Music therapists frequently use lyric analysis interventions in adult mental health settings. As clinical decision making (CDM) represents an important process in providing effective and quality care, it is crucial to gain an understanding of music therapists’ experiences and expertise to establish best practices. Therefore, the purpose of this exploratory interpretivist study was to investigate the CDM processes of music therapists using lyric analysis interventions in adult mental health settings. We conducted semi-structured interviews with four board-certified music therapists who had six to 12 years of experience in various adult mental health settings. We used an inductive approach to thematic analysis to analyze data and incorporated member checking and trustworthiness to verify and improve clarity of results. Three themes emerged as primary factors that influence the CDM processes of music therapists in mental health settings: A) Internal processes related to therapists’ experience, abilities, and approaches; B) Service user considerations and preferences; and C) Facility-based factors. The emerging themes and subthemes provide insight into the complexity of CDM in adult mental health settings and various factors music therapists consider when using lyric analysis interventions. Implications for clinical practice, limitations, and suggestions for future research are provided.

音乐治疗师经常在成人心理健康环境中使用歌词分析干预措施。由于临床决策（CDM）是提供有效和高质量护理的重要过程，因此了解音乐治疗师的经验和专业知识以建立最佳实践至关重要。因此，这项探索性解释学家研究的目的是研究在成人心理健康环境中使用歌词分析干预措施对音乐治疗师进行CDM过程。我们对四位经过董事会认证的音乐治疗师进行了半结构化访谈，他们在各种成人心理健康环境中拥有6至12年的经验。我们使用归纳法进行主题分析来分析数据，并结合了成员检查和可信度来验证并提高结果的清晰度。出现了三个主题，这是影响心理健康环境中音乐治疗师CDM过程的主要因素：A）与治疗师的经验，能力和方法有关的内部过程；B）服务用户注意事项和偏好；C）基于设施的因素。新兴的主题和子主题可洞悉成人心理健康环境中CDM的复杂性，以及音乐治疗师在使用歌词分析干预措施时应考虑的各种因素。提供了对临床实践的影响，局限性以及对未来研究的建议。新兴的主题和子主题可洞悉成人心理健康环境中CDM的复杂性，以及音乐治疗师在使用歌词分析干预措施时应考虑的各种因素。提供了对临床实践的影响，局限性以及对未来研究的建议。新兴的主题和子主题可洞悉成人心理健康环境中CDM的复杂性，以及音乐治疗师在使用歌词分析干预措施时应考虑的各种因素。提供了对临床实践的影响，局限性以及对未来研究的建议。