This conference was held on the 9th May 2023 and bookings have now closed.
On Tuesday 9th May 2023 the Centre for Developmental and Complex Trauma, in collaboration with the Moral Injury of Healthcare a US based nonprofit, and the Crisis Disaster and Trauma section of the BPS, hosted its third International online Moral Injury conference. The event hosted 12 speakers and one panel discussion, with experts drawn from the UK and US.
The growing awareness of the importance of moral injury as a framework to describe clinician distress also offers healthcare services potential solutions and interventions to improve the wellbeing of workforces. Equally, as recognition that services themselves play a key role in determining the wellbeing of healthcare workers it is imperative that responses to moral injury have a systemic focus. #MI2023 brought together transatlantic experts to offer a comprehensive programme focused on sharing systemic and organisational solutions to preventing, mitigating and managing moral injury in healthcare and first responder settings.
The conference consisted of three symposia, offering eight papers, three brief oral presentations and series of live polls.
The feedback from our delegates was exceptionally positive with 100% of those surveyed reporting that they would change their work based practice as a result of attending the conference and that they had learnt something new from attending the conference!
Here are just a few of the wonderful comments from our delegates...
"Thank you all so very much - this has been such a valuable investment of time" ... "Many thanks everyone for such an interesting and informative day!" ... "Thank you to everyone for an insightful and very enjoyable conference" ... "Thank you all for such a fascinating and efficiently run event. Stimulating and thought provoking" ... "Thank you - great conference" ... "Thank you all. I really appreciate the tremendous perspectives shared and all of the laudable effort going into this important work"
Post Conference Delegate Pack Slides01. Defining moral injury 02. Dr Anne McKechnie 03. Dr Ricahrd Lacquement 04. Dr Paul Conway 04. Dr Theresa Redmond 06. Dr Richard Edley 07. Dr Esther Murray 08. Jeff Sherr Jenny Andrews 11. Dr Morana Lasic 12. Dr Wendy Dean Dr Deborah Morris
Brief Presentation Slides05. Elanor Webb 09. Dr Candice Chen 10. Dr Mustfa Manzur
Dr Colonel Richard Lacquement
Research Professor at US Army War College, Strategic Studies Institute and Director, National Security Policy Program (NSPP)
Strategic Plans and Policy expert
Specialties: Military Professionalism; Civil-Military relations; Counterinsurgency; Stability Operations; Policy formulation; Operations Planning; Professional Military Education (especially international relations and strategic studies); Korea/Northeast Asia security; US Army; Landpower; Field Artillery/Fire Support;
Dr Anne McKechnie
Consultant Forensic Clinical Psychologist at Scottish Child Abuse Inquiry
Anne McKechnie is an independent consultant forensic and clinical psychologist with the Scottish Child Abuse Inquiry. Her role there involves implementation of a systemic trauma-informed approach
Until 2018, Anne worked for over 30 years with the National Health Service in Scotland , specialising latterly in the impact and treatment of complex trauma in female offenders.
FCPyServices was established as a clinical and forensic psychology expert witness service in 2013 and offers a clinical forensic psychology service to Scottish Courts. The team are frequently invited to talk on trauma-informed approaches to a variety of organisations.
From 2011 to 2020, Anne and her colleagues within FCPsyServices povided a clinical forensic psychology service to the Good Shepherd and Kenmure St Mary’s, secure care centres for young people, specialising in the assessment and treatment of young people with mental health problems in the context of childhood adversity and trauma.
During her career, Anne has served as psychology member of the Scottish Parole Board and was one of the commissioners on the Time To Be Heard, the pilot forum for survivors of In Care Abuse.
Anne frequently delivers teaching and training on the impact of trauma at all levels and has a particular interest in the application of trauma-informed working and leadership within organisations. In recent years, she has been closely involved in delivering teaching on trauma-informed practice to senior law officers in the Scottish Legal System.
