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Appendix 8.2 – Safety Planning Template

Please note

This appendix is a work in progress, and any data entered into these fields will not be retained.

Immediate Safety Concerns

Current threats identified:

Immediate risks requiring intervention:

Emergency contacts/supports:

Safety concerns related to school/work/home:

Digital Safety Strategies

Digital safety strategies completed:

Password changes completed

Phone number changes completed

Two-factor authentication enabled

Privacy settings reviewed

Accounts secured

Blocking/reporting completed

Evidence preserved

Shared devices reviewed

New contact protocols established

Other digital safety strategies completed:

Contact Disruption Plan

Strategy for reducing or ending offender contact:

Safety considerations before intervention:

Caregiver role/support:

Follow-up monitoring required:

Emotional Stabilization Supports

Coping strategies identified:

Safe supports identified:

Counselling/therapy referrals:

Crisis resources provided:

School/Community Safety

School notified:

Yes

Workplace/community safety concerns:

Transportation/home safety concerns:

Safety accommodations requested:

Long-Term Safety Planning

Monitoring plan:

Ongoing support needs:

Advocacy/legal needs:

Follow-up schedule:

Review date: