Implementing an Evidence-Based Practice: Seeking Safety Group
Abstract
This article presents findings from a multisite study on adopting and implementing an evidence-based practice, Seeking Safety, for women with co-occurring disorders and experiences of physical and sexual abuse. It focuses on what implementation decisions different sites made to optimize the compatibility of Seeking Safety with the site's needs and experiences and on issues posed by Rogers (1995) as relevant to successful diffusion of an innovative practice. A total of 157 clients and 32 clinicians reported on satisfaction with various aspects of the model. Cross-site differences are also examined. Results show that Seeking Safety appears to be an intervention that clinicians perceive as highly relevant to their practice, and one that adds value. Clients perceive the treatment as uniquely touching on their needs in a way that previous treatments had not.
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Studies over the past 20 years show Seeking Safety could reduce PTSD symptoms significantly among different populations.
“Over the past 20 years, various studies have been conducted showing that Seeking Safety could reduce PTSD symptoms significantly among different populations [29–31].”
From Effects of mindfulness-based cognitive therapy for Chinese adults with PTSD symptoms: protocol for a randomised controlled trial (2024) · cites this paper as [31]
Cites
Rogers, E. M., Singhal, A., & Quinlan, M. M. (2019) · Routledge eBooks · doi:10.4324/9780203710753-35 · Cited by 37,557 · see citing works
Valente, T. W. (2003) · Genetics in Medicine · doi:10.1097/01.gim.0000061743.67794.c4 · Cited by 20,555 · see citing works
Journal of Clinical Psychiatry
(2018) · Journal of Clinical Psychiatry · doi:10.5505/kpd · Cited by 13,703 · see citing works
Posttraumatic stress disorder: the burden to the individual and to society.
Kessler, R. C. (2000) · PubMed · Cited by 1,443 · see citing works
Karnowski, V., & Kümpel, A. S. (2015) · Springer eBooks · doi:10.1007/978-3-658-09923-7_9 · Cited by 1,313 · see citing works
A Guide to Treatments that Work
Nathan, P. E., & Gorman, J. M. (2007) · Oxford University Press eBooks · doi:10.1093/med/9780195304145.001.0001 · Cited by 1,082 · see citing works
Perkonigg, A., Kessler, R. C., Storz, S., & Wïttchen, H. (2000) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2000.101001046.x · Cited by 971 · see citing works
Diffusion of Innovations, Fourth Edition
Rogers, E. M. (1982) · Cited by 916 · see citing works
Journal of Community Psychology
(2006) · doi:10.1002/(issn)1520-6629 · Cited by 676 · see citing works
Seeking Safety: A Treatment Manual for PTSD and Substance Abuse
Najavitis, L. M. (2001) · Medical Entomology and Zoology · Cited by 548 · see citing works
A conceptual framework for transferring research to practice
Simpson, D. D. (2002) · Journal of Substance Abuse Treatment · doi:10.1016/s0740-5472(02)00231-3 · Cited by 538 · see citing works
Najavits, L. M., Weiss, R. D., Shaw, S. R., & Muenz, L. R. (1998) · Journal of Traumatic Stress · doi:10.1023/a:1024496427434 · Cited by 451 · see citing works
Self-citationThe Link Between Substance Abuse and Posttraumatic Stress Disorder in Women: A Research Review
Najavits, L. M., Weiss, R. D., & Shaw, S. R. (1997) · American Journal on Addictions · doi:10.3109/10550499709005058 · Cited by 440 · see citing works
Self-citationPromising Treatments for Women With Comorbid PTSD and Substance Use Disorders
Hien, D. A., Cohen, L. R., Miele, G. M., Litt, L. C., & Capstick, C. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.8.1426 · Cited by 348 · see citing works
Community Science: Bridging the Gap between Science and Practice with Community‐Centered Models
Wandersman, A. H. (2003) · American Journal of Community Psychology · doi:10.1023/a:1023954503247 · Cited by 323 · see citing works
Trauma and substance abuse: Causes, consequences, and treatment of comorbid disorders.