Training Director at National Association for Public Defense
Jeff Sherr is the Training Director for the National Association for Public Defense producing hundreds of webinars for public defense professionals across the nation. Prior to that he was the Manager of the Education and Strategic Planning Branch of the Kentucky Department of Public Advocacy. Jeff started with the DPA in1994, starting first as a law clerk, then working with the Juvenile Post Dispositional Unit, then in the trial division with the Stanford Field Office, and now in Frankfort with the education staff. Jeff graduated from the University of Kentucky College of Law in 1995. Jeff has been a faculty member for Gideon's Promise, the National Criminal Defense College, Clarence Darrow Death Penalty College, Harvard Trial Advocacy Workshop, Bronx Defender Academy, and other state litigation institutes. In addition to regularly training public defender litigators and trainers, Jeff trains public defender leaders nationally and for many individual defender states and offices. Jeff also has an extensive background in theatre having studied with the National Shakespeare Conservatory and the University of Kansas. Jeff performs regularly with Central Kentucky Improv in Lexington, Kentucky and at Improv Festivals across the country.
Dr Jenny Andrews
Director of Training, Indigent Defense Improvement Division
Jenny Andrews: A child of counterculture, raised off the grid by back-to-the-land hippies on the Lost Coast in Northern California, Jenny Andrews is a graduate of Cornell University and Harvard Law School. She started her career as a public defender in Oakland, California in 1996, but left after seven years, after experiencing burnout and moral injury, and didn’t practice law for three years. She returned to public defense work in 2007, and continued working as a public defender in Sonoma County and Santa Barbara County until 2022, in a wide variety of positions, including: Forensic Resource Counsel, Felony Team Leader, Director of Training and Senior Deputy. For 23 years, she worked on the front lines of criminal trial courts and has consistently litigated cases, including misdemeanor, felony, juvenile, civil commitment (mentally disordered offender and sexually violent predator), mental competency, homicide, and multi-jurisdiction (and multi-jury) trials. She has carried specialized caseloads of complex, forensic and capital litigation. In 2022, she became the Director of Training at the Indigent Defense Improvement Division of the Office of the State Public Defender, a new statewide effort to support and train indigent defenders in California. She teaches on the faculty of Gideon’s Promise, the National Association for Public Defense, the National Criminal Defense College, the Trial Advocacy Workshop at Harvard Law School, and the California Public Defenders Association. She has taught in public defense training programs in New York, New Jersey, Michigan, Missouri, Montana, Mississippi, Louisiana, Kentucky, Kansas, Tennessee, and Georgia, and in public defense offices throughout California. She has designed and presented training for public defenders working at all levels, from intern to leadership and from basic trial skills to capital litigation, as well as in specialized areas such as challenging forensic evidence and sustaining well-being. She has conceptualized and launched a Felony Team Unit, a Pre-Arraignment Unit, and Be Well Wednesday, a weekly wellness meet-up with experiential practices for public defenders. In 2018, she launched BeSustained.org, a training and resource hub to support the well-being of public defenders. She has been a certified yoga teacher since 2004 and is a longtime student of yoga and mindfulness practices. She believes in advocating for systemic support of public defenders, building spaces for public defenders to support each other, and prioritizing personal practices that support our well-being. Her personal wellness practices include sailing, hiking, yoga, and tending a rural apple farm. Her systemic wellness practices include Be Well Wednesdays, creating and teaching the online courses Sustaining and Supporting Well-Being in Public Defense, and speaking, engaging, and writing often on the topic of supporting well-being for public defenders.
Dr Paul Conway
Paul Conway is an Associate Professor at the University of Southampton, UK, and assistant editor at the Journal of Experimental Social Psychology. His research focuses on the psychology of morality: how people decide what is right and wrong and who is good and bad, why people are motivated to do good and sometimes fail, why people agree and disagree over moral matters, and how people adjust moral judgments to present themselves in socially optimal ways.
Cameron, C. D., Conway, P., & Scheffer, J. A. (2022). Empathy regulation, prosociality, and moral judgment. Current Opinion in Psychology, 44, 188-195. doi:10.1016/j.copsyc.2021.09.011
Reynolds, C. J., Smith, S. M., & Conway, P. (2020). Intrinsic religiosity attenuates the negative relationship between social disconnectedness and meaning in life. Psychology of Religion and Spirituality. doi:10.1037/rel0000318
Conway, P. (2018). The core of morality is the moral self. In Kurt Gray & Jesse Graham (Eds.), The Atlas of Moral Psychology. New York: Guilford Press.
