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Relapse Prevention / Sobriety Maintenance Plan Template
Create a clear relapse prevention and sobriety maintenance plan to support ongoing recovery and reduce the risk of future substance use.
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Relapse Prevention / Sobriety Maintenance Plan Template
[Full Name]
[Date of Birth: MM/DD/YYYY]
[Street Address]
[City, State/Province, ZIP/Postal Code]
[Phone Number]
[Email Address]
Date Completed: [MM/DD/YYYY]
Plan Review Date: [MM/DD/YYYY]
1. Recovery Summary
Primary Substance(s) of Concern: [Substance(s)]
Sobriety Date (or most recent clean date): [MM/DD/YYYY]
Current Recovery Supports (check or describe):
[AA / NA / 12-step meetings]
[Outpatient or inpatient treatment]
[Individual counseling or therapy]
[Medication-assisted treatment]
[Faith-based or community support]
[Other: [Description]]
DUI-Related Case (if applicable):
Case / Docket Number: [Number]
Court / Program Name: [Name]
2. Personal Reasons for Sobriety
My main reasons for staying sober are:
[Reason 1, e.g., “My health and safety.”]
[Reason 2, e.g., “My children and family.”]
[Reason 3, e.g., “Keeping my job and license.”]
[Reason 4, e.g., “Avoiding further legal trouble.”]
Long-Term Goals Related to Sobriety:
[Goal 1]
[Goal 2]
[Goal 3]
3. Triggers and High-Risk Situations
Common people, places, things, or situations that can trigger cravings or thoughts of using:
People:
[Example: Certain friends, coworkers, or family members]
Places:
[Example: Bars, clubs, neighborhoods, houses, or events]
Situations and Events:
[Example: Parties, holidays, concerts, paydays, being alone, late nights]
Thoughts and Feelings:
[Example: Stress, anger, boredom, loneliness, shame, depression, anxiety]
4. Early Warning Signs of Relapse
Physical, emotional, and behavioral warning signs that may show I am moving toward relapse include:
Physical Signs:
[Example: Trouble sleeping, headaches, stomach problems, low energy]
Emotional Signs:
[Example: Irritability, mood swings, hopelessness, feeling numb]
Behavioral Signs:
[Example: Skipping meetings or appointments, isolating, lying, contacting old using friends, driving by old places, thinking “one drink won’t hurt”]
5. Coping Strategies and Healthy Alternatives
Healthy ways I can cope with cravings, stress, and difficult emotions instead of using alcohol or drugs:
Immediate Coping Tools (for cravings or urgent situations):
[Tool 1, e.g., “Call a sponsor or trusted friend.”]
[Tool 2, e.g., “Use grounding or breathing exercises.”]
[Tool 3, e.g., “Go to a meeting or online group.”]
[Tool 4, e.g., “Leave the high-risk situation immediately.”]
Ongoing Healthy Habits:
[Habit 1, e.g., “Regular exercise or walking.”]
[Habit 2, e.g., “Journaling, meditation, or prayer.”]
[Habit 3, e.g., “Spending time with supportive family or friends.”]
[Habit 4, e.g., “Hobbies, creative activities, or volunteering.”]
6. Daily and Weekly Sobriety Routine
Daily Routine to Support Sobriety:
Morning: [Examples: Reading recovery literature, planning the day, brief check-in call or message, gratitude list]
Daytime: [Examples: Work or school, scheduled breaks, healthy meals, short walk]
Evening: [Examples: Meeting attendance, family time, self-care, reflection on the day]
Weekly or Regular Recovery Activities:
Meetings (AA/NA/other): [Number] times per week at [Locations / Groups]
Counseling / Therapy Sessions: [Frequency and provider]
Check-ins with Sponsor / Mentor: [Frequency]
Other Support Activities: [Description]
7. Support Network and Contact Information
People I can contact when I need help, feel cravings, or notice warning signs:
Primary Support Person:
Name: [Name]
Relationship: [Relationship]
Phone: [Phone Number]
Sponsor / Mentor (if applicable):
Name: [Name]
Program / Group: [AA/NA/Other]
Phone: [Phone Number]
Additional Support Contacts:
Name: [Name] – Relationship: [Relationship] – Phone: [Phone Number]
Name: [Name] – Relationship: [Relationship] – Phone: [Phone Number]
Name: [Name] – Relationship: [Relationship] – Phone: [Phone Number]
8. Emergency / Crisis Plan
If I feel close to using, am in a high-risk situation, or have already slipped and used, I will:
Step 1 – Immediate Safety:
[Example: Leave any unsafe place, stop driving, and go to a safe location.]
