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Review changes, confirm usable support, and prepare a clear request for care. This is an unscored planning exercise, not a clinical assessment.
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A personal recovery risk assessment can help organize changes, concerns, and supports. On this page, the term means an unscored planning reflection. It does not estimate your chance of returning to substance use, diagnose a condition, determine a level of care, or establish that it is safe to wait for help.
After this lesson, you can describe one change in concrete terms, check whether a support is actually available, and prepare a clear request for qualified help. A clinician can assess substance use, withdrawal, mental health, medical needs, and the care that fits your situation.
For suspected overdose, trouble breathing, seizures, severe confusion, chest pain, or immediate danger, call 911. If someone may have overdosed on opioids, give naloxone if available while emergency help is called. If you cannot stay safe or may act on thoughts of suicide or harming someone, seek emergency help now. Possible alcohol or benzodiazepine withdrawal needs prompt medical guidance; do not use this worksheet to decide how to stop or taper.
Compare the present with your own usual pattern. One important change can deserve attention even when other parts of life are going well. You do not need to complete every question before contacting care.
Write what you observed and when it changed. “I missed two appointments because my ride ended” gives more useful information than “I am failing recovery.”
A support on paper may be unavailable when needed. Choose one and confirm the details rather than counting supports as points that cancel concerns.
Use four parts: what changed, what concerns you, what you need, and when you need a response. For example: “My ride ended and I missed two appointments. My urges have also increased this week. Can we discuss care and transport options today? What should I do if I cannot reach you?”
Contact your treatment team or a qualified health professional when use or urges are increasing, medication or withdrawal questions arise, symptoms worsen, or daily functioning is affected. Ask how promptly you should be seen. If you are unsure about urgency, contact qualified care rather than creating a low, moderate, or high category yourself.
A coping skill, a meal, or a supportive conversation can help with a need while arranging care. They do not establish medical safety or replace an evaluation.
Fictional example: Morgan misses a visit after a bus route changes and notices stronger urges in the evenings. Morgan still has supportive friends, but they work nights. Instead of labeling the situation “low risk” because several supports exist, Morgan contacts the care team, explains the changes, and asks about a different appointment format and an evening support option. Morgan confirms the available option rather than assuming a friend can answer.
Do the friends cancel out the concern? No. Protective factors do not produce a safety score. The useful steps are identifying the transport barrier, describing the urge change, and arranging an appropriate response with care.
This is optional and unscored. Use brief, nonidentifying notes; you may skip questions or bring them to a clinician without writing answers here. This worksheet does not submit answers to Alpine. Entries may be lost when you leave or refresh. Save or print only on a device and in a place you trust.
For family and friends: Ask permission to discuss a change, describe what you noticed, and ask what help would be useful. Avoid surveillance, demands for worksheet answers, or treating privacy as proof of substance use. Keep your own boundaries and seek help for immediate danger.
For facilitators: Allow private reflection, hypothetical examples, or a pass. Do not total responses, assign a relapse probability, or use this exercise to certify readiness for discharge, employment, or another decision. Arrange individual clinical follow-up for concerns that need assessment.
Alpine serves adults age 18 and older. Its detox support is social and nonmedical; Alpine does not provide medical detox, medication-assisted treatment, or 24-hour nursing. Medical or higher-acuity needs require an appropriate outside provider or referral. Admissions can explain available services; a worksheet cannot determine admission or clinical suitability.
No. It is an unscored planning reflection. It cannot diagnose, predict relapse, determine a level of care, or establish that it is safe to wait for help.
This exercise does not require ratings or a total. Describe meaningful changes, available supports, and questions for qualified care. A number should not decide urgency.
No. A concerning change may need attention even when other supports are strong. Confirm that help is usable and contact appropriate care.
Privacy and time alone are not proof of dishonesty or substance use. Discuss specific changes respectfully and consider practical barriers and the person’s context.
Choose a review point with your care team and revisit after meaningful changes in use, urges, health, support, or circumstances. Do not wait for a scheduled review if an urgent concern develops.
A support person can share specific observations and offer agreed help. They should not assign a score, demand private answers, or substitute this worksheet for clinical assessment.
Prioritize immediate safety and contact qualified care to review what happened and what support is needed. Suspected overdose or other emergency symptoms require emergency help.
Contact qualified health care and explain the symptoms or change. For suspected overdose, trouble breathing, seizures, severe confusion, chest pain, or immediate danger, call 911.
This original educational reflection draws on guidance about individualized, continuing recovery support and professional evaluation. It is not a validated instrument.
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