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Seeking Safety Treatment Group Referral Form Referral Date: Patients Name: WC Chart #: Date of Birth: HC#: Phone: Diagnosis/Chief Complaint & Reason for Referral: Substance use history: (please include
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To fill out the seeking safety treatment group, follow these steps:
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Start by obtaining all necessary paperwork and documents related to the treatment group, such as registration forms or consent forms.
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Begin by providing your personal information accurately, including your full name, date of birth, contact details, and any relevant medical or mental health history.
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Answer all the questions honestly and to the best of your ability. Be open about your experiences, concerns, and goals related to seeking safety.
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Once you are satisfied with the accuracy of your filled-out seeking safety treatment group form, submit it through the designated method, whether it is an online submission, mailing, or hand-delivery.
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Wait for confirmation or further instructions from the treatment group facilitators regarding your enrollment and participation in the seeking safety program.
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Who needs seeking safety treatment group?

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The seeking safety treatment group is beneficial for individuals who meet the following criteria:
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- Those who have experienced trauma or have a history of traumatic events in their lives.
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- Those struggling with substance abuse or addiction issues.
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- Individuals with a co-occurring diagnosis of substance abuse and post-traumatic stress disorder (PTSD).
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- People who exhibit symptoms of PTSD or related trauma-related disorders, such as flashbacks, nightmares, anxiety, or hypervigilance.
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It is important to consult with a mental health professional or the treatment group facilitators to determine if the seeking safety treatment group is appropriate for your specific needs and circumstances.
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Seeking Safety is a present-focused and coping skills therapy to help people attain safety from trauma and/or substance abuse.
Individuals who are seeking treatment for trauma and substance abuse issues may be required to participate in the Seeking Safety treatment group.
Individuals can fill out the Seeking Safety treatment group by attending the group therapy sessions and actively participating in the discussions and activities.
The purpose of Seeking Safety treatment group is to provide individuals with coping skills to help them attain safety from trauma and substance abuse.
Important information such as personal experiences with trauma and substance abuse, coping mechanisms, and progress in the treatment are typically reported in the Seeking Safety treatment group sessions.
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