(2003) · American Psychological Association eBooks · doi:10.1037/10460-000 · Cited by 309 · see citing works
Developing and Testing a Model to Predict Outcomes of Organizational Change
Gustafson, D. H., Sainfort, F., Eichler, M., Adams, L., Bisognano, M. A., & Steudel, H. J. (2003) · Health Services Research · doi:10.1111/1475-6773.00143 · Cited by 298 · see citing works
The Link Between Substance Abuse and Posttraumatic Stress Disorder in Women
Najavits, L. M., Weiss, R. D., & Shaw, S. R. (1997) · American Journal on Addictions · doi:10.1111/j.1521-0391.1997.tb00408.x · Cited by 240 · see citing works
Self-citationZlotnick, C., Najavits, L. M., Rohsenow, D. J., & Johnson, D. M. (2003) · Journal of Substance Abuse Treatment · doi:10.1016/s0740-5472(03)00106-5 · Cited by 237 · see citing works
Self-citationChildhood Trauma and Posttraumatic Stress Disorder in Substance Abuse Inpatients
Triffleman, E., Marmar, C. R., Delucchi, K., & Ronfeldt, H. M. (1995) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199503000-00008 · Cited by 185 · see citing works
Seeking Safety: A Treatment Manual for PTSD and Substance Abuse
Heffernan, K. (2003) · Psychotherapy Research · doi:10.1080/713869629 · Cited by 167 · see citing works
Seeking Safety Plus Exposure Therapy: An Outcome Study on Dual Diagnosis Men
Najavits, L. M., Schmitz, M., Gotthardt, S., & Weiss, R. D. (2005) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2005.10399816 · Cited by 131 · see citing works
Self-citationPrevalence and characteristics of physical and sexual abuse among psychiatric outpatients
Lipschitz, D. S., Kaplan, M. L., Sorkenn, J. B., Faedda, G. L., Chorney, P., & Asnis, G. M. (1996) · Psychiatric Services · doi:10.1176/ps.47.2.189 · Cited by 127 · see citing works
Gatz, M., Brown, V. B., Hennigan, K. M., Rechberger, E., O’Keefe, M., Rose, T., & Bjelajac, P. (2007) · Journal of Community Psychology · doi:10.1002/jcop.20186 · Cited by 111 · see citing works
Self-citationWomen, Co-occurring Disorders, and Violence Study: Evaluation design and study population
McHugo, G. J., Kämmerer, N., Jackson, E. W., Markoff, L. S., Gatz, M., Larson, M. J., Mazelis, R., & Hennigan, K. M. (2005) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2004.08.009 · Cited by 99 · see citing works
Cook, J. M., Walser, R. D., Kane, V. R., Ruzek, J. I., & WOODY, G. E. (2006) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2006.10399831 · Cited by 59 · see citing works
Treatment of Posttraumatic Stress Disorder and Substance Abuse
Najavits, L. M. (2004) · Alcoholism Treatment Quarterly · doi:10.1300/j020v22n01_04 · Cited by 44 · see citing works
Self-citationPsychosocial Treatments for Posttraumatic Stress Disorder
Najavits, L. M., & Anderson, M. L. (2015) · Oxford University Press eBooks · doi:10.1093/med:psych/9780199342211.003.0018 · Cited by 38 · see citing works
Self-citationSymptom Severity, Amount of Treatment, and 1-Year Outcomes Among Dual Diagnosis Patients
Timko, C., & Moos, R. (2002) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1023/a:1021275516753 · Cited by 35 · see citing works
Description of and Preliminary Data from a Women's Dual Diagnosis Community Mental Health Program
Holdcraft, L. C., & Comtois, K. A. (2002) · Canadian Journal of Community Mental Health · doi:10.7870/cjcmh-2002-0020 · Cited by 21 · see citing works
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Norman, S. B., Trim, R., Haller, M., Davis, B. C., Myers, U. S., Colvonen, P. J., Blanes, E., Lyons, R., Siegel, E. Y., Angkaw, A. C., et al. (2019) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2019.0638 · Cited by 136 · see citing works
A review of trauma-informed treatment for adolescents.
Black, P. J., Woodworth, M., Tremblay, M., & Carpenter, T. (2012) · Canadian Psychology / Psychologie canadienne · doi:10.1037/a0028441 · Cited by 120 · see citing works
Bailey, K., Trevillion, K., & Gilchrist, G. (2018) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2018.12.007 · Cited by 76 · see citing works
Goodman, D., Milliken, C. U., Theiler, R. N., Nordstrom, B. R., & Akerman, S. C. (2015) · Journal of Dual Diagnosis · doi:10.1080/15504263.2015.1104484 · Cited by 71 · see citing works
Dual diagnosis clients' treatment satisfaction - a systematic review
Schulte, S. J., Meier, P. S., & Stirling, J. (2011) · BMC Psychiatry · doi:10.1186/1471-244x-11-64 · Cited by 53 · see citing works
Unified protocol vs trauma-focused cognitive behavioral therapy among adolescents with PTSD
Mohajerin, B., Lynn, S. J., & Cassiello-Robbins, C. (2023) · Behavior Therapy · doi:10.1016/j.beth.2023.03.003 · Cited by 35 · see citing works