Step 2 – Contact Support:
[Example: Call or text my sponsor, therapist, or trusted friend.]
Step 3 – Use Emergency Coping Skills:
[Example: Breathing exercises, grounding techniques, cold water on hands/face, short walk.]
Step 4 – Recovery Action:
[Example: Attend the next available meeting in person or online, or contact my treatment program.]
Step 5 – Follow-Up:
[Example: Talk honestly with my sponsor/therapist about what happened and update this plan if needed.]
9. Driving and Legal Safety (If DUI-Related)
To prevent any future impaired driving or legal trouble, I commit to:
Never driving after consuming alcohol or any impairing substance.
Using taxis, rideshare, public transportation, or designated drivers when needed.
Following all license restrictions, ignition interlock rules, and court or probation conditions.
Discussing transportation plans with my support team when I know I will be in higher-risk situations.
10. Personal Commitments and Affirmation
My personal promises to myself and others about my sobriety and behavior:
[Commitment 1, e.g., “I will ask for help when I am struggling instead of hiding it.”]
[Commitment 2, e.g., “I will keep my appointments and meetings, even when I don’t feel like going.”]
[Commitment 3, e.g., “I will be honest with my support network about slips or close calls.”]
Personal Sobriety Statement:
“I, [Full Name], commit to following this Relapse Prevention / Sobriety Maintenance Plan to the best of my ability. I understand that setbacks can happen, but I will use this plan and my support network to return to recovery as quickly as possible and to protect myself, my family, and the community.”
11. Signatures
Participant Signature: ___________________________
Printed Name: [Full Name]
Date: [MM/DD/YYYY]
[Optional] Therapist / Counselor / Sponsor Acknowledgment:
I have reviewed this Relapse Prevention / Sobriety Maintenance Plan with [Participant Name].
Signature: ___________________________
Name and Title/Role: [Name, Credentials or Role]
Date: [MM/DD/YYYY]
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Learn more about
Relapse Prevention / Sobriety Maintenance Plan Template
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
RELAPSE PREVENTION / SOBRIETY MAINTENANCE PLAN TEMPLATE FAQ
What is a relapse prevention / sobriety maintenance plan?
A relapse prevention / sobriety maintenance plan is a written plan that identifies your personal triggers, early warning signs, coping strategies, support network, and emergency steps to take if you feel close to using alcohol or drugs again. It helps you stay intentional about recovery, especially in DUI-related cases, court-ordered treatment, or ongoing counseling.
Who should use this relapse prevention and sobriety maintenance plan?
This plan can be used by anyone working on sobriety from alcohol or other substances, including people in DUI programs, probation or diversion programs, outpatient or inpatient treatment, 12-step fellowships (AA/NA), or private counseling. It can be completed by the individual alone or together with a therapist, counselor, sponsor, or case manager.
What should a relapse prevention / sobriety maintenance plan include?
A helpful relapse prevention plan usually includes: a brief recovery summary (substances, sobriety date, supports), personal triggers and high-risk situations, emotional and physical warning signs, healthy coping skills, daily and weekly routines that support sobriety, a list of supportive people and how to reach them, and a step-by-step emergency plan for cravings, slips, or relapse. It often ends with a personal commitment or statement of goals.
Can I use this sobriety maintenance plan for court, DUI treatment, or probation?
Yes, this Relapse Prevention / Sobriety Maintenance Plan Template can often be used as part of DUI treatment, probation reviews, or court requirements, especially when a judge, probation officer, or treatment provider wants to see your plan for staying sober and avoiding further impaired driving. Always follow any specific instructions given by your attorney, program, or supervising authority.
How often should I update my relapse prevention plan?
It is usually helpful to review and update your relapse prevention plan regularly — such as every few months, after major life changes, or after any slip or close call. Recovery needs can change over time, and updating your plan can keep it realistic and useful. You may want to review it with your therapist, counselor, sponsor, or support group.
Can AI Lawyer help me create or update my relapse prevention / sobriety maintenance plan?
Yes. AI Lawyer can help you put your ideas into clear words and structure your relapse prevention / sobriety maintenance plan in an organized way. You provide the real details about your triggers, coping skills, supports, and goals, and AI Lawyer helps format and refine the plan. However, this template and any AI-generated text are not medical or mental health treatment. For clinical guidance about addiction or mental health, you should work directly with a licensed therapist, counselor, doctor, or treatment program.
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