Felicity Baker

Background Most people with dementia live in the community, not in residential care. Therefore, quality informal care for them is critical for managing behavioural and psychological symptoms of dementia (BPSD). Music therapy has been shown to reduce BPSD. However, no randomised controlled trial has examined the effects of music interventions delivered by caregivers in home settings. The HOME-based caregiver-delivered music intervention for people living with dementia (HOMESIDE) trial aims to evaluate the effectiveness of a 12-week music intervention in addition to standard care for BPSD. This article describes the statistical analysis plan. Methods and analysis HOMESIDE is a large, pragmatic international three-arm parallel-group randomised controlled trial. Dyads (persons with dementia and caregiver) in Australia, Germany, the UK, Poland and Norway were randomised to receive music and standard care, reading and standard care or standard care alone. The primary outcome is BPSD (prox...

Drawing on new paradigms and evidence-based discoveries in neuroscience, narrative psychology, and creativity theory, Creative Arts in Counseling and Mental Health by Philip Neilsen, Robert King, and Felicity Baker explores the beneficial ..

Depression experienced by older adults is proving an increasing global health burden, with rates as high as 27% in the USA. This is likely to increase in coming years as the number and proportion of older adults in the global population rises. Therefore, it is imperative that the effectiveness of approaches to the prevention and treatment of depression are understood. Creative arts interventions, including art, dance movement, drama, and music, are utilized internationally to reduce depressive symptoms in older adults and promote wellbeing. This includes interventions led by trained arts therapists as well as other health and arts professionals. This presentation will include a report of findings from a recent systematic review of the outcomes of four creative arts modalities (art, dance movement, drama, and music) with particular attention paid to processes of change documented in each modality.

Introduction: Evidence supporting the use of music interventions to maximize arousal and awareness in adults presenting with a disorder of consciousness continues to grow. However, the brain of a child is not simply a small adult brain, and therefore adult theories are not directly translatable to the pediatric population. The present study aims to synthesize brain imaging data about the neural processing of music in children aged 0-18 years, to form a theoretical basis for music interventions with children presenting with a disorder of consciousness following acquired brain injury.Methods: We conducted a systematic review with narrative synthesis utilizing an adaptation of the methodology developed by Popay and colleagues. Following the development of the narrative that answered the central question “what does brain imaging data reveal about the receptive processing of music in children?”, discussion was centered around the clinical implications of music therapy with children follo...

Background: The resources involved in delivering a clinical trial in residential aged care facilities (RACFs) are significant and the success of a trial is dependent upon adequate planning, including appropriate timelines for each component of the study and the required budget. The main aim of this paper is to describe process and resource assessment during recruitment, collection of outcome measures and intervention delivery and present learnings and considerations for conducting trials in RACFs with people living with dementia. Methods: We collected data across 24 clusters in 12 RACFs over 18 months during a cluster randomised controlled trial which was testing the effectiveness of music interventions in people living with dementia. Data were collected on resources required for recruitment and assessment of baseline data, as well as data on reasons for participant non-attendance at the interventions. Results: Results show that time between contacting next of kin and receiving form...

This study investigated perceptions of educators in a variety of studio settings on teacher behaviours and music skills relevant to piano pedagogy in Australia. Research was conducted nationally across all States through purpose-designed and piloted questionnaires distributed to piano teachers with interviews following. Questionnaires (N=107) completed by beginner (early-career) piano teachers, piano lecturers and experienced qualified piano teachers as well as follow-up interviews (N=27). This research addressed effective piano teaching skills and undergraduate music degree issues in relation to piano pedagogy such as practicum, technique, piano methodologies, mentorship, and other teacher training procedures. Results indicated that most lecturers and qualified studio teachers agreed on the application and efficacy of pianistic technique as an essential component of piano teaching. Most respondents perceived a holistic approach to technique and student-centred learning techniques as vital elements of effective pedagogy practice. All three sub-groups nominated (a) patience; (b) an ability to motivate students; and (c) employing a positive approach to teaching, to be the most essential teacher characteristics in effective piano pedagogy. Many qualified teachers noted having very little or no actual past specialised pedagogy training. These findings contribute to existing research into teacher perceptions within a framework of instrumental pedagogy.

