Advanced Specialty

Application Workshop

EMDR Therapy Protocols for Early Intervention & Ongoing Traumatic Stress

Intended for mental health therapists, such as psychologists, licensed clinical social workers, and LMFTs trained in EMDR Basic Training.

Pictured Above: EMDR-IGTP-OTS treatment to over 150 people simultaneously after the September 2017 earthquake in Mexico.

EMDR Therapy Protocols for Early Intervention
& Ongoing Traumatic Stress

A substantial portion of individuals experiencing recent traumatic events suffer from acute traumatic distress, with symptoms of intrusion, avoidance and hyper-arousal, associated with significant impairment in daily functioning. Many will recover spontaneously, but some will go on to develop post-traumatic stress disorder (PTSD), a mood disorder, or other psychological and physical disorders, with associated functional impairments. Research suggests the possibility that early intervention, which reduces or eliminates acute distress, may prevent the development of subsequent disorders. As we know, a successful trauma treatment produces significant economic, social and cultural benefits for individuals, families and communities (White Paper, EMDR Early Intervention and Crisis Response Summit Conference, Boston, MA, April 20-22, 2018). 

Expand your clinical and research horizons

This training will expand your clinical and research horizons as you learn and practice two AIP-informed Psychophysiological Algorithmic Approaches (ASSYST-I & ASSYST-G) and the two EMDR therapy protocols (EMDR-IGTP and EMDR-PRECI) with the most research in the EMDR Early Intervention and Ongoing Traumatic Stress field. Click here to see all of the references. 

With these procedures and protocols, clinicians will be able to provide rapid responses or early interventions, conduct fieldwork, and treat individuals or large and small (e.g., families) groups living recent, present or past prolonged adverse experiences! 


Participants who complete the workshop and sign up for The Hive will receive a link with access to over 40 related articles, protocols and instruments in English and Spanish for their clinical work. Click here to learn more about the Hive!

This workshop will give EMDR clinicians the tools to treat patients who have been through recent, prolonged, repeated, or multiple traumatic events or circumstances. These include:


  • Survivors of natural or man-made disasters

  • Survivors of external or domestic terrorist attacks

  • Victims of constant violence  (e.g., sexual abuse, severe interpersonal violence, criminal violence);

  • At-risk personnel (e.g., agency and NGO staff dealing with natural disasters, violent conflicts, rape and domestic violence; first responders/emergency response personnel, military on duty);

  • People undergoing life-changing experiences with ongoing traumatic stress or extreme stressors (e.g., refugees, internally displaced persons, long term disasters, ongoing war, prolonged violent conflicts, terrorism, geopolitical crisis);

  • People with diverse ongoing trauma histories with similar circumstance in common (e.g., chronic or severe illness; individuals, couples and families with ongoing domestic violence situations that have not been resolved and are still unsafe to some degree) 

  • People living in continuous traumatic situations (e.g., this related to living in ongoing situations of political violence and national security threats with perpetual exposure to war and terror attacks)

Additionally, the National Institute for Health and Care Excellence (NICE) and the International Society for Traumatic Stress Studies (ISTSS) recent 2018 Guidelines established that the EMDR-PRECI studies contribute to their recommendation of EMDR Therapy for Early Treatment (within the first 3-months post-trauma) to prevent and treat PTSD symptoms. 

Workshop Itinerary

What you'll learn over the course of our two-day advanced EMDR training workshop

Training Objectives

Details on the protocols and procedures you'll learn and practice at our training


Check out our schedule to see when our training will be in a city near you! 

Details and

Pricing for our training workshops, CEU's, and requirements to participate

Two-Day Workshop Itinerary
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Participants will be familiarized with Jarero & Artigas (2018) acute trauma and ongoing traumatic stress case conceptualization based on Dr. Francine Shapiro Adaptive Information Processing (AIP; 2001, 2018) model that could serve as a working hypothesis to expand the clinical and research horizons of the EMDR interventions for individuals and groups.

Participants will also learn about Rapid Response, Early Psychological Interventions, Recent Trauma Clinical Presentations, Prevention of PTSD, EMDR based Early Interventions and two AIP-informed procedures for Acute Stress Syndrome Stabilization © (ASSYST).   

The ASSYST © procedures are AIP-informed psychophysiological algorithmic approaches specially designed for persons who present intense or overwhelming sensory input, body sensations, or emotions. These procedures can be administered within the first hours or days in which the person shows severe symptoms of distress and/or deterioration in current functioning.


