My personalrecovery plan
Part 1My feel good planPage 1
Part 3
My plan for moving on again after relapsePage 21
Part 4
My plan for following my hopes and dreamsPage 43
Part 2My plan for managing highs and lowsPage 13
Part 1My feel good planDate:
1My personal recovery plan
Name:Date:
Friend
Artist
Art lover
Son
Daughter
Footballer
Football fan
Brother
Sister
Musician
Music fan
Food lover
Worker
Book lover
Dancer
Fun lover
Cyclist
Studious
Father
Mother
Nephew
Niece
Spiritual person
Animal lover
Volunteer
Caring person
Good cook
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Sociable
A loner
Cautious
Athletic
Optimistic
Pessimistic
Responsible
Curious
Easy going
Outgoing
Talkative
Introverted
Extroverted
Happy
Industrious
Supportive
Adventurous
Outspoken
Spontaneous
Quiet
Energetic
A fast learner
Thoughtful
Encouraging
Competent
Serious
Hard working
Confident
Enthusiastic
Opinionated
Funny
Generous
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3My feel good plan2 My personal recovery plan
I see myself as... What I am like when I am feeling good/ok:
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5My feel good plan4 My personal recovery plan
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Things I do every week or on some days of the week to feel ok:
Things I do every day to feel ok:(for example, read a book, take exercise, listen to music, get some fresh air)
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7My feel good plan6 My personal recovery plan
Things I avoid to feel ok: My weekly timetable:
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(for example, arguments, going to bed too late)
9My feel good plan8 My personal recovery plan
My weekly timetable:
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My weekly timetable:Ev
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11My feel good plan10 My personal recovery plan
My weekly timetable:
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My weekly timetable:Ev
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Part 2My plan for managinghighs and lowsDate:
13My plan for managing highs and lows12 My personal recovery plan
My weekly timetable:Ev
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Mon Tues Wed Thurs Fri Sat Sun
15My plan for managing highs and lows14 My personal recovery plan
My triggers/thoughts: The action/skill I will take/use: My triggers/thoughts: The action/skill I will take/use:
How to manage my highs and lows How to manage my highs and lows
17My plan for managing highs and lows16 My personal recovery plan
My early warning signs: My signs that things are breakingdown and a relapse is looming: The action I will take:
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How I recognise my early warning signs How I recognise that things are breaking down
19My plan for managing highs and lows18 My personal recovery plan
Daily recording chart: Daily recording chart:using a red-amber-green traffic light system using a red-amber-green traffic light system
Month: Year:
Green: Good
Amber: Early warning signs
Red: Signs that things are breaking down
Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Medication / PRN ________________________________________________________________________________
Notes (triggers, actions taken, skills used etc) _______________________________________________________
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Month: Year:
Green: Good
Amber: Early warning signs
Red: Signs that things are breaking down
Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Medication / PRN ________________________________________________________________________________
Notes (triggers, actions taken, skills used etc) _______________________________________________________
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Month: Year:
Green: Good
Amber: Early warning signs
Red: Signs that things are breaking down
Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Medication / PRN ________________________________________________________________________________
Notes (triggers, actions taken, skills used etc) _______________________________________________________
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21My plan for moving on again after relapse20 My personal recovery plan
Part 3My plan for movingon again after relapseDate:
Daily recording chart using a red-amber-green traffic light system
23My plan for moving on again after relapse22 My personal recovery plan
Preparations for my move
What needs to be sorted out:
What help I will needand from whom:
What I will doto sort it out:
Things I need to get sorted out before my move:
Preparations for my move
What needs to be sorted out:
What help I will needand from whom:
What I will doto sort it out:
Things I need to get sorted out before my move:
25My plan for moving on again after relapse24 My personal recovery plan
Things that will help me to keep okay:
I would like help with ___________________________________________________________________
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The person/organisation who can provide this is _________________________________________
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Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
Timetable for my first week at my new place:
The help I need to get to my new place Preparations for my move
27My plan for moving on again after relapse26 My personal recovery plan
Whether or not you have been in hospital...
