I would terminate care now BEFORE the mom accepts that her child may have special needs. If she accepts that the child is special needs, it will be much harder to terminate care due to discrimination laws etc.

I would just tell her that you are no longer able to provide care for her child after X date. If you want to give a reason you could just say you are not able to provide the care and attention she needs and leave it at that. You aren't required to expand on your reason. You aren't even required to give a reason at all.

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