Speech Therapy Discharge Summary Template and Examples

Updated: April 25, 2024

Your patient is ready for discharge, and it's time to prepare a thorough summary of their treatment journey. This article offers tips for crafting quick and accurate discharge summaries, and how using templates and TextExpander can streamline the process and enhance clarity.

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How to Write an Effective Speech Therapy Discharge Summary

Crafting discharge summaries in speech therapy requires details around the therapy techniques provided, patient progress, and recommendations for continued patient success. Here are a few tips to enhance the quality and effectiveness of your discharge summaries:

  • Highlight Specific Therapeutic Outcomes: Focus on detailing the specific speech and language goals met and the therapeutic interventions used. For example, if the patient has improved in articulation, be specific about the sounds or words that have seen improvement.
  • Document Measurable Progress: Use quantitative measures to describe progress when possible. For instance, note the percentage of correct consonants or the increase in the number of understandable words in spontaneous speech.
  • Clarify Remaining Challenges: Identify any ongoing issues or areas that need further attention. This not only helps in setting future therapy goals but also informs subsequent caregivers about areas that require continued intervention.
  • Summarize Therapy Techniques Used: Provide a brief overview of the therapy techniques that were most effective for the patient. This can be very helpful for future therapists or continuing practice at home.

Benefits of Using a Speech Therapy Discharge Summary Template

Using templates for speech therapy discharge summaries offer numerous benefits:

  • Consistency: Ensures all relevant information is uniformly reported.
  • Efficiency: Reduces time spent on paperwork, allowing more time for patient care.
  • Accuracy: Minimizes the risk of omitting critical information.
  • Professionalism: Maintains a standard of documentation that is professional and easy to understand.

How TextExpander Can Help

TextExpander allows users to create shortcut keys for frequently used phrases and paragraphs. This tool can streamline the creation of speech therapy discharge summaries by ensuring quick, consistent entry of common text segments, reducing typing time, and minimizing errors.

Speech Therapy Discharge Summary Template and Examples

Speech Therapy Discharge Summary Template Copy Snippet Copied!

Patient Information
– Name
– Date of Birth
– Case Number

Therapy Information
– Date of Initiation
– Date of Discharge
– Type of Therapy Sessions

Assessment and Progress
– Initial Assessment
– Progress and Outcomes

Recommendations and Future Plans
– Follow-up Care
– Home Exercises

Therapist Contact Information
– Name
– Qualifications
– Contact Details

Example 1: Adult Stroke Recovery

Patient Information
– Name: John Doe
– Date of Birth: 01/02/1965
– Case Number: 456789

Therapy Information
– Date of Initiation: 01/03/2022
– Date of Discharge: 12/06/2022
– Type of Therapy Sessions: Individual, bi-weekly, 45-minute sessions

Assessment and Progress
– Initial Assessment: Post-stroke aphasia, moderate severity
– Progress and Outcomes: Expanded vocabulary from 20 to 100 words; improved sentence construction

Recommendations and Future Plans
– Follow-up Care: Continue weekly sessions focusing on conversational skills and reading comprehension
– Home Exercises: Daily vocabulary exercises and reading simple texts aloud

Therapist Contact Information
– Name: Jane Smith, CCC-SLP
– Qualifications: M.Sc. in Speech-Language Pathology
– Contact Details: Email: jsmith@therapyclinic.org, Phone: 555-0123

Example 2: Child Articulation Disorder

Patient Information
– Name: Lucy Brown
– Date of Birth: 05/08/2015
– Case Number: 789012

Therapy Information
– Date of Initiation: 02/04/2021
– Date of Discharge: 30/07/2021
– Type of Therapy Sessions: Individual, weekly, 30-minute sessions

Assessment and Progress
– Initial Assessment: Difficulty with ‘r’, ‘s’, and ‘l’ sounds
– Progress and Outcomes: Achieved clear articulation of ‘s’ and ‘l’; ongoing difficulty with ‘r’

Recommendations and Future Plans
– Follow-up Care: Monitor progress at home, consider re-evaluation in six months
– Home Exercises: Daily practice of ‘r’ sound using word lists and songs

Therapist Contact Information
– Name: Mike Johnson, CCC-SLP
– Qualifications: B.A. in Communicative Disorders
– Contact Details: Email: mjohnson@therapycenter.com, Phone: 555-0456

