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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Military Mental Health

Background:

  • Post-traumatic stress disorder (PTSD) and substance use disorder (SUD) are prevalent among military personnel.
  • Seeking Safety (SS) is an evidence-based therapy for comorbid PTSD and SUD.
  • Military settings present unique challenges for mental health treatment delivery.

Purpose of the Study:

  • To evaluate the outcomes, feasibility, and satisfaction of the Seeking Safety (SS) model in a military outpatient setting.
  • To assess SS effectiveness without cultural adaptation for military service members.
  • To examine the impact of SS on PTSD, SUD, and overall functioning.

Main Methods:

  • A pilot trial involving 24 outpatient service members (Army, Navy, Air Force, Marines) with PTSD and/or SUD.
  • Ten clinicians received SS training and delivered the therapy.
  • Outcomes were measured using validated instruments including the Brief Addiction Monitor, PTSD Checklist-Military Version, and Sheehan Disability Scale.

Main Results:

  • Significant improvements were observed in substance use, PTSD symptoms (including Criterion D), and trauma symptomology.
  • Participants showed enhanced functioning, reduced depression, and improved coping skills.
  • Clinician training and therapy delivery were feasible, with strong participant satisfaction reported.

Conclusions:

  • The Seeking Safety (SS) model is a viable and effective treatment for comorbid PTSD and SUD in military service members.
  • The therapy can be implemented without adaptation in military settings, demonstrating positive outcomes.
  • Further research with larger samples and longer follow-up is warranted to confirm these findings.