Integrating Alternative and Augmentative Communication into Music Therapy Clinical Practice: A Clinician’s Perspective

Author(s):  
Kerry Devlin ◽  
Anthony Meadows

Abstract This article provides an overview of Alternative and Augmentative Communication (AAC) and discusses ways in which AAC may be integrated into music therapy clinical practice with neurodivergent children and young adults. The article begins with an overview of commonly used AAC modalities and subsequently explores their use in clinical practice through a series of vignettes. This article may be of value to students who wish to understand the myriad ways in which AAC may be integrated into their clinical work and to clinicians interested in developing their clinical practice knowledge in this area.

PEDIATRICS ◽  
1980 ◽  
Vol 65 (4) ◽  
pp. 825-827
Author(s):  
Thomas L. Young ◽  
Keith S. Reisinger

Although it is generally accepted that the maintenance of health ought to be the major objective of health professionals, the prevention of illness has largely been secondary to treatment of existing disease in clinical practice and in research. One example of this dichotomy between goals and practice is the approach that the medical profession has taken with regard to accidents, which cause more injuries and deaths in children and young adults than any single disease process.1 Whereas millions of dollars and countless hours are spent in caring for individuals injured in accidents, research directed toward prevention of accidents and subsequent injury has been so sparse that many facets of this field have not been investigated beyond a cursory examination.


2020 ◽  
Vol 24 (04) ◽  
pp. e429-e433
Author(s):  
Berit Hackenberg ◽  
Magdalena Pölzl ◽  
Christoph Matthias ◽  
Julian Künzel

Abstract Introduction Tonsillectomy and adenoidectomy are common procedures. Most surgeries in children and young adults are recommended due to recurring infections or obstructive constraints. However, occult malignant findings are reported in the literature. The clinical guidelines still refrain from recommending routine histopathologic analyses when discussing these procedures. Objective The present study aims to define the value of a routine histopathologic analysis after tonsillectomy, adenoidectomy and tonsillotomy. Methods We conducted a prospective survey including all German ear, nose and throat (ENT) departments, asking physicians about their current clinical practice and opinion. Furthermore, we reviewed all patients attending our department for tonsillectomy/adenoidectomy/tonsillotomy or a combination of these procedures between 2011 and 2016. In addition to this, a cost analysis was conducted to assess the financial burden of a routine histopathologic analysis. Results Most German ENT departments perform a routine histopathologic analysis after tonsillectomy/adenoidectomy/tonsillotomy. Despite this, only a minority deemed this approach necessary. Our retrospective review of the histopathologic analysis after tonsillectomy/adenoidectomy/tonsillotomy in our department rendered a cohort size of 2,157 patients. Within this group, there were no occult malignant findings. We found a yearly burden of 2,509,401€ for routine histopathologic analyses in patients under the age of 15 years in Germany in 2016. Conclusion We found a divergence between the physicians opinions and their current clinical practice concerning the question of whether to conduct routine histopathologic analyses. Even though there was no occult malignant finding in our cohort, unsuspected malignant findings are reported in the literature. Therefore, we call for a discussion on clinical practice guidelines.


2021 ◽  
Author(s):  
◽  
Wei-Kai Shyu

<p>Diversity of practice demands diversity in approaches. This explorative qualitative research study was conducted to help me understand and improve my practice with a wide range of client populations in various clinical settings. Clinical work took place over eight months at a specialized clinic working with mainly young children and adolescents with intellectual/developmental disabilities. Clinical work also took place as part of an outreach service at a healthcare facility for young adults with various neurological disabilities. Music-centered music therapy, humanistic music therapy, behavioural music therapy, and psychodynamic music therapy approaches influenced this work. The methodology I employed for the research was secondary analysis of data. This involved thematic analysis (both inductive and deductive) of my clinical notes and reflective journal, to identify and draw out themes pertaining to my research question. Clinical data has been used to illustrate the findings, and a clinical vignette is included to illustrate the approaches utilized in clinical practice. The data revealed underlying humanistic frameworks in most of my clinical practice, but also indicated that I draw on other approaches in certain contexts. This research provides a descriptive qualitative account of one student’s music therapy practice in New Zealand. The example may provide some insight into the potential benefits of utilizing various approaches when working with clients with varying needs.</p>


