10:25am | Sergeant Major Chris McNamara, United States Army, Human Weapon System Director
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SGM McNamara will discuss current research findings in active-duty SOF and the initiatives we are using to address them. We also discuss the four lines of effort that the NDAA directed Elite Forces Pilot Team are currently pursuing. | |
| The practice of Clinical and operational psychology in Naval Special Warfare
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10:25am – 10:50am
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Linda Havens, PhD, ABPP, Force Psychologist, Naval Special Warfare Command
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The presentation will provide an overview of clinical and operational applications of psychology practice within Naval Special Warfare as well as common clinical presentations and challenges faced by Navy SEALs. Challenges and barriers to care within Navy medicine will be discussed, as well as common practices to overcome stigma and improve access to care within a culturally competent embedded system of care. | |
| Embedded Psychological Health’s Critical Contributions to HealthSpan | 10:50am – 11:15am
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James M. Keener, PsyD, ABPP, Force Psychologist, United States Navy
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Dr. Keener will discuss the challenges faced by Naval Expeditionary Combatant Commanders force preservation strategy.
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| Special Operator – Breakout Group Huddles | 11:15am – 12:00pm | Bonvie, Robbins, Stout, Larkin, McNamara, Havens | Based on what you learned, what are your key takeaways? What is actionable in your work? What questions do you still have? (Speakers move from group to group to answer questions and help brainstorm.) | |
| LUNCH + Exhibitor Interaction | 12:00pm – 1:00pm | Exhibitors | No CEs | |
| HealthSpan | ||||
| Social Determinants, Resilience, Allostatic Load, and DNA Methylation Epigenetics
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1:00pm – 1:25pm
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Sofia Matta, MD, Senior Director of Medical Services, Home Base, Harvard Medical School
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Dr. Matta will review the social determinants of health, metabolic and inflammatory response in stress, neuroimmune markers, and DNA methylation accelerated aging (the epigenetic “clock”) in posttraumatic stress disorder (PTSD) and TBI. Recent advances in TBI on allostatic load, cardiovascular disease, metabolic syndrome, DNA methylation accelerated epigenetic aging, inflammation, and neuroendocrinological changes will be reviewed. She will introduce Positive Psychiatry, which aims to shed light on promoting mental health and well-being through enhancing social relationships, wisdom, and resilience and its impact on biomarkers, epigenetics, inflammation, and immune function. | |
| KEYNOTE 2: Unveiling the Operator’s Healthspan: Insights and Implications- Moving from Maladaptation to AdaptionCLICK TO VIEW VIDEO |
1:25pm – 1:50pm
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Ross Zafonte, DO, President of Spaulding Rehabilitation Network
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Dr. Zafonte will review the key concepts of HealthSpan and define Exposures in Special Operations Forces and Veterans.
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| The Link Between PTSD and Cardiovascular Disease: Mechanisms and Treatment | 1:50pm – 2:15pm
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Antonia V. Seligowski, PhD, Assistant Professor, Neurocardiac Effects of Stress and Trauma Lab, Massachusetts General Hospital, Harvard Medical School | Dr. Seligowski will provide an overview of how PTSD increases risk for cardiovascular disease (e.g., exaggerated fear responding). The presentation will also discuss treatment approaches that combine gold-standard therapies for PTSD and aim to reduce cardiovascular risk in this population. | |
| Toxic Exposures and EDDx | 2:15pm – 2:40pm | Lecia Sequist, MD, MPH, Program Director, Cancer Early Detection & Diagnostics, MGH Cancer Center | Dr. Sequist will discuss toxic exposures that are seen in Special Operations Forces. | |
| HealthSpan – Breakout Group Huddles | 2:40pm – 3:10pm | Tanev, Bonvie, Matta, Zafonte, Seligowski, Sequist | Based on what you learned, what are your key takeaways? What is actionable in your work? What questions do you still have? (Speakers move from group to group to answer questions and help brainstorm.) | |
| BREAK + Exhibitor Interaction | 3:10pm – 3:30pm | Exhibitors | No CEs | |
| Next Gen Healthcare Tech | ||||
| Introduction to Next Gen Healthcare Tech | 3:30pm – 3:35pm | Michael D. Allard, Chief Operating Officer, Home Base | No CEs | |
| KEYNOTE 3; Technology and the Future of Digital Tools | 3:35pm – 3:55pm | Maurizio Fava, MD Chair of Psychiatry, MGH, Slater Family Professor of Psychiatry, Harvard Medical School | ||
| Next Generation Healthcare Technology: Quantifying the Qualitative to Inform Care | 3:55pm – 4:15pm
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Andrea Webb, PhD, Chief Scientist, Draper
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Provide an overview of techniques and approaches to quantify the qualitative to inform human understanding and care. Summarize Draper’s past and current efforts focused on mental health assessment, including considerations around ethics, equity, and equality. | |
| KEYNOTE 4:
AI & Precision Psychiatry Precision Psychiatry: New Opportunities for Prevention and Treatment
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4:15pm – 4:35pm
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Jordan W. Smoller, MD, ScD, Professor of Psychiatry, Center for Precision Psychiatry, Department of Psychiatry; Psychiatric and Neurodevelopmental Genetics Unit, Center for Genomic Medicine, Massachusetts General Hospital
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Dr. Smoller will introduce some of the goals of “precision psychiatry,” with a particular focus on leveraging large-scale data resources to address unmet needs in mental healthcare. For example, advances in machine learning and artificial intelligence are providing new opportunities to improve risk stratification, targeted prevention, and precision treatment. The presentation will highlight progress in these areas using several examples that capitalize on these opportunities, including efforts to predict and prevent suicide-related behavior and move beyond one-size-fits-all, trial-and-error approaches to treatment. | |
| Impact of Repeated Blast Exposure on Active-Duty United States Special Operations Forces | 4:35pm – 4:55pm
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Brian L. Edlow, MD, Neurocritical Care Faculty, Massachusetts General Hospital
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Dr. Edlow will discuss the state-of-the-science in diagnostic tests for brain injury associated with repeated blast exposure. The session will focus on emerging imaging and blood-based biomarkers, as well as clinical motivation and future directions. | |
| Building for the Future: Identifying Opportunities to Collaborate – Breakout Group Huddles | 4:55pm – 5:30pm | Fava, Tanev, Bonvie, Matta, Allard, Webb, Smoller, Edlow | What gaps or opportunities could we solve together? What does this information change for our industry? Who benefits? (Speakers move from group to group to answer questions and help brainstorm.) | |
| THURSDAY, SEPTEMBER 12, 2024 – Please click on presentation title to view slides | ||||
Performance And Community
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| Welcome Back | 8:00am – 8:05am | Joseph Bonvie, PsyD, ABPP, Senior Director of Clinical Services, Home Base | Introduction to Performance and Community
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| KEYNOTE 5: Civilian and military medicine face many challenges
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08:05am – 08:25
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Eric Goralnick, MD, MS
Director, Military and Veterans Initiatives, Mass General Brigham Associate Professor of Emergency Medicine, Harvard Medical School
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Dr. Goralnick will provide an overview of Mass General Brigham’s Military and Veterans Initiatives.
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| Overnight Insights – Breakout Group Huddles
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8:25am – 9:25am
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Joseph Bonvie, PsyD, ABPP, Senior Director of Clinical Services, Home Base
Sofia E Matta, MD, Senior Director of Medical Services, Home Base |
Knowledge Sharing | |
| Human Performance Optimization and Recovery Science | 9:25am – 9:45am
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Dr. Mark Stephenson
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The presentation will cover human performance optimization strategies and resources to enhance the mental health of Special Operations Forces and veteran populations. |
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| Meaningful Relationships: Strategies for Human Performance Optimization from the Boston Bruins | 9:45am – 10:05am
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Frank Simonetti, President, Boston Bruins Alumni Association
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The presentation will describe human performance optimization strategies and community resources to enhance mental health, social support, and physical health outcomes in Special Operations Forces and veteran populations. | |
| Resiliency at Home Base and the Broader Military Community | 10:05am – 10:25am
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April Hirschberg, MD, Medical Director, Mind Body Health Program, Home Base, Department of Psychiatry, Massachusetts General Hospital | Dr. Hirschberg will describe the resiliency programs at Home Base, their development, and outcome studies. The session will also discuss the applicability and outreach of these programs to different military and veteran communities, including those related to athletics. | |
| BREAK + Exhibitor Interaction | 10:25am – 10:50am | Exhibitors | No CEs | |
| Home Base Updates | ||||
| Massed Treatment Approaches: Intensive Clinical Programming
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Interdisciplinary Approaches to Brain Health: An overview of Home Base SOF Programming |
10:50am – 11:10am
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Laura Harward, LICSW, Director, Intensive Clinical Program, Home Base, Massachusetts General Hospital
Lauren Brenner, PhD, Clinical Psychologist; Clinical Director of Brain Health, Home Base, Massachusetts General Hospital
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Ms. Harward will provide an overview of the Home Base Intensive Clinical Program (ICP), including the Families of the Fallen and Native/Indigenous specialty cohorts, sharing background on the ICP, evidence for success, and reviews of the specialty cohorts.