The objective of these procedures is focused on the person stabilization through the reduction or removal of the distress produced by the somatic-sensory components of the pathogenic memory to achieve optimal levels of activation; thus, facilitating the AIP system the subsequent natural adaptive processing of the information.

The ASSYST procedures follows the Psychological  First Aid (PFA) reduction of distress and adaptive functioning objectives, and must be administered within a continuum of care context (stepped progression of health care provided in an increasingly intensified manner) to help the person achieve a state of adaptive functioning or to facilitate access to the next level of care when necessary.

These procedures have been successfully used three days after the September 19, 2017 earthquake in Mexico; 13 days after the August 3, 2019, mass shooting in El Paso, Texas; shortly after the September 1st, 2019 hurricane Dorian in the Bahamas; immediately after the October 2019 riots in Chile to provide support to hospitalized civilians that were injured during the protests; immediately after the November, 2019 riots and wave of terror in Bolivia to provide support to civilians that were injured during the protests; with immigrants in the United States three days after they escaped from 21 days of organized crime captivity; with first responders (firefighters and medical personnel) and civilians who survived the January 23, 2019 gas explosion in Villa El Salvador, Peru; and one day after the February 21, 2020 landslide in Cochabamba, Bolivia that affected 188 families. 

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Pictured above: Kids doing the EMDR-IGTP for the first time in history, Acapulco, Mexico 1998

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Pictured above: Orphans experiencing the EMDR-IGTP in Zambia, Africa in 2018. 


Participants will learn and practice the EMDR-Protocol for Recent Critical Incidents and Ongoing Traumatic Stress (EMDR-PRECI) and the EMDR Integrative Group Treatment Protocol Adapted for Ongoing Traumatic Stress (EMDR-IGTP-OTS).​

EMDR-PRECI was developed in the field to treat recent (even hours after a trauma) or prolonged adverse experiences where related stressful events continue for an extended time and where there is no post-trauma safety period for the traumatic memory consolidation. Consistent with the AIP model, this evidence-based protocol treats acute trauma and ongoing traumatic stress to reduce or eradicate the potential for traumatic memory consolidation and resulting symptoms of PTSD. Dr.  Francine Shapiro (2018) recommends the EMDR-PRECI, “for an extended post-disaster period to address situations in which there is ongoing trauma and therefore no subsequent period of safety” (p. 397).

The EMDR Integrative Group Treatment Protocol (EMDR-IGTP) for early intervention (Artigas et al., 2014), was the first EMDR group intervention in the world. In this protocol, the group setting allows for a group administration of individual EMDR treatment, ensuring that many individuals can be treated simultaneously.  This is highly valuable in settings where resources are limited. Jarero et al., (2015) adapted the standard EMDR-IGTP for early intervention to treat populations living with ongoing traumatic stress with no post-trauma safety period (EMDR-IGTP-OTS). Both protocols have robust research evidence from numerous places and populations around the world:​

  • ​With children and adults after natural or man-made disasters.

  • With children during ongoing war trauma.

  • With war refugee children.

  • With adults during ongoing geopolitical crisis.

  • With children victims of severe interpersonal violence.

  • With cancer-related PTSD, anxiety and depression symptoms in female adult patients.

  • With cancer-related PTSD, anxiety and depression symptoms in adolescents and young adults.

  • With rape victims.

  • With caregivers of patients with dementia.

  • With female patients to deal with the trauma from divorce.

  • With survivors of a 50 year-long internal armed conflict in Colombia.

Training Objectives
  1. Describe the Adaptive Information Processing (AIP) Model based Acute Trauma and Ongoing Traumatic Stress Theoretical Conceptualization (Jarero & Artigas, 2018).

  2. Define Early Psychological Interventions, Recent Trauma Clinical Presentations, Prevention of PTSD, and EMDR Based Early Interventions.

  3. List and apply the eight phases of the Procedures for Acute Stress Syndrome Stabilization (ASSYST) for Individual and Group administration.

  4. List and apply the eight phases of the EMDR Protocol for Recent Critical Incidents (EMDR-PRECI) and the EMDR Integrative Group Treatment Protocol for Ongoing Traumatic Stress (EMDR-IGTP-OTS).

  5. Describe four population groups that can be treated with the EMDR-Integrative Group Treatment Protocol Adapted for Ongoing Traumatic Stress (EMDR-IGTP-OTS) based on empirical evidence.

