RELAPSE PREVENTION AND WARNING SIGNS: (isolation, missed meetings, missed medications, failure, success, anxiety, anger, depression,-people, places or things that jeopardize my recovery) My Relapse Warning Signs are: My Action Plan is: ADDITIONAL FOR MY RELAPSE PREVENTION PLAN: (I have identified the following goals or issues as I continue to participate in my recovery (housing, employment, sponsorship, child care, transportation): PEOPLE I WILL CALL IF I FEEL LIKE USING OR BEHAVING IN WAYS THAT JEOPARDIZE MYSELF OR OTHERS: Name of Person Telephone # MY VISION FOR RECOVERY: As a person in recovery I understand that neglecting my recovery plan will jeopardize my ability to maintain my recovery. I know that addiction is a chronic condition. I know how important it is that I maintain a recovery plan that includes a strong support system with people who care for me. Time in Recovery as of this date: ____________________ Recovery Date: _________ Client Completes this Section with the Counselor / Therapist My comments regarding treatment, such as: emotional highpoints; low points; & pivotal insights as a result of treatment:
RELAPSE PREVENTION AND WARNING SIGNS: (isolation, missed meetings, missed medications, failure, success, anxiety, anger, depression,-people, places or things that jeopardize my recovery) My Relapse Warning Signs are: My Action Plan is: ADDITIONAL FOR MY RELAPSE PREVENTION PLAN: (I have identified the following goals or issues as I continue to participate in my recovery (housing, employment, sponsorship, child care, transportation): PEOPLE I WILL CALL IF I FEEL LIKE USING OR BEHAVING IN WAYS THAT JEOPARDIZE MYSELF OR OTHERS: Name of Person Telephone # MY VISION FOR RECOVERY: As a person in recovery I understand that neglecting my recovery plan will jeopardize my ability to maintain my recovery. I know that addiction is a chronic condition. I know how important it is that I maintain a recovery plan that includes a strong support system with people who care for me. Time in Recovery as of this date: ____________________ Recovery Date: _________ Client Completes this Section with the Counselor / Therapist My comments regarding treatment, such as: emotional highpoints; low points; & pivotal insights as a result of treatment:
Discharge_Plan.docx