Music Therapists

Helping people with a life-limiting illness to remain connected with the life they have lived and to improve their current situation and quality of life through the use of music.

Scope of practice

Music therapists support people of all ages and abilities to improve their health in cognitive, motor, emotional, communicative, social, sensory, and educational domains by using both active and receptive music experiences. These creative experiences include music-based improvisation, composition, playing, listening and discussion. [1-3]

 

Dr Claire O'Callaghan talks about the important role of music therapy in palliative care

Dr Claire O'Callaghan talks about the important role of music therapy in palliative care

  

Check out the relevant evidence for Music Therapists:

Clinical Evidence

PubMed Search

Review Collection

Role in palliative care

Palliative care provides a support system for people living with a life-limiting condition to live as actively as possible, with dignity, for as long as possible. It is active and supportive care that seeks to maximise quality of life. [4] It is useful well before death and not limited to care of the dying. [3]

In helping people with palliative care needs, a music therapist [3,5-8]:

  • is led by the person’s symptoms and their sense of what is important to them to co-create realistic goals and expectations with the person in the face of impending death within the context of a therapeutic relationship
  • engages actively with the person and/or family and friends in singing, song writing, improvisation, music imagery, music-based relaxation or life review, as well as listening to music, according to a person’s musical preferences
  • assists with management of symptoms such as pain, fatigue, anxiety, delirium, depression, spiritual needs, and ability to cope through assessment, music therapy methods, counselling, and instrument borrowing
  • assists to help maintain function or with adaptation to decreasing function
  • create recordings and songs to be left as a legacy for family and friends
  • can use improvisations and familiar music to support emotional well‐being and quality of life for people with living with dementia
  • can assist connectedness between patients and those significant to them through shared music experiences and music-based legacy creation
  • liaises within the care team to promote best outcomes
  • can collaborate with other professionals such as physiotherapists in music and movement, spiritual care practitioners in planning memorial services, occupational therapists in music playing/performing
  • provides support to family and carers, including bereavement support. 

To benefit from music therapy, a person does not need any musical background such as musical talent, the ability to play an instrument, or to read music. [9] Music therapy is a complementary therapy frequently used in palliative care and paediatric oncology. [6,9-11] Music therapists may work in palliative care as only part of their role or have a palliative care caseload with a specialist role. They may be a member of a multidisciplinary team or work as a sole practitioner.

The RACGP aged care clinical guide (Silver Book 2019) recognises the role of allied health professionals in team care arrangements for a proactive person-centred approach to palliative care. [12] Palliative Care Australia also recognises the importance of access to information and support from a diverse range of allied health services for patients, families and carers. [13]

The role of allied health in palliative care is to provide the person with as much therapy time as possible. The goal of allied health in palliative care is around maintaining and improving functional ability. There may be a blurring of roles across allied health professions in palliative care more than in other care contexts.

Allied Health workers provide care in all practice settings. For further information on the specific area of practice go to Practice Settings.

Practice support

Useful evidence-based information and resources on rehabilitative palliative care are available from Hospice UK.

A section on CareSearch includes examples of music therapy practice and reflections in palliative care by way of allied health blogs, case stories and the voice of experience.

Using Evidence

Although music therapists may be familiar with evidence and evidence-based practice through their training and continuing professional development (CPD), keeping up to date can be time-consuming.

CareSearch provides the tools to help find and use palliative care evidence. This includes PubMed searches on a multitude of topics and sections dedicated to Searching for Evidence and Using Evidence in Practice.

The International Centre for Allied Health Evidence at University of South Australia has a number of resources to support translation of evidence into practice.

Guidelines

Guidelines specific to music therapy and palliative care in Australia have not been published, however, the Palliative Care Service Development Guidelines 2018 (332kb pdf) provides an overview of music therapy (as part of allied health) in palliative care. [13]

Resources for Patients, Carers and Families

Music Therapists have an important role in supporting patients, carers and their families with information. The CareSearch Resources for Patients, Carers and Families provides links to useful information including fact sheets and printable resources Music Therapists can download and share. 

