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Hannah Lemont MU 6960-Literature Review Summer 2017 [Type here] 1 Introduction Our public schools tend to be an elaborate ecosystem of teachers, students, paraprofessionals, administrators, health professionals, aides, therapists of all kind, outside consultants, and numerous other specialists. While some effective systems are in place for collaboration between the numerous professionals working with individual students, there are significant gaps in communication between the various fields that should be changed in order to best help each child meet her/his potential. This review of literature begins with the question: how can music therapists and music educators more effectively collaborate in order to benefit students’ physical, social, and cognitive growth? The American Music Therapy Association defines music therapy as “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. Music Therapy is an established health profession in which music is used within a therapeutic relationship to address physical, emotional, cognitive, and social needs of individuals.” 1 While music educators (should) also have goals to help address these same needs for our students, we also have curricular goals for the development of certain musical skills. While the educators’ goals may be more focused on musical development and the therapists’ goals are more focused on the development of the student themselves, there is significant 1 “What is Music Therapy?,” American Music Therapy Association, accessed June 30, 2017, https://www.musictherapy.org/about/musictherapy/.

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Introduction

Ourpublicschoolstendtobeanelaborateecosystemofteachers,students,

paraprofessionals,administrators,healthprofessionals,aides,therapistsofallkind,outside

consultants,andnumerousotherspecialists.Whilesomeeffectivesystemsareinplacefor

collaborationbetweenthenumerousprofessionalsworkingwithindividualstudents,thereare

significantgapsincommunicationbetweenthevariousfieldsthatshouldbechangedinorder

tobesthelpeachchildmeether/hispotential.Thisreviewofliteraturebeginswiththe

question:howcanmusictherapistsandmusiceducatorsmoreeffectivelycollaborateinorder

tobenefitstudents’physical,social,andcognitivegrowth?

TheAmericanMusicTherapyAssociationdefinesmusictherapyas“Theclinicaland

evidence-baseduseofmusicinterventionstoaccomplishindividualizedgoalswithina

therapeuticrelationshipbyacredentialedprofessionalwhohascompletedanapprovedmusic

therapyprogram.MusicTherapyisanestablishedhealthprofessioninwhichmusicisused

withinatherapeuticrelationshiptoaddressphysical,emotional,cognitive,andsocialneedsof

individuals.”1Whilemusiceducators(should)alsohavegoalstohelpaddressthesesameneeds

forourstudents,wealsohavecurriculargoalsforthedevelopmentofcertainmusicalskills.

Whiletheeducators’goalsmaybemorefocusedonmusicaldevelopmentandthetherapists’

goalsaremorefocusedonthedevelopmentofthestudentthemselves,thereissignificant

1“WhatisMusicTherapy?,”AmericanMusicTherapyAssociation,accessedJune30,

2017,https://www.musictherapy.org/about/musictherapy/.

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evidencethatbothfieldshelpstudentsgrowphysically,socially,andcognitively.Whilethereis

muchresearchpublishedaboutthepositiveeffectsofmusiceducationonstudents,thisreview

willfocusonthefieldofmusictherapy,andhowthetwoprofessionscanworktogether.

EvidenceofGrowthThroughMusicTherapy

Thereareasignificantnumberofcasestudies,summariesofpresentations,qualitative

research,actionresearch,opinionpiecesbackedwithresearch,andanecdotalexamplesof

musictherapyhelpingstudentsdevelopphysical,social,andcognitiveskills.Basedonan

analysisofresearchbyLeslieBunt,thereissignificantevidencethatmusictherapyis

particularlyeffectiveinhelpingchildrenwithprofoundandmultiplelearningdisabilities

developskillsinthefollowingareas:

• Imitativeskills

• Abilitytoinitiateadesiredactivity

• Eyecontactwithadults

• Turntakingwithpeersandadults

• Frequency,length,andrangeofappropriatevocalsounds

• Reducingamountofbehaviorthatisnon-attentive2

Basedonresearchthatindicatesthatmusictherapyseemstohelpimprovepreverbal

andsocialskillssuchasimitation,vocalization,turn-taking,andinitiativewithchildrenwith

developmentaldisabilities,UllaHolckdesignedacasestudytofollowatwo-yearoldwith

2LeslieBunt,“Musictherapywithchildren:Acomplementaryservicetomusiceducation?”BritishJournalofMusicEducation20,no.2(2003):187.

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learningdisabilities.3Atthebeginningofthisstudy,thechildonlyreactedtoattemptsto

communicatewhentheywerepresentedinaphysical,rhythmic,andplayfulwayduringhis

musictherapysessions.Overthecourseofthesixmonthsofregularmusictherapy,thechild

becamelessdependentonphysicalmovementandpropsandwasabletocommunicatein

severalwaysmusically,aswellasdevelopasimpleverbalvocabularythatheusedto

communicatewithhismusictherapistandhisparents.4

Anothercasestudyvideo-recordedandanalyzeddatafromasix-year-old’smusic

therapysessions,aswellastypicalmusicclasssessionswithhisclassmatesovernineweeks.

