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   <front>
      <journal-meta>
         <journal-id journal-id-type="DOAJ">15041611</journal-id>
         <journal-title-group>
            <journal-title>Voices: A World Forum for Music Therapy</journal-title>
         </journal-title-group>
         <issn>1504-1611</issn>
         <publisher>
            <publisher-name>GAMUT - Grieg Academy Music Therapy Research Centre (NORCE &amp;
               University of Bergen)</publisher-name>
         </publisher>
      </journal-meta>
      <article-meta>
         <article-id pub-id-type="doi">10.15845/voices.v22i1.3381</article-id>
         <article-categories>
            <subj-group subj-group-type="heading">
               <subject>Book Reviews and Book Essays</subject>
            </subj-group>
         </article-categories>
         <title-group>
            <article-title>Review of the Book Essentials of Music Therapy Assessment</article-title>
         </title-group>
         <contrib-group>
            <contrib contrib-type="author">
               <name>
                  <surname>Marsimian</surname>
                  <given-names>Nuria Inés Alicia</given-names>
               </name>
               <xref ref-type="aff" rid="N_Marsimian"/>
               <address>
                  <email>nuriamarsimian@gmail.com</email>
               </address>
            </contrib>
         </contrib-group>
         <aff id="N_Marsimian"><label>1</label>Italian Hospital of Buenos Aires, Argentina</aff>
         <contrib-group>
            <contrib contrib-type="editor">
               <name>
                  <surname>Eslava-Mejia</surname>
                  <given-names>Juanita</given-names>
               </name>
            </contrib>
         </contrib-group>
         <contrib-group>
            <contrib contrib-type="reviewer">
               <name>
                  <surname>Zanini</surname>
                  <given-names>Claudia</given-names>
               </name>
            </contrib>
         </contrib-group>
         <pub-date pub-type="pub">
            <day>1</day>
            <month>3</month>
            <year>2022</year>
         </pub-date>
         <volume>22</volume>
         <issue>1</issue>
         <history>
            <date date-type="received">
               <day>25</day>
               <month>6</month>
               <year>2021</year>
            </date>
            <date date-type="accepted">
               <day>18</day>
               <month>11</month>
               <year>2022</year>
            </date>
         </history>
         <permissions>
            <copyright-statement>Copyright: 2022 The Author(s)</copyright-statement>
            <copyright-year>2022</copyright-year>
            <license license-type="open-access"
               xlink:href="http://creativecommons.org/licenses/by/4.0/">
               <license-p>This is an open-access article distributed under the terms of the
                     <uri>http://creativecommons.org/licenses/by/4.0/</uri>, which permits
                  unrestricted use, distribution, and reproduction in any medium, provided the
                  original work is properly cited.</license-p>
            </license>
         </permissions>
         <self-uri xlink:href="https://voices.no/index.php/voices/article/view/3381"
            >https://voices.no/index.php/voices/article/view/3381</self-uri>
         <abstract>
            <p>There will be a review of the book <italic>Essentials of Music Therapy
                  Assessment</italic> by the author Dr. Gustavo Schulz Gattino, published for the
               first time in Portuguese in 2020. The parts of the book and some fundamental concepts
               addressed in each one will be examined. Relevant topics that were of interest to the
               reviewer will be highlighted, as well as a possible practical application of some
               content. It will provide a general notion of the context in which the book was
               written and disseminated in the music therapy community and its relevance to the
               discipline today.</p>
         </abstract>
         <kwd-group kwd-group-type="author-generated">
            <kwd>music therapy</kwd>
            <kwd>assessment</kwd>
            <kwd>context COVID 19 Pandemic</kwd>
         </kwd-group>
      </article-meta>
   </front>
   <body>
      <boxed-text>
         <p>Gattino, G. S. (2020). <italic>Fundamentos de avaliação em musicoterapia</italic>. Forma
            e Conteúdo Comunicação Integrada.</p>
      </boxed-text>
      <p>I have had the opportunity to read the book <italic>Essentials of Music Therapy
            Assessment</italic> by the author Dr. Gustavo Schulz Gattino. Originally the book was
         written in the Portuguese language because it is the author's mother tongue. I have been
         able to access its reading in a favorable way given the similarity with the Spanish
         language. Assessment is a topic of great interest to me, since I practice music therapy in
         the clinical field as well as work as a supervisor and teacher.</p>
