Assignment 1: Practicum – Client Termination Summary

Although termination is an inevitable part of the therapeutic process, it is often difficult for clients. However, by discussing termination throughout therapy, you can better prepare your clients for life without you. Once a client has achieved his or her therapeutic goals, termination sessions should be held and documented in a client termination summary. For this Assignment, you have the opportunity to practice writing a termination summary for a client with whom you have worked during your practicum experience.

To prepare:

• For guidance on writing a client termination summary, review pages 693–712 of Wheeler (2014) in this week’s Learning Resources.
• Identify a client who may be ready to terminate therapy.

The Assignment

• 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

With the client you selected in mind, address in a client termination summary (without violating HIPAA regulations) the following:

Question 1 :

Identify one health care reform initiative put forth by a  politician. Briefly discuss the initiative. Who do you feel the  initiative benefits? Who does it harm? Should it be passed? Why or why  not?

Question 2 :

For this reflective discussion:  Reflect upon two concepts that you learned in this course.

• What are the concepts? What insight or ideas did you gain from  learning each of these concepts? Were there aspects of the concepts that  you would challenge?
• What is the importance of these concepts to public health? How will you use this new wisdom in your current or future career?
• Optional: Offer feedback on how the course and/or facilitation of the course can be improved.

Reflection is a mental process that challenges you to use critical  thinking to examine the course information, analyze it carefully, make  connections with previous knowledge and experience, and draw conclusions  based on the resulting ideas. A well-cultivated critical thinker raises  vital questions and problems, formulating them clearly and precisely;  gathers and assesses relevant information, using abstract ideas to  interpret it effectively; comes to well-reasoned conclusions and  solutions, testing them against relevant criteria and standards; thinks  open-mindedly within alternative systems of thought, recognizing and  assessing, as need be, their assumptions, implications, and practical  consequences; and communicates effectively with others in figuring out  solutions to complex problems. (Paul & Elder, 2008)

In order to earn maximum credit, the comment should be more than your  opinion, and more than a quick “off the top of your head” response. Be  sure to support your statements, cite sources properly, cite within the  text of your comments, and list your reference(s). The response must be a  minimum of 250 words.