Peer-Led Seeking Safety: Results of a Pilot Outcome Study with Relevance to Public Health

Autor:	Lisa M. Najavits, Mark Vargo, Nancy Hamilton, Niki A. Miller, Jackie Griffin, Thomas Welsh
Rok vydání:	2014
Předmět:	Adult Stress Disorders Traumatic medicine.medical_specialty Time Factors Substance-Related Disorders media_common.quotation_subject Medicine (miscellaneous) Fidelity Pilot Projects Qualitative property Peer Group Cocaine dependence Young Adult Risk Factors Surveys and Questionnaires Adaptation Psychological medicine Humans Psychiatry General Psychology media_common Public health medicine.disease Mental health Checklist Substance abuse Leadership Treatment Outcome Scale (social sciences) Psychotherapy Group Substance Abuse Treatment Centers Psychology Clinical psychology Psychopathology
Zdroj:	Journal of Psychoactive Drugs. 46:295-302
ISSN:	2159-9777 0279-1072
DOI:	10.1080/02791072.2014.922227
Popis:	There is a rich history of peer-led recovery efforts related to substance use disorder (SUD). Yet we know of no peer-led approaches for co-occurring SUD and trauma-related problems. This combination is widespread, has impact on multiple life domains, and presents major recovery challenges. In this pilot, we evaluated peer-led Seeking Safety (SS). SS is the most evidence-based and widely implemented therapy for SUD with co-occurring PTSD or other trauma-related problems. Eighteen women in residential substance-abuse treatment participated. All met SUD criteria (primarily opiate and cocaine dependence); most had a comorbid mental health disorder; and they had elevated trauma-related symptoms. The 25 SS topics were conducted twice-weekly. Participants were assessed at baseline and end-of-treatment, with some measures also collected monthly. Results showed significant positive outcomes in trauma-related problems (the Trauma Symptom Checklist-40); psychopathology (the Brief Symptom Inventory); functioning (the BASIS-32, including impulsive-addictive behavior); self-compassion (the Self-Compassion Scale); and SS coping skills. Effect sizes were consistently large. SS satisfaction and fidelity ratings were high. Substance use levels could not be assessed due to the residential setting. Qualitative data indicated enthusiasm for peer-SS by both peers and staff. Study limitations, future research, and public health relevance are discussed.
Databáze:	OpenAIRE
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