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Military and Veteran health research shared at Research Consortium meeting
Canadian researchers working to improve military and Veteran health met at St. Joseph’s Health Care London’s (St. Joseph’s) Parkwood Institute on December 4, 2017 for their fifth Research Consortium meeting.
The Research Consortium group, established in 2015, is led by Lawson researcher Dr. Don Richardson, Physician Clinical Lead at St. Joseph’s Operational Stress Injury Clinic (OSI Clinic). The group meets two to three times a year to provide updates on their projects and foster collaborative research partnerships, rotating between London, Hamilton and Toronto as host sites.
“Members of the military and Veterans have unique symptoms and treatment needs so it’s important that we engage in knowledge transfer with other researchers working with the same group of patients,” says Dr. Richardson. “The Research Consortium meetings are a great way to learn about recent projects from our peers and identify new avenues for collaboration with the goal of providing the best possible treatment outcomes for our patients.”
In addition to researchers from St. Joseph’s OSI Clinic, the Research Consortium group includes representatives from Defence Research and Development Canada, the Canadian Institute for Military & Veteran Health Research, the Canadian Armed Forces, the Centre for Addiction and Mental Health, Homewood Research Institute, Western University, University of Manitoba, McMaster University, University of Toronto, Ryerson University and Queens University.
St. Joseph’s OSI Clinic provides specialized mental health services to Veterans, members of the Canadian Armed Forces, the Royal Canadian Mounted Police (RCMP) and their families who are experiencing mental health challenges as a result of service. The OSI Clinic is one of ten outpatient clinics in a national network across the country funded by Veterans Affairs Canada.
At the meeting, Dr. Richardson provided an update on recent projects at St. Joseph’s OSI Clinic, including research to enhance the understanding of moral injury.
Moral injury refers to lasting emotional distress that can occur when military men and women are exposed to events that disturb or undermine moral beliefs about how people can be expected to behave. OSI clinicians reported that exposure to these events drastically changes their patients’ views of the world; causes them to question their religion, spirituality or human nature; and often leaves them feeling disconnected from their loved ones. The researchers will now collect additional data from clinicians across the OSI national network and from the Research Consortium group. Part of their investigation will explore the relationship between different kinds of traumatic events and moral injuries, and mental well-being.
MINDS Convening
WHAT IS THE CONVENING?
Our 2019 Convening is a time to come together, talk about the work of MINDS and learn about Collective Impact in our Community of London Middlesex. Throughout the day we’ll move from big ideas to practical solutions to address the wicked problem of Transitional Aged Youth (TAY, 16-25) mental health. By the end of the day, we’ll have a list of actionable ideas, and the potential for funding and MINDS support.
Friday, November 29, 2019
BMO Centre, 295 Rectory St, London, ON
Schedule
Breakfast and Registration (8:30am - 9 am)
Morning Session (9am - 12pm)
Lunch (12 - 1pm)
Afternoon Session (1pm - 4:30pm)
Mobilizing hospital-based research in the battle against COVID-19
The COVID-19 pandemic is proving to be one of the most pressing health challenges of our time. With a rising number of cases and deaths worldwide, there’s a global urgency to finding a solution.
As the research institute of London Health Sciences Centre (LHSC) and St. Joseph’s Health Care London, Lawson Health Research Institute excels in rapid response research and is uniquely positioned to tackle this problem from within hospital walls.
Our researchers belong to a health system at the forefront of the pandemic. With close proximity to patients and access to samples, they are mobilizing to address COVID-19.
“Lawson researchers include clinicians directly involved in the treatment of COVID-19 patients, as well as laboratory-based scientists and those with other expertise related to the pandemic response,” says Dr. David Hill, Scientific Director at Lawson and Integrated Vice President at LHSC and St. Joseph’s. “They are eager to contribute a solution and are combining their knowledge to address this issue from all angles.”
Already, Lawson research teams are initiating projects ranging from pre-clinical studies to clinical trials. They are planning to explore diagnosis, prevention and treatment of the disease, as well as long-term and mental health impacts. An immediate goal is to partner with other research hospitals to improve outcomes for COVID-19 patients around the world.