Chapter I: Introduction - Robert King, Felicity Baker & Philip Neilsen A Theoretical Framework for Creative Arts in Recovery A Note on the Evidence Base for Creative Arts in Recovery What You Will Find in this Book About the Authors Chapter II: Lived experience: writing and recovery - Robert King, Jon Scott & Jane Boggs A Writing Workshop Clubhouse Writers Chapter III: Lived experience: visual art and music in recovery - Robert King, Patricia Strobel, Tom O'Brien & Ann Bermingham Patricia Strobel Tom O'Brien Ann Bermingham Chapter IV: Visual arts: principles and evidence base - Clare Edwards, Tom O'Brien & Robert King Abstract Background Study Aims Overview of Study Design Results Discussion Chapter V: Visual arts: multidisciplinary day program in practice for young people with severe mental health problems - Sandra Drabant & Robert King The Mater Child and Youth Mental Health Service (CYMHS) Day Program Jack's Story and Art Therapy Assessment Discussion Chapter VI: Visual arts: the place of the art exhibition in mental health recovery Introduction The Art Exhibition - What Are We Talking About? The Realisation of the Art Show The Social Nature of the Art Show - Being Part of a Collaborative Event The Relationship Between Exhibiting Art and Identity Development in Mental Health Context The Purpose of the Art Show for the Recovery Community Network Recommendations for Staging an Art Show in the Mental Health Recovery Context Chapter VII: Creative writing: literature review and evidence-based research - Philip Neilsen Introduction Creative Writing - Definition Theoretical Frameworks and Explanatory Models Commentary on Theoretical Frameworks Discussion Chapter VIII: Creative writing: a practice-based account of designing and facilitating life-writing workshops for a group with severe mental illness - Philip Neilsen & Robert King Introduction Materials and Methods, Participants and Setting Intervention Preparation For and Delivery of the Workshops Workshop Dynamics Data Collection Chapter IX: Music therapy and mental health recovery: what is the evidence? - Claire Stephensen & Felicity A Baker What is Music Therapy? Music Therapy Methods in Recovery Music Therapy Approaches in Research and Practice Current Evidence Chapter X: Music: the Interface of music therapy and psychotherapy with adolescents in a hospital-based, consultation-liaison mental health service: eclecticism in action - Katherine Aitchison Music Therapy in CYMHS Music Therapy and the Question of Orientation Evidence for the Efficacy of Music Therapy in Child and Youth Mental Health Eclecticism: An Integrated Approach Therapeutic Songwriting with Adolescents Fostering Understanding: A Psychodynamic Approach Case Study: Sarah Offering Acceptance: A Humanistic Approach Case Study: Kathy Facilitating Development: A Behavioural/Cognitive-Behavioural Approach Case Study: Jayden Chapter XI: A dance/movement therapy recovery model: engagement in stages of change - Anne Margrethe Melsom & Jill Comins Introduction: Dance/Movement Therapy in Recovery-Oriented Systems of Care A Proposed Dance/Movement Therapy RECOVERY Model Use of the Therapist-Self within the Dance/Movement Therapy RECOVERY Model Emergence of the Dance/Movement Therapy RECOVERY Model Stages of Change and Dance/Movement Therapy: An Integrative Conceptualisation Integrative Conclusions: Stages of Change and the DMT RECOVERY Model Applications of the Dance/Movement Therapy RECOVERY Model Chapter XII: The evidence base for dance/movement therapy in mental health: moving the body of knowledge - Sherry W. Goodill Introduction Systematic Review and Meta-Analyses Levels of Evidence and Example Studies Summary of Evidence for DMT Recommendations Chapter XIII: Applied theatre for mental health: literature review and evidence-based research - Andrea Baldwin Definitions Forms of Drama Practice in Relation to Mental Health Theatrical Theatre Drama as Social Experience Drama as Therapy: Psychodrama and Drama Therapy Models of Drama Therapy The Difference Between Drama as Therapy and Drama as Social Experience How Does Participation in Drama Support Recovery? Evidence of Effectiveness: How Participation in Drama Supports Recovery Chapter XIV: Respect yourself drama education program in practice - Andrea Baldwin Introduction Program Outline Clinical Rationale Implementation Example Session Longer Term Effects Digital storytelling for the self-advocacy of marginalised identities: theory and practice Introduction Overview of Case Studies Narrative Practice and Empowerment Storytelling as Praxis Notice One My Secret Story Greg's Sermon

