Termination of Social Work Services

Summary

In Kristen Kremer's discussion on the termination of social work services, she delves into the complex, emotional, and ethical aspects of concluding the client-social worker relationship. There are several types of termination, including unplanned, planned with unsuccessful outcomes, and planned with successful outcomes. Each type presents unique challenges and requires adequate preparation and open communication. Kremer emphasizes the importance of starting termination discussions early, evaluating client progress, and upholding professional ethics in managing these transitions. The session also covers the emotional dynamics involved, both for the social worker and client, highlighting the need for sensitivity and supportive follow-ups.

Highlights

• Discuss termination early in the client relationship to set clear expectations. 🎯
• The most challenging termination type is unplanned, leaving no closure for either party. ❌
• Planned termination can have both unsuccessful and successful outcomes. 💼
• Evaluating progress and discussing future growth are essential during termination. 🔍
• Providing emergency instructions and referral contacts ensures continued support for clients. 📞
• Celebrate successful outcomes to provide a positive end to the client-social worker journey. 🎉
• Abrupt terminations require immediate supervisor intervention to minimize client distress. 🚨
• Understanding emotional reactions and addressing them helps in healthy termination processes. ❤️

Key Takeaways

• Unplanned termination is the toughest, often leaving both parties without closure. 😔
• Initiate termination dialogues in the first session to set expectations. 🗣️
• Evaluate client progress regularly and discuss it during termination. 📊
• Successful terminations should celebrate achievements, creating a positive closure. 🎉
• Supervisors must ensure clients are not abandoned during sudden terminations. 🛡️
• Ethical guidelines prohibit personal or financial relationships post-termination. 🚫
• Termination can be emotional; acknowledging feelings can aid in smoother transitions. 😊

Overview

Termination in social work is a multi-faceted process filled with emotional, practical, and ethical challenges. From unplanned to planned with various outcomes, each type of termination comes with its own set of difficulties and requires specific handling techniques. The most challenging are unplanned terminations, often leaving clients and social workers without the necessary closure.

Handling termination involves clear and open communication from the very start of the client relationship. Social workers are encouraged to discuss potential termination during the initial sessions to establish a foundation of expectations. Regular evaluation of client progress is crucial, and the end should focus on acknowledging achievements and setting up a framework for the client's future growth and support.

Ethical practice is paramount when dealing with terminations. Supervisors play a crucial role in ensuring clients aren't left abandoned, especially during sudden departures. It's vital to adhere to professional boundaries, avoiding personal relationships post-termination. Understanding and addressing the emotional journey involved in termination can lead to healthier, more positive client-social worker transitions.