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My weekly timetable for stablising/improving my life:
Name: Telephone: What I would like them to do:
My supporters / care team and what I would like them to do:
In an emergency I can request contact with:
29My plan for moving on again after relapse28 My personal recovery plan
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Signs that I may bestarting to feel worse: The action I will take:
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My weekly timetable for stablising/improving my life:
What to look out for if I experience difficulties
31My plan for moving on again after relapse30 My personal recovery plan
People I need to thank:
People I need to apologise to:
Problems I need to sort out:
Who and what I need to do:
What help I will need and from whom:
When I need to do it:
Day-to-dayresponsibilities(eg cooking, cleaning,managing finances)
Exercise, looking after yourself, responsibilities toother people in your life
Work, educationor other day-time activities
Things I did before my relapse that I value and want to get back to:
Priority:1 = to do first 2 = to do next etc
The things I need to sort out: Resuming activities and responsibilities I value:
33My plan for moving on again after relapse32 My personal recovery plan
Leisure activities:
Friends and social
activities:
Faith and religious
activities:
Things I did before my relapse that I value and want to restore:
Priority:1 = to do first 2 = to do next etc
Plan: The support I need:
Plan: The support I need:
Resuming activities and responsibilities I value: Responsibility or activity:
Responsibility or activity:
35My plan for moving on again after relapse34 My personal recovery plan
Plan: The support I need:
Plan: The support I need:
Responsibility or activity:
Responsibility or activity:
Plan: The support I need:
Plan: The support I need:
Responsibility or activity:
Responsibility or activity:
37My plan for moving on again after relapse36 My personal recovery plan
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Who is important to me and why?
Plan: The support I need:
Plan: The support I need:
Responsibility or activity:
Responsibility or activity:
39My plan for moving on again after relapse38 My personal recovery plan
Keeping fit (for example, walking, going outside for fresh air, going to the gym.)
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How to keep going (what has helped in the past?)
41My plan for moving on again after relapse40 My personal recovery plan
Changes to my feel good plan:(things to do and things to avoid)
Triggers and actions to take in response:
Early warning signs and actions to take when you notice them:
Signs that things are breaking down and actions to be taken when you notice them:
Letting others know how to handle my relapse:
What have I learned from my relapse:
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Keeping fit (for example, walking, going outside for fresh air, going to the gym.)
43My plan for following my hopes and dreams42 My personal recovery plan
Part 4My plan for following my hopes and dreamsDate:
Changes to my feel good plan:(things to do and things to avoid)
Triggers and actions to take in response:
Early warning signs and actions to take when you notice them:
Signs that things are breaking down and actions to be taken when you notice them:
Letting others know how to handle my relapse:
What have I learned from my relapse:
My goals are:
45My plan for following my hopes and dreams44 My personal recovery plan
The goal I want to work on is: ____________________________________________________________
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How long it might take to achieve this goal: ______________________________________________
My overall plan for working towards this goal: ____________________________________________
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Long term Short term
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47My plan for following my hopes and dreams46 My personal recovery plan
The first steps I will take:
Tick when done
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The goal I want to work on is: ____________________________________________________________
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How long it might take to achieve this goal: ______________________________________________
My overall plan for working towards this goal: ____________________________________________
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49My plan for following my hopes and dreams48 My personal recovery plan
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Notes:
Information I will need and where I will get it from:
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Support and help I may need and who I will get it from:
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Trust Headquarters
T. 020 8354 8354E. [email protected]. www.wlmht.nhs.uk
West London Mental Health NHS TrustTrust HeadquartersUxbridge RoadSouthallUB1 3EU
Paintings produced by patients of West London Mental Health Trust.
© 2008 South West London and St George’s Mental Health NHS Trust. All rights reserved. 28
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