Safety & Accountability Plan

Your personal emergency response plan for high-risk situations. Keep it with you. Use it when you need it. It could save your life.

How to Use This Plan

  • Fill this out when you're in a good mental and emotional state
  • Be specific—write actual names, numbers, and locations
  • Print it and keep it in your wallet, car, or on your phone
  • Review and update it regularly as your support system changes
  • Share it with your sponsor or accountability partner
  • Your entries are automatically saved as you type
My Safety Plan
For When I'm at Risk

1 My Warning Signs

What tells me I'm heading toward relapse? Check all that apply or add your own.

2 My Support Team

Who can I call when I'm struggling? List in order of priority.

3 My Safe Places

Where can I go to get away from triggers and be safe?

4 My Coping Tools

What healthy activities help me when I'm triggered? Rank by effectiveness (1 = most helpful).

1
2
3
4
5

5 If All Else Fails

When I'm in immediate danger of relapse and nothing else is working:

24/7 Crisis Resources

6 My Commitment

Signature
Date
Witness/Accountability Partner