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Kaitlyn Aquino • Mar 24, 2023

Music Therapy Awareness Month

March is Music Therapy Awareness Month!

 

The Canadian Association of Music Therapy (CAMT) defines music therapy as “a discipline in which Certified Music Therapists (MTAs) use music purposefully within therapeutic relationships to support development, health, and well-being. Music therapists use music safely and ethically to address human needs within cognitive, communicative, emotional, musical, physical, social and spiritual domains.”

 

Basically, music therapists use music to address non-musical goals. Here are some examples of goals and music therapy interventions within the seven domains of music therapy:

 

1. Cognitive

The cognitive domain addresses goals such as attention, executive function and memory. A music therapist might create a musical mnemonic with an older adult to remember important information about their surroundings. With all ages, using the drum to repeat rhythmic patterns can address different attention skills such as sustained attention. Creating a musical composition can also address executive function skills such as planning and decision making.

 

2. Communicative

The communicative domain addresses goals such as non-verbal and verbal communication, interpreting facial expressions, developmentally appropriate conversational skills and producing different consonant and vowel sounds. A music therapist might target oral motor skills by singing and playing instruments like a harmonica or kazoo. Improvisational instrument playing can also be used to act out call and response. For older adults with dementia, fill in the blanks can be placed at the end of familiar songs to stimulate speech.

 

3. Emotional

The emotional domain addresses goals such as identifying and expressing emotions, self-regulation, and managing symptoms of anxiety and depression. A music therapist might use live or recorded music in a lyric analysis to talk about feelings related to loneliness and depression. Song writing with original or pre-composed music and improvisational instrument playing is also a great way to express oneself!

 

4. Musical

The musical domain addresses goals such as keeping a steady beat, learning to read music and learning to sing or play musical instruments. In an adaptive lesson musical skills are the primary goal and secondary goals might include improved motor skills or self-esteem. A music therapist might use an adaptive lesson to teach a child with a neurodevelopmental disorder how to play the piano.

 

5. Physical

The physical domain addresses goals such as fine and gross motor movement, balance, coordination, range of motion, strength and endurance. A music therapist might use the metronome and live or recorded music to help someone retrain their gait post-stroke. Children can also practice crossing the midline and improving range of motion by playing the drums. The piano is also an effective tool to work on fine motor skills through isolation exercises.

 

6. Social

The social domain addresses goals such as turn taking, making eye contact, interacting with peers and participating in group discussions. A music therapist might use improvisational instrument playing with children to practice turn taking. Lyric analysis and song writing can also encourage participation among peers!

 

7. Spiritual

The spiritual domain addresses goals such as sense of self and one's relationship to their beliefs. A music therapist might encourage improvisational instrument playing to explore identity. Singing and analyzing songs about our faith can also strengthen our relationship with others.

 

Everyone can find success in music therapy because we all have natural musical tendencies that music therapists can draw on to help us with our personal goals. 

 

By Shelley Neal 08 Mar, 2024
I initially trained with MUSIC CARE to work with Seniors in Long Term Care who were experiencing dementia and Alzheimer’s Disease. This is the path I travelled with my mom. My training with Music Care and Room 217 supported capacity building in selecting music that was played on my harp or chosen recorded music. The music centered on the care of the individual and their specific needs. My job was to determine the individual’s specific and select music to address these needs. The music selected helped to build community, support sleep, talk about life experiences, create a background landscape of sound, support connection to decrease isolation and loneliness, as well as coming alongside people dying. My training with Music Care helped me understand how to support people “where they were” physically, emotionally, and spiritually. Through using beat, tempo, melody, and timbre, I could cater the music and desired support required for individuals or small groups. My profession is teaching. I am a special education teacher and use music in my primary teaching as a method for learning, practicing language skills, transmitting information about science studies or math equations, as well as having fun and creating our own songs. My teacher toolkit married exceptionally well with the knowledge and skills provided by the Music Care Certification training. Recently, my work with students has involved individual programming for the medically fragile children and the palliative children. I use music (repeating the chorus several times) to engage and connect with the kiddos. We use music to "talk" about feelings (our communication is through eye gaze, eye blinks, and squeezing hands), and content material. I use music to enjoy our relationship of being together. At times, due to medication for seizures, my little ones can be very sleepy. I increase the tempo, engaging in tapping the beat on her hands and using silly action songs. The giggles and wiggles make it magical. I also use music to tell stories (my students have CVI, cortical vision impairment, so visual perception is difficult). This helps the child to engage in the story arch and adventures. Music is my conduit for reaching out and being with the students. Recently, I had the sacred journey of visiting one of my children in ICU at Sick Kids. I was invited to come to say "goodbye". A dear friend who was an ICU nurse in a different department told me (AKA, insisted) that I bring my harp with me. I wasn't sure if this would be appropriate for the family. However, with the permission of the mom, I bravely packed my harp up and took it to the Unit. It was a beautiful evening of talking with their mom and dad about how special their child was in my life. I played the kiddo's favorite songs and then ended with "The More We Get Together". The little one opened their eyes and stared at me. We hugged, and I left. They passed the next morning. I consider this time to be a sacred gift. Music Care Certification has given me the confidence and toolset to work alongside people and to journey together. It is a time a beautiful, difficult, or sacred time that I have been honoured to participate in.  Thank You
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