scholarly journals Virtual Music Therapy: Developing New Approaches to Service Delivery

2020 ◽  
Vol 38 (2) ◽  
pp. 151-156
Author(s):  
David Knott ◽  
Seneca Block
Keyword(s):  
Service Delivery ◽  
Music Therapy ◽  
The United States ◽  
Music Therapists ◽  
Health Crisis ◽  
Service Delivery Models ◽  
Initial Wave ◽  
Traditional Service ◽  
Virtual Services ◽  
Delivery Models

Abstract As the global Coronavirus disease (COVID-19) pandemic transforms our society, music therapists must adapt service delivery models that ensure client safety. Given the prevalence of COVID-19 in our communities and lack of personal protective equipment in many settings, music therapists are faced with the need to shift delivery models in order to provide safe and relevant services. Telehealth is one solution to these current service delivery challenges. Music therapists possess a depth of practice-based knowledge and understanding of client populations, which enables them to develop virtual services, matching both the clinicians’ and clients’ technical capabilities. Developed during the initial wave of COVID-19 infections in the United States, this article describes the coauthors’ three-tiered scaffold model intended to support the program development and deployment of virtual music therapy (VMT) services. The model describes an approach to developing VMT services that directs the clinician’s goals of care in formats that are accessible, appropriate, and best meet the patient/client’s needs and abilities. The severity and lasting nature of this worldwide health crisis and its disruption of traditional service delivery models require clinicians and researchers to develop the most effective uses of VMT while considering its limits with regard to clinical populations and need areas.

scholarly journals Barriers and Facilitators to Genetic Service Delivery Models: Scoping Review

10.2196/23523 ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. e23523
Author(s):  
Melissa Raspa ◽  
Rebecca Moultrie ◽  
Danielle Toth ◽  
Saira Naim Haque
Keyword(s):  
Literature Review ◽  
Service Delivery ◽  
Technical Assistance ◽  
The United States ◽  
Genetic Services ◽  
Barriers And Facilitators ◽  
Genetic Service ◽  
Provider Education ◽  
Service Delivery Models ◽  
Delivery Models

Background Advances in diagnostics testing and treatment of genetic conditions have led to increased demand for genetic services in the United States. At the same time, there is a shortage of genetic services professionals. Thus, understanding the models of service delivery currently in use can help increase access and improve outcomes for individuals identified with genetic conditions. Objective This review aims to provide an overview of barriers and facilitators to genetic service delivery models to inform future service delivery. Methods We conducted a scoping literature review of the evidence to more fully understand barriers and facilitators around the provision of genetic services. Results There were a number of challenges identified, including the limited number of genetics specialists, wait time for appointments, delivery of services by nongenetics providers, reimbursement, and licensure. The ways to address these challenges include the use of health information technology such as telehealth, group genetic counseling, provider-to-provider education, partnership models, and training; expanding genetic provider types; and embedding genetic counselors in clinical settings. Conclusions The literature review highlighted the need to expand access to genetic services. Ways to expand services include telehealth, technical assistance, and changing staffing models. In addition, using technology to improve knowledge among related professionals can help expand access.

scholarly journals A Survey of Music Therapists Working in Pediatric Medical Settings in the United States

2020 ◽  
Vol 57 (1) ◽  
pp. 34-65 ◽  
Author(s):  
David Knott ◽  
Marial Biard ◽  
Kirsten E Nelson ◽  
Stephanie Epstein ◽  
Sheri L Robb ◽  
...  
Keyword(s):  
United States ◽  
Intensive Care ◽  
Clinical Practice ◽  
Service Delivery ◽  
Music Therapy ◽  
The United States ◽  
Survey Study ◽  
Music Therapists ◽  
Medical Settings ◽  
Music Therapist

