Continuing Education Program

Moral Injury in First Responders and Military Service Members: Identification/ Research, Assessment, and Treatment Updates

Live Training Broadcasts for Clinicians and Chaplains to Build Cultural Competence and Assessment/Treatment Skills


This online program is co-hosted by the Moral Injury Support Network for Servicewomen, Inc. and the Women Veterans Social Justice Network (WVSJ). It includes two sessions. Each session is worth 3.0 continuing education hours. The first session covers the latest research on military moral injury (MMI), available assessments, a debriefing process, resiliency, and a spiritually-based therapy. The second session will include modules on cultural competence when working with women veterans and how to help survivors of military sexual trauma (MST). The entire program can be purchased for $89 or participants can purchase a single session for $50. Register and pay here.

Date: October 15, 2020

Target Audience

This continuing education program offers a total of 9 hours of training for chaplains, social workers, psychologists, nurses, physicians and other clinicians who are on the frontline providing care to military service members, veterans, police, firefighters, nurses, and other first responders in the aftermath of critical incident exposure. Critical incidents may include combat, responding to manmade or natural disasters in which others were harmed or killed, witnessing atrocities, or surviving sexual assault or other personal violation. These incidents often lead to a transgression of deeply held moral beliefs, or moral injury. Moral injury can “affect the physical, psychological, social, and spiritual health of military men and women.”1 First responders and service members may lose their faith, ability to function in their job, or capacity to have meaningful relationships. Those who provide support to these populations need to understand what moral injury is, how it affects people, assessment tools that are available, and treatment options. There are no pre-requisites required to enroll in this training. This program qualifies as an introductory/intermediate training.

Program Theme

This continuing education program will provide a comprehensive view of military moral injury from multiple angles, including medical, psychological, spiritual, and cultural lenses. Presenters will describe military moral injury in detail, discuss military sexual trauma and institutional betrayal, and provide a variety of interventions and tools to assist clinicians, social workers, therapists, chaplains and other health providers in working with veterans. A special session on women veterans and cultural competency will be presented.

Agenda (all times Eastern Time)

Session 1
9:00 am – 9:10 amWelcoming Remarks for Session 1Dr. Daniel Roberts, BriGette McCoy
9:10 am – 10:40 amMoral Injury Definition, Assessments, and Spiritual-Integrated Cognitive Processing Therapy Harold G. Koenig, MD
10:40 am – 10:55 amBreak
10:55 am – 12:25 pmDefusing, Debriefing and Resiliency after Moral InjuryManuela Joannou, M.D. CCFP (EM) FCFP
12:25 pm – 12:30 pmInstructions for Completing Post-Tests and Program Evaluations
12:30 pm – 1:30 pmLunch
Session 2
1:30 pm – 1:40 pmWelcoming Remarks for Session 2Dr. Daniel Roberts, BriGette McCoy
1:40 pm – 3:10 pmCultural Competence Matters: Women Veterans and Military Moral InjuryLaQuista Erinna, DBH, LCSW
3:10 pm – 3:25 pmBreak
3:25 pm – 4:55 pmDismantling Traumatic Stress and Empowering Survivors after Sexual AssaultLori Daniels, Ph.D., LCSW
4:55 pm – 5:00 pmInstructions for Completing Post-Tests and Program Evaluations
Times and session titles are subject to minor changes.

Session Descriptions

Moral Injury Definition, Assessments, and Spiritual-Integrated Cognitive Processing Therapy

Dr. Harold G. Koenig will provide an overview of moral injury and describe current assessments that have been published after extensive research. He will also provide a detailed description of the Spiritual-Integrated Cognitive Processing Therapy (SICPT), a culturally sensitive, research-based treatment used with service members who have identified moral injuries. 

Defusing, Debriefing and Treatment after Moral Injury

Dr. Manuela Joannou will discuss the importance of conducting defusing and debriefing sessions with first responders after a moral injurious incident and describe treating moral injury through connection and resilience life coaching.

Cultural Competence Matters: Women Veterans and Military Moral Injury

Dr. LaQuista Erinna will talk about military moral injury from the perspective of women service members and veterans and provide key information to increase the cultural competence of social workers, clinicians, and chaplains when working with women veterans.

Dismantling Traumatic Stress After Sexual Assault

The context of a survivor’s experience and the counseling milieu are important variables to consider as therapists facilitate a person’s sexual assault recovery. Dr. Lori Daniels will discuss integrative psychotherapy techniques which allow for a client’s cultural and healing context to be taken into account for the building of rapport as a priority. 


By the end of Session 1, participants will be able to:

  1. Name the dimensions of moral injury and how moral injury relates to PTSD.
  2. Identify AT LEAST THREE standardized moral injury assessment instruments.
  3. List some of the clinical outcomes of the moral injury. 
  4. Identify characteristics of resilient people.
  5. Know when to use defusing techniques with First Responders and Veterans.
  6. Describe the benefits of the debriefing process for First Responders and Veterans.

By the end of Session 2, participants will be able to:

  1. Describe key demographics related to women in the U.S. military service. 
  2. Identify health domains affecting women veterans in the U.S.
  3. Identify leading risk factors contributing to women veteran homelessness.
  4. Describe betrayal and institutional trauma.
  5. List important factors for building rapport with sexual assault survivors.
  6. Identify how integrative approaches and experiential healing experiences can affect First Responders and Veterans.

The price for each session is $50, but both sessions can be purchased at a discount for $89. To register and pay, go to the store and select the Contact Hours Main Program All Sessions product for both sessions or the Contact Hours Main Program Session 1 or Session 2 products. If you purchase the All Sessions product, you will receive a 20% discount on a 1 year Dialogue Professional Membership.


Ontario Association of Mental Health Professionals
Participation in this program allows OAMHP members to apply up to 6 hours (CECs) towards their required continuing education hours. OAMHP does not endorse this training or the training provider.

Board of Chaplaincy Certification, Inc.
This program qualifies for the BCCI’s continuing education hours requirement under Methodology 1: Attending Educational Events (see Guidelines). Contact BCCI at 847.240.1014 or for verification based on your specific chaplaincy requirements.

American Holistic Nurses Association
This activity has been submitted to the American Holistic Nurses Association for approval to award contact hours. American Holistic Nurses Association is accredited as an approver of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Georgia Psychological Association

This program been approved by GPA for up to 6 contact hours. GPA has reciprocity for CE accreditation with 42 other states. Please check with your state to verify that your attendance will be accepted.

National Association of Social Workers

The main program is Approved by the National Association of Social Workers (Approval # 886837521-9558) for 6 continuing education contact hours.

Download the Flyer

Contact Dr. Daniel Roberts, 910-690-5964 or for questions, concerns or further information.

Moral Injury Support Network for Servicewomen, Inc. is a 501(c)(3) non-profit specializing in education, research, and advocacy in military chaplaincy and soldier care. MISNS’ research focus is on pastoral support to female service members. Women are an underserved population when it comes to spiritual leadership and support. By conducting studies with female service members as the primary population, MISNS is able to develop theories and practices that will enhance the lives of women in the military.

Women Veterans Social Justice Network (WVSJ) is an outreach and community based 501(c)(3) non-profit working to bring together national and local resources available to women veterans in a single, easy to understand and navigable resource. The online social network organization started with peer support groups that utilized social media and education, to inform, support and advocates on behalf of women veterans. It  focuses on issues of Military Sexual Trauma (MST), Moral Injury, Post Traumatic Stress Disorder (PTSD), homelessness, suicide awareness and prevention, and VA and community based services and benefits available to women veterans and their families.

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