Alicia Ann Clair, Ph.D. Music Therapist-Board Certified Music Therapy Consultant Professor Emeritus The University of Kansas, Lawrence

Transcription

1 Alicia Ann Clair, Ph.D. Music Therapist-Board Certified Music Therapy Consultant Professor Emeritus The University of Kansas, Lawrence

2 There are no relevant personal financial relationships

3 Almost Everyone Needs Music Not Everyone Needs Music Therapy Music alone is not Therapy but can be Very Helpful or Therapeutic There is Room for Music Providers of Many Types on the Late Life Continuum of Care

4 Family, Staff, Volunteer & Professional Providers Passion, Genuine Interest & Commitment Sensitivity Awareness of Self & Others Awareness of Musical Taste & Preferences Knowledge of Strengths & Limitations (Self & Others) Consider Musical Knowledge, Skills & Abilities

5 Basic Common Sense Knowledge Required Music is Delivered in Large Groups

6 Improving Life Quality Aesthetic Experience, Enjoyment Entertainment Diversion from Routine Cultural Participation Maintaining Traditions Marking Events/Celebrations

7 Do and Don t Do Training Required Music is Delivered in Small Groups

8 Social Interaction Awareness of Others Associations with Past Life, Recalling Memories/Histories

9 Completed Education & Training as a Music Therapist Credential Music Therapist-Board Certified

10 Affects Functional Changes Cognitive-Memory & Attention Training, Executive Function Training Physical-Motor Rehabilitation Communication-Speech & Language Rehabilitation Emotional-Mood Vectoring & Support Social- Engagement Facilitation, Social Function

11 When it Facilitates Change! Poor or Inadequate Success with other Interventions Patients become Bored with Regimens Neurological Impairments Compromise Ability to Understand Rehab Instructions Failure to Engage in other Interventions without Music Therapy Support

12 Arousal: Physiological & Psychological State Awake & Reactive to Stimuli Under Arousal Over Arousal Music Experiences can Shift Arousal Copyright: Alicia Ann Clair, June, 2014

13 Current Environment Initial Arousal State Musical Elements Matched to Arousal

14 Manipulated Musical & clinical Elements Engagement in Music Therapy Experiences Optimal Arousal & Ongoing Attention

15 Evidence-Based Outcomes

16 Stroke

17 Chronic Obstructive Pulmonary Disease

18 Dementia

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20 Bruer, R. A., Spitznagel, E., & Cloninger, C. R. (2007). The temporal limits of cognitive change from music therapy in elderly persons with dementia or dementia-like cognitive impairment: a randomized controlled trial. Journal of Music therapy, 44 (4), Chatterton, W., Baker, F., & Morgan, K. (2010). The singer or the singing: Who sings individually to persons with dementia and what are the effects? American Journal of Alzheimer s Disease and Other Dementias, 25(8), doi: / Cheung, D. S., Chien, W. T., Lai, C. K. (2011). Conceptual framework for cog nitive function enhancement in people with dementia. Journal of Clinical Nursing, 20 (11-12), doi: /j x Clair, A. A. (1996). Alert responses to singing stimuli in institutionalized persons with late stage dementia. Journal of Music Therapy, 33 (4), Clair, A. A. (1991). Rhythmic responses in elderly and their implications for music therapy practice. Journal of the International Association of Music for the Handicapped, 6, Clair, A. A. (1991). Rhythmic responses in elderly and their implications for music therapy practice. Journal of the International Association of Music for the Handicapped, 6, 3-11.

21 Clair, A. A. (2002). The effect of caregiver implemented music applications on mutual engagement in caregiver and care receiver couples with dementia. American Journal of Alzheimer s Disease & Other Dementias, 17, Clair, A. A. & Bernstein, B. (1990). A preliminary study of music therapy programming for severely regressed persons with Alzheimer's type dementia. Journal of Applied Gerontology, 9, Clair, A. A. & Bernstein, B. (1994).The effect of no music, stimulative music and sedative music on agitated behaviors in persons with severe dementia. Activities, Adaptations, and Aging, 19, Clair, A.A., & Bernstein, B. (1993). The preference for vibrotactile versus auditory stimuli in severely regressed persons with dementia of the Alzheimer's type compared with dementia due to ethanol abuse. Music Therapy Perspectives, 11, Clair, A. A., Bernstein, B., & Johnson, G. (1995). Rhythmic characteristics in persons diagnosed with dementia, including those with probable Alzheimer's type. J ournal of Music Therapy, 32(2), Clair, A. A., & Ebberts, A. G. (1997). The effects of music therapy on interactions between family caregivers and their care receivers with late stage dementia. Journal of Music Therapy, 34(3), Clair, A. A., Mathews, M., Koslowski, K. (2005). Assessment of active music participation as an indication of subsequent music making engagement for persons with midstage dementia. American Journal of Alzheimer s Disease and Other Dementias, 20(1),

22 Clair, A. A. & Memmott, J. (2008). Therapeutic uses of music with older adults. Silver Spring, MD: American Music Therapy Association. Clair, A. A. Tebb, S. & Bernstein, B. (1993). The effects of a socialization and music therapy intervention on self-esteem and loneliness in spouse caregivers of those diagnosed with dementia of the Alzheimer's type: A pilot study. American Journal of Alzheimer's Care and Related Disorders and Research, January/ February, Cohen-Mansfield, J., Marx, M. S., Freedman, L. S., Murad, H., Thein, K., & Dakheel-Ali, M. (2012). What affects pleasure in persons with advanced stage dementia? Psychiatric Research, 46 (3), doi: /j.jpsychires Cohen-Mansfield, J., Marx, M. S., Thein, K., Dakheel-Ali, M. (2011). The impact of stimuli on affect in persons with dementia. Journal of Clinical Psychiatry, 72(4), doi: /JCP.09m05694oli. Gfeller, K. (2002). Music as communication. In R. E. Unkefer & M. H. Thaut (Eds.), Music therapy in the treatment of adults with mental disorders (2 nd ed.) (pp ) St. Louis, MO: MMB Music, Inc. Götell, E., Brown, S., & Ekman, S.L. (2002). Caregiver singing and background music in dementia care. Western Journal of Nursing Research, 24 (2), Koger, S. M., & Brotons, M. (2000). Music therapy for dementia symptoms. Cochrane Database Systematic Review, 3, CD Retrieved from

23 McDermott, O., Crellin, N., Ridder, H.M., & Orrell, M. (2013). Music therapy in dementia: A narrative synthesis systematic review. International Journal of Geriatric Psychiatry, 28 (8), doi: /gps.3895 Mathews, R. M., Clair, A. A., Kosloski, K. (2001). Keeping the beat: Use of rhythmic music during exercise activities for the elderly with dementia. American Journal of Alzheimer s Disease & Other Dementias, 16(6), Raglio, A., Oasi, O., Gianotti, M., Manzoni, V., Bolis, S., Ubezio, M.C., Gentile, S, Villani, D., & Stramba-Badiale, M. (2010). Effects of music therapy on psychological symptoms and heart rate variability in patients with dementia: A pilot study. Current Aging Science, 3 (3), Ridder, H.M., Stige, B., Ovale, L.G., & Gold, C. (2013). Individual music therapy for agitation in dementia: An exploratory randomized controlled trial. Aging and Mental Health, 17 (6), doi: / Wall, M., & Duffy, A. (2010) The effects of music therapy for older people with dementia. British Journal of Nursing, 19 (2),