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Measurement-based care converts pattern data into micro-interventions. When lapses follow late shifts and missed meals, the plan should address physiological depletion and cue-rich windows. A structured routine—portable meal or protein snack, water, 10-minute decompression (walk/breathing), and a pre-committed call/text to a support—interrupts the high-risk chain. Psychoeducation (A) without behavior change has limited impact. Morning meditation (C) may help baseline regulation but won’t cover the evening risk window. Monthly sessions (D) reduce support during an active risk pattern. The MAC also rehearses refusal scripts for post-shift invitations, sets if-then prompts (“If I clock out after 9pm, then I text Sam and start my snack before leaving”), and considers contingency management for verified adherence. Weekly review of heavy-use days and craving intensity gauges effect; iterate by adjusting timing or adding alternate routes home to avoid alcohol cues. This targeted, time-anchored plan aligns with stepped care and strengthens self-efficacy.