Review each treatment plan goal at discharge — closes the golden thread
Enter each goal from the treatment plan and mark its outcome. This ties the discharge summary back to the original treatment plan.
Treatment Plan Goal
Status at Discharge
Evidence of Progress / Outcome
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Termination Sessions & Closure Process
How the therapeutic relationship was ended therapeutically
⚠️ Best practice recommends 2–3 dedicated termination sessions, especially for children with abandonment or attachment concerns. Termination is a process, not an event.
Closure Activities Used
⚠️ Parents should be informed that some behavioral regression after termination is expected and normal. Regression that does not resolve within 4–5 weeks warrants re-contact.
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Post-Treatment Recommendations
Final recommendations — included in the termination summary
If no recommendations, write "None." If terminating for failure to comply, a minimum of 3 referrals is required.
Recommendations — Select All That Apply
If Terminating for Failure to Comply — Minimum 3 Referrals Required
Letting parents know that the door to therapy is not permanently closed is important. For young children who experienced trauma, returning at different developmental stages is expected and often necessary — document that this was communicated.
📄 Play Therapy Termination Summary
④ Readiness Indicators
⑤ Session Detail
⑥ Parent Consultation
⑦ Therapist Closure
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Supplemental Clinical Notes — Optional
These sections are not required for a standard discharge summary. Use them for complex cases, peer supervision, or your own reflective practice. They generate a separate supplemental note.
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Termination Readiness Indicators Optional
Clinical indicators supporting your discharge recommendation
Rate each readiness indicator 1–5. Useful for documenting clinical reasoning behind the termination decision.
Predominant Play Themes in Final 3–5 Sessions
Themes indicating clinical readiness for discharge.
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Termination Sessions — Extended Notes Optional
Detailed narrative of the closure process
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Parent Termination Consultation Optional
Document if a formal parent consultation occurred around discharge
Not required for every discharge. Document here if a dedicated parent termination consultation occurred.
Topics Covered
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Therapist Closure & Reflective Practice Optional
Personal and professional closure — for your own clinical record
The therapeutic relationship is just that — a relationship: two people. How a therapist experiences the ending of a relationship matters too. Taking time to reflect on each case is part of ethical, sustainable practice.