Chapters

• 00:00 - 02:00: Types of Termination The chapter titled 'Types of Termination' discusses the process of termination in a client-social worker relationship during the last session(s). It explains that there are various types of termination, focusing first on unplanned termination, where a client abruptly stops attending sessions or a social worker unexpectedly leaves the agency due to reasons such as being fired or changing jobs.
• 02:00 - 04:30: Unplanned Termination Unplanned termination in social work often occurs when either the client or the social worker becomes incapacitated, such as through unexpected death or serious illness. This situation is challenging because it allows no opportunity for closure, leaving both parties without resolution.
• 04:30 - 08:00: Planned Termination with Unsuccessful Outcomes The chapter discusses 'Planned Termination with Unsuccessful Outcomes' in the context of social work. It highlights the challenges faced by social workers during various types of termination, emphasizing that although all types are difficult, planned termination with unsuccessful outcomes is considered the second most challenging. The most challenging type of termination identified is an unplanned termination. The chapter makes it clear that planned termination with unsuccessful outcomes occurs when a client has not reached their anticipated goals, making the process particularly difficult for social workers.
• 08:00 - 10:00: Planned Termination with Successful Outcomes This chapter discusses the concept of planned termination of services in scenarios where clients are no longer making progress towards their goals. It emphasizes that if a client fails to adhere to their responsibilities or the helping process ceases to be beneficial, termination of services is justified. The decision is framed as a necessary measure when further assistance no longer contributes to the client's intended progress.
• 10:00 - 17:30: Discussing Termination The chapter titled 'Discussing Termination' explores the different scenarios of ending services with clients. It acknowledges situations where a client may not have achieved the desired goals yet a decision to terminate services needs to be made. Additionally, it highlights the ideal scenario of planned termination when a client has successfully met all their objectives, although this too can present challenges. The discussion is centered around the complexities involved in deciding to cease a professional relationship.
• 17:30 - 28:00: Code of Ethics and Termination The chapter discusses the Code of Ethics and Termination processes in the context of social work. It highlights the importance of building a relationship between the social worker and the client, and identifies different types of termination scenarios based on the level of challenge they present. The best-case scenario for termination is achieving success in reaching the set goals, allowing for a positive conclusion of services. The chapter emphasizes the considerations and preparedness needed for social workers when terminating services with current and future clients.
• 28:00 - 35:00: Client Need and Termination The chapter 'Client Need and Termination' focuses on the importance of discussing termination with clients early in the counseling or therapeutic relationship. It emphasizes that social workers should ideally start discussing the process of termination from the first session. This approach helps set clear expectations and prepares the client for the end of the service. Providing ample notice to the client about their termination is considered crucial for a smooth transition. The chapter underscores the role of early communication about termination as a best practice in client engagement and relationship management.
• 35:00 - 44:00: Reactions to Termination The chapter 'Reactions to Termination' discusses the importance of clearly defining when services will end for clients. It highlights that services should not go on indefinitely without a plan for termination. The timing of termination can vary depending on the program, with some programs having set time limits, such as two years in one example. Clearly communicating the termination period at the beginning of the service can help manage expectations and provide clarity for all parties involved.
• 44:00 - 47:00: Ethics and Difficulties in Termination The chapter discusses the varying ethics and challenges involved in terminating client services in different programs. It compares a fixed-term two-year program, where clients must be aware of the end date, with an ongoing program that provides services as long as they remain beneficial. The termination policies depend on the program specifics and possibly the payer arrangements.

