Controlled Substance & Alcohol Session: Agency Commitment FormCSA Agency Commitment FormCSA Agency Commitment FormForm must be completed in order for attendance to be verified with referring agency. Below are some strategies to help you lower your risk related to alcohol and controlled substances. These ideas have worked for others. Please check those that you think might be useful to you.Strategies for risk reduction: Avoid controlled substances Alternate alcohol and nonalcoholic drinks Avoid drinking games Never leave your drink unattended Don’t use alcohol with stimulants Select a member of your group to be the designated driver Refuse to ride in a vehicle with an intoxicated or high driver Have an exit plan before attending a party or event Let a sober person know where you will be Be prepared to refuse assertively when pressured to use alcohol or a controlled substance Be aware that individuals under the influence cannot consent to sex Use the “Buddy System” to watch out for each other and get home safely Use the “Buddy System” to watch out for each other and get home safely Keep in mind that choosing not to drink/ use is always a legitimate choice Take helpful action if a friend is ill or passes out / do not be a ‘bystander’ Practice ways to be comfortable in social situations without drinking/ using Spend more time with friends who do not drink or use controlled substances Learn about the effects of any drug/ substance you are thinking about taking Think about the effects of your actions on your future Think about the effects of your actions on your friends/ family OtherOtherThis portion of this document, including your name, will be available to your referring agency if requested. This document is a commitment or agreement to future behaviors related to alcohol and controlled substances. This document does not reflect any admission or denial of any prior action. Explain 3 ways you commit to reducing alcohol and controlled-substance related risk for yourself: * Additionally describe at least two (2) ways you can commit to reducing controlled substance-related risk in your community: (What can you do to reduce risk in your community?) * Signature * /s/please sign with your full name Date Submit