CBMT Evaluation, Termination, and Discharge Planning 2 — Questions and Answers
Question 1: Which factor should be the PRIMARY clinical consideration when deciding to terminate music therapy services?
- The number of sessions completed
- Insurance coverage limits
- Achievement of treatment goals (Correct answer)
- Client preference to continue
Correct answer: Achievement of treatment goals
Termination should be based primarily on the client's achievement of treatment goals, indicating that therapeutic objectives have been met.
Question 2: Planned termination in music therapy allows the therapist to:
- Avoid discussing the ending of therapy with the client
- Help the client process the transition and consolidate therapeutic gains (Correct answer)
- Transfer the client immediately to another provider
- Reduce session frequency without client notice
Correct answer: Help the client process the transition and consolidate therapeutic gains
Planned termination provides both therapist and client time to process the ending and consolidate the gains made throughout treatment.
Question 3: When a client shows signs of termination anxiety in music therapy, the therapist should:
- Extend the treatment plan indefinitely
- Ignore the anxiety and proceed with discharge as scheduled
- Address the feelings therapeutically and help the client develop coping strategies (Correct answer)
- Refer the client to a psychiatrist immediately
Correct answer: Address the feelings therapeutically and help the client develop coping strategies
Addressing termination anxiety therapeutically and building coping strategies is the appropriate clinical response to this common reaction.
Question 4: In music therapy, a 'tapering' approach to termination refers to:
- Gradually reducing the intensity or frequency of sessions before ending (Correct answer)
- Abruptly ending treatment once all goals are met
- Transferring the client to group therapy immediately
- Increasing musical complexity just before discharge
Correct answer: Gradually reducing the intensity or frequency of sessions before ending
Tapering involves gradually reducing session frequency or intensity to help the client adjust to ending treatment rather than stopping abruptly.
Question 5: What documentation is MOST important to complete at termination of music therapy services?
- A list of all musical pieces used in treatment
- A discharge summary outlining goals, progress, and recommendations (Correct answer)
- A consent form for potential future services
- A referral form for continued music lessons
Correct answer: A discharge summary outlining goals, progress, and recommendations
A discharge summary documenting treatment goals, progress achieved, and future recommendations is the essential termination document.
Question 6: Premature termination in music therapy most accurately refers to:
- A client completing all treatment goals ahead of schedule
- Treatment ending before goals are achieved, typically initiated by the client (Correct answer)
- A therapist retiring from clinical practice
- A client transferring to a higher level of care
Correct answer: Treatment ending before goals are achieved, typically initiated by the client
Premature termination refers to ending treatment before goals are achieved, which is typically client-initiated rather than clinically indicated.
Question 7: Which of the following is an appropriate music therapy termination activity?
- Playing meaningful music and reflecting on the therapeutic journey together (Correct answer)
- Teaching the client advanced music theory concepts
- Beginning a new therapeutic goal during the final session
- Avoiding music entirely to prevent emotional responses
Correct answer: Playing meaningful music and reflecting on the therapeutic journey together
Using meaningful music to reflect on the therapeutic journey is clinically appropriate and helps the client process and honor the ending.
CBMT Evaluation, Termination, and Discharge Planning 2
Which factor should be the PRIMARY clinical consideration when deciding to terminate music therapy services?