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

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

Formal support is optional for clinical implementation, but is required for research that will have published or publicly available outcomes. Formal support is provided via phone/zoom and can also be onsite or via email or any combination of these. Formal support is available for training, fidelity monitoring and certification of fidelity raters, certification of supervisors, as well as research consultation and program effectiveness evaluation.

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

The following are fidelity measures:

• The Seeking Safety Fidelity Scale, Long Version (also called an "adherence scale") evaluates a provider’s fidelity based on listening to a full Seeking Safety session (audio, video, or live observation). This long scale is required for research and optional clinical implementation. It is a validated scale; and is also a useful teaching tool.
• The Score Sheet is filled out by the supervisor or rater for use with the Seeking Safety Fidelity Scale, Long Version.
• A real example of the completed score sheet is also provided. It is the gold-standard rating for Seeking Safety DVD #4 -- Adherence Training Video.
• The Seeking Safety Brief Fidelity Form can be used for clinical purposes but not for research. It is also available in French.
• The Seeking Safety Session Format Checklist is a checklist of key elements of the session but is not needed if an Adherence Scale (long or brief) is used.
• The Seeking Safety Supervisor Certification Scale is used for supervisor certification, which occurs only after fidelity certification.
• Information on certification related to fidelity is available online.

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 http://www.treatment-innovations.org/articles-ss-implementation.html:

• 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. https://www.treatment-innovations.org/uploads/2/5/5/5/25555853/2009_implementation_guide_ss.pdf
• 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. https://www.treatment-innovations.org/uploads/2/5/5/5/25555853/2007_chpt_ss_ev_based_model.pdf
• Najavits, L. M. (2004). Treatment of posttraumatic stress disorder and substance abuse: Clinical guidelines for implementing Seeking Safety therapy. Alcoholism Treatment Quarterly, 22(1), 43–62. https://doi.org/10.1300/J020v22n01_04 Also, an earlier version of this article is online at Behavioral Health Recovery Management Project (www.bhrm.org).

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

Anderson, M. L., & Craig, K. S. W., (2018). Developing therapy approaches for deaf clients impacted by language deprivation. In Language deprivation and deaf mental health (pp. 83-100). Routledge.

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. https://doi.org/10.1080/23311908.2016.1212453

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(Suppl.), 12–17. https://doi.org/10.1016/j.jsat.2020.02.003

Marsh, T. N., Coholic, D., Cote-Meek, S., & Najavits, L. M. (2015). Blending Aboriginal and Western healing methods to treat intergenerational trauma with substance use disorder in Aboriginal peoples who live in Northeastern Ontario, Canada. Harm Reduction Journal, 12(1), 14–25. https://doi.org/10.1186/s12954-015-0046-1

Marsh, T. N., Cote-Meek, S., Toulouse, P., Najavits, L. M., & Young, N. L. (2015). The application of two-eyed seeing decolonizing methodology in qualitative and quantitative research for the treatment of intergenerational trauma and substance use disorders. International Journal of Qualitative Methods, 14(5). https://doi.org/10.1177/1609406915618046

Marsh, T. N., Cote-Meek, S., Young, N. L., Najavits, L. M., & Toulouse, P. (2016). Indigenous healing and seeking safety: A blended implementation project for intergenerational trauma and substance use disorders. The International Indigenous Policy Journal, 7, Article 3. https://doi.org/10.18584/iipj.2016.7.2.3

Marsh, T. N., Marsh, D. C., & Najavits, L. M. (2020). The impact of training indigenous facilitators for a two-eyed seeing research treatment intervention for intergenerational trauma and addiction. International Indigenous Policy Journal, 11(4). https://doi.org/10.18584/iipj.2020.11.4.8623

Rodriguez, A., Lau, A. S., Wright, B., Regan, J., & Brookman-Frazee, L. (2018). Mixed-method analysis of program leader perspectives on the sustainment of multiple child evidence-based practices in a system-driven implementation. Implementation Science, 13(1), Article 44. https://doi.org/10.1186/s13012-018-0737-6

Full texts of the implementation research articles above can be found at http://www.treatment-innovations.org/articles-ss-implementation.html