Eyecontactduringactivitieswherethetherapist/teacherexpectedeyecontactincreasedfrom

76%to91%overonlyfivesessions.5Childrenwithautismcanoftenrelatetoobjectsbetter

thantheyrelatetopeople.Thismeansthatindependent(anddirected/assisted)instrument

explorationisgoodpracticenotonlyforstudents’motorskills,butalsofortheirabilityto

maintaineyecontactwithanobjectthatthey’resupposedtobefocusedon,suchasamusical

instrument.6

Anotherlargerstudy,whichwasinvestigatingwhetherornotautisticchildren’s

responseswouldincreasewhenusingmusicduringinstruction,foundthatusingmusictended

3UllaHolck,“Turn-takinginmusictherapywithchildrenwithcommunicationdisorders,”BritishJournalofMusicTherapy18,no.2(2004):45.4Holck,“Turn-takinginmusictherapywithchildrenwithcommunicationdisorders,”51.5PaigeRose&KarynaJohnson“Theeffectsofstructuredmusicalactivitysessionsonthedevelopmentofachildwithautismspectrumdisorder:Acasestudy.”Approaches:MusicTherapySpecialMusicEducation,6(2)(2014):886JoTomlinson,“MusicTherapyforChildrenwithAutisminanEducationalContext.”InArtTherapiesinSchools:ResearchandPractice,ed.VassilikiKarkou(London:JessicaKinsley,2010),236

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toincreaseawarenessandattentionoftheparticipantsmorethanconventionalteaching

methodsdid.7Inaddition,allstudentstookturnsandsharedwitheachothermorefrequently

inthemusictherapysessionscomparedtomoretraditionaltherapies.8

Thelaststudyofthissectionfollowedafive-year-oldboy’sprogressthroughtwoyears

ofmusictherapy.Thisboy,whohasautism,showedsignificantprogressinincreasing

communicationskills,eyecontact,andverbalresponsesoverthecourseofhismusictherapy

sessions,especiallyafterthemusictherapisttooksuggestionsofsongsthestudentenjoyed

fromthestudent’smother.9

OverlapinGoals

Becausemusictherapyandmusiceducationsharemanyofthesametechniques,it

seemstobeafairconclusionthattheysharegoalsaswell.However,Iamfarfromthefirstto

recognizethesimilaritiesandoverlapsingoalsbetweenmusictherapistsandmusiceducators.

Thereareseveralexpertsinbothprofessionswhoagreethereshouldbeacontinuumbetween

musictherapyandmusiceducationinsteadofahardlinebetweenthetwo.

7JaneL.Barrow-Moore,“TheEffectsofMusicTherapyontheSocialBehaviorofChildrenwithAutism”(master'sthesis,CaliforniaStateUniversitySanMarcos,2007),3,accessedJune28,2017,https://www.tunedintolearning.com/pdfs/SocialBehavior_BarrowMoore.pdf.8Barrow-Moore,“TheEffectsofMusicTherapyontheSocialBehaviorofChildrenwithAutism,”33.9Tomlinson,“MusicTherapyforChildrenwithAutisminanEducationalContext,”239.

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Itappearsthatthefirst(published)authortoproposeamodelforacontinuumwas

JamesRobertsonin200010.Whileresearchinganddiscussingthetherapeuticpotentialofmusic

education,heproposedthemodelseeninfigureone.

Figure1:JamesRobertson’sproposedcontinuummodel11

ElizabethMitchelltookRobertson’smodelandadjustedthewordingtoreflectboththe

educationalpotentialofmusictherapyaswellasthetherapeuticpotentialofmusiceducation.

Hermodelofacontinuumisseeninfiguretwo.

Figure2:ElizabethMitchell’sproposedcontinuummodel12 E.Mitchellseemedtosumupthegoaloftherapeuticeducationacutelywhenshesaid

this:“Withintherapeuticmusiceducation,thereexistspotentialforaparallelprocessbetween

thestudent’smusicalandpersonalgrowthtounfold.Suchprocessesarecontingentuponthe

10JamesRobertson,“AnEducationalModelforMusicTherapy:TheCaseforaContinuum,”BritishJournalofMusicTherapy14no1(July202016):44.11Robertson,“AnEducationalModelforMusicTherapy:TheCaseforaContinuum,”45.12ElizabethMitchell,“Therapeuticmusiceducation:Anemergingmodellinkingphilosophiesandexperiencesofmusiceducationwithmusictherapy,”CanadianJournalofMusicTherapy22,no1(2016):21.

