Distress Plan
1. Activities that comfort me, calm me, and/or distract me that I can try.
a.
b.
c.
d.
e.
2. People I can call.
Name/Telephone Number
a.
b.
c.
d.
e.
f.
4. Call crisis hotlines:
1. Pike’s Peak Crisis Hotline 844.493.8255
2. Pike’s Peak Mental Health 719.635.7000
3. Peak View 719-444-8484
5. Walk in to crisis center
AspenPointe Crisis Walk-in
115 South Parkside Drive
Colorado Springs
6. Call my therapist (609)424-9237
7. Call 911
8. Go to nearest emergency room.
I agree to follow these steps if I feel intensely distressed or am in crisis.
Signed Dated
a.
b.
c.
d.
e.
2. People I can call.
Name/Telephone Number
a.
b.
c.
d.
e.
f.
4. Call crisis hotlines:
1. Pike’s Peak Crisis Hotline 844.493.8255
2. Pike’s Peak Mental Health 719.635.7000
3. Peak View 719-444-8484
5. Walk in to crisis center
AspenPointe Crisis Walk-in
115 South Parkside Drive
Colorado Springs
6. Call my therapist (609)424-9237
7. Call 911
8. Go to nearest emergency room.
I agree to follow these steps if I feel intensely distressed or am in crisis.
Signed Dated
