As we move toward implementation, the importance of model fidelity is paramount. The links below are to fidelity scales and information regarding the adoption and implementation of the EBPs recognized by the NC DHHS and the NCPIC.
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) was developed to treat post-traumatic stress and related emotional and behavioral problems in children and adolescents. Developed in the 1980’s, it has been used successfully and extensively both in the United States and other countries. A comprehensive implementation manual with fidelity scale is provided at:
The Matrix Intensive Outpatient Treatment model was developed in the 1980s by researchers at the University of California, Los Angeles and clinicians at the Matrix Institute on Addictions. Together, they looked at the specific problems and behavioral needs of clients in treatment for stimulant abuse and collaborated to develop an effective outpatient service. The State of Oregon provides the public with two fidelity scale worksheets (structural and minute by minute). To view or download these scales, go to:
Seeking Safety was developed to treat PTSD and trauma related disorders in 1992. In the mid- 1990s, it was adopted by the U.S. Department of Veteran’s Affairs. The model is based on a “here and now” approach to address substance abuse problems and related intrusive thoughts associated with trauma. The model is manualized with 25 sessions that can be done in any order. The model is based on five key principles that include: (1) safety and security is critical to recovery; (2) it is necessary to address substance abuse and mental health symptoms at the same time; (3) address ideals of clients; (4) promote cognitive, behavioral, and interpersonal change and provide case management; and (5) always stay mindful of clinician’s “process”. To review the fidelity measure associated with Seeking Safety (Adherence Scale with score sheet), please go to the following site: