Music Therapy in a General Hospital's Psychiatric Unit — A ‘Pilot’ Evaluation of An Eight Week Programme

Bunt, Leslie; Pike, David L.; Wren, Vanessa

doi:10.1177/135945758700100205

Cited by 10 publications

(3 citation statements)

References 2 publications

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“…The integration of music therapy within the models and systems of the institutional setting meant prioritization of multidisciplinary team communication, provision of clear information to both patients and staff, and provision of a programme to maximize patient access and staff support [34], [40], [75], [91], [104]. Solli [108] suggests therapists tailor their work at different individual, group, ward and hospital levels.…”

Section: Resultsmentioning

confidence: 99%

“…Low attendance was generally experienced negatively by patients [50], [91] and impacted upon the group dynamic [117]. Access to sessions was limited by mental state, external events or by institutional barriers such as the time taken for referral and assessment and ongoing demands upon the patient whilst in hospital [34], [52]. Talwar et al [116] also observed that uptake of outpatient attendance was rare unless several in-patient sessions were attended.…”

Section: Resultsmentioning

confidence: 99%

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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%

Section: Resultsmentioning

confidence: 99%

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

2013

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“…Throughout, the use of music is professional in its approach, notwithstanding the lack of formally qualified music therapists or psychotherapists with a musical background being employed in the project (and contrary to the different trends evident in customary music therapy: cf. Bunt, Pike & Wren, 1987;Bunt, 1997). In Florence, children exercise considerable control of the musical intervention, deciding whether they want it (or not) and for how long the musical activity should last.…”

Section: Introductionmentioning

confidence: 99%

Music in a hospital setting: a multifaceted experience

Preti¹,

Welch²

2004

Brit. J. Music. Ed.

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The article offers an explanation of the effects of music on children within a hospital setting and points up the multifaceted nature of this experience. The nature of the client group allows the musical experience to work on many different levels, such as modifying the child's perception of pain and reducing stress, whilst at the same time having an integral educational element that supports musical development. The evidence base is drawn from an extensive review of the music/medicine literature, interfaced with the first author's experience over many years as a participant musician in a paediatric oncology ward.

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Applying levels of evidence to the psychiatric music therapy literature base

Silverman

2010

The Arts in Psychotherapy

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Music Therapy in a General Hospital's Psychiatric Unit — A ‘Pilot’ Evaluation of An Eight Week Programme

Cited by 10 publications

References 2 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

Music in a hospital setting: a multifaceted experience

Applying levels of evidence to the psychiatric music therapy literature base

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