1. Transformational Design Model (TDM) • Developed to assist music therapy students and professors avoid two potential weaknesses. • an activity-based approach in which generic musical activities are adapted to therapeutic goals; • the use of therapeutic music techniques that address therapeutic goals very broadly and generally and are only weakly related to functional therapeutic outcomes.

2. Transformational Design Model(TDM) • Diagnostic and functional assessment of the patient • Development of therapeutic goals/objectives • Design of functional, non-musical therapeutic exercises and stimuli • Translation of step 3 into functional, therapeutic music interventions • Transfer of therapeutic learning to “real-world” applications

3. Goals and Objectives • Typically fall into one of five domains: • Cognitive • Affective • Sensorimotor • Behavioral/Social • Physiological

4. Goals and Objectives • Need directional language, e.g.: • Client will increase ability to … • Client will decrease the number of …

5. Goals and Objectives • Must be functionally relevant and impact the patient’s day to day life • Require 3 characteristics • Observable • Measurable • Attainable/Achievable

6. Goals and Objectives • Goals ~ Long-term changes in behavior or functioning, e.g. • A. Increase client’s ability to ambulate independently or; • B. Increase client’s socialization skills • Objectives ~ Short-term changes in behavior/experience, e.g. • A. Increase client’s ability to ambulate with an assistive device or; • B. Increase client’s ability to initiate a conversation

7. Goals and Objectives • Goals and objectives flow directly from a diagnostic and functional assessment of a client, e.g. a MVA client with a TBI presents with slurred speech and decreased UE ROM which may effect: • her ability to communicate and • to function independently. • Goals for this client then would be to: • Increase client’s ability to communicate and; • Increase client’s ability to independently perform ADL’s

8. Objectives & Numerical Qualifiers • Objective ~ Client will increase ROM at the right elbow. • Client will increase ROM at the right elbow by 33% by April 21st, 2002. • Objective ~ Client will increase ability to ambulate independently. • Client will increase ability to ambulate independently for 30 feet by April 21st, 2002.