Dr. Brenner will provide an overview of the ComBHaT program and describe innovative additions to brain health programming.
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| Neuropsychological Assessment in SOF
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11:10am – 11:30am
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Scott Sorg, PhD, Neuropsychology Team Lead, Home Base, Harvard Medical School
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This session highlights the crucial role of neuropsychological assessment in the conceptualization of brain health in US Military Service Members and Veterans. It aims to provide an overview of the extant findings on neuropsychological outcomes in SOF, discuss relevant cognitive risk factors and assessment considerations in this population, and present recommendations to advance clinical practice and targets for future research efforts
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| Lead Exposure and Psychopathology Among Veterans and Active Duty Servicemembers
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11:30am – 11:40am
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Gabrielle Hoover, PhD, Co-Director of Home Base Outpatient Clinic, Staff Psychologist, Home Base, Instructor, Harvard Medical School
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Veterans and servicemembers are a population at risk for elevated lead exposure and post-traumatic stress disorder (PTSD) due to their military service. Many have accumulated a high density of lead from occupational and environmental exposures, specifically via firearms through take-home dust from lead-based primers and ammunition. The relationship between lead and psychopathology including PTSD remains poorly understood; preliminary data from a Catalyst Grant funded study at Home Base will be presented and discussed on this topic. |
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| Skills-Based Interventions for Substance Use Disorders: A Complement to PTSD and TBI treatment
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11:40am – 11:50am
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Peter Ward, PhD, Staff Psychology, Home Base, Massachusetts General Hospital
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This presentation will provide a brief overview of how two primary interventions at MGH Home Base, the SOAR IOP program and the Dual Recovery Supplement to the Intensive Clinical Program (ICP-DR) provide time-limited, effective means of treating Substance Use Disorders (SUDs) in concert with common comorbidities such as PTSD and TBI. The presentation will share specific interventions utilized in both programs and will relate these interventions to recovery from SUDs and comorbid conditions. | |
| Home Base Updates – Breakout Groups | 11:50am – 12:20pm | Bonvie, Matta, Brenner, Harward, Sorg, Hoover, Ward | What gaps or opportunities could we solve together? What does this information change for our industry? Who benefits? | |
| LUNCH + Exhibitor Walk | 12:20pm – 1:20pm | Exhibitors | No CEs | |
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Family
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| Introduction to Family | 1:20pm – 1:30pm | Rawle Andrews, Esq, Executive Director of the American Psychiatric Association Foundation | No CEs | |
| KEYNOTE 4: Generations of Service | 1:30pm – 1:50pm | MG George F. Bowman | No CEs | |
| Working with Families of the Fallen: Cultural Considerations and Risk Factors for Mental Health Concerns | 1:50pm – 2:10pm
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Diane Nealon, LICSW, Director, Families of the Fallen, Home Base
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An overview of military cultural considerations relevant to working with Families of the Fallen. Different types of military bereavement will be reviewed, along with a highlight of particular challenges facing survivor families of military suicide. Risk factors for mental health concerns in this population will be reviewed. | |
| Communal Coping Among Active-Duty Military Surviving Families
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2:10pm – 2:30pm
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Victoria McCausland, MA, PhD, Assistant Professor, Old Dominion University and Founder & President – Strong Ties
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Dr. McCausland will discuss how communal coping among military surviving spouses has the potential to promote resilience, normalize a non-normative experience and reduce stigma in a culture where discussion about death is uncomfortable. Through specific anecdotes about her personal and professional experience, she will highlight the enactment of communal coping and how it is revealed through interpersonal communication. | |
| Force Multiplier: Collaborative Support and the Role of Benevolent Organizations in Advancing Operator Wellness
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2:30pm – 3:00pm
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Alison Messick, Chief Programs Officer, Navy SEAL Foundation
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This presentation underscores the paramount importance of collaborative efforts between benevolent organizations in advancing the holistic wellness of Navy SEAL operators and their families. By harnessing the collective strength of these organizations, we can effectively multiply the impact of our support systems, enhancing resilience and performance within the SEAL community. However, navigating the complexities of collaboration poses challenges, necessitating strategic coordination and communication to overcome barriers and ensure optimal care delivery. Looking forward, a concerted focus on innovative solutions and partnership models will pave the way for continued advancements in operator wellness initiatives, fostering a culture of support and empowerment for our nation’s elite warriors and their loved ones. |
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| Problem Solving for the Future: Collaborative Focus Areas – Breakout Groups | 3:00pm – 4:00pm | Bonvie, Matta, Bowman, Nealon, McCausland, Messick, Andrews | What does all of this information change?
