Form 2B

Supporter Agreement

In this document, ___________________ will be referred to as the Supporter and

_______________ will be referred to as the Participant. To maintain _______________’s

success in quitting marijuana, we agree to the following arrangements.

Types of Support. Supporter and Participant initial all conditions that apply

to the agreement.

Initials

___ ___ Supporter will let Participant know how pleased he or she is with the Participant’s success at not using marijuana.

___ ___ Supporter will ask Participant about his or her motivation for remaining abstinent from marijuana if Supporter notices that motivation may be decreasing.

___ ___ Participant will let Supporter know that he or she appreciates the support received.

___ ___ Supporter will remind Participant of his or her reasons for quitting marijuana and of the consequences that marijuana caused, if motivation seems to lag.

___ ___ Participant will review the Reasons for Quitting Questionnaire or the Quit Agreement with the Supporter if they agree that motivation needs a boost.

___ ___ Supporter will discuss and participate with Participant in lifestyle changes that will reduce the need for marijuana.

___ ___ Supporter will ask Participant about upcoming high-risk situations that Supporter anticipates but is not sure whether the Participant anticipates. In addition, Supporter will help Participant plan to cope with high-risk situations.

___ ___ Supporter will help Participant cope with a marijuana use slip and return to abstinence by asking about Participant’s motivation and the circumstances of the slip.

___ ___ Supporter will help restore motivation and develop a coping plan for future situations that led to the slip.

___ ___ Participant will negotiate rewards for Supporter’s continued support and involvement.

___ ___ Supporter will avoid being critical of Participant in communicating concerns about motivation, high-risk situations, and slips. Supporter will focus on questioning Participant’s motives and coping plans and on challenging rationalizations for using.

___ ___ Participant will listen to what Supporter has to say about observations of lagging motivation, upcoming high-risk situations, or rationalizations for using marijuana.

___ ___ Supporter may express disappointment if Participant fails to accept Supporter’s input.

___ ___ Participant will suggest another time (within 24 hours) to discuss Supporter’s observations or concerns if Participant’s current mood or situation does not allow him or her to be open to Supporter’s comments at the moment.

Specific Conditions or Support Agreements. List additional conditions.

___ ___ ___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___ ___ ___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___ ___ ___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

Signatures: ________________________ __________________________

Supporter Participant