Transformational Design Model (TDM)

1
Transformational Design Model (TDM)

• Developed to assist music therapy students and
  professors avoid two potential weaknesses.
• an activity-based approach in which generic
  musical activities are adapted to therapeutic
  goals
• the use of therapeutic music techniques that
  address therapeutic goals very broadly and
  generally and are only weakly related to
  functional therapeutic outcomes.

2
Transformational Design Model(TDM)

1. Diagnostic and functional assessment of the
   patient
2. Development of therapeutic goals/objectives
3. Design of functional, non-musical therapeutic
   exercises and stimuli
4. Translation of step 3 into functional,
   therapeutic music interventions
5. Transfer of therapeutic learning to real-world
   applications

3
Goals and Objectives

• Typically fall into one of five domains
• Cognitive
• Affective
• Sensorimotor
• Behavioral/Social
• Physiological

4
Goals and Objectives

• Need directional language, e.g.
• Client will increase ability to
• Client will decrease the number of

5
Goals and Objectives

• Must be functionally relevant and impact the
  patients day to day life
• Require 3 characteristics
• Observable
• Measurable
• Attainable/Achievable

6
Goals and Objectives

• Goals Long-term changes in behavior or
  functioning, e.g.
• A. Increase clients ability to ambulate
  independently or
• B. Increase clients socialization skills
• Objectives Short-term changes in
  behavior/experience, e.g.
• A. Increase clients ability to ambulate with an
  assistive device or
• B. Increase clients ability to initiate a
  conversation

7
Goals and Objectives

• Goals and objectives flow directly from a
  diagnostic and functional assessment of a client,
  e.g. a MVA client with a TBI presents with
  slurred speech and decreased UE ROM which may
  effect
• her ability to communicate and
• to function independently.
• Goals for this client then would be to
• Increase clients ability to communicate and
• Increase clients ability to independently
  perform ADLs

8
Objectives Numerical Qualifiers

• Objective Client will increase ROM at the right
  elbow.
• Client will increase ROM at the right elbow by
  33 by April 21st, 2002.
• Objective Client will increase ability to
  ambulate independently.
• Client will increase ability to ambulate
  independently for 30 feet by April 21st, 2002.