Directions Offer a reflective essay integrating your experience in this course along with a shift in understanding about the basic principles of exercise prescription (pre-participation, FITT-VP and cognitive and behavioral strategies) and patients with chronic disease and special populations. (CO1, CO3) This assignment is worth 75 pts. Use the information below to help guide your efforts in writing this essay.  Reflective Essay Guide: This reflective essay is a paper that should reflect your personality, your experiences, and your influences that shaped your perspective of Clinical Exercise Prescription. Ultimately, this essay will help me, the course instructor, get to know more about your experience in the class. Unlike other essays that you’ve written before in this class, this essay does not necessarily relay on research completely. Instead, this essay needs to focus on you. However, if you want to make a point directed at the course, please reference the appropriate source. An important aspect that separates a good essay from a bad one is organization; thus, start by building an outline. Format The format of this reflective essay greatly differs from normal argumentative or research essays. This reflective essay is more of a well-structured story or a diary entry. An essay in APA format is only applicable when it comes with an external text that you are reflecting upon. This reflection essay length should have a main body between 800 and 1000 words with at least 3 external sources. It is important to avoid the academic style of writing. Stick to your feelings and original ideas. This essay is about you, not about the text. Use the following as a quick short-hand guide to format your essay with: APA · Times New Roman 12 pt font double spaced; · 1” margins; · Include a page header on the top of every page; · Insert page number on the right; · Essay should be divided into four parts: Title Page, Abstract, Main Body, and References. It is important to avoid the academic style of writing. Stick to your feelings and original ideas. PCN-501 Relapse Prevention Plan Read the Jed case study and create a relapse prevention plan for Jed. Keep in mind that you would typically create a relapse prevention plan in collaboration with the client to ensure the greatest chance for success; however, in this instance, you will create one for Jed based on what you can glean from the case study. Client Name: __________________________ Age/Date of Birth: _____________________ Date of Plan: __________________________ Next Date of Review:* __________________ *This can be 30, 60, or 90 days. Biopsychosocial Summary: Provide a brief description of the client's presenting symptoms. <Add the client's presenting symptoms here.> Part 1: Harmful/Destructive Behaviors Chart Complete the chart below by including a minimum of three behaviors as well as associated rewards and consequences related to relapse and abstinence behaviors. Harmful/des ...

1. Directions
Offer a reflective essay integrating your experience in this
course along with a shift in understanding about the basic
principles of exercise prescription (pre-participation, FITT-VP
and cognitive and behavioral strategies) and patients with
chronic disease and special populations. (CO1, CO3)
This assignment is worth 75 pts.
Use the information below to help guide your efforts in writing
this essay.
Reflective Essay Guide:
This reflective essay is a paper that should reflect your
personality, your experiences, and your influences that shaped
your perspective of Clinical Exercise Prescription. Ultimately,
this essay will help me, the course instructor, get to know more
about your experience in the class. Unlike other essays that
you’ve written before in this class, this essay does not
necessarily relay on research completely. Instead, this essay
needs to focus on you. However, if you want to make a point
directed at the course, please reference the appropriate source.
An important aspect that separates a good essay from a bad one
is organization; thus, start by building an outline.
Format
The format of this reflective essay greatly differs from normal
argumentative or research essays. This reflective essay is more
of a well-structured story or a diary entry. An essay in APA
format is only applicable when it comes with an external text
that you are reflecting upon. This reflection essay length should
have a main body between 800 and 1000 words with at least 3
external sources.
It is important to avoid the academic style of writing. Stick to
your feelings and original ideas. This essay is about you, not

2. about the text. Use the following as a quick short-hand guide to
format your essay with:
APA
· Times New Roman 12 pt font double spaced;
· 1” margins;
· Include a page header on the top of every page;
· Insert page number on the right;
· Essay should be divided into four parts: Title Page, Abstract,
Main Body, and References.
It is important to avoid the academic style of writing. Stick to
your feelings and original ideas.
PCN-501 Relapse Prevention Plan
Read the Jed case study and create a relapse prevention plan for
Jed. Keep in mind that you would typically create a relapse
prevention plan in collaboration with the client to ensure the
greatest chance for success; however, in this instance, you will
create one for Jed based on what you can glean from the case
study.
Client Name: __________________________ Age/Date of
Birth: _____________________
Date of Plan: ________________________ __ Next Date of
Review:* __________________
*This can be 30, 60, or 90 days.
Biopsychosocial Summary:
Provide a brief description of the client's presenting symptoms.
<Add the client's presenting symptoms here.>
Part 1: Harmful/Destructive Behaviors Chart
Complete the chart below by including a minimum of three
behaviors as well as associated rewards and consequences
related to relapse and abstinence behaviors.

