04/02/2026
It is time for another edition of Let's Learn; a series where we share recent research and resources put together by our team member Hailey! This round, we are talking about and Termination 🎶
What is clinical termination:
Clinical termination in music therapy is defined as an ethically and clinically appropriate process (Younggren & Gottlieb, 2008) that helps the client end the professional relationship and continue to make changes independently (Schneider Corey & Corey, 2015).
Types of termination in clinical music therapy:
- Gradual Termination: Termination process over multiple sessions
- Abrupt Termination: when sessions end with little or no notice
- Single Session Termination: When you only have 1 session with a client
- Immediate Termination: These occurred in medical and mental health settings
- Refusal of treatment: “In these situations, people either refused to participate during sessions or did not attend sessions.”
Types of termination in music therapy cont':
- Transition to Group Termination: a transition from 1:1 services to group services.
- Microtermination: Services were started and stopped as needed over a long-term treatment plan.
- Termination in Limbo: “In these scenarios, a person’s discharge process was initiated but left incomplete.”
- Soft Termination: “In this case, the [client] had reached their goals in one area of need and then showed curiosity about music therapy treatment for another area of need.”
(Abbott, E. A. 2023)
Termination with Autistic children:
- Many children’s therapy ends due to external factors, & the child may not feel ready, & therefore feel abandoned
- Therapist should be able to recognize & identify their own emotions & the effect of others
- Recognition & acknowledgement of the stress of termination should take precedence over therapeutic goals
- Providing predictability & continuity is important
- Work with caregivers & provide suggestions about possible effects of parting & suggestions of how to prepare & inform the child
Termination with Adults with learning disabilities:
- Realistic aims, goals, & outcomes
- Prioritizing the quality of the client therapist relationship & the impact that this will have on the therapeutic ending
- Considering how to manage, & meaningfully communicate the ending process to clients whose cognitive ability is severely impaired
- Using inevitable breaks in ongoing therapy to help clients build the internal experience of not having therapy
- The use of clinical supervision
- Understanding the need to work within the Learning Disability context
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