Reflections on the challenges of the new (online) music therapy setting for people with dementia

2021 ◽  
Vol 13 (3) ◽  
pp. 201-205
Author(s):  
Ayelet Dassa ◽  
Kendra Ray ◽  
Amy Clements-Cortés
Keyword(s):  
Music Therapy ◽  
Vulnerable Population ◽  
Music Therapists ◽  
Social Distancing ◽  
Critical Situation ◽  
People With Dementia ◽  
Online Music ◽  
Online Setting

Due to the Covid-19 pandemic globally enforced safety precautions were implemented resulting in increased social distancing and isolation especially among people with dementia and their caregivers. This critical situation intensified the need to reach and support this already vulnerable population. Music therapists have answered the challenge by providing telehealth music therapy. However, the new online setting raises questions and dilemmas. As music therapists who have worked for many years with people with dementia and their caregivers, we pause to reflect on the new path we took and consider what we can learn and embrace from this new modality of practice.

scholarly journals Adaptation of Music Therapists’ Practice to the Outset of the COVID-19 Pandemic—Going Virtual: A Scoping Review

2021 ◽  
Vol 18 (10) ◽  
pp. 5138
Author(s):  
Lucia Kantorova ◽  
Jiří Kantor ◽  
Barbora Hořejší ◽  
Avi Gilboa ◽  
Zuzana Svobodova ◽  
...  
Keyword(s):  
Music Therapy ◽  
Grey Literature ◽  
Professional Organizations ◽  
Residential Home ◽  
Music Therapists ◽  
Therapeutic Goals ◽  
Scoping Reviews ◽  
Online Music ◽  
The Hours ◽  
Online Therapies

Background: In the midst of a worldwide COVID-19 pandemic, music therapists previously not involved in telehealth had to develop effective remote forms of music therapy. The objective of this review was to systematically explore how music therapists previously working in-person adapted to the transfer to remote forms of therapy in the context of the coronavirus outbreak. Methods: We searched Scopus, Web of Science Core Collection, CINAHL, Medline, ProQuest Central, PubMed, EMBASE, PsycINFO and PsyARTICLES, grey literature (to October 2020), and websites of professional organizations. We followed the JBI methodology for scoping reviews. Results: Out of the 194 screened texts, we included ten very heterogeneous articles with an overall very low quality. Most texts described remote therapy in the form of synchronous video calls using the Internet, one paper described a concert in a patio of a residential home. We report the authors’ experience with the adaptation and activities, challenges and benefits of remote forms of therapy, recommendations of organizations, and examples and tips for online therapies. Conclusions: Music therapists have adapted the musical instruments, the hours, the technology used, the therapeutic goals, the way they prepared their clients for sessions, and other aspects. They needed to be more flexible, consult with colleagues more often, and mind the client-therapist relationship’s boundaries. It seems, when taken as a necessary short-term measure, online music therapy works sufficiently well. The majority of papers stated that benefits outweighed the challenges, although many benefits were directly linked with the pandemic context.

scholarly journals Embedding Music and Music Therapy in Care Pathways for People with Dementia in the 21st Century—a position paper

2021 ◽  
Vol 4 ◽  
pp. 205920432110204
Author(s):  
Helen Odell-Miller
Keyword(s):  
Music Therapy ◽  
Best Practice ◽  
Community Setting ◽  
Well Being ◽  
Position Paper ◽  
Music Therapists ◽  
Term Care ◽  
Research Perspective ◽  
People With Dementia ◽  
Therapy Interventions

