It is the policy of Mid-Ohio Psychological Services, Inc. that clinical staff shall terminate a professional relationship when it is reasonably clear that the client is not benefiting from the relationship, when it is ethically inappropriate to continue a relationship with the client, or when the client has met maximum medical benefit from the treatment. Clinical staff shall offer to help locate alternative sources of professional services or assistance if indicated.
The following procedure will be observed when a termination is deemed necessary:
Clinical staff/clients may voluntarily terminate care if:
- The client is not likely to improve and will not get worse if services are withdrawn
- The client has met or substantially met their treatment goals
- The client no longer meets medical necessity requirements
- Continuing ongoing treatment with the client would be damaging
- The client decides they no longer want to continue care or do not return for care
Clinical staff may involuntarily terminate a client:
- When it becomes reasonably clear that the client no longer needs the service, is not likely to benefit, or is being harmed by continued service.
- When agency staff are threatened or otherwise endangered by the client or another person with whom the client/patient has a relationship.
- When there is no funding source available to pay for the client’s services and the client is unable or unwilling to pay.
- When the client meets the criteria for a voluntary termination but the client is unwilling to terminate services voluntarily.
Except where precluded by the actions of clients or third-party payers, prior to termination, clinicians should provide pre-termination consultation and suggest alternative service providers as appropriate.
If a client fails to appear for a session or fails to reschedule an appointment, it is the responsibility of the support staff to initiate the following procedures:
- Notify the clinician of the situation.
- Attempt to contact the client to clarify their intentions and document said attempt. Staff will make three attempts to contact the client, this will include at least one phone call and one written document.
- Six months after the client’s last scheduled appointment, clinical staff will initiate the closing of the client’s file in CIS.
- After the clinician has closed the file in CIS, it will be archived it Xakt, and scanned. The file will then be shredded in compliance with the agency records control policy/procedure.