Under the Big Top: Building a Successful Integrative Care Program
Slides from a presentation at the 2014 national conference of the American Music Therapy Association, Louisville, KY.
Content
11/11/14
Under the Big Top:
Building A Successful
Integrative Care
Program
Winchester Medical Center
Valley Health Systems
Winchester, VA
Integrative Care
Integrative medicine "combines
mainstream medical therapies
and complementary alternative
therapies for which there is some
high-quality scientific evidence
of safety and effectiveness.”
~ The National Center for Complementary and Alternative Medicine at
the National Institutes of Health,
Integrative medicine takes
account of the whole person
(body, mind, emotions and
spirit). It emphasizes the
therapeutic relationship and
makes use of all appropriate
therapies, both conventional
and alternative.
1
11/11/14
Genesis:
Behind the curtain…
Integrative Care Programs in
Hospitals
2012 "America's Best Hospitals" Honor Roll
Over 800 American Hospitals
Up to 70% of Americans use Integrative Care
Helps satisfy JACHO requirements
2
11/11/14
The Wheel of Health
reflects the
Integrative
approach to
wellness.
At Valley Health, we are
committed to
Compassionate, Collaborative,
Innovative Healthcare
We Are Healthier… Together
3
11/11/14
Initiating the Program
Identify
Gain Support
Plan
Compromise
Build
Recruit
WMC Integrative Care
Program
Integrative Care Program for inpatients,
staff, volunteers and families at WMC since
May 2013.
Free Reiki Therapy, Therapeutic Music
options, Aromatherapy, Art Therapy &
Animal Assisted Therapy, in addition to paid
MBSR workshops.
All services available by request.
4
11/11/14
Program Logistics
Referrals
Volunteer
Requirements
Tracking &
Documentation
Growing Successfully
Tracking
Support
Education
Flexibility
Collaboration
Passion
5
11/11/14
Music Options
Music
Therapy
MusiCaregiving
Music Therapy Components
Faculty part of
Integrative Care
Committee
Expands
placement
opportunities for
practicum
Practicum
logistics
Documentation
6
11/11/14
Music Therapy Components
Provides
access to staff
in-service,
education
and health
fairs
Participation
in IHC helps
promote
music therapy
availability
Live at Lunch
Series
Volunteer Music Therapy
Patient Visit Record
!
Unit/Location:!___________________________________Room#:!_________!
!
Patient!Name:!___________________________________________________!
Requester/Nurse:!________________________________________________!
Volunteer Name: _________________________________________________
!
Date: _____________________
Time In: _____________
Time Out: _____________
Reason for Request: _________________________________________________________________________
!!!!!!0!!!!!!!!!!!!!!!!!!!!!!!2!!
!!!!!!!!!!4!
!
6!
!
8!
!
10!
!
Before the Session
Pain Level 1-10: __________
Emotional: Rested Relaxed
Pain Location: _________________________________ Chronic Acute
Calm
Happy
Stable Exhausted
Sad
Anxious
Stressed
Agitated
Comments: ______________________________________________________________________________
_________________________________________________________________________________________
Completed by:
€ Patient
€ Practitioner via Patient Feedback
€ Practitioner Observations
During the Session
Music Therapy Goals
☐ Support grieving process
☐ Promote relaxation/sleep
☐ Decrease pain perception
☐ Support spiritual connections
☐ Provide emotional support
☐ Promote Independence/Control
☐
☐
☐
☐
☐
☐
Support rehabilitation goals
☐ Improve mood
Provide sensory presence
☐ Reduce anxiety
Engage in life review/reminiscence
☐ Enhance coping skills
Normalization of the environment
☐ Support medical procedure
Encourage emotional expression
☐ Encourage family interaction
Other ________________________________________________________
Music Therapy Interventions
☐ Music listening (active/passive)
☐ Playing instruments
☐ Music legacy☐ Song Choice/
☐ Music-assisted relaxation
☐ Movement to music
☐ Lyric analysis
dedication
☐ Music-assisted life review
☐ Improvisation
☐ Song writing
☐ Lyric analysis
☐ Other ___________________________________
Notes:____________________________________
_________________________________________________________________________________________
Patient Label
7
11/11/14
WMC Music Therapy
May 2013 – October 2014
Total Sessions: 185
Pain
Levels
6.0
60%
5.0
50%
4.0
40%
Emo$onal
State
Before
30%
3.0
5.1
20%
2.0
3.1
1.0
10%
0%
0.0
Before
Music
Therapy
A>er
Music
Therapy
8
11/11/14
Next Steps…
Using Revised surveys and
continuing data collection
Integrative Health Care as
its own department
Proposal for full time MT at
hospital
Expanding, creating a buzz
More information:
Valley healthlink: http://
www.valleyhealthlink.com/?id=1186&sid=1
www.musicmakessense.blogspot.com
www.su.edu
9
11/11/14
Presenters
Daniel Tague, PhD, MT-BC
Assistant Professor of Music
Therapy, Shenandoah
Conservatory and
University
Leigh Jenks, MMT, MT-BC
Clinical Training
Coordinator, Shenandoah
Conservatory and
University
Athena Hall, RD, CSO
Co-Chair Integrative Care
Program, Winchester
Medical Center
April Adams
Integrative Care Program
Coordinator/Co-Chair,
Women and Children’s
Services Coordinator,
Winchester Medical
Center
Thank you!
