Early-career art therapists reflecting client art in clinical notes: a thematic study

Abstract

Background: Like other health care professionals, art therapists are required to write clinical notes. As well as following general rules regarding this practice, art therapists must consider how client artwork and art-making are reflected in notes. This subject is inadequately covered in the literature, and research is needed to expand the knowledge base and contribute to developing best practice. Aims: The aim of this research is to examine current practices, challenges and perceived benefits or drawbacks of reflecting client artwork and art-making in clinical notes, from the viewpoint of art therapists. Methods: To obtain rich, qualitative data, three semi-structured interviews were carried out with qualified art therapists. The data were analysed using reflexive thematic analysis to identify themes. Results: Four themes were identified. These were: ‘Artwork is mainly reflected indirectly’, ‘Art-making is reflected directly and indirectly’, ‘Reflection is influenced by systemic and contextual factors’ and ‘Concern about the client’s perception’. Conclusions: Significant findings were arrived at, which broaden understanding of how client artwork and art-making are reflected in clinical notes by early-career art therapists and factors that influence and shape this practice. Implications for practice/policy/future research: This research raised awareness of both the complexity and the possibilities involved in reflecting client artwork and art-making in clinical notes. It drew attention to the need for greater sharing of experience and knowledge within the profession so that best practice can be developed.