Matching Items (2)
Description
Music is often used to induce relaxation and encourage calm surroundings, but in a group psychiatric treatment environment creating such a space can be complicated by varying and conflicting music preferences. Although best practices in music therapy encourage use of preferred music in sessions, adolescents’ tastes can be so closely tied with their sense of identity that tension may arise between peers in a group setting. On an inpatient adolescent psychiatric unit this issue becomes compounded by additional factors such as inadequate communication skills and difficulties with self-regulation. Although one must be careful not to generalize or romanticize, current literature suggests specific nature sounds may have a calming effect across settings and cultural backgrounds. However, nature sound research done from the music therapy perspective is scarce, and thus evidence-based guidelines for the use of such sounds could prove useful in further exploration of their potential uses in music therapy interventions. This thesis explores the use of nature sounds as a part of music therapy treatment interventions, as well as on the behavioral health adolescent unit during daily routine where environmental sounds can be a problem. If successfully implemented in an acute psychiatric setting with adolescent patients, both during the therapy session and throughout the day, administered by the person receiving treatment and under the guidance of the music therapist, these interventions have the potential to decrease the number and severity of behavioral emergency codes, potentially leading to fewer instances of restraint, as well as more effective functioning after discharge from the inpatient setting.
ContributorsPowers, Melissa Marie (Author) / Rio, Robin (Thesis advisor) / Feisst, Sabine (Thesis advisor) / Phenix, Darrell (Committee member) / Arizona State University (Publisher)
Created2018
Description
A meta-synthesis consisting of 10 research studies exploring the perspectives of adolescents receiving psychiatric treatment in relation to treatment adherence was conducted. Current literature indicates several factors contributing to partial or non-adherence to pharmacologic or non-pharmacologic treatment, as well as a need for further research to be conducted. Adolescents are a particularly vulnerable population to mental health conditions. Often symptoms of mental health conditions are present during childhood and adolescence, though they are not addressed until adulthood. Early intervention and prevention of the worsening of symptoms increases the likelihood of positive health outcomes. It is imperative that nursing staff understand the experience of this population in order to provide patient-centered care. Literature was thoroughly searched using the terms 'qualitative', 'adolescents', 'adherence', and 'psychiatric'. The following databases were used during the literature search: PubMed, PsycINFO, and CINAHL. Noblit and Hare’s 1988 comparative method of synthesizing qualitative studies guided the inquiry. Collectively, the 10 studies yielded a sample size of 415 participants. Overarching themes were generated to reflect the patient experience of adolescents receiving mental health care services. The themes identified were autonomy, ostrification, therapeutic intervention, and identity. The theme of autonomy related to the adolescents’ desire to control their care and treatment plan. In regards to ostrification, several adolescents reported feeling isolated during treatment. Therapeutic intervention related to the variety of factors that influenced an adolescent’s commitment to pharmacologic and non-pharmacologic treatment. Identity referred to adolescents’ struggle with self-concept after being diagnosed with a mental health condition. It is noted that variation was present throughout the studies identified to meet inclusionary criteria, and these variations were expressed within the findings.
ContributorsShepard, Reganne (Author) / Fries, Kathleen (Thesis director) / Walker, Beth (Committee member) / Edson College of Nursing and Health Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05