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- The Music Therapist will document the client’s referral to music therapy, assessment, placement, treatment plan, and ongoing progress in music therapy in a manner consistent with federal, state, and other regulations and policies.
academic.oup.com/mtp/article/34/1/57/2583076
The Music Therapy Clinical Self Assessment Guide is a structured form to be used as a tool when reviewing the quality of one’s own music therapy services. This form is designed to be used by music therapists in a variety of settings, including, but not limited to private practice, nursing homes, residential facilities, hospitals and schools.
- The Purpose of Clinical Documentation
- Documentation as A Standard of Clinical Practice
- Documentation Across The Music Therapy Treatment Process
- Laws Related to Documentation
- Conclusions and Future Directions
Clinical documentation includes any form of information used to describe care in a client’s1record that assists with treatment and aids in communication between professionals. In today’s medical and educational landscape, clinical documentation may consist of written (e.g., reports and progress notes) or other tangible products (e.g., test results,...
Documentation is included in the American Music Therapy Association (AMTA, 2015) Standards of Clinical Practice with the general Documentation Standard reading as follows: When reviewing the Standards as they pertain to specific practice settings, the content of the Documentation Standard remains consistent with two notable exceptions under Medical...
Referral and Acceptance
The Referral and Acceptance Standard (1.0) states that “A client will be accepted for music therapy in accordance with specific criteria” (AMTA, 2015). Aside from indicating that a referral can be made by virtually any concerned party (except, perhaps, in a medical setting as indicated above), there are no specific criteria about the basis on which a referral should be accepted. In that regard, Hanser (1999)provides a set of criteria for making referral decisions that includes strength in aud...
Assessment
For the purposes of the current discussion, assessment refers to the initial data collection and analysis process used to inform music therapy treatment. In addition to identifying clinical areas for assessment, the general and practice-specific Assessment Standards (2.0) stipulate that “The music therapy assessment procedures and results will become a part of the client’s file” (AMTA, 2015). In many cases, facilities and agencies have standard assessment forms or templates that can aid in do...
Treatment Planning
The Treatment Planning Standard (3.0) refers to the proposed course of treatment, goals and objectives, music therapy interventions, and materials related to carrying out that plan. Of documenting the treatment plan itself, the details contained within the standard appear to provide some direction. First, Standard 3.3 would seem to suggest that the treatment plan contain information pertaining to the frequency, duration, and type of services to be offered. Second, Standards 3.4 and 3.5 indica...
That music therapists should practice in a manner consistent with “federal, state, and facility regulations” is mentioned throughout the AMTA (2015)Standards of Clinical Practice; without question, this applies to documentation and recordkeeping. As a rule, federal laws and regulations tend to override local regulations except in situations where t...
Documentation is required whenever music therapy services are delivered. The responsibility of what to document and how to maintain records ultimately rests with the music therapist. This makes documentation an important consideration for clinicians, administrators, students, and music therapy educators. Through an examination of the AMTA Standards...
- Eric G. Waldon
- 2016
Feb 14, 2022 · Most music therapy assessment scales developed to date focus on non-music health domains such as cognition, communication, and motor skills. However, we have a growing number of music therapy assessments in which music is its “own domain of health” (Carpente & Aigen, Citation 2015, p. 250).
Nov 4, 2006 · Assessment is the systematic process of gathering information about your client and his or her response to music therapy treatment. Some therapists view the assessment period as the beginning part of the treatment of a client.
Aug 25, 2024 · In music therapy, this assessment focuses on how music can be leveraged to meet a client’s physical, emotional, cognitive, and social needs.
Jan 1, 2016 · The current discussion reviews the AMTA Documentation Standard, identifies relevant music therapy resources, and reviews laws related to documentation and clinical recordkeeping.
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The book is based on the four stages of the assessment process: 1) preparation, 2) data gathering, 3) analysis, interpretation, and conclusions, and 4) documentation and communication of assessment results.
