Indiana Code
Chapter 5. Duties of Division
12-21-5-6. Individualized Mental Health Safety Plan; Requirements

Sec. 6. (a) The division shall establish a standard format for an individualized mental health safety plan that may be disclosed without a patient's consent under IC 16-39-2-6(b).
(b) An individualized mental health safety plan format approved by the division under this section must:
(1) provide that a mental health provider develop the individualized mental health safety plan collaboratively with the patient; and
(2) include the following:
(A) The patient's name, address, and contact information.
(B) Early warning signs that a crisis may be developing.
(C) Internal coping strategies.
(D) Contact information for individuals and social settings that may provide distraction for the patient.
(E) Contact information for persons from whom the patient can ask for help.
(F) Contact information for professionals or agencies that the patient can contact at the onset of or during a crisis.
(G) A plan for making the environment safe for the patient.
(H) The one (1) thing that matters most to the patient and for which the patient considers life worth living.
(I) Other information identified by the division, including issues concerning the patient's physical health.
As added by P.L.225-2019, SEC.1. Amended by P.L.126-2021, SEC.1.