NATO HFMUNIFORMED
281 on Personalized
Medicine in Mental
Health and PerformanceSERVICES
UNIVERSITY
Meeting #2 — Precision Medicine in Human Performance

Center for the Study of Traumatic Stress

PROGRAM
Precision Medicine in
Human Performance
May 8-9, 2019
Embassy of Canada to the United States
Washington, D.C.

Sponsored by: The Center for the Study of Traumatic Stress
CSTSonline.org
1NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance2

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
UNIFORMED SERVICES UNIVERSITY
Meeting #2 — Precision Medicine in Human Performance

Center for the Study of Traumatic Stress

PROGRAMNORTH ATLANTIC TREATY ORGANIZATION HUMAN FACTORS AND MEDICINE (HFM)

Personalized Medicine in Mental Health & Performance
Precision Medicine in Human Performance

Meeting #2

May 8-9, 2019
Embassy of Canada to the United States
Washington, D.C.

NATO Research Task Group (RTG) Mission: Identify technological advancesthat can have a direct impact on assessment, treatment, education, training, andidentification of risk to enhance force readiness through optimized performance,risk mitigation, return to duty, and more efficient health care utilization.

Sponsored by: The Center for the Study of Traumatic Stress3
www.CSTSonline.org

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance4NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Table of Contents
Agenda: May 8, 2019................................................................................................................. 2
Agenda: May 9, 2019................................................................................................................. 3Center for the Study of Traumatic Stress (CSTS).................................................................. 4
Embassy of Canada to the United States of America........................................................... 5
NATO Science and Technology Organization (STO).......................................................... 6
Personalized Medicine in Mental Health and Performance................................................ 7
Summary of Prior Meeting...................................................................................................... 8
Panel Members.......................................................................................................................... 9
Speakers.................................................................................................................................... 161

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

AgendaMay 8, 2019
0900–0920

Welcome and Introduction — LTC(P) Gary H. Wynn (USA)0920–0950

Overview of HFM RTG — COL Dennis McGurk (USA)0950–1040

Assessing and Developing Elite Athletic Talent: Lessons Learned from the NFL and
NBA National Scouting Combines — Dr. Kenneth Yusko, Ph.D. (USA)1040–1105

Break

1105–1200

Human Performance Optimization and Precision Performance: The Role of Nutrition— Jonathan Scott, Ph.D. (USA)

1200–1300

Lunch

1300–1350

Center for the Study of Traumatic Stress: An Overview 					— CAPT Joshua C. Morganstein (USA)1350–1400

Break

1400–1450

Leveraging Commercial Technology to Transform Defense Capabilities 			— Matt Goldman, M.D. (USA)1450–1520

Military Human Performance Optimization — Overview from the CAF Perspective— Col Rakesh Jetly & Shawn Rhind, Ph.D. (CAN)

1520–1600

Wrap up and Discussion — Panel Members

2NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

AgendaMay 9, 2019
0900–0915

Welcome / Check In / Issues / New Attendees Welcome — LTC(P) Gary H. Wynn (USA)0915–1000

Effects of Fatigue on Psychological and Physiological Performance — Including 			Countermeasures in Military Personnel — Oshin Vartanian, Ph.D. (CAN)

1000–1045

Sports Psychiatry: Strategies for Life Balance and Peak Performance 			— David McDuff, M.D. (USA)1045–1100

Break

1100–1145

Enhancing and Maintaining Mental Performance in the Netherlands Armed Forces— Elbert Geuze, Ph.D. (NLD)

1145-1200

Wrap-up and Discussion; Speakers and Guests Released

1200–1300

Lunch

1300–1600

Panel Wrap–up, Next Steps, Next Meeting3

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Center for the Study of Traumatic Stress (CSTS)
ing the effects of disaster and trauma in the civilian
community to foster human continuity and community and national resilience.

The Center for the Study of Traumatic Stress(CSTS) is one of the nation’s oldest and most highly
regarded, academic–based organizations dedicatedto advancing trauma–informed knowledge, leadership and methodologies. The Center’s work addresses a wide scope of trauma exposure from theconsequences of combat, operations other than war,
terrorism, natural and human made disasters, andpublic health threats. CSTS is a part of our nation’sfederal medical school, Uniformed Services University (USU), and its Department of Psychiatry. These
affiliations represent the Center’s history, mission
and future directions as a major contributor to ourcountry’s understanding of the impact of trauma andthe advancement of trauma–informed care.
A unique aspect and contribution of the Centeris the bridging of military and disaster psychiatry
and the integration of disaster mental health andpublic health. In applying the principles and practices for dealing with individuals and groups exposed
to extreme environments (in the military), the Center has generated and disseminated its subject matter
expertise to inform disaster preparedness, response
and recovery principles and practices across a wide
range of traumatic events and populations.
Today and into the future, the Center is uniquely positioned to respond to DoD mission relevant
activities and issues, as well as to educate regionaland national stakeholders in government, industry,healthcare, public health, and academia on mitigat-

The Center:•

Develops and carries out research programs
to extend our knowledge of the medical andpsychiatric consequences of war, deployment,
trauma, disaster and terrorism, including
weapons of mass destruction.

