Psychiatric Psychotherapy with Individuals Practicum – Client Termination Summary
Learning Objectives
Students will:
· Develop client termination summaries
To prepare:
· For guidance on writing a Client Termination Summary, review pages 693–712 of the Wheeler text in this week’s Learning Resources.
· Identify a client who may be ready to complete therapy.
The Assignment
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
· Instructions for future contact
· Signatures
PLEASE DO NOT FORGET TO INCLUDE INTRODUCTION, CONCLUSION AND REFERENCES
Learning Resources
Required Readings:
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. 625–660)
- 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.
McGuire, J. (2009). Ethical considerations when working with older adults in psychology. Ethics & Behavior, 19(2), 112–128. doi:10.1080/10508420902772702
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. 11–31). Washington, DC: American Psychological Association. doi:10.1037/14469-002
