A discharge summary is the final piece of clinical documentation in the Golden Thread. It summarizes the whole episode of care and is written when a client is discharged from the provider’s care. When a discharge summary is not completed, the Golden Thread — or clinical narrative for a client’s episode of care — is incomplete. A client can still be considered open, and under the care of the provider, which can present risk and liability concerns.
Use the discharge summary when:
The discharge includes:
When discharging a client who is disengaged from care, you may wish to include details about the number and types of outreach used to re-engage clients and recommendations for next episode of care should the client seek services again.
As a resource for SonderMind providers, we’ve created a discharge template that you can access here.
To help you fill out discharge summaries, we’ve also developed examples featuring a fictional client and their clinical record. The information in each sample is for illustrative purposes only and does not contain real client information.
If you’re not a SonderMind provider, we invite you to join a community of mental health professionals who are dedicated to providing the highest-quality care and changing people’s lives. As part of the SonderMind community, you’ll have access to tools, resources, and support to provide the best care to your clients.
**Disclaimer: This document is intended for educational purposes only. Please check with your legal counsel or state licensing board for specific requirements.
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