Template library · Treatment plans
Self-Harm Safety Plan template
Builds alternatives to self-harm and reduces access to means, with clear support contacts.
- 16 fields across 5 sections
- Included with MyWellOps
- Edit it, or save your own version
What’s in it
- Client NameText
- Date CompletedDate
- ClinicianText
Urges & Triggers
- Urges & TriggersText
- Completed by: Client
Warning Signs
- Warning SignsText
- Completed by: Client
Alternative Coping Actions
- Hold ice / cold water on skinTick box
- Intense exerciseTick box
- Draw / snap a rubber band on wristTick box
- Call a support personTick box
- Completed by: Client
Means Restriction / Environmental Safety
- Means Restriction / Environmental SafetyText
- Completed by: Shared
Support Contacts & Clinician Review
- NameText
- RelationshipText
- PhoneText
- Support Contacts & Clinician ReviewText
- Client SignatureSignature
- Clinician SignatureSignature
- Completed by: Shared
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.
Spend less time on admin, more time with clients
Start free. Cancel anytime, and your data comes with you if you leave.
Would rather be shown? Book a 20-minute demo
- Free 1-on-1 onboarding
- 7-day free trial
- Cancel anytime