Unique music therapy interventions are discussed from a clinical educational and research perspective, demonstrating a current position on music therapy for people living with dementia and their carers. The position paper, adapted from the keynote lecture given at the workshop “Music Selves and Societies” at Cambridge University in 2018, outlines current research and practice across music and music therapy fields, focussing upon embedding music in daily life and care for people living with dementia. Worldwide, around 50m people have dementia; this is estimated to increase to 75.6m in 2030 and 135.5m in 2050. This results in increased demand for long-term care and a need for heightened awareness and capacity for home care in local settings. Distinctions between interventions delivered by music therapists (direct music therapy) and interventions delivered by musicians or carers arising from training from music therapists (indirect music therapy) are discussed. Political and strategic developments for music and dementia are summarized, highlighting the need for increased training in the field and access to music at all stages of dementia. Case study examples are presented to highlight emerging practices and research; for example, couples attending music therapy groups in a rural community setting (Together in Sound) improved relationships and attitudes for people living with dementia. An international trial investigating reading and music interventions for people living with dementia and their homebased family carers (Homeside) is introduced, alongside practice and research in care homes where music therapy had been found to reduce agitation and improve carers’ well-being. Research shows music therapy interventions address personalized needs linked to daily lived experiences. However, indirect music therapy is needed to reach all who can benefit from music and are living with dementia. It is concluded that high quality, accessible music interventions should be embedded in care, and further research is needed to ascertain best practice.

scholarly journals Glasba kot sredstvo za spodbujanje psihofizičnega blagostanja starostnikov v domovih za starejše / Music as a means of promoting psychophysical well-being of the elderly in retirement homes

2020 ◽  
Vol 16 (32) ◽  
pp. 39-57
Author(s):  
Klara Simčič ◽  
Katja Rašl ◽  
Lara Bojadjieva ◽  
Maja Derlink
Keyword(s):  
Older People ◽  
Music Therapy ◽  
Occupational Therapists ◽  
Well Being ◽  
The Elderly ◽  
Folk Songs ◽  
Music Therapists ◽  
People With Dementia ◽  
Homes For The Elderly ◽  
Music Activities

The aim of this study was to find out in what ways music is used in homes for the elderly in Slovenia and what kind of effects it has on the psychophysical well-being of the elderly. The basis is the analysis of conversations with music therapists and occupational therapists. There are fundamental differences between different music activities, special music activities and music therapy. Some seniors are able to talk about what music means to them. Older people prefer to sing, especially folk songs or songs from their youth, as well as playing and listening to music. An important area is the use of music in people with dementia. With transitions to higher stages of dementia, it is crucial that the elderly’s responses to music is monitored by a therapist.

Ethical Issues in Private Practice: A Phenomenological Investigation of Music Therapy Business Owners

2021 ◽  
Author(s):  
Kyle Wilhelm ◽  
Lindsey Wilhelm
Keyword(s):  
Music Therapy ◽  
Private Practice ◽  
Phenomenological Study ◽  
Ethical Issues ◽  
Ethical Dilemmas ◽  
The United States ◽  
Business Owners ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
Music Therapists

Abstract As a music therapy private practice is both a business and a healthcare service, it should adhere to ethical standards from both disciplines. However, this topic has rarely been examined in the music therapy literature. The purpose of this phenomenological study was to explore ethical dilemmas experienced by music therapy business owners (MTBOs) in their private practice and how MTBOs avoid or address ethical dilemmas. Utilizing convenience and snowball sampling techniques, 21 MTBOs in the United States were interviewed using semi-structured interviews. To answer the two areas of inquiry, we identified three themes and 12 subthemes: (1) Ethical issues related to client welfare, (2) Ethical issues related to business relationships and operation, and (3) Strategies to address or avoid ethical dilemmas. MTBOs also shared how they ensure ethical behavior in themselves, with their employees or independent contractors, and when interacting with professionals outside the private practice. These findings provide a better understanding of MTBOs’ lived experiences of ethics in their private practice and may benefit other music therapists who are in private practice or are wanting to go into private practice. Limitations and recommendations for further research are provided.

A Descriptive Analysis of Music Therapy Employment from 2013 to 2019

2020 ◽  
Author(s):  
Jonathon Oden
Keyword(s):  
Music Therapy ◽  
Descriptive Analysis ◽  
American Music ◽  
High Rate ◽  
Future Research ◽  
Full Time ◽  
Music Therapists ◽  
Funding Sources ◽  
Part Time ◽  
Therapy Services

Abstract The purpose of this study was to descriptively analyze music therapy employment data from 2013 to 2019, including years in the field, gender, age, ethnicity, hours worked, jobs created, number of new board-certified music therapists (MT-BCs), funding sources, and wages. A database was created to analyze descriptive data from the 2013–2019 American Music Therapy Association Workforce Analysis Surveys as well as data from the Certification Board for Music Therapists. Results indicate a large portion of music therapists (MTs) have been in the field for five years or less. Though the majority of MTs work full time, there is a high rate of part-time employment. An estimate of the total number of new full-time jobs represented a ratio of 57% of new MT-BCs during the period. Private pay was the most reported funding source for music therapy services. Music therapy wages tended to be higher for those with higher levels of education. Limitations of the study and suggestions for future research are provided.

