Discussion: Management of Planned and Unplanned Termination
Depending on the client and the length of treatment, saying goodbye can be hard for both of you.
While you generally anticipate that successful treatment will lead to the eventual termination of the client relationship, there are a variety of other reasons for why this relationship might come to an end. There might be a set number of sessions the client’s insurance will allow, or maybe the end of your internship is quickly approaching. Maybe termination results from the unexpected, like a new job or an illness, or the client leaves without notice. Regardless of the cause, you and your client must be prepared for the end of your working relationship.
In this Discussion, you reflect on the termination process, the potential feelings associated with ending a client relationship, and skills to address challenges related to termination.
By Day 3
Post a response to the following:
· Explain how you might evaluate client progress and determine when a client is ready to terminate services.
· Describe a situation when a professional relationship may end before the client achieves their goals.
· Describe one potential positive and one potential negative feeling that you, as the social worker, might feel regarding a planned termination and an unplanned termination.
· Describe one potential positive and one potential negative feeling a client might feel regarding both a planned and an unplanned termination of a therapeutic relationship.
Support your post with examples from the course text and any other resources used to respond to this Discussion. Demonstrate that you have completed the required readings, understand the material, and are able to apply the concepts. Include a full reference of resources at the bottom of the post.
Learning Resources
Required Readings
Kirst-Ashman, K. K., & Hull, G. H., Jr. (2018). Empowerment series: Understanding generalist practice (8th ed.). CENGAGE Learning.
· Chapter 8, “Evaluation, Termination, and Follow-Up in Generalist Practice†(pp. 307–348)
Marmarosh, C. L., Thompson, B., Hill, C., Hollman, S., & Megivern, M. (2017). Therapists-in-training experiences of working with transfer clients: One relationship terminates and another begins. Psychotherapy, 54(1), 102–113. https://doi.org/10.1037/pst0000095
By Day 6
Respond to at least two colleagues:
· Provide a suggestion for dealing with the negative feelings that can occur with terminating client relationships.
· Identify a social work skill, and provide a specific example of how your colleague might use this skill to address challenges in termination.
KIMBERLY’S POST:
When working with clients client progress can be determined by what goes they have achieved or have been working towards. However it is not only determined by making sure the measurable objectives are met but also that “This part of evaluation focuses not on the objectives attained but on the clients level of satisfaction with the services rendered and the process used”(Kirst & Hull p.g 335). Knowing when to terminate services will be when the client no longer needs service or unplanned termination has to take effect. It is also important to write referrals when the client needs more help. Terminations may take effect when problems do not change or get worse. “Additionally a client May simply quit coming without notifying the worker “(Kirst & Hull p.g 336).           When terminating services there can be a feeling of mixed emotions. However when a social worker has a positive plan termination their feelings are usually happy since they were able to help a client reach their goals or when the worker one and determination to happen. Negative feelings can also emerge during planned terminations when maybe the workers doesn’t feel like they helped the client enough. When the worker spent a lot of time with the client and made a one-on-one connection. For the client positive plan termination feelings can also be mixed. However if the client has a presence of other support systems they may feel more at peace with the termination. Negative feelings for the client can also take place during an unplanned termination. The client may feel but they didn’t get the services or help that they needed. They may also feel that they have an absence of other client support systems available to them.
References:
Kirst-Ashman, K. K., & Hull, G. H., Jr. (2018). Empowerment series: Understanding generalist practice (8th ed.). CENGAGE Learning
EVARISTA’S POST:
· Explain how you might evaluate client progress and determine when a client is ready to terminate services.
Terminating services may happen for multiple negative and positive reasons. Â If a client is not terminating unexpectedly then we will continue following the treatment plan until the presenting problem areas have improved significantly if not completely. Most often times the requirement to learn a coping skill and or new pattern of behavior is most likely. When it is apparent that the unhealthy systems have improved we will determine along with the client when the termination is and if they have any concerns about termination. We will discuss any remaining concerns, solidify those skills and evaluate the experience together before terminating.
· Describe a situation when a professional relationship may end before the client achieves their goals.
There are many scenarios when termination will occur unexpectedly. Those include but are not limited to: insurance has reached its maximum payout benefit. Internship is ending and they prefer not to transfer and continue so they quit. They begin or end a job that was providing the insurance benefit. They become Ill for an extended period of time. Sometimes the client will just discontinue for no reason without explanation.
· Describe one potential positive and one potential negative feeling that you, as the social worker, might feel regarding a planned termination and an unplanned termination.
During a planned termination I may feel relieved that a client is moving on if they are exhibiting refusal to therapy behaviors and not making progress but causing discord in a group setting. I will feel accomplished if a client upon evaluation successfully completes the treatment and is living a healthier lifestyle.
· Describe one potential positive and one potential negative feeling a client might feel regarding both a planned and an unplanned termination of a helping relationship.
By helping relationship I assume you are referring to a supervisory experience. Termination of a supervisory experience will emit some emotions whether planned or unplanned. If the supervisor is a guidance rooted teacher than the relationship will be very progressive and beneficial for my future career and I will feel excited upon termination that I met a colleague who I can contact with knowledge that they are graced to share. If it is unplanned then I will probably have questions about my effectiveness with the clients I serviced and may seek additional supervision.
Kirst-Ashman, K. K., & Hull, G. H., Jr. (2018).  Empowerment series: Understanding generalist practice (8th ed.). CENGAGE Learning
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