Dr Theresa Redmond
Dr Redmond is a Senior research Fellow at the Policing Institute for the Eastern Region (PIER) at Anglia Ruskin University. She has extensive practitioner and research experience and expertise in the field of vulnerability and chid sexual abuse and exploitation. Theresa is currently leading the PIER research workstream 'Police Officer Wellbeing', particularly exploring the impacts that working in child sexual abuse and exploitation investigations can have on police staff and officers.
Dr Esther Murray, CPsychol
Reader in Health Psychology
Esther has been a health psychologist for 15 years and lead an MSc Health Psychology and was co-director of a Doctorate in Health Psychology at London Metropolitan University from 2007 to 2015. She is on the Register of Applied Psychology Practice Supervisors with the British Psychological Society. Prior to working in academia she worked in cardiac care both in service improvement and psychological interventions for patients. Her early research was in chronic pain and its effect on doctor-patient communication. Esther has previous experience in psychological intervention in cardiac care and training NHS staff in communication skills.
Her current interest is in moral injury and the psychological wellbeing of healthcare professionals. She regularly speaks at national and international conferences and delivers workshops on these topics.
Listen to Dr Murray discuss her work on Moral Injury in Emergency and Pre-hospital Care here.
Esther was the first researcher in the UK to explore the concept of moral injury in medicine, and since being invited to present on the topic of Moral Injury at the Institute of Pre-hospital Care Performance Psychology Symposium in June 2017, Esther has been invited to present at national and international conferences for both healthcare professionals, educators and students. Esther also delivers training on the topic to London Ambulance Service’s Advanced Paramedic Practitioners, the Counter Terrorism Specialist Firearms Officers of the Metropolitan Police and is a regular contributor to London HEMS Clinical Governance Days.
Esther has recorded podcasts for WEM, St Emlyns, The College of Paramedics and for the London Advanced Paramedics and East of England Ambulance Service, she also delivers wellbeing workshops at the Royal London Hospital for staff in theatres and at the Royal College of Emergency Medicine and the Intensive Care Society.
Murray E, Kaufman KR, Williams R ( 2021 ) . Let us do better: learning lessons for recovery of healthcare professionals during and after COVID-19 . BJPsych Open vol. 7 , ( 5 )
Mackenzie J, Murray E ( 2021 ) . Socially Constructing Healthy Eating: A Foucauldian Discourse Analysis of Healthy Eating Information and Advice . Qual Health Res vol. 31 , ( 11 ) 2135 - 2146 .
Murray E, Brown J ( 2021 ) . The Mental Health and Wellbeing of Healthcare Practitioners Research and Practice . John Wiley & Sons
Walton M, Murray E, Christian MD ( 2020 ) . Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic . Eur Heart J Acute Cardiovasc Care vol. 9 , ( 3 ) 241 - 247 .
Williams R, Murray E, Neal A, Kemp V ( 2020 ) . THE TOP TEN MESSAGES FOR SUPPORTING HEALTHCARE STAFF DURING THE COVID-19 PANDEMIC . Royal College of Psychiatrists
Murray E ( 2019 ) . Moral injury and paramedic practice . Journal of Paramedic Practice: the clinical monthly for emergency care professionals vol. 11 , ( 10 ) 424 - 425 .
Constance J, Lusher J, MURRAY EL ( 2019 ) . The Use of Smokeless Tobacco Among UK South Asian Communities . MOJ Addiction Medicine and Therapy vol. 6 , ( 1 )
Murray E, Krahé C, Goodsman D ( 2018 ) . Are medical students in prehospital care at risk of moral injury? . Emerg Med J vol. 35 , ( 10 ) 590 - 594 .
MURRAY EL, Lusher J ( 2018 ) . Contested Pain: Managing the Invisible Symptom . International Journal of Global Health vol. 1 , ( 2 )
MURRAY EL, Gidwani S ( 2018 ) . Posttraumatic Stress Disorder in Emergency Medicine Residents: A Role for Moral Injury? . Annals of Emergency Medicine vol. 72 , ( 3 ) 322 - 323 .
CUSHING AM, MURRAY EL, Packham S ( 2018 ) . Importance, Intentions and Behaviour: Predictors of exploring the patient's perspective .
MURRAY EL, Lusher J ( 2018 ) . Leaps, Jumps and Hoops: from evaluating cardiac rehabilitation interventions to identifying causal factors underlying substance dependency . SAGE
Mackenzie J, Murray E, Lusher J ( 2018 ) . Women's experiences of pregnancy related pelvic girdle pain: A systematic review . Midwifery vol. 56 , Article C , 102 - 111 .
