Background

Practice Experiences for School Reintegration (PrESR)

Practice Experiences for School Reintegration (PrESR)

Project Overview

Biomojo® was subcontracted to work on this project across several task orders. PrESR is a virtual reality intervention that can be used to supplement standard inpatient treatment of individuals hospitalized for suicide-related crises (K23 MH122775). PI: Marisa E. Marraccini, PhD, Assoc. Professor, School of Education, University of North Carolina at Chapel Hill.

This study applied qualitative methods and a user design approach to develop and iteratively refine a model for a virtual reality intervention designed to supplement standard inpatient treatment for adolescents hospitalized for suicide-related crises: the practice experiences for school reintegration (PrESR). The PrESR model allows patients to practice therapeutic skills within an immersive school environment to increase skill knowledge and skill use and to improve school reintegration. for suicide-related crises. (PsycInfo Database Record (c) 2025 APA, all rights reserved)

Key Features

  • Teaches cognitive behavioral therapy skills in a VR environment
  • Provides immersive, life-like practice experiences
  • Focuses on transition from psychiatric hospitalization to community settings
  • Adaptable for various high-risk populations including incarcerated individuals and veterans

Implementation

Scenarios for practicing skills are meant to mimic daily stressors. For example, individuals can:

  • Practice using calming strategies during interactions with supervisors, family members, or peers
  • Engage in cognitive restructuring when conversing with people in crisis
  • Build resilience through repeated exposure to common stressful situations

References

  • Development and Testing of a Virtual Reality Intervention with Adolescents Hospitalized for Suicide-Related Crises. Marisa E. Marracini, Robert Hubal, Lauren E. Delgaty, Telieha J. Middleton, Rachel Anonick, Yixin Li, and Jerry Heneghan
    https://www.researchgate.net/publication/387328695_ANNUAL_REVIEW_OF_CYBERTHERAPY_AND_TELEMEDICINE_2024
  • Marraccini, M. E., Anonick, R., Delgaty, L. E., Middleton, T. J., Toole, E. N., Ying, J., & Hubal, R. (2025). Practice experiences for school reintegration: Endorsement for virtual reality with adolescents hospitalized for suicide-related crises. Psychological Services, 22(1), 145–157.
    https://doi.org/10.1037/ser0000874
  • Marisa E. Marraccini, Lauren E. Delgaty, Telieha J. Middleton, Robert Hubal, Leslie A. Brick, Anahi Galvan, Eliah Anderson, Madeline Frank, Madeline J. Farber, Yixin Li, Jerry Heneghan, David L. Wyrick, Dorothy L. Espelage & David B. Goldston (03 Jun 2025): Practice Experiences for School Reintegration (PrESR): A Pilot Multiphase Optimization Trial of a Virtual Reality Intervention for Adolescents Hospitalized for Suicide-Related Thoughts and Behaviors, Evidence-Based Practice in Child and Adolescent Mental Health
    https://www.tandfonline.com/doi/full/10.1080/23794925.2025.2512537

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