Skip to main content

Advertisement

Log in

Comparing Educational Music Therapy Interventions via Stages of Recovery with Adults in an Acute Care Mental Health Setting: A Cluster-Randomized Pilot Effectiveness Study

  • Brief Report
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

The purpose of this cluster-randomized pilot effectiveness study was to compare two different group-based educational music therapy interventions with a control condition as measured by the stage model of recovery in adults on an acute care mental health unit. Participants (N = 69) were cluster-randomized to one of three single-session conditions: educational lyric analysis (ELA), educational songwriting (ESW), or control. ELA and ESW conditions targeted motivations for and factors contributing to recovery. Results indicated no significant between-group difference. However, ELA and ESW conditions tended to have slightly more favorable stage of recovery mean scores than the control condition. Generally, educational music therapy may be clinically relevant for impacting stage of recovery within the temporal parameters of a single session. As ELA and ESW conditions had similar results, the specific educational music therapy intervention did not affect results. Implications for clinical practice, limitations, and suggestions for future research are provided.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Notes

  1. This word is used to recognize the possibility of multiple genders and identities.

  2. While music therapy is a general term describing the profession, educational music therapy (Silverman, 2015) is a specific treatment approach or philosophy for adults with mental health conditions that emphasizes learning how to manage the mental health condition in order to augment the likelihood of recovery. Music therapy interventions, such as songwriting and lyric analysis, can be implemented for adults with mental health conditions using an educational music therapy approach as the theoretical framework.

References

  • American Music Therapy Association. (2019). What is music therapy? Retrieved from http://www.musictherapy.org.

  • Andresen, R., Caputi, P., & Oades, L. (2006). The Stages of Recovery Instrument: Development of a measure of recovery from serious mental illness. Australian & New Zealand Journal of Psychiatry, 37, 586–594.

    Article  Google Scholar 

  • Andresen, R., Oades, L., & Caputi, P. (2003). The experience of recovery from schizophrenia: Towards an empirically validated stage model. Australian and New Zealand Journal of Psychiatry, 37, 586–594.

    Article  PubMed  Google Scholar 

  • Anthony, W. A. (1993). Recovery from mental illness: The guiding vision of the mental health system in the 1990s. Innovations and Research, 2, 17–24.

    Google Scholar 

  • Bellack, A. S. (2006). Scientific and consumer models of recovery in schizophrenia: Concordance, contrasts, and implications. Schizophrenia Bulletin, 32, 432–442. https://doi.org/10.1093/schbul/sbj044.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bibb, J., & McFerran, K. S. (2018). Musical recovery: The role of group singing in regaining healthy relationships with music to promote mental health recovery. Nordic Journal of Music Therapy, 27, 235–251. https://doi.org/10.1080/080981131.2018.1432676.

    Article  Google Scholar 

  • Carr, C., Odell-Miller, H., & Priebe, S. (2013). A systematic review of music therapy practice and outcomes with acute adult psychiatric in-patients. PLoS ONE, 8(8), e70252. https://doi.org/10.1371/journal.pone.0070252.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Centers for Disease Control and Prevention. (2015). FastStats, April 8, Mental Health. Retrieved from http://www.cdc.gov.nchs/faststats/mental-health.htm.

  • Green, C. A., Estroff, S. E., Yarborough, B. J. H., Spofford, M., Solloway, M. R., Kitson, R. S., & Perrin, N. A. (2014). Directions for future patient-centered and comparative effectiveness research for people with serious mental illness in a learning mental health care system. Schizophrenia Bulletin, 40(S1), S1–S94.

    PubMed  Google Scholar 

  • Grocke, D., Bloch, S., & Castle, D. (2008). Is there a role for music therapy in the care of the severely mentally ill? Australasian Psychiatry, 16, 442–445.

    Article  PubMed  Google Scholar 

  • Guittet, L., Ravaud, P., & Giraudeau, B. (2006). Planning a cluster randomized trial with unequal cluster sizes: Practical issues involving continuous outcomes. BMC Medical Research Methodology, 6, 17. https://doi.org/10.1186/1471-2288-6-17.

    Article  PubMed  PubMed Central  Google Scholar 

  • Laupaiboon, M. (2003). Meta-analyses involving cluster randomization trials: A review of published literature in health care. Statistical Methods in Medical Research, 12, 515–530. https://doi.org/10.1191/0962280203sm347oa.

    Article  Google Scholar 

  • McCaffrey, T., Carr, C., Solli, H. P., & Hense, C. (2018). Music therapy and recovery in mental health: Seeking a way forward. Voices: A World Forum for Music Therapy, 18(1). https://doi.org/10.15845/voices.v18i1.918.

