Develop a client termination summary
To prepare:
For guidance on writing a Client Termination Summary, review pages 693712 of the Wheeler text.
Identify a client who may be ready to complete therapy.
To complete:
With the client you selected in mind, address the following in a client termination summary (without violating HIPAA regulations):
Identifying information of client (i.e., hypothetical name, age, etc.)
Date initially contacted therapist, date therapy began, duration of therapy, and date therapy will end
Total number of sessions, including number of missed sessions
Termination planned or unplanned
Presenting problem
Major psychosocial issues
Types of services rendered (i.e., individual, couple/family therapy, group therapy, etc.)
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
Provide a clear purpose statement.
Include 1 credible outside resource and 2-3 course resources to support major points and point of view.
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.
Chapter 18, Psychotherapy With Older Adults (pp. 625660)
Chapter 20, Termination and Outcome Evaluation (pp. 693712)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Swift, J. K., & Greenberg, R. P. (2015). What is premature termination, and why does it occur? In Premature termination in psychotherapy: Strategies for engaging clients and improving outcomes (pp. 1131). Washington, DC: American Psychological Association. doi:10.1037/14469-002