Termination of Social Work Services Transcription

• 00:00 - 00:30 let's talk about termination so this is the process you go through and that last or several last sessions with a client so there's a variety of types of termination so the first type of termination is unplanned so this is a situation where the client uh just quits showing up for sessions uh the social worker suddenly leaves an agency so that might be that the social worker was fired or maybe they switched
• 00:30 - 01:00 jobs unexpectedly um or in a situation where uh the client or the social worker becomes incapacitated so if um someone passes away um very sick or or also if one of them kind of moves abruptly um unplanned termination is really the most difficult for both the client and the social worker because there's no closure whatsoever um you just you have no opportunity
• 01:00 - 01:30 to make sure as the social worker that they're on it kind of in a good place um the next type of termination is a plan termination with unsuccessful outcomes this is also challenging all types of termination are challenging this is like the most the second most challenging so your first lecture quiz question for this week is what's the most challenging type of termination um that would be an unplanned termination okay that's the most challenging the second most challenging is a plan termination of unsuccessful outcomes so this is where a client hasn't reached
• 01:30 - 02:00 their goals but you're ending services because they're no longer making progress so that is a situation where if a client um you know just isn't following through on what they're supposed to be doing uh you can terminate services if it's no longer helping if the helping process is no longer helping the client you should not continue working with them so there might be a situation where you have to terminate services before the client is where you wanted them to
• 02:00 - 02:30 be um it might be that you switch them to someone else or you just entirely quit working with them um but there definitely will be situations where a client's not exactly where you wanted them to be but you still have to end services um the third type is plan termination with successful outcomes so this is the best case scenario um you're ending services because the client has reached all of their goals so it it still can be challenging
• 02:30 - 03:00 because you've really built up a relationship for the social worker and the client but this is the best case scenario where you have success you've reached your goals and now we're going to talk about ending services so those are the three different types in the order of how challenging they are so when we think about termination uh in both of you working with your present client and in working with the clients in the future um things that you need to be uh
• 03:00 - 03:30 engaging clients in during those last few sessions the first and foremost is provide as much notice to the client as possible so one of the things that social workers like to say is that you should be discussing termination in the first session so this is your second lecture quiz question is when when should you start discussing termination at the beginning um ideally in that first session that first time you've met someone you've really started to lay out this is how long we're gonna work
• 03:30 - 04:00 together and this is when you're no longer going to receive services from me so people know because if you let services kind of go on forever no one knows when to stop you really need to identify at the get-go uh when you're going to end services and when to end services can can vary um it can vary based on the program so some programs you know like i worked in a program that was two years like clients could receive services for two years
• 04:00 - 04:30 and at the end of the two years they weren't able to receive services anymore and the clients needed to be aware that this was a two-year program versus i worked in a different program which was more ongoing and clients could continue receiving services as long as they were still beneficial so one had a clear end date the other not so much um so it really is going to vary based on the client in the program it might also be based on the the payer so how are you receiving
• 04:30 - 05:00 payment for providing services so if it's um a situation where the client is choosing to pay like it's self-pay um then they might continue if they continue paying you then um you could technically still continue providing services but it's probably unethical if you're not continuing to provide any additional um assistance to them uh but if they are receiving payment through an interns provider some a lot of insurance is you know they
• 05:00 - 05:30 only provide four to eight services um or for four to eight uh sessions so you need to be aware of what the payment mechanism looks like and how that is going to impact your ability to work with them um the next thing you need to be doing is evaluating progress towards the goal so this is something that you should ideally be doing again along the way um but at the end in that last session you should be talking to the client about hey here's how you've progressed
• 05:30 - 06:00 maybe you have a nice little graph where you show them all of their self-anchored writing skills on their anxiety over time and they can see clearly see how that has declined but you should be talking to the client about all of the progress they've been making towards their goal you should also be discussing how to continue growth and resolve future problems um so this is where the relapse prevention plan comes kicks in so in the end you know if you are talking about a plan termination with successful outcomes if
• 06:00 - 06:30 someone is in that maintenance stage where you've been working with them on substance use they've been free from substances for six months um one of the final things you should be working with them on is okay how can you maintain this sobriety and what are some coping mechanisms you can use if you get stressed in the future who are people you can reach out to um how can you maintain your sobriety uh you should also be providing the client with clear
