music therapy notes / more reflecting, less wading

Music Therapy Notes More Reflecting, Less Wading

A music therapy hack day project by @oxfordsing and @timdavies at #berkleeMThack - 28/29th March 2014, Cambridge MA

Saturday, 29 March 14

The BackgroundMany music therapists record music therapy sessionsThis is a powerful way to review sessions - noticing anything that may have been missed in the moment, and clarifying moments of significance through a process called ‘indexing’ - a method of analysing extracts or whole sessions.Having video or audio extracts is one way of evidencing the benefits of music therapy and sharing the music therapy process with a multi-disciplinary team (MDT) as well as parents and carers....

.......... However.............Saturday, 29 March 14

Problem #1

Managing large quantities of audio and visual data

Solution & Benefits for MT:

Greater use of existing data means a greater potential for research, evaluation and evidencing impacts of music therapy


Problem #2

AV data is not linked to other client data, including progress notes, assessment scales, clinical aims or referral documentation

Solutions & Benefits for MT:

Makes client data management more efficient – saves time for the music therapist

Links up written notes about a particular therapeutic moment directly to the recorded evidence (where available)

Assessment tools/ rating scales attached to client data – progress in relation to goals can be tracked visually by radar chart


Problem #3

Indexing audio or visual files can be clumsy and time-consuming (switching between windows, hitting start/stop/rewind).

It can be a challenge to have time to do this valuable analysis with large numbers of clients


The annotation tool means more sessions are reviewed in detail and annotated quickly in an easy-to-use interface

Improved quality and effectiveness of work through more focussed reflection and analysis


We created a prototype to respond to this problem...


The prototype


The prototype

Import audio and video recordings - and play through with keyboard

controls

Record keeping for each individual music therapy session.

Record a clinical summary (for patient notes) and progress notes

(for the music therapist)Add annotations throughout the

session.


The prototype


The prototype

Annotations can be indexed to any point in the recording - allowing

instant recall of significant moments

Tag specific clients when working in group sessions: allowing a session index to generate individual client

notes.

A plugin architecture allows different rating scales to be used selectively - either

for a session as a whole - or a particular moment

Thematic tags and free text space allow trends across sessions to be identified, and

specific observations recorded.


The prototype

Different visualisation tools can be used to show rating-scales and sensor-data at a glance: and to

allow comparisons


Problem #4: It’s difficult to find the right AV extracts to share with multi-disciplinary team (MDT), family, carers etc

Solution and Benefits for MT:Sharing AV extracts with families and MDT becomes quicker and easier, as all the key moments are tagged and linked to the client record

More perspectives and feedback on the music therapy process

Sharing audio or visual extracts aids a music therapist's communication and relationship with MDT/families - good for clients


The prototypeA client or group dashboard allows the therapist to review sessions

Rating scale visualisations can show change over time.

Tags and other information about sessions can be seen at a glance:

with links to jump straight to extracts.

With common standards, sensor data can be used to bootstrap new

sensor records

A range of export options can help generate clinical records, or an audio

and video compilation for review.


Problem #5

Confidentiality of client records / data


Runs entirely offline ensuring security. HTML5 application.

AV data can be pulled off an encrypted external hard-drive

Password protected app.


Problem #6Managing Client Data (as distinct from the AV files)

Solutions & Benefits for MT:In accordance with HCPC/BAMT guidelines, a 'clinical summary' (legally required) is followed by 'progress notes' – which are optional and can be hidden from view

A client 'front-page' with details such as reasons for referral, contact information, scanned copies of consent forms etc. Sessions can be accessed from this page for detail and access to AV.


Further Developments (the wish-list!)From the selected extracts, create an mp3 / mp4 track of significant moments for ‘easy’ listening

Music therapists using this tool could add set questions to prompt reflection – for example: 'SOAP' or '5 things'

Additional bolt-ons /plug-in options to use different rating scales/ assessments e.g. music therapy specific such as the Nordoff Robbins scales, or population-specific scales such as the Glasgow Coma Scale


More ideas?

Find the blog post at www.rachelmsmith.org.uk and share your comments.

A music therapy hack day project by @oxfordsing and @timdavies at #berkleeMThack - 28/29th March 2014, Cambridge MA


http://www.rachelmsmith.org

http://www.rachelmsmith.org

music therapy notes / more reflecting, less wading

Healthcare

benets of music therapy

music therapy process

client data progress

progress notes

av data

music therapist links

visual data solution

client data management