What is ethical practice when progress stalls and termination or referral is considered?

• A. Terminating without explanation
• B. Plan termination with a well-documented rationale, provide referrals, ensure continuity of care, and explain reasons to client.
• C. Continue indefinitely
• D. Refuse referrals

Answer: (B)

When progress stalls, ethical practice requires planning termination or referral in a way that protects the client. The best course is to terminate with a well-documented rationale, provide referrals to appropriate professionals, ensure continuity of care (for example, by coordinating with the new provider and sharing relevant information with client consent), and openly explain the reasons to the client. This approach upholds the client's autonomy and safety, reduces the risk of abandonment, and aligns with professional standards by documenting the decision and facilitating a path forward. Terminating without explanation can leave the client feeling abandoned and confused. Continuing indefinitely is inefficient and may prevent the client from receiving more suitable or effective support. Refusing referrals leaves the client without needed care, contrary to the obligation to act in the client's best interests.