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Implementing an evidence-based practice: Seeking Safety Group
Vivian B Brown1, Lisa M Najavits, Sharon Cadiz
1PROTOTYPES, Centers for Innovation in Health, Mental Health, and Social Services, Los Angeles, CA, USA. protoceo@aol.com
Journal of Psychoactive Drugs
|December 28, 2007
Summary
This study found that the evidence-based practice Seeking Safety was highly valued by clinicians and uniquely met the needs of women with co-occurring disorders and trauma. Implementation decisions influenced its successful adoption.
Area of Science:
- Mental Health
- Trauma-Informed Care
- Addiction Treatment
Background:
- Co-occurring disorders and experiences of physical/sexual abuse present complex treatment challenges.
- Evidence-based practices are crucial for effective intervention in these populations.
- Successful adoption requires understanding implementation decisions and diffusion of innovations.
Purpose of the Study:
- To examine the adoption and implementation of Seeking Safety, an evidence-based practice.
- To explore how sites optimized Seeking Safety for their specific needs and experiences.
- To analyze factors influencing the diffusion of this innovative practice.
Main Methods:
- A multisite study involving 157 clients and 32 clinicians.
- Investigated implementation decisions and their impact on practice compatibility.
- Examined client and clinician satisfaction with the Seeking Safety model.
Main Results:
- Clinicians perceived Seeking Safety as highly relevant and valuable to their practice.
- Clients reported that Seeking Safety uniquely addressed their needs unlike previous treatments.
- Cross-site differences in implementation decisions were observed.
Conclusions:
- Seeking Safety is a well-received and effective intervention for women with co-occurring disorders and trauma.
- Site-specific implementation strategies are key to optimizing the adoption of evidence-based practices.
- The study highlights the importance of practice compatibility and perceived value in successful intervention diffusion.
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