CNL-501: Relapse Prevention Plan
CNL-501: Relapse Prevention Plan
Scoring Guide
Grading Category PointsComments
Relapse Prevention Plan fully includes all of
Jed’s key information: client name, age/date of
birth, date of plan, next date of review, and a
biopsychosocial summary.
0/5
Part 1: Relapse Prevention Plan fully includes at
least three harmful/destructive behaviors for
Jed, along with the associated rewards and
consequences related to relapse and
abstinence behaviors.
0/15
Part 2: Relapse Prevention Plan fully explains
the steps the client has already taken to reduce
the risk of relapse and the client’s agreement to
abstain from substance use/misuse.
0/10
Part 2: Relapse Prevention Plan fully explains
some high-risk situations that may trigger a
relapse for the client including three specific
situations that may lead to relapse.
0/10
Part 2: Relapse Prevention Plan fully explains
some high-risk behaviors or irrational thinking
that may create the urge to return to previous
harmful behavior leading to relapse.
0/10
Part 3: Relapse Prevention Plan fully includes all
items in a relapse response plan: coping
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