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Introduction to Project E.R.I.C. Exposure based Rehabilitation in Immersive Context Ministry of Defence Military Mental Healthcare Unit & Simulation Centre Colonel Eric Vermetten & Captain Ewout van Dort 17 mei 2019 The R&D

  1. Introduction to Project E.R.I.C. Exposure based Rehabilitation in Immersive Context Ministry of Defence Military Mental Healthcare Unit & Simulation Centre Colonel Eric Vermetten & Captain Ewout van Dort 17 mei 2019

  2. The R&D approach Ministry of Defence 2 Introduction to Project ERIC 17 mei 2019

  3. Usecase TRL 1 Demo TRL 2 Demonstrator TRL 3 Demonstrator v2 Demonstrator vX Proof of TRL 4 Principle Proof of Proof of Concept testing Concept and further development TRL 5 TRL 6/7/8 /9 Industry Ministry of Defence 3 17 mei 2019 Introduction to Project ERIC

  4. Ministry of Defence 4 Introduction to Project ERIC 17 mei 2019

  5. Key features and starting points Commercial-of-the-shelf hardware • VR Headset (enhanced with eye-tracking) • Regular sports heartrate monitor • Open-Source software • Rapid prototyping by interns • Close cooperation with SME from Mental Healthcare • Unit Ministry of Defence 5 Introduction to Project ERIC 17 mei 2019

  6. Ministry of Defence 6 Introduction to Project ERIC 17 mei 2019

  7. E.R.I.C. = Virtual Reality Exposure Therapy based on immersive experience - 1 First line treatment PTSD = exposure • Often drop out, or failure to comply • ERIC = aid to EB therapies • Bypassing avoidance • Need to better personalize treatment • Multi modular • Empowerment based • Version 1.0 • Other example 3MDR • Ministry of Defence 7 Introduction to Project ERIC 17 mei 2019

  8. Lack of improvement PTSD Drop out Resistance to therapy Motion is default Reconsolidation theory Empowerment! Cognitive avoidance International collaboration (NETH, UK, US, CAN, ISR) Ministry of Defence 8 Introduction to Project ERIC

  9. Music Pictures Walking Ministry of Defence 9 Introduction to Project ERIC

  10. Research & Innovations | 3MDR Global Ministry of Defence 10 Introduction to Project ERIC

  11. E.R.I.C. = Virtual Reality Exposure Therapy based on immersive experience -2 Adapted Based on 3MDR and Gray, adaptive disclosure • Sitting • Therapist is in the room! • Control is key • Narrative elements – personalized book with cognitive • frames, enhancers, correctors Voice to text • Eye tracking – therapist can see eye gaze • ‘Stage’ orientation, journey in own diary • Radio/music for memory recall, or stress reduction • Battle breathing, or game to distract • Pacing to own tempo – duration 45 minutes • Ministry of Defence 11 Introduction to Project ERIC 17 mei 2019

  12. E.R.I.C. = Virtual Reality Exposure Therapy based on immersive experience - 3 Keep cognitive tekst ‘in’ with every session • Revisiting effect – ‘peel off’ layers, new learning • Meaning making experience • Effect of immersiveness maximizes after 10 min • ‘ After talk’ • New pictures, new material, drawing, medals etc • After 3-5 sessions end with positive pictures • Learn to tolerate, accept, mindfull experience • remembering Ministry of Defence 12 Introduction to Project ERIC 17 mei 2019

  13. E.R.I.C. = Virtual Reality Exposure Therapy based on immersive experience - 4 Time per picture: max 6 minutes • 7 pictures per session • Monitor HR or HRV • VR ERIC: 1 preparatory session, 6 VR sessions, 2-3 • reconsolidation/reintegration sessions Ministry of Defence 13 Introduction to Project ERIC 17 mei 2019

  14. Current progress Dutch company “ Infinity Labs” started in April with • further development to Proof of Concept Added features: • More accurate heartrate monitoring • Respiration measuring • Enhanced eyetracking, including pupil and blink • monitoring 4K ready graphics • Controller-free interaction • Q3 2019 planned start scienctific research program • at Leiden University (NLD) for medical approval Ministry of Defence 14 Introduction to Project ERIC 17 mei 2019

  15. Ministry of Defence 15 Introduction to Project ERIC 17 mei 2019

  16. Future development focus ERIC available on remote locations • Integration of additional sensory experiences like • heat, smell, wind and possibly taste ERIC available for NATO related servicemembers • after medical approval Ministry of Defence 16 Introduction to Project ERIC 17 mei 2019

  17. References All content shown is created either in-house or by • Infinity Labs under RNLA IP. Special thanks to the fantastic interns of the Royal • Netherlands Army Simulation Centre for they created the displayed Proof-of-Concept Very special thanks to Mr Fred, the volunteer • veteran shown in the first video. Ministry of Defence 17 Introduction to Project ERIC

  18. Ministry of Defence 18 Introduction to Project ERIC 17 mei 2019

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