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1 Addiction Research Paper Linda Brink Seeking Safety treatment for Male Veterans with a substance use disorder And post-traumatic stress disorder Symptomatology Boden, M.T., Kimerling, R., Jacobs-Lentz,J., Bowman, D., Weaver, C., Carney, D., Walser, R., Trafton,J.A. This article addresses whether Seeking Safety when integrated with TAU,( treatment as usual,) has a better outcome than TAU standing itself. The articles I’ve chosen are older but I have chosen them to further my own understanding of what the treatment entails. Secondary to the fact that before the 1990’s it was hypothesised that treating PTSD before SUD could possibly trigger addicts to relapse trying to self medicate the feelings of fear and loss of control, the intensity of memories and the perceived unacceptability and intolerance of such emotions. The VA runs the largest substance use disorder treatment program in the world and the highest prevalence of PTSD and SUD in returning veterans with the wars in Afghanistan and Iraq has increased their priority of developing thee most cost effective and treatment for these comorbidities. TAU consisted at the time of this printing, (2011) of at least 3 group therapy sessions focusing on motivation and encouragement to engage in treatment. Patients were recruited from these groups. Patients then attended 2x weekly recovery groups focusing on building abstinence and after the 90 days of treatment focusing on maintenance of abstinence. Along with these groups patients were encouraged to take part in any of the activities offered such as groups on smoking cessation, outdoor activities, anger management, health and fitness 2 education, relaxation techniques and so forth. so on. Participants assigned to TAU attended 9 groups and 2 individual TAU treatment sessions during the 3 month trial. Patients assigned to the Seeking Safety, hereafter referred to as SS, received TAU with one exception: twice weekly “recovery groups” were replaced with SS groups led by a psychologist on the research team, and based on the SS manual which specifically outlines the format of this treatment. This group also were encouraged to make use of the above mentioned services of TAU. Recovery groups of both models were held at the same time to ensure that SS patients substituted for the “fcore” groups rather than add them on. Again, patients were encouraged to attend 24 group sessions plus once weekly individual case management which mirrored the control group. The first priority of outcomes were decreased and abstaining from substances and secondly a focus on decreasing PTSD symptoms. Data was collected exactly as my other article mentioned. At intake, again at end of treatment, (90 days) and a 3 month follow-up. The ASI, or the Addiction Severity Index, was used to evaluate past 30 days substance use. In this study 4 relevant factors were measured. Attendance, patient satisfaction, changes in active coping, and changes in PTSD severity. The results of this study were positive with high patient satisfaction throughout. 59 patients were treated us SS and 58 directed to TAU. The thing most interesting to me was that SS produced significantly higher scores over time in drug use reduction but not any difference between groups regarding alcohol consumption suggesting that alcohol is different to treat than other drugs? I honestly don’t know, and the more I learn the less I realize I know. 3 Bottom line, SS is a cost effective, can be applied in group or individual therapy, addresses coping skills and gives actual instruction and tools to combat, (no pun intended) the symptoms of PTSD and help with SUD concurrently. I now just need to save up for the manual because as well as motivational interviewing this is the only “take me by the hand and show me how” type of treatment I have been exposed to so far.