•

Educates and trains health care providers, leaders,
individuals and public and private agencies on
how to prevent, mitigate and respond to thenegative consequences of war, deployment,
traumatic events, disasters, and terrorism.

•

Consults with private and government agencies
on medical care of trauma victims, their families
and communities, and their recovery following
traumatic events, disasters and terrorism.

•

Maintains an archive on medical literature related
to the health consequences of traumatic events,
disasters and terrorism of individuals, families,
organizations, and communities.

•

Provides opportunities for post–doctoral trainingof medical scientists to respond to and research
the health consequences of trauma, disaster, andterrorism.

Serving our nation for 30 years
4NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Embassy of Canada to theUnited States of America
The embassy
building is at 501
Pennsylvania Avenue, Northwest,
Washington, D.C.
between the Capitol and the WhiteHouse, just north of
the National Galleryof Art. In addition toits diplomatic role,
the Embassy handles
consular services andassists with international businessdevelopment for the surrounding states of Virginia,
West Virginia, and Maryland.
The Embassy was officially opened by Prime
Minister Brian Mulroney on May 3, 1989. The
building houses approximately 265 Canadian
diplomatic and locally engaged staff. The Embassy
houses representatives from two provinces (Ontario
and Alberta) and 13 Canadian federal government
agencies including Foreign Affairs, International
Trade and Development Canada, Industry Canada,
Transport Canada, Public Works and Government

Services Canada,
the Department of
National Defence,
the Permanent
Mission of Canada
to the Organization of American
States, and the Royal
Canadian Mounted Police, amongst
others.
Canada has theembassy closest to
the Capitol and is
the only country tohave its embassy along the Presidential inauguralroute between the Capitol and the White House. The
Washington, D.C. bureau of the Fox News Channel
is a short distance away — its studio is positioned
such that the Canadian flag of the embassy is usuallyvisible out the window during broadcasts.
The Embassy of Canada hosts numerous events
throughout the year for visiting ministers as well as
for a wide range of diplomatic, military, and public
functions.

5NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

NATO Science and Technology Organization(STO)
The North Atlantic Treaty Organization, also
called the North Atlantic Alliance, is an intergovernmental military alliance between 29 North American and European countries. The organization implements the North Atlantic Treaty that was signed
on 4 April 1949.
NATO was launched as part of a broader effort
to serve three purposes: deterring Soviet expansionism, forbidding the revival of nationalist militarismin Europe through a strong North American presence on the continent, and encouraging European
political integration.
NATO’s essential purpose is to safeguard thefreedom and security of its members through political and military means.

Technology Board — STB) comprising the NATO
Nations S&T managers. The STB is chaired by theNATO Chief Scientist who is a high level recognized
S&T leader of a NATO Nation, being permanently
assigned to the NATO Headquarters in Brussels andalso serving as the Senior Scientific Advisor to theNATO leadership.
The STO is composed of the STB, the Chief Scientist, and the three executive bodies: The Office of the
Chief Scientist (NATO HQ, Brussels), The Collaboration Support Office (Paris, France), and The Centre
for Maritime Research and Experimentation (LaSpezia, Italy). The CSO supports a range of activities
primarily divided among a number of technical panels. These technical panels (and one group) include
Applied Vehicle Technology (AVT), Human Factors
in Medicine (HFM), Information Systems Technology(IST), Systems Analysis and Studies (SAS), Systems
Concepts and Integration (SCI), Sensors and Electronics Technology (SET), and the NATO Modellingand Simulation Group (NMSG).
The mission of the HFM Technical Panel, underwhich RTG 281 falls, is to provide the science andtechnology base for optimizing health, human protection, well-being and performance of the human inoperational environments with consideration of affordability. This involved understanding and ensuring
the physical, physiological, psychological and cognitive compatibility among military personnel, technological systems, missions, and environments. This isaccomplished by exchange of information, collaborative experiments and shared field trials. HFM RTG
281 is a 3 year effort with the objective of harnessing
and encouraging new advances in personalized approaches to optimize mental health and mental healthaspects related to military-relevant mission performance.

