An investigation into the effectiveness of the arts therapies for adults with continuing mental health problems

Odell‐Miller, Helen; Hughes, Patricia; Westacott, Marguerite

doi:10.1080/10503300500268342

Cited by 33 publications

(26 citation statements)

References 13 publications

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“…Of these, 8 used a randomised controlled trial design [37], [74], [84], [100], [102], [103], [116], [118], although only one utilised a reliable randomisation method [116]. Various outcomes were assessed, which were mostly social/interpersonal, mood and symptom domains.…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Music Therapy Practice and Outcomes with Acute Adult Psychiatric In-Patients

2013

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Background and ObjectivesThere is an emerging evidence base for the use of music therapy in the treatment of severe mental illness. Whilst different models of music therapy have been developed in mental health care, none have specifically accounted for the features and context of acute in-patient settings. This review aimed to identify how music therapy is provided for acute adult psychiatric in-patients and what outcomes have been reported.Review MethodsA systematic review using medical, psychological and music therapy databases. Papers describing music therapy with acute adult psychiatric in-patients were included. Analysis utilised narrative synthesis.Results98 papers were identified, of which 35 reported research findings. Open group work and active music making for nonverbal expression alongside verbal reflection was emphasised. Aims were engagement, communication and interpersonal relationships focusing upon immediate areas of need rather than longer term insight. The short stay, patient diversity and institutional structure influenced delivery and resulted in a focus on single sessions, high session frequency, more therapist direction, flexible use of musical activities, predictable musical structures, and clear realistic goals. Outcome studies suggested effectiveness in addressing a range of symptoms, but were limited by methodological shortcomings and small sample sizes. Studies with significant positive effects all used active musical participation with a degree of structure and were delivered in four or more sessions.ConclusionsNo single clearly defined model exists for music therapy with adults in acute psychiatric in-patient settings, and described models are not conclusive. Greater frequency of therapy, active structured music making with verbal discussion, consistency of contact and boundaries, an emphasis on building a therapeutic relationship and building patient resources may be of particular importance. Further research is required to develop specific music therapy models for this patient group that can be tested in experimental studies.

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Section: Resultsmentioning

confidence: 99%

A Systematic Review of Music Therapy Practice and Outcomes with Acute Adult Psychiatric In-Patients

2013

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“…The individual lived experience is at the heart of qualitative research and replicability of these studies is not of paramount concern. No single methodology was seen in these studies to offer adequate solutions to the question of providing evidence of benefit of arts in health settings 24 25 28–30. It may be important for some studies to focus on larger sample sizes and to combine quantitative and qualitative methodologies.…”

Section: Discussionmentioning

confidence: 99%

A review of qualitative methodologies used to explore patient perceptions of arts and healthcare

2012

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Although the importance of the arts in healthcare is increasingly recognised, further research is needed to investigate the mechanisms by which arts and health programmes achieve their impact. An overview of the qualitative methods used to explore patients' perceptions of these interventions is lacking. We reviewed the literature to gain insights into the qualitative methods used to explore patients' perceptions of the role of arts in healthcare with a view to identifying the most common methodologies used and to guide researchers embarking on research regarding patients' perceptions of arts in healthcare. Our results indicate a paucity of qualitative studies, a variety of methods used and variability of methodological rigour. Grounded theory and phenomenology were the most common approaches adopted, mixed methods approaches were relatively frequent, and versions of 'thematic' or 'content' analysis were commonly cited. Semi-structured interviews were the most popular data collection method. The emphasis of all of the studies was on active or participative arts engagement, with no focus on receptive engagement with the arts and aesthetics. It was concluded that careful consideration of appropriate methodology is important when researching such an exploratory and sensitive area. Individual interviews were most popular and might be appropriate when exploring personal, sensitive experiences. Mixed method studies possibly provide a comprehensive approach which might satisfy both the arts and healthcare settings need for evidence. It seems important to pay attention to rigour in any methodology chosen and a greater focus on receptive engagement with the arts might be encouraged in future research.

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“…Music therapists in Western Europe tend to use a range of ''active'' interventions such as co-creating improvised music; in the US ''receptive'' interventions, such as listening to live or recorded music, are more commonly practised. 6 It has been argued that arts therapies are of particular value for people, such as those with cognitive impairment or psychosis, who find it difficult to express themselves verbally. In relation to people with psychosis it has been suggested that arts therapies have an advantage over traditional psychotherapies in that art materials (such as a story, painted image or piece of improvised music) provide a safe space between the patient and the therapist, which can help to contain powerful feelings that might otherwise overwhelm the patient.…”

Section: Mechanism Of Actionmentioning

confidence: 99%

Arts therapies for people with schizophrenia: an emerging evidence base

Crawford

Patterson

2007

Evid Based Mental Health

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An investigation into the effectiveness of the arts therapies for adults with continuing mental health problems

Cited by 33 publications

References 13 publications

A Systematic Review of Music Therapy Practice and Outcomes with Acute Adult Psychiatric In-Patients

A Systematic Review of Music Therapy Practice and Outcomes with Acute Adult Psychiatric In-Patients

A review of qualitative methodologies used to explore patient perceptions of arts and healthcare

Arts therapies for people with schizophrenia: an emerging evidence base

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