Having the ability to exercise critical thinking at a conscious level of choice versus impulsively responding may support the difference between health and continued substance misuse during periods of vulnerability. Cognitions of Choice offers twenty four critical thinking skills that are connected to three levels of developmental choice that engages self-dialog between automatic thinking, meta-thinking, and conscious thought patterns. By the time many individuals make their way into treatment and recovery programs the likelihood of their presenting with physical disabilities and mental health conditions is heightened. Incorporating the principles of Universal Design into program development allows for full access for all participants.
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