Relapse Prevention Plan Based on the “Jed Case Study” document and local

Relapse Prevention Plan

Based on the “Jed Case Study” document and local resources, create a relapse prevention plan.

Keep in mind that you would typically create a relapse prevention plan in collaboration with the client to ensure the greatest chance for success; however, in this instance, you will create one for Jed based on what you can glean from the case study.

Part 1: Client Demographics and Plan

Client Name:

Jed Smith

Age or Date of Birth:

31 years old

Date of Plan:

Next Date of Review:*

*This can be 30, 60, or 90 days.

Biopsychosocial Summary:

Provide a brief description of the client’s presenting symptoms.

Part 2: Harmful and Destructive Behaviors Chart

Complete the chart below by including a minimum of three behaviors as well as associated rewards and consequences related to relapse and abstinence behaviors.

List of harmful and destructive behaviors that the client will need to avoid and to prevent a relapse.

List of perceived benefits the client experiences when they choose to use drugs or engage in relapse activities.

List of possible costs for returning to use and the associated consequences.

Part 3: Current Risks of Relapse

In this section, you will identify the steps to reduce the risk of relapse. Describe how you might assist Jed to identify high-risk situations, and specific triggers leading to relapse.

What steps has the client already taken to reduce the risk of relapse? What is the client’s agreement to abstain from substance use and misuse?

What are three high-risk situations that may trigger a relapse for the client? Explain.

What are three examples of irrational thinking that may create the urge to return to previous harmful behavior leading to relapse?

Part 4: Relapse Response Plan

In this section, you will create a response plan to use when the client is faced with triggers and urges to lapse into using behavior. Complete the chart below and include coping strategies, client’s skills to redirect thoughts, and immediate actions to take before using substances.

List three people that the client identifies for a supportive network.

List three new activities the client can use as they shift their focus away from the destructive activities involved in their addiction.

List three actions or coping responses the client will utilize when a potentially negative pattern of behavior or high-risk situation emerges.

Part 5: Continued Health and Well-Being

Describe three local community and support resources that are available to the client. Identify how often and the amount of support group meetings the client will participate in (any type of recovery support meeting) to improve health and sobriety.

Describe two to four strategies the client can do to improve his family and marital relationships and explain how this is important to the success of the relapse prevention plan?

Describe how the ethnic and cultural aspects of the client may impact the relapse prevention plan?

Create a fictious emergency contact card for Jed to carry with him that includes a list the people and local resources to have available to use prior to a lapse or relapse to use substances.

Emergency Contact Card

Emergency Contact:


Contact Phone Number:

Community Resource:

Emergency Contact:


Contact Phone Number:

Emergency Hotline:

Emergency Contact:


Contact Phone Number:

Preferred Medical Provider:

Preferred Hospital:

Part 6: Signatures

Jed Smith

Client Signature


Counselor Signature