Lusher J, MURRAY EL, Chapman-Jones D ( 2017 ) . Changing the way we think about wounds: A challenge for 21st century medical practice . International Wound Journal
Murray E, Kutzer Y, Lusher J ( 2016 ) . Dentists’ experiences of dentally anxious patients in a specialist setting: An interpretative phenomenological analysis . Journal of Health Psychology135910531666665 - 135910531666665 .
Richard S. Edley, PhD
Richard S. Edley, PhD, is the lead executive for the Rehabilitation and Community Providers Association (RCPA) in Pennsylvania, one of the largest state trade associations in the country representing providers of mental health, substance use disorder, intellectual and developmental disabilities, children’s, brain injury, medical rehabilitation, and physical disabilities and aging services, across all settings and levels of care. The association includes over 350 members.
His professional career began in 1988, and prior to leading the association, he was President and CEO of PerformCare/Community Behavioral HealthCare Network of Pennsylvania (CBHNP), a national, full-service, behavioral health managed care organization. Most recently, Dr. Edley was named to the Board of Directors of the National Council for Mental Wellbeing, a Washington, DC-based organization representing behavioral health providers and associations throughout the country. He also is a member of the PA Medical Assistance Advisory Committee (MAAC) and numerous other state task forces. Most recently, Dr. Edley was asked to serve as a member of the Human Services Transition Team for Governor-elect Josh Shapiro.
Dr. Edley’s baccalaureate degree is from Boston University and he holds master’s and doctorate degrees in clinical psychology from Emory University. He was an intern and post-doctoral fellow at McLean Hospital, where he held a faculty appointment at Harvard Medical School, Department of Psychiatry. Dr. Edley is a national presenter and is published in a broad variety of health care areas.
Dr Morana Lasic, MD
Vice Chair of DEI, Department of AnesthesiologyAssociate Program Director, Department of AnesthesiologyMedical Director for Peer Support, Brigham and Women's Hospital
Assistant Professor, Harvard Medical School
Anesthesia and Pain Management
Dr Wendy Dean, MD
Cofounder and CEO FixMoralinjury.org
Dr. Dean practiced as a psychiatrist for a decade, worked in medical product development for the Department of Defense, and then as an executive for a half-billion dollar non-profit.
Since 2019, she has focused solely on reducing workforce distress.
Dr. Dean left clinical medicine when generating revenue crowded out the patient-centered priorities of her practice. Her focus since has been on finding innovative ways to make medicine better for both patients and physicians through technology, ethics, and systems change.
Dr. Dean practiced for 15 years as an emergency room physician and then as a psychiatrist. After leaving clinical practice, she spent eight years in leadership positions, overseeing medical research funding for the U.S. Army, and as a senior executive at a large nonprofit in Washington, D.C., supporting novel strategies to restore form, function and appearance to ill and injured service members. She turned her full attention to addressing moral injury in 2019.
Dr. Dean is a regular contributor to Medscape’s Business of Medicine, blogs on Psychology Today, and continues to work in innovative fields with NASA, the American Society of Reconstructive Transplantation, and the Transplant Ethics and Policy Working Group at New York University Langone Medical Center.
Publications — Fix Moral Injury
If I Betray These Words : Moral Injury in Medicine and Why It’s So Hard for Clinicians to Put Patients First
Wendy Dean, MD & Simon Talbot MD
". . . a critical read for all in healthcare." - Lydia Dugdale, MD, author of The Lost Art of Dying: Reviving Forgotten Wisdom, and Director of the Center for Clinical Medical Ethics at Columbia University
"Wendy Dean opens the door for the layman to see how physically taxing and mentally draining the practice of medicine can be, while allowing physician readers to recognize themselves in the scenarios she depicts." - Joseph Caravalho, Jr., MD, Major General, US Army (Retired), and President and CEO of the Henry M. Jackson Foundation for the Advancement of Military Medicine
"A brilliantly conceived and executed masterpiece." - Thom Mayer, MD, Medical Director of the NFL Players Association
"An important call to action." - Booklist
"Required reading for all in healthcare." - Danielle Ofri, MD, PhD, author of When We Do Harm: A Doctor Confronts Medical Error
Dr Deborah Morris (Scientific committee and Co-Chair
Director, Centre for Developmental and Complex Trauma
Deborah is a consultant clinical psychologist who has worked clinically with adults with complex trauma, personality disorder, neurodevelopmental, forensic and mental health needs in community, assertive outreach, crisis, residential and inpatient settings. Deborah has previously worked in professional and clinical lead positions.
