MVBCN Overview > FOR PROVIDERS > Personal Action/Crisis Prevention Plan
Personal Action/Crisis Prevention Plan
This Plan is meant to help clients/consumers, their support
persons and providers prepare for times when life seems too hard to
manage. This Plan is designed to support conversations about what would
help when additional support or action is needed. It is not just
another form to fill out! It may be helpful to talk about this Plan
with a person who knows you well enough to understand your strengths
and your challenges. It is best to complete this Plan when you are
feeling better about yourself and your life.
The list of “Ideas to Help Spark Your Thinking” that is included
with the Plan is meant only to start a conversation, and to encourage
you to be creative and decide what is important to you. We don’t want
you to just “choose one or two and fill in the blank”. Use your own
ideas and make this Plan truly fit you. You can fill out this Plan by
yourself, with a peer support person or family member or friend, or
with a mental health provider.
This Plan is best used by professionals as a tool to begin a
series of conversations about recovery, how clients experience good
times, and what might help them recognize and cope with times of stress
or difficulty.
The Plan is most useful if it is available to you and your support
people at moments of crisis. Consider having copies in several places:
- Where you can find it easily as needed
- In the file kept by your mental health provider
- On file with the local psychiatric crisis response team – for many
people within the BCN region this would be the Psychiatric Crisis
Center (503-585-4949). You can fax the form to the MVBCN at
503-585-4989 and we will get it to the crisis team in your county.
About the downloads below:
The file below
labeled "Personal Action/Crisis Prevention Plan (PDF)" includes the
instructions, the blank Plan form and “Ideas to Help Spark Your
Thinking”.
The blank Plan form
is available below in three different file formats. Use the file format
that works best for you. There is also a wallet card format.
-
PACPP Form (PDF): Print out this form and fill it out in handwriting.
-
PACPP Form (Fillable PDF): There are 2 ways to use this version. Print out the form and fill it out in handwriting. Or type in the highlighted fields and print out the completed form.
-
PACPP Form (Word): Type in the highlighted fields and print out the completed form.
- Wallet Card Format (PDF): The wallet card is a form to write
on which gives an easy-to-carry copy of the plan. Print this as a 2
sided-form, 3 cards to a page, and fold twice. If you print on paper
heavier than normal copier paper, they will last longer.
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