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presenceofaneducatorwhoholdsaholisticawarenessofeachstudentandrecognizesunique

qualitiesandpotentialwithinmusicalexperiences.”13

AustralianmusictherapistandresearcherDianneLanganrecognizedtheoverlapin

goalsbetweenmusiceducationandmusictherapy,andin2009decidedtosurveymusic

therapistsemployedinspecialeducationsettings,lookingforcommonalitiesbetweenmusic

therapyandmusiceducationgoals.Thesurveyaskedaboutactivitiestypicallyincludedinmusic

therapysessions.Theauthorfoundenoughsimilaritiesbetweenmusicspecialeducationgoals

andmusictherapygoalsthatshewasabletotakethestrongestcommonalitiesfromthesurvey

resultsandcreateanassessmenttoolforthoseactivities.Theassessmenttoolconsistedmostly

ofachecklistforparticipantbehaviors,allrelatingtoeithermusictherapygoalsoreducation

standards,alongwithroomforwrittennotes.14

MusicTherapistsHelpingEducators

Othereducators,therapists,andresearchershaverecognizedtheaforementioned

overlapingoalsandtriedtocreatesituationswhereeachcanhelptheotheracrossprofessions.

Whilesearchingtheavailableliteratureforexamplesofmusictherapistsandmusiceducators

helpingeachother,thereweremanysuggestionsofhowtoinitiatethesesortsof

collaborations.However,thereonlyexistafewexamplesofschoolsandclinicswhohad

13Mitchell,“Therapeuticmusiceducation:Anemergingmodellinkingphilosophiesandexperiencesofmusiceducationwithmusictherapy,”19.14DianneLangan,“Amusictherapyassessmenttoolforspecialeducation:Incorporating

educationoutcomes.”TheAustralianJournalofMusicTherapy,20(2009),78-98.Retrievedfromhttps://search.proquest.com/docview/1464564?accountid=38223

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actuallytriedtoimplementsuchideas.Whatfollowsarethefewexamplesavailableinthe

currentliterature.

PaulNordoffandCliveRobbins,well-knownmusictherapistsintheUK,havewritten

severalbooksaboutmusictherapy,butoneinparticularisdesignedspecificallyforpeoplein

specialeducationsettings.Theendofthebookhasmanyappendices-eachappendixlists

differentwaysthatonemightadaptinstruments,materials,songs,arrangements,

environments,andrecordingstomakethemmoreaccessibletostudentswithspecific

disabilitiesandlimitations.Thelastappendixevenincludescontactinformationforcompanies

thatmakeadaptiveinstruments.15

Atthe2006AOSAnationalconference(aconferenceformusiceducators)music

therapistCynthiaM.Colwellgaveanentirepresentationgivingexamplesofdifferentactivities

thatonemightseeinbothamusicclassandamusictherapysession,andwhatthegoalsarefor

eachsituation.Itseemedthatthepresenter’sintentwastomakemusiceducatorsawareof

musictherapygoalsthatmaybeabletobemetwhileusingactivitiesalreadyinthegeneral

musiccurriculum.16

InCreatingMusicCulturesintheSchool:APerspectivefromCommunityMusicTherapy,

therearetwoexamplesofmusictherapistsprovidingamoreenrichingexperienceformusic

educationstudents.Thefirstwasaboutaninstrumentalteacherthatpulledstudentsforprivate

lessonsduringtheschoolday.Afteratwo-hourcompulsoryseminaron“thewell-being

15PaulNordoffandCliveA.Robbins,“Appendices1-5,”inMusicTherapyinSpecialEducation,(Dallas,TX:BarcelonaPublishers,2006)191-208.16B.Iafigliola,“OrffandMusicTherapy:DiscoveringtheCollaborationSeed,”OrffEcho40,no.2,(2008):48,retrievedfromhttps://search.proquest.com/docview/1235836?accountid=38223

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componentofmusiclessons”facilitatedbyamusictherapist,thisteacherbegantothinkabout

howtobemorehelpfultohisstudentswhosepersonalchallengesseemedtobesignificant.

Usingstrategiesandresourcesgiventohimbythemusictherapist,thisinstructorworkedvery

successfullywithastudentwithdepression,givinghimmusicaltoolstoimproviseandcompose

songstohelphimprocessandexpresshisfeelings.Thisteacheralsotriedtoopenadialogue

withafemalestudentwhoappearedtohaveaneatingdisorder,butwasunsuccessfulin

creatingthepersonalrelationshipneededtohavesuchpersonaldiscussions.Thelaststudent

mentionedwasachildwithautism.Thisteacherdidnothaveanyexperiencewithstudents

withautism,soheneededtodoalotofreadingandreachingouttoothersbeforehefelt

comfortableimplementinganysocial/well-beinggoalsinhislessons.Throughgradually

advancingimprovisationexercisesperformedtogether,thestudentwasabletoachievealevel

ofcommunication(viamusic)thathadnotbeenobservedbefore.Theteacherfeltthat

althoughhewastakingawayafewminutesoftimeeachlessonthatcouldhavebeenspenton

musicalgoals,overthelongrun,studentswereabletoprogressmorequicklyandefficiently

duetotheirownself-discoveries,aswellasthetrustdevelopedbetweenteacherand

student.17

ThesecondexampleinthisbookinvolvedaresidentialNewZealandSchoolforboys

withsocialandemotionaldifficultiesthathadnodedicatedmusicteacherormusictherapist.

