Termination of a Long-Term Harm Reduction Psychotherapy Group for Veterans with Substance Use Disorders

Termination is a complex and challenging phase of treatment, and termination in group psychotherapy adds additional layers of complexity to understanding and navigating the process. This article discusses the experiences and lessons learned at a large VA addiction treatment center during termination of a long-term harm reduction psychotherapy group. Using themes identified in the literature as a conceptual framework, this study analyzes the dynamics that unfolded throughout the course of group termination. Planning, development, and implementation of termination interventions are reviewed. Client and therapist reactions are also discussed.