What is still needed to be more effective/efficient? |
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| Closing | 4:00pm – 4:15pm | BG Jack Hammond, Executive Director, Home Base | ||
| Closing | 4:15pm-4:30pm | Sofia E Matta, MD, Senior Director of Medical Services, Home Base
Joseph Bonvie, PsyD, ABPP, Senior Director of Clinical Services, Home Base, Harvard Medical School |
Closing comments, Thank You from the Course Directors, Present key findings & questions (Eric Goralnick, MD, MS), Next Steps | |
Please click on link for Additional Resources:
Credit Claim Instructions for Live Summit
Course Directors/Planners/Reviewers:
| Sofia E Matta | MD | Course Director | MGH Home Base, Psychiatry, Sr Dir of Medical Services |
| Joseph L Bonvie | PsyD | Course Director | MGH Home Base, Psychiatry, Sr Dir of Clinical Services |
| David Rubin | MD | Content Reviewer | Massachusetts General Hospital and McLean Hospital
Director, Child and Adolescent Psychiatry Residency Training;
Dean, Continuing Education & Professional Development, MGH Institute of Health Professionals Assistant Professor, Harvard Medical School
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| Susan Sprich | PhD | Content Reviewer | Director, Postgraduate Psychology Education
Assistant Professor of Psychology Harvard Medical School
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| Jane Pimental | MPH | Planner | Director, Division of Professional and Public Education, MGH
Managing Director, MGH Psychiatry Academy
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| Susan Kim | MD | Content Reviewer | Assistant Director, Division of Profession and Public Education, MGH
Attending Psychiatrist, Acute Psychiatric Services, MGH
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| Elizabeth Cox | RN | Content Reviewer | MGH Institute of Health Professions |
| Sharon Fawcett | LICSW | Content Reviewer | Spaulding Rehabilitation Network |
Speakers:
| Lauren | Brenner | PhD | |
| George
Ronald |
F. Bowman
E Hirschberg |
MG
MD |
|
| Brian | Edlow | MD | |
| Maurizio | Fava | MD | |
| Eric | Goralnick | MD, MS | |
| Linda | Havens | PhD, ABPP, CDR, USN, MSC US Navy | |
| Laura
Frank |
Harward
Larkin |
LICSW
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| Gabrielle | Hoover | PhD | |
| James | Keener | PsyD, ABPP | |
| Sofia | Matta | MD | |
| Victoria
Chris Alison |
McCausland
McNamara Messick |
LICSW
N/A N/A |
|
| Diane
April |
Nealon
Hirschberg |
LICSW
MD |
|
| Amanda | Robbins | PsyD | |
| Antonia | Seligowski | PhD | |
| Lecia
Frank Jordan |
Sequist
Simonetti Smoller |
MD, MPH
N/A MD, ScD |
|
| Scott | Sorg | PhD | |
| Mark | Stephenson | PhD(c), MS, ATAC, CSCS | |
| Katharine | Stout | DPT, MBA | |
| Peter | Ward | PhD | |
| Andrea
Ross |
Webb
Zafonte |
PhD
DO |
Disclosures:
Dr. Sequist receives institutional research grant funding from AstraZeneca, Delfi Diagnostics and Novartis.
