1. 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.

2. 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. 3 Goals and Objectives  Typically fall into one of five domains: 1.Cognitive 2.Affective 3.Sensorimotor 4.Behavioral/Social 5.Physiological

4. 4 Goals and Objectives  Need directional language, e.g.: Client will increase ability to … Client will decrease the number of …

5. 5 Goals and Objectives  Must be functionally relevant and impact the patient’s day to day life  Require 3 characteristics – Observable – Measurable – Attainable/Achievable

6. 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

7. 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

8. 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.