• 06:30 - 07:00 instructions in the event of an emergency so if you've been working with someone on depression here's a suicide prevention hotline here are specific um other hotlines you can call if you're feeling depressed um you ideally should have already provided clients with those some of that information in the event of emergency but provide it to them again um you should also give them contact information for appropriate referrals so another
• 07:00 - 07:30 general rule of thumb for social work is that when someone terminates you should be giving them contact information for three referral sources so they don't always have to be addressing kind of why they walked through that door in the first place but they should be connected to the client schools so if you have a client who came in for substance use issues you might provide and they've they've reached sobriety you might provide them contact information for alcoholics anonymous employment agencies
• 07:30 - 08:00 and maybe housing agencies so these are referrals that might not be directly related to their sobriety but they're going to be connected to their long-term goals whatever that is for the client um you should also have some sort of plan for follow-up uh you should not be following up extensively with the client but a lot of social workers might follow up with them in like three months or six months
• 08:00 - 08:30 to kind of connect with a client and see how they're doing and when i say follow up that's a simple follow-up call um follow up text message email how are you doing let's check and see um if i can connect you with anything right now in the short term um so follow-up should not be if you're engaging in a long-term follow-up on a regular basis then you are still providing the client services so this should be once or twice short little phone calls just to check
• 08:30 - 09:00 in and see how they're doing um so that just provides you another opportunity to make sure that they're going to be successful in the long term another suggestion that i have depending on um the types of services you've been providing but ending with some sort of ritual can be fun so you know if you think of a lot of times when people receive treatment for cancer when they're done with chemotherapy there's like a bell that they get to ring a lot of hospitals have um something like that or like the the program that i worked at it was a
• 09:00 - 09:30 group program and when um people were kind youth were aging out of the program we had a little graduation ceremony for everyone um that was an easy situation because we had a set date where there were a group of people so if you have something like that you know if you think of like youth aging out of foster care can you make it a celebration make it something that they are excited about um and it makes it a little easier because again termination
• 09:30 - 10:00 can be really hard you've really built a connection with the client over time if you've been working them with them for an extended period of time and it makes it sad not only for you but for them so if you make it fun and a celebration and exciting uh then they're really going to be able to be more on be more okay with termination and if that's a ritual that they've kind of seen people do over and over they understand that yeah everyone has to leave the program
• 10:00 - 10:30 at some point and they'll also be more prepared so it also helps other clients become more prepared um to leave so when we look at what the code of ethics actually says with regards to termination there's a whole page and a half so hopefully everyone read that um the first rule of thumb in the code of ethics is that you need to terminate services when they're no longer helpful so if a client is no longer making progress
• 10:30 - 11:00 you shouldn't be continuing to meet with them um it's not a big use of your time it's not a good use of the client's time it's not a good use of anyone's money um so if they're no longer making progress and it might be that they've completed all their goals it might be that they um just haven't followed through on anything and the techniques that you're using haven't helped them move forward um but if they are kind of um reached a point of stability
• 11:00 - 11:30 a point where they're not going to keep moving forward that's when you need to terminate clients um and it's hard no one likes to do it no one feels good about it but ultimately you need to be using your time most efficiently and you have to use it for clients who's going to get the most out of it and you also have to think about client time like if they're not getting anything else out of it you need to be the one to really tell them that
• 11:30 - 12:00 um so you also should not abandon clients so the client's best interest is the first priority so when you do terminate clients that's why it needs to be something that you've talked about over time um so things happen where you have to end services rather abruptly and you have to make sure that you're handling in the best way possible the other thing to think about is uh one day a lot of you are going to be
• 12:00 - 12:30 supervisors um and you're going to have situations where uh your social workers leave abruptly it might be that they are fired um it might be that they kind of quickly got a new job um you as a supervisor has to make sure that the clients do not feel abandoned okay so here's a uh example story so this is a true story so uh at the agency that i worked at uh
• 12:30 - 13:00 we had kind of wrap around services for families who are at risk of child abuse so there was a um case manager manager who worked with the parents and then there were therapists and an employment coach okay so each family was working with multiple people so one of the therapists got fired and when someone gets fired they do not have an opportunity to terminate services with their clients um that would be an unplanned termination so one of our therapists got fired
