To increase understanding of music therapy To identify ways in which behavior and music therapists can use complimentary goals

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1 Music Therapy and Behavior Therapy In Tune Toward Common Outcomes Presented by Carly Thompson, MT-BC, MS Purpose To increase understanding of music therapy To identify ways in which behavior and music therapists can use complimentary goals Identifying the Steps to Work Together Knowledge Most people do not understand what music therapist do or that there is training involved Staff question how something can be therapy if it s fun Willingness to work together It takes respect It takes effort

2 Jam Break Increasing Knowledge Music Therapy is the clinical and 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, 2013) Increasing Knowledge Music Therapist Training Bachelor s Degree (BMT) Includes practicums Music, psychology, & health science courses 6 month internship (at an approved site) Board Certification Exam Recertified every 5 years (100 CMTE s)

3 Increasing Knowledge Who do music therapist work with? Children, adolescents, adults, & the elderly with: mental health needs developmental & learning disabilities Alzheimer s disease & other aging related conditions substance abuse problems brain injuries physical disabilities acute & chronic pain, including mothers in labor Increasing Knowledge Where do Music Therapist work? psychiatric hospitals rehabilitative facilities medical hospitals outpatient clinics day care treatment centers agencies serving persons with developmental disabilities community mental health centers drug & alcohol programs senior centers nursing homes hospice programs correctional facilities halfway houses schools private practice Increasing Knowledge What techniques do Music Therapist use? instrument playing singing song writing music listening drumming guided imagery lyric analysis

4 Music Therapy Techniques Instrument Playing motor skills impulse control communication topics dynamics Music Therapy Techniques Singing articulation pronunciation receptive communication attending behavior Music Therapy Techniques Song Writing expressive communication positive coping skills stress reduction self esteem

5 Music Therapy Techniques Song Writing Example (Mad Libs Style) You ll be my (describe a pillow) And (favorite candy) I ll be your (describe your house) And (describe the ocean) You be my glass of (favorite drink) I ll be your (favorite food) You be my (an emotion) day I ll be your (favorite color) tree You be my (flower) I ll be your (animal) Music Therapy Techniques Music Listening relaxation receptive communication positive coping skills Music Therapy Techniques Drumming motor skills attending behavior social interaction

6 Music Therapy Techniques Guided Imagery relaxation expressive communication coping skills Music Therapy Techniques Lyric Analysis expressive communication social skills emotional expression Increasing Knowledge What role does preference play? Client preference for music determines the plan for the entire session If the client doesn t like the type of music being used then it won t work as a tool or as reinforcement

7 Jam Break Music Therapy in Practice Music therapy goals are: Measurable Based on collected data Specific to the individual Appropriate for the ability of the individual Music Therapy in Practice Examples of Music Therapy Goals: To increase communication skills to increase positive coping skills to reduce anxiety to increase self esteem to increase gross or fine motor skills to increase academic skills

8 Music Therapy in Practice Examples of Music Therapy Goals Goal: To increase articulation. Objective: Johnny will clearly pronounce the letter P 50% of the time, for 6 consecutive sessions. Intervention: At two points during each session the music therapist will provide the client with a song passage to read that includes at least 7 opportunities to pronounce the letter P. Music Therapy in Practice Examples of Music Therapy Objectives Goal: To increase motor skills. Objective: Mary will independently strike the drum 10 times during a song, for 8 consecutive sessions. Intervention: During the session the music therapist will provide Mary with at least four opportunities to play the drum along with a song of her choosing. Music Therapy in Practice Examples of Music Therapy Objectives Goal: To increase self esteem. Objective: Frank will work on songwriting for at least 10 minutes each session, for 4 consecutive quarters. Intervention: The music therapist will provide choices for Frank to choose from regarding song topic, genre, and instrumentation. The songs he writes will be performed at his quarterly meeting for the team.

9 Music Therapy in Practice Music therapy goals should Be challenging, yet attainable Work to benefit the client in their daily life Be agreed upon by the family and the team Be updated annually Jam Break Working Together Why does it matter? Music Therapy is a growing field Who will it benefit? Clients are directly affected by the success of their teams. How do we make it happen? Increasing understanding and respect

10 Working Together Case Example: Started with Behavior W 46, paranoid schizophrenia verbal BC goal: to increase appropriate behavior MT goal: to increase self esteem Song lyrics by W Don t Worry, Be Happy Sometimes people say things that aren t true And they can be hurtful to you Don t worry, be happy In one ear and out the other It makes you mad, but just don t bother Don t worry, be happy If you stick your nose where it shouldn t be You might lose it just wait and see Don t worry, be happy When bad things happen, don t lose control Find a friend and let it roll Don t worry, be happy Song lyrics by W The Lazy Song I m gonna listen to the radio and watch tv Eat doritos and just be me Nobody s gonna tell me I can t I ll be eating pizza in my pj s Layin in my bed all day Cause in my house I m the queen I m gonna eat chocolate ice cream and hot dogs Talk a walk and shop, shop, shop Nobody s gonna tell me I can t Play basketball and frisbee Football, soccer and bowling Cause in my house I m the queen

11 Working Together Case Example: Started with Music Therapy B 16, autism verbal, but mostly repetitive, one word MT goal: to increase communication BC goal: to increase positive coping skills teaching her to engage in a chaotic environment teaching her to state what she needs, instead of repeating Techniques used with B Require her to take turns choosing songs Require her to make requests using full sentences Work on dynamic changes Work on receptive communication (requiring her to listen) *have her recall words from a new song each week *have her play an instrument on specific words in a new song Discussion & Questions

12 Jam Break QUOTES If you can use music to slip past the pain & gather insight into the workings of someone else s mind, you can begin to fix a problem. Jodi Pucoult (Author of the bestselling book Sing You Home) Music Therapy can make the difference between withdrawal & awareness, between isolation & interaction, between chronic pain & comfort between demoralization & dignity. Barbara Crowe (past president of the National Association for Music Therapy) Music Therapy and Behavior Therapy In Tune Toward Common Outcomes Presented by Carly Thompson, MT-BC, MS

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