New York, NY : Guilford Press, 2002, 399p. ISBN:
Lisa M. Najavits, PhD (Boston University School of Medicine; Harvard Medical School; McLean Hospital; VA Boston). http://www.seekingsafety.org/
This manual describes Seeking Safety, a present-focused therapy intended to help people attain safety from both PTSD and substance abuse. This treatment was designed for flexible use. It has been conducted in group and individual format; for women, men, and mixed-gender; using all topics or just a subset of topics; in a variety of settings (e.g., outpatient, inpatient, residential); and for both substance abuse and dependence. It has also been used with people who have a trauma history, but do not meet criteria for PTSD. The key principles of Seeking Safety are: 1) Safety as the overarching goal (working on both PTSD and substance abuse at the same time); 2) Integrated treatment (for both PTSD and substance abuse); 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 clinical processes (helping clinicians work on countertransference, self-care, and other issues).
Seeking Safety is one of two manualized interventions for women that was used in CTN protocol NIDA-CTN-0015, "Women's Treatment for Trauma and Substance Use Disorders" (the other intervention was "Women's Health Education"). The protocol used the following 12 of Seeking Safety's 25 sessions or "topics": 1) Introduction to Treatment; 2) Safety; 3) PTSD: Taking Back Your Power; 4) Detaching from Emotional Pain: 5) Grounding; When Substances Control You; 6) Taking Good Care of Yourself; 7) Compassion; 8) Red and Green Flags; Honesty; 9) Integrating the Split Self; 10) Creating Meaning; 11) Setting Boundaries in Relationships; and 12) Healing from Anger.
More information about the Seeking Safety program, including instructions on how to purchase a copy of the manual, a training calendar, a video training series, full-text articles about developing or implementing the program, and an assessment instrument designed to evaluate a clinician's use of the treatment can be found at the Seeking Safety web site: http://www.seekingsafety.org. The manual provides both client handouts and guidance for clinicians. (Manual, Print, English, 2002)
Keywords: Behavior therapy | Gender-specific interventions | Post-traumatic stress disorder (PTSD) | Seeking Safety program | Trauma | Training
Document No: 188
Submitted by the CTN Dissemination Librarians, 4/17/2007.