• 13:00 - 13:30 um so he did not get to call their his clients tell them what happened he got fired for not turning in paperwork on time okay so this is a true story so he got fired because he was really really months behind on paperwork um and our supervisor did not follow up with each client to let them know that their therapist was no longer working at the agency the supervisor had said in passing to the case managers that each case
• 13:30 - 14:00 manager needed to tell the clients that this therapist was no longer there but there was no clear instructions no follow-through to see if the case managers actually did it and they did not um so one day the client of the therapist client called the agency hadn't heard from him him in a while they were supposed to have a meeting what happened to him called the agency and the agency just says i'm sorry he no longer works here and
• 14:00 - 14:30 that's all that's all that they were said this was a male therapist it was a mom who had some serious mental health issues she had two teen boys who had been working with him and she has no idea why he was fired the mom had a history of sexual abuse and went to the worst case scenario and assumed that he had been fired for something related to sexual abuse with a client so mom's spiraling when she finally calls the case manager and asks what happened um so now you have a mom whose sons had
• 14:30 - 15:00 unplanned ended termination with a therapist who they had been working with for a while they have no closure and the mom now thinks that he potentially sexually abused a client that does not make the therapist look good that is not good for the client whatsoever and that is not good for the agency um all because the supervisor did not follow her ethical obligation to make sure that the clients were not abandoned she did not provide the necessary information to the client um so your
• 15:00 - 15:30 third lecture quiz question is what's your duty as a supervisor when a social worker leaves abruptly and you need to connect the client with another worker at the agency to continue services so you need to make sure that services are not ended abruptly those boys still needed a therapist and there were other plenty of other therapists at the agency who were able to work with them um so you need to make sure that the
• 15:30 - 16:00 client is aware of the situation um don't go into all of the details of the client on why someone's fired but you need to just let them know that hey your therapist is no longer with the agency um it has nothing to do with anything unethical he's just no longer working here and we'd love to connect you with another great therapist that's how you address it you not addressing the situation just ends up really bad for a lot of people so hopefully everyone can learn
• 16:00 - 16:30 from that negative experience um another thing that you can do is you can terminate services of client hasn't paid fees so a lot of times you know if you're thinking about um in certain certain services clients do have to pay some sort of fees to receive services you know obviously if you're working with homeless services that's not gonna happen um but you know you have program service fees so let's think about like the boys and girls club like families have to pay
• 16:30 - 17:00 to send their kids to the boys and girls club like it's a small reduced fee but they do have to pay something there might be other support groups we have to pay a nominal fee um so or like a lot of recreational activities you have to pay some fee and there might be some role of social worker involved in them um so if someone hasn't been paying their fees you can terminate services however there are special conditions um under which uh you can terminate services so uh this includes that you had to have told
• 17:00 - 17:30 the client what their financial obligations were so you need to need to have let the client know that this is how much you have to pay for services um and if you haven't told them what the fees are then you can't terminate services with them so always again this kind of goes back to the beginning of this is part of the informed consent that people should know how much they're supposed to be paying um they also need to have known what the consequences of not paying are so this is how much you owe and if you don't pay this much you can no longer
• 17:30 - 18:00 receive services so that needs to be clearly laid out preferably in writing um and the final thing is you should not end services if the client is an immediate danger to themselves or others so if a client is receiving you know counseling sessions from you and you are really concerned about their mental health um even if they're not paying you should you still have an ethical obligation to continue providing them services um so per the nasw code of ethics you should still be providing them services
• 18:00 - 18:30 if you are concerned about their um being in danger to themselves or someone else okay um hopefully this next one is fairly uh obvious but you should not terminate services with the client if you want to pursue a relationship with them and this is not just like a sexual relationship but like a social or financial relationship so if you want to become friends with the client and start hanging out uh that's unethical you should not end services just so you guys can start hanging out
• 18:30 - 19:00 or because you want to start a new business with the client um that's unethical that would be considered a dual relationship um so don't do that you also need to finally i've already kind of talked about is you need to notify the clients ahead of termination and then you need to make sure that you're trying to ensure the continuation of services elsewhere so again it's like if you're leaving the agency usually you give two weeks to four weeks notice before you leave a job