BackgroundYounger‐onset dementia (YOD) has its onset at <65 years old, represents 5% of all dementias and affects people and their families during significant productive years of life. People living with YOD and their caregivers face unique challenges, and can feel isolated, less supported and at higher risk of depressive and anxiety symptoms. There is a scarcity of interventions for both caregivers and people with YOD. Cognitive behaviour therapy (CBT) and music therapy (MT) have evidence‐based positive effects in older adults with dementia and their caregivers, but are yet to be trialled in younger people. MT may be perceived as less threatening and motivate engagement. Social networking may also be a useful forum for sharing content and has been previously utilised in caregiver support groups.MethodMAPS is a 7‐week manualised online group program for people living with YOD and caregiver dyads. Weekly sessions (80‐90 minutes with a break) will be co‐facilitated by a psychologist and music therapist, and will include joint sessions with both members of the dyad (sessions 1 and 6), and separate sessions for the caregivers and the people living with YOD (sessions 2 to 5). The two major themes are: 1) Dealing with the challenges and changes associated with being a caregiver/living with YOD; and 2) Finding ways to be positive and focusing on the things they value. MAPS will utilise a combination of CBT techniques and MT methods, with the production of two songs per group and “homework”. A closed, private Facebook group will be used for sharing content and resources. The major outcome measure will be improvement in Depression Anxiety and Stress Scores, using the DASS21. Focus groups for qualitative feedback will occur in the final session, 7.ResultPendingConclusionIf successful this pilot has the ability to be expanded for larger outreach.

BackgroundMusic therapy is increasingly recognized as an effective support for people living with dementia. However, with incidences of dementia increasing, and limited availability of music therapists, there is a need for affordable and accessible ways that caregivers can learn to use music-therapy based strategies to support the people they care for. The MATCH project aims to address this by creating a mobile application that can train family caregivers in the use of music to support people living with dementia.MethodsThis study details the development and validation of training material for the MATCH mobile application. Training modules developed based on existing research were assessed by 10 experienced music therapist clinician-researchers, and seven family caregivers who had previously completed personalized training in music therapy strategies via the HOMESIDE project. Participants reviewed the content and scored each training module based on content (music therapists) and fa...

Background: The number of people living with dementia (PwD) worldwide is expected to double every 20 years. Many continue living at home, receiving support from family caregivers who may experience significant stress, simultaneously to that of the PwD. Meaningful and effective home-based interventions to support PwD and their caregivers are needed. The development of a theory- and practice-driven online home-based music intervention (MI) is delivered by credentialed music therapists, nested within the HOMESIDE RCT trial. Methods: Dyads including the PwD and their family carer are randomised to MI, reading (RI) or standard care (SC). MI aims to support health wellbeing and quality of life by training caregivers to intentionally use music (singing, instrument playing, movement/dancing, and music listening) with their family member (PwD) in daily routines. MI is underpinned by cognitive, relational, social, and psychological theories of mechanisms of change. Results: Preliminary sub-co...

Relationship quality is important for well-being and quality of life in couples living with dementia. Home-based music therapy interventions may be conducted with the aim of enhancing relationship quality. However, the effects or influences of such interventions are only briefly investigated in previous studies. This study’s aim was to identify how a 12-week home-based music therapy intervention may influence relationship quality in couples living with dementia, through an adapted convergent mixed methods design. In this case, 68 participating couples from the HOMESIDE RCT study, and four individually recruited couples, received the music therapy intervention. Relationship quality for all participants was measured by the standardized Quality of Caregiver-Patient Relationship scale, and qualitative interviews were conducted with the four individually recruited participants at baseline and post intervention. Quantitative analysis indicated no statistically significant intervention eff...

IntroductionParkinson’s disease can be associated with speech deterioration and low communication confidence which in turn compromises social interaction. Therapeutic singing is an engaging method for combatting speech decline; however, face-to-face delivery can limit access to group singing. The aim of this study is to test the feasibility and acceptability of an online mode of delivery for a Parkinson’s singing intervention (ParkinSong) as well as remote data collection procedures.Methods and analysisThis ParkinSong Online feasibility trial is a single-arm, pre–post study of online singing delivery and remote data collection for 30 people living with Parkinson’s. The primary outcome measure is feasibility: recruitment, retention, attendance, safety, intervention fidelity, acceptability and associated costs. Secondary outcomes are speech (loudness, intelligibility, quality, communication-related quality of life) and wellbeing (apathy, depression, anxiety, stress, health-related qua...

