From 7dace19c8e8b2761d011e312edc8254ced0ce7c9 Mon Sep 17 00:00:00 2001 From: medusa Date: Tue, 6 Aug 2024 06:41:47 +0000 Subject: [PATCH] Add personal/safey_plan.md --- personal/safey_plan.md | 90 ++++++++++++++++++++++++++++++++++++++++++ 1 file changed, 90 insertions(+) create mode 100644 personal/safey_plan.md diff --git a/personal/safey_plan.md b/personal/safey_plan.md new file mode 100644 index 0000000..4d9d841 --- /dev/null +++ b/personal/safey_plan.md @@ -0,0 +1,90 @@ +### Sample Safety Plan + +**Patient Name**: John Doe +**Date**: [Current Date] +**Clinician**: Dr. Smith + +#### **1. Warning Signs** +**Identify signs that indicate a crisis might be developing.** + +- Persistent or worsening feelings of sadness, hopelessness, or worthlessness. +- Increased anxiety or panic attacks. +- Thoughts of self-harm or suicide. +- Withdrawal from social interactions and activities. +- Increased substance use or risky behaviors. +- Trouble sleeping or significant changes in sleep patterns. + +#### **2. Coping Strategies** +**List personal coping strategies the patient can use to manage their symptoms.** + +- Practice deep breathing exercises or mindfulness meditation. +- Engage in physical activities like walking, jogging, or yoga. +- Distract yourself with hobbies, such as reading, drawing, or gardening. +- Write in a journal to express feelings and thoughts. +- Listen to calming or favorite music. + +#### **3. Social Supports** +**Identify people the patient can contact for support.** + +- **Family Members**: + - [Name, Relationship, Phone Number] + - [Name, Relationship, Phone Number] + +- **Friends**: + - [Name, Relationship, Phone Number] + - [Name, Relationship, Phone Number] + +- **Support Groups**: + - [Name of Group, Contact Person, Meeting Time/Location] + +#### **4. Professional Resources** +**List mental health professionals and crisis resources the patient can contact.** + +- **Primary Clinician**: + - Dr. Smith, [Phone Number], [Email] + +- **Therapist/Counselor**: + - [Therapist's Name], [Phone Number], [Email] + +- **Emergency Contact**: + - [Emergency Contact Person, Phone Number] + +- **Local Crisis Hotline**: + - [Hotline Name, Phone Number] + +- **National Suicide Prevention Lifeline**: + - 1-800-273-TALK (8255) or text "HELLO" to 741741 + +#### **5. Safe Environment** +**Steps to make the environment safe and reduce access to means of self-harm.** + +- Remove or secure potentially harmful objects (e.g., sharp objects, medications). +- Keep emergency contact numbers readily accessible. +- Develop a plan to stay with a trusted friend or family member during high-risk times. + +#### **6. Emergency Steps** +**Specific steps to follow if the patient feels they are in immediate danger.** + +1. **Recognize Warning Signs**: Acknowledge the signs of a crisis. +2. **Use Coping Strategies**: Implement personal coping strategies listed above. +3. **Reach Out for Support**: Contact a trusted friend, family member, or support group. +4. **Contact Professional Help**: Call the primary clinician, therapist, or crisis hotline. +5. **Seek Emergency Assistance**: If feeling unsafe or unable to manage the crisis: + - Call 911 or go to the nearest emergency room. + - Inform emergency services of the immediate risk of self-harm or suicide. + +#### **7. Follow-Up Plan** +**Outline the follow-up plan to ensure continued support and monitoring.** + +- **Next Appointment**: [Date and Time] +- **Check-In Calls**: Schedule regular check-in calls or messages from the clinician or support person. +- **Therapy Sessions**: Continue attending scheduled therapy sessions. +- **Medication Review**: Regularly review the effectiveness and side effects of medications. + +**Patient Signature**: ______________________ **Date**: _______________ + +**Clinician Signature**: ____________________ **Date**: _______________ + +### Notes: +- Keep this safety plan in a place where it can be easily accessed during a crisis. +- Review and update the safety plan regularly, especially after any significant changes in symptoms or life circumstances. \ No newline at end of file