3. Harmful/destructive behaviors that the client will need to avoid
to prevent a relapse
Possible rewards for not maintaining abstinence to prevent
relapse
Possible costs for returning to use and the associated
consequences
1.
1.
1.
2.
2.
2.
3.
3.
3.
Part 2: Current Risks of Relapse
In this section, you will identify the steps to reduce the risk of
relapse. Describe how you might assist Jed to identify high-risk
situations, and specific triggers leading to relapse.
1. What steps has the client already taken to reduce the risk of
relapse? What is the client’s agreement to abstain from
substance use/misuse?
2. What are some high-risk situations that may trigger a relapse
for the client? List three specific situations that may lead to
relapse.
3. What are some high-risk behaviors or irrational thinking that
may create the urge to return to previous harmful behavior
leading to relapse?
Part 3: Relapse Response Plan

4. In this section, you will create a response plan to use when the
client is faced with triggers and urges to lapse into using
behavior. Complete the chart below and include coping
strategies, client’s skills to redirect thoughts, and immediate
actions to take before using substances.
List three people that the client identifies for a supportive
network
List three new activities that increase coping skills and
strategies to assist in replacing high-risk thoughts and behaviors
List three actions for new activities the client indicates will be
taken if a pattern of negative behaviors emerges
1.
1.
1.
2.
2.
2.
3.
3.
3.
Part 4: Continued Health and Well-Being
1. Describe community and support resources that are available
to the client. Identify how often and the amount of support
group meetings the client will participate in (any type of
recovery support meeting) to improve health and sobriety.
2. Identify at least two strategies the client can do to improve
his family relationships and describe how this is important to
the success of the relapse prevention plan?
3. Describe how the ethnic and cultural aspects of the client
may impact the relapse prevention plan?

5. 4. Develop with the client an emergency contact sheet that the
client may carry with them. Create a contact card with the client
to list the people and resources to have available to use prior to
a lapse or relapse to use substances.
Client Signature
Date
Counselor Signature
© 2017. Grand Canyon University. All Rights Reserved.
PCN-501 Case Study
Jed: Relapse Prevention Plan
Jed is a 38-year-old welder who came into the treatment center
after being arrested for drinking and driving (DUI/DWI). His
attorney has suggested that he quit drinking and enter treatment,
at least until his trial, which is scheduled to occur in two
months. Jed does not anticipate serving jail time, but he
believes that treatment could strengthen his legal case. After his
first arrest for DUI two years ago, he simply paid a fine and
attended a special driver's education program for six weeks. Jed

6. found the program to be a “waste of time.”
Jed has been married for 8 years and has two daughters, aged 8
and 6. He has had numerous arguments with his wife, Emily,
concerning his drinking. He gets very angry and defensive when
she confronts him about his heavy drinking and he asserts that
he is not an alcoholic. He knows this is true because his father
was an alcoholic and Jed says that he is not like his father. His
father died as the result of a fight that occurred in traffic when
he was drunk. Jed says that his father used to “beat the tar” out
of him and his brother when he was drunk and that his father
always belittled, taunted, and threatened their mother, whether
he was drunk or sober. Jed references that his family is Irish
and that it was cultural normal to drink and enjoy alcohol and
that all of his family and relatives drink in excess.
Jed's work history is very good; he misses less than one day per
year. He works the day shift on weekdays, putting in time-and-
a-half on most Saturdays. He is well regarded by his supervisors
and peers at work. He is fearful that his employer will find out
about his treatment (it is being covered by his HMO), and that
people at work will learn about the second DUI arrest.
Jed drinks with his buddies from the plant, and does not think
that his drinking is any more than what they do. He was just
“unlucky” and was caught doing what everyone else seems to
get away with. Jed's drinking is very predictable: he drinks 8-9
beers on a weeknight. Several of these are consumed at the bar
with friends, the remainder at home over the course of the
evening. He usually falls asleep in front of the television. When
he is not working on Saturdays, he often drinks several 12-
packs between Friday and Sunday. A typical Saturday involves
getting up at 10:00 a.m., playing soccer with friends, and going
to the bar for the rest of the day and night. This pattern leads to
arguments with Emily, who calls him a “lousy father.” At times,
Jed has had unsettling episodes of being unable to recall what
happened while drinking. He has commented to friends that
“maybe I overdo it a bit.” Several times, he has attempte d to cut
down on his drinking, especially after the last DUI. He once