Education

The National Palliative Care Strategy 2018 (6.16MB pdf) lists as a priority the ability of medical, nursing and allied health graduates to identify and address people’s palliative care needs (Priority 2.1, p15). [14] This is also highlighted for the acute sector in the Guiding Principles of the National Consensus Statement: essential elements for safe and high-quality end-of-life care which also recognises the importance of the role of an interdisciplinary team. [15]

CareSearch lists a collection of selected Palliative Care eLearning resources for health professionals for independent learning.

Courses

CareSearch lists a collection of  Palliative Care eLearning resources for allied health for independent learning.

  1. Allied Health Professions Australia (AHPA). Music Therapy [Internet]. 2017 [cited 2019 Nov 7].
  2. Australian Music Therapy Association (AMTA). What is Music Therapy? [Internet]. 2012 [cited 2019 Nov 7].
  3. The contribution to palliative care of allied health professions. In: Watson MS, Ward S, Vallath N, Wells J, Campbell R, editors. Oxford Handbook of Palliative Care. 3rd ed. Oxford: Oxford University Press; 2019.
  4. Pautex S. Rehabilitation for Palliative Care and End-of-Life Management. In: Masiero S, Carraro U, editors. Rehabilitation Medicine for Elderly Patients. Cham, Switzerland: Springer International Publishing; 2018.
  5. McConnell T, Porter S. Music therapy for palliative care: A realist review. Palliat Support Care. 2017 Aug;15(4):454-464. doi: 10.1017/S1478951516000663. Epub 2016 Oct 24.
  6. Schmid W, Rosland JH, von Hofacker S, Hunskar I, Bruvik F. Patient's and health care provider's perspectives on music therapy in palliative care - an integrative review. BMC Palliat Care. 2018 Feb 20;17(1):32. doi: 10.1186/s12904-018-0286-4.
  7. O’Callaghan C. Music therapy in palliative care. In: Cherny N, Fallon M, Kaasa S, Portenoy RK, Currow DC, editors. Oxford Textbook of Palliative Medicine. 5th ed. Oxford: Oxford University Press; 2015.
  8. van der Steen JT, Smaling HJA, van der Wouden JC, Bruinsma MS, Scholten R, Vink AC. Music‐based therapeutic interventions for people with dementia. Cochrane Database Syst Rev. 2018 Jul 23;7:CD003477. doi: 10.1002/14651858.CD003477.pub4.
  9. Stegemann T, Geretsegger M, Phan Quoc E, Riedl H, Smetana M. Music Therapy and Other Music-Based Interventions in Pediatric Health Care: An Overview. Medicines (Basel). 2019 Feb 14;6(1). pii: E25. doi: 10.3390/medicines6010025.
  10. Tucquet B, Leung M. Music therapy services in pediatric oncology: a national clinical practice review. J Pediatr Oncol Nurs. 2014 Nov-Dec;31(6):327-38. doi: 10.1177/1043454214533424. Epub 2014 Jul 15.
  11. Gao Y, Wei Y, Yang W, Jiang L, Li X, Ding J, et al. The Effectiveness of Music Therapy for Terminally Ill Patients: A Meta-Analysis and Systematic Review. J Pain Symptom Manage. 2019 Feb;57(2):319-329. doi: 10.1016/j.jpainsymman.2018.10.504. Epub 2018 Oct 30.
  12. The Royal Australian College of General Practitioners (RACGP). RACGP aged care clinical guide (Silver Book). RACGP; 2019.
  13. Palliative Care Australia (PCA). Palliative Care Service Development Guidelines. Canberra: PCA; 2018 Jan.
  14. Australian Government Department of Health. National Palliative Care Strategy 2018. Canberra: Australian Government Department of Health; 2019 Feb 22.
  15. Australian Commission on Safety and Quality in Health Care (ACSQHC). National Consensus Statement: essential elements for safe and high‑quality end-of-life care. Sydney: ACSQHC, 2015.

Last updated 07 November 2019