  6. Explain the main objectives, benefits, adaptations, key procedures, and clinical treatment strategies for the ASSYST procedures, EMDR-PRECI and EMDR-IGTP-OTS.

  7. Describe and apply the clinical and research instruments (e.g., PCL-5, HADS).

  8. Prepare and work in worst case scenarios situations.

  9. Identify one meta-analysis and over thirty research studies around the world about the EMDR-IGTP-OTS and the EMDR-PRECI.

  10. Explain the seven “red flags” that may complicate treatment in a group format.

  11. List three important elements to remember when preparing the workplace for the EMDR-IGTP-OTS.

  12. List activities of the Emotional Protection Team during the EMDR-IGTP-OTS.

Details and Fees

(Note: This is a Commercial Workshop)


  • $200 - Previous participants of Dr. Jarero's one-day IGTP/PRECI training**

  • $300 – Interns and full-time employees of nonprofits and government agencies if received at least 30 days prior to the training

  • $350 – Interns and full-time employees of nonprofits and government agencies if received less than 30 days prior to the training

  • $380 – Standard Registration if received at least 30 days prior to the training

  • $410 – Standard Registration if received less than 30 days prior to the training


** This only applies if you attended the 1 or 2-day training within the past two-years. If you attended the training more than two years ago then you must pay the regular price. 


BONUS: If you get 4 other people to register, then email us with the location of the event and the 4 names that you referred and you can get a refund on your registration!!


  • Skill Level: Advanced

  • Our intended audience are therapists who have completed an EMDRIA or EMDR Iberoamerica-Approved Basic Training. People only trained in EMDR by PESI are not eligible for the training.



  • Cancellations 31 days or more before the event = 90% refund

  • Cancellations 30 days or less before the event = 25% refund

  • Event no show = No refund

Continuing Education (CE) Credits


This training provides a certificate for 14 CEU’s. These CEU’s will be provided by the EMDR International Association (EMDRIA). It is necessary to participate in 100% of the training to receive the credits of Continuing Education. A certificate for these CEU's is included in the price of the training. 


Note: Due to pending applications, additional CE's are not available for the Advanced EMDR online training at this time. Online course participants will still receive 14 EMDRIA credits. 

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Dr. Ignacio "Nacho" Jarero

Ignacio (Nacho) Jarero, Ph.D., Ed.D., is the world pioneer in the provision of EMDR therapy in a group format, AIP-informed Advance Psychosocial Interventions for trauma-exposed populations, and AIP-informed Remote Assistance. He is an Expert Certified TeleMental Health Clinician. For his humanitarian services around the world with nearly 200 deployments since 1998, he has received the Francine Shapiro Award, the International Crisis Response Leadership Award, and the Psychotrauma Trajectory Award. For his research work with EMDR therapy, he received the EMDRIA Outstanding Research Award. Dr. Jarero is EMDR Institute Senior Trainer of Trainers and Advance Specialty Trainer and has conducted seminars and workshops around the world with participants of 67 different countries.

Kelly Smyth-Dent, LCSW
(Sponsor & Facilitator) 

Kelly is a Licensed Clinical Social Worker (LCSW) and the CEO of Scaling Up. She has conducted trainings on the EMDR-PRECI, EMDR-IGTP and the ASSYST in France, Ethiopia, Bangladesh, India and throughout the United States. She is a published researcher and a member of Dr. Jarero's research team in Mexico. In her role as a humanitarian worker, she has partnered with organizations, such as Action Against Hunger, Fortify Rights, and Innovative Humanitarian Solutions, to provide EMDR therapy and advanced trainings to their staff and clients. Kelly was a member of the team that provided rapid response interventions within days after the August 3, 2019 domestic terrorist attack in El Paso, Texas. Her specialty area is populations living with ongoing traumatic stress. When Kelly is not traveling, she sees clients in her private practice in Reno, Nevada.

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This workshop is held in facilities which are in compliance with the Americans Disabilities Act. Please contact the Scaling Up Team at if special accommodations are required.

Scaling Up maintains responsibility for this program and its content in accordance with EMDRIA requirements.

Audio/Video/Photo Disclosure: Some of the trainings will be audio and/or video recorded. Additionally, photos may be taken and used for website and other promotional materials. By registering for this training you are consenting that you are in agreement of and aware of this disclosure agreement.

There are no known conflicts of interests for this workshop. All grievances must be in writing to, and will be replied to within 5 - 10 business days.

Interested in Bringing our Training to a City Near You?