Graham-Wisener Lisa, Watts Grace, Kirkwood Jenny, Harrison Craig, McEwan Joan, Porter Sam, Reid Joanne, McConnell Tracey Helena
Research, Marie Curie Hospice Belfast, Belfast, UK.
British Association for Music Therapy, London, UK.
BMJ Support Palliat Care. 2018 Sep;8(3):282-284. doi: 10.1136/bmjspcare-2018-001510. Epub 2018 Feb 22.
Music therapy aligns to the holistic approach to palliative and end-of-life care (PEOLC), with an emergent evidence base reporting positive effect on a range of health-related outcomes for both patient and family carer alongside high client demand. However, the current service provision and the role of music therapists in supporting individuals receiving PEOLC in the UK is currently unknown.
This service evaluation aims to identify the provision, role and perceived impact of UK music therapists in supporting patients receiving PEOLC, their families and health and social care professionals.
A survey was distributed to the British Association for Music Therapy (BAMT) member mailing list in July 2017. BAMT is the professional body for Health and Care Professions Council registered music therapists in the UK.
Fifty respondents identified themselves as music therapists currently working with clients receiving PEOLC. The respondents largely reported (84.7%) less than 10 years of experience working in PEOLC settings, with only a minority receiving statutory funding for their role. Music therapists most commonly reported supporting adults with neurological conditions, cancers and dementia.
Although promising that evidence suggests provision of music therapy in UK PEOLC settings in the past 10 years to have increased, lack of sustainable funding suggests the role to not be consistently accessible in PEOLC.
音乐疗法符合姑息治疗和临终关怀（PEOLC）的整体方法，现有证据表明，音乐疗法对患者和家庭护理人员的一系列健康相关结果具有积极影响，同时客户需求也很高。然而，目前英国音乐治疗师在支持接受PEOLC的个人方面的服务提供情况和角色尚不清楚。
本服务评估旨在确定英国音乐治疗师在支持接受PEOLC的患者、其家人以及健康和社会护理专业人员方面的服务提供情况、角色和感知影响。
2017年7月向英国音乐治疗协会（BAMT）会员邮件列表分发了一份调查问卷。BAMT是英国健康与护理专业委员会注册音乐治疗师的专业机构。
50名受访者表明自己是目前与接受PEOLC的客户合作的音乐治疗师。受访者大多报告（84.7%）在PEOLC环境中工作不到10年，只有少数人因其角色获得法定资金。音乐治疗师最常报告为患有神经系统疾病、癌症和痴呆症的成年人提供支持。
尽管有证据表明在过去10年中英国PEOLC环境中音乐疗法的提供有所增加，但缺乏可持续资金表明在PEOLC中并非始终能够获得该服务。
