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Or, social workers may decide to terminate services to a client whose insurance coverage runs out, who has a large unpaid balance, or who is noncompliant with treatment (for example, by missing appointments or ignoring program requirements or treatment expectations).
For termination to be handled properly, discussions between the social worker and client should occur in advance and be addressed in a thoughtful and sensitive manner. It is best that clients not feel that they have been abandoned, for the sake of the client as well as the social worker.
To write a discharge note we can include: Reasons for termination, including referrals to new providers. Symptoms at the time of intake. Initial reasons for seeking treatment. Diagnosis. Treatment goals, past and present. Modalities and interventions used and how the client responded.
The Termination Summaries provide a list of treatments provided, discharge impressions and suggested follow-up care when terminating care with patients.
In terms of social work, termination is the end of treatment, ideally when a client has fulfilled or shows significant strides toward their goals. Throughout services, social workers and clients should discuss the importance of termination in a positive light.