2021 ◽  
Author(s):  
◽  
Yair Katz

<p>This study provides my findings on the issue of co-therapy in music therapy practice with children and young adults, based on my personal experience in placement during my final year as a student practitioner for music therapy. The study discusses co-therapy from the point of view that, like any other example of team work, co-therapy has advantages and benefits, as well as disadvantages, difficulties and challenges. The study looks at the practice of co-therapy in detail, to reach conclusions about those benefits and challenges. It uses examples of co-therapy with small groups of clients with a range of different needs, to provide a wide picture of how co-therapy could be used effectively in music therapy, but also to discuss the issues that occurred when co-facilitating. The results of the analysis are presented in the findings section and discussed in the subsequent section. It is important to note that these results, as in other qualitative research studies, are based on personal interpretations and should not be viewed as facts. They can, however, serve as recommendations and points for consideration for students, new and experienced practitioners who might consider co-therapy as a practice.</p>


2021 ◽  
Author(s):  
◽  
Yair Katz

<p>This study provides my findings on the issue of co-therapy in music therapy practice with children and young adults, based on my personal experience in placement during my final year as a student practitioner for music therapy. The study discusses co-therapy from the point of view that, like any other example of team work, co-therapy has advantages and benefits, as well as disadvantages, difficulties and challenges. The study looks at the practice of co-therapy in detail, to reach conclusions about those benefits and challenges. It uses examples of co-therapy with small groups of clients with a range of different needs, to provide a wide picture of how co-therapy could be used effectively in music therapy, but also to discuss the issues that occurred when co-facilitating. The results of the analysis are presented in the findings section and discussed in the subsequent section. It is important to note that these results, as in other qualitative research studies, are based on personal interpretations and should not be viewed as facts. They can, however, serve as recommendations and points for consideration for students, new and experienced practitioners who might consider co-therapy as a practice.</p>


2016 ◽  
Vol 17 (1) ◽  
pp. 3-12 ◽  
Author(s):  
J. Kühnisch ◽  
K. R. Ekstrand ◽  
I. Pretty ◽  
S. Twetman ◽  
C. van Loveren ◽  
...  

2021 ◽  
Author(s):  
◽  
Wei-Kai Shyu

<p>Diversity of practice demands diversity in approaches. This explorative qualitative research study was conducted to help me understand and improve my practice with a wide range of client populations in various clinical settings. Clinical work took place over eight months at a specialized clinic working with mainly young children and adolescents with intellectual/developmental disabilities. Clinical work also took place as part of an outreach service at a healthcare facility for young adults with various neurological disabilities. Music-centered music therapy, humanistic music therapy, behavioural music therapy, and psychodynamic music therapy approaches influenced this work. The methodology I employed for the research was secondary analysis of data. This involved thematic analysis (both inductive and deductive) of my clinical notes and reflective journal, to identify and draw out themes pertaining to my research question. Clinical data has been used to illustrate the findings, and a clinical vignette is included to illustrate the approaches utilized in clinical practice. The data revealed underlying humanistic frameworks in most of my clinical practice, but also indicated that I draw on other approaches in certain contexts. This research provides a descriptive qualitative account of one student’s music therapy practice in New Zealand. The example may provide some insight into the potential benefits of utilizing various approaches when working with clients with varying needs.</p>


Author(s):  
Alicia Clair

A description of the current state of music therapy research with those who have dementia and the future of music therapy in dementia care is provided in this chapter. The contents stem from many years of experience as a board-certified music therapist with those who have dementia and their care givers, and it culminates learning from clinical practice and research in the development of a theoretical framework and practice knowledge. Deep appreciation is expressed for all care receivers, and their care givers, who allowed music therapy to become part of their lives and who consented to participate in the development of knowledge to share with others. This chapter provides: (a) A review of selected clinical research studies in music therapy and dementia care, (b) updated dementia information that has implications for current music therapy practice, (c) a theoretical framework for music therapy, and (d) the theoretical principles that guide clinical music therapy practice with care receivers and caregivers.


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