Health Medical Homework Help

Respond to the blog posts of three colleagues in one or more of the following ways:

• Expand on your colleague’s posting.
• Make a suggestion to your colleague’s post.

Megan—

An explanation of how you have addressed termination or how you might address termination in your field education experience

I have not had much experience with the termination during my past or present field experiences. I will need to start thinking about this process now that I am coming to a close with field experience. Termination is the conclusion of the social worker-client intervention process and needs to be understood and given just as much thought and consideration as any other phase we are working with. Social workers must handle the termination process carefully to protect clients and minimize risk (F. Reamer, 2006). I will continue to work with my supervisor and take her guidance when it comes to the termination of clients. I know that one client I have in particular will be coming up to termination prior to the end of my field placement as he was court mandated and interventions were to provide education on substance use disorders and that has been completed. I will explain the termination process to my clients and go over/recap what we have done over our sessions together, there will also be a discharge summary that will need to be completed prior to their termination that will be signed by client and clinician.

Reference

Reamer, F. (2006). Terminating Services. Social Work Today. Retrieved October 25, 2021, from https://www.socialworktoday.com/news/eoe_0506.shtm…

Jehan—

• An explanation of how you have addressed termination or how you might address termination in your field education experience

When a client achieves their goals, it may be appropriate to transition them to a new therapist or to terminate therapy altogether. It is important to be warm and supportive, but also to set clear boundaries. The client should know they can come back if they need help again, but that the therapist is not a friend with whom the relationship can continue outside of therapy. Moreover, I would address termination by talking about and planning for the end of therapy early on, patients are better able to commit to a full course of treatment and make the most of each and every session (Brkernmaier & Berg-Weger, 2018). By having this type of discussion with their worker at the beginning of sessions, they will have a goal to look forward to and will know what to anticipate in the end. Talking with clients about appropriate termination includes: providing them with education about typical treatment durations, developing a plan for recognizing and talking about desires to end therapy once progress has been made, and discussing what to do if desires to end therapy prematurely do arise. By having clients talk about the end of treatment, they are better able to anticipate all of the potential benefits that can come through engaging in therapy. Additionally, by having a specific end goal in mind, clients may be more willing to push through the costs that may come up during treatment and thus be less likely to drop out prematurely.

Birkenmaier, J., & Berg-Weger, M. (2018). The practicum companion for social work: Integrating class and fieldwork (4th ed.). New York, NY: Pearson.

LaTonja—

I have not addressed an official termination with my clients as of yet. However, I did mention that I will discuss the termination phase this week and the next. The termination phase is the portion of my field experience that I find difficult. I have established a trusting alliance with my clients since the beginning of my field experience. This process has entailed months of rapport building, trust, honest communication, and vulnerability. Providing therapeutic services to my clients served as mutual aid as I also learned about myself as an individual and professional.

My plan to address termination with my clients will include emotional processing and transition planning. I intend to help my clients process their emotions about our termination and engage in a positive reflection of our worker-client relationship. We will review their progress and address any negative emotions they may have. According to Roe et al. (2006), the client and therapists’ feelings during termination occur within the context of the therapeutic relationship; there is a positive correlation between a successful termination process and the client’s positive therapeutic experience. Next, we would discuss a transition of services to prevent client abandonment. My clients would have the option of transitioning to the other therapists in the office, or I can refer them to mental providers outside the agency. The clients will have the ability to contact me until my last week (Week 11) if they need booster services before I complete my internship.

Roe, D., Dekel, R., Harel, G., & Fennig, S. (2006). Clients’ feelings during termination of psychodynamically oriented psychotherapy. BULLETIN OF THE MENNINGER CLINIC, 70(1), 68–81