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Mental Health Counselor Template

Safety Plan T&E

A professional Mental Health Counselor template for healthcare professionals.
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Specialty

Mental Health Counselor

Used

70 times

Type

Note

Last edited

11/15/2024

Created by

Donna Janiec

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About this template

The Safety Plan T&E template is a vital tool for mental health counselors to help clients manage crises effectively. This template guides clinicians in creating a personalized safety plan, outlining warning signs, coping strategies, and support networks. It includes steps for identifying internal coping mechanisms, social settings for distraction, and contacts for help during a crisis. Additionally, it lists professionals and agencies available for emergency support. This structured approach ensures clients have a comprehensive plan to enhance their safety and well-being, making it an essential resource in mental health counseling.

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SAFETY PLAN STEP 1: WARNING SIGNS: 1. Feeling overwhelmed by daily tasks 2. Persistent negative thoughts 3. Increased irritability STEP 2: INTERNAL COPING STRATEGIES – THINGS I CAN DO TO TAKE MY MIND OFF MY PROBLEMS WITHOUT CONTACTING ANOTHER PERSON: 1. Practice deep breathing exercises 2. Engage in a creative hobby like painting 3. Listen to calming music STEP 3: PEOPLE AND SOCIAL SETTINGS THAT PROVIDE DISTRACTION: 1. Name: Sarah Johnson Contact: sarah.johnson@example.com 2. Name: Mark Lee Contact: mark.lee@example.com 3. Place: Community Library 4. Place: Local Park STEP 4: PEOPLE WHOM I CAN ASK FOR HELP DURING A CRISIS: 1. Name: Emily Carter Contact: emily.carter@example.com 2. Name: John Smith Contact: john.smith@example.com 3. Name: Lisa Brown Contact: lisa.brown@example.com STEP 5: PROFESSIONALS OR AGENCIES I CAN CONTACT DURING A CRISIS: 1. Clinician/Agency Name: Dr. Thomas Kelly Phone: 555-123-4567 Emergency Contact: 555-987-6543 2. Clinician/Agency Name: City Mental Health Services Phone: 555-234-5678 Emergency Contact: 555-876-5432 3. Local Emergency Department: City Hospital Emergency Department Emergency Department Address: 123 Main St, Anytown Emergency Department Phone: 555-345-6789 4. Suicide Prevention Lifeline Phone: 1-800-273-TALK (8255) STEP 6: MAKING THE ENVIRONMENT

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