      <p>From a deep reading of this book I have been able to understand that the assessment process
         in music therapy is ubiquitous, although sometimes we are not aware of it. In each instance
         of the music therapy process we are assessing in many ways. We will be able to record/
         review, observe, test, and/or interview (<xref ref-type="bibr" rid="WG2018">Waldon &amp;
            Gattino, 2018</xref>) according to different purposes and following the four stages of
         the assessment process in music therapy. These stages of assessment are: (1) preparation,
         (2) data gathering, (3) analysis and interpretation of data, and (4) documentation and
         communication of data (<xref ref-type="bibr" rid="GP2014">Goldfinger &amp; Pomerantz,
            2014</xref>).</p>
      <p>Likewise, these assessment methods may be applied in the different stages of the music
         therapy process either during the (1) referral and acceptance of the treatment, the (2)
         initial assessment, the (3) definition of treatment plan, the (4) implementation of
         treatment, and the (5) discharge or termination (<xref ref-type="bibr" rid="AMTA2013"
            >American Music Therapy Association, 2013</xref>; <xref ref-type="bibr" rid="W2013"
            >Waldon, 2013</xref>). The interrelation between the aforementioned processes can be clearly
         visualized in a figure proposed by the author. Sometimes we do not necessarily apply
         assessment tools and it does not imply that we are not assessing. The author clarifies that
         assessing is not synonymous with applying a specific tool (<xref ref-type="bibr"
            rid="GJS2018">Gattino, Jacobsen, &amp; Storm, 2018</xref>).</p>
      <p>Unlike the book <italic>Music Therapy Assessment: Theory, Research and Application</italic>
         by the authors Jacobsen, Waldon and Gattino (<xref ref-type="bibr" rid="JWG2018"
            >2018</xref>), Gattino's (2020) book delves
         into the theoretical aspects of assessment as well as presents informal assessments such as
         the use of performance tasks and rubrics, not necessarily based on tests or formal tools,
         and that the music therapist could create based on their needs and their work context. In
         addition, it presents and delves into the theoretical and practical bases of each
         assessment method, dedicating a chapter to each one. This is how the assessment process is
         enriched according to the different ways of assessing and the information obtained in each
         of the instances.</p>
      <p>The book is divided into six parts. In general, Part I refers to the initial considerations
         for the assessment. Parts II to V are written in such a way as to be able to define and
         conceptually differentiate the four stages of assessment in music therapy, dedicating a
         part to each one.</p>
      <p>Part I deals with introductory topics such as the conceptual definition of assessment, its
         basic characteristics, the processes and the different contexts. Regarding this last point,
         it is interesting to understand the assessment in each application context, such as the
         educational, medical, and mental health context. It considers situations such us if the
         assessment is about a person or a group, if the assessment is about the patient or the
         music therapist, if the assessment is connected or disconnected from the music therapy
         process, etc. Regarding the duration, another difference could be if it is a focal or a
         procedural assessment. My work in varied clinical care situations has many times raised big
         questions as to how to adjust the assessment, what to assess, how to assess and analyze,
         and what to contribute and communicate to the interdisciplinary team.</p>
      <p>Part II <italic>Preparation</italic> refers to considerations about development throughout
         life. This section is interesting since there are few authors in music therapy who have
         written on this topic (<xref ref-type="bibr" rid="B1992">Bruscia, 1992</xref>; <xref
            ref-type="bibr" rid="F2013">Ferrari, 2013</xref>). Here it could be observed that the
         author places a lot of emphasis on childhood, offering a broad panorama of theories that
         explain these processes. However, it scarcely presents specific conceptualizations about
         what happens when functions begin to be lost due to the deterioration of the person during
         late adulthood and third age, especially since it then describes existing tools for this
         age group. It would be interesting to know more theories that can explain to music
         therapists about the deterioration processes.</p>
      <p>Likewise, it mentions the different perspectives in music therapy, such as the GIM Model,
         Improvisational, Feminism, Behavioral, etc., offering a very large panorama about how to
         think about the assessment according to each one. Ethical aspects are also addressed in