Background: Recent research on the efficacy of music-based interventions for people with dementia have focused on specific outcomes and methods, and singing has been noted as a particularly beneficial activity. However, due to heterogeneity of research methods, there is a need to synthesise the findings of both quantitative and qualitative research in order to better understand both the impact and potential mechanisms of singing for people in this population.Method: This systematic review included quantitative, qualitative and mixed-methods studies, and analysed these using a systematic mixed-studies synthesis (with a results-based convergent approach). Quantitative and qualitative data were initially synthesised using a narrative synthesis and thematic synthesis method, respectively, before a final meta-integration method was used to synthesise common themes across the two data forms.Results: Electronic and hand search strategies revealed 1,815 relevant studies, 40 of which met the...

BackgroundThe wellbeing of people living with dementia and their family caregivers may be impacted by stigma, changing roles, and limited access to meaningful opportunities as a dyad. Group therapeutic songwriting (TSW) and qualitative interviews have been utilized in music therapy research to promote the voices of people with dementia and family caregivers participating in separate songwriting groups but not together as dyads.ProceduresThis study aimed to explore how ten people with dementia/family caregiver dyads experienced a 6-week group TSW program. Dyads participated in homogenous TSW groups involving 2–4 dyads who were either living together in the community (2 spousal groups) or living separately because the person with dementia resided in a care home (1 family group, 1 spousal group). The TSW program, informed by personhood, couplehood, family centered and group process frameworks, involved creating original lyrics through song parody and song collage. Qualified Music Thera...

Background: Transitioning to non-invasive ventilation (NIV) can cause anxiety in people with Motor Neuron Disease (MND), which may reduce adherence rates. Music therapy has demonstrated positive effects with mechanical (invasive) ventilation.Method: This feasibility study examined the effects of music-assisted relaxation (MAR) on NIV adherence, anxiety, and quality of life for people with MND. Data were collected at baseline, 7-days post, and 3-months post NIV implementation.Results: Of 18 consenting participants, 15 chose the MAR condition. Results suggested that supporting NIV transition within the first 7 days may be advantageous for long-term adherence. No effects were found for anxiety or quality of life. Limitations included small sample size, lack of an adequate control, and possible ceiling effects on the instruments used. Qualitative data indicated most participants considered the relaxing and distracting effects of MAR were useful.Conclusions: In this small sample, we foun...

Empirical studies in the creative arts therapies (CATs; i.e., art therapy, dance/movement therapy, drama therapy, music therapy, psychodrama, and poetry/bibliotherapy) have grown rapidly in the last 10 years, documenting their positive impact on a wide range of psychological and physiological outcomes (e.g., stress, trauma, depression, anxiety, and pain). However, it remains unclearhowandwhythe CATs have positive effects, and which therapeutic factors account for these changes. Research that specifically focuses on the therapeutic factors and/or mechanisms of change in CATs is only beginning to emerge. To gain more insight into how and why the CATs influence outcomes, we conducted a scoping review (Nstudies= 67) to pinpoint therapeutic factors specific to each CATs discipline, joint factors of CATs, and more generic common factors across all psychotherapy approaches. This review therefore provides an overview of empirical CATs studies dealing with therapeutic factors and/or mechanis...

Communication impairment is one of the most common symptoms of Parkinson’s disease, significantly impacting quality of life (Miller, 2012). Speech characteristics may include a soft, monotone, breathy or hoarse voice quality, imprecise articulation, dysprosody and dysfluency (Skodda et al., 2013). These characteristics, combined with reduced nonverbal communication, cognitive-linguistic impairment and poor self-perception of speech, make communication difficult and lead to self-consciousness, reduced likelihood to participate in conversation, and the avoidance of social interaction that requires speaking. Communication difficulties can compound issues of depression and related social isolation (Miller et al., 2006).

Human-computer interaction researchers have explored how to design technologies to support people with dementia (PwD) and their caregivers, but limited attention has been given to how to facilitate music therapy in dementia care. The use of music to help manage the symptoms of dementia is often guided by a music therapist who adapts the intervention to respond to the changing needs of the person living with dementia. However, as the incidence of dementia increases worldwide, individualised therapy programs are less feasible, making it valuable to consider technology-based approaches. In this paper, we analyze data from case studies of home-based music therapy training interventions with two families. The findings show that embodied interactions supported the therapist in responding to the needs of the PwD and built an empathic environment that empowered the caregivers’ learning. We discuss opportunities and challenges for designing technologies that support family caregivers’ therapy-informed music use in dementia care.

