Co-occurring Mental Health & Substance Use / GRP681
Trauma-Informed Choice in Groups — Shared Pattern Map
Adapt an ordinary exercise to allow observation, external focus, and passing without requesting trauma narratives.
25 minutes · 3–10 people · Adults with trained group facilitation
Facilitator PDF · Fillable participant PDF · Open activity / add to session
UNDERSTAND THE IDEA
More than one concern can affect the same day.
Sleep, mood, trauma-related reactions, substance use, health conditions, and practical stress can interact. It may be useful to track a pattern and prepare questions for coordinated care rather than assuming one cause explains everything.
Facilitation lens: Keep discussion descriptive and avoid diagnosing group members. Identify what belongs with the therapist, medical team, crisis services, or practical support.
Explore the conceptual background · Broad background, not validation of this original exercise.
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Fictional example
A member does not want body-focused practice.
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 does not want body-focused practice. Ask what is known, what is assumed, and what the person in the case wants.
Practice: Mapping — 11 minutes
Adapt an ordinary exercise to allow observation, external focus, and passing without requesting trauma narratives. Each person privately maps the fictional case. Offer optional contributions to a shared map, then compare where context, access, and support change the picture. Do not interpret another person's map.
Reflect and compare — 4 minutes
What alternative protects meaningful choice? 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 map with at least two possible support or choice points.
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.