Dr. Smoller receives research funding from Biogen and is on the Scientific Advisory Board of Sensorium Therapeutics, Inc.
Susan Sprich, PhD, receives royalties from Oxford University Press; Springer and honorarium (associate editor of a journal): Association for Behavioral and Cognitive Therapies
Professor Zafonte has financial ties to SAB, myomo, and Kisbee and is an advisor for Nanodynamics.
Dr. Edlow receives funding from the following:
USSOCOM: Contract No. H9240520D0001
NINDS: R21NS109627, RF1NS115268, R01NS128961
NIH Director’s Office: DP2HD101400
Department of Defense: W81XWH-21-S-TBIPH2
Navy SEAL Foundation
Chen Institute MGH Research Scholar
James S. McDonnell Foundation
MGH Department of Neurology and Division of Neurocritical Care
MGH Martinos Center for Biomedical Imaging
Dr. Fava receives research support from Abbvie; Acadia Pharmaceuticals; Aditum Bio Management Company, LLC, Allergan, Alkermes, Inc.; Altimate Health Corporation; Alto Neuroscience, Inc.; Ancora Bio, Inc.; Angelini S.p.A; Aptinyx; Arbor Pharmaceuticals LLC; Axsome; Benckiser Pharmaceuticals, Inc.; BioClinica, Inc.; Biogen; BioHaven; BioShin Limited; Cambridge Science Corporation; Centrexion Therapeutics Corporation; Cybin IRL Limited; Damona Pharmaceuticals; EmbarkNeuro; Eliem Therapeutics LTD; Gate Neurosciences, Inc.; GenOmind, LLC; Gentelon, LLC; Gerbera Therapeutics, Inc.; GH Research Ireland Limited; Happify; Johnson & Johnson; Lundbeck Inc.; Marinus Pharmaceuticals; Medpace, Inc.; Millennium Pharmaceutics, Inc.; Minerva Neurosciences; NeuraWell Therapeutics, Inc.; Neurocrine Biosciences,Inc.; Novaremed; Otsuka; Peachtree BioResearch Solutions Inc.; Pfizer; Premiere Research International; Praxis Precision Medicines; ProtagenicTherapeutics, Inc.; Relmada Therapeutics Inc.; Shenox Pharmaceuticals; Stanley Medical Research Institute (SMRI); Takeda; University of Michigan; University of Florida Board of Trustees; Vistagen; WinSanTor, Inc.; Xenon Pharmaceuticals, Inc.; XW Pharma Ltd.; National Institute of Drug Abuse (NIDA); National Institutes of Health (NIH); National Institute of Mental Health (NIMH); and PCORI.
He also has equity holdings in Compellis (no longer in existence); Neuromity; Psy Therapeutics; Revival Therapeutics (no longer in existence); Sensorium Therapeutics and receives royalties and has patents for Sequential Parallel Comparison Design (SPCD), licensed by MGH to Pharmaceutical Product Development, LLC (PPD) (US_7840419, US_7647235, US_7983936, US_8145504, US_8145505); patent application for a combination of Ketamine plus Scopolamine in Major Depressive Disorder (MDD), licensed by MGH to Biohaven; and patents for pharmacogenomics of Depression Treatment with Folate (US_9546401, US_9540691) licensed to Nestle and for Compound for improving l-arginine bioavailability (US_11,655,210) licensed to DimeRx. Copyright for the MGH Cognitive & Physical Functioning Questionnaire (CPFQ), Sexual Functioning Inventory (SFI), Antidepressant Treatment Response Questionnaire (ATRQ), Discontinuation-Emergent Signs & Symptoms (DESS), Symptoms of Depression Questionnaire (SDQ), AnxietySymptoms Questionnaire (ASQ), and SAFER; Belvoir; Lippincott, Williams & Wilkins; Wolkers Kluwer; World Scientific Publishing Co. Pte.Ltd. Nature of Financial Relationship Royalty/patent
.
Please click on link for Additional Resources:
We have a dedicated staff member who is available by phone 5 days per week between 8 am and 5 pm by calling 866-644-7792 or email at mghcme@mgh.harvard.edu. All inquiries will be dealt with in a timely (within one business day) and professional manner. Requests for credits or refunds will be reviewed by the Director of the Division of Professional and Public Education, Massachusetts General Hospital. Please refer to our cancellation policy for additional information.”