Aftercare Plan

Aftercare / Relapse Prevention Plan

JADE Wellness Center
Name:

First NameLast Name
Email Address
example@example.com
Date:

MonthDayYear
Date
Treatment Goal & Objectives Addressed

Goals met during my treatment at JADE Wellness Center
Please list three treatment plan goals met during your treatment at JADE Wellness Center.
Healthy Support Network

These are the healthy supports that I have identified and for the next 90 days I will continue to work on improving my support network.
Please list four support person(s) or organizations you've developed.
Identified Triggers

These are the triggers that I have identified and for the next 90 days will continue working on them.
Please list four identified triggers.
Coping Skills I can use

For the next 90 days these are the coping skills I can use in my life to deal with triggers and stressors
Please list four coping skills.
Balance

A healthy balance in life is important for overall well-being and life satisfaction. In the next 90 days how will you improve these 8 identified aspects of life that will assist in maintaining balance in your daily routine?
List how you will improve the following areas.
Support Options:
Alcoholics Anonymous is listed in the white pages nationwide with local phone numbers. Call the Greater Pittsburgh Area AA Central Office (412)471-7472 for a listing of local meetings in your area. Narcotics Anonymous are also listed in the white pages nationwide with local phone numbers. Call (412)391-5247 or toll free (888) 251-2426 for local meeting in your area.

If you feel that you have any issues that were not addressed during treatment at JADE, we recommend that you seek out the appropriate services in order for you to receive the help needed to maintain positive growth. The following contacts may be useful:

1. Domestic Violence - 412-687-8005
2. Child Abuse - 800-932-0313
3. Women's Shelter - 412-687-8017
4. County Human Services - 412-350-3837
5. Mental Health Referral Service - 800-843-7274
6. Turtle Creek Valley MH/MR - 412-531-0222
7. Allegheny County Drug and Alcohol Program - 412-350-6956
8. Westmoreland County Drug and Alcohol Commission - 724-684-9000
Re-admittance
If you feel that you are once again in need of services at JADE Wellness Center, please do not hesitate to contact use at 412-380-0100. Your request for re-admittance will receive consideration for priority readmission.
Signature:

Clear
Should be Empty:

Aftercare / Relapse Prevention Plan

Treatment Goal & Objectives Addressed

Healthy Support Network

Identified Triggers

Coping Skills I can use

Balance

Support Options:

Re-admittance