Purpose. This paper reports findings from a project that sought to develop accessible guidelines for including people with dementia in qualitative interviews in a music therapy study, based on experience from people previously involved in qualitative music therapy research. Method. People with previous experience of qualitative music therapy research were invited to participate in semi-structured interviews about how the interview process could be made more accessible. Participants included four family-caregivers and three music therapy-researchers. Interview data were analysed using thematic analysis. Findings were used to develop guidelines for a subsequent study; reflections on the implementation of these guidelines are provided. Results. Five themes were identified: (a) motivators and barriers to participating in interviews; (b) pragmatic elements that impact interview participation; (c) relationship dynamics may impact the interview; (d) familiarity fosters comfort, enables pre...

IntroductionPharmacological interventions to address behavioural and psychological symptoms of dementia (BPSD) can have undesirable side effects, therefore non-pharmacological approaches to managing symptoms may be preferable. Past studies show that music therapy can reduce BPSD, and other studies have explored how formal caregivers use music in their caring roles. However, no randomised study has examined the effects on BPSD of music interventions delivered by informal caregivers (CGs) in the home setting. Our project aims to address the need for improved informal care by training cohabiting family CGs to implement music interventions that target BPSD, and the quality of life (QoL) and well-being of people with dementia (PwD) and CGs.Methods and analysisA large international three-arm parallel-group randomised controlled trial will recruit a sample of 495 dyads from Australia, Germany, UK, Poland and Norway. Dyads will be randomised equally to standard care (SC), a home-based music...

Supporting carers of people living with dementia to live happy and healthy lives is of international importance. This study aimed to explore carers’ experiences of participating in a creative group songwriting process. Four carers (2 male and 2 female) of people living with dementia participated in four therapeutic group songwriting sessions. Facilitated by two music therapists and support staff, the participants co-created a song that reflected their carer experiences allowing positive and negative perspectives to be represented in the song. Interpretative phenomenological analysis was used to analyse interviews with the four carers at the end of the programme. A cross-case analysis was performed to identify recurring themes and subthemes. Findings highlight that carers’ experience of the programme went beyond their expectations. They found the collaborative component of co-creating songs was meaningful, and subsequently, the song held meaning for the group. Carers experienced the ...

Expressive and Creative Arts Methods for Trauma SurvivorsCarey, Lois (Ed.) (2006). Expressive and Creative Arts Methods for Trauma Survivors. Jessica Kingsley Publishers, London.The Music Effect. Music Physiology and Clinical ApplicationsSchneck, Daniel & Dorita Berger (2006). The Music Effect. Music Physiology and Clinical Applications. London: Jessica Kingsley Publishers.Music Therapy Research: Second EditionWheeler, Barbara L. (2005).Music Therapy Research: Second Edition. Gilsum,NH: Barcelona

Delirium is a neuropsychiatric syndrome represented by an acute disturbance in attention, awareness and cognition, highly prevalent in older, and critically ill patients, and associated with poor outcomes. This review synthesized existing evidence on the effectiveness of music interventions on delirium in adults, and music interventions (MIs), psychometric assessments and outcome measures used. We searched MEDLINE, PsychINFO, SCOPUS, Clinical Trials and CENTRAL for quantitative designs comparing any MIs to standard care or another intervention. From 1150 studies 12 met the inclusion criteria, and 6 were included in the meta-analysis. Narrative synthesis showed that most studies focused on prevention, few assessed delirium severity, with the majority of studies reporting beneficial effects. The summary relative risk for incident delirium comparing music vs. no music in postsurgical and critically ill older patients was 0.52 (95% confidential interval (CI): 0.20–1.35, I2 = 79.1%, hete...

Psychosocial interventions targeting the specific needs of people affected by younger-onset dementia are lacking. Younger-onset dementia refers to dementia where symptom onset occurs at less than 65 years old. Because of its occurrence in middle age, the impact on spouses is particularly marked and dyadic-based interventions are recommended. Music And Psychology & Social Connections (MAPS) is a novel online intervention, informed by the theory of adaptive coping by Bannon et al. (2021) for dyads affected by younger-onset dementia. MAPS combines therapeutic songwriting, cognitive behaviour therapy, and a private social networking group that focuses on the dyads. This will be a randomised controlled trial with a waitlist control. The primary aims are to assess whether MAPS improves depressive, anxiety, and stress symptoms in caregivers, with secondary aims to assess whether MAPS improves depressive symptoms in people with younger-onset dementia. The trial also aims to assess dyadic so...

