CRISIS PLANNING
I feel very strongly that anyone who has ever
experienced psychiatric symptoms needs to develop for themselves, while they
are well, a crisis plan such as the one that follows. This plan allows those of
us who experience psychiatric symptoms to maintain some degree of control over
our lives, even when it feels like everything is out of control.
Developing such a plan takes time-don't expect to do it in one sitting. Work
on it with family members or friends, your counselor, case manager or
psychiatrist-whoever feels comfortable to you.
The hardest part for me was uncovering those symptoms that indicate I need
others to take over for me. It brought up memories of very hard times in the
past. I did it very slowly with lots of support.
Once you have completed the plan, keep a copy for yourself, and give copies
to all your supporters.
Update it whenever you need to.
CRISIS PLAN
When I am feeling well, I am (describe yourself when you are feeling
well):
The following symptoms indicate that I am no longer able to make decisions
for myself, that I am no longer able to be responsible for myself or to make
appropriate decisions.
When I clearly have some of the above symptoms, I want the following people
to make decisions for me, see that I get appropriate treatment and to give me
care and support:
I do not want the following people involved in any way in my care or
treatment. List names and (optionally) why you do not want them involved:
Preferred medications and why:
Acceptable medications and why:
Unacceptable medications and why:
Acceptable treatments and why:
Unacceptable treatments and why:
Preferred treatment facilities and why:
Unacceptable treatment facilities and why:
What I want from my supporters when I am experiencing these symptoms:
What I don’t want from my supporters when I experiencing these
symptoms:
Things I need others to do for me and who I want to do it:
How I want disagreements between my supporters settled:
Things I can do for myself:
I (give, do not give) permission for my supporters to talk with each other
about my symptoms and to make plans on how to assist me.
Indicators that supporters no longer need to use this plan:
I developed this document myself with the help and support of:
| Signed: |
Date: |
| Attorney: |
Date: |
| Witness: |
Date: |
| Witness: |
Date: |
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