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A Discussion on Clinical Endings

Family Paths

Tuesday, April 7, 2020 from 9:00 AM to 11:30 AM (CDT)

A Discussion on Clinical Endings

Registration Information

Type End
A Discussion on Clinical Endings 2d 9h 30m Free  

Event Details

A Discussion on Clinical Endings

Meleah Chamberlain Terheyden, LCSW


Provided by Family Paths (CEU Provider #62239) in conjunction with Chabot-Las Positas Community College District and Alameda County through Title IV-E Funding. 

This workshop is free & open to those who work with children in the foster care system in Alameda County.



THIS TRAINING WILL BE HELD ONLINE VIA ZOOM. A link will be emailed to you 48 hours before the training begins. Please be sure to check your email from Eventbrite for updates. If you have any issues downloading the Zoom app or have any questions/concerns please email


Training Description

This training will explore the many facets of ending clinical services with youth and families, especially those who have experienced attachment disruption. We will discuss the reasons for ending services and the potential for reparative experiences, as well as minimizing further harm, in working with youth and caregivers who have experienced trauma and/or have been involved with Children and Family Services. In this context, we will explore planned and unplanned endings with the youth and families served. We will review and explore feelings and reactions that influence the quality of the ending that generate not only from the youth and caregivers, but also from the service providers, including anxiety, overwhelm, relief, hesitation, disappointment and pride. We will also explore factors that impact planned endings, including the developmental and chronological age of the youth along with the sociocultural experience of loss and how this intersects with the youth’s and caregiver’s experience. We will review referral resources and intervention ideas around endings to provide clinicians with practical tools they can implement during endings. 


Training Objectives

  • Give examples of what endings can evoke in youth who have experienced loss and grief
  • List at least 2 possible influences during planned endings that may evoke counter-transference reactions
  • Name at least 3 aspects of a planned ending that can help minimize negative experiences for the youth and caregivers served
  • Identify at least 2 referral resources for ongoing community supports


The Trainer

Meleah Terheyden, Licensed Clinical Social Worker, graduated from Smith School for Social Work, and completed The Psychotherapy Institute of Berkeley’s Supervision Study Program. She has a small private practice near Lake Merritt in Oakland and consults for St Paul’s Episcopal Lower School. Meleah has been interested in clinical endings since 2005 when a program she was working for closed suddenly and recently had to experience several goodbyes and “see you later”s when going on maternity leave. 


Course Outline

1. Overview, introductions and experiential art activity reflecting on countertransference and attachment responses to endings

2. Context for endings and specifying circumstances (such as planned vs unplanned endings)

3. Goals for a planned ending

4. Setting up endings with clients (including from the beginning of treatment, as well as when to revisit with open-ended cases)

5. Anticipating the ending and imagining possible client reaction

6. Planning the ending, including considerations for specific clients

7. Ending and discharge planning

8. The final session

9. Examples of activities and art projects that can be used

10. Partner discussion about specific cases

11. Sharing out from partner discussion to the group

12. Questions, comments, final thoughts, and evaluations

13. References


Disability Accommodation   Family Paths will make reasonable efforts during the training to accommodate qualified individuals with disabilities and/or medical conditions in accordance/compliance with the State Fair Employment and Housing Act (FEHA), Federal Americans with Disabilities Act (ADA) and applicable statutes. To request an accommodation due to a disability/medical condition during this training, please contact the Clinical Training Coordinator no later than 5 days before the training. The buildings where most of our trainings are conducted are wheelchair accessible and have disabled parking available.


Cancellation Policy   We do not charge for our trainings at present and space is limited. If you cannot attend we ask that you contact us as soon as possible in order to open up that seat to someone else. If training is cancelled, participants are notified via email no later than one week prior to the training if possible.  If a trainer has an emergency and notifies the training department in less than week, those registered for the training are notified as soon as possible.  Training registrants are provided the makeup date that is scheduled for the training.


Please include any requests for accommodations for disability.

Training Grievance Policy    Family Paths is committed to providing a work/learning environment in which all individuals are treated with respect and dignity.  A participant of trainings has the right to seek a remedy for a dispute or disagreement through Family Path’s policies for filing complaints/grievances for participants.  Training participants may use available informal means to have decisions reconsidered before filing a formal complaint/grievance. No retaliation of any kind shall be taken against a participant for filing a complaint/grievance. In an effort to provide the highest quality services to participants in our trainings, you are encouraged to report immediately any concerns regarding your training experience to the Clinical Training Coordinator who will provide the complaint form.  All participant complaints/grievances should be in writing (which may be in your own language) to the Clinical Training Coordinator, Family Paths,  1727 Martin Luther King Jr. Way, Suite #109 Oakland, CA 94612or by email to  Once a complaint or grievance has been submitted, you can expect a response no later than ten (10) business days.  Upon receipt the Clinical Training Coordinator will conduct a formal review of the complaint/grievance and will attempt a timely resolution, taking appropriate corrective action if warranted by the investigation. If no resolution is forthcoming, or the problem is not satisfactorily resolved, the participant may direct any complaint/grievance to the Program Administrator, Family Paths’ Clinical Director.

Have questions about A Discussion on Clinical Endings? Contact Family Paths

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When & Where


Tuesday, April 7, 2020 from 9:00 AM to 11:30 AM (CDT)

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Family Paths

Family Paths, Inc. (formerly Parental Stress Service) is a non-profit organization of mental health professionals and dedicated volunteers that provide a number of mental health and supportive services to low income, multi-stressed individuals and families.

 We are a multicultural agency committed to serving families of Alameda County regardless of age, ethnicity/race, financial status, language, sexual orientation, immigration status, class, religion, gender, mental or physical ability.

 We were founded as a volunteer-run 24-hour parent support hotline in 1972, and today we serve the mental health needs of children and families from offices in Oakland and Hayward. These services include a 24-hour Parent Support & Resource Hotline providing referrals to our counseling services and access to over 900 community resources from our vast database, a Foster Parent Advice Line, CalWORKs Case Management, Positive Parenting Classes, and Family Yoga. We provide counseling for children, adolescents, parents and caregivers, and families.

Our Mission:

Family Paths strengthens family relationships
by providing mental health treatment and supportive services
with respect, integrity, compassion, and hope.

Our Vision:

A safe home for every child.

Our Values:

Respect in our communications.
Integrity in our actions.
Compassion for our struggles.
Hope for the future.


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