Due to the creative and purposeful applications of music in a therapeutic context, music therapists may be uniquely able to foster flow-based experiences for the people who access their services-herein "users". As flow has been linked with a number of positive factors, it may be ideal for encouraging and enhancing learning and therapeutic encounters during music therapy. The purpose of this paper is to describe flow and provide contextualisation of flow in music therapy clinical practice and as a possible mechanism of change that might explain outcomes observed in research with users. To integrate the flow-based literature into music therapy research, we discuss flow in receptive and active music therapy interventions and applications of flow in clinical practice and research. We propose flow as a bi-directional construct in music therapy and, based upon the person-activity fit model, offer a figure integrating skill of the therapist with the challenge of the intervention ...

New research developments in the recovery of function following neurological trauma as well as basic and applied research relevant to music perception and production, seem to point to the suggestion that specific music therapy interventions that directly address the restoration of function as opposed to developing compensatory mechanisms, in certain circumstances, may now be a more appropriate treatment approach. We will address the issue of appropriate timing for the introduction of each strategy and discuss potential outcomes of each approach. As one might imagine, much of this research is published in the neurological journals, which music therapists may not regularly consult. It seems challenging enough just to keep abreast of new music therapy literature. Further, there is so much neurological research that the music therapy clinician often finds it difficult to know where to begin. This text provides an overview of a growing concept related to recovery known as neuroplasticity...

In music therapy literature and popular culture alike, music is often hailed as a universal language. It is appropriate then that music therapy is included within the services offered at a high school catering specifically to non-English-speaking students. The music therapy program described in this paper encourages students to explore and express their feelings by playing instruments, singing, writing songs, listening to music and talking about song lyrics. The school is state-run (but federally funded) and provides English language, high school preparation and settlement services to high school aged youth who have recently arrived in Australia from non-English-speaking countries. There are currently 22 nationalities represented amongst the student population, with most students staying no longer than six months before being integrated into mainstream schools with English as a Second Language (ESL) support. While some of the students ’ families are business migrants, some 60 % of s...

Positive effects of music therapy for people with dementia and their family carers are reported in a growing number of studies. However, small sample sizes or low recruitment rates often limit the success of these research studies. More adequately powered evidence-based studies are needed to impact policy and funding in dementia care. This systematic review examined recruitment strategies in music therapy clinical trials involving people living with dementia and/or their family carers. Eligible studies described enrolment, consent, accrual, or recruitment methods as well as recruitment or consent rates. Thirty studies with a total of 1,192 participants were included. Recruitment and conversion rates in residential aged care facilities (RACFs) (14 studies) were substantially higher than in community-based studies (16 studies). Whereas studies in RACFs most commonly recruited participants through staff approaching residents face-to-face or conversing with residents’ legal guardians, c...

