The authors evaluated the Seeking Safety program's effectiveness for treating posttraumatic stress disorder (PTSD) and substance use symptoms across 12 between‐groups studies (N = 1,997 participants). Separate meta‐analytic procedures for studies implementing wait list/no treatment (n = 1,042) or alternative treatments (n = 1,801) yielded medium effect sizes for Seeking Safety for decreasing symptoms of PTSD and modest effects for decreasing symptoms of substance use. Limitations of the findings and implications for counselors are discussed.

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Insufficient exploration of multicultural social justice competence in research methodology and procedures may contribute to lingering clinical problems for diverse populations. Using transcultural theory to evaluate the effectiveness of cross‐national research, the authors examined the various cross‐national methodological challenges during the research design, analysis, and interpretation stages. Recommendations focus on expanding the Multicultural Social Justice Counseling Competencies (Ratts, Singh, Nassar‐McMillan, Butler, & McCullough, ) to prepare researchers with enhanced skills to explore issues involving diverse populations.

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