MORE THAN THERAPYTHE RESOURCE LIBRARY

Co-occurring Mental Health & Substance Use / GRP690

Accessible Attention Supports — Learning Review Circle

Design written, visual, pacing, or movement options for a fictional member's access needs.

20 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 finds long verbal instructions difficult to follow.

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 finds long verbal instructions difficult to follow. Ask what is known, what is assumed, and what the person in the case wants.

Practice: Guided discussion — 6 minutes

Design written, visual, pacing, or movement options for a fictional member's access needs. Imagine the fictional person tried one part of the task and found the result mixed. Offer quiet reflection before voluntary sharing. Compare what fit, what was unavailable, and what needs revision; no one must disclose a personal setback.

Reflect and compare — 4 minutes

What changes the task rather than blaming attention? 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 learning summary with one thing to retain, revise, or discuss with qualified support.

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.