In Australia, approximately 1,000 children and adolescents are diagnosed with cancer each year, and it remains the leading cause of disease-related death in this population. While music therapy is a well-established support within paediatric oncology hospital settings, access to services in the community remains limited, particularly for families from country and interstate areas. This presentation outlines the evolution of a hybrid community-based music therapy (CMT) model designed to increase accessibility, flexibility, and continuity of care for children undergoing or recovering from cancer treatment.

CMT for paediatric oncology patients presents logistical challenges, including travel burdens, service waitlists, and disruptions due to treatment unpredictability. The psychosocial toll on children with cancer and their families underscores the need for consistent, therapeutic support beyond the hospital setting. During the COVID-19 pandemic, telehealth emerged as a valuable tool, resulting in extending the reach of CMT. This pivot led to the development of a hybrid model, blending telehealth and in-person delivery, which has since expanded services for metropolitan, country and interstate families.
The hybrid model allows for more frequent, flexible sessions with reduced travel demands and improved access. Families have engaged in telehealth from rural and interstate locations; motivating some to travel long distances to attend in-person sessions. Additionally, a preschool telehealth group has provided continuity of care for children awaiting or concluding individual services. The group has the additional benefit of easing the RMT’s moral distress, given the demand for services.

As referrals come from hospital-based RMTs, internal staff, and self-referrals, the importance of cross-setting collaboration is highlighted. Enhanced communication between hospital and community RMTs is key to prioritise care, reduce service gaps, and maximise support for the child and family. This presentation explores the development, impact, benefits, and challenges of hybrid CMT delivery, offering insights into sustainable service models for vulnerable paediatric populations.