About STO (Science and Technology) in
NATO

In NATO, S&T is defined as the selective andrigorous generation and application of state-of-theart, validated knowledge for defence and security
purposes. S&T activities embrace scientific research,technology development, transition, application andfield-testing, experimentation and a range of relatedscientific activities that include systems engineering,
operational research and analysis, synthesis, integration and validation of knowledge derived throughthe scientific method.
The STO is a NATO subsidiary body having thesame legal status as NATO itself, and created within
the framework of the North Atlantic Treaty signed
in Washington, D.C. in 1949. It has been establishedwith a view to meeting to the best advantage the collective needs of NATO, NATO Nations and partner
Nations in the fields of Science and Technology. The
STO is operated under the authority of the North
Atlantic Council which has delegated the operationsof the STO to a Board of Directors (the Science &6

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Personalized Medicine in Mental
Health and Performance
Background and Justification for this RTG

and the relationship of Mental Health to Military
performance. The ET further recognizes that additional RTG(s) focused on other aspects of Precision
Health and Performance may be of particular importance to the HFM Panel. This RTG will addressthe 2016 NATO S&T Priority “Advanced Human
Performance and Health” in the following areas:
Human Resiliency, Medical Solutions for Health Optimization, and Enhanced Cognitive Performance.
In addition, this RTG will address other NATO S&T
Areas to include Big Data & Long Data Processing
and Analysis, and Sensor Integration & Networks.
This RTG will also coordinate with relevant on-going activities: ET-137 Leveraging Technologies in
Psychiatry, ET-150 Reducing Musculo-skeletal
Injuries, and HFM-RTG-260 Wearable Sensors.
The outcome of this RTG will be identification of
cutting-edge precision medicine techniques thatwill lead to improvements in how NATO member
nations provide Mental Health problem prevention,
diagnoses, and treatment as well as improvements in
Mental Health aspects (e.g., focused concentration,
mental endurance) related to Military-relevant mission performance. The end result will be improved
military readiness and performance during the full
spectrum of military operations.

The medical field is committed to delivering
evidence-based care, but the evidence used is often
from population wide studies that do not always allow for tailored approaches reflective of an individual patient’s biological makeup, history, and responses
to environmental factors. This may contribute toless than optimal prevention strategies, diagnostics,
and responses to treatments. However, there havebeen great advances in some areas of medicine suchas oncology that use Precision Medicine to customize treatment approaches based on an individual
patient’s profile in the context of evidence-basedcare. The use of Precision Medicine will ultimately
have a positive impact on military readiness andperformance. For the purposes of this Research Task
Group (RTG), the focus is on Precision Health andPerformance as an approach that takes into account and when possible exploits/leverages people’s
individual variations in biological makeup, history,
environment and lifestyle for disease prevention,
diagnosis and treatment as well as optimization of
military performance. Precision Health and Performance is the result of a convergence of transformative technological advancements that are all reachinga sufficient level of technical maturation such as biomarkers, wearable technologies, and big data analytics. The Exploratory Team (ET) concluded that thebreadth, required expertise, and amount of material
to be covered in Precision Health and Performance
would be too large in scope for one RTG. As a result,based on the expertise among the ET members, thepervasiveness of Mental Health issues across military members, and the potential impact of Precision
Medicine on Mental Health issues, it is proposedthat the initial RTG is focused on the impact ofPrecision Health and Performance on Mental HealthObjective:

The main objective is to harness and encourage
new advances in personalized approaches to optimize: 1) mental health, including ensuring medical
readiness, prevention/diagnosis/treatment of disorders, and return to duty; and 2) mental healthaspects related to military-relevant mission performance.
1. Early exploitation of: a) Individual genetic
reactions to pharmacological interventions
7

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance(pharmacogenomics) — review and evaluate
existing evidence for potential immediate
application (ex: genetic markers that predict
the efficacy and tolerance of psychotropic andanalgesic medications), b) Databases (e.g., follow
oncology example) — deeper analysis of existing
databases would allow for predictive models
to be created on issues such as response totreatments, withdrawal from treatment, etc.

3. Develop and exploit the predictive ability ofemerging technologies, science, data, and models(e.g., machine learning) in order to identify therisk for adverse mental health outcomes and theopportunities to optimize mental health aspectsof performance.
4. Maximize the convergence of sciences tocapitalize on multiple disciplines in the life
sciences, physical sciences and engineering toprevent psychological injury/illness and optimize
performance by leveraging perspectives fromclinicians, researchers, and engineers.

2. Use a Systems Biology approach for prevention,
diagnosis, and treatment of psychological injury/
illness. For example, use biomarkers (e.g.,omics, data analysis, imaging, sample banking,phenotypical data, contextual/environmental
data) as tools for 1) targeted prevention/intervention strategies based on personalized
stratified risk, 2) objective diagnosis, 3) targeted
treatment choices. Explore whether Systems
Biology approaches may be able to identify
mental and cognitive fitness characteristics
within individuals.

5. Assess the feasibility of utilizing real-time andcontinuous physiological and psychologicalstatus monitoring and feedback in military
settings (coordinated with HFM-260 Wearable
Biosensors).
6. Recommend approaches to develop databases/
registries that would guide precise interventions.
Encourage nations to share data to allow foranalyses that are important for each nation.

