Downloadable Forms        Click here If You Need Help Now                                        

Crisis Plan

Post Crisis Plan

Questions to Ask the Doctor about Medication

Information for the Physician

 

Crisis Planning

By Mary Ellen Copeland

I feel very strongly that anyone who has ever had mental health difficulties needs to develop for themselves, while they are well, a crisis plan such as the one that follows. This plan allows us to maintain some degree of control over our lives even when it feels like everything is out of control.

Mary Ellen Copeland on the beachDeveloping such a plan takes time - don't expect to do it in one sitting. Work on it with family members or friends, your counselor, case manager- whoever feels comfortable to you.

The hardest part for me was uncovering those signs that indicate I need others to take over for me. It brought up memories of very hard times in the past. I did it very slowly with lots of support.

Print out this page or download the PDF Crisis Plan. Once you have completed the plan, keep a copy for yourself, and give copies to all your supporters. Update it whenever you need to.

Sample Sections of the WRAP Crisis Plan:

Crisis Plan

  • When I am feeling well, I am (describe yourself when you are feeling well):
  • The following signs indicate that I am no longer able to make decisions for myself, that I am no longer able to be responsible for myself or to make appropriate decisions.
  • When I clearly have some of the above signs, I want the following people to make decisions for me, see that I get appropriate treatment and to give me care and support:
  • I do not want the following people involved in any way in my care or treatment. List names and (optionally) why you do not want them involved:
  • Preferred medications and why:
  • Acceptable medications and why:
  • Unacceptable medications and why:
  • Acceptable treatments and why:
  • Unacceptable treatments and why:
  • Home/Community Care/Respite Options:
  • Preferred treatment facilities and why:
  • Unacceptable treatment facilities and why:
  • What I want from my supporters when I am feeling this badly:
  • What I don’t want from my supporters when I am feeling this badly:
  • What I want my supporters to do if I'm a danger to myself or others:
  • Things I need others to do for me and who I want to do it:
  • How I want disagreements between my supporters settled:
  • Things I can do for myself:
  • Indicators that supporters no longer need to use this plan:
  • I developed this document myself with the help and support of:

 

Signed:Date:
Attorney:Date:
Witness:Date:
Witness:Date:

Downloadable Forms:

These forms can be filled out and used at any time.

"Now that I am thinking for myself and doing what feels right to me, I am feeling so much better. I feel like I have gotten my life back."

--WRAP User

Downloads are in PDF format, readable with Adobe Acrobat Reader. If you do not have the reader, please click here to download it free from Adobe.


Sign up for our Email Newsletter


Mary Ellen Copeland and her staff cannot address personal mental health problems and issues. We care very much about your concerns but we must focus our efforts on education and resource development. For more information on how to get help for yourself or the people you are supporting, please use the resources on this website.

© 1995-2013 Mary Ellen Copeland, PhD All Rights Reserved