Outcomes of Trauma Treatment Using the TARGET Model

Frisman, Linda K.; Ford, Julián D.; Lin, Hsiu‐Ju; Mallon, Sharon; Chang, Rocío

doi:10.1080/15560350802424910

Cited by 70 publications

(64 citation statements)

References 25 publications

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“…This was despite often modest thresholds for defining a treatment completer, only one study (Sannibale et al, 2013) reported retention of over 70%. Most studies had a completion rate of 50-70%, with one large study reporting a completion rate of only 28% for the intervention group (Frisman et al, 2008).…”

Section: Quality Of Methodologymentioning

confidence: 99%

“…Five studies evaluated group-based non-trauma-focused interventions versus treatment as usual, or treatment as usual plus a placebo experimental condition (Boden et al, 2012;Frisman, Ford, Lin, Mallon, & Chang, 2008;Hien et al, 2009;Norman, unpublished;Zlotnick, Johnson, & Najavits, 2009). Seeking Safety plus treatment as usual was the experimental intervention in four of these studies (Boden et al, 2012;Hien et al, 2004;Hien et al, 2009;Norman, unpublished).…”

Section: Group-based Non-trauma-focused Approaches For Ptsd and Sudmentioning

confidence: 99%

“…The control condition in this study was a minimal intervention therapist led supportive 12-step group. The fifth study to evaluate a group-based integrated program was Frisman et al (2008). This study compared TARGET, an 8-9 week intervention, which aimed to improve adaptive coping skills, with treatment as usual.…”

Section: Group-based Non-trauma-focused Approaches For Ptsd and Sudmentioning

confidence: 99%

See 2 more Smart Citations

Psychological interventions for post-traumatic stress disorder and comorbid substance use disorder: A systematic review and meta-analysis

Roberts

Jones

et al. 2015

Clinical Psychology Review

385

315

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Section: Quality Of Methodologymentioning

confidence: 99%

Section: Group-based Non-trauma-focused Approaches For Ptsd and Sudmentioning

confidence: 99%

Section: Group-based Non-trauma-focused Approaches For Ptsd and Sudmentioning

confidence: 99%

See 1 more Smart Citation

Psychological interventions for post-traumatic stress disorder and comorbid substance use disorder: A systematic review and meta-analysis

Roberts

Jones

et al. 2015

Clinical Psychology Review

385

315

View full text Add to dashboard Cite

“…The number of studies listed is per Najavits and Hien ( 2013 ) plus a subsequent literature search. (Fallot et al 2011 ) 3 Helping Women Recover followed by Beyond Trauma (HWR/BT) (Covington et al 2008 ) 2 Integrated CBT for PTSD and SUD (ICBT) (McGovern et al 2009 ) 2 Prolonged Exposure plus BRENDA SUD counseling (PE/BRENDA) 1 PE (Foa et al 2013 ) BRENDA (Volpicelli et al 2001 ) Concurrent Prolonged Exposure (COPE) a (Mills et al 2012 ) 1 Structured Writing Therapy for PTSD plus manual-based SUD group therapy (SWT) (van Dam et al 2013 ) 1 Integrated Therapy (Sannibale et al 2013 ) 1 Trauma Adaptive Recovery Group Education and Therapy (TARGET) (Frisman et al 2008 ) (Brady et al 2001 ) b Prior version was Exposure Therapy-Revised (Najavits et al 2005 ) …”

Section: Various Modelsmentioning

confidence: 99%

Trauma and Substance Abuse: A Clinician’s Guide to Treatment

Najavits

2015

Evidence Based Treatments for Trauma-Related Psychological Disorders

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Substance use disorder (SUD) frequently co-occurs with posttraumatic stress disorder (PTSD) and trauma symptoms broadly. This comorbidity is clinically important, with research showing that it signifi es a more diffi cult course of recovery and greater impairment than either disorder alone (Ouimette and Read 2013 ). The presence of SUD also impacts how PTSD is addressed in treatment. The whole is not the sum of its parts-addressing PTSD/SUD is not simply about applying treatments for each, but requires conceptualization of how each disorder affects the other and how to engage in successful strategies to address each without worsening the other. It is like a seesaw that needs careful balancing to prevent tipping too far to one side.Too often, either the SUD or the PTSD is not addressed by clinicians. Patients still frequently hear messages from earlier eras:

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“…Part of this inability is attributable to clients' lack of knowledge about how to deal with trauma symptoms once their primary coping mechanism (i e, drugs or alcohol use) is removed (9). interpersonal skills focused broadly on increasing females' skills to establish safety including safety of substances, improving interpersonal skills to help them disengage from unsafe relationships (i e, domestic violence and substanceusing friends), and developing better emotion regulation, and coping skills to avoid extreme psychological and behavioral complications such as dissociation and self-harm (11).…”

Section: Introductionmentioning

confidence: 99%

Seeking Safety Therapy for Co-Occurring Posttraumatic Stress Disorder and Substance Use Disorder: A Case Study in Iran

Joekar

Lavasani

Mahaki

et al. 2018

Int J High Risk Behav Addict

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Literature documents the high prevalence of trauma and posttraumatic stress disorder (OTSD) in individuals with substance use disorders, which complicate the clinical profile of patients and present challenges for treatment providers. Although several evidence-based integrated therapies are developed for comorbid PTSD/SUD (substance use disorder), there is a considerable gap addressing this co-occurrence and none of such practices are studied yet on such patients. Through A-B-A single subject design, the current study aimed at exploring the effectiveness of seeking safety (SS), an integrative evidence-based therapy for PTSD/SUD, to reduce PTSD and SUD symptoms in a 32-year-old female with both disorders. Measures of PTSD checklist (PTSD checklist-civilian; PCL-C), addiction severity index (ASI), brief symptom inventory (BSI), and coping inventory for stressful situations (CISS-21) were completed by the participant at baseline, intervention, and 2-month follow-up. Results were analyzed through visual analysis and computing 3 effect size indices including standardized mean difference (SMD), mean baseline reduction (MBLR), and percent of non-overlapping data (PND). Clinically significant reductions in PTSD symptoms, psychological distress, and ASI scores, as well as improvement in coping skills were observed at intervention phase and maintained at 2-month follow-up, which indicated that the participant benefited from SS.

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Outcomes of Trauma Treatment Using the TARGET Model

Cited by 70 publications

References 25 publications

Psychological interventions for post-traumatic stress disorder and comorbid substance use disorder: A systematic review and meta-analysis

Psychological interventions for post-traumatic stress disorder and comorbid substance use disorder: A systematic review and meta-analysis

Trauma and Substance Abuse: A Clinician’s Guide to Treatment

Seeking Safety Therapy for Co-Occurring Posttraumatic Stress Disorder and Substance Use Disorder: A Case Study in Iran

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