The Use of Improvisation in a Student’s Music Therapy Practice with Older Adults in a Residential Setting

<p>As shown in the research literature, improvisation is a less common approach to music therapy practice than the use of familiar songs or group singing when working with elderly people in residential settings. This research explores the ways in which improvisation in music therapy could benefit elderly participants in a residential setting. A secondary analytic process was conducted involving a careful analysis of existing clinical data by the student music therapy researcher. Data was analysed using thematic analysis. The findings consisted of three core themes which captured the ways in which improvisation was included in music therapy sessions: these were improvisational approaches described as anchoring, reflecting and dialogue. These core themes were strongly influenced by writings on improvisation method by the late Tony Wigram. Results showed improvisation has potential in its use among older adults in a residential facility. Conclusions could be used to help other elderly residential facilities that are willing to implement similar models of practice.</p>

The Use of Improvisation in a Student’s Music Therapy Practice with Older Adults in a Residential Setting

<p>As shown in the research literature, improvisation is a less common approach to music therapy practice than the use of familiar songs or group singing when working with elderly people in residential settings. This research explores the ways in which improvisation in music therapy could benefit elderly participants in a residential setting. A secondary analytic process was conducted involving a careful analysis of existing clinical data by the student music therapy researcher. Data was analysed using thematic analysis. The findings consisted of three core themes which captured the ways in which improvisation was included in music therapy sessions: these were improvisational approaches described as anchoring, reflecting and dialogue. These core themes were strongly influenced by writings on improvisation method by the late Tony Wigram. Results showed improvisation has potential in its use among older adults in a residential facility. Conclusions could be used to help other elderly residential facilities that are willing to implement similar models of practice.</p>

Horticulture-based Interventions to Enhance Health and Wellbeing of People Living With Dementia in the Community

The majority of people living with dementia in the early and middle stages are cared for at home by family caregivers. Participation in meaningful activities is important for good quality of life. Recreation based on horticulture is beneficial for people living with dementia in residential settings, yet evidence within community settings is less clear. The aim of this research was to examine the existing evidence for the impact of using contact with nature, gardens and plants to enhance well-being of people living with dementia in the community. Our secondary aim was to explore the outcome domains and instruments that were employed in the existing research studies, to inform future research efforts and guide clinical practice. A systematic search was conducted covering several databases and gray literature. Original studies that examined group or individual horticulture-based activities or interventions were included. Of 2127 articles identified through searching, 10 were selected for full review. The findings reveal that horticulture-based intervention showed positive impacts on food intake, social interaction, and well-being in older adults with dementia. Some evidence shows that horticulture-based activities may alleviate stressful symptoms associated with living with dementia. Future research may further evaluate the effect of the interventions on cognitive function, physical function, and behavioral symptoms in a more rigorous intervention design.

Environmental Assessment Tools for Shared Residential Settings for Individuals Living With Dementia

The overarching goal of conducting research in and on settings for individuals living with dementia is to be able to identify associations between features, or set(s) of features, and outcomes of interest. A major challenge to this goal is the disconnect between the rapidly changing arena of LTC design over the past 20 years toward more residential-styled settings and existing assessment tools, many of which were developed over 20 years ago, and which are based on and reflect more traditional models of care, service delivery and design. This session examines the strengths and limitations of both existing and emerging assessment tools from the US, Canada, UK and Australia. More recently developed tools are more directly focused on the values of person-centered care than older tools.

Resident interactions when affirming and correcting peers in a therapeutic community for women

Purpose While recent years have seen a number of studies of social networks in therapeutic communities (TCs) and other residential settings, these have primarily focused on male residents. This paper aims to conduct a longitudinal social network analysis of interpersonal interactions in a TC for women. Design/methodology/approach The data consists of a longitudinal directed social network of instances of feedback between 56 residents of a 16 bed TC for women over a period of 611 days. Mean age of the participants was 33.1 years, mean length of stay was 133.9 days and 91% of the participants were female. Feedback consisted of written affirmations for prosocial behavior and written corrections for contravening TC norms. Data was analyzed using a latent factor longitudinal social network model. Findings Residents react to peer intervention in complex ways. Residents reciprocated affirmations (B = 0.14, 95% confidence interval = 0.10, 0.18) and corrections (B = 0.20, 95% CI = 0.13, 0.25). Controlling for reciprocity, participants who received affirmations were more likely to affirm and correct peers (B = 0.10, 95% CI = 0.06, 0.15; B = 0.17, 95% CI = 0.10, 0.23), suggesting that the encouragement offered by affirmations leads to increased activity. Homophily by admission time occurred in both affirmations and corrections (B = 0.23, 95% CI = 0.10, 0.37; B = 0.51, 95% CI = 0.29, 0.74). Originality/value While affirmations and corrections serve as vehicles for behavioral reinforcement and social learning, they also allow residents to interact in ways that strengthen social bonds.