Summary of Prior Meeting
Research Task Group Planning (Meeting #1)
NATO Science and Technology Office
Neuilly-sur-seine, Paris, FR
25–27 Sept. 2018
foundational documents supporting NATO’s decision to stand up the RTG. Panel members sketchedout an initial schedule of meetings for the topics tobe covered. Tasks were assigned and interim updates
and planning meetings were scheduled. A discussion
around the possibility of producing a journal special issue from this RTG was undertaken and panel
members volunteered to explore this further.

The initial meeting of
the HFM 281 RTG panel members took placeat the NATO STO Collaboration Support Office in Paris, FR and focused on organizationand scheduling. Panelmembers reviewed the8NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Panel Members
COL Dennis McGurk (USA)
Panel Co-Chair

and materiel solutions required to deter and, whennecessary, decisively defeat a future peer adversary.
Previously, COL McGurk was the Director of theMilitary Operational Medicine Research Program(MOMRP), Ft Detrick, MD. The MOMRP is responsible for managing research to develop effective medical countermeasures against combat andoperational stressors to maximize Service member
health, readiness and performance. COL McGurk
entered the military in 1990 as an Infantryman in
the Army Reserve. He was commissioned as a Medical Service Corps Officer in 1994. COL McGurk
earned his Ph.D. in Experimental Psychology from
Texas Tech University in 2002. He has served as a
Platoon Leader, Operations Officer, Company Commander, Research Branch Chief, and Detachment
Commander. During his 24+ years of military service, COL McGurk has deployed to Haiti, Kosovo,
Iraq and Afghanistan. He has published in peer-reviewed journals, was the lead author on two bookchapters, has presented to numerous scientific andmilitary conferences and has briefed many senior
military leaders to include the Under Secretary of
Defense for Personnel and Readiness, the Secretaryof the Army and the Secretary of the Navy.

COL Dennis McGurk,
Ph.D.; Director, Office ofMedical Systems
US Army Medical Research& Materiel Command(MRMC); Deputy Assistant Secretary of the Army
Science & Technology(DASA(R&T)
COL Dennis McGurk is the Director of the
Office of Medical Systems, representing MRMC at
DASA(R&T). The Medical Systems office is responsible for “all things Medical” in science & technology
as well as product development and systems management at the Assistant Secretary of the Army for
Acquisition, Logistics and Technology (ASA(ALT)level. COL McGurk’s previous assignment was as
the Army Medical Department (AMEDD) representative to the Army Futures Command (AFC) in
Austin, TX. AFC’s mission is to integrate the futureforce modernization enterprise in order to provide
the Army the concepts, force designs, requirements,

9NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Panel Members, Continued

Col Rakesh Jetly (CAN)
Panel Co-Chair

and regional director of the Operational Trauma andStress Support Centre (OTSSC).
In 2006 and 2007, Col Jetly was deployed on two
separate missions to Afghanistan as the head of themental health detachment of the Canadian-led Role
Three Multinational Medical Unit. He was promoted
to Lieutenant-Colonel in 2007 and posted to Ottawa
in 2008 as the mental health advisor to the Deputy
Surgeon General.
Col Jetly was promoted to his current rank in2011 and appointed senior psychiatrist and mental
health clinical advisor to the CF Surgeon General. He
was additionally appointed in 2015 “The Canadian
Forces Brigadier Jonathan C. Meakins, CBE, RCAMC
Chair in Military Mental Health”.
Col Jetly was appointed to the Order of Military
Merit as an Officer in 2009. He is also an associate
professor of psychiatry at Dalhousie University (Halifax) and the University of Ottawa. He has publishednumerous articles in professional journals and presents nationally and internationally on such topics as
post-traumatic stress disorder and operational psychiatry.
Col Jetly and his wife Julie reside in Ottawa with
their three children: Sarah, Serena and Deven.

Colonel Rakesh Jetly enrolled
under the Medical Officer
Training Plan in 1989 andgraduated in 1991 from the
University of Toronto with aDoctorate in Medicine (MD).
Upon graduation, he wasposted to Canadian Forces (CF)Base Borden as a General Duty
Medical Officer and Flight Surgeon.
In 1993, Col Jetly deployed as the senior medical
officer to the United Nations mission in the Golan
Heights (UNDOF) and in 1994, he deployed to
Rwanda as part of the CF humanitarian mission.
In 1996, he was accepted into the University ofToronto Postgraduate Training Program in Psychiatry and was promoted to the rank of major in
1997. Upon graduation in 2000, he was certified
as a Fellow in the Royal College of Physicians andSurgeons of Canada (psychiatry) and posted to CF
Health Services Centre (Atlantic). During his tenure
in Halifax from 2000-2008, he filled various roles
including clinical director of mental health services