Abstract Music therapy is becoming a standard supportive care service in many pediatric hospitals across the United States. However, more detailed information is needed to advance our understanding about current clinical practice and increase availability of pediatric music therapy services. The purpose of this cross-sectional survey study was to collect and summarize data about music therapists working in pediatric medical settings. Specifically, we collected information about (1) therapist demographics, (2) organizational structure, (3) service delivery and clinical practice, and (4) administrative/supervisory responsibilities. Board-certified music therapists working in pediatric medical settings (n = 118) completed a 37-item online questionnaire. We analyzed survey data using descriptive statistics and content analysis. Findings indicated that there is a ratio of approximately one music therapist for every 100 patient beds, that one-third of respondents are the only music therapist in their setting, and that half of the surveyed positions are philanthropically funded. Prioritizing patient referrals based on acuity was common (95.7%, n = 110), with palliative care and pain as the most highly prioritized needs. More than half of respondents reported serving in high acuity areas such as the pediatric intensive care, hematology/oncology, or neonatal intensive care units. We recommend replication of this survey in five years to examine growth and change in service delivery among pediatric music therapists over time, with additional studies to (a) explore how therapist-to-patient ratios influence quality of care, (b) identify factors that contribute to sustainability of programs, and (c) determine how expansion of services support a broader population of patients and families.

scholarly journals Genetic Service Delivery Models: Literature Review and Stakeholder Interviews (Preprint)

2020 ◽  
Author(s):  
Saira Naim Haque
Keyword(s):  
Literature Review ◽  
Service Delivery ◽  
Technical Assistance ◽  
Wait Time ◽  
The United States ◽  
Genetic Services ◽  
Provider Education ◽  
Service Delivery Models ◽  
Partnership Models ◽  
Delivery Models

BACKGROUND Increased newborn screening in the United States has resulted in more results that need followup. At the same time, there is a shortage of genetic services professionals. Thus, understanding models of service delivery currently in use can help with future planning. OBJECTIVE We sought to identify evidence about genetics service delivery models in order to inform future service delivery. METHODS We conducted a scoping literature review of the evidence and conducted interviews with professionals in the field. RESULTS There were a number of challenges identified including the limited number of genetics specialists, wait time for appointments, delivery of services by non-genetics providers, reimbursement and licensure. Ways to address those solutions include use of health information technology such as telehealth, group genetic counseling, provider to provider education, partnership models, training, expanding genetic provider types and embedding genetic counselors in clinical settings. CONCLUSIONS The literature review and interviews identified the need to expand access to genetic services. Ways to expand services include telehealth, technical assistance, and changing staffing models. In addition, the need to improve knowledge among related professionals can help expand access. CLINICALTRIAL NA

scholarly journals eHealth Technologies Enable more Accessible Hearing Care

2020 ◽  
Vol 41 (02) ◽  
pp. 133-140
Author(s):  
De Wet Swanepoel
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Health Care Professionals ◽  
Patient Journey ◽  
Middle Income ◽  
Middle Income Countries ◽  
Service Delivery Models ◽  
Traditional Service ◽  
Delivery Models ◽  
Low And Middle Income

AbstractHearing loss is a pervasive global health care burden affecting up to one in every seven persons of whom 90% reside in low- and middle-income countries. Traditional service-delivery models are unable to support and promote accessible and affordable hearing care in these setting. Major barriers include a severe shortage of hearing health care professionals, costs associated with equipment, facilities and treatments, and centralized service-delivery models. Convergence of digital and connectivity revolutions are combining to enable new ways of delivering decentralized audiological services along the entire patient journey using integrated eHealth solutions. eHealth technologies are allowing nonprofessionals in communities (e.g., community health workers) to provide hearing services with point-of-care devices at reduced cost with remote surveillance and support by professionals. A growing body of recent evidence showcases community-based hearing care within an integrated eHealth framework that addresses some of the barriers of traditional service-delivery models at reduced cost. Future research, especially in low- and middle-income countries, must explore eHealth-supported hearing care services from detection through to treatment.