Theschoolagreedtohaveamusictherapistcomeinforafewmonthstohelptheschool

establishmoreefficientandeffectivewaystoincorporatemusicintheirschool.Oncethe

17DaphneRicksonandKatrinaMcFerran,CreatingMusicCulturesintheSchool:APerspectivefromCommunityMusicTherapy,(Dallas,TX:BarcelonaPublishers,2014)95-101.

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therapistcameandstartedinteractingwiththeteachers,thestaffwerewilling,andeveneager,

toswitchclassrooms,volunteerforpositions,bringinsupplies,etc.forthisproject.Basedon

thestudent'sinterests,theystartedtodevelopthreeprojectsatthebeginningofthemusic

therapist’s“residency”-aband,aFilipinomusicgroup,andexpandingthemusicselectionatan

alreadyestablishedschoolradiostation.Duetothesuccessoftheseprogramsasstaff

membersgaveuplunchbreaksandheldafterschoolrehearsals,theprincipalmade“World

Music”apartoftheschooldaycurriculum,andthebandplayedatassembliesnearlyevery

week.Theauthoralsomentionedseveralanecdotalcommentsbyteachersandadministrators

abouttheparticipants’significantsocialandemotionalprogressthroughtheseprograms.18

AchapterinArtTherapiesinSchools:ResearchandPracticeexplainedastudythatwas

tryingtodetermineifitwaspracticaltoimplementeducationalmusictherapyintheScottish

schoolsystem.Thestudy,donein2005,consistedofapartnershipbetweentheMusicTherapy

Children’sServiceandtwoschools.TheMusicTherapyService’smusictherapistshelped

implementfivetime-limitedprojectsofmusictherapygroupworkwithinthetwoschools

duringaregularschoolsetting.Allstudentsincludedinthesesessionswererecommendedby

theirteachersasindividualswhowouldbenefitfromworkingoncommunicationandlanguage

skills,emotionalwellbeing,andsocialdevelopment,andincludedstudentswithandwithout

diagnoseddisabilities.Thedatafromthisstudysuggestedthatwhenstudentsarecontributing

18DaphneRicksonandKatrinaMcFerran,CreatingMusicCulturesintheSchool:APerspectivefromCommunityMusicTherapy,(Dallas,TX:BarcelonaPublishers,2014)95-101.

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authenticallyinmusic-making,andtakingownershipoftheirmusicalchoices,thosestudents

areabletoaddressbothmusicalandnon-musicaleducationalobjectives.19

MusicEducatorsHelpingMusicTherapists

Whiletherewereafewexamplesofmusictherapistsdevelopingtoolsandtechniques

toassistmusiceducators,andtherewereonlysuggestionsandtheoreticalexamplesofthe

opposite.Afewstatisticsofferonepossibleexplanationofthisholeintheresearchand

literature.Musiceducationhasbeenaprofessionmuchlongerthanmusictherapy;focusing

justontheUnitedStatesasanexample,theNationalAssociationforMusicEducatorswas

organizedin190720,whiletheAmericanMusicTherapistsAssociationwasfoundedin1950.21

In2005therewereonly293professionalmusictherapists(7%ofAMTAmembers)

employedfulltimeinK-12schools.22Conversely,accordingtotheNationalAssociationfor

MusicEducators,therearecurrently75,000professionalmusiceducatorswhoaremembersof

theirorganization,whichcaterstoK-12teachers.23Thinkingaboutthehistoryofthese

professionsandthesemembershipnumbers,itispossiblethatmusictherapistscouldbe

19EmmaPethybridgeandJamesRobertson,“EducationalMusicTherapy:TheoreticalFoundationsExploredinTime-limitedGroupWorkProjectswithChildren,”InArtsTherapiesinSchools:ResearchandPractice,ed.VassilikiKarkou,(London:JessicaKingsley,2010),142.20“MembershipTour,”NationalAssociationforMusicEducation,accessedJuly5,2017,https://nafme.org/membership/educators/membership-tour/.21“HistoryofMusicTherapy,”AmericanMusicTherapyAssociation,accessedJuly5,2017,https://www.musictherapy.org/about/musictherapy/.22CindyR.Roppetall,“Specialeducationadministrators'perceptionsofmusictherapyinspecialeducationprograms,”MusicTherapyPerspectives,24no.2,(2006):87.Retrievedfromhttps://search.proquest.com/docview/1372908?accountid=3822323“MembershipTour,”NationalAssociationforMusicEducation,accessedJuly5,2017,https://nafme.org/membership/educators/membership-tour/.