         this part, highlighting the importance of informed consent about the actions that the music
         therapist performs around the assessment. This aspect is significant since the context of
         virtual attention has raised many questions about data protection. The author concludes
         this part with a review of the research in which studies were compiled where various
         assessment tools are presented, applied, validated, or reviewed. I personally had no notion
         of the large number of studies referring to these issues. Based on this research, the
         author highlights the idea of being able to deepen the applications of existing tools,
         perfecting their usefulness in different contexts and circumstances in order to improve and
         increase their evidence of validity.</p>
      <p>Part III <italic>Data Gathering</italic> dedicates a chapter each to the conceptualization
         of each type of assessment method (review, observation, interview, and test). The
         contribution of Chapter 13 is interesting, in which Gattino explains different ways of
         creating, adapting and translating assessment tools. This chapter has been of great help to
         me as I am writing and validating a new assessment tool for the context of Autism (<xref
            ref-type="bibr" rid="M2019">Marsimian, 2019</xref>). Likewise, chapter 14 provides some
         guidelines to select the type of assessment method to use (<xref ref-type="bibr"
            rid="GJS2018">Gattino, Jacobsen, &amp; Storm, 2018</xref>) from a questionnaire of 13
         questions that function as a practical guide for this task.</p>
      <p>In Part IV the author explains the different ways to analyze and interpret the data
         obtained from the assessment process. A chapter is devoted to analysis, detailing the
         variety and breadth of data types that can be collected as well as quantitative,
         qualitative, and mixed analyzes. In the chapter on interpretation he explains the different
         forms, such as the “suspicious,” phenomenological, empathic, hermeneutical, actuarial,
         psychometric, interpretative, etc. Here the most interesting contribution is
         the decision tree based on Bonde (<xref ref-type="bibr" rid="B2016">2016</xref>) to select
         the interpretation modalities, which helps to visualize the different options and how they
         are related according to the level of objectivity and subjectivity. Regarding its practical
         application, the author provides a clinical example of how to interpret the data obtained
         from a musical experience with a patient. I believe here that it would have been useful to
         provide an example where several tools and types of data are used in the same patient to
         understand how to integrate them and make consistent interpretations. This type of
         exemplification could be shown in a future publication based on this writing, with
         contributions from different music therapists and in diverse populations and contexts.</p>
      <p>Part V is related to the communication and documentation of the assessment results.
         Regarding the communication chapter, the author provides clinical examples and specific
         strategies of how to communicate, both orally and in writing, assertively and effectively,
         what was assessed. Regarding the chapter on documentation, the author focuses on how the
         music therapist generates different types of documents according to the music therapy
         process stage and according to the different purposes for its practice. Throughout it the
         author provides different document and form templates, resulting in a very didactic way of
         transmitting these ideas. Some suggestions on how to organize and categorize these
         documents were interesting to me, given that over time there may be many patients with whom
         we work and many kinds of information to manage.</p>
      <p/>
      <p>From a personal point of view, the book has given me the opportunity and the challenge to
         develop a deeper understanding of the actions that I take in my clinical practice related
         to assessment. Before reading this book, I believed that the assessment in music therapy
         was synonymous with the initial assessment (<xref ref-type="bibr" rid="F2013">Ferrari,
            2013</xref>). After reading it, I realized that assessment is a much more complex
         concept and that it goes through the different stages of the music therapy process.</p>
      <p>As a contribution to putting into practice the ideas transmitted throughout the book, in
         the following table I was able to capture and visualize the continuous assessment process
         considering the tools, methods and objectives of each action at each stage of the process
         in music therapy that I carry out in the context of clinical care for children and young
         people on the Autism Spectrum (<xref ref-type="bibr" rid="M2021">Marsimian, 2021</xref>).
