By Jessie McCartney
鈥淭his all started on Sunday, February 27, at 11 p.m. It was the first email I sent out on this topic. It was literally the start of the war.鈥
To say that Dr. Marissa Barrera was quick to respond to the call to help those in need would be an understatement. Despite wearing many hats at the Katz School of Science & Health鈥攁ssistant dean of health sciences, associate professor and director of the master's program in Speech-Language Pathology鈥擝arrera didn鈥檛 hesitate. 鈥淚 randomly saw something on Facebook that was like, 鈥業f you speak Russian, if you鈥檙e a healthcare provider, please fill out this form. We鈥檙e gathering resources,鈥欌 she said. Even though the post came from a stranger, Barrera鈥檚 response was immediate. 鈥淚 said to myself, 鈥業 have to fill this out.鈥 I don鈥檛 speak Russian, but I knew I had a team of students and faculty who would step up behind me.鈥 Within 48 hours of signing up, she and Andrew Christler, assistant professor and clinical director, were on the phone with Hicham Naim and Marianna Petrea, founders of the organization behind the Facebook post that would soon become . Today, HTWB is an independent nonprofit movement that gathers health professionals from all over the world to provide digital health and telehealth aid where it鈥檚 needed most. At the time, the movement didn鈥檛 have a name, much less a website. All Barrera knew was that they were gathering volunteers to provide free telehealth to refugees and those trapped in Ukraine, and that they didn鈥檛 know how to effectively communicate with individuals facing severe trauma. This was where the Katz School could help. 鈥淲e鈥檙e not social workers, we鈥檙e not psychologists, but one thing we are as medical speech pathologists is well equipped to communicate effectively with patients using sensitive bedside manners,鈥 she said. The Katz School鈥檚 speech-language pathology program is one of a few in the country that focuses on medical, evidence-based practice, integrating neurology, biology and a holistic approach to patient care. Within 72 hours, Barrera and Christler recruited Deion Adams, a faculty member and 每日大瓜 social work doctoral student who specializes in healthcare counseling. Together, they developed a script for the first training module for HTWB. Recorded on a Sunday, the training addressed the basics of communicating with patients via telehealth, particularly for patients undergoing emotional, psychological and physical trauma. One of the things that made this possible, said Barrera, was the unwavering support of Paul Russo, dean of the Katz School, and John Vivolo, director of online and campus learning strategies at Katz. As Barrera and Christler continued to work with HTWB, they realized an additional training was needed specifically for parents looking to help their children through the trauma of war. They went to Dean Russo for guidance, and he connected them with someone who could help: Rona Novick, dean of the Azrieli Graduate School of Jewish Education and Administration at 每日大瓜. Barrera approached Dean Novick, a pediatric trauma specialist, with this request: 鈥淚 need a very short, very informal video for parents who have to be the sole support for their children right now. We know these are women, we know they鈥檙e displaced, we know they鈥檙e missing their homes, they鈥檙e literally traveling with nothing on their backs. They鈥檙e scared, they鈥檙e terrified. What can we offer them?鈥 A week later, Dean Novick had put together a training video鈥攐nce again, recorded on a Sunday. Another key resource Barrera and her team sourced for HTWB was a series of communication boards that contain translations of key words in three languages: Ukrainian, English and Polish. The boards give a voice to people when languages don鈥檛 compute. 鈥淓ven if they couldn鈥檛 communicate with a Red Cross volunteer, they could look at their smartphone and point to things," said Barrera. "They could point to the picture, they could point to the word in Ukrainian that would also be in Polish on the same page, so they were able to communicate basic needs, wants, health information.鈥 Katz provided these resources鈥攖wo training modules and communication boards in multiple languages鈥攖o HTWB within 30 days of the start of the war. By mid-April, the trainings had been picked up by a series of schools in Poland that then disseminated the work to their frontline social work students. Barrera and Christler also went on to give the first international presentation to the HTWB clinical team on the subject of basic human communication when providing psychological first aid. More recently, HTWB asked for help finding experts who could put together resources for victims of war crimes. While this is outside their immediate scope of practice, they鈥檝e been seeking out well-known organizations and experts who specialize in providing psychological first aid to war crime victims and plan to develop additional resources for HTWB. 鈥淎t the start, there were very few physicians and nurses,鈥 said Barrera. 鈥淪o Andy and I would log into Doctor Online, an approved telehealth platform where we would write in English and it translates to the native language of the other person, and essentially provide triage.鈥 Since Katz joined as a partner on the third day of the war, HTWB and Doctor Online have conducted nearly 50,000 patient consultations. The nonprofit movement has gained 11 more partners, including notable institutions like Massachusetts General Hospital. Their volunteers include 800 clinicians and psychologists from over 20 countries. Now, HTWB is about to approach several global organizations with their model for delivering healthcare during times of crisis, and Barrera remains involved, sitting in on the leadership calls and serving on their medical advisory board. This all happened in the course of four months and, as she said, 鈥淚t鈥檚 not over.鈥 There's still work to be done, and she鈥檒l be there doing it, along with countless members of the Katz School and 每日大瓜 team who have chosen to step up. 鈥淲e are global citizens, and it is our call to duty to help a human in need,鈥 said Barrera. 鈥淎nd that鈥檚 the Katz way. We鈥檙e smarter, we鈥檙e safer, we鈥檙e healthier. That鈥檚 our Katz foundation.鈥
