scholarly journals Are community music therapy principles relevant to my work with large groups of older adults in a residential care facility?

2021 ◽  
Author(s):  
◽  
Hazel Barrett

<p>This research focuses on my student practicum placement at a residential care home offering rest home, hospital and specialist dementia care for older people. A significant part of my work at the home was facilitating large, open groups, as ensuring the maximum number of residents could participate in music therapy each week was a priority for the facility. Due to my background in community music, which included work in care homes, I was interested in whether community music therapy principles would have relevance in this context. I wanted to improve my practice and add value to my work and in doing so I also hoped to contribute to the wider conversation around the distinction between community music and community music therapy, and how these two disciplines can enhance and support each other.  Using an interpretivist framework I engaged in action research, an orientation towards the research process which focuses on real-world change. I conducted three action cycles, collecting data for each cycle over a period of approximately six weeks. I then used thematic analysis to examine this data. My main data source was my practice notes, which included reflections and ideas for improvement. I also drew on the community music therapy literature to develop my practice. Based on emerging themes, I generated actions I could take in the next cycle to advance and improve my practice.  I found that large group music therapy sessions can provide the opportunity for participants, both staff and residents, to experience a shared social space which enables moments of connection and promotes inclusion, creativity, self-determination, and expanded identities. This suggests that the groups had therapeutic value for the participants. I discuss identified differences between my community music and music therapy practice, including the possibilities for individual work and use of music therapy theory. I believe that community music therapy principles were relevant to this work and in particular taking an ecological perspective was significant. Further research into community music therapy in residential care settings is recommended.</p>

2021 ◽  
Author(s):  
◽  
Hazel Barrett

<p>This research focuses on my student practicum placement at a residential care home offering rest home, hospital and specialist dementia care for older people. A significant part of my work at the home was facilitating large, open groups, as ensuring the maximum number of residents could participate in music therapy each week was a priority for the facility. Due to my background in community music, which included work in care homes, I was interested in whether community music therapy principles would have relevance in this context. I wanted to improve my practice and add value to my work and in doing so I also hoped to contribute to the wider conversation around the distinction between community music and community music therapy, and how these two disciplines can enhance and support each other.  Using an interpretivist framework I engaged in action research, an orientation towards the research process which focuses on real-world change. I conducted three action cycles, collecting data for each cycle over a period of approximately six weeks. I then used thematic analysis to examine this data. My main data source was my practice notes, which included reflections and ideas for improvement. I also drew on the community music therapy literature to develop my practice. Based on emerging themes, I generated actions I could take in the next cycle to advance and improve my practice.  I found that large group music therapy sessions can provide the opportunity for participants, both staff and residents, to experience a shared social space which enables moments of connection and promotes inclusion, creativity, self-determination, and expanded identities. This suggests that the groups had therapeutic value for the participants. I discuss identified differences between my community music and music therapy practice, including the possibilities for individual work and use of music therapy theory. I believe that community music therapy principles were relevant to this work and in particular taking an ecological perspective was significant. Further research into community music therapy in residential care settings is recommended.</p>


2021 ◽  
Author(s):  
◽  
Patrice Dennis

<p>The therapeutic use of music with older adults with dementia is widely documented, and family involvement is encouraged in both music therapy practice and dementia care services. This qualitative study explores and describes the experience of a student music therapist involving the family members of people with dementia in the music therapy process in a residential care facility. Grounded theory methodology informed analysis of the data sources. Secondary data was analysed and a theoretical perspective regarding family involvement in the music therapy process in this setting was developed. The findings are presented in main categories consisting of: building relationships, sharing information, unplanned family involvement in music therapy sessions, flexibility, spontaneity, joy and humour, and negotiation of the music therapist role in the community of the facility. The emergent theoretical perspective suggests that involving family members in the music therapy process in residential care facility is valuable in fostering and strengthening a sense of community between residents, family members and care staff.</p>


2021 ◽  
Author(s):  
◽  
Patrice Dennis

<p>The therapeutic use of music with older adults with dementia is widely documented, and family involvement is encouraged in both music therapy practice and dementia care services. This qualitative study explores and describes the experience of a student music therapist involving the family members of people with dementia in the music therapy process in a residential care facility. Grounded theory methodology informed analysis of the data sources. Secondary data was analysed and a theoretical perspective regarding family involvement in the music therapy process in this setting was developed. The findings are presented in main categories consisting of: building relationships, sharing information, unplanned family involvement in music therapy sessions, flexibility, spontaneity, joy and humour, and negotiation of the music therapist role in the community of the facility. The emergent theoretical perspective suggests that involving family members in the music therapy process in residential care facility is valuable in fostering and strengthening a sense of community between residents, family members and care staff.</p>


