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Ranking Evidence-Based Practice
Description Seeking Safety is a present-focused treatment for clients with a history of trauma and substance abuse. The treatment was designed for flexible use: group or individual format, male and female clients, and a variety of settings (e.g., outpatient, inpatient, residential). Seeking Safety focuses on coping skills and psychoeducation and has five key principles: (1) safety as the overarching goal (helping clients attain safety in their relationships, thinking, behavior, and emotions); (2) integrated treatment (working on both Post-Traumatic Stress Disorder (PTSD) and substance abuse at the same time); (3) a focus on ideals to counteract the loss of ideals in both PTSD and substance abuse; (4) four content areas: cognitive, behavioral, interpersonal, and case management; and (5) attention to clinician processes (helping clinicians work on countertransference, self-care, and other issues).
Goal / Mission The goal of this program is to help clients move beyond trauma and substance abuse.
Results / Accomplishments Since 1992, Seeking Safety has been implemented in over 500 clinical settings and as part of statewide initiatives in Oregon, Wyoming, Connecticut, and Hawaii. It has been implemented in programs for substance abuse, mental health, domestic violence, homelessness, women and children, and veterans and in correctional, medical, and school settings throughout Australia, Canada, Germany, Japan, the Netherlands, New Zealand, Scotland, Sweden, and the United States. Results include the following:

In a randomized controlled trial, women were assigned to either Seeking Safety, Relapse Prevention, or control (usual care). Compared with the control group, women who participated in the Seeking Safety intervention significantly reduced their substance use at the end of treatment and at the 6-month follow-up. In the same study, Seeking Safety participants demonstrated significantly greater improvements on measures of trauma symptoms compared with control women. In addition, there were significant reductions in psychopathology in the intervention group pre- and post-treatment.
Categories Health / Mental Health & Mental Disorders
Health / Substance Abuse
Organization(s) Treatment Innovations
Source SAMHSA's National Registry of Evidence-Based Programs and Practices (NREPP)
Date of Publication Oct 2006
Date of Implementation 1992
Location
Primary Contact Lisa M. Najavits, Ph.D.
28 Westbourne Rd.
Newton Centre, MA 02459
(617) 299-1620
info@seekingsafety.org
http://www.seekingsafety.org
For more details http://nrepp.samhsa.gov/ViewIntervention.aspx?i...
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