Evaluating Music Therapy
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Transcript of Evaluating Music Therapy
Evaluating Music Therapy Evaluating Music Therapy
Stuart Wood
Barchester Healthcare / Nordoff Robbins
Stuart Wood
Barchester Healthcare / Nordoff Robbins
Research contextResearch context
Student on Nordoff Robbins UK PhD Developing work from research project in Neuro
rehabilitation and Dementia Care 2004 Not a guide to How to Evaluate CoMT, but
discussion of some themes and problems
Student on Nordoff Robbins UK PhD Developing work from research project in Neuro
rehabilitation and Dementia Care 2004 Not a guide to How to Evaluate CoMT, but
discussion of some themes and problems
Evaluating Music Therapy: A Classic Model
Evaluating Music Therapy: A Classic Model
“…evaluation is the process of determining how much progress a client is making towards achieving the goals of therapy. Progress is usually evaluated by observing any changes that the client is making as a result of treatment, and by comparing the client’s current status with his/her status at a previous time.” Bruscia (1987)
BASELINE ASSESSMENT MEASUREMENT
“…evaluation is the process of determining how much progress a client is making towards achieving the goals of therapy. Progress is usually evaluated by observing any changes that the client is making as a result of treatment, and by comparing the client’s current status with his/her status at a previous time.” Bruscia (1987)
BASELINE ASSESSMENT MEASUREMENT
Assumptions / Foundational Values of ‘Classic’ Evaluation Model
Assumptions / Foundational Values of ‘Classic’ Evaluation Model
Medical / Treatment model Positivist Standard & standardized ‘Client’ is fully autonomous at point of evaluation Goal-directed ‘treatment’ can be linked with
measurable outcomes ‘Client’ makes measurable progress that can be
compared with a previous point in time
Medical / Treatment model Positivist Standard & standardized ‘Client’ is fully autonomous at point of evaluation Goal-directed ‘treatment’ can be linked with
measurable outcomes ‘Client’ makes measurable progress that can be
compared with a previous point in time
‘New’ view of Music Therapy‘New’ view of Music Therapy
Psycho-social model Context-based Non-standard and responsive ‘Client’ is seen in continuum of individual - communal
experience. Client-Therapist in music. Goals often less functional, therefore harder to link with a
direct ‘intervention’ Some clients change ‘inside’ music rather than changing
over time
WHAT BASELINE? WHAT MEASUREMENT?
Psycho-social model Context-based Non-standard and responsive ‘Client’ is seen in continuum of individual - communal
experience. Client-Therapist in music. Goals often less functional, therefore harder to link with a
direct ‘intervention’ Some clients change ‘inside’ music rather than changing
over time
WHAT BASELINE? WHAT MEASUREMENT?
Fig 4: List of actions from workshop analysis.
• A reason to meet• A framework for structuring interaction• A mode of paying attention• A source of pleasure and motivation• A form of learning• A mode of equality• A matrix for accessing functional ability and skill• A source of confidence
Wood (2006)
Previous Research Suggests Multimodal Musical Experience
Music is one part of a person, and it can help other parts of the person change?
Or
Music is a world of experience, and different parts of a person change within that world?
Music is one part of a person, and it can help other parts of the person change?
Or
Music is a world of experience, and different parts of a person change within that world?
Evaluating Music Therapy: Some questions
Evaluating Music Therapy: Some questions
What are we working with? A different and/or multifarious concept of music / therapy
Who are we working with?A different and/or multifarious concept of client / therapist
What are we working for?New and sometimes radical political / social / musical changes
How do we know it’s working?Needs a new approach to ‘evaluation’
What are we working with? A different and/or multifarious concept of music / therapy
Who are we working with?A different and/or multifarious concept of client / therapist
What are we working for?New and sometimes radical political / social / musical changes
How do we know it’s working?Needs a new approach to ‘evaluation’
Theoretical Framework: TensionsTheoretical Framework: Tensions
Musical / Para-musical Experience eg. Categorising the process of planning and putting on a concert
Universal / Individual Experienceeg. Client experiencing self as individual and part of context or social structure simultaneously
Effectiveness / Influenceeg. Recognising that some work seeks to influence situations and re-frame individual perspectives, rather than cause specific effects
Indigenous / Shared Knowledgeeg. Does our need to communicate with other professionals dilute our musical thinking?
Musical / Para-musical Experience eg. Categorising the process of planning and putting on a concert
Universal / Individual Experienceeg. Client experiencing self as individual and part of context or social structure simultaneously
Effectiveness / Influenceeg. Recognising that some work seeks to influence situations and re-frame individual perspectives, rather than cause specific effects
Indigenous / Shared Knowledgeeg. Does our need to communicate with other professionals dilute our musical thinking?
Challenging Basic Elements Challenging Basic Elements
‘Client’‘Session’
‘Progress’‘Therapist’
‘Musicality’
EVALUATION
‘Client’‘Session’
‘Progress’‘Therapist’
‘Musicality’
EVALUATION