Aitchison Kate A, McFerran Katrina Skewes
Child and Youth Mental Health Service, Children's Health Queensland, Brisbane, Queensland, Australia.
Centre for Clinical Research, The University of Queensland, Brisbane, Queensland, Australia.
J Music Ther. 2025 Jan 10;62(1). doi: 10.1093/jmt/thaf005.
Recovery-oriented mental health care emphasizes hope, empowerment, personally defined recovery, and the importance of systemic change and action on the social determinants of mental health and wellbeing. It has been argued that music therapy is highly compatible with recovery principles. This critical interpretive synthesis explores published music therapy assessments designed for use with children and adolescents experiencing mental health challenges, including assessment development, contextual influences, and potential applications in recovery-oriented mental health settings. Database searches, citation tracking, and hand searching identified nine relevant publications (1988-2019), reflecting eight separate assessments. Publications describe the assessment of multiple domains to inform planning; use a range of quantitative rating scales and qualitative descriptions; focus on information sharing and enhancing credibility; and reveal the influence of verbal psychotherapeutic models. Some assessments use terminology that was common in the era that they were published but are not considered congruent with recovery-oriented care. An emphasis on clinician dominance and duplication of information collected by other professionals in interdisciplinary settings is also apparent, potentially affecting usability in mental health services. Exploration of musical phenomena is evident in all assessments and may offer a unique contribution to interdisciplinary processes. Although a significant focus on individual pathology is evident, consumers' resources and contexts are explored in many of the music therapy assessments. This synthesis reveals a need to explore and develop music therapy assessment practices that align with recovery-oriented principles to meet consumer needs and improve integration in interdisciplinary contexts.
以康复为导向的精神卫生保健强调希望、赋权、个人定义的康复，以及系统变革和针对心理健康与幸福的社会决定因素采取行动的重要性。有人认为音乐疗法与康复原则高度契合。这一批判性解释性综述探讨了为面临心理健康挑战的儿童和青少年设计的已发表音乐疗法评估，包括评估的开发、背景影响以及在以康复为导向的精神卫生环境中的潜在应用。通过数据库检索、引文追踪和手工检索确定了9篇相关出版物（1988 - 2019年），反映了8种不同的评估。这些出版物描述了对多个领域的评估以指导规划；使用了一系列定量评分量表和定性描述；注重信息共享和增强可信度；并揭示了言语心理治疗模型的影响。一些评估使用了其发表时代常见但不被认为与以康复为导向的护理相一致的术语。在跨学科环境中，对临床医生主导地位的强调以及其他专业人员收集的信息重复现象也很明显，这可能会影响精神卫生服务中的可用性。在所有评估中都明显体现了对音乐现象的探索，这可能会对跨学科过程做出独特贡献。尽管明显大量关注个体病理学，但在许多音乐疗法评估中也探讨了消费者的资源和背景。这一综述表明，有必要探索和发展与以康复为导向的原则相一致的音乐疗法评估实践，以满足消费者需求并改善在跨学科环境中的整合。