10

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Panel Members, Continued

LTC(P) Gary H. Wynn (USA)
Local Panel Host

Shawn G. Rhind, Ph.D. (CAN)
Panel Member

Dr. Wynn is Professor of
Psychiatry and Neuroscience, Assistant Chair of the
Department of Psychiatry,and Senior Scientist at theCenter for the Study ofTraumatic Stress. He is alsoa Distinguished Fellow of
the American Psychiatric
Association and on the editorial board of the Journalof Neuroscience Research. Dr. Wynn received his
education at the United States Military Academy atWest Point and Uniformed Services University of
the Health Sciences. He completed a dual residency
in psychiatry and internal medicine at the Walter
Reed Army Medical Center in Washington, D.C.
During his military career Dr. Wynn has served as a
Division Psychiatrist (2nd Infantry Division, Korea), Assistant Chief of Inpatient Psychiatry Services (Walter Reed), and as a Research Psychiatrist(Walter Reed Army Institute of Research) prior totransitioning to the Uniformed Services Universityof the Health Sciences.
Dr. Wynn has served as a frequent member of
DoD level committees and working groups on the
topics of PTSD and suicide. Dr. Wynn has served
as a member of VA Merit Review Boards, National Institute of Mental Health (NIMH) Data Safety
and Monitoring Board, and as US Representativeto NATO Human Factors in Medicine panels on
Leveraging Technology in Military Mental Healthand Precision Medicine in Human Performanceand Mental Health. He is a member of the Order of
Military Medical Merit and recipient of the AMEDD“A” Proficiency Designator, the Rundell Award, theArtiss Award, and three Meritorious Service Medals.
Dr. Wynn is a Past President of the Society of Uniformed Services Psychiatrists. In addition, Dr. Wynn
has over 80 publications, including being co-author
and editor on three books.

Dr. Shawn Rhind earned
his doctorate in Immunobiology from the Universityof Toronto. He completed
an NSERC Postdoctoral
Fellowship with the Defence & Civil Institute ofEnvironmental Medicine(DCIEM) and US Army
Research Institute of Environmental Medicine(USARIEM), examining biomolecular interactions
between neuro-endocrine-immune systems under
severe physiological stress and environmental extremes and their impact on health and performance.
Today, Dr. Rhind is a senior Defense Scientist in the
Military Operational Health Group at Defence Research and Development Canada (DRDC) Toronto
and an Associate Professor at the University of Toronto, where he leads an integrative — molecular tosystemic — translational research team. His researchspans basic laboratory science to human clinical
trials, and is currently focused on elucidating thebiological basis and therapeutic countermeasures forcombat-related psychological and physical trauma,including posttraumatic stress disorder (PTSD)
and battlefield care after traumatic shock and brain
injury.

11

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Panel Members, Continued

Mathew McCauley, Ph.D. (GBR)
Panel Member

Elbert Geuze, Ph.D. (NLD)
Panel Member

Dr McCauley is a Consultant
Clinical Psychologist, based
within Joint Medical Group,
Joint Forces Command, Ministry of Defence (MoD), UK.
He is also a Medical Corps
Officer in the Army Reserve
and an Assistant Professor of
Clinical Psychology at Trinity
College, University of Dublin.
He completed his doctoral residency at the
UK’s Royal Centre for Defence Medicine and RoyalAir Force Station, Brize Norton. Since 2005, he hasserved in MoD clinical posts across the Royal Navy,
British Army, and Royal Air Force. Dr McCauleyalso served for six years with the US Departmentof Defense, assigned OCONUS to the United States
Air Forces’ 48th Medical Group, 48th Fighter Wing
and 423rd Air Base Group, 501st Combat Support
Wing. He was Lead Consultant Clinical Psychologist
for the UK MoD, based in Scotland and Northern
Ireland; before taking up his current post as seniorclinician for the British military’s mental health teamin Northern Ireland.
Dr McCauley is an active researcher in the fieldof military clinical psychology. He also undertakes
doctoral-level clinical psychology teaching andresearch supervision. His most recent scholarly work
includes service as Guest Editor and contributing
author for the April 2019 Special Issue of the Journalof the Royal Army Medical Corps, which focuses on
military psychology. Dr McCauley is also a founding
member and committee officer of the British Psychological Society’s Section on Defence and Security
Psychology.

