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Sample Relapse Contract
1. If I drink alcohol at all, in any amount, I will sit down the following day and review what to
do in the event of a relapse. I will use my trigger sheets to sure out what
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How to fill out sample relapse contract

How to fill out sample relapse contract
01
Step 1: Start by clearly defining the terms of the relapse contract. This includes stating the purpose of the contract, the rules and expectations for the individual involved, consequences of relapse, and any additional conditions.
02
Step 2: Determine the duration of the contract. Specify the specific start and end date for the contract, or outline the conditions under which the contract can be terminated.
03
Step 3: Include a section for the individual to list their personal goals and commitments towards their recovery. This may involve stating abstinence goals, attending support groups, regular therapy sessions, or engaging in healthy coping mechanisms.
04
Step 4: Clearly outline the consequences or penalties for violating the terms of the contract. This can include loss of privileges, increased monitoring, additional treatment requirements, or other appropriate consequences.
05
Step 5: Signatures and witnesses. Ensure that the contract is signed by both parties involved, including any witnesses present during the signing. This will help to establish the seriousness and accountability of the contract.
06
Step 6: Review and update the relapse contract as necessary. Regularly evaluate the effectiveness of the contract and make modifications to better suit the individual's needs and progress in their recovery journey.
Who needs sample relapse contract?
01
Individuals who have previously struggled with addiction and are seeking to maintain their recovery.
02
People who want to establish clear guidelines and accountability in their journey towards sobriety.
03
Substance abuse treatment facilities or counselors who wish to provide a structured relapse prevention tool for their clients.
04
Family members or loved ones who want to support their loved ones in their recovery process and provide them with a relapse prevention framework.
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What is sample relapse contract?
A sample relapse contract is a document outlining the terms and conditions under which a person agrees to return to a treatment program if they relapse during their recovery.
Who is required to file sample relapse contract?
Individuals undergoing treatment for substance abuse or addiction are typically required to file a sample relapse contract.
How to fill out sample relapse contract?
To fill out a sample relapse contract, the individual will need to provide personal information, details about their treatment plan, triggers for potential relapse, and the steps they will take if a relapse occurs.
What is the purpose of sample relapse contract?
The purpose of a sample relapse contract is to establish clear guidelines and expectations for individuals in recovery and to ensure they have a plan in place to address any potential relapses.
What information must be reported on sample relapse contract?
Information such as personal details, triggers for relapse, coping strategies, support network, and steps to be taken in case of relapse must be reported on a sample relapse contract.
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