10 Domains of Music Care

Music care is an approach to care that allows the therapeutic principles of music and sound to inform caring practices. Music care can be delivered in diverse ways alongside other programs, approaches, treatments and interventions. Music care delivery is comprised of informed and intentional musical implementation and music integration in a health care setting. Ten domains of music care delivery is a framework designed by Room 217 to provide a taxonomy for types of music care, and to help locate music in care, as well as assess where music care could be delivered. The ten domains include:

  1. Community Music: individuals or organizations who provide musical services or entertainment in the facility OR patients/residents accessing music in the community-at-large
    • Arts-in-Health partnerships, blues band for summer barbeque in the courtyard, school choir, musical excursion i.e. to concert
  2. Music Care Specialties: individuals who bring their training and experience in music care to a healthcare setting
    • harp therapist, music thanatologist, bedside singers
  3. Music Therapy:  a specific scope of music care practice that uses music and musical tools to address clinical goals and objectives within a therapeutic relationship
    • Examples of client populations:  mental health, rehabilitation, palliative
  4. Musicking: spontaneous music-making, within person-centered care of patients, families of patients, facility staff and volunteers, and is specific to the interest, ability and personal relationship to music of each care partner
    • Playing instruments, singing
  5. Music Programming: staff or volunteers within the facility who plan for and employ the use of music into recreational or therapeutic programs that are delivered to individuals or groups
    • Recreation therapist using music within program i.e. sing-along, listening groups, music bingo, music appreciation
  6. Music Technology: the intentional use of technology and staff training to use technology to suit patients’ musical needs or staff’s treatment goals
    • Bedside music terminals, iPod programs for sleep assistance or pain management
  7. Environmental Sound: intentionally setting ambient healing sounds in the facility
    •  Recording of Tibetan bowls in prayer room, sounds to accompany labyrinth experience
  8. Music Medicine: the prescriptive use of music strategies in healthcare for medical-related outcomes
    • Research examples: NMT, MIT
  9. Music Care Training: educating care providers, caregivers and other stakeholders (i.e. teachers) in the integration and implementation of music in care
    • In-services, training programs, webinars
  10. Music Care Research: the use of systematic evidence for music and its use in healthcare
    • Neurobiological processing, music psychology, stroke rehabilitation