  • McCaffrey, T., & Edwards, J. (2016). Music therapy helped me get back doing”: Perspectives of music therapy participants in mental health services. Journal of Music Therapy, 53, 121–148. https://doi.org/10.1093/jmt/thw002.

    Article  Google Scholar 

  • McCaffrey, T., Edwards, J., & Fannon, D. (2011). Is there a role for music therapy in the recovery approach in mental health? Arts in Psychotherapy, 38, 185–189. https://doi.org/10.1016/j.aip.2011.04.006.

    Article  Google Scholar 

  • Rolvsjord, R. (2010). Resource-oriented music therapy in mental health care. Gilsum: Barcelona.

    Google Scholar 

  • Silverman, M. J. (2007). Evaluating current trends in psychiatric music therapy: A descriptive analysis. Journal of Music Therapy, 44, 388–414.

    Article  PubMed  Google Scholar 

  • Silverman, M. J. (2014). Effects of a live educational music therapy intervention on acute psychiatric inpatients’ perceived social support and trust in the therapist: A four-group randomized effectiveness study. Journal of Music Therapy, 51, 228–249. https://doi.org/10.1093/jmt/thu011.

    Article  PubMed  Google Scholar 

  • Silverman, M. J. (2015). Music therapy in mental health for illness management and recovery. New York: Oxford University Press.

    Book  Google Scholar 

  • Silverman, M. J. (2016a). Effects of educational music therapy on illness management knowledge and mood state in acute psychiatric inpatients: A randomized three group effectiveness study. Nordic Journal of Music Therapy, 25, 57–75. https://doi.org/10.1080/08098131.2015.1008559.

    Article  Google Scholar 

  • Silverman, M. J. (2016b). Effects of educational music therapy on state hope for recovery in acute care mental health inpatients: A cluster-randomized effectiveness study. Frontiers in Psychology, 7, 1569. https://doi.org/10.3389/fpsyg.2016.01569.

    Article  PubMed  PubMed Central  Google Scholar 

  • Silverman, M. J. (2017). Comparison of two educational music therapy interventions on recovery knowledge and affect: A cluster-randomized study. Nordic Journal of Music Therapy, 26, 359–375. https://doi.org/10.1080/08098131.2016.1259646.

    Article  Google Scholar 

  • Silverman, M. J. (2018). Music therapy for coping self-efficacy in an acute mental health setting: A randomized pilot study. Community Mental Health Journal. https://doi.org/10.1007/s10597-018-0319-8.

    Article  PubMed  Google Scholar 

  • Slade, M. (2009). Personal recovery and mental illness: A guide for mental health professionals (values-based medicine). Cambridge: Cambridge University Press.

    Book  Google Scholar 

  • Solli, H. P., Rolvsjord, R., & Borg, M. (2013). Toward understanding music therapy as a recovery-oriented practice within mental health care: A meta-synthesis of service users’ experiences. Journal of Music Therapy, 50, 244–273.

    Article  PubMed  Google Scholar 

  • Solli, H. P., & Silverman, M. J. (2016). Rediscovering recovery: Music therapy as a recovery-oriented practice in mental health care. Nordic Journal of Music Therapy, 25, s1. https://doi.org/10.1080/08098131.2016.1179992.

    Article  Google Scholar 

  • Sowers, W., Huskshorn, K., & Ashcraft, L. (2004). Transforming systems of care: Translation of recovery to mental health treatment settings. Paper presented at the National Consensus Conference on Mental Health Recovery and Systems Transformation, Rockville, MD.

  • Thomas, C. (2007). Music therapy and acute care psychiatric treatment. In B. J. Crowe & C. Colwell (Eds.), Music therapy for children, adolescents and adults with mental disorders (pp. 125–132). Silver Spring: American Music Therapy Association.

    Google Scholar 

  • Warner, R. (2010). Does the scientific evidence support the recovery model? The Psychiatrist, 34, 3–5.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael J. Silverman.

Ethics declarations

Conflict of interest

The author reports no conflict of interest.

Ethics Approval

The author has read the ethical guidelines for this journal and certifies he is in compliance with all ethical guidelines.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Silverman, M.J. Comparing Educational Music Therapy Interventions via Stages of Recovery with Adults in an Acute Care Mental Health Setting: A Cluster-Randomized Pilot Effectiveness Study. Community Ment Health J 55, 624–630 (2019). https://doi.org/10.1007/s10597-019-00380-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10597-019-00380-1

Keywords

Navigation