music therapy andrew neary, mt-bc, nmt-fellow lead neurologic music therapist milwaukee center for...
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Music TherapyAndrew Neary, MT-BC, NMT-Fellow
Lead Neurologic Music Therapist
Milwaukee Center for Independence (MCFI)Harry & Jeanette Weinberg Building
2020 West Wells StreetMilwaukee, WI 53233
Direct: 414.937.2045 Fax: [email protected]
www.mcfi.net
Music Therapy
• What is Music Therapy?– The organized use of music to address therapeutic
goals.• How is music organized?– Rhythm– Melody– Harmony– Timbre– Tempo– Instrumentation
Music Therapy
• What is Music Therapy?– The organized use of music to address therapeutic
goals.• What are therapeutic goals?– Things we need to work on to improve…
• Independence• Quality of life• Functional skills
– Speech communication– Cognitive skills– Physical skills and ROM
Music Therapy
• Types of music therapy– Experiential
• Nordoff-Robins• CMT• HPMT
– Structured• NMT• NICU• ORFF
Take home point – Everyone is different, therapy should be different as well.
Music Therapy
• Evidence Based Practice– All practical decisions made should be • Based on research studies • Only quantitative research studies are selected.• Case studies, qualitative, and theoretical studies are
still used to help craft the musical experience, but not normally used to create therapeutic goals.
Take home point – We take you guys seriously.
Music Therapy
• Goals– The things we work on
• Cognitive skills– Client will demonstrate selective attention by providing the
correct musical response when prompted 65% of opportunities provided by 12-1-15.
• Physical skills– Client will independently cross midline with right hand 65% of
opportunities provided by 12-1-15.
• Speech communication– Client will demonstrate a functional part of speech by providing a
correct verbal response when prompted 65% of opportunities provided by 12-1-15.
Music Therapy
• What does a session look like?– Hello song
• Orientation to time person place• Pre-test assessments
– Plan• What are we going to work on today
– Therapeutic musical experience (TME)• Goal 1
– Therapeutic musical experience (TME)• Goal 2
– Review of goals and TMEs• Post-test assessments
– Goodbye
Music Therapy
• Goal based tasks– Start big and get specific • ROM
– left side » arm
• hand • fingers
• pincer grasp • 15 sec
Music Therapy
• Client Example– Nexday Goal• Zariyah will look across her mid-line to her right x4 per
TRAC session 85% of all TRAC sessions.– Music Therapy Goal• Zariyah will demonstrate, independently, upper body
range of motion tasks when prompted 60% of opportunities provided by 12-1-14.
– Art Therapy Goal• Zariyah will tolerate manipulating art materials during
the session three times 60% of the recording period.
Music Therapy
• Brain Injury–Music Does The Work For You• Structure• Organization• Sequencing• Emotional Context• Initiation And Temporal Structuring
Music Therapy
• Brain Injury–Common goals• Impulse Control• Initiation• Problem Solving• Communication• Social Skills
Music Therapy
• Brain Injury–Direct Application For Skills At Home And At
Work–A Place To Fail That Has Natural
Consequences–A Place That Bridges Communication With
Family And Support Team
Music Therapy
• Brain Injury–What Does It Look Like• Brian’s Video• Songwriting Samples• Speech Examples• Restoration Project
Music Therapy
• Questions