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1 Transformational Design Model (TDM) Developed to assist music therapy students and professors avoid two potential weaknesses. 1.an activity-based approach in which generic musical activities are adapted to therapeutic goals; 2.the use of therapeutic music techniques that address therapeutic goals very broadly and generally and are only weakly related to functional therapeutic outcomes.
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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
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3 Goals and Objectives Typically fall into one of five domains: 1.Cognitive 2.Affective 3.Sensorimotor 4.Behavioral/Social 5.Physiological
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4 Goals and Objectives Need directional language, e.g.: Client will increase ability to … Client will decrease the number of …
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5 Goals and Objectives Must be functionally relevant and impact the patient’s day to day life Require 3 characteristics – Observable – Measurable – Attainable/Achievable
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6 Goals and Objectives Goals ~ Long-term changes in behavior or functioning, e.g. A. Increase client’s ability to ambulate independently or; B. Increase client’s socialization skills Objectives ~ Short-term changes in behavior/experience, e.g. A. Increase client’s ability to ambulate with an assistive device or; B. Increase client’s ability to initiate a conversation
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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: 1.her ability to communicate and 2.to function independently. Goals for this client then would be to: 1.Increase client’s ability to communicate and; 2.Increase client’s ability to independently perform ADL’s
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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.
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