Seeking Safety (Adult version)

Scientific Rating:
Supported by Research Evidence
See scale of 1-5

Additional Implementation Resources

Since this program Seeking Safety (Adult version) was highly rated on the Scientific Rating Scale, program representatives were asked to provide additional implementation information.

Pre-Implementation Materials

There are no pre-implementation materials to measure organizational or provider readiness for Seeking Safety (Adult version).

Formal Support for Implementation

There is formal support available for implementation of Seeking Safety (Adult version) as listed below:

There is a training coordinator who can discuss agency needs and develop a training plan that includes fidelity and supervisory training.

Fidelity Measures

There are fidelity measures for Seeking Safety (Adult version) as listed below:

The following are fidelity measures:

  • Seeking Safety Adherence Scale is used to evaluate a clinician's use of the treatment based on listening to an audio recording of a session, or sitting in on the session. It is used for outcome research and for general clinical supervision purposes.
  • The Adherence Scale Score Sheet is a form that the supervisor or rater fills out for use with the Adherence Scale.
  • The Brief Adherence Form can be used for clinical purposes (but not for research).
  • The Session Format Checklist is an additional form that can be useful to verify the elements of the session (but if using the Adherence Scale, it is not needed).

All are available at

Implementation Guides or Manuals

There are implementation guides or manuals for Seeking Safety (Adult version) as listed below:

These and several other articles on implementation of Seeking Safety are available at

  • Najavits, L. M. (2009). Seeking Safety: An implementation guide. In A. Rubin & D. W. Springer (Eds.), The clinician's guide to evidence-based practice (pp. 311–347). Wiley.
  • Najavits L. M. (2007). Seeking Safety: An evidence-based model for substance abuse and trauma/PTSD. In K. A. Witkiewitz & G. A. Marlatt (Eds.), Therapists' guide to evidence-based relapse prevention: practical resources for the mental health professional (pp. 141–167). Elsevier Press.
  • Najavits L. M. (2004). Implementing Seeking Safety therapy for PTSD and substance abuse: Clinical guidelines. Alcoholism Treatment Quarterly, 22, 43–62. Also, an earlier version of this article is online at Behavioral Health Recovery Management Project (

Research on How to Implement the Program

Research has been conducted on how to implement Seeking Safety (Adult version) as listed below:

Crisanti, A. S., Murray-Krezan, C., Karlin, L. S., Sutherland-Bruaw, K., & Najavits, L. M. (2016). Evaluation of an evidence-based practice training for peer support workers in behavioral health care, Cogent Psychology, 3, Article 1212453.

Hien, D., Kropp, F., Wells, E. A., Campbell, A., Hatch-Maillette, M., Hodgkins, C., Killeen, T., Lopez-Castro, T., Morgan-Lopezi, A., Ruglass, L. M., Saavedra, L., & Nunes, E. V. (2020). The “Women and Trauma” study and its national impact on advancing trauma specific approaches in community substance use treatment and research. Journal of Substance Abuse Treatment, 112, 12–17.