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DV/SA Personalized Safety Plan Name: ___ Date: ___ I will review this safety plan every: ___ Code word: ___Step 1: Safety When Preparing to Leave I can trust this person(s) to leave (money, keys,
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How to fill out personalized safety planning template

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How to fill out personalized safety planning template

01
Start by identifying triggers or warning signs that indicate a potential danger.
02
List out emergency contacts including friends, family members, and local authorities.
03
Develop a safety strategy for different scenarios such as domestic violence situations or mental health crises.
04
Create a plan for a safe place to go in case of emergency.
05
Consider using technology for added safety measures such as setting up emergency alerts on your phone.
06
Regularly review and update your personalized safety plan as needed.

Who needs personalized safety planning template?

01
Individuals at risk of domestic violence
02
People dealing with mental health issues
03
Those in high-risk professions such as social workers or healthcare providers
04
Anyone living in an unsafe environment
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Personalized safety planning template is a document designed to help individuals assess their own safety risks and create a plan to address those risks.
Individuals who are at risk of danger or harm and are seeking assistance in developing a safety plan are required to file the personalized safety planning template.
The personalized safety planning template should be filled out by carefully considering one's specific safety concerns, identifying potential risks, and outlining steps to mitigate those risks.
The purpose of personalized safety planning template is to empower individuals to take control of their safety and well-being by identifying potential risks and creating a plan to address them.
Information such as personal details, safety concerns, risk factors, emergency contacts, and safety strategies must be reported on the personalized safety planning template.
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