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focusingmoreonintegratingthemselveswithinmusiceducationsettingsbecauseitisalreadya

moreestablishedprofession,andmuchmorewidelyknownamongthegeneralpublic.WhileI

amcertainmusiceducatorshavehelpedmusictherapistsinvaryingcapacitiesinthelastfew

decades,itdoesnotseemtobeinawell-documentedandresearchedway,atleastaccording

tothecurrentliterature.

MoreOptionsforAssistingEachOther

Whiletherewerefewwell-researchedexamplesofmusictherapistsandeducators

workingtogetherinschools,almostalloftheliteratureonthistopicprovidedeitheranecdotal

examples,suggestionsforfuturecollaborations,orboth.Thefollowingexamplesarethe

suggestionsthatcurrentlyexistintheavailableliterature.

TwoschooldistrictsintheUK(BirminghamandWorcestershire)havecreatedawayfor

anyschooltoreferastudentformusictherapy,whichhasledtomusictherapybecoming

almostascommonasclinicalpsychologyinthesedistricts.Itwasnotedthatmusictherapists

workwithawiderteamtoassessthestudent’sabilitiesandcircumstancesinordertoprovide

appropriateintervention,inthesamewayoccupationaltherapists,speechpsychologists,and

othersupportstaffdo.24

Whilethismodelexistsinthesetwoschooldistricts,ithasyettoexpandtoother

schools.Schooladministratorsinchargeofthesedecisionsmaynotunderstand(orevenknow

about)musictherapy,asitissuchanewprofession.In2006agroupofmusictherapists

conductedaresearchsurveythataskedspecialeducationadministratorsinIllinoistoself-

24Bunt,“Musictherapywithchildren:Acomplementaryservicetomusiceducation?”188.

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reporttheirknowledgeof,andbelievedeffectivenessof,musictherapy.Thissurveywas

createdby,andpeer-reviewedbyexpertswhohaddoctoraldegrees(orweredoctoral

candidates)intheirfields(specialeducation,educationaladministration,musiceducation,and

musictherapy).Thissurveyhadthelargestnumberofresponsescomparedtoothersurveys

citedinthisliteraturereview,althoughthesamplesizewasstillsmall(78).Thevastmajorityof

responsesindicatedthatadministratorsthoughtmusictherapywashelpfulforstudentswith

autism(82.3%)andemotionaldisturbances(75.9%).However,only36.4%oftheadministrators

hadanypreviouspersonalexperiencewithmusictherapy,whichwasthemostsignificantfactor

regardingpositiveperceptionsofmusictherapy.Thissuggeststhatexposingmorespecial

educationadministratorstomusictherapywouldgreatlyincreasetheperceivedefficacyof

musictherapyacrossalldisabilities.25

Anotherbarrierthatmaydiscourageschooladministratorsfromemployingmusic

therapistsisthelackofstandardizedassessments-animportantpartinbotheducationand

othertherapies.Astudyin2004reportedontheresultsofasurveygiventopracticingmusic

therapistsaboutthetypesofassessmentstheygivetoclientswithDevelopmentalDisabilities.

Whileothersimilarprofessions(OT,PT,speechtherapy)havefairlystandardizedassessment

tools,musictherapydoesnot.Thefiveareasmostcommonlyassessedbythosesurveyedwere

(inorderofprevalence)motorskills(95%),communicationskills(83%),socialskills(79%),

cognitiveskills(64%),andmusicalskills(35%).35%ofrespondentsuseda“titled”assessment

25CindyR.Roppetal,“Specialeducationadministrators'perceptionsofmusictherapyin

specialeducationprograms,”MusicTherapyPerspectives24,no2,(2006),87-93.Retrievedfromhttps://search.proquest.com/docview/1372908?accountid=38223

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(SEMTAPorBoxil),36%includedanon-titledassessmentform,and10%indicatedthattheydid

notuseanassessmenttoolatall.Whenaskedaboutthecreationofastandardizedassessment

tool,only12%expressedthattheywerenotinterestedinimplementingsuchatool.26This

showsincredibleinterestinanewassessmenttoolfrommusictherapists.

