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CARF Personal Safety Planning

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Our Personal Safety Planning download document provides you with the following resources:

  • Overview and Implementation Guide: Intent of the planning process, overview of related standards, and how to implement the included tools.
  • Positive Behavioral Management Policy and Procedure: Provides an example for meeting the requirement of policies and written procedures that address positive approaches to the program's use of behavioral interventions (Section 2: Program/Service Structure).
  • Personal Safety Plan Screening Tool #1: Determines if there is a need for a safety planning assessment immediately upon program entry.
  • Personal Safety Plan Screening Tool #2: Determines if there is a need for a safety planning assessment immediately upon program entry.
  • Child and Adolescent Personal Safety Plan Assessment:  Guides provider identification of an individual's triggers, coping skills, warning signs, and preferred interventions and produces information that is transferable to the safety plan template. Contains age appropriate assessment content. Designed to be administered to parent/guardian for young children, and to an adolescent, if appropriate.
  • Adult Personal Safety Plan Assessment: Guides provider identification of an individual's triggers, coping skills, warning signs, and preferred interventions and produces information that is transferable to the safety plan template. Contains age appropriate assessment content. Designed to be administered an adult.
  • Personal Safety Plan Template 1: Designed to transfer assessment outcomes, in the areas of triggers, coping skills, warning signs, and preferred interventions, directly onto the template in a clear, understandable, and accessible format. Provides brief narrative preceding all four plan areas to assist direct service staff with implementation. Narrative in planning areas allows for plan template to be used directly after the screening tool to bypass a full assessment, if appropriate.
  • Personal Safety Plan Template 2: Designed the same as template 1, without the brief narrative preceding the four planing areas.
  • Assessment Tool/ Domestic Violence: A comprehensive tool to assess the history and current status of domestic violence.
  • Identification of Actions to Increase Personal Safety Tool/Domestic Violence: Based on proven strategies to increase safety for persons dealing with domestic violence life situations.
  • Personal Safety Planning Tool/Domestic Violence: A template to list and identify the actions the person served has agreed to implement to increase personal safety, and to monitor the progress of the actions.

 

All downloads are in Microsoft Word format for easy editing.


  41Total Pages