Schizophrenia Emergency Action Plan

A Guide for Patients, Family Members, and Caregivers

Psychiatry

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Template Content

Last updated: Mar 24, 2025

Personal Information

  • Name: _________________
  • Date of Birth: _________________
  • Emergency Contact: _________________
  • Contact Phone: _________________
  • Psychiatrist: _________________
  • Psychiatrist Phone: _________________

Warning Signs of Crisis

  • Increased paranoid thoughts
  • Hearing voices becoming louder or more frequent
  • Difficulty distinguishing reality from delusions
  • Severe agitation or restlessness
  • Refusing to take medications
  • Expressing thoughts of self-harm

Emergency Steps

1. Stay Safe

  • Remove any dangerous objects from the immediate area
  • If alone, move to a safe location or call a trusted person
  • Keep distance if the person is agitated

2. Contact Help

In immediate danger, call 911

Otherwise contact:

  1. Primary psychiatrist: [Phone]
  2. Crisis hotline: 988
  3. Emergency contact: [Phone]

3. Medication Information

Current medications:

  • Name: _________________ Dose: _________________
  • Name: _________________ Dose: _________________
  • Name: _________________ Dose: _________________

4. Hospital Preference

Preferred psychiatric facility: _________________ Address: _________________ Phone: _________________

Important Documents to Have Ready

  • Insurance card
  • List of current medications
  • Medical history summary
  • Legal documents (power of attorney, if applicable)

Post-Crisis Plan

  1. Schedule follow-up appointment with psychiatrist
  2. Review and adjust medication if needed
  3. Update emergency plan based on experience
  4. Attend support group meetings

Keep this plan in an easily accessible location and review it regularly with your care team.

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