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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