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Convergence Summit 2014 Mark D Wiederhold, MD PhD FACPThe Virtual Reality Medical Center
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The Problem
• PTSD and TBI– 3 million U.S. and
Coalition forces, contractors, State Department, NGOs
• Up to 30% may have PTSD• Related issues: pain
management, substance abuse, family crises
• Suicide rates: 1 every 18 hours (May 2014)
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Current Approaches
• Treatment unavailable, fragmented or ineffective– 50% dropout rate
• Prevention has minimal importance
• VR is a novel and effective approach
• Provide life-long services tailored to PTSD and TBI
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VR Exposure Therapy Can Predict Treatment Response
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• 80% success rate
• 100% reduced anxiety and depression
• Completers returned to active duty or civilian employment
• 1st randomized controlled trial
• Ongoing multi-center VA clinical services
Treatment Outcomes:Double the VA Rate of Success
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IN-THEATRE PTSD SYSTEMS
86% success rate
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1 to 2 million individuals need treatment
Cost is comparable: $4,000/pt.
Higher success rate, dramatically reduced relapse rate
Insurance reimbursement: driven by predictive ability
Treatment now = substantial decrease in costs
NO treatment = $6 billion (Active Duty US only)
VRMC can save $4-5 billion
Opportunity
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Product RoadmapTo integrate virtual reality, mobile and wearable
biosensor tools to improve assessment and treatment of psychological stress
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VR simulation of work-related stressful situations help patients to practice and learn
new coping skills at the therapist’s office
Mobile stress tracking and relaxation training helps patients manage and cope with stress during everyday life activities
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Making our Model Proactive
iMAT: CDMRP funded programFocus on National Guard Units
Troop evaluation: pre-deployment, in-theatre, post-deployment
Identify PTSD and TBI risk factors
Dx faster and earlier = better success
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Augmented Reality Trauma Training: In-Theatre Mobile Devices
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Subjective Pain Ratings Objective Physiology
Management of Chronic Pain
• Pain is a common, comorbid condition• VR reduces pain by 75%
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RURAL COMMUNITY OUTREACH
60,000 NativeAmerican Vetsin New Mexico
Large percentageDo not have easy access to VA facilities
VR system is mobile andrugged
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POWER DREAMING: In-home Setting
65% suffer from nightmares coping skill dysfunction
Managing trauma-induced anxiety
Non-invasive sensors
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Contact Information:Mark D Wiederhold, MD PhD FACP
PresidentThe Virtual Reality Medical Center
[email protected]://www.vrphobia.com
YouTube.com/VirtualMedicalhttp://twitter.com/VirtualBrenda
@VirtualBrenda
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