Whilemusiceducatorscouldassisttherapistswithdevelopingstandardized

assessments,musictherapistscouldbeagreathelptoeducatorswhoaretryingtoimplement

thenewernationalmusicstandards.JamesRobertson,aBritishmusictherapist,pointsoutthat

whilemusiceducatorsoftenhavethemostdifficulttimeimplementingthe“Invent”national

standard(or“Create”intheU.S.A),creatingandinventingareattheheartofwhatmusic

therapistsdo,endingwithasuggestionthattherapistsandeducatorscouldeasilywork

togethertodevelopastrongcurriculumthatincludedcreating.27

Thereissignificantevidencethatstudentsbenefitfromacurriculumcreatedspecifically

forthem.In2004ameta-analysiswasperformedstudyingmusictherapyeffectsonchildren

withawiderangeofdisordersfromthemid80s-late90s.Twoimportantconclusionsdrawn

werethatthetherapy’seffectslastlongerifthepatienthasmoresessions,andaneclectic,

individualizedapproachismoreeffectivethanprescribedkindsofmusictherapy.28

26KristenMeiChase,“Musictherapyassessmentforchildrenwithdevelopmentaldisabilities:Asurveystudy,”JournalofMusicTherapy41,no.1(2004):45.Retrievedfromhttps://search.proquest.com/docview/223559495?accountid=3822327Robertson,“AnEducationalModelforMusicTherapy:TheCaseforaContinuum,”43.28ChristianGold,MartinVoracek,andTonyWigram,“effectsofmusictherapyforchildrenandadolescentswithpsychopathology:ameta-analysis,”JournalofChildPsychologyandPsychiatry45,no.6(2004):1054-63

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Whilemusictherapistsarewell-trainedmusicians,musiceducationteachertraining

oftenleavespreservicemusicteachersnotonlyunfamiliarwiththepaperworkinvolvedwith

teachingnon-typicalstudents,butunfamiliaranduncomfortablewiththesestudents

altogether.A2008studyfollowedfourpreserviceteachersastheycompletedaneight-week

fieldworkplacementthatinvolvedobserving,assistingwith,andfinallyteachingaclassof

studentswithdisabilities.Theresultsshowedthatstudentswerenervousandfeltunprepared

toentertheworldofspecialeducation,butanyandalltrainingandinformationhelpedease

theirworries.Evenjusta90-minuteorientationledallfourstudentstofeelmorecomfortable

withtheirfieldplacement.29Whileotherliteraturementionsthelackoftraininginspecial

educationforpreservicemusicteachers,thisappearstobetheonlyresearchdocumentingthe

benefitsofspecialeducatortrainingformusicteachers.

ConclusionandNextSteps

Ifonelooksthroughtheavailableexamplesinthecurrentliterature,youwillseethat

themosteffectivecollaborationshaveinvolvedbringingmusictherapistsintoschoolsettings.

Duetothis,thereshouldbeafocusonfindingwaystointegratemusictherapywithinalready

existingspecialeducationandmusiceducationprograms,educatingmusiceducatorsabout

musictherapy(andviceversa),creatingmorestandardizedassessmentsformusictherapistsin

schools,educatingschooladministratorsaboutmusictherapy,doingmoreresearchonthe

29RyanM.Hourigan,“Preservicemusicteachers'perceptionsoffieldworkexperiencesinaspecialneedsclassroom,”JournalofResearchinMusicEducation57no.2,(2009):152-168.

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benefitsofalreadyexistingmusictherapyprogramswithinschools,andpossiblyoffering

variouswaystoacquirelicensureinmusiceducationand/ormusictherapy.

TheexampleintheUKresearchedbyLeslieBuntoffersanexcellentexampleofhowto

implementmusictherapyinschools.30Thismodelwouldbewonderful,andevenfeasible,all

overtheworld.IntheUnitedStates,musictherapywasconfirmedasarelatedservicefor

IndividualizedEducationalPlansin2000.31Thismeansthatasapartoffederaleducationallaw,

musictherapycanbeofferedasaservicetotreatawidevarietyofdiagnoseswithinschoolsin

theU.S.Ithasevenbeenpointedoutthatmusictherapycouldbeusedasadiagnostictoolto

helpidentifycertaindisabilities,asmusictherapyoffersavarietyofwaystocommunicate,

whichmayhelpnon-verbalstudentsbeabletoexpressthemselvesandshowthetherapist

whattheyarecapableof.32Ifwecanquantitativelyshowthatstudentsaremoresuccessfulin

districtsthathavemusictherapyavailabletoanystudentwhoneedsit,itismorelikelythat

districtswouldbeableto“find”themoneytofundmusictherapistsinschoolsettings.More

districtsimplementingitcouldleadtomoreresearch,which,ifitshowedtherewerepositive

benefitsforstudents,wouldhelpevenmoredistrictsjustifyofferingmusictherapy.

OnewaythatnearlyallschoolsintheUShelpstudentswithdisabilitiesreachtheir

behavioralandcurriculargoalsisthroughtheuseoftheseIndividualizedEducationPlans(IEPs).