Elbert Geuze is Director of theBrain Research and Innovation
Centre of the Dutch Ministry of Defence, Utrecht, theNetherlands. In addition, he
is also an associate professor
at Utrecht University Medical
Centre. He received his PhD
cum laude in 2006 and has
been conducting research on the neurobiology of
PTSD since 2002. He has used various neuroimaging
techniques such as structural MRI, functional MRI
and PET imaging. He is PI of a number of studies
investigating the neurobiological correlates of PTSD,
anxiety and aggression in veterans. He is also PI
of a study involving the use of transcranial direct
current stimulation for the treatment of anxiety andaggression. He has published more than 90 papers
in peer-reviewed journals. He is frequently asked to
speak on research relating to military veterans, is anactive reviewer for journals and grant agencies. Elbert is also a member of the Internal Review Boardof Utrecht University Medical Centre since 2011.

12

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Panel Members, Continued

Dominic Murphy, Ph.D. (GBR)
Panel Member

Maj Gerwyn Michael RMN, RGN (GBR)
Panel Member

Dominic gained his
first degree, a masters
in psychology from
Glasgow University in
2003. He joined King’s
College London University late 2003 as part of
the team that established
the King’s Centre for
Military Health Research (KCMHR) and setup an
ongoing UK military epidemiological survey following the 2003 Iraq War. Dominic earned his doctorate
at King’s College London exploring vaccinations
and medically unexplained symptoms in UK military personnel. Dominic then trained as a ClinicalPsychologist and completed his clinical doctorate at
Royal Holloway University. In 2013, Dominic joined
Combat Stress (a national veterans mental healthcharity in the UK) where he established and now
leads a research department specializing in veteransmental health. The Combat Stress research department is co-located within the KCMHR where Dominic continues to be a member of the KCL department. Dominic is an active member of the Forces in
Mind Trust (FiMT) mental health steering group,
an executive board member of the UK PsychologicalTrauma Society (UKPTS), editor for a number ofjournals and member of several international military mental health research consortiums. In 2019he was elected the president of the UKPTS and onto
the executive board of the European Society forTraumatic Stress Studies (ESTSS). Dominic has specialized clinically and academically within the fieldof PTSD and military mental health and is widely
published with over 80 journal articles to date.

Gerwyn joined the UK
Army in 1986 as a soldierin 1st Cheshire regiment.
He then trained as a
general nurse (RGN)
and mental health nurse(RMN) graduating in 1992
and 1995 respectively. He
commissioned in 1998,
graduated from Staff College in 2008 and has led inpatient and community mental health teams as wellas Staff appointments in UK and overseas for the last
21 yrs. including Germany and Brunei.
He was appointed Specialist Nurse Advisor(Mental Health) to the Army in 2014 and Defence
Specialist Advisor (Mental Health) since 2016. He
is also a Visiting Researcher at KCMHR, recently
conducting research in South Sudan.
Over the last 33 years, he has deployed to Belize(Infantry), Northern Ireland, Bosnia, Kosovo, Macedonia, Iraq, Afghanistan, leading FMHTs during his
six years deployed.
He introduced EMDR to Defence Mental Healthin 1999 and advocated its utility in a presentation to
the ESTSS at Edinburgh in 2001. He studied HealthService and Change Management as part of his
MBA programme in 1994, graduated BSc (Hons) in
Defence nursing in 2008. A PGDip (CBT) followedin 2015 and his MA (CBT) in 2017. He has recently
contributed to the Human Performance programme
for the UKSF and has an interest in insomnia, trauma and innovative approaches to therapy.

13

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Panel Members, Continued

David Forbes, Ph.D. (AUS)
Panel Member

Heather Pangburn, Ph.D. (USA)
Panel MemberDavid Forbes is the Directorof Phoenix Australia — Centre for Posttraumatic Mental
Health and Professor in the
Department of Psychiatry,
University of Melbourne. He
has over twenty-five years
experience in the assessment
and treatment of mental
health problems in trauma survivors, with a speciality in military and veteran mental health. He led
the development of the inaugural 2007 Australian
Guidelines for the Treatment of Posttraumatic Stress
Disorder (PTSD) and the revision published in2013 approved by the National Health and Medical
Research Council and endorsed by colleges of psychiatrists, psychologists and general practitioners.
Professor Forbes is also Vice Chair of International
Society for Traumatic Stress Studies Committee forthe new PTSD Guidelines and the lead editor for
the forthcoming third edition of the ISTSS Effective
Treatments for PTSD book. He has published 150
scientific papers in the international literature andsits on many Commonwealth government policy
and scientific advisory panels and academic journal
editorial boards He has a strong track record in the
conduct of research in the assessment and treatment
of PTSD and the provision of policy and service
development advice to government and agencies
responsible for the care of veteran and military personnel and trauma survivors across the community.
Professor Forbes has also a strong track record in
the provision of training in evidence-based treatments for PTSD and related disorders. This has also
included the development of mobile app and online
resources for practitioners and trauma survivors.

