Seeking Safety Adherence Scale and Score Sheet

The Seeking Safety Adherence Scale is used to evaluate a clinician's use of the treatment based on listening to or watching a tape of a session (audio or video), 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).

Note: a filled-in example of the Adherence Scale Score Sheet can be freely downloaded as well. It was developed to provide a detailed "gold standard" rating in relation to the Seeking Safety Adherence Training Video.

      Other Measures

The links below are provided to help you obtain actual measures, scoring, norms, and literature on several assessment tools relevant to trauma/PTSD and substance abuse.  All are self-report, brief, and can be freely copied and distributed without charge.  However, see authors' guidelines on limitations to distribution on their websites.  Also, note that I cannot provide any further information on these measures; if you have questions about any of them, please contact the scale developer.  

Read the following book chapter for extensive listings and discussion of assessment tools:                  Najavits, LM (2004). Assessment of PTSD and substance abuse: A practical guide. In J.P. Wilson & T. Keane, Assessment of Psychological Trauma and PTSD. New York: Guilford.  

Note: in general, choosing assessment tools requires thinking out your goals, time frame, client reading level, staff resources, training, and other considerations (e.g., research versus clinical needs).  There is no standard set of assessments, but rather a variety of choices.  The chapter named in the paragraph above provides an in-depth discussion of these issues, as well as lists and resources for specific assessment tools.  For research, see also examples of completed research studies; often it can be helpful to see what assessments were used in prior studies.  The following article may also be useful: Najavits LM (2003). How to design an effective treatment outcome study. Journal of Gambling Studies, 19:317-337. Please note that Lisa Najavits can only provide consultation on assessments as part of formal research projects or as part of her on-site trainings (due to time limits); but, hopefully, the resources on this website will be helpful to you.   

          Trauma and PTSD

Trauma Symptom Checklist-40 (trauma-related symptoms) by Briere (click on "TSC-40")

Stressful Life Experiences Screening (trauma history) by Stamm & Rudolph 

PTSD Checklist-Civilian Version (PTSD diagnosis) by Weathers, Litz, Huska & Keane 

          Substance Abuse

Various: University of New Mexico Center on Alcoholism, Substance Abuse and Addictions 

Various: National Institute on Alcohol Abuse and Alcoholism (then enter "assessment" in the search box)


Providers Quality of Life: Compassion Fatigue and Satisfaction (clinician burnout/satisfaction) by Stamm 

Najavits, L.M., Clinician Background Questionnaire. 1992: Unpublished scale, Harvard Medical School (Boston, MA) and McLean Hospital (Belmont, MA).

Najavits, L.M., Knowledge of PTSD/SUD treatment principles multiple choice test. 2000: Unpublished scale, McLean Hospital, Belmont, MA.

Najavits, L.M. and F. Ghinassi, Protocol Implementation Questionnaire. 1996: Unpublished measure. Harvard Medical School/McLean Hospital, Boston, MA.