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Develop a client termination summary

Questions and Topics We Can Help You To Answer:
Paper Instructions:

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 693–712 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. 693–712)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

240 Words  1 Pages
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