Chapter I: Introduction - Robert King, Felicity Baker & Philip Neilsen A Theoretical Framework for Creative Arts in Recovery A Note on the Evidence Base for Creative Arts in Recovery What You Will Find in this Book About the Authors Chapter II: Lived experience: writing and recovery - Robert King, Jon Scott & Jane Boggs A Writing Workshop Clubhouse Writers Chapter III: Lived experience: visual art and music in recovery - Robert King, Patricia Strobel, Tom O'Brien & Ann Bermingham Patricia Strobel Tom O'Brien Ann Bermingham Chapter IV: Visual arts: principles and evidence base - Clare Edwards, Tom O'Brien & Robert King Abstract Background Study Aims Overview of Study Design Results Discussion Chapter V: Visual arts: multidisciplinary day program in practice for young people with severe mental health problems - Sandra Drabant & Robert King The Mater Child and Youth Mental Health Service (CYMHS) Day Program Jack's Story and Art Therapy Assessment Discussion Chapter VI: Visual arts: the place of the art exhibition in mental health recovery Introduction The Art Exhibition - What Are We Talking About? The Realisation of the Art Show The Social Nature of the Art Show - Being Part of a Collaborative Event The Relationship Between Exhibiting Art and Identity Development in Mental Health Context The Purpose of the Art Show for the Recovery Community Network Recommendations for Staging an Art Show in the Mental Health Recovery Context Chapter VII: Creative writing: literature review and evidence-based research - Philip Neilsen Introduction Creative Writing - Definition Theoretical Frameworks and Explanatory Models Commentary on Theoretical Frameworks Discussion Chapter VIII: Creative writing: a practice-based account of designing and facilitating life-writing workshops for a group with severe mental illness - Philip Neilsen & Robert King Introduction Materials and Methods, Participants and Setting Intervention Preparation For and Delivery of the Workshops Workshop Dynamics Data Collection Chapter IX: Music therapy and mental health recovery: what is the evidence? - Claire Stephensen & Felicity A Baker What is Music Therapy? Music Therapy Methods in Recovery Music Therapy Approaches in Research and Practice Current Evidence Chapter X: Music: the Interface of music therapy and psychotherapy with adolescents in a hospital-based, consultation-liaison mental health service: eclecticism in action - Katherine Aitchison Music Therapy in CYMHS Music Therapy and the Question of Orientation Evidence for the Efficacy of Music Therapy in Child and Youth Mental Health Eclecticism: An Integrated Approach Therapeutic Songwriting with Adolescents Fostering Understanding: A Psychodynamic Approach Case Study: Sarah Offering Acceptance: A Humanistic Approach Case Study: Kathy Facilitating Development: A Behavioural/Cognitive-Behavioural Approach Case Study: Jayden Chapter XI: A dance/movement therapy recovery model: engagement in stages of change - Anne Margrethe Melsom & Jill Comins Introduction: Dance/Movement Therapy in Recovery-Oriented Systems of Care A Proposed Dance/Movement Therapy RECOVERY Model Use of the Therapist-Self within the Dance/Movement Therapy RECOVERY Model Emergence of the Dance/Movement Therapy RECOVERY Model Stages of Change and Dance/Movement Therapy: An Integrative Conceptualisation Integrative Conclusions: Stages of Change and the DMT RECOVERY Model Applications of the Dance/Movement Therapy RECOVERY Model Chapter XII: The evidence base for dance/movement therapy in mental health: moving the body of knowledge - Sherry W. Goodill Introduction Systematic Review and Meta-Analyses Levels of Evidence and Example Studies Summary of Evidence for DMT Recommendations Chapter XIII: Applied theatre for mental health: literature review and evidence-based research - Andrea Baldwin Definitions Forms of Drama Practice in Relation to Mental Health Theatrical Theatre Drama as Social Experience Drama as Therapy: Psychodrama and Drama Therapy Models of Drama Therapy The Difference Between Drama as Therapy and Drama as Social Experience How Does Participation in Drama Support Recovery? Evidence of Effectiveness: How Participation in Drama Supports Recovery Chapter XIV: Respect yourself drama education program in practice - Andrea Baldwin Introduction Program Outline Clinical Rationale Implementation Example Session Longer Term Effects Digital storytelling for the self-advocacy of marginalised identities: theory and practice Introduction Overview of Case Studies Narrative Practice and Empowerment Storytelling as Praxis Notice One My Secret Story Greg's Sermon

High-quality clinical trials testing music therapy interventions have become more prevalent over the past decade. However, recent reviews of published music therapy trials reveal that reporting of strategies used to ensure treatment fidelity is lacking. Treatment fidelity refers to methodological strategies, put in place prior to clinical trial implementation, to strengthen the reliability and validity of intervention delivery and, therefore, safeguard research quality. This paper outlines strategies developed and implemented during the pilot phase of a randomized controlled trial involving the testing of music interventions for people living with dementia and presenting with symptoms of depression. We discuss the five recognized components of fidelity (study design, training intervention providers, treatment integrity, treatment differentiation, and treatment receipt) and describe our methods for training music intervention providers and testing interventionist competence prior to trial commencement, approaches to intervention delivery supervision, and methods for assessing intervention protocol adherence.

This pilot study examined how 15 participants in early rehabilitation described their self-composed Songs 6- to 12-months following participation in a 6-week identity-focused songwriting program. Specific focus was given to the process of meaning making and identity reconstruction in the participants' self-composed songs. Data were collected through individual semi-structured interviews ( = 15) and analyzed using interpretative phenomenological analysis. Findings were developed idiographically as super-ordinate themes unique to each participant, then analyzed across cases to identify recurrent themes and subthemes. Participants described the songwriting process as taking them through one of four distinct recovery journeys described by individuals following acquired neurodisability who underwent a focused therapeutic songwriting program. These included (1) re-conceptualizing values and shifting perspectives about self (my body is broken but my mind has been set free); (2) recogni...