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Lisa OtterBarry

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Mental Health Research and Development Unit. Ethics approval - Bath Research Ethics Committee ... Wiltshire, B&NES and North Somerset. What? ... – PowerPoint PPT presentation

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Title: Lisa OtterBarry


1
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2
  • Lisa Otter-Barry
  • Soundwell Co-ordinator and Music Therapist
  • Emma Weatherup
  • Soundwell Development Worker and Music Therapist

3
  • A qualitative study
  • exploring the perceived impact of a
  • community-based music therapy service
  • Dr Sarah Wall
  • Mental Health RD Unit
  • June 2009

4
  • Agenda
  • Introduction to study
  • Soundwell
  • Music Therapy
  • Rationale
  • Methodology
  • Analysis
  • Findings
  • Soundwells response

5
  • Introduction to Study
  • A qualitative study exploring the perceived
    impact of a
  • community-based music therapy service
  • Study Author - Dr Sarah Wall
  • Mental Health Research and Development Unit
  • Ethics approval - Bath Research Ethics Committee
  • This study period 2006-2008.

6
  • Soundwell
  • Summary of overall aim
  • To enhance the mental health of people
  • experiencing emotional and mental distress
    by
  • promoting and providing an inclusive,
    accessible
  • community-based music therapy service.

7
  • Soundwell
  • Where?

    Wiltshire, BNES and North
    Somerset.
  • What?
  • Registered charity since 2000 providing
    community based
  • ongoing and brief music therapy groups
  • outreach workshops
  • individual sessions
  • support groups using music, for carers

8
  • Previous Soundwell Outcomes (aims)
  • increased self-esteem, confidence and motivation,
  • reduced stress/anxiety
  • reduced isolation, and improved
    communication/relationship skills  
  • increased independence
  • improved mental health, less support required
    from CMHTs

9
  • Music Therapy
  • The use of musical instruments and sounds
    promoting change and recovery.
  • Communication when its difficult to find the
    words.
  • A variety of instruments invite self-expression
    and interaction.

10
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11
  • Study Rationale
  • To obtain independent and multi-faceted
    perspective on previous Soundwell evaluation
    outcomes
  • Funder demands
  • Shortage of studies of Music Therapy mental
    health in community settings
  • Neglected area of research service users
    /carers experience.

12
  • Researchers MHRDU
  • Dr Sarah Wall Research Officer (author of
    study)
  • Dr Willm Mistral - Research Manager
  • Siobhan Floyd Research Associate
  • Rosemary Stevens Service User Researcher

13
  • Methodology
  • Steering group
  • Focus groups and individual interviews
  • Explore perceived impact of Soundwells service
  • Four different perspectives
  • Service user
  • Carer
  • Health worker
  • Music therapist

14
  • About the Focus Groups
  • 1 pilot focus group to inform the protocol
  • 7 further focus groups
  • Rationale for using groups
  • Facilitated by 2 researchers - music therapists
    not present
  • Content recorded on flip chart

15
  • The 8 Focus Groups - Participants
  • 4 focus groups for mental health service users of
    working age
  • Older adults with mental health needs/dementia
  • Health care workers of older adults
  • Carers of adults with mental health needs
  • Music therapists

16
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17
  • Variety of Music Therapy Experience Evaluated
  • Ongoing music therapy groups 2 focus groups
  • Brief groups 1 focus group
  • One-off outreach workshops 1 focus group
  • Ongoing individual sessions 2 individual
    interviews
  • Support groups using music, for carers 1 focus
    group

18
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19
  • About the Interviews
  • 2 individual music therapy service users
  • 5 referring health care workers- phone

20
  • Analysis
  • Thematic analysis
  • Triangulation of 4 perspectives
  • Comparison and contrast

21
  • Findings
  • Themes arising
  • 6 distinct core themes primary positive
    impacts
  • Commonality of themes across 4 perspectives
  • Focus group structure not pre-designed - Themes
    arose naturally

22
  • Findings 6 Core Themes
  • Theme 1 - team spirit
  • Social functioning, reduced isolation and
    strengthening
  • relationships
  • Relationships built within and beyond sessions
  • vignette
  • Acceptance and inclusion
  • Therapeutic relationship

23
  • Theme 2 - An Outlet
  • The exploration and appropriate expression of
    difficult
  • emotions
  • Complex/intense emotions non-judgmental space
  • Therapeutic environment
  • feel safe in expressing myself (Service User)

24
  • Theme 3 - Courage
  • Improvements in self-esteem, confidence and
    motivation
  • Increased confidence and self esteem
  • Learning how to interact
  • Increased motivation to be creative

25
  • Theme 4 Freeing
  • The experience of freedom and creativity
  • non-prescriptive working
  • A deeper exploration of the self
  • Focus and escapism (carers)

26
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27
  • Theme 5 Unable to Express in Words
  • An alternative form of communication
  • Music as therapeutic tool
  • Communication opportunities
  • Value of listening without judgement

28
  • Theme 6 An Open Door
  • Individual choice and suitability
  • Any level of musical skill/experience
  • Apprehension and support
  • Not everyones cup of tea

29
  • Additional Theme - Practicalities
  • Session length
  • Variability of instruments
  • Location
  • Referral time
  • Transport
  • Publicity and evidence

30
  • Discussion
  • Positive experiences of Soundwell endorsed across
    four perspectives
  • Minor differences of emphasis
    freedom/creativity (SUs)
  • Significance of social benefits for very isolated
    and under-served individuals
  • Key quality non verbal interaction

31
  • Discussion (cont)
  • Benefits transferable into daily lives
  • Concurrence of themes irrespective of
  • diverse music therapy experiences
  • diversity in musical ability
  • mental health problem
  • stage of recovery

32
  • Limitations
  • Anxiety and communication issues
  • Mental health issues preventing participation in
    study
  • Small sample size anonymity
  • Participants contact with Soundwell

33
  • Conclusions
  • Service has wide-reaching and positive impact
    on
  • social functioning and isolation
  • experiences of anxiety and frustration
  • self-esteem, confidence and motivation
  • feelings of freedom, relaxation and creativity
  • communication of difficulties without the need
    for words.

34
  • Conclusions
  • Includes participants with high support needs
  • Small scale study
  • Insight into a neglected area of research the
    service users and carers experience.

35
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36
  • Concluding Comments
  • Such benefits are recognised by the
    project users,
  • and observed by the music therapists during
    the sessions,
  • as well as being witnessed by the carers and
    healthcare professionals
  • in the project users lives beyond the
    therapeutic environment.
  • Dr Sarah Wall

37
  • Soundwells Response
  • Concurrence of participant feedback with previous
    findings
  • Significance of findings in the context of
    participants lives
  • Steps towards recovery - impact beyond music
    therapy space
  • The future how study evidence can support
  • Expansion and sustainability of Soundwells
    service
  • Increased use of arts therapies to promote good
    mental health

38
  • Thank you to study participants
  • project users
  • carers
  • healthcare workers
  • and to the research team for giving them a voice

39
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