Heather Pangburn, Ph.D., isthe Systems Biology Branch
Technical Advisor andCore Research Area Lead of
Systems Biology for Performance, overseeing and conducting research related tothe mechanisms contributing
to human performance optimization including their physical and cognitive stateover time and in varying operational environments.
Dr. Pangburn brings 10+ years’ experience in toxicology, molecular and cellular biology and biochemistry. Before moving to her current position she was
the Lead Research Toxicologist in the USAF Schoolof Aerospace Medicine, providing scientific leadership, direction and management to a large diverse
cross functional team conducting Systems Biology
research related to Force Health Protection (FHP) to
include hazard detection and air quality monitoring,
applying precision medicine/total exposure healthefforts that employ high throughput in vitro methods and in vivo (human subject) studies, systems
biology approaches and computer-based modelingto evaluate substances for possible effects on humanhealth. Dr. Pangburn’s first position with the
Air Force was as the Radioprotection Team Lead
where she led a team of scientists in identifying andexploiting molecular mechanisms to provide enhanced human performance and injury protection
to the warfighter in high radiation environments.
She received her PhD in Molecular Toxicology fromthe University of Colorado Health Sciences Center
wherein she examined the biologic and biochemical mechanisms of the chemopreventive effects of
non-steroidal anti-inflammatory drugs. She subse-

14

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Panel Members, Continued

Other Panel Members:
Maj Nathalie Pattyn (BEL)

quently executed her postdoctoral fellowship in the
Regenerative Medicine and Stem Cell Biology Program at the University of Colorado Denver studying
genetic pathways and identifying genetic alterations
that occur in acquired skin diseases such as cancer.
Dr. Pangburn has also worked in industry, providing
primary strategic technical product development
support for molecular diagnostic assay activities required to prepare for launch and to support productaftermarket launch in the Molecular Diagnostics
Division of Abbott Laboratories.

15

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Speakers
Kenneth Yusko, Ph.D. (USA)M. Scott Myers Award for Applied Research fromthe Society of Industrial/Organizational Psychology
and the International Personnel Assessment Council’s Innovations Award for their work in developing
and implementing the Siena Reasoning Test (SRT),a cognitive ability test that substantially improves
employee hiring outcomes.

Dr. Ken Yusko is currently the Deputy Director of
the University of Maryland
Industrial/Organizational
Psychology MPS programand co-principal of Siena
Consulting, a human capitalconsulting firm. He earned
his master’s and doctoral
degrees in Industrial/Organizational Psychology at
the University of Maryland.
Ken is an expert in the design of personnel
selection, development, and performance management systems. As a consultant in both the private
and public sectors, Ken has worked with sports
teams and leagues, Fortune 500 companies, small
businesses, partnerships, consulting firms, andgovernment agencies. His recent clients include the
National Football League, the Sacramento Kings,
S.C. Johnson, Merck, Morgan Stanley, the Motion
Picture Association of America, and the Jefferson
County, Alabama local government.
Dr. Yusko frequently serves as an expert in
employment litigation cases involving the designof court-approved/consent decree human resource
interventions. He has authored two books on humanresource and human capital management practices and is a frequent contributor to both trade andresearch journals on the topic of employee selection
and development. Ken’s research primarily focuses on improving employee hiring decisions. His
doctoral research on decision making was fundedthrough a grant from the National Science Foundation. Ken and his team were recently awarded theJonathan Scott, Ph.D. (USA)Jonathan Matthew Scott, Ph.D.,
CSSD., R.D., is an assistantprofessor in the Department ofMilitary and Emergency Medicine at the Uniformed Services
University. Prior to academic
life, Dr. Scott was a sports
dietitian at The Ohio State
University, where he provided individualized and group counseling to athletes
across 10 varsity sports teams. He conducts researchand produces educational materials on a variety of
topics related to performance nutrition and dietary
supplements for the Department of Defense. He has
worked in various capacities supporting the military for nearly 7 years. Dr. Scott is a member of theAmerican College of Sports Medicine, Collegiate
and Professional Sports Dietitians Association, and
the Academy of Nutrition and Dietetics.
Dr. Scott received his Ph.D. in health and rehabilitation sciences from The Ohio State University.
Dr. Scott is a registered dietitian who completed adietetic internship and M.S. in clinical nutrition at
the Ohio State University. He has advanced training
in sports nutrition and holds the distinction of beinga board Certified Specialist in Sports Dietetics.

16

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Speakers, Continued

CAPT Joshua Morganstein (USA)change, and nuclear exposure. Dr. Morganstein
served in the development of disaster mental healthtraining curriculum and global disaster management doctrine. He is Assistant Editor for the second
edition of the Textbook of Disaster Psychiatry. Dr.
Morganstein is currently collaborating with the
National Institutes of Justice and UCLA on a studyof community resilience in the aftermath of mass
shootings and working with the U.S. Air Force toidentify and manage the effects of recurrent andpersistent traumatic stress exposure on personnel
involved in drone aircraft operations.

