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Treatment plans should be living documents that respond to new data. Recurrent positive screens indicate inadequate control of triggers, skills gaps, or ambivalence. Option C reflects NCAC II guidance to review objectives collaboratively, reassess stage of change, and adapt interventions: add structured relapse-prevention work, enhance coping skills training, adjust frequency/intensity of services, include recovery supports, and consider contingency management or medication consultation when appropriate. It also involves clarifying testing procedures, discussing false-positive concerns respectfully, and reaffirming confidentiality. Option A is premature and may constitute inappropriate termination. Option B can damage alliance and does not teach skills. Option D neglects clinical reality and documentation standards. A responsive plan with measurable updates (e.g., additional groups, peer support attendance, more frequent monitoring) maintains engagement while addressing barriers to sustained change.