Genetic Counseling Service Delivery Models in the United States: Assessment of changes in use from 2010 to 2017

2020 ◽  
Vol 29 (6) ◽  
pp. 1126-1141 ◽  
Author(s):  
Samantha E. Greenberg ◽  
Emily Boothe ◽  
Christine L. Delaney ◽  
Ryan Noss ◽  
Stephanie A. Cohen
Keyword(s):  
United States ◽  
Genetic Counseling ◽  
Service Delivery ◽  
The United States ◽  
Counseling Service ◽  
Service Delivery Models ◽  
Genetic Counseling Service ◽  
Delivery Models

Adaptation of Music Therapists´ Practice to the COVID-19 Pandemic - Going Virtual: a Scoping Review (Preprint)

2020 ◽  
Author(s):  
Lucia Kantorova ◽  
Jiri Kantor ◽  
Barbora Horejsi ◽  
Miloslav Klugar ◽  
Zuzana Svobodova ◽  
...  
Keyword(s):  
Music Therapy ◽  
Scoping Review ◽  
Grey Literature ◽  
Professional Organizations ◽  
Residential Home ◽  
Music Therapists ◽  
Health Crisis ◽  
Manual Search ◽  
Traditional Service ◽  
Remote Therapy

BACKGROUND During this worldwide health crisis with its impact on the traditional service delivery models, even music therapists previously not involved in telehealth were required to develop effective remote forms of music therapy. They have encountered changes in service hours and delivery, changes in their positions, increase in using alternative services and have adapted and continued to provide services to their various clients. OBJECTIVE This scoping review aims to provide an overview of evidence on the experience of music therapists with adapting their therapeutic practice during the COVID-19 pandemic, specifically the transfer of the previously in-person type of therapy into any form of online, remote, contactless service. The review also provides an overview of guidance from music therapy professional organizations. No systematic review has been identified on this topic. METHODS We searched Scopus, Web of Science Core Collection, CINAHL, Medline, ProQuest Central, PubMed, EMBASE a PsycINFO s PsyARTICLES, grey literature (on 25th October 2020) and websites of professional organizations, complemented by a thorough manual search of reference lists and relevant journals and papers (in November 2020). We included any type of text from published and unpublished sources with an abstract in English in the year 2020 on how music therapists previously working in-person with their clients adapted to the transfer to remote forms of therapy in the context of the coronavirus outbreak. Risk of bias was not formally assessed. Results were screened and charted by two reviewers independently and presented in a narrative and tabular form. All data are also provided in the supplementary material. RESULTS Ten articles were included in this scoping review which were heterogenous in their design, methods, client groups or setting and their overall quality was very low. Most texts described remote therapy in the form of synchronous video calls using the Internet, while one paper performed a concert in a patio of a residential home. Ten papers provided information on the experience with adapting the services, eight papers contained information on the challenges and benefits of remote forms of therapy, and three associations provided freely available recommendations on their websites. CONCLUSIONS Teleservices should continue to be used in music therapy, and developed and spread even more. We encourage music therapists and organizations to publish their experience with adapting their services during the pandemic. More research is needed to determine how effective remote music therapy is compared to in-person delivery for the various client groups. Researchers should also address costs, barriers, inequities, and risks of remote forms of music therapy, both from the perspective of the therapists and clients/families. Recommendations should be based on evidence, whether scientific or expert, or a combination.

Reimbursement and Telepractice

2013 ◽  
Vol 3 (2) ◽  
pp. 35-40
Author(s):  
Carol Dudding
Keyword(s):  
Service Delivery ◽  
Healthcare Services ◽  
Speech Language Pathology ◽  
Delivery Method ◽  
Quality Healthcare ◽  
Service Delivery Models ◽  
Private Lives ◽  
Language Pathology ◽  
Delivery Models

Whether in our professional or private lives, we are all aware of the system wide efforts to provide quality healthcare services while containing the costs. Telemedicine as a method of service delivery has expanded as a result of changes in reimbursement and service delivery models. The growth and sustainability of telehealth within speech-language pathology and audiology, like any other service, depends on the ability to be reimbursed for services provided. Currently, reimbursement for services delivered via telehealth is variable and depends on numerous factors. An understanding of these factors and a willingness to advocate for increased reimbursement can bolster the success of practitioners interested in the telehealth as a service delivery method.

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