7. attended a few AA meetings, but did not feel that AA was
helpful: "It was listening to a lot of guys whining…" and he
especially did not care for the prayers.
Despite these attempts, Jed has experienced increased
consumption levels over the past 2 years. He admits that, as a
result of the drinking, he has become increasingly estranged
from his wife and daughters. Jed feels that his marriage has
been basically good, but that he would not blame Emily for
leaving him, the way things have been going lately. She will no
longer sleep with him while he is intoxicated, which occurs
regularly. She complains that the house is falling apart because
Jed does not keep up with his chores. He believes that his
marriage would become solid again, if he stopped overdoing the
drinking, but he complains about her hassling him about the
alcohol.
Jed is not close to his remaining family members. His mother is
very religious and wishes Jed would see religion as a way out of
his problems. His siblings live in other communities and they
rarely get together. His wife and daughters regularly attend his
mother's church, but Jed only attends on Christmas Eve and
Easter Sunday.
Jed is distraught about having to remain abstinent in preparation
for the trial. He has trouble getting to sleep without alcohol. He
also “gets jumpy” when he tries to stay away from drinking,
feeling “closed in or like he is suffocating.” Jed reports that he
is not used to socializing without alcohol and alcohol helps him
relax and be more social with people.
Jed is willing to go to AA meetings only because he knows they
may be court ordered and it may be better for his legal case. He
does struggle with the philosophy of AA. He does not like the
spirituality part of the program and does not like when people
talk about God.
He does believe that he can go to the bars with his friends and
not drink. He does think that he can increase his sports
activities to help him not drink although many of his friends
who play also drink.

8. References
National Institute on Alcohol Abuse and Alcoholism. (2005)
Case examples-
http://pubs.niaaa.nih.gov/publications/Social/Teaching%20Case
%20Examples/Case%20Examples.html
© 2016. Grand Canyon University. All Rights Reserved.
© 2016. Grand Canyon University. All Rights Reserved.
PCN-501: Relapse Prevention Plan
Scoring Guide
Grading Category
Points
Comments
Relapse Prevention Plan fully includes all of Jed's key
information: client name, age/date of birth, date of plan, next
date of review, and a biopsychosocial summary.
0/5
Part 1: Relapse Prevention Plan fully includes at least three
harmful/destructive behaviors for Jed, along with the associated
rewards and consequences related to relapse and abstinence
behaviors.
0/15
Part 2: Relapse Prevention Plan fully explains the steps the
client has already taken to reduce the risk of relapse and the
client's agreement to abstain from substance use/misuse.
0/10
Part 2: Relapse Prevention Plan fully explains some high-risk

9. situations that may trigger a relapse for the client including
three specific situations that may lead to relapse.
0/10
Part 2: Relapse Prevention Plan fully explains some high-risk
behaviors or irrational thinking that may create the urge to
return to previous harmful behavior leading to relapse.
0/10
Part 3: Relapse Prevention Plan fully includes all items in a
relapse response plan: coping strategies, client's skills to
redirect thoughts, and immediate actions to take before using
substances.
0/15
Part 4: Relapse Prevention Plan fully describes the community
and support resources that are available to the client along with
identifying how often and the amount of support group meetings
the client will participate in (any type of recovery support
meeting) to improve health and sobriety.
0/10
Part 4: Relapse Prevention Plan fully identifies at least two
strategies the client can do to improve his family relationships
and describes how this is important to the success of the relapse
prevention plan.
0/10
Part 4: Relapse Prevention Plan fully describes how the ethnic
and cultural aspects of the client may impact the relapse
prevention plan.
0/10
Part 4: Relapse Prevention Plan fully develops an emergency

10. contact sheet that the client may carry with them. The contact
card includes a list of people and resources to have available to
use prior to a lapse or relapse to use substances.
0/10
Worksheet fully includes at least three scholarly resources
beyond the course textbook to support the responses.
0/5
Total
0/110
©2017. Grand Canyon University. All Rights Reserved.