There are numerous COVID-19 studies underway at Lawson and many more going through the necessary approval processes. Recognizing the importance of a rapid response to this pandemic, Lawson’s Administration team is working to fast-track approval of the studies.
Lawson also offered a special internal COVID-19 funding competition to assist our researchers in their efforts. Lawson’s COVID-19 Pandemic Response Internal Research Fund supports projects that are identified as having the potential to impact the management of this pandemic and those that enhance our understanding of the pathophysiology of COVID-19. See the results of this competition and the 14 funded projects, for a total of more than $202,000 invested.
While there is much to learn about COVID-19 and its impact on human health and our health care system, Lawson researchers are tackling the disease head-on.
How can you support COVID-19 research and clinical care?
Research at Lawson can be supported through three hospital foundations. With an outpouring of support from our community, the foundations are collecting donations to support our hospitals through this challenging time. Learn more about donating:
- St. Joseph’s Health Care Foundation – St. Joseph’s Health Crisis Fund
- London Health Sciences Foundation - COVID-19 Response Fund
- Children’s Health Foundation - COVID-19 Response Fund
Learn more about COVID-19 research at Lawson:
Monitoring the effects of COVID-19 quarantine measures on young adults with mood and anxiety disorders
LONDON, ON – Concerned that patients from the First Episode Mood and Anxiety Program (FEMAP) at London Health Sciences Centre (LHSC) would lose connection to important mental health services during the first wave of the pandemic, researchers at Lawson Health Research Institute (Lawson) tested the use of an electronic questionnaire to help monitor and assess the mental health impacts of isolating public health measures on young adults with mood and anxiety disorders.
Since the pandemic’s start, there have been concerns about the effects of quarantine measures on mental health. Young adults between the ages of 16 and 25 with mood and anxiety disorders are particularly vulnerable as they could experience high levels of depression, anxiety, traumatic stress and functional impairment from social isolation.
“It was unclear how these young adults would weather prolonged physical distancing, inactivity and reduced structure to their days. Some may be at an increased risk for depression while others may see symptoms improve due to fewer social expectations,” explains Dr. Elizabeth Osuch, Scientist at Lawson and Medical Director at FEMAP. “It is critical we understand how they respond to inform mental health care in response to the pandemic.”
The study followed 114 participants who completed regular surveys answering questions about their experiences during the pandemic, including information about their mood and anxiety symptoms, functioning and coping strategies. The team was immediately alerted if a patient’s survey responses were concerning, so they could reach out.
The research team analyzed changes in patient symptoms, functioning and coping strategies over the course of several months. Participants who were flagged for concerning scores were found to be younger, more likely to be on a waiting list for treatment, and more likely to have been laid off from work or have a higher degree of functional impairment.
“The questionnaire made it easy to stay connected with patients, and by monitoring their symptoms and functioning we were able to make sure that our resources, limited by the pandemic, could be directed to those who needed it the most,” says Dr. Osuch.
The researchers anticipated early on that those with mood and anxiety disorders would respond uniquely to the pandemic situation. Some would have more difficulty with the quarantine itself while others might ultimately find the return to normal more challenging. By understanding these different trajectories and how to track them, care can be optimized for future pandemic events or other public health emergencies.
The study, “Monitoring the effects of COVID‐19 in emerging adults with pre‐existing mood and anxiety disorders,” is published in Early Intervention in Psychiatry.
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Lawson Health Research Institute is one of Canada’s top hospital-based research institutes, tackling the most pressing challenges in health care. As the research institute of London Health Sciences Centre and St. Joseph’s Health Care London, our innovation happens where care is delivered. Lawson research teams are at the leading-edge of science with the goal of improving health and the delivery of care for patients. Working in partnership with Western University, our researchers are encouraged to pursue their curiosity, collaborate often and share their discoveries widely. Research conducted through Lawson makes a difference in the lives of patients, families and communities around the world. To learn more, visit www.lawsonresearch.ca.
