Lorraine Smith‐MacDonald

ORCID: 0000-0003-3712-0674
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About
Contact & Profiles
Research Areas
  • Posttraumatic Stress Disorder Research
  • Traumatic Brain Injury Research
  • Resilience and Mental Health
  • Occupational Health and Safety Research
  • Disaster Response and Management
  • Suicide and Self-Harm Studies
  • COVID-19 and Mental Health
  • Identity, Memory, and Therapy
  • Traumatic Brain Injury and Neurovascular Disturbances
  • Cardiac Arrest and Resuscitation
  • Emergency and Acute Care Studies
  • Migration, Health and Trauma
  • Digital Mental Health Interventions
  • Healthcare professionals’ stress and burnout
  • Telemedicine and Telehealth Implementation
  • Trauma and Emergency Care Studies
  • Grief, Bereavement, and Mental Health
  • Child Abuse and Trauma
  • Death Anxiety and Social Exclusion
  • Religion, Spirituality, and Psychology
  • Workplace Violence and Bullying
  • Health, psychology, and well-being
  • Palliative Care and End-of-Life Issues
  • Ethics in medical practice
  • Child Welfare and Adoption

University of Alberta
2020-2024

The King's University
2022-2024

St. Stephen's University
2023

Canadian Armed Forces
2020-2021

Western University
2021

University of Calgary
2017-2019

Background A necessary shift from in-person to remote delivery of psychotherapy (eg, teletherapy, eHealth, videoconferencing) has occurred because the COVID-19 pandemic. corollary benefit is a potential fit in terms need for equitable and timely access mental health services rural locations. Owing COVID-19, there may be an increase demand timely, virtual among trauma-affected populations, including public safety personnel (PSP; eg, paramedics, police, fire, correctional officers), military...

10.2196/22079 article EN cc-by JMIR mhealth and uhealth 2020-08-01

Paramedics work in a highly complex and unpredictable environment which is characterized by ongoing decision-making. Decisions made paramedics the prehospital setting have implications for patient safety, transport, treatment, health resource utilization. The objective of this study was; a) to understand how conduct decision-making field, b) develop grounded theory paramedic setting. This was conducted using classical theory. (n = 13) with five or more years' experience, who worked large...

10.1186/s12873-018-0194-1 article EN cc-by BMC Emergency Medicine 2018-11-15

Moral Injury (MI) describes the profound distress experienced by military personnel as a result of violation personal beliefs. Impacting not only psychological, but spiritual, health and well-being, MI is associated with spiritual/religious (S/R) suffering need to find hope, trust, connection, reconciliation, wholeness. Addressing spiritual wounds can help overcome fundamental barriers that may impede them from effectively engaging in or benefitting traditional trauma therapies having more...

10.3389/fpsyt.2018.00592 article EN cc-by Frontiers in Psychiatry 2018-11-14

This paper details a subset of the findings from participatory action research project exploring palliative intervention in long-term care sites across Canada. The presented this relate to understanding compassion within context approach care. Findings are drawn qualitative interviews and focus groups with residents, family members, healthcare providers, managers 4 provinces In total, there were 117 individuals (20 16 72 9 managers) who participated one 19 groups. Data was analyzed by...

10.1186/s12877-019-1135-x article EN cc-by BMC Geriatrics 2019-05-06

Service members and veterans can be exposed to potentially traumatic morally injurious experiences (PMIEs) including participating in, witnessing, or failing prevent an act(s) that transgresses their core beliefs. Violation of one's deeply held morals values profoundly distressing shatter sense self at the deepest level. Relationships with self, others, world, for some, Sacred, also fractured. Post-Traumatic Stress Disorder (PTSD) and/or Moral Injury (MI) result. Left unresolved, MI leave...

10.3389/fpsyt.2022.906945 article EN cc-by Frontiers in Psychiatry 2022-07-13

Military members are at elevated risk of operational stress injuries, including posttraumatic disorder (PTSD) and moral injury. Although psychotherapy can reduce symptoms, some military may experience treatment-resistant PTSD. Multimodular motion-assisted memory desensitization reconsolidation (3MDR) has been introduced as a virtual reality (VR) intervention for with PTSD related to service. The 3MDR incorporates exposure therapy, psychotherapy, eye movement reconsolidation, VR, supportive...

10.2196/20620 article EN cc-by JMIR Research Protocols 2020-09-01

Military members (MMs) and public safety personnel (PSP) are vulnerable to occupational stress injuries because of their job demands. When MMs PSP transition out these professions, they may continue experience mental health challenges. The development implementation resilience-building mobile (mHealth) apps as an emergent intervention platform has allowed for targeted, cost-effective, easily accessible treatment when in-person therapy be limited or unavailable. However, current mHealth app...

10.2196/26453 article EN cc-by JMIR mhealth and uhealth 2021-11-19

In the context of global pandemic SARS-CoV-2 coronavirus (COVID-19), healthcare providers (HCPs) have experienced difficult moral and ethical dilemmas. Research is highlighting importance injury (MI)-a trauma syndrome related to transgressing personal morals values-in understanding psychological harm occupational impairment by HCPs. To date, MI treatments largely been developed for military personnel veterans rely on in-person one-on-one psychotherapy.

