Music Therapy in acute psychiatric facilities
Music washes away from the soul the dust of everyday life. Berthold Auerbach
Definition of Music Therapy: Use of music by a trained professional to help people reach non-musical goals. Treatment for persons who have psychosocial, affective, cognitive, physical and communicative needs
Typical session outline 1. Hello song 2. Warm-up: Sets the tone for the theme 3. Hard work : Focused work toward a goal 4. Goodbye/closure song
Interactive Moment Let s try it!
Brief History of Music Therapy Music has a long history of helping with moods. Established as a profession in US in 1950 s. First collegiate training program, 1944, Michigan State University
Music Therapy in the Media Oliver Sacks, psychiatrist and author Mickey Hart, drummer and TBI patient Temple Grandin, engineer and author Jodi Picoult, fiction book: Sing You Home featuring a music therapist Gabby Giffords, US Sen. from AZ
Gabby Giffords with her MT Gabby worked with MT s to regain her speech
Acute Psych. Goals: Explore feelings and therapeutic issues (e.g. self-esteem or personal insight) Make positive changes in mood and emotional states Have a sense of control over life through successful experiences
MT goals (cont) Enhance awareness of self and environment Express oneself both verbally and nonverbally Develop coping and relaxation skills Support healthy feelings and thoughts
MT goals (cont, p. 3) Improve reality-testing and problemsolving skills Interact socially with others Develop independence and decisionmaking skills Improve concentration and attention span
MT goals (cont. p. 4) Adopt positive forms of behavior Resolve conflicts leading to stronger family and peer relationships
MT Interventions--acute psych Active music making: Instrument learning (guitar/piano); sing-along; rhythm instrument play; community drum circle
Active music making (p. 2) Music Education versus Music Therapy
MT Inverventions (p. 2) Psychoeducational: lyric analysis; songwriting; therapeutic recording; coping skills; educational information (via music)
MT Interventions (p. 3) Real time interventions: pain control; relaxation; mood stabilization; rehabilitation (speech and gait training)
Documented Outcomes for MI: Reduced muscle tension Improved self-image/increased selfesteem Decreased anxiety/agitation Increased verbalization Enhanced interpersonal relationships
Documented outcomes (p. 2) Improved group cohesiveness Increased motivation Successful and safe emotional release
MT outcomes (p. 3) Elicits a mental health narrative Reconnects musical relationship
Factors which enhance MT: Frequency of MT sessions Active, structured music-making with verbal discussion Emphasis on therapeutic relationshipbuilding and patient resources (strengthbased)
Adaptation is KEY! Adaptation can mean: crafting or selecting simple songs using colors (instead of notes) adapting the tuning, speed, key or other musical aspects instrument itself is adaptive.whatever it takes for SUCCESS!
Adaptations (cont.) Colo
Adaptations (p. 3)
MT & the OAC (Ohio Admin. Code) Both Departments of Mental Health and Job and Family Services 5122-29-30 for eligible providers and supervisors - A checklist can be found in Appendix B and lists MT-BCs in 13 areas as a provider and 4 areas as a supervisor
MT and OAC (p. 2) 5122-14-21 for Psychiatric Hospitals and Units 5122-24 Certification Definitions Def. #63 5101:2-25-01 (N) Day Treatment Services for Children
This is NOT music therapy... Listening to an ipod A piano player in the lobby A trained musician at any level playing for patients Nurses playing background music for the patients...but they are wonderful to do!!
Non-MT interventions? Personal music: Make it FIT Background music/transition songs Music-assisted exercise and guided imagery Karaoke Mood/music discussion=group tx training Lyric Analysis= group tx training
Resources: To find a music therapist near you: AMTA (musictherapy.org)--national AOMT (aomt.org)--ohio CBMT (cbmt.org)--certification board Music Therapy Perspectives, Journal of Music Therapy--Professional journals
Coda After silence, that which comes nearest to expressing the inexpressible is music. ~Aldous Huxley