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MVBCN Overview > FOR PROVIDERS > Crisis Prevention Plans

Crisis Prevention Plans

This Plan is meant to help people we serve, their support persons and family members, and providers prepare for times when life seems too hard to manage. The 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” 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 individuals 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 (503-585-4965). 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 crisis plans guidelines are available below as a PDF file. They are directions for provider staff in how to use these forms.

The blank Plan form is available below in adult and youth versions, in English and Spanish, and in two different file formats. Use the file format that works best for you.

The "Ideas to Help Sparking Your Thinking" document is available below as a PDF file in English and Spanish.

  • Adult Crisis Plan (PDF): Print out this form and fill it out in handwriting.
  • Youth Crisis Plan (PDF): Print out this form and fill it out in handwriting.
  • Adult Crisis Plan (fillable Word): Type in the highlighted fields and print out the completed form.
  • Youth Crisis Plan (fillable Word): Type in the highlighted fields and print out the completed form.


Adult crisis plan (fillable Word)

Adult crisis plan (fillable Word) Spanish

Adult crisis plan (PDF)

Adult crisis plan (PDF) Spanish

Crisis plans guidelines (PDF)

Ideas to Help Spark Your Thinking (PDF)

Ideas to Help Spark Your Thinking (PDF) Spanish

Youth crisis plan (fillable Word)

Youth crisis plan (fillable Word) Spanish

Youth crisis plan (PDF)

Youth crisis plan (PDF) Spanish


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