10.3389/fpsyt.2021.801680 article EN cc-by Frontiers in Psychiatry 2022-01-14

Highlights • The COVID-19 pandemic has underscored the essential role of public safety personnel in serving and protecting all Canadians.• Public were reporting challenges with mental health well-being before pandemic; accordingly, new stressors may mean need additional resources to sustainably help them us.• This article suggests elements support that be attainable avenues for supporting wellbeing during protracted stress caused by pandemic.• Sustained self-care critical maintaining pandemic.

10.24095/hpcdp.40.11/12.04 article EN cc-by Health Promotion and Chronic Disease Prevention in Canada 2020-09-01

Background—Public safety personnel (PSP) are at heightened risk of developing mental health challenges due to exposures diverse stressors including potentially psychologically traumatic experiences. An increased focus on protecting PSP has prompted demand for interventions designed enhance resilience. While hundreds available aimed improve resilience and protect PSPs’ health, research evidence regarding intervention effectiveness remains sparse. Methods—Focus groups with elicited a...

10.3390/ijerph19126972 article EN International Journal of Environmental Research and Public Health 2022-06-07

Public safety personnel (PSP) are at risk of experiencing operational stress injuries (OSIs). The functional impairments caused by OSIs can contribute to challenges with returning pre-injury requirements. A Canadian municipal policing agency developed a peer-led workplace reintegration program (RP) assist PSP in their after an illness or injury. Although this RP has been used internationally, there is paucity research on and its implementation organizations. perspectives key stakeholders...

10.35502/jcswb.301 article EN cc-by-nc-nd Journal of Community Safety and Well-Being 2023-02-23

Background As provisions of mental healthcare services to military and veteran populations increases the risk service providers developing secondary traumatic stress (STS), efforts are needed examine impact delivering novel interventions which may include 3MDR. a virtual-reality supported intervention, 3MDR exposes patient, therapist operator graphic sensory stimuli (i.e. narratives, imagery, smells, music) in course intervention. is actively being researched at multiple sites...

10.1080/20008198.2022.2062996 article EN cc-by-nc European journal of psychotraumatology 2022-05-16

The work of public safety personnel (PSP) is inherently moral; however, the ability PSP to do what good and right can be impeded frustrated, leading moral suffering. Left unresolved, suffering may develop into injury (MI) potential psychological harm. current study was designed examine if MI relevant frontline communicators, firefighters, paramedics. Semi-structured interviews (n = 3) focus groups were conducted with 19 participants (public communicators 2); paramedics 7); firefighters 10))....

10.3390/ijerph182212145 article EN International Journal of Environmental Research and Public Health 2021-11-19

Multi-modal motion-assisted memory desensitization and reconsolidation therapy (3MDR), an interactive, virtual reality-assisted, exposure-based intervention for PTSD, has shown promising results treatment-resistant posttraumatic stress disorder (TR-PTSD) among military members (MMs) veterans in randomized controlled trials (RCT). Previous research suggested that emotional regulation (ER) dysregulation (ED) may be factors which are correlated with symptom severity maintenance of TR-PTSD. This...

10.3390/ijerph182212243 article EN International Journal of Environmental Research and Public Health 2021-11-22

Military members and veterans exhibit higher rates of injuries illnesses such as posttraumatic stress disorder (PTSD) because their increased exposure to combat other traumatic scenarios. Novel treatments for PTSD are beginning emerge increasingly leverage advances in gaming technologies, virtual reality. Without assessing the degree technology acceptance perception usability end users, including military members, veterans, attending therapists staff, it is difficult determine whether a...

10.2196/33681 article EN cc-by JMIR Formative Research 2022-02-25

Military members and veterans are at elevated risk of treatment-resistant posttraumatic stress disorder (TR-PTSD) due to higher rates exposure potentially traumatic events during the course duty. Knowledge TR-PTSD is limited, specific protocols or evidence-based therapies lacking. Multimodal motion-assisted memory desensitization reconsolidation (3MDR) therapy an emerging intervention for combat-related TR-PTSD. The purpose this study was preliminarily assess effectiveness 3MDR in addressing...

10.1002/brb3.2694 article EN cc-by Brain and Behavior 2022-07-18

Mild traumatic brain injury (mTBI) occurs at a higher frequency among military personnel than civilians. A common symptom of mTBIs is cognitive dysfunction. Health care professionals use neuropsychological assessments as part multidisciplinary and best practice approach for mTBI management. Such support clinical diagnosis, management, rehabilitation, return-to-duty planning. Military health organizations currently computerized neurocognitive assessment tools (NCATs). NCATs more traditional...

10.2196/26360 article EN cc-by JMIR Mental Health 2021-01-14

Public safety personnel (PSP) are at increased risk of developing operational stress injuries. Peer-led reintegration programs (RPs) for PSP, evidence-based research is lacking. This study explored the experiences PSP participating in a Reintegration Program Facilitator Training (RPFT) program. Participant ( n = 57) responses were collected from surveys, satisfaction and knowledge questionnaires, World Cafe. Four themes emerged: (1) traits an ideal RF; (2) holistic/complementary workplace...

10.1177/0032258x211030896 article EN cc-by-nc The Police Journal Theory Practice and Principles 2021-07-14
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