Senior Media Relations Consultant
Communications & Public Engagement
T: 519-685-8500 ext. 73502
Celine.zadorsky@lhsc.on.ca
National award honours innovator Frank Prato’s excellence in medical physics
Dr. Frank Prato is a man of many firsts:
First in Canada to conduct magnetic resonance brain imaging. A pioneer in magnetic resonance cardiac imaging. Driving force behind the installation of Canada’s first PET/MR scanner. Founder of the Canadian Organization of Medical Physicists (COMP) while president of the Canadian College of Medical Physicists.
And while Dr. Prato admits to a competitive streak that constantly propels him to break new ground in medical physics, the renowned, prolific researcher is keen to note these innovations have been part of a larger team effort.
“My career has been filled with opportunities to work with and train some spectacular scientists who have made major contributions across Canada and around the world,” he says. “I’m proud of the whole group that has developed over the years and the support St. Joseph’s has provided.”
Chief Medical Physicist at St. Joseph’s Health Care London (St. Joseph’s), Dr. Prato has been awarded the 2024 COMP Gold Medal, the organization’s highest award for outstanding career achievement.
“Dr. Prato’s ground-breaking work in the field of medical physics has not only advanced the scientific community but also significantly impacted patient care in Canada and beyond,” says COMP President Boyd McCurdy, “His pursuit of innovation and excellence exemplifies the highest standards of our profession, and we celebrate his outstanding contributions to medical physics with admiration and gratitude.”
Dr. Prato is also Assistant Scientific Director and Imaging Program Leader at Lawson Health Research Institute (Lawson) and professor of medical imaging and medical biophysics at Western University.
“I have worked with Frank for 36 years now and have come to recognize him as one of the finest people I know,” says Dr. Ting-Yim Lee, Director of PET/CT Research at Lawson, medical physicist at St. Joseph’s Hospital, and one of the nominators of Dr. Prato for the award.
“Frank is unfailingly helpful and authentic, a great listener and a tenacious problem-solver. He demonstrates excellence and professionalism in medical physics locally, nationally and internationally.”
Dr. Lee cites Dr. Prato’s leadership in being “at the forefront of numerous international innovations in nuclear medicine and diagnostic radiology.”
Throughout his 48 years as a medical physicist, Dr. Prato has been inspired by the potential of technology’s reach into human health.
“I’ve always wanted to work in an area where we can do research, with a vision of what’s going to be important in patient health. I get excited about being on the leading edge of discovery that’s embedded in patient care.”
Critical advancements in nuclear medicine and diagnostic radiology, thanks to the work of Dr. Prato and his St. Joseph’s/Lawson team, have included:
- Introducing the first bone mineral density imaging procedure on a patient in Canada, a tool now essential for managing osteoporosis.
- Performing the first magnetic resonance brain imaging in Canada, setting a national standard.
- Pioneering magnetic resonance cardiac imaging techniques, enhancing the understanding of myocardial scarring and blood flow assessment.
- Introducing the first PET/CT and PET/MR scanners in Canada, revolutionizing molecular imaging and proving the economic value of advanced imaging technologies.
- Imaging the brains of premature infants, a world first.
- Developing Canada’s first self-sustaining cyclotron infrastructure.
- Conducting the world’s first MRI-compatible, high-resolution brain PET scan.
- Early diagnosis and treatment of dementia, mental illness and prostate cancer.
Dr. Prato’s leadership extends beyond his technical achievements. As the founder of COMP, an organization that now includes more than 800 professionals, he played a crucial role in establishing the organization, advocating for medical physicists' independent voice and professional growth.
His tenure as President and board member of the Canadian College of Physicists in Medicine (CCPM) was marked by significant advancements, including enhancing certification processes and establishing reciprocity with the American Board of Medical Physics. Dr. Prato also received the Valuable Service Award from CCPM in 2002 and was named a Fellow of COMP in 2013.
Earlier this spring, Dr. Prato received a Dean’s Award of Excellence for Research Faculty from Western University’s Schulich School of Medicine & Dentistry. He is also the sole Canadian to have won the d'Arsonval Award, an international honour from the Bioelectromagnetics Society.
