Substance use recovery / SUR-A09-4
Harm Reduction and Safety Questions — Session activity
Facilitate a structured practice of harm reduction and safety questions with preparation, reflection, and an agreed closing.
30 minutes · Session guide · Mental health professionals
Fictional example: Jordan wants a safety conversation while still deciding on longer-term goals.
Use within your training and assessment of readiness. Reducing harm and seeking treatment can coexist with different recovery goals.
0–5 min | Agree on purpose and fit
Explain the educational scope. Ask what would be useful, check readiness and access needs, and establish choices to observe, adapt, or pass. Use an ordinary example; do not solicit trauma narratives.
5–10 min | Orient with an example
Reducing harm and seeking treatment can coexist with different recovery goals. Fictional example: Jordan wants a safety conversation while still deciding on longer-term goals. Ask what is observed and what remains uncertain.
10–20 min | Practice and compare
Prepare questions for a clinician or harm-reduction service about overdose prevention, naloxone, and other locally appropriate supports. Offer quiet individual work, a supported conversation, or an observing role. Compare two possible responses without evaluating people as right or wrong.
20–25 min | Reflect on meaning
What support can be sought now without waiting for perfect readiness? Ask what fit, what did not fit, and how culture, power, disability access, or external conditions affect the options.
25–30 min | Integrate and close
Invite one optional next step or support request. Orient to the current setting, allow an unfinished question to remain unfinished, and agree how to revisit it. End early or adapt if activation increases.
Adaptations
For a group, use fiction and no compulsory round-robin disclosure. For remote use, allow off-camera reflection and private notes. For brief use, keep one example and one question while retaining opening and closing choices.
Prompts for this resource
- What outcome would make this practice useful?
- What support can be sought now without waiting for perfect readiness?
- What adaptation or follow-up is needed?
Conceptual background
Substance Use Disorders — National Institutes of Health
Background on the approach only. Original exercises and wording are by More Than Therapy with AI assistance; the source does not validate or endorse these materials.