Template library · Treatment plans
Crisis Safety Plan template
A step-by-step plan to stay safe during a mental health crisis, built collaboratively before one occurs.
- 16 fields across 7 sections
- Included with MyWellOps
- Edit it, or save your own version
What’s in it
- Client NameText
- Date CompletedDate
- ClinicianText
1. Warning Signs
- 1. Warning SignsText
- Completed by: Client
2. Internal Coping Strategies
- 2. Internal Coping StrategiesText
- Completed by: Client
3. People & Places for Distraction
- Person / place 1Text
- Person / place 2Text
- Completed by: Client
4. People to Ask for Help
- Completed by: Client
- NamePhone
5. Professionals & Agencies
- Clinician / clinic nameText
- PhoneText
- Nearest ERText
- AddressText
- Completed by: Shared
6. Making the Environment Safe
- Firearms removed / securedTick box
- Medications secured / countedTick box
- Completed by: Clinician
7. Reasons for Living
- 7. Reasons for LivingText
- Client SignatureSignature
- Clinician SignatureSignature
- Completed by: Client
When to use it
Write a treatment plan once assessment is done, to agree goals, the approach and when you will review progress — and revisit it at each review.
How it works in MyWellOps
- Start from the template and fill in the goals and interventions for this client.
- Share it with the client if you want them to see or sign it.
- Keep it on their record and update it at each review.
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