ASSESSMENT

       Seeking Safety Adherence Scale and Score Sheet

What is it? 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. 

Learning tool:  To learn to use the Seeking Safety Adherence Scale, you may want to consider the following option.  Obtain the video "Adherence Rating Session: Healthy Relationships" (video #3) from the Seeking Safety Training Series.  The video is a full-length session with a real clinician and group of clients, unscripted. The clinician was asked to provide a full range of both good and poor aspects.  You can compare your ratings of that session with the expert rating (click here to download the 8-page expert rating). 

Shorter version:  A brief version is also available (Najavits & Heath, 2007). Although it has not yet been evaluated psychometrically, it can be useful.  See too the Session Format Checklist.

      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

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

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

          Substance Abuse

Various: Univeristy of New Mexico Center on Alcoholism, Substance Abuse and Addictions http://casaa.unm.edu/inst/inst.html 

Various: National Institute on Alcohol Abuse and Alcoholism http://www.niaaa.nih.gov/publications/ (then enter "assessment" in the search box)

          Clinicians

Providers Quality of Life: Compassion Fatigue and Satisfaction (clinician burnout/satisfaction) by Stamm www.isu.edu/~bhstamm/tests.htm