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Evaluating Music Therapy Stuart Wood Barchester Healthcare / Nordoff Robbins
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Evaluating Music Therapy

Jan 06, 2016

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Evaluating Music Therapy. Stuart Wood Barchester Healthcare / Nordoff Robbins. Research context. Student on Nordoff Robbins UK PhD Developing work from research project in Neuro rehabilitation and Dementia Care 2004 - PowerPoint PPT Presentation
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Page 1: Evaluating Music Therapy

Evaluating Music Therapy Evaluating Music Therapy

Stuart Wood

Barchester Healthcare / Nordoff Robbins

Stuart Wood

Barchester Healthcare / Nordoff Robbins

Page 2: Evaluating Music Therapy

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

Page 3: Evaluating Music Therapy

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

Page 4: Evaluating Music Therapy
Page 5: Evaluating Music Therapy
Page 6: Evaluating Music Therapy

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

Page 7: Evaluating Music Therapy

‘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?

Page 8: Evaluating Music Therapy

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

Page 9: Evaluating Music Therapy

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?

Page 10: Evaluating Music Therapy

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’

Page 11: Evaluating Music Therapy

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?

Page 12: Evaluating Music Therapy

Challenging Basic Elements Challenging Basic Elements

‘Client’‘Session’

‘Progress’‘Therapist’

‘Musicality’

EVALUATION

‘Client’‘Session’

‘Progress’‘Therapist’

‘Musicality’

EVALUATION

Page 13: Evaluating Music Therapy
Page 14: Evaluating Music Therapy

Evaluating Music Therapy Evaluating Music Therapy

Stuart Wood

Barchester Healthcare / Nordoff Robbins

Stuart Wood

Barchester Healthcare / Nordoff Robbins