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My Treatmentand RecoveryLogHelping Me toStay on TrackHMAKING SMOOTH TRANSITIONS
Welcome!My Treatment TeamUse this journal to write down your treatment andmedication preferences and recovery history.The following are members of my treatment team who areinvolved in my mental health care and may need to be contacted.n If you have any questions or think you may be experiencinga side effect, be sure to contact your doctor or yourtreatment team.Having this information in one place can help you:n Share information with your doctor and treatment teamPsychiatristPHONEADDRESSto make them aware of your wants and needsn Make smooth transitions between care settings(example: inpatient to outpatient)Primary Care PhysicianPeer CounselorPHONEPHONEADDRESSADDRESSTherapist/Social WorkerEmergency ContactPHONEPHONEADDRESSADDRESSn Move forward toward recovery goalsPersonal InformationThis recovery journal belongs to:NAMEADDRESSCITY STATE ZIPPHONE EMAILRELATIONSHIP TO MEMy diagnosis is:Case ManagerOtherPHONEPHONEADDRESSADDRESSOther medical conditions I have are:RELATIONSHIP TO com3
My Recovery HistoryMy Recovery HistoryBy writing down important events and milestones (accomplishmentsand setbacks) in your mental health history, you can provide aquick snapshot of your recovery journey to your doctor and otherpeople in your treatment team and support network.EventDateEvent DetailsSymptoms StartedBelow are examples of events you may want to include in yourhistory. Feel free to add others that have been meaningful to you.Initial DiagnosisExamplesHospitalizedHad a RelapseStarted a NewMedicationGot a JobHad MedicationSide EffectsMAY CAUSE.Started MeetingWith a TherapistRxMoved Into IndependentHousingStarted aRelationshipStopped TakingMedicationJoined aSupport GroupJoined aClubhouseStarted Peer CounselingStarted Exercising4www.ChoicesInRecovery.comAchieved aLife Goalwww.ChoicesInRecovery.com5
My Recovery History CONTINUEDEvent6Datewww.ChoicesInRecovery.comEvent DetailsMy Recovery History CONTINUEDEventDateEvent Detailswww.ChoicesInRecovery.com7
My MedicationsCurrent MedicationsDosageMy Supportive Treatments(non-medication)Reason I Am TakingSupportive Treatments That May Help MePreferred Medications(to take during crisis)DosageReason I Would NeedSupportive Treatments to AvoidMedicationsto Avoid *8 www.ChoicesInRecovery.comDosageReason to AvoidReason I Don’t Want to Takehave allergies to any medication,* Ifbeyousure to include under Medications to Avoid.www.ChoicesInRecovery.com9
My Preferred FacilitiesMy Support NetworkBelow, write down the resources and facilities you prefer to use,as well as those you prefer to avoid.Write down the people in your life (friends, significant other,family, etc.) who may be helpful in times of crisis and transition.Preferred HospitalNameLOCATIONPHONEADDRESSHOSPITAL TO AVOIDRELATIONSHIP TO MEPreferred Mental Health FacilityNameNamePHONEPHONEFACILITY TO AVOIDADDRESSADDRESSPreferred PharmacyRELATIONSHIP TO MERELATIONSHIP TO MENameNamePHONEPHONEADDRESSADDRESSRELATIONSHIP TO MERELATIONSHIP TO MENameNamePHONEPHONEADDRESSADDRESSRELATIONSHIP TO MERELATIONSHIP TO MELOCATIONLOCATIONPHARMACY TO very.com11
My Life GoalsMy Life GoalsShort-Term GoalsLong-Term GoalsPossible GoalPossible GoalSteps I can take to reach itSteps I can take to reach itPossible GoalPossible GoalSteps I can take to reach itSteps I can take to reach itPossible GoalPossible GoalSteps I can take to reach itSteps I can take to reach .com13
Things That Help Me Stay HealthyFor example:ExerciseSeeing friendsListening to musicTaking my medicationEarly Signs I May Be Having aDifficult Time With My ConditionFor example:DAILYNot sleepingNot taking medication regularlyNot getting outside Becoming more ONTHLYWhat I Will Do to Get Help1.2.1.3.ONCE IN A ChoicesInRecovery.com15
www.ChoicesInRecovery.comMental health recovery is an ongoingprocess, not a single outcome. Eachperson’s recovery experience is unique.By making a personalized, inclusive planfor managing a mental health condition,a person has the best chance of livinga meaningful life.Recovery Journey Strategies for SuccessnIf you are leaving inpatient care, ask the discharge plannerto schedule a doctor’s appointment for you once you areout of the hospital. Don’t forget to attend!nConnect with members of your support network who canhelp you during transitions.nMake sure you have services in place, including a safeand comfortable home.nTalk to your treatment team about questions orconcerns you might have about your medication, andif helpful, ask for tips to help remember to take it.nThink about your goals and how taking medicationmight help you to reach them.nTake your medication regularly, as prescribedby your doctor.Janssen Pharmaceuticals, Inc. Janssen Pharmaceuticals, Inc. 2019 October 2019cp-25171v3
My Recovery History By writing down important events and milestones (accomplishments and setbacks) in your mental health history, you can provide a quick snapshot of your recovery journey to your doctor and other people in your treatment team and support network. Below are ex
