Reason for Discharge [If the client is transferring to case management services at another
Agency, in addition to the Reason for Discharge, include the new agency address and new
I am feeling health, and in better shape since the day I joined the program. I would like to terminate the services of the program because I no longer require the services provided here; as I am healthier.
Diagnosis on date of discharge:
Medication on date of discharge and plan for continuing prescriptions:
Presenting situation as described by client at admission to case management program:
Goals achieved: I feel I have achieved all the goals I set for to achieve before I depart from this organization.
Goals not achieved and client plan for these upon discharge: I feel I would carry on with my life with the advices and medications given by the organization and always try to pursue my remaining future goals for life.
Additional issues or concerns not documented above:
I have reviewed this form with my case manager, and I understand and agree with the
Summary and recommendations: Agree: Client Initials:
I have reviewed this form with my case manager, and I wish to add the following comment to
The summary and recommendations (optional)
Copy of this completed Discharge Form received by client: Client Initials:
During the last days before the termination of the services I would like to discuss with the client about their struggles in achieving the goal, their experiences with our services, their views and opinions about our team and services, their future goals, etc. I would request the client to open up and share as much as possible with us about their experiences. Also, I would like to have the clients to give feedback to improve our services.
I would give utmost importance to the beliefs and cultural ethics of the client. The end of the services doesn’t mean the end of the cultural prosperity. So, in spite of the termination, the cultural grounds of the clients will be protected and respected.
Ethically, there may be doubts and questions about the quality of our services. There also might be some issues with the client satisfaction. But, I would guide my teams to handle all the issues patiently and give humble and rational explanations for each of them. There may be a few human errors during the course, but overall the journey to achieve the goals cannot be compromised.
When my friends are reviewing my assignment, I would like them to point out to them the following areas to give feedbacks:
- Quality of services provided.
- Reasons for client’ discharge.
(2013, May. 21 ). In When should a professional services firm terminate a client relationship. Retrieved Jun. 24, 2014, from http://www.lexology.com/library/detail.aspx?g=6bf9