Discharge

At Blossom & Thrive, our goal is to support each child’s development through meaningful, goal-driven therapy services. Discharge from therapy is a natural part of the process and occurs when services are no longer necessary, appropriate, or sustainable. We approach discharge decisions thoughtfully and in partnership with caregivers, prioritizing what is best for the child’s ongoing progress and well-being.

Reasons for Discharge

A child may be discharged from therapy services for any of the following reasons:
    •    Goals Have Been Met
The child has made sufficient progress toward therapy goals, and further intervention is no longer needed at this time.
    •    Lack of Medical Necessity
Therapy is no longer considered clinically appropriate or does not meet medical necessity criteria based on re-evaluation or updated documentation.
    •    Attendance Concerns
Consistent attendance is vital for progress. A child may be discharged if they:
    •    Miss multiple sessions without notice
    •    Frequently cancel with insufficient reason
    •    Exhibit inconsistent attendance that prevents therapeutic progress
Prior to discharge, we will attempt to communicate with the family and problem-solve any barriers to attendance.
    •    Family-Requested Discharge
Families may elect to pause or discontinue therapy services at any time. We request advance notice so we can provide a transition plan, share progress updates, and offer recommendations as needed.
    •    Lack of Engagement or Follow-Through
If a child is consistently unable to participate in therapy sessions, or if there is an ongoing lack of caregiver follow-through on home programming, discharge may be considered in consultation with the family.
    •    Behavioral or Safety Concerns
If a child or caregiver engages in behavior that compromises the safety of staff or others in the clinic, services may be suspended or discontinued.
    •    Transition to Other Services
In some cases, a child may be referred to another provider or a more appropriate setting for their current level of need.

Discharge Process
    •    Discharge decisions are made collaboratively whenever possible, with input from the therapist, caregiver, and (if appropriate) referring provider.
    •    Families will receive a verbal and/or written notice of discharge, along with a summary of the child’s progress and any applicable recommendations or referrals.
    •    We are happy to support transitions to other services and provide documentation to ensure continuity of care.