Chapman, A., & Monk, C. E. (2015) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2015.15070853 · Cited by 30 · see citing works
Upshur, C. C., Wenz-Gross, M., Weinreb, L., & Moffitt, J. J. A. (2016) · Women s Health Issues · doi:10.1016/j.whi.2016.06.003 · Cited by 24 · see citing works
A national survey of clinicians’ views of evidence-based therapies for PTSD and substance abuse
Najavits, L. M., Kivlahan, D. R., & Kosten, T. R. (2010) · Addiction Research & Theory · doi:10.3109/16066350903560176 · Cited by 21 · see citing works
Self-citationEly, G. E., Koury, S. P., Bennett, K., Hartinger, C., Green, S., & Nochajski, T. H. (2017) · Advances in Social Work · doi:10.18060/21130 · Cited by 15 · see citing works
Developing Signs of Safety: A Deaf-Accessible Counseling Toolkit for Trauma and Addiction
Anderson, M. L., Glickman, N., Craig, K. S. W., Crane, A. K. S., Wilkins, A. M., & Najavits, L. (2021) · Clinical Psychology and Psychotherapy · doi:10.1002/cpp.2596 · Cited by 7 · see citing works
Self-citationSearcy, V., & Lipps, A. (2012) · Alcoholism Treatment Quarterly · doi:10.1080/07347324.2012.663304 · Cited by 8 · see citing works
Seeking Safety and the 12-Step Social Model of Recovery: An Integrated Treatment Approach
Lange, T. M., Bergandi, T. A., Borders, K. W., & Frazier, V. (2017) · Journal of Groups in Addiction & Recovery · doi:10.1080/1556035x.2016.1258682 · Cited by 4 · see citing works
Cihlar, B. E. (2014) · ProQuest Demo Repository · Cited by 3 · see citing works
Mak, B. S. W., Zhang, D., Powell, C. L. Y. M., Leung, M. K. W., Lo, H. H. M., Yang, X., Yip, B. H. K., Lee, E. K. P., Xu, Z., & Wong, S. Y. S. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05840-x · Cited by 2 · see citing works
“Over the past 20 years, various studies have been conducted showing that Seeking Safety could reduce PTSD symptoms significantly among different populations [29–31].”
BackgroundThe Participant’s Voice: A Mixed-Method Evaluation of a Mixed-Gender Seeking Safety Group
Zaccari, B., Layne, W., Loftis, J. M., & Penn, P. E. (2017) · Alcoholism Treatment Quarterly · doi:10.1080/07347324.2017.1322416 · Cited by 1 · see citing works
Women’s Treatment in Criminal Justice Settings
Zweben, J. E. (2011) · Issues in children's and families' lives · doi:10.1007/978-1-4419-9470-7_13 · Cited by 1 · see citing works
Dolan, J. (2012) · e-Publications@Marquette (Marquette University) · Cited by 1 · see citing works
Síndrome de estrés postraumático en mujeres embarazadas abusadoras de drogas
Vélez, M. L., & Jansson, L. M. (2010) · Revista Colombiana de Psiquiatría · doi:10.1016/s0034-7450(14)60269-9
Mackintosh, M. (2015) · ProQuest Demo Repository · doi:10.25549/usctheses-m2454
Mak, B. S. W., Zhang, D., Powell, C. L. Y. M., Leung, M. K. W., Lo, H., Yang, X., Yip, B. H. K., Lee, E. K. P., Xu, Z., & Wong, S. Y. S. (2024) · Figshare · doi:10.6084/m9.figshare.25929200
Ross, D., McCallum, N., Butt, A., Truuvert, A. K., Wang, E. E., Rojas, D., Soklaridis, S., & Vigod, S. N. (2026) · BMC Medical Education · doi:10.1186/s12909-026-08794-8
Seeking Safety for Trauma and/or Addiction
Najavits, L. M. (2026) · Elsevier eBooks · doi:10.1016/b978-0-443-29009-1.00146-3
Self-citation
- Authors
- Brown, V. B., Najavits, L. M., Cadiz, S., Finkelstein, N., Heckman, J. P., & Rechberger, E.
- Affiliations
- Prototypes (United States) (US)
- Boston University (US)
- Administration for Children's Services (US)
- Institute for Health and Recovery (US)
- ORCID
- Najavits, Lisa M.
- Venue
- Journal of Psychoactive Drugs
- Publisher
- Informa UK Limited
- Published
- 2007-09
- Volume
- 39
- Issue
- 3
- Pages
- 231-240
- ISSN
- 0279-1072 (ISSN-L)
- 2159-9777
- OpenAlex
- W2059347328
- Cited by
- 23
- References
- 30
- Citations by year
- 2026: 2 · 2024: 2 · 2023: 1 · 2021: 1 · 2019: 1 · 2018: 1 · 2017: 3 · 2016: 1 · 2015: 3 · 2014: 1 · 2012: 3
- FWCI
- 1.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychoactive Drugs (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- Seeking Safety, evidence-based practice implementation, co-occurring disorders, women, physical abuse, sexual abuse, diffusion of innovations, client satisfaction, clinician perceptions, trauma-focused psychotherapy
- MeSH terms
- Adult, Attitude of Health Personnel, Behavior Therapy, Diffusion of Innovation, Female, Humans, Safety, Stress Disorders, Post-Traumatic, Treatment Outcome, Patient Satisfaction, Evidence-Based Medicine, Substance-Related Disorders, Benchmarking, Qualitative Research
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