Clinical Issues: Music Therapy in an Adult Cancer Inpatient Treatment Setting

2006 ◽  
Vol 04 (02) ◽  
pp. 57 ◽  
Author(s):  
Clare O'Callaghan
2019 ◽  
Vol 97 ◽  
pp. 91-96 ◽  
Author(s):  
Jeffrey S. Nevid ◽  
Alexander J. Gordon ◽  
Ari Barris ◽  
Jacob E. Sperber ◽  
Gregory Haggerty

1980 ◽  
Vol 19 (1) ◽  
pp. 59-64 ◽  
Author(s):  
ED JESSEE ◽  
LUCIANO L'ABATE

Author(s):  
Jaap Orth

As music therapists now deal more often with traumatized refugees, and the demand for documentation, research, and a methodical description has grown, in this article I would like to make a contribution to the development of a methodology in music therapy with traumatized refugees. Various methods used by music therapists in trauma treatment will be described. An overview of the development of a set of methods at Phoenix, a highly specialized inpatient treatment facility for refugees and asylum seekers, will be presented and I will focus on four approaches I developed in my work with traumatized refugees.


2008 ◽  
Vol 22 (2) ◽  
pp. 65-72 ◽  
Author(s):  
Alison Barrington

This article explores some of the issues raised in recent literature about the manner in which music therapy has been developing. It focuses on the professional rather than the clinical issues that surround its development and explores concerns about and criticisms of the manner in which the profession in the UK has sought to develop. Thus it focuses on the political implications of the professionalisation of music therapy in the UK. Many of the issues have arisen as a result of the evolution of Community Music Therapy, challenging music therapists regardless of the clinical approaches employed. This article considers whether the profession's self-promotional activities are compatible with a client-centred1 approach, concluding that this is indeed the case.


BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e040387
Author(s):  
Dolores Keating ◽  
Stephen McWilliams ◽  
Fiona Boland ◽  
Roisin Doyle ◽  
Caragh Behan ◽  
...  

ObjectiveGuidelines for antipsychotic use in first-episode psychosis (FEP) recommend that medication be chosen initially on the basis of side effect profile with doses at the lower end of the range. Our objective was to describe the pattern of antipsychotic use in FEP over a period of 21 years in the context of changing clinical guidelines and the development of specialist early intervention in psychosis (EIP) services.SettingA community-based mental health service in South County Dublin (population 187 000) and a large private hospital.ParticipantsParticipants included 465 patients with FEP (146 from an epidemiological study (1995–1999) and 319 from a specialist EIP service (2005–2016)). Treatment with antipsychotic medication did not exceed 30 days at study entry.Outcome measuresThis is a descriptive study of prescribing practices in the context of service development and changing guidelines.ResultsFirst-generation antipsychotics were prescribed for 65% of the early cohort compared with 4.3% of the EIP cohort. Olanzapine was initially prescribed for 79.7% of EIP patients. Initial doses of medication were frequently low (≤50% British National Formulary (BNF) maximum) in both cohorts (71% and 78.6%). The demographic and clinical factors investigated did not influence the initial choice of antipsychotic medication significantly. Univariate logistic regression analysis suggested inpatient treatment setting was associated with a higher initial dose (>50% BNF maximum) of antipsychotic medication. Increasing dose requirements over the first month of engagement with an EIP service was associated with poorer global functioning at baseline, greater positive symptoms at baseline and the inpatient treatment setting. However, these associations were not seen in the multivariable model.ConclusionsSecond-generation antipsychotic prescribing predominates, but guidelines are often overlooked when choosing olanzapine notwithstanding lower initial dosages. EIP services should include proactive support for optimising medicines in line with evidence-based guidelines.


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Jan-Vegard Nilsen ◽  
Trine Wiig Hage ◽  
Øyvind Rø ◽  
Inger Halvorsen ◽  
Hanne Weie Oddli

Abstract Background For some young persons diagnosed with anorexia nervosa, treatment will inevitably involve phases where hospitalization is required. Inspired by the encouraging evidence-base for outpatient family-based treatment for adolescent anorexia nervosa, clinicians and program developers have started to incorporate outpatient family-based treatment principles into higher levels of care. During family-based inpatient treatment, collaborative efforts are largely directed toward the parents of the adolescent. Consequently, the therapeutic focus on the young person is more of an indirect one. With this study we aimed to understand how young persons with lived experience from a family-based inpatient treatment setting, where the adolescents were admitted together with their parents, viewed therapeutic aspects related to staff-patient collaboration and staff-related behaviors. Methods Thirty-seven semi-structured interviews of former adolescent inpatients were conducted. Participants’ post-treatment reflections were inductively analyzed by applying a thematic analytic framework. Results Based upon user perspectives from a treatment setting highly influenced by a family therapeutic approach, findings revealed that former inpatients prefer tailored treatment and a collaborative approach. Eight subthemes constituting two main themes emerged: 1) There are no ready-made solutions. Staff should facilitate collaboration by tailoring treatment toward the young person’s perspectives, and 2) Emphasizing skills that matter. Staff should display a non-judgmental stance, educate patients, stimulate motivation, enable activities and prevent iatrogenic effects during the stay. Conclusions This study adds valuable user perspectives to the ongoing work with adapting family-based frameworks into higher levels of care. Clinicians could benefit from viewing their practice from the standpoint of the young person’s post-treatment reflections. From their unique perspectives as having lived experience and hence, “insider knowledge” with a specific treatment situation, clinicians are reminded of the importance of being mindful on the young persons’ views.


Psychiatry ◽  
2018 ◽  
Vol 81 (3) ◽  
pp. 218-227 ◽  
Author(s):  
Umberto Volpe ◽  
Carlo Gianoglio ◽  
Luca Autiero ◽  
Maria Luisa Marino ◽  
Diana Facchini ◽  
...  

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