30Bunt,“Musictherapywithchildren:Acomplementaryservicetomusiceducation?”31Chase,KristenMei,“Musictherapyassessmentforchildrenwithdevelopmentaldisabilities:Asurveystudy,”JournalofMusicTherapy41,no1(2004),29.Retrievedfromhttps://search.proquest.com/docview/223559495?accountid=3822332TonyWigramandChristianGold,“MusicTherapyintheAssessmentandTreatmentofAutisticSpectrumDisorder:ClinicalApplicationandResearchEvidence,”Child:Care,HealthandDevelopment32,no.5(2006):535-42.

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Whilemostelementarymusiceducatorsseethemajorityofstudentsintheschoolbuilding,and

oftenforconsecutiveschoolyears,veryfewofthemareinvolvedwiththeIEPprocessatall.

Accordingtoasurveydonein2006,only38%ofelementarymusicteachershadever

participatedinanIEPmeeting.33Thisissimultaneouslyunsurprisingandconcerning.Public

elementaryschoolsoftenintegratestudentswithseverespecialneedsinclassessuchasmusic,

art,andphysicaleducation,evenwhenthosestudentsareinaself-containedclasstherestof

theday.Thismeansthatthemusicteacherisoneofonlyahandfulofeducatorswhoseesthese

studentsinteractingwiththeirtypicalpeersonaregularbasis.Surelythiswouldbeagood

perspectivetoincludeinIEPmeetings,wheregoals,standards,andaccommodationsfor

studentsaredecidedupon?Amusictherapistmaybeabletohelpbridgethisgapbetween

musicandspecialeducation.Simplyexposingthespecialeducationstafftomusictherapymay

makethemawareofthecontributionsmusicprofessionalshavetooffertheirstudents.A

therapist’straininginvolvesmoreexperiencewiththespecializedpaperworkforpeoplewith

disabilities,whichissignificantlylackinginmostteachereducationtraining;havingacolleague

tohelpexplainprocedureswouldmakemusicteachersmorecomfortablegettinginvolvedinan

otherwiseforeignprocess.Moreresearchshouldalsobedoneontheeffectsofincludingmusic

teachersonIEPmeetings,aswellaspreservicetrainingaboutspecialneedsformusicteachers.

Ifsuchresearchshowspositiveresults,thenhighereducationneedstoadjusttheirprograms

accordingly,andprovidemoretrainingforandopportunitiesforworkingwithstudentswith

disabilities.

33LaurieP.Scottetal.,“TalkingwithMusicTeachersAboutInclusion:Perceptions,OpinionsandExperiences,”JournalofMusicTherapy44,no.1(2007):43.

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Whilemusiceducatorsandtherapistscanassisteachother,theyalsoneedtoeducate

eachother.AgreatexampleofthiswasmusictherapistCynthiaM.Colwell’spresentationat

theAmericanOrff-SchulwerkAssociationNationalConference.34Thissessionisagreat

exampleofonewaymusictherapistsandmusiceducatorscanmoreefficientlycommunicate

witheachother.Ifmusictherapistsandmusiceducatorsaretrulyinterestedinassistingand

learningfromoneanother,thereneedstobeaconcentratedefforttoinviteoneanothertoour

conferences,workshops,andotherprofessionaldevelopmentopportunities.

Theprofessionsofmusiceducationandmusictherapyshouldnotonlyfocuson

educatingeachother,buteducatingtheadministratorsofourschools.Administrators’viewson

musictherapyundoubtedlyhaveahugeimpactontheofferingsinaschool/district.The

researchmentionedearlierinthisreviewshowedthatanyexposuretomusictherapyincreases

administrators’perceivedefficacyofmusictherapy.35Thisisanissuethatthefieldshouldbe

takingseriouslyandtryingtosolverightaway;musictherapistsshouldactivelybefinding

workshops,conferences,andotherprofessionaldevelopmentopportunitiestodoshort

presentationswith,andfor,administrators.Musiceducators,whooftenhavesignificantlymore

contactwithschooladministrators,shouldtrytoadvocatefortrainingfrommusictherapists,

andinviteadministratorstoparticipateinthattraining.

34Iafigliola,“OrffandMusicTherapy:DiscoveringtheCollaborationSeed,”48.35Ropp,“Specialeducationadministrators'perceptionsofmusictherapyinspecialeducationprograms,”87.

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Anotherstrategytogaintrustandperceivedefficacywithadministratorsistocreate

morecommon,easier-to-understandassessmenttoolswithinmusictherapy.Thestandardsand

proceduresthateducators(bothmusicandspecial)arefamiliarwithwhenassessingstudents

couldbeofgreathelptomusictherapistswhoaretryingtocreatemorestandardassessment

tools,creatingyetanotheropportunityformusictherapistsandmusiceducatorstocollaborate.

