Develop a client termination summary.
To prepare:
Identify a client who may be ready to terminate therapy.
For guidance on writing a client termination summary, review pages 693712 of Wheeler (2014).
To complete:
With the client you selected in mind, address in a client termination summary (without violating HIPAA regulations) the following:
Identifying information of client (e.g., hypothetical name and age)
Date the client initially contacted therapist, date therapy began, duration of therapy, and date therapy will end
Total number of sessions, including number of missed sessions
Whether termination was planned or unplanned
Presenting problem
Major psychosocial issues
Types of services rendered (e.g., individual, couple/family therapy, group therapy)
Overview of treatment process
Goal status (goals met, partially met, unmet)
Treatment limitations (if any)
Remaining difficulties and/or concerns
Recommendations
Follow-up plan (if indicated)
Instructions for future contact
Signatures
Include a clear purpose statement.
Integrates specific information from 1 credible outside resource and 2-3 course resources to support major points and point of view.
References:
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer
Chapter 20, Termination and Outcome Evaluation (pp. 693712)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Written on June 26th, 2020 by