Tools for clients in crisis
HHT uses three safety plan documents depending on client presentation. Each is completed collaboratively with the client — not read aloud from a template. All completed safety plans must be documented in Sessions Health.
The three safety plans
Safety plan (standard)
The primary safety plan used with clients presenting with suicidal ideation. Based on the Stanley-Brown Safety Planning Intervention (SPI). Covers warning signs, internal coping strategies, social contacts, professional contacts, and means restriction.
Suicidal ideationStanley-Brown SPIMeans restriction
→ Open safety plan PDF
NSSI safety plan
A safety plan adapted specifically for non-suicidal self-injury. Addresses the function of the behavior, alternative coping strategies, and triggers. Used when NSSI is the primary concern and suicidal intent is absent or minimal.
NSSICoping alternativesTrigger identification
PDF coming soon — ask Joe for current version.
Relapse prevention plan
Used with clients in recovery from substance use. Covers high-risk situations, early warning signs, coping responses, support contacts, and emergency contacts. Distinct from the crisis safety plan — focused on sustained recovery.
Substance use recoveryHigh-risk situationsSupport network
PDF coming soon — ask Joe for current version.
Clinical guidance
When to use each plan
Standard safety plan: Any client with active suicidal ideation, regardless of tier. Review at every session while ideation is active. Update when life circumstances change significantly.
NSSI safety plan: When NSSI is the primary concern and suicidal intent is clearly absent. Can be used alongside the standard safety plan if both are present.
Relapse prevention plan: Clients in recovery from substance use, especially early in recovery or following a relapse.
Documentation requirements
Document in the session note: which plan was used, whether it was completed, updated, or reviewed, and any changes made. If a client refuses to engage with safety planning, document the refusal and your clinical response, and notify the supervisor.
A completed safety plan is not a substitute for clinical judgment. If a client is at high risk, a safety plan alone is not sufficient. Follow the risk framework and contact the supervisor.