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Spaulding Hospital Cambridge

1575 Cambridge Street

Cambridge, MA 02138

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What is the MATADOC?

The MATADOC is a standardized assessment and evaluation system for music therapists working with minimally responsive populations, or populations whose awareness is unknown due to profound brain damage. This includes people born with brain damage, who have had a stroke, or who might have sustained brain injury through accidents such as road traffic accidents, gunshot wounds, drowning or falls. It can be used for: diagnosis of awareness in adults with disorders of consciousness; treatment planning and goal setting; evaluation of long-term treatment with patients in chronic care settings.

With which populations can it be used?

People with complex needs resulting in ‘minimal’ responsiveness e.g.

  • adults and children in vegetative or minimally conscious states;

  • late/end-stage dementia;

  • advanced neurological illness such as Multiple Sclerosis and Huntington’s Disease;

  • profound and multiple developmental disabilities;

  • people with end stage terminal illnesses.

MATADOC has been standardized and validated for use with adults with disorders of consciousness. It is an assessment, diagnostic and treatment evaluation tool.

Which clinical settings?

  • Rehabilitation settings

  • Nursing home settings (and other continuing care) for diagnosis, treatment planning and evaluation of ongoing treatment.

  • Intensive care

What does the first level training involve?

  • Classroom lectures

  • Experiential sessions

  • Video observations

Participants will learn to understand the clinical presentation of people with DOC; how to run a MATADOC session; how to complete the documentation; how to formulate a diagnosis; and how to communicate the assessment findings to interdisciplinary teams and families. Training tools include handouts and training videos that are accessible post-training to assist professionals in applying classroom learning to clinical session.

Training: First level training

  • A 3-day class room based training

  • All 3 days suitable for music therapists who are experienced with minimally responsive populations with any of the following: disorders of consciousness, late/end stage dementia, late stage neurological illness, profound and multiple developmental disabilities, late/end stage terminal illness

  • All 3 days suitable for trainee music therapists with fieldwork experience of minimally responsive populations described above

  • Morning of day 1 open to non-MT professionals

  • All 3 days is also appropriate for other professionals working with these populations who are interested in learning more about using music with this population. However, the skills required in implementing the MATADOC protocol and assessing patient responsiveness require those of a trained music therapist. The decision to open the MATADOC training to non-music therapy professionals is at the discretion of the organization hosting the training.

  • Delegates will leave the training being ready to use the MATADOC in clinical work immediately.

Second level competency development (independent study and application of learning from first level training)

  • Optional

  • Demonstrated through applying the MATADOC protocol with patients.

  • Supervised through on-line supervision

  • Competency demonstrated in 3 components: delivering the protocol and assessing observed patient responses; completing assessment and score record documentation; and communicating the outcomes of MATADOC assessment through a summary report.

  • Competency is acknowledged with a certificate provided by the Royal Hospital for Neuro-disability, London.

  • Normally achieved within 1-2 supervisions within 6 months of training

Timeframe of training through to competency.

  • This usually depends on the availability of minimally responsiveness patients for demonstrating competency.

  • The minimum timeframe to train and receive competency would be 3 months (with adequate patient access), and it would be more usual to gain competency within 5 – 6 months.

  • Competency is not essential to use the MATADOC, but would support trainees in applying their learning to practice.

  • Competency is essential for professionals involved in research activity.

Benefits for therapists working in different areas

The MATADOC has been validated for use with:

  • Adults

  • With a disorder of consciousness

  • Within rehabilitation settings for purposes of providing a diagnosis and identifying individualized goals, treatment planning and evaluation of ongoing treatment

  • In nursing home settings (and other continuing care) for diagnosis, treatment planning and evaluation of ongoing treatment.

However, the MATADOC is currently being validated for:

  • Children

  • Who have a disorder of consciousness stemming from acquired brain injury

  • Within rehabilitation settings for purposes of providing a diagnosis and identifying individualized goals, treatment planning and evaluation of ongoing treatment

  • People with end-stage dementia

Although the MATADOC has not been validated for other populations, it provides a rigorous system for

  • identifying patient responsiveness to music

  • setting individualized goals

  • monitoring change (including very small changes) over time as an evaluation tool.

Therefore, it is useful for populations who have chronic conditions in settings other than rehabilitation, where small changes need to be monitored over time. This might include people with late/end stage terminal illness; children and adults with profound and multiple developmental disabilities; people with late/end stage dementia.

Participants who are MT-BC may obtain CEU's for completing this course, more details will be released.

*Continental Breakfast and coffee/snack will be provided each day, participants will have lunch on their own and may either stay on site at the Spaulding cafeteria, or walk to a number of different shops just down the street in Cambridge.

** Spaulding Hospital Cambridge is not able to provide parking to training participants.

Learning Objectives

  • Participants will demonstrate an understanding of definitions and clinical presentations typical of disorders of consciousness and theories of consciousness, awareness and limbic responses (I.B.3,4; I.C.2; IV.A.2)

  • Participants will identify recommendations for managing the clinical session with DOC populations, including administering the MATADOC protocol (II.A.2,5)

  • Participants will be able to complete all MATADOC documentation, including rating patient responses and providing a diagnostic outcome (III.A.1,2)

  • Participants will identify the range of standardized non-musical measures for use with DOC population and the role and goals of music therapy in assessment and rehabilitation of people with DOC (I.B.8,12,13;C.3,D.4,6 )

Day 1 Thursday September 26

8:00 Arrival/Registration

8:30 Group Introduction

8:45 Introduction to population

10:00 Break / Refreshments

10:30 Interdisciplinary assessment practices with people with DOC

11:15 Running the clinical session

12:15 Lunch (cafeteria or local restaurant)

1:45 Verbal description of each item Items 1 – 5

2:45 Video observation with application of the scale: items 1 – 5

3:45 Comfort break 4:00 Clinical demonstrations and questions

5:00 Close of day

Time and Location TBD: Welcome Networking Event

Day 2 Friday September 27

8:30 Questions

8:45 Verbal description of each item, Items 6-11

10:15 Break / refreshments

10:45 Verbal description of each item Items12-13

11:15 Understanding limbic responses and item 14

11:30 Review of the session protocol and assessment form: fitting it altogether

12:15 Lunch on own, in community

1:45 Questions

2:00 Video observation with application of the rating form i.e. which items to rate with which protocol tasks

3:00 Completing the MATADOC rating form.

3:30 Comfort break

3:45 Experiential work continued: music entrainment; visual tracking; audio/video extracts for assessing musical responses

5:00 Close of Day

Day 3 Saturday September 28

9:00 Questions

9:15 Scoring the MATADOC

10:15 Break / refreshments

10:45 Scoring the MATADOC

11:45 Research to date on MATADOC

12:30 Lunch

2:00 MATADOC for post assessment intervention: using MATADOC as an evaluation tool in long term care

2:15 Continuing the work: developing competency

3:30 Comfort break

3:45 Experiential work: music entrainment; visual tracking; audio/video extracts for assessing musical responses 4

4:45 Final questions

5:00 Close

MATADOC Level 1 Training is approved by the Certification Board for Music Therapists (CBMT) for 22 Continuing Music Therapy Education credits. Berklee College of Music #P-161 maintains responsibility for program quality and adherence to CBMT policies and criteria. Cancellation Policy: In the event of cancellation due to unforeseen circumstances, Berklee will make every attempt to reschedule, within 14 days of the original date.



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Spaulding Hospital Cambridge

1575 Cambridge Street

Cambridge, MA 02138

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