Consulting Service: Webinar Series Music in Medicine: Enhancing the Healing Environment
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1 Consulting Service: Webinar Series Music in Medicine: Enhancing the Healing Environment Presented by Cathy DeWitt and Ronna Kaplan The Society is grateful to the National Endowment of the Arts for its support of the Consulting Service, which strives to provide affordable assistance to organizations wishing to establish or advance the arts in healthcare.
2 Participants will 1. become familiar with model programs in music and healthcare; 2. learn ways to develop music in healthcare programs in their own settings; 3. gain an understanding of how the field has grown to include collaborative work among therapists, performing artists, and musicians. 2
3 The clinical & evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program American Music Therapy Association,
4 Specialized use of music in service of individuals with needs in mental health, physical health, habilitation, rehabilitation, or special education Purpose: to help individuals attain & maintain maximum levels of functioning 4
5 Treatment is prescriptive & implemented individually or in group settings. Assessment, treatment planning & documentation required. 5
6 Why Music Therapy? Music, and the other arts, are unifying forces among men. They help to give a sense of identification with the rest of the community across national, cultural, ethnic, and other dividing lines. L. Glick, 1966
7 Music Why Music Therapy? is a universal language ; occurs naturally in our environment in many settings; is a socially appropriate activity & leisure skill; may provide a predictable timeordered & realityordered structure; is enjoyed by most people.
8 Music Therapy provides opportunities for experiences in selforganization & self-expression; provides opportunities for experiences in relating to others; offers opportunities for participation at one s own level; may be adapted for a group or individual experience; may reinforce non-music skills, such as speech, language & math; may give people with disabilities who are not necessarily disabled in their musical skills a chance to excel.
9 Making connections & establishing collaborations Creating transformations Building on foundations Reaching aspirations 9
10 Music Therapy Goal Areas Behavioral/psychosocial skills Communication/language skills Perceptual/motor skills Cognitive/academic skills Physiological responses Musical skills
11 Reduced wandering &/or agitated states Reduced incidence of depression Increased staff retention Increased caregiver satisfaction Increased quality of life, e.g., for those diagnosed with terminal cancer or older adults Music therapy as complementary therapy for social functioning & participation in rehabilitation with trend toward improvement in mood during acute rehabilitation Beneficial effect of music therapy on mood in patients with Parkinson s, with TBI s & in Palliative Medicine unit 11
12 Speech rehabilitation for patients recovering from strokes Gait training Reduced length of hospital stay Fewer medical visits Improved patient compliance during medical procedures Reduced use of pain, anti-anxiety medications & sedatives Improved recovery time & reduced need for higher levels of acute care Low cost, few side effects! 12
13 Personal Involvement in Music Therapy in Healthcare Settings Performer Clinical music therapist Researcher Supervisor of other medical music therapists Program manager Negotiates contracts with outreach agencies Writes proposals and plans for new programs or for expansion Places music therapists in agencies Provides information for grant applications Workshop presenter Publications
14 Music Therapy Contracting through the Community Music School Interviewing, hiring, staffing Supervision Continuing education Staff evaluation/performance reviews Professional support Networking Writing, presenting, researching Leadership roles Service management Lines of communication Referral & assessment process Accountability/documentation Program implementation Integrated with agency s total milieu Equipment & materials Supportive role in funding applications Program evaluation & expansion Partner agency responsibilities Liaison Space Coordination & communication
15 Arts at the bedside Performances Musicians choosing music appropriate to general spaces Working with patients 1:1 or in groups Caring for caregiver activities 15
16 Other Artists in HealthCare Clinical musicians Music practitioners Music thanatologists Music healers/sound healers Harp therapists
17 Musicians & Music Therapists Working in HealthCare Settings Similarities: therapeutic aspects to all arts activities Both believe in power of music to heal, relieve suffering, elevate presence & awareness & improve quality of patients lives. Differences: Performing Artists/Musicians foster participation in & appreciation of music by facilitating patients creating music; facilitating performances; selecting & playing music. Music Therapists the above, plus working with patients regarding personal meaning in musical expression & helping facilitate awareness of meaning & what it has to teach them about themselves & achieving optimal health; consulting with treatment teams; conducting individual & family evaluations/ assessments; providing individual & group therapy sessions
18 (Certification Board for Music Therapists) (American Music Therapy Association) (Society for the Arts in Healthcare) Book: Davis, W. B., Gfeller, K. E., & Thaut, M. H. An Introduction to Music Therapy: Theory and Practice, third edition. Book: Hanser, S. The New Music Therapist s Handbook. 18
19 Aural Environmental Enhancement
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23 Therapeutic Benefits of Music Distraction (from pain, depression, loneliness) Relaxation Community Memory trigger Emotional release
24 Medical Benefits of Music Lower blood pressure Relaxation of muscles Relief from stress Improved respiration Reduced heart rate
25 Distraction
26 Distraction
27 Relaxation
28 Relaxation
29 Emotional Release
30 Community
31 MUSIC AND THE MIND Music is especially useful in situations where verbal communication is limited, for example a patient population with Autism, Primary Progressive Aphasia, or Alzheimer s. Oliver Sacks
32 Memory Trigger
33 Emotional Release
34 Distraction
35 Music has charms to soothe a savage disease Susanne, a BMTU patient
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39 Music is a universal language, but it s also a personal one. Connie Tomaino, Director, Institute for Music and Neurological Function (
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42 University of Michigan Medical Center A 60-member orchestra of caregivers: physicians, nurses, and medical students.
43 Singing Enhances Well-being, Health & Happiness Enhanced immunity Improved lung capacity Higher energy Lower stress (79%) Intense happiness (89%)
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45 Are they doing research or evaluation?
46 PARTNERSHIPS CAN increase your program s visibility; broaden the audience for the arts; open the door for intergenerational & multicultural communication; bring in much-needed resources; help create and enlarge community.
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56 RESEARCH AND RESOURCES The American Music Therapy Association was formed in 1998, combining the National Association for Music Therapy (formed in 1950) and the American Association for Music Therapy. The Mozart Effect Resource Center, a listing of current best practices and research efforts compiled by author and music guru Don Campbell. The Society for the Arts in Healthcare oversees many research projects and healthcare programs that use art and music throughout the world. Pat Moffitt Cook s Open Ear Center offers trainings and workshops in the Tomatis Method, and other sound and healing practices. The Association for Music and Imagery was started by Helen Bonny, who created the Bonny Method of guided imagery with music in the 70s. Jonathon Goldman has been hosting a week-long intensive on sound and healing for over fifteen years, and is a renowned speaker and author. The International Harp Therapy Program aspires to the lofty goal of placing a harpist in every hospice by the year
57 Aural Environmental Enhancement
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