1. Direct Practice in Social Work, 2e
Scott W. Boyle
Grafton H. Hull, Jr.
Jannah Hurn Mather
Larry Lorenzo Smith
O. William Farley
University of Utah, College of Social Work
Power Points by Julie Emmer, University of Central Florida
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2. Direct Practice in Social Work
In Chapter 14 we will learn the following:
Different models of termination
Types of termination
General termination guidelines
General tasks of termination
Maintenance/stabilization of change
How to refer to a new therapist

3. Termination from different perspective
Ego psychology
Task centered model
Cognitive therapy
Solution-focused therapy
Behavior therapy
Systems therapy
Crisis intervention therapy
Person centered therapy
Family therapy

4. Types of termination Client moves Client chooses not to continue
Negotiated contract is completed
Negotiated contract expires
Social worker leaves job
Social worker chooses to not continue with the client

5. General termination guidelines
All or most goals have been reached
Should have been discussed throughout treatment
Identify tasks and activities for client after treatment
Teach client how to assess progress after treatment

6. General tasks of termination
Review why client sought treatment
Discuss why the client needed social worker’s help with the initial problems
Identify new skills client has learned
Discuss how these new skills can be used in the future
Explore how client can enhance or build on new skills in the future
Discuss how the client is feeling about terminating contact with the social worker

7. Maintenance/stabilization of change (Miller, 1999)
Help clients see recurrence as both an event and a process.
Identify high-risk factors and coping strategies; be aware of cues that can set off cravings.
Find different ways to cope with negative emotions.
Learn to cope with cognitive distortions.
Be aware of social pressure to act in specific ways.
Develop a social network supportive of their behavior change.
Develop a balanced lifestyle.
Develop a plan to deal with future recurrence of problem situations.

8. Addiction Relapse prevention Counseling (Miller, 1999)
Four assumptions:
Addiction is an overlearned, maladaptive habit pattern
Behavioral determinants and consequences have an impact on behavior
People are not responsible for developing a habit or for not simply being able to stop it
Escape from the addiction cycle hinges on changing habits through participation and responsibility

9. For relapse prevention in addiction, clients need to identify the following:
Situations that are high risk for them
Skills to cope in high-risk situations
Relaxation and stress management skills
Positive outcome expectancies: realistic outcomes of addictive behavior
Immediate and delayed effects of the addictive activity
Action to take if a relapse occurs

10. Referring to a new therapist
Explain the reason the referral is being made
Obtain proper authorizations for information release
Introduce the client to the new therapist
Provide new therapist with summary of counseling thus far
Make sure the client has followed through