This guideline document is an official statement of the American Speech-Language-Hearing Association (ASHA). The ASHA Preferred Practice Patterns are statements that define universally applicable characteristics of speech-language pathology practice. The guidelines within this document fulfill the need for more specific procedures and protocols for serving individuals with speech, language, communication, or feeding and swallowing disorders across all settings.
Ethical concerns may arise about discharging clients from audiology and/or speech-language pathology services. Sometimes the audiologist or SLP believes that discharge is appropriate but the client or family disagrees. Similarly, the client or family may wish to terminate services when the audiologist or SLP believes that additional treatment would be beneficial. In other instances, organizational policy, funding limitations, or some other constraint may complicate the decision although all involved parties wish to continue services.
No matter the setting, we health care providers have a responsibility to ensure safety and efficiency when discharging a patient from care.