Dr. Joshua C. Morgansteincurrently serves as an Associate Professor and Assistant
Chair in the Departmentof Psychiatry and Assistant Director at the Centerfor the Study of TraumaticStress. He is a Fellow andMember of the Committee
on the Psychiatric Dimensions of Disaster within theAmerican Psychiatric Association. Dr. Morganstein
completed undergraduate training at the Universityof Maryland at College Park, medical school at the
Uniformed Services University, and combined Psychiatry and Family Medicine residency training in
the National Capital Consortium. Dr. Morganstein’s
operational experiences include remote overseas
community mental health care for the Pacific Air
Force in Japan and deployment to Afghanistan as
the lead Psychiatrist in support of the Global War
on Terrorism. He served as Chief of Addictions
Services for the Air Force’s only dual-diagnosis
treatment program and was selected to serve as the
Behavioral Health Advisor to the Commander, Joint
Task Force National Capital Region-Medical. Following a sixteen year career as an Air Force officer,
Dr. Morganstein transferred to Commissioned
Corps of the United States Public Health Service in2013 to pursue his professional interests in publichealth and disaster mental health.
Dr. Morganstein provides disaster mental healtheducation, consultation and training as a speakerand consultant to federal agencies and nationalorganizations. He has authored and co-authored a
range of scholarly works on the mental health effectsof various disaster events including natural disasters, mass violence, terrorism, pandemics, climate

Dr. Matt Goldman, MD (USA)Dr. Goldman is the director of the human systems
line of effort at the Defense Innovation Unit. The
portfolio’s mission is toaccelerate the transitionof commercial innovationand technology to our men
and women in government
covering a wide area of problem sets from safety andsurvivability, training and simulation, to prevention and treatment of combat injuries. Prior to thisposition Dr. Goldman served several roles within
the military medical community. Most recently as
a program director for graduate medical education
fellowship at Walter Reed National Military Medical
Center. Dr. Goldman is an active medical researcher, his latest endeavor was collaborating on projects
using state of the art biotechnology to help develop
a multivalent adhesin vaccine for Enterotoxigenic E.
coli. He remains active in graduate medical education and currently is on staff with the Stanford
University Medical Center.

17

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Speakers, Continued

Oshin Vartanian, Ph.D. (CAN)

professional and college teams he uses an integrated, on-site-model providing players, coaches, andother staff with specialized services including player
selection, team building, life balance, stress control,
performance enhancement, mental preparation,energy recovery, injury rehabilitation, pain management, sleep medicine, substance prevention, andmental disorders treatment.
He is a Clinical Professor of Psychiatry at the
University of Maryland at Baltimore School of Medicine and is board certified in General & Addiction
Psychiatry. He is the founding Director, of the Department’s Division of Alcohol & Drug Abuse andits Addiction Psychiatry and Medicine Fellowship
Programs as well as its Sports Psychiatry Program.
Visit www.mdsports.net for more information.

Oshin Vartanian received his
Ph.D. in experimental psychology from the Universityof Maine. He then completed
postdoctoral fellowships incognitive neuroscience at York
University and Defence Research and Development Canada (Toronto Research Centre),
where he works as a Defence Scientist in the Human
Effectiveness Section. He is the co-editor of Neuroscience of decision making (Psychology Press),
Neuroscience of creativity (The MIT Press), andCambridge handbook of the neuroscience of creativity (Cambridge University Press). He has studied theeffects of various stressors—including fatigue, sleepand caloric deprivation, and negative emotion—on
human health and performance in military andcivilian settings. An important component of his
research programme involves the development ofresilience and various countermeasures to mitigate
the effects of stress on health and performance.

David McDuff, M.D. (USA)David R. McDuff, M.D. is thelong-time sports psychiatrist
and mental preparation trainer for the Baltimore Orioles(1996-present) and Baltimore
Ravens (1996-2013) and more
recently the Performance Medicine Physician for the Indianapolis Colts (2015-2018). He
is also the author of the 2012 book “Sports Psychiatry: Strategies for Life Balance & Peak Performance”.
He was recently appointed (2018) to the International Olympic Committee (IOC) Consensus Panel on
Mental Health in Elite Athletes. For his work with18

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Notes

19

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Notes

20

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Notes

21

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Notes

22

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Notes

Please visit us at www.CSTSonline.org
Follow us on Twitter and like us on Facebook and receive notices when we add content.
www.twitter.com/CSTS_USU | www.facebook.com/USU.CSTS

23

NATO HFM 281 on Personalized Medicine in Mental Health and Performance
Meeting #2 — Precision Medicine in Human Performance

Center for the Study of Traumatic Stress
Department of Psychiatry
Uniformed Services University
4301 Jones Bridge Road, Bethesda, MD 20814
www.CSTSonline.org
24