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Relapse Prevention Plan Template

This template provides guidance for creating a relapse prevention plan with 3 key elements: 1) Identifying goals and motivations for improvement, 2) Anticipating challenges and developing coping strategies, and 3) Outlining relapse prevention strategies including self-care, building a support system, and maintaining accountability.

Uploaded by

Janelle
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3K views2 pages

Relapse Prevention Plan Template

This template provides guidance for creating a relapse prevention plan with 3 key elements: 1) Identifying goals and motivations for improvement, 2) Anticipating challenges and developing coping strategies, and 3) Outlining relapse prevention strategies including self-care, building a support system, and maintaining accountability.

Uploaded by

Janelle
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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RELAPSE PREVENTION PLAN

this template is to help you outline your plan on how you will manage
addiction recovery and prevent relapse from occurring

Identify Your GOALS

how would you like to self-improve? i.e. improve my diet, budget better, fix a broken relationship

What MOTIVATES you?

what outcomes of improvement motivate you? i.e. saving more money, losing weight, having free time

CHALLENGES you may face...

Triggers that may challenge you. i.e. seeing old friends, being at a bar or party, seeing alcohol

my COPING skills

skills and strategies to cope. i.e. going to the gym, calling my mentor/sponsor, attending meetings, meditating
RELAPSE PREVENTION strategies

behaviors you will observe to prevention relapse from occurring. i.e. Making new friends, volunteering, staying healthy

I will practice SELF-CARE with

how will you improve your daily lifestyle by taking care of your body and mind? i.e. meditate, exercise, eat better

people in my SUPPORT SYSTEM

name the people who are closest to you, who support you, who want you to succeed. i.e. siblings, parents, mentors

I will remain ACCOUNTABLE by

name your consequences ahead of time, if you slip up or don’t hit a goal, you must keep yourself accountable

I am GRATEFUL for

name your consequences ahead of time, if you slip up or don’t hit a goal, you must keep yourself accountable

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