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The purpose of this document is to create an easily accessible plan to help promote safer use of substances without resorting to abstinence. This document can be particularly helpful for clients who do not wish to abstain from substances. Please note, this document is not intended as medical advice. It works for therapists, case managers, social workers, peer supporters, and harm reduction programs, and for anyone who wants to make a plan for themselves. You can go through it together in session or send it home with a client. This is an educational tool and doesn’t replace medical care or therapy. In an emergency, call 911.

Personal and clinical use only.

This template was made with new clinicians in mind. Learn more about maying insurance payor requirements in notes, while maintaining a harm reduction format.

I offer peer consultation for fellow clinicians.

I have 4 years of experience across community mental health, private practice, and crisis services. In that time, I’ve:

• Provided harm reduction care and support to people using a range of substances with varying impacts on functioning

• Navigated involuntary holds and case management

• Supported people with severe and persistent mental illness across a wide range of functioning levels, including chronic suicidal ideation

I consult on three areas:

• Trauma-informed, anti-racist, and neurodivergent-affirming care for clients with intersectional identities

• True harm reduction for clients who use substances in private practice (meeting people where they are, not sneaking abstinence in through the back door)

• Supporting clients with severe and persistent mental illness in private practice settings, where “just refer out” isn’t always an option