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J Psychoactive Drugs ; 39(3): 231-40, 2007 Sep.
Article in English | MEDLINE | ID: mdl-18159776

ABSTRACT

This article presents findings from a multisite study on adopting and implementing an evidence-based practice, Seeking Safety, for women with co-occurring disorders and experiences of physical and sexual abuse. It focuses on what implementation decisions different sites made to optimize the compatibility of Seeking Safety with the site's needs and experiences and on issues posed by Rogers (1995) as relevant to successful diffusion of an innovative practice. A total of 157 clients and 32 clinicians reported on satisfaction with various aspects of the model. Cross-site differences are also examined. Results show that Seeking Safety appears to be an intervention that clinicians perceive as highly relevant to their practice, and one that adds value. Clients perceive the treatment as uniquely touching on their needs in a way that previous treatments had not.


Subject(s)
Behavior Therapy , Diffusion of Innovation , Stress Disorders, Post-Traumatic/rehabilitation , Adult , Attitude of Health Personnel , Benchmarking , Evidence-Based Medicine , Female , Humans , Patient Satisfaction , Qualitative Research , Safety , Stress Disorders, Post-Traumatic/psychology , Substance-Related Disorders/psychology , Substance-Related Disorders/rehabilitation , Treatment Outcome
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