Chapter 10 - Implementation Flashcards
It is important for the contract to:
- specify a voluntary commitment on the person’s part (or responsible other’s) to participate in the program
- include an outline for the protocol and conditions for termination
Therapist should reiterate:
- logistical details
- ground rules
- the reason for referral and the nature of therapeutic objectives
- brief description of music therapy protocol
- agreed upon goals and objectives
- plan for review of progress, evaluation, and follow-up
- plan for termination
Session log
- ensures that goal-oriented music-based interventions correspond with therapeutic objectives
- identifies specific techniques, instruments, music, visual aids, and a step-by-step procedure
Clinical documentation meats two primary purposes:
- communication
2. compliance
Compliance
- The ability of the treatment plan and its implementation to conform to standards of care
- Adherence to regulations of access, storage, and maintenance of documents
Progress notes include:
- info on target responses
- other observations relevant to progress for the permanent record
Clinical notes
- brief, specific, objective
- based on observed data and offer a succinct statement of progress or changes in behaviour
APIE Progress Notes
Assessment
Plan (goals and objectives that were focus of the session)
Intervention
Evaluation (progress in meeting goals)
DART Progress Notes
Description of client and situation
Assessment of current situation
Response of client and therapist
Treatment plan or implementation
SOAP Progress Notes
Subjective: clinical impression of person’s presentation
Objective: Present condition as observed or measured
Assessment: observations of progress in the session
Plan: goals and objectives
Supervision may entail
- mentoring and teaching specific skills and competencies
- reviewing cases
- supporting peer through challenging clinical experiences
- observing or monitoring MT sessions
- serving as therapist’s therapist to process issues that arise during sessions
- recognizing counter-transference and reactivity by MT
- providing a source of clinical judgment to assist in decision-making
Transference
When client projects relationships with key figures in life directly to the therapist
Counter-transference
Therapist’s projection of feelings and behaviours toward others onto the client
Phenomenological approach
Study of subjective reality and direct personal experience