COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

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Alternatives to drug use:
Things I can do instead of using drugs:
1. _____________________________________
2. _____________________________________
3. _____________________________________
Support for alternatives:
Persons:
1. _____________________________________
2. _____________________________________
Impediments to alternatives:
□ Financial □ Childcare □ Transportation □ Other _______________
Consequences of alternatives:
1. _________________________________
2. _________________________________
3. _________________________________
Treatment Attendance
Since your last hospitalization you have attended treatment at least:
□ Once per week □ Once per month □ At least once □ Never
You want help achieving the following goals:
1. _____________________________________________
2. _____________________________________________
3.______________________________________________
You want an outpatient therapist who:
1. ______________________________________________
2. ______________________________________________
3. ______________________________________________
People who can help you get to outpatient treatment:
1. _______________________________________________
2. _______________________________________________
Impediments to attending outpatient treatment:
□ Financial □ Childcare □ Transportation □ Other _______________
Things I can do to get to treatment:
1. _________________________________________________
2. _________________________________________________