• 19:00 - 19:30 um so you're using those last two weeks to tie up loose ends with clients to say hey i'm leaving can i connect you with someone else at the agency and you need to try your hardest to help facilitate that connection you're just not giving them a piece of paper someone's name on it you're actually physically sitting there with them calling the agency calling the case manager um and physically connecting them as much as possible okay um so
• 19:30 - 20:00 what happens if a client is still in need of services so this happens a lot where you have to terminate services but a client still needs help um so what are your again your ethical obligations what should you be doing so the clients some reasons for termination the first is that the client needs are beyond your expertise so if you're a case manager and someone needs therapy that is beyond your area of expertise it's also beyond your job description so
• 20:00 - 20:30 you can be a case manager with a master's degree in history and like experience in doing trauma but if it's beyond your job description and what you're supposed to be working with a client on then you should not be doing services with them so in that situation that's where you're referring them to a community partner you might still be working with them on case management but you need to refer them elsewhere for that therapy um it might be that they have time limited services because of the nature of the program or their insurance so again a lot of
• 20:30 - 21:00 these are you refer them to another social worker um you need to find someone else that they can work on or work with so that maybe they can still receive um they still need services but it cannot be in the nature that you're providing them if you refer them to another program uh that will be fine so like the program that i worked in with families who um it's a long term two year program for families who needed uh some parenting support
• 21:00 - 21:30 to prevent child abuse a lot of times we might uh refer those families to um you know smaller more less intensive services so maybe we're referring them to a private therapist or job training um but it's currently we have to end the services uh if there's a conflict of interest that you weren't aware of when you started services um that's where you need to refer them to another social worker so it's not that you're going
• 21:30 - 22:00 you know you're not going out of your way to create a conflict of interest um but you've discovered that there's a conflict of interest that you know their wife is your cousin hopefully you realize that when they walk through the door but um a situation where you might not realize there's a conflict of interest that's when you need to refer them to another social worker um if the insurance coverage ends which i kind of talked about with time limited services that's where you might you can that you don't necessarily if the insurance coverage ends you don't necessarily have
• 22:00 - 22:30 to and terminate the services so you can appeal the end of the insurance um or you might refer them to an agency with sliming scale fees so this happens more when we think about counseling um so insurance again insurance might cover so many counseling sessions um and you can potentially appeal to the insurance company to get more time um however if they if their insurance is no longer covering it you might be able to there might be other agencies who do what's called
• 22:30 - 23:00 sliding skill fees so this is where people self-pay for counseling um based on their level of income so individuals with higher income would pay more um than individuals who don't have income there's also a lot depending on what area you're in a lot of like universities offer sliding scale fees um so some it's usually situations where um like k-state the k-state's counseling i think they haven't like a actual like family counseling program and their accounts family counseling uh phd
• 23:00 - 23:30 students conduct like part of their like internship they conduct uh counseling sessions on a sliding scale fee with low-income individuals so that's a potential option to think about that there are different um universities hospitals that provide um some sort of support for low-income individuals the final situation is that the social worker's leaving the agency so if you are physically leaving the agency you should be referring them to another social worker or
• 23:30 - 24:00 transferring them to a different agency so this gets a little um more challenging if you're thinking about you are the social worker and let's say that you've been a case manager for several years and now you're going to start your own private practice doing therapy so you're now leaving the agency to do therapy on your own um would it be ethical for you to take your clients with you to
• 24:00 - 24:30 your new therapy or let's say that you were a therapist at your original place of employment and now you're just gonna start your own private practice um so there's still clients who need your services um would it be ethical for you to take those clients with you to your private practice um the short answer is it depends in general a few things to keep in mind is so let's say again you're a therapist going to private practice can you take your clients with you
• 24:30 - 25:00 know what your contract says know what your employer employment contract says that usually there's some sort of stipulation in there that uh you can't do that you can't take clients with you um you would also be you have an ethical obligation to your employer to not uh take clients with you um so in general you should be referring them to someone within your agency
