Music Therapy: Music Heals

1. Music Therapy: Music Heals Stephanie Surber, MT-BC |Bon Secours| October 2018

2. Objectives • Gain an understanding of music therapy as a profession • Acquire knowledge of how music therapy is used at Bon Secours Richmond

3. What is Music Therapy? 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 definition, 2013).

4. “Elevator Definition” Music therapy uses research-backed music interventions to achieve non-musical goals.

5. Music Therapy: History “Rhythm and harmony find their way to the inner places of the soul.” - Plato • Music has been a part of healing/healing rituals for centuries. • Aristotle, Plato, and Biblical writings describe music as a healing influence that could affect health and behavior. • 1874 article Music as Medicine by physician James Whittaker published in Cincinnati Clinic journal. • WWII veterans benefit from therapeutic music began further studies. • 1944 Music therapy degree program established.

6. Training & Qualifications • Minimum of a bachelor’s degree in music therapy • Six-month clinical internship at AMTA approved site • Board certification exam with five year renewal cycle • MT-BC • Earn 100 continuing ed credits per cycle to maintain credential

7. Music Therapy: How does it work? • A few examples of music therapy interventions: • Active music-making (e.g., singing or instrument playing) • Song writing • Music and movement • Lyric analysis • Music for relaxation • Visualization/Mindfulness/Meditation with music • Music therapy program: • Individual assessment & treatment plan • Measurable goals and objectives • Music interventions and strategies to achieve non-musical outcomes or changes • Ongoing evaluation & measured results

8. Music Therapy: Goals • Psychological/emotional • E.g., Decrease anxiety, withdrawn behavior, improve mood • Spiritual • E.g., Support for existential meaning/purpose, desire for closure, desire to leave legacy • Social • E.g., Decrease feelings of loneliness, enhance communication • Physical • E.g., Alleviate pain, affect heart or breathing rate

9. Music Therapy Case Study Alleviating Pain

10. Music Therapy Case Study Healthy coping and self-expression

11. Case Study Session 1: • Physical Goal: Alleviate pain Session 2: • Emotional Goal: Healthy coping through self-expression Session 3: • Spiritual Goal: Leave legacy for closure • Secondary Goal=Social Goal: Bereavement support

12. NICU Music Therapy https://www.youtube.com/watch?v=G7CVOoXSEME http://www.wdrb.com/story/32826632/music-therapy-weaning-babies-off-opioid-addiction-at-kosair-childrens-hospital

13. Music Therapy: How does it affect mood? Emotional significance, meaning in music Decreases Cortisol – “Stress hormone” Dopamine released and production of Endorphins is increased– neurochemicals that affect heart rate, reduce pain, and promote pleasure

14. Music and the Brain

15. National Organizations/Journals • The American Music Therapy Association • Code of Ethics • Standards of Practice • Professional Competencies • musictherapy.org • The Certification Board for Music Therapists • Cbmt.org • Journal of Music Therapy • Music Therapy Perspectives

16. About Bon Secours Music Therapy • In the Spiritual Care Department • Currently offered to in-patients at: • MRMC on Mondays • SFMC on Tuesdays • SMH Wednesday-Friday

17. Questions?

18. Bibliography • Chandra, M. L., & Levitin, D. J. (2013, March 29). The neurochemistry of music. Retrieved January 31, 2018, from https://www.sciencedirect.com/science/article/pii/S1364661313000491 • Nielsen, C. (Director) (2009). Music & your health: Using music to improve physical and mental health. Self-care presentation.