3: Adolescent Fluency Disorder

Patient Information
– Name: Omar Ali
– Date of Birth: 16/11/2007
– Case Number: 123456

Therapy Information
– Date of Initiation: 10/01/2023
– Date of Discharge: 24/03/2023
– Type of Therapy Sessions: Group sessions, bi-weekly, 60-minute sessions

Assessment and Progress
– Initial Assessment: Moderate stuttering, particularly under stress
– Progress and Outcomes: Improved speech fluency in structured and social settings

Recommendations and Future Plans
– Follow-up Care: Continued practice of fluency techniques; bi-weekly support group meetings
– Home Exercises: Daily fluency exercises; speaking in front of a mirror

Therapist Contact Information
– Name: Emily Carter, CCC-SLP
– Qualifications: Ph.D. in Speech-Language Pathology
– Contact Details: Email: ecarter@speechpathways.net, Phone: 555-0789

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Patient Information <br>- Name <br>- Date of Birth <br>- Case Number <br> <br>Therapy Information <br>- Date of Initiation <br>- Date of Discharge <br>- Type of Therapy Sessions <br> <br>Assessment and Progress <br>- Initial Assessment <br>- Progress and Outcomes <br> <br>Recommendations and Future Plans <br>- Follow-up Care <br>- Home Exercises <br> <br>Therapist Contact Information <br>- Name <br>- Qualifications <br>- Contact Details
Patient Information <br>- Name: John Doe <br>- Date of Birth: 01/02/1965 <br>- Case Number: 456789 <br> <br>Therapy Information <br>- Date of Initiation: 01/03/2022 <br>- Date of Discharge: 12/06/2022 <br>- Type of Therapy Sessions: Individual, bi-weekly, 45-minute sessions <br> <br>Assessment and Progress <br>- Initial Assessment: Post-stroke aphasia, moderate severity <br>- Progress and Outcomes: Expanded vocabulary from 20 to 100 words; improved sentence construction <br> <br>Recommendations and Future Plans <br>- Follow-up Care: Continue weekly sessions focusing on conversational skills and reading comprehension <br>- Home Exercises: Daily vocabulary exercises and reading simple texts aloud <br> <br>Therapist Contact Information <br>- Name: Jane Smith, CCC-SLP <br>- Qualifications: M.Sc. in Speech-Language Pathology <br>- Contact Details: Email: jsmith@therapyclinic.org, Phone: 555-0123
Patient Information <br>- Name: Lucy Brown <br>- Date of Birth: 05/08/2015 <br>- Case Number: 789012 <br> <br>Therapy Information <br>- Date of Initiation: 02/04/2021 <br>- Date of Discharge: 30/07/2021 <br>- Type of Therapy Sessions: Individual, weekly, 30-minute sessions <br> <br>Assessment and Progress <br>- Initial Assessment: Difficulty with 'r', 's', and 'l' sounds <br>- Progress and Outcomes: Achieved clear articulation of 's' and 'l'; ongoing difficulty with 'r' <br> <br>Recommendations and Future Plans <br>- Follow-up Care: Monitor progress at home, consider re-evaluation in six months <br>- Home Exercises: Daily practice of 'r' sound using word lists and songs <br> <br>Therapist Contact Information <br>- Name: Mike Johnson, CCC-SLP <br>- Qualifications: B.A. in Communicative Disorders <br>- Contact Details: Email: mjohnson@therapycenter.com, Phone: 555-0456
Patient Information <br>- Name: Omar Ali <br>- Date of Birth: 16/11/2007 <br>- Case Number: 123456 <br> <br>Therapy Information <br>- Date of Initiation: 10/01/2023 <br>- Date of Discharge: 24/03/2023 <br>- Type of Therapy Sessions: Group sessions, bi-weekly, 60-minute sessions <br> <br>Assessment and Progress <br>- Initial Assessment: Moderate stuttering, particularly under stress <br>- Progress and Outcomes: Improved speech fluency in structured and social settings <br> <br>Recommendations and Future Plans <br>- Follow-up Care: Continued practice of fluency techniques; bi-weekly support group meetings <br>- Home Exercises: Daily fluency exercises; speaking in front of a mirror <br> <br>Therapist Contact Information <br>- Name: Emily Carter, CCC-SLP <br>- Qualifications: Ph.D. in Speech-Language Pathology <br>- Contact Details: Email: ecarter@speechpathways.net, Phone: 555-0789

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