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 • 4 resources
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