Telehealth music therapy for persons with dementia and/or caregivers

2021 ◽  
Vol 13 (3) ◽  
pp. 206-210
Author(s):  
Amy Clements-Cortés ◽  
Melissa Mercadal-Brotons ◽  
Tereza Raquel Alcântara Silva ◽  
Shirlene Vianna Moreira
Keyword(s):  
Older Adults ◽  
Social Interaction ◽  
Best Practices ◽  
Music Therapy ◽  
Music Therapists ◽  
Starting Point ◽  
And Training ◽  
Practical Recommendations

The COVID-19 pandemic has placed many restrictions on social interaction. Although these restrictions are challenging for everyone, they are particularly difficult for older adults who are often isolated. While telehealth has been around for a number of years, it had not been practiced to any great extent by music therapists until COVID-19. Telehealth will continue to prove valuable even when the pandemic ends, and as a result, it is timely to assess the benefits and recommendations for best practices. This paper provides a starting point of reflection for telehealth for persons with dementia, offering practical recommendations and implications for planning and training.

Reopening the Conversation Between Music Psychology and Music Therapy

2021 ◽  
Vol 39 (2) ◽  
pp. 181-201
Author(s):  
Emily Carlson ◽  
Ian Cross
Keyword(s):  
Music Therapy ◽  
Interdisciplinary Research ◽  
Online Survey ◽  
Research Collaboration ◽  
Future Research ◽  
Free Text ◽  
Music Therapists ◽  
Music Psychology ◽  
Analysis Of Results ◽  
Common Interests

Although the fields of music psychology and music therapy share many common interests, research collaboration between the two fields is still somewhat rare. Previous work has identified that disciplinary identities and attitudes towards those in other disciplines are challenges to effective interdisciplinary research. The current study explores such attitudes in music therapy and music psychology. A sample of 123 music therapists and music psychologists answered an online survey regarding their attitudes towards potential interdisciplinary work between the two fields. Analysis of results suggested that participants’ judgements of the attitudes of members of the other discipline were not always accurate. Music therapists indicated a high degree of interest in interdisciplinary research, although in free text answers, both music psychologists and music therapists frequently characterized music therapists as disinterested in science. Music therapists reported seeing significantly greater relevance of music psychology to their own work than did music psychologists of music therapists. Participants’ attitudes were modestly related to their reported personality traits and held values. Results overall indicated interest in, and positive expectations of, interdisciplinary attitudes in both groups, and should be explored in future research.

Telehealth Music Therapy Services in the United States With Older Adults: A Descriptive Study

2022 ◽  
Author(s):  
Lindsey Wilhelm ◽  
Kyle Wilhelm
Keyword(s):  
United States ◽  
Older Adults ◽  
Music Therapy ◽  
Response Rate ◽  
Descriptive Study ◽  
The United States ◽  
Age Group ◽  
Music Therapists ◽  
Therapy Services ◽  
Therapy Sessions

Abstract In response to the COVID-19 pandemic, many music therapists in the United States turned to telehealth music therapy sessions as a strategy to continue services with older adults. However, the nature and perception of telehealth music therapy services for this age group are unknown. The purpose of this study was to describe music therapy telehealth practices with older adults in the United States including information related to session implementation, strengths and challenges, and adaptations to clinical practice. Of the 110 participants in the United States who responded to the survey (25.2% response rate), 69 reported implementing telehealth music therapy services with older adults and responded to a 32-item survey. Quantitative and qualitative analyses were conducted. Results indicated that while all participants had provided telehealth music therapy for no more than 6 months, their experiences with telehealth varied. Based on participant responses, telehealth session structure, strengths, challenges, and implemented changes are presented. Overall, 48% of music therapists reported that they planned to continue telehealth music therapy with older adults once pandemic restrictions are lifted. Further study on the quality, suitability, and acceptability of telehealth services with older adults is recommended.

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