         Performing this exercise could be interesting for any music therapist who wants to rethink
         their interventions from the point of view of assessment.</p>
      <table-wrap id="tbl1">
         <label>Table 1</label>
         <!-- optional label and caption -->
         <caption>
            <p>Assessment Actions Aimed Along the Music Therapy Process for Children and Young
               People on the Autism Spectrum.</p>
         </caption>
         <table>
            <thead>
               <tr>
                  <th>MUSIC THERAPY PROCESS</th>
                  <th>ASSESSMENT TOOLS</th>
                  <th>ASSESSMENT METHODS</th>
                  <th>ASSESSMENT PURPOSES</th>
               </tr>
            </thead>
            <tbody>
               <tr>
                  <td rowspan="4"> REFERRAL AND ACCEPTANCE </td>
                  <td>Semi-structured interview</td>
                  <td>INTERVIEW</td>
                  <td rowspan="4">
                     <list>
                        <list-item>
                           <p>To know the patient and their family</p>
                        </list-item>
                        <list-item>
                           <p>To know everyday contexts and routines</p>
                        </list-item>
                        <list-item>
                           <p>To give guidelines and guidelines for treatment</p>
                        </list-item>
                        <list-item>
                           <p>To get the informed consent</p>
                        </list-item>
                        <list-item>
                           <p>To set the indication to music therapy (<xref ref-type="bibr"
                                 rid="FM2013">Ferrrari &amp; Marsimian, 2013</xref>; <xref
                                 ref-type="bibr" rid="MOMW2002">Møller et al., 2002</xref>)</p>
                        </list-item>
                     </list>
                  </td>
               </tr>
               <tr>
                  <td>Admission Form</td>
                  <td>RECORD/ REVIEW <break/> DOCUMENT</td>
               </tr>
               <tr>
                  <td>Informed consent Form</td>
                  <td>RECORD/ REVIEW<break/> DOCUMENT</td>
               </tr>
               <tr>
                  <td>MEL Assessment<break/>(<xref ref-type="bibr" rid="GT2012">Gottfried &amp;
                        Thompson, 2012</xref>)</td>
                  <td>TEST</td>
               </tr>
               <tr>
                  <td rowspan="7">
                     <break/>INITIAL ASSESSMENT<break/>
                  </td>
                  <td>IDEA Inventory (<xref ref-type="bibr" rid="R1997">Riviere, 1997</xref>)</td>
                  <td>TEST</td>
                  <td rowspan="7">
                     <list>
                        <list-item>
                           <p>To establish the therapeutic bond</p>
                        </list-item>
                        <list-item>
                           <p>To get to know the patient in various musical experiences</p>
                        </list-item>
                        <list-item>
                           <p>To know the functionality of the patient</p>
                        </list-item>
                        <list-item>
                           <p>To know the patient´s strengths and difficulties</p>
                        </list-item>
                        <list-item>
                           <p>To know the patient´s musical interests and other ones</p>
                        </list-item>
                        <list-item>
                           <p>To know the supports the patient should need</p>
                        </list-item>
                        <list-item>
                           <p>To record sessions</p>
                        </list-item>
                     </list>
                  </td>
               </tr>
               <tr>
                  <td>ASD Severity Level (<xref ref-type="bibr" rid="APA2013">American Psychiatric
                        Association, 2013</xref>)</td>
                  <td>OBSERVATION</td>
               </tr>
               <tr>
                  <td>MFAP (<xref ref-type="bibr" rid="M2019">Marsimian, 2019</xref>)</td>
                  <td>OBSERVATION</td>
               </tr>
               <tr>
                  <td>AQR (<xref ref-type="bibr" rid="SC2007">Schumacher &amp; Calvet,
                     2007</xref>)</td>
                  <td>TEST</td>
               </tr>
               <tr>
                  <td>Review patient reports (medical, school, other therapies)</td>
                  <td>RECORD/ REVIEW <break/> DOCUMENT</td>
               </tr>
               <tr>
                  <td>Record session form<break/>IRS (<xref ref-type="bibr" rid="F2013">Ferrari,
                        2013</xref>) <break/>MIRS (<xref ref-type="bibr" rid="P2007">Pavlicevic,
                        2007</xref>)</td>
                  <td>RECORD/ REVIEW<break/> DOCUMENT<break/>TEST</td>
               </tr>
               <tr>
                  <td>Initial Assessment report</td>
                  <td>RECORD/ REVIEW<break/>DOCUMENT</td>
               </tr>
               <tr>
                  <td rowspan="2">DEFINITION OF TREATMENT PLAN</td>
                  <td>Interview with parents</td>
                  <td>INTERVIEW</td>
                  <td rowspan="2">
                     <list>
                        <list-item>
                           <p>To plan treatment: Design therapeutic goals and therapeutic
                              supports.</p>
                        </list-item>
                        <list-item>
                           <p>To communicate the treatment plan and goal</p>
                        </list-item>
                     </list>
                  </td>
               </tr>
               <tr>
                  <td>Treatment plan report</td>
                  <td>RECORD/ REVIEW<break/>DOCUMENT</td>
               </tr>
               <tr>
                  <td rowspan="4">IMPLEMENTATION OF TREATMENT </td>
                  <td>Record session form<break/>IRS (<xref ref-type="bibr" rid="F2013">Ferrari,
