Let It BeBeatles

When I find myself in times of trouble, Mother Mary comes to meSpeaking words of wisdom, let it beAnd in my hour of darkness she is standing right in front of meSpeaking words of wisdom, let it be

Let it be, let it be, let it be, let it beWhisper words of wisdom, let it be

And when the broken hearted people living in the world agreeThere will be an answer, let it beFor though they may be parted, there is still a chance that they will seeThere will be an answer, let it be

(back to chorus)

And when the night is cloudy there is still a light that shines on meShine until tomorrow, let it beI wake up to the sound of music, Mother Mary comes to meSpeaking words of wisdom, let it be

(back to chorus) 1

Music Therapy in Residential Alcohol and Drug

Rehabilitation Treatment: Interventions and Applications

Mallory Even, MT-BC, NICU MT Sarah Seo, MT-BC

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• Atlanta, GA• 6 Therapists on staff• Clients/Patient populations:– Hospice– Private Pediatric & Adult MT– MT in Substance Abuse– MT in Memory Care– MT in the NICU– MT with At-risk and Homeless Youth– Lessons & Adaptive Lessons– Wellness & Training Sessions 3

Breakthrough Recovery Outreach (“B.R.O.”)

• Started contract in Fall 2012• 2 Groups/week

1. Adolescents and Young Adults (~14-20 yrs)2. Older Adults (~20+ years)- Documentation for each client

• Treatment Team (2 hours/week)

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Co-Morbidity of Psychiatric Disorders & Addictive Diseases

• 37% of alcohol abusers and 53% of drug abusers also have at least one serious mental illness

• Of all people diagnosed as mentally ill, 29% abuse either alcohol or drugs

(http://www.thetreatmentcenter.com/dual-diagnosis-treatment)

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Implications for the MT-BC

• Need to know your population• Common Psych Diagnoses seen at B.R.O.:– Depression– General Anxiety– Personality Disorders• Bipolar• Borderline• NOS• Narcissistic

With the diagnoses listed above, what behaviors might we see in MT groups?6

Typical MT Group Goals• Self and Emotional Expression• Coping Skills• Communication (verbal & non-verbal)• Group Cohesion• Stress Reduction/Relaxation• Anger Management• Sense of autonomy

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Intervention #1: Group Mural

• TX Goals: group dynamics, ownership, encourages participation, positive outlet

• Sets clients up for success• Combines the creative arts (music, art,

expression)• Materials Needed: Whiteboard

or roll of paper, markers, iPod docking station/CD player

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Intervention #2: Group Songwriting

• TX Goals: ownership, empowerment, addresses self-esteem and self-expression, group dynamics

• Something tangible to cling to during treatment• Serves as an outlet for their creativity

• Materials Needed: Guitar and/or keyboard, asst of percussion instruments, paper and pens or whiteboard

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Songwriting Process• Come up with song topic (may need some direction)• Define a starting point and ending point for structure• Let group take over while facilitating when needed• Establish musical “feel”• Play a few chord progressions for them to choose• A client starts a melody or you start it for them OR rap

with no melody

*If time allows, you can record!

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Intervention #3: Relaxation

• Progressive Muscle Relaxation• TX Goals: stress and anxiety reduction, self

awareness, coping skills• Materials Needed: PMR Script, iPod & Docking Station

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Discussion & Questions

Metro Music TherapyAtlanta, GA

404-579-8070www.metromusictherapyga.com

mallory@metromusictherapyga.com sarah@metromusictherapyga.com

Thank you for coming!12