Crisis & Harm Reduction Agreement

CRISIS AND HARM REDUCTION AGREEMENT

Past events/situations/activities that have triggered relapses:

Past warning signs or symptoms I experienced while relapsing:

Coping skills that will help me when experiencing warning sign or symptoms:

Friends/Family I can call and what they can do to help me:

Who can I contact in case of an emergency (include names and telephone numbers):

Call 911 if steps 1-5 do not help me de-escalate and I feel like I cannot maintain my safety. At any time I can text MN to 741741 as an additional resource for me.

I agree to the following plan and to follow all steps outlined

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