This contract outlines coping skills and responsibilities for a client and their case manager to help the client better manage their condition and maintain independence in the community. Key points include scheduling all medical appointments and transportation, taking medications as prescribed, informing all providers of treatment plans, identifying triggers and developing an emergency plan with their support system, maintaining a regular daily schedule, and having activities and accountability partners outside of medical appointments. Both the client and case manager agree to work together on these objectives.

1. Coping Skills Contract
This contract is developed between [client] and [staff name, case manager]. The purpose is to
help [client] learn more about [condition/diagnosis] and more about the skills and lifestyle
needed to cope over the long term. We have agreed to work on the following but realize there
are additional things not listed here:
*scheduling and keeping appointments with all of my providers
*scheduling transportation ahead of time
*taking all medication as prescribed
*tell each of my providers about every other provider I see and about my treatment plans
*tell my providers if my medications or other treatments are not working or are harming me
*learn about my condition/diagnosis
*teach my family and support system about my condition/diagnosis
*identify my unique symptoms that are related to my condition/diagnosis
*identify triggers that place me at risk for an emergency and let my support system know
*develop an emergency plan and involve my support system in doing this
*have a regular schedule for waking, eating, sleeping, taking medications, etc...
*have activities besides medical appointments that get me out of the house 4 days a week
*have at least 2 people besides medical staff/other staff to hold me accountable
I, [client] agree to work on these objectives. I recognize that I must take these steps toward
achieving and maintaining good mental health. It takes me and my support system working
together to keep me well so I can better function and live in the community.
__[clent signature]__________________ ____[date]___________________
I, [case manager] agree to work with [client] to the best of my ability so that [he/she] can
achieve [his/her] greatest potential and maintain residency in the community.
___[case manager signature]__________ _____[date]__________________