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Intervention Checklist Worksheet
On this page we will provide you with an Intervention Checklist Worksheet It will help you
Well prepared to deal with any kind of emergency situations.
What is the Intervention Checklist Worksheet?
In order to ensure your safety and the people around you, you create an intervention checklist, just to protect yourself from any kind of emergency situation. Intervention checklist includes a written set of instructions to be followed at the time of emergency. It will have a series of gradually escalating steps that you will follow, proceeding from one step to the next, until you feel controlled, calm and safe. It will have a safety plan, clinician notes and reasons sof a referral.
How an Intervention Checklist Worksheet will help?
When you are at risk of suicide, self-harm or any other serious emergency situation but haven’t reached the level of severity required for involuntary hospitalization, it's common practice to create a an intervention checklist that has a safety plan and a number of instructison sto follow whenever get encountedred with difficult situation. It is actually a contingency plan that you prepare for yourself whenever you are headed towards a crisis.
Instructions on how to use the Intervention Checklist Worksheet
Use this worksheet to help yourself by creating an intervention Checklist.
You can download this worksheet here.
Other worksheets you maybe interested in
Below are links to a few more worksheets which are closely related to the worksheet above.
Functional Analysis With Intervention Planning Worksheet
Conclusion
On this page we provided you with an Intervention Checklist Worksheet which hopefully helped you well prepared to deal with any kind of emergency situations.
If you have any questions or comments please let us know.
Resources
The worksheets on this site should not be used in place of professional advice from a mental health professional.
You should always seek help from a mental health professional or medical professional. We are not providing any advice or recommendations here.
There are various resources where you can seek help.
You could use Online-Therapy if you feel you need counselling.
If you live in the UK then this list of resources from the NHS may help you find help.
If you live in the USA then you could contact Mental Health America who may be able to assist you further.
