Building Rapport in Brief PDF

Building Rapport in Brief 1 - Rapport is a prerequisite for effective music therapy. Rapport leads to patient satisfaction can improve when providing psychosocial care. Scores were 3.4 points higher on press ganey surveys for patients who received MT (Yinger & Standley, 2011). Patient satisfaction...

Building Rapport in Brief 1 - Rapport is a prerequisite for effective music therapy. Rapport leads to patient satisfaction can improve when providing psychosocial care. Scores were 3.4 points higher on press ganey surveys for patients who received MT (Yinger & Standley, 2011). Patient satisfaction is an assessment of value in the medical model Medical staff value music therapists' ability to provide meaningful and engaging experiences for people from diverse backgrounds. This is a value-added element of medical music therapy services. Dr. E upsetting a patient. Rapport Building Overarching Ways of Being for Rapport Building: 1. Authenticity 2. Empathy 3. Active listening 4. Non-judgemental acceptance 5. Positive regard 6. Openness 7. Validation 8. ABCs - (Affect, Behaviors, Cognitions; observing & accurately interpreting) 9. Self-awareness 10. Information sharing 11. Cultural humility 12. Use of music What does empathy look like? Being "present" with someone and "connecting" through a shared sensing and understanding of what they are experiencing. Who is someone in your life that demonstrates these things to you? How do they do that? What do I do or say? A few things that I have always found helpful: 1. Approaching people with a sense of new curiosity and awe 2. Exploring what they value 3. Considering what level of support would be helpful DIRECT SUPPRT (safety)>>>>>>>COLLABORATION (options)>>>>>INDEPENDENT INSIGHTS Lottery greeting activity • Won the lottery • Just got bad news • Excited to see you • Unsure of who you are https://sway.cloud.microsoft/qLprHrQxORKFlcFJ#content=4r1qbyv1Dhb54e 2 - Consider ABC's - Particularly valuable in crisis intervention • Affect • Behaviors • Cognitions Environment / Context Vignette: Qdoba Additional Short Clips 5 Techniques for Effective Communication 1. Reflective listening 2. 3. Validating Minimal encouragers 4. 5. Clarifying Summarizing What might this person be feeling and thinking about? Are any ABCs in conflict with each other? Saturday it will be 14 weeks that I’ve been in the hospital. They told me Friday I was ready to go now, Tuesday, I am still waiting to go to rehab. I put on a good face but there comes a point where you just can't take it. 3 - Microskills (Gooding Table 13.4; Belgrave & Kim Ch 2) Attending skills • eye contact • • vocal qualities body language/non-verbals Responding skills • open & close-ended questions • minimal encouragers • paraphrasing • summarizing • reflection Influencing skills • • reframing confrontation/supportive challenge • feedback 4 - Find a partner and share a short (2 min) story about something with them. For example, I might share my journey with learning to snowboard, flat pick, covid experiences, making friends in a new city, a loss or impactful experience, or a project that I am working on. You could also make it up. Your partner's job is to practice attending and identifying ABCs. We make mistakes. 5 - Vignettes: EoL, NICU Baby, No-PPLM, BLR Prevention Strategies: • Knowledge • Observation skills Givens • Power dynamics • CDM - clinical judgment Mitigation Strategies • Rapport • Cease current happening • Processing • Taking responsibility • Continued education • Supervision 6 - How does music facilitate developing the therapeutic relationship? • establishes a non-threatening environment • • it validations it connects • it provides opportunities for choice making • facilitated positive and personal memories • it can ease assimilation • it motivates How might you expand your repertoire and exposure to music you are unfamiliar with in order to provide psychosocial support to patients? Culture and Care "You can never predict how any individual will see and be in the world based on one identity experience, or culture..." (Myers, 2013, p. 16-17 What if I Say The Wrong Thing?) Vignette: PPLM, KY mid-age female, Loretta Lynn - MT-BC big lesson in bias. "Culture is defined as certain shared beliefs, values, world views, ideas, artifacts, and styles" "...culturally informed music therapists' methods are consistently moving, connecting, and reconnecting to the past, present, and future..." (Belgrave & Kim, 2020, p. 11; 39). • What is the role of music in your life? • What is the relationship between music and health/illness for you? • How have you been socialized to experience music? • What about other topics? Spirituality (a fourth dimension of health - WHO), education, research, race, gender, sexuality, medical care, personal growth and development, Ultimate State of Cultural Well-Being (Belgrave & Kim 2020, p. 18) Cultural humility is defined as "an others-oriented stance that seeks to develop mutual partnerships that address power imbalances with interpersonal respect, as well as a lifelong commitment to openness to new cultural information, critical self-examination of cultural awareness, and motivation to learn from others" (Upshaw, Lewis & Nelson, 2019, p.2). (From Belgrave & Kim, Ch 2, p. 47). It is a way of being more so than acquisition of a specific set of knowledge. 7 - It involves life long learning and critical self-reflection. Challenging power dynamics Also see writings by Vivian Chávez Ex. The Gambia • Kanyeleng singing for maternal mental health • Music as social capital considering the cultural context of music, relations, and power structures. • Use of music performance for health communication • Constructivist - music not just as an expression or representation of, but constructing of emotion and meaning - (McConnell, 2016) Test you knowledge Define culture Certain shared beliefs, values, world views, ideas, artifacts, and styles (Belgrave & Kim, 2020, p.11) What is cultural humility centered on? Openness to others and self-examination What is a value-added service? A non-core or augmented service. Usually removed from direct return on investment (ROI). (Gooding, Ch 3). Patient satisfaction is one way to measure the impact of a value-added service. Press Ganey and HCAHPS examples of formal measures used by hospitals that look at patient experience. These drive comparisons and incentives. List at least three ways of being that contribute to rapport building and what might that look like? 1. Authenticity 2. Empathy 3. Active listening 4. Non-judgemental acceptance 5. Positive regard 6. Openness 7. Validation 8. ABCs - (Affect, Behaviors, Cognitions; observing & accurately interpreting) 9. Self-awareness 10. Information sharing 11. Cultural humility 12. Use of music What does ABC stand for in relation to effective communication skills and how would you use them? affect, behavior, cognition; • observe if they are congruent • inform the level of support needed direct-collaborative-little to no • inform musical choices What are three categories of microskills used in counseling? Given an example of how you would use one. Attending, responding, and influencing skills You go to visit a patient in the hospital. Upon greeting they do not provide overt signs of interest/willingness/ability/awareness of interacting with you. How might you use music to develop a therapeutic relationship? establish a non-threatening environment validate current ABCs Going further: Why is choice-making not a first-best option?