Return-to-Use & Continuing Care / GRP448
A Flexible Continuing Plan — Scenario Card Exchange
Create a reviewable plan with routine support, increased-support options, and questions for the care team.
30 minutes · 3–12 people · Adults with trained group facilitation
Facilitator PDF · Fillable participant PDF · Open activity / add to session
UNDERSTAND THE IDEA
Reconnect before turning a setback into an identity.
A return to use is an event to understand in context. Reviewing changes in support, access, stress, and cues may help a person revise continuing care. Shame and all-or-nothing conclusions can make it harder to reconnect with help.
Facilitation lens: Focus on a prompt care connection and one practical adjustment. The activity does not assess medical stability or manage overdose, intoxication, or withdrawal.
Explore the conceptual background · Broad background, not validation of this original exercise.
Try a different interactive experience in the Activity Lab →
Fictional example
A member wants clear options if usual coping becomes insufficient.
Open with choice — 3 minutes
Explain the purpose, privacy limits, and the option to observe, use fiction, adapt, or pass. Check access needs and group readiness; do not promise absolute confidentiality.
Meet the fictional case — 4 minutes
A member wants clear options if usual coping becomes insufficient. Ask what is known, what is assumed, and what the person in the case wants.
Practice: Card sort — 16 minutes
Create a reviewable plan with routine support, increased-support options, and questions for the care team. Using only the fictional case, make cards for the goal, a contextual barrier, an available support, an alternative, and a possible next step. Sort them into what is known, what needs checking, and what requires outside help; discuss cards that can fit more than one place.
Reflect and compare — 4 minutes
How can the plan remain flexible and person-directed? Ask what fits, what does not, and what external conditions or supports affect the options. No personal disclosure is required.
Close and integrate — 3 minutes
Invite an optional observation, support request, or small next step. Passing is welcome. Agree how to revisit questions and seek appropriate help outside the exercise.
Practice output
A card arrangement showing facts, questions, and support needs.
Scope and adaptation
Use ordinary or fictional examples, not graphic substance-use stories or cue exposure. No competitive abstinence scoring, forced disclosure, or required pathway. These plans do not manage intoxication, overdose, withdrawal, or medication changes; follow individualized care and appropriate medical assessment.
Offer reading aloud, typing, drawing, pointing, or observation. Avoid mandatory movement, eye contact, touch, and body focus.
Original AI-assisted educational draft; independent clinical review pending.
Conceptual background
References inform broad principles and do not validate or endorse this original plan.