Substance Abuse Safety Plan Worksheet

Identify the current trigger for your substance-related cravings.

Specify the main reasons because of which you stopped using?

Write a few words about how far you have come since you stopped using. What positive outcomes have you experienced.

List down healthy coping strategies that have worked for you in the past (E.g. taking a walk, talking to a friend).

Name some of your friends you can contact in times of crises.

What professional places do you know where you can seek help in times of crisis?

(therapist can provide a list of places in their area)

Write down some of the negative consequences of starting to use again?

Reference

Kuehn, B. M. (2010). FDA opioid safety plan promotes patient, and physician education to prevent abuse. JAMA, 304(8), 845-845..

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.