Deborah is currently the Director for the Centre of Developmental and Complex Trauma (CDCT), which focuses on promoting the voice and needs or marginalised populations who have experienced repeated exposure to trauma. Her research interests and publications include;
intellectual disabilities, developmental trauma disorder, intersectionality and inclusion in trauma, adverse childhood experiences, complex trauma in marginalised populations and the physical health impact of exposure to trauma:
For Dr Morris’s ResearchGate page scan here:
Since graduating from University with degrees in psychology and clinical psychology research, Elanor has worked at St Andrew’s Healthcare, in a research capacity. Currently, she works within the Centre for Developmental and Complex Trauma as a Research Associate and Lecturer. Her publications have been predominantly within the field of psychological trauma, including the impacts of early trauma on physical health, and factors affecting staff wellbeing.
Outside of this role, Elanor is completing her PhD at the University of Central Lancashire. Her programme of research focuses on the conceptualisation of moral injury and underlying developmental and cognitive mechanisms in staff working in secure mental healthcare settings.
Dr Candice Chen
Dr. Chen is an Associate Professor in the Department of Health Policy and Management, focused on health workforce, primary care, and health professions and graduate medical education research and policy. She has both national and global expertise. Her research includes examination of the role of medical schools in addressing high priority workforce needs in primary care, underserved communities, and diversity; the role of graduate medical education in the cost practice patterns of physicians; and the status and challenges faced by medical schools in Sub-Saharan Africa.
Prior to rejoining the George Washington University, Dr. Chen was the Director of the Division of Medicine and Dentistry in the Bureau of Health Workforce at the Health Resources and Services Administration, where she led programs to enhance training in primary care, oral health, and geriatrics, including graduate medical education programs in children’s hospitals and Teaching Health Centers. The Division's programs focused on addressing health workforce needs, particularly in rural and underserved communities.
Dr. Chen is also a board certified pediatrician. She received her medical degree from Baylor College of Medicine and her Masters of Public Health from the George Washington University with a concentration in Community Oriented Primary Care.
Chen C, Petterson S, Phillips R, Bazemore A, Mullan F. Spending Patterns in Regions of Residency Training and Subsequent Expenditures for Care Provided by Practicing Physicians for Medicare Beneficiaries. JAMA. 2014;312(22):2385-2393.
Chen C, Baird S, Ssentongo K, Mehtsun S, Olapade-Olaopa O, Scott J, Sewankambo N, Talib Z, Ward-Peterson M, Haile Mariam D, Rugarabamu P. Physician Tracking in Sub-Saharan Africa: Current Initiatives and Opportunities. Human Resources for Health. 2014; 12(21).
Chen C, Weider K, Konopka K, Danis M. Incorporation of Socioeconomic Status Indicators into Policies for the Meaningful Use of Electronic Health Records. JHCPU. 2014; 25:1-16.
Mullan F, Chen C, Steinmetz E. The Geography of Graduate Medical Education: Imbalances Signal Need for New Distribution Policies. Health Affairs. 2013;32:1914-21.
Chen C, Petterson S, Phillips R, Mullan F, Bazemore A, O’Donnell S. Towards Graduate Medical Education Accountability: Measuring the Outcomes of GME Institutions. Academic Medicine. 2013;88:1267-80.
Mullan F, Chen C, Petterson S, Kolsky G, Spagnola M. The Social Mission of Medical Education: Ranking the Schools. Annals of Internal Medicine. 2010;152:804-811.
Dr Mustfa Manzur
Mustfa Manzur is an emergency medicine resident physician in the combined Montefiore-Jacobi Emergency Medicine Residency Program at Albert Einstein College of Medicine. Prior to pursuing a career in medicine, Dr. Manzur was a management consultant specializing in healthcare with a focus on financial and strategic planning projects for hospital systems, health insurance plans, large physician groups, and medical schools.
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**Early Bird Fee ends on 31st March 2023
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