A dedicated mentor, Dr. Prato has guided more than 60 Masters of Science students, PhD students and Post-Doctoral Fellows, many of whom have won awards and secured prominent positions in the field. His mentorship has been instrumental in the success of numerous scientists within the Imaging Program at Lawson, contributing to a legacy of innovation for years to come.
“At 78 years old,” he says, “I am pleased to say I have achieved things at St. Joseph’s that will far outlast me.”
Nature's healing power
Using virtual technology, St. Joseph’s Health Care London is bringing the outdoors in for forensic mental health care patients.
Imagine sitting on a white sandy beach in a tropical location. The sun warms your face and a gentle breeze ripples across the water when, out of the corner of your eye, you spot a sea turtle slowly and curiously approaching.
You turn your gaze towards this beautiful creature and watch in wonder. You’ve never seen a sea turtle up close like this before.
For some, this type of experience is part of a dream vacation, attainable with enough money or imagination. But for many patients at St. Joseph’s Health Care London’s Southwest Centre for Forensic Mental Health Care (Southwest Centre) – including those not yet well enough to leave the facility – a new virtual-reality connection to nature offers a missing link in their journey towards recovery.
Immersive experiences in nature have been linked to positive mental health outcomes and a healthier sense of self – a benefit that staff researchers at Southwest Centre call eco-spirituality.
Occupational therapists Jared Scott, Clark Heard, and spiritual care practitioner Stephen Yeo, have explored just what this means for patients. Through a novel study published in 2022, Southwest Centre patients were provided with opportunities to become immersed in nature in the community, with tremendous therapeutic results.
The patients experienced a stronger connection with nature, a chance for open reflection and relaxation, and a restorative experience that provided a sense of peace and personal significance.
"There's something very human about connecting with, or in, nature ... It offers a sense of connectedness, whether to creativity, to beauty or the transcendent." spiritual care practitioner Stephen Yeo
The research team wondered if these experiences could be replicated in a virtual reality (VR) environment for patients who aren’t yet able to leave the facility.
“We realized we can translate these types of experiences through VR goggles where the patient has the ability to make their choices on how to engage,” says Heard. “This enables someone to experience something that's a little harder to touch in real life.”
For example, if the patient wishes to sit and reflect on a beach, they can. If they wish to be immersed in the jungle and experience giraffes and elephants walking among them, the choice is theirs.
“There’s something very human about connecting with, or in, nature,” adds Yeo. “True, virtual reality is not the same as the real thing, but we believe it offers a sense of connectedness, whether to creativity, to beauty or the transcendent. We see how it enlivens patients, even in sometimes very simple, subtle ways.”
Heard believes that this type of immersive experience nurtures the innate intellectual curiosity present in everyone.
“The first time people try it and look over their shoulder, they realize it's a full 360-degree experience. They look above and there are birds flying over them the same as anywhere else,” he explains.
Ultimately, Heard and Yeo believe the power and innovative experience of eco-VR is encouraging discovery in patients, energizing them at an intellectual and spiritual level.
With the purchase of VR equipment made possible through community support from donors to St. Joseph’s Health Care Foundation, the team has embarked on an eco-VR study, looking at what patients experience via VR and how that participation impacts their care journey. They are exploring with patients whether VR immersion in nature helps them cope with being in hospital at a difficult time in their lives.
Far beyond forensic mental health care, the answer just may open the door to a world out of reach for many others receiving care in various settings.
Psychiatry at Southwest Centre for Forensic Mental Health Care
St. Joseph’s Health Care London’s Southwest Centre for Forensic Mental Health Care (Southwest Centre), located in Elgin County, is devoted to caring for people with a mental illness who have also come into contact with the criminal justice system.
Encompassing a recovery philosophy of care, the state-of-the-art building provides a healing environment that promotes each individual’s journey of recovery.
The Forensic Psychiatry Program at Southwest Centre includes assessment, treatment and rehabilitation programs, and an outpatient Forensic Outreach Team that serves Southwestern Ontario. Through intensive work with their care teams, patients develop new skills needed to successfully reintegrate back into their communities.