Thereshouldbeseveraldifferentstandardizedassessmentscreatedforvariouspopulations

regardingages,disabilitydiagnosis,setting,etc.Theseassessmentswouldhelpmusictherapists

receiveinsurancereimbursement,beseenasmorevalidintheeducationworld,showgrowth

toschooladministrators,andcreateawayformusictherapiststomoreeffectivelycompare

andcontrasttheirmethodswithotherprofessionalsinthefield.Agreatexampleofthiswas

DianneLangan’ssurveyandsubsequentassessmenttool.36Theassessmenttoolwaseasyto

understand,andissomethingIamconsideringusinginmyclassroominthefall,withafew

modificationstoadapttotheAmericaneducationsystem,asthiswasdesignedforAustralian

andUKteachers.

Anotherreasontopushforincludingmusictherapyinschoolsisthatthesocialskills

interventionscurrentlyusedinschoolshavevariedresults.Accordingtoameta-analysisof

school-basedsocialskillsinterventionsforchildrenwithautismspectrumdisordersin2006,a

vastmajorityoftheseinterventionsdonothavelasting,positiveresults.Theonesthatare

morelikelytosucceedareinlocationsthataremoretypicalfortheschoolenvironment(aka

36Langan“Amusictherapyassessmenttoolforspecialeducation:Incorporatingeducationoutcomes”78-98.

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notresourcerooms)andoccurmorethantwiceaweek.37Ifthemeta-datahasshownusthat

thecurrentinterventionsarenotworking,thattheyneedtohappenmorefrequently,andthat

theyneedtobeinamoretypicalenvironment,musictherapysessionsinafamiliarmusicroom

seemtobeanobvioussolutionthatshouldatleastbeattemptedandresearched.

Furtherresearchthatsuggestsmusictherapymaybeaseffective,orevenmore

effective,thancurrentinterventionsusedinschoolsincludesthemeta-analysisdonein2004.38

Thesefindingssupporttheideaofcollaborationbetweenmusictherapistsandmusic

educators;ifastudentisalreadyreceivingbothservices,thatchildwillbenefitmorefrom

consistencybetweenthoseclasses,essentiallyprovidingmoreopportunitiesforreinforcement

ofdesiredbehaviorsandoutcomes.

Oneotherchangeinhighereducationthatneedstoberesearched,andperhaps

attempted,ischanging/combiningthelicensingrequirementsformusictherapistsandmusic

educators.OnemodelthatIcouldseeworkingiscreatingaprogramforcertifiedmusic

teacherstobecomelicensedin“educationalmusictherapy.”Thisprogramcouldbeshorter

thanafulldegree,includemoretrainingonhelpingK-12studentswithdisabilities,andinclude

lesstraininginclinicalsettings(forpatientswithAlzheimer’s,braininjuries,PTSD,etc).Perhaps

anadditionalstudentteaching/internshipassignmentwithamusictherapistwouldalsobe

37ScottBellinietal.,“AMeta-AnalysisofSchool-BasedSocialSkillsInterventionsforChildrenwithAutismSpectrumDisorders,”RemedialandSpecialEducation28,no.2(May/June2007):153-62.38Gold“EffectsofMusicTherapyforchildrenandadolescentswithpsychopathology:ameta-analysis,”1054-63.

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beneficial.Thiswouldallowmusicteacherstogaininvaluabletrainingandskillstoimplement

musictherapyintotheircurrentsituationswithouthavingtocompleteclinicalhoursthatare

notapplicabletotheircareerpath.

Therecouldbeasimilarlicensingprogramforcertifiedmusictherapiststoacquirea

“limitedspecialeducation”teachinglicense.Thiscouldprovideawayformusictherapiststo

undergoastudentteachingplacement,receivetrainingaboutIEPsandbestteachingpractices,

andbecomefamiliarwithschooladministration,thusallowingthemtobemorequalifiedto

workinpublicschools.

Wealreadyhavesignificantevidencethatbothmusiceducationandmusictherapy

benefitstudents’physical,social,andcognitivegrowthandthatattemptsatcollaboration,

especiallywiththenon-typicalstudent,havebeensuccessfulthusfar.Sincethemostsuccessful

collaborationshavetakenplacewhenintegratingmusictherapistswithinschools,both

professionsshouldbefocusedonimplementingandadaptingideasfromeachother’s

professions,creatingopportunitiestoteachoneanother,advocatingforprogramsto

administrators,andfiguringoutwaystochangecurrenttrainingprogramstobetterreflectthe

needsofstudents.Furtherresearchisneededinalloftheseareasinordertobestprovide

evidenceofpositiveresults.

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Bellini,Scott.“TheCollectiveOutcomesofSchool-BasedSocialSkillInterventionsforChildrenontheAutismSpectrum.”IndianaResourceCenterforAutism.AccessedJune26,2017.https://www.iidc.indiana.edu/pages/The-Collective-Outcomes-of-School-Based-Social-Skill-Interventions-for-Children-on-the-Autism-Spectrum.

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