Adolescents ◽  
2021 ◽  
Vol 1 (3) ◽  
pp. 348-359
Author(s):  
Dan Grabowski ◽  
Louise Norman Jespersen ◽  
Lise Bro Johansen

Young people with poorly regulated diabetes often experience recurrent hospitalization, behavioral problems, higher incidence of psychiatric disorders, as well as family dysfunction. It is crucial that young people with diabetes learn to manage their diabetes effectively. Some young people with diabetes cannot manage their diabetes at home and have to live at a residential care unit for young people with diabetes. In this study we highlight the identity development of these young people. The data consist of semi-structured interviews with current and former residents of a care facility for young people with diabetes. The analysis revealed three themes: (1) the young people report a high level of personal growth and maturity after moving to the care home; (2) the importance of identifying with others and how forming relations plays a significant role in the young people’s personal development; and (3) the young people have a constant fear of being different. Being able to define and shape one’s identity against a background that includes a meaningful perception of diabetes is key to understanding why life at the care home is so identity-changing for the young residents.


Author(s):  
Jenita Chiba ◽  
Jeanette Schmid

The lifespan of perinatally HIV-infected children in South Africa has increased owing to the availability of antiretroviral treatment, allowing growth into adolescence and beyond. There is limited knowledge of the lived realities of adolescents with HIV. This paper, using life story methodology and based on Blessing’s narrative, provides an intersectional, complex view of the experience of one such teenager who is perinatally HIV-positive, was abandoned by his family and is living in a residential care facility. His story powerfully illuminates the specific construction of adolescence in this context, focusing on identity formation and the need for connection. The narrative also points to service providers’ practice when engaged with such youths.


In the Netherlands geriatric rehabilitation is possible (among others) for patients who are selected by a geriatrician at the emergency department of a hospital. The aim of this study was to investigate the rehabilitation trajectory of patients who were selected for geriatric rehabilitation at the emergency department after a single contact with the geriatrician and to identify patient factors related to rehabilitation outcome. Successful rehabilitation was defined as discharge to home or a residential care facility after a maximum of 6 months. All patients who in 2016 were selected for geriatric rehabilitation were included. Data were collected retrospectively from electronic patient files. 74 patients were included (mean age 84.7 years). 84% were successfully discharged home or to a residential care facility within six months. The presentation with a fall and the absence of a partner at home was higher in the unsuccessful group. In the successful group more patients lived independent and without professional help prior to rehabilitation. Noteworthy is that the analysed patient group is a frail group, considering the high one-year mortality (21,6%) and overall functional decline despite geriatric rehabilitation.


Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Janita P Chau ◽  
Suzanne Hoi Shan Lo

Background and Purpose: Our previous study of 265 stroke survivors recruited immediately before discharge from two regional rehabilitation hospitals found state self-esteem, social support satisfaction, discharge location (home, residential care facility), and gender significantly accounted for 49% of the variance in depressive symptoms. The purpose of this study is to explore the challenges of promoting participation in life activities for stroke survivors. Methods: A qualitative study with individual face-to-face semi-structured interviews were conducted. Adult managerial persons who were responsible for the development of community, rehabilitation or residential care services for stroke survivors were recruited. All participants were asked to share the mission of their institutions, types of care services for stroke survivors, perceived importance of, barriers to and facilitators of promoting participation in life activities, and opportunities for enhancing stroke care services. All interviews were audio recorded and transcribed verbatim for thematic analysis. Results: A total of 11 participants were interviewed. Five were in-charge persons of stroke support groups, two were legislators, two from residential care facilities, and two from community-based organisations. Four key themes were generated: (1) Being institutionalized was found associated with lower levels of psychosocial health, (2) Stroke survivors’ physical and cognitive limitations were perceived as key challenges in promoting participation in life activities, (3) Healthcare providers placed more emphasis on promoting physical rehabilitation than social participation, and (4) Physical environment particularly in residential care facilities posed greater challenges to promoting participation in real life activities. Conclusions: This highlights major challenges for healthcare professionals who care for stroke survivors in residential care facilities. Further studies that investigate the associations between environmental barriers, psychological morbidity and participation restriction is needed.


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