10
Under the Big Top:
Building A Successful
Integrative Care
Program
Winchester Medical Center
Valley Health Systems
Winchester, VA
Integrative Care
Integrative medicine "combines
mainstream medical therapies
and complementary alternative
therapies for which there is some
high-quality scientific evidence
of safety and effectiveness.”
~ The National Center for Complementary and Alternative Medicine at
the National Institutes of Health,
Integrative medicine takes
account of the whole person
(body, mind, emotions and
spirit). It emphasizes the
therapeutic relationship and
makes use of all appropriate
therapies, both conventional
and alternative.
1
11/11/14
Genesis:
Behind the curtain…
Integrative Care Programs in
Hospitals
2012 "America's Best Hospitals" Honor Roll
Over 800 American Hospitals
Up to 70% of Americans use Integrative Care
Helps satisfy JACHO requirements
2
11/11/14
The Wheel of Health
reflects the
Integrative
approach to
wellness.
At Valley Health, we are
committed to
Compassionate, Collaborative,
Innovative Healthcare
We Are Healthier… Together
3
11/11/14
Initiating the Program
Identify
Gain Support
Plan
Compromise
Build
Recruit
WMC Integrative Care
Program
Integrative Care Program for inpatients,
staff, volunteers and families at WMC since
May 2013.
Free Reiki Therapy, Therapeutic Music
options, Aromatherapy, Art Therapy &
Animal Assisted Therapy, in addition to paid
MBSR workshops.
All services available by request.
4
11/11/14
Program Logistics
Referrals
Volunteer
Requirements
Tracking &
Documentation
Growing Successfully
Tracking
Support
Education
Flexibility
Collaboration
Passion
5
11/11/14
Music Options
Music
Therapy
MusiCaregiving
Music Therapy Components
Faculty part of
Integrative Care
Committee
Expands
placement
opportunities for
practicum
Practicum
logistics
Documentation
6
11/11/14
Music Therapy Components
Provides
access to staff
in-service,
education
and health
fairs
Participation
in IHC helps
promote
music therapy
availability
Live at Lunch
Series
Volunteer Music Therapy
Patient Visit Record
!
Unit/Location:!___________________________________Room#:!_________!
!
Patient!Name:!___________________________________________________!
Requester/Nurse:!________________________________________________!
Volunteer Name: _________________________________________________
!
Date: _____________________
Time In: _____________
Time Out: _____________
Reason for Request: _________________________________________________________________________
!!!!!!0!!!!!!!!!!!!!!!!!!!!!!!2!!
!!!!!!!!!!4!
!
6!
!
8!
!
10!
!
Before the Session
Pain Level 1-10: __________
Emotional: Rested Relaxed
Pain Location: _________________________________ Chronic Acute
Calm
Happy
Stable Exhausted
Sad
Anxious
Stressed
Agitated
Comments: ______________________________________________________________________________
_________________________________________________________________________________________
Completed by:
€ Patient
€ Practitioner via Patient Feedback
€ Practitioner Observations
During the Session
Music Therapy Goals
☐ Support grieving process
☐ Promote relaxation/sleep
☐ Decrease pain perception
☐ Support spiritual connections
☐ Provide emotional support
☐ Promote Independence/Control
☐
☐
☐
☐
☐
☐
Support rehabilitation goals
☐ Improve mood
Provide sensory presence
☐ Reduce anxiety
Engage in life review/reminiscence
☐ Enhance coping skills
Normalization of the environment
☐ Support medical procedure
Encourage emotional expression
☐ Encourage family interaction
Other ________________________________________________________
Music Therapy Interventions
☐ Music listening (active/passive)
☐ Playing instruments
☐ Music legacy☐ Song Choice/
☐ Music-assisted relaxation
☐ Movement to music
☐ Lyric analysis
dedication
☐ Music-assisted life review
☐ Improvisation
☐ Song writing
☐ Lyric analysis
☐ Other ___________________________________
Notes:____________________________________
_________________________________________________________________________________________
Patient Label
7
11/11/14
WMC Music Therapy
May 2013 – October 2014
Total Sessions: 185
Pain
Levels
6.0
60%
5.0
50%
4.0
40%
Emo$onal
State
Before
30%
3.0
5.1
20%
2.0
3.1
1.0
10%
0%
0.0
Before
Music
Therapy
A>er
Music
Therapy
8
11/11/14
Next Steps…
Using Revised surveys and
continuing data collection
Integrative Health Care as
its own department
Proposal for full time MT at
hospital
Expanding, creating a buzz
More information:
Valley healthlink: http://
www.valleyhealthlink.com/?id=1186&sid=1
www.musicmakessense.blogspot.com
www.su.edu
9
11/11/14
Presenters
Daniel Tague, PhD, MT-BC
Assistant Professor of Music
Therapy, Shenandoah
Conservatory and
University
Leigh Jenks, MMT, MT-BC
Clinical Training
Coordinator, Shenandoah
Conservatory and
University
Athena Hall, RD, CSO
Co-Chair Integrative Care
Program, Winchester
Medical Center
April Adams
Integrative Care Program
Coordinator/Co-Chair,
Women and Children’s
Services Coordinator,
Winchester Medical
Center
Thank you!
10
