This article presents the background, rationale, and development of a resource-oriented music therapy assessment tool for use with verbal adults in a skilled nursing facility. While music therapists have presented music therapy assessment tools to use with older adults residing in skilled nursing, to date, none have utilized a resource-oriented approach. The development of the tool, its evolution, and its use are described. To further explain its use, a case example is presented. Limitations include the tool’s length and reliance on verbal communication. Recommendations are made for collaborating with music therapists and clients to explore the challenges and benefits of developing a resource-oriented assessment tool.

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