                        2013</xref>) <break/>MIRS (<xref ref-type="bibr" rid="P2007">Pavlicevic,
                        2007</xref>)</td>
                  <td>RECORD/ REVIEW<break/>DOCUMENT<break/>TEST</td>
                  <td rowspan="4">
                     <list>
                        <list-item>
                           <p>To establish transversal support strategies together with the
                              interdisciplinary team</p>
                        </list-item>
                        <list-item>
                           <p>To communication with family, team and school.</p>
                        </list-item>
                        <list-item>
                           <p>To carry out re-evaluation of treatment goals</p>
                        </list-item>
                        <list-item>
                           <p>To communicate with external health entities</p>
                        </list-item>
                        <list-item>
                           <p>To record sessions</p>
                        </list-item>
                     </list>
                  </td>
               </tr>
               <tr>
                  <td>Interviews</td>
                  <td>INTERVIEW<break/>
                  </td>
               </tr>
               <tr>
                  <td>Evaluation report</td>
                  <td>RECORD/ REVIEW<break/>DOCUMENT</td>
               </tr>
               <tr>
                  <td>External reports</td>
                  <td>RECORD/ REVIEW<break/>DOCUMENT</td>
               </tr>
               <tr>
                  <td rowspan="2"> DISCHARGE/ TERMINATION </td>
                  <td>Final interview</td>
                  <td>INTERVIEW<break/>
                  </td>
                  <td rowspan="2">
                     <list>
                        <list-item>
                           <p>To communicate objectives achieved</p>
                        </list-item>
                        <list-item>
                           <p>To give suggestions for future treatment</p>
                        </list-item>
                        <list-item>
                           <p>To discharge or refer to another professional</p>
                        </list-item>
                     </list>
                  </td>
               </tr>
               <tr>
                  <td>Final treatment report</td>
                  <td>RECORD/ REVIEW</td>
               </tr>
            </tbody>
         </table>
      </table-wrap>
      <p>In the last chapter the author discusses on the special considerations that arose around
         the COVID-19 Pandemic, making reflections and their impact on assessment practices. This is
         the case of the particularities in virtual care and the challenges for the assessment,
         needs, and care that arose for face-to-face care, and the issues around teaching and the
         transmission of knowledge to students and music therapists supervising their practice. In
         this section the author omitted the implications for the families of the patients/users who
         accompanied the processes in tele-care. From my experience as a clinician, I believe that this
         point was crucial in this context given that the roles were redefined and that part of our
         work had to do with carrying out a new assessment and helping the adult to be able to
         accompany properly, becoming an assistant for the music therapist intervention.</p>
      <p>Throughout 2020 and in the context of the COVID-19 Pandemic, the author held virtual
         meetings to communicate some of the guidelines set out throughout the chapters. I was able
         to participate in them and exchange impressions and ideas on each topic raised. This form
         of writing and presentation to the community was novel, given the complex context. I think
         having feedback during the process of writing and reviewing the book was enriching to the
         writing. It also managed to generate content exchange and promotion networks, without
         having to wait for its official publication.</p>
      <p>I believe that the richness of this publication has to do with the depth to describe each
         of the instances of assessment in music therapy, resulting in a kind of practical and
         useful manual, both for students, for music therapist who are just starting out, as well as
         for music therapist with vast clinical experience. Another of the book's strengths is being
         able to compile, organize, and describe a large quantity and quality of information.</p>
      <p>Finally, the opportunity for it to be translated into several languages ​​and its open
         access will allow for dissemination of this knowledge in different countries of different
         socioeconomic levels, thus being able to provide opportunities to access information at a
         global level for all music therapists.</p>
      <!-- sec lvl 2 begin -->
      <sec>
         <title>About the Author</title>
         <p>The author has a degree in Music Therapy from Universidad del Salvador, Argentina. She
            has completed a Hospital Career in Music Therapy and Medicine at Rivadavia Hospital in
            Buenos Aires. She was a music therapist for the Developmental Disorders Team at the
            Italian Hospital in Buenos Aires. Since 2014 she has been Director of Music Therapy and
            Autism Spectrum Postgraduate Course at the Italian Hospital University Institute. She
            was a teacher in the Music Therapy Career at Buenos Aires University. She has training
            in Microanalysis, PECS Program, ABA Model, Functional Behavioral Analysis, DIR Floortime
            Model, Denver Model and Mindfulness. She works privately as a music therapist for
            different populations since 2006.</p>
         <p>
            <bold/>
         </p>
      </sec>
      <!-- sec lvl 2 end -->
   </body>
   <back>
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                  <italic>Music therapy assessment: Theory, research, and application</italic> (pp.
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</article>
