Discharge Planning Worksheet for Substance Abuse Clients

Name: ______________

Date:__________

Aftercare weekly meetings

Session no	Day	Location	Time

Relapse prevention and warning signs.

Relapse warning signs	How to overcome them?

Aftercare support system

Name of the person	My relationship with them	Telephone number

I know that even after leaving rehabilitation, I may face difficult and triggering situations for which I will cope with the above-mentioned action plans and contact my support group. Recovery is a long-term process and I will follow this discharge plan to make this process successful.

Signature of Client: ______________

Signature of Counselor/Therapist: _____________

You can find more wellness and mental health worksheets here.

Reference

Gonçalves-Bradley DC, Lannin NA, Clemson LM, Cameron ID, Shepperd S. Discharge planning from the hospital. Cochrane Database Syst Rev. 2016 Jan 27;2016(1)

You can download more Mental Health worksheets here.

Please note: There may be a more up-to-date and editable version of this worksheet available here which may be more suitable to present to clients if you are a therapist or to use in a classroom as a teacher or guidance counsellor.