• 25:00 - 25:30 um the situation there's like some special situations where you might be able to take your clients with you where you might be able to um kind of tell them that you can still continue seeing them if they come to your private practice one of those situations might be is if the type of therapy that you provide um is not provided by anyone else at the agency okay so if you are there's a type of therapy called um parent child interaction therapy so it's pcit
• 25:30 - 26:00 so uh this is a specialized training therapy i won't go into too many details because it's not important um but let's say that you are the only trained therapist on pcit and no one else provides any other type of service for parents and their children to increase those that relationship between parents and children if this is a specialized service that no one else provides and this client really really needs this therapy in particular you could
• 26:00 - 26:30 let the client know that you are still available um in a private capacity okay but if someone else that at that agency provides pcid you should not be taking that client with you you should be referring them to another social worker at the agency so in most situations um it would be unethical if you um kind of tell them on the side that hey i'm leaving but here's my private business card um obviously if the client if like a year later the client's like hey i found you online can you see me again um that's a
• 26:30 - 27:00 different situation because the client kind of used their self-determination to find you maybe they gave the other therapist a try and they didn't like them um but you can't slide your business card to them on the side that would be considered an ethical okay the other thing to keep in mind with termination is it's hard uh there's a lot of reactions um for the client and you have your own reactions emotional reactions to the
• 27:00 - 27:30 experience if you think again i worked in an agency that had these intensive uh case management wrap around services for clients where our case managers saw clients like they spent like 10 hours a week with clients over the course of two years that's a lot of time it's almost like you become a family member to the client um and you end up building these really strong relationships um number one you should not be seen as
• 27:30 - 28:00 as like a family member to them um that probably means that you've crossed some boundaries and there's some boundary issues um so that's something to keep in mind uh but if you've spent so much time with them that they've started to be dependent upon you um when you're no longer receive still providing them services that's think of it like a grieving process okay so if you think about like the stages of breathing okay clients have those same reactions
• 28:00 - 28:30 so let's think about the stages of greeting we have denial okay so clients might be like no you're still going to be here with me there's no way you're going to leave me um anger so they're angry why are you leaving me how can you abandon me like this um bargaining um you know okay i what if we just tell your so your supervisor that um i've still been using drugs even though i'm not would that help you still be able to to
• 28:30 - 29:00 work with me um so we have let's see uh depression is the next one so we have denial anger bargaining depression so they're really sad that you're leaving them um and then finally we get to this acceptance okay but we have to go through all of these other emotions to get to the point of acceptance and you go through these same ones when when you have strong ties with someone it's not just the client but the social worker can have these same things um so that's where you get the anger the
• 29:00 - 29:30 denial um they might start avoiding you so all of a sudden you tell a client that hey you've been doing so well i think that we need to start up start thinking about termination and then they start avoiding you they quit coming to sessions they don't want to work with you anymore it can be really challenging um there might be some recurrence of old problems or new problems you know if you tell someone that hey you've been sober for
• 29:30 - 30:00 six months uh you're doing so well i think that we can start talking about um a relapse prevention plan and you don't have to come see me anymore and now all of a sudden they start reporting that i'm using substances again yes i get to stay and meet with you for longer or now you hear about these really really other big problems in their life that oh you know yeah i'm not using substances anymore but now i'm addicted to gambling like can we talk about that so now they're kind of generating these new problems um they're gonna find whatever way
• 30:00 - 30:30 possible to continue contact with you i'm not again not all clients are going to do this um but these are going to be some situations that you need to be aware of um because of that relationship because they've they've their they've depended upon you um they're going to want to see how you can kind of stick around or maybe they try to find a substitute that okay if you're not gonna work with me maybe i'm just gonna have to keep going to my mom for problems or i'm just gonna find
• 30:30 - 31:00 someone a new social worker who's gonna work with me um and you again you kind of have these same reactions so you're still going through those stages of grieving when you're losing a client um it's important that you recognize your own feelings when working with clients recognize that this is a sad process um to no longer see them anymore um and make sure that you're responding to them the best way possible that you're kind of um validating their feelings that hey
• 31:00 - 31:30 i know it's really hard and you feel like it's just i'm just one more person who's no longer going to be in your life um but here's he look at all the progress you made that's why you focus on the the um the progress the goals that they've reached you're celebrating you're making it less sad and more exciting okay so that's all i have um on termination if you have any questions
• 31:30 - 32:00 feel free to reach out