music therapy in an alcohol revovery program
DESCRIPTION
Music Therapy and applications in an alcohol recovery program. Completed during my music therapy internship.TRANSCRIPT
{Special Project
Chelsea Brown
Music Therapy Intern
January, 2014
{Transitions Program
Music Therapy Group
September 2013 – January 2014
New admits & current residents
Purpose of Transitions
Homelessness
Hardship
Behavioral Issues or Mental Health
Alcohol or Drug Abuse
Overview of “Transitions Program”
Medical diagnoses: COPD
Hypertension
Acute pancreatitis
Hyperlipidemia
Prostate cancer
Stroke
Hemiparesis
Myocardial infarction (heart attack)
Cirrhosis
Psychosocial history: Suicide attempts
Troubled family history
Homelessness
Attendance: 1 to 6 clients
Background of clients
Negative Effects Hypertension
Stroke
Cirrhosis
Pancreatitis
Cancer: mouth, throat, esophagus, liver
Changed/depressed mood
Social dysfunction
Decreased brain function
PTSD and depression means increased risk
Effects of Alcohol Addiction
How alcoholism affects the brain
Tastes good, genetic predisposition, social pressure
Escapism (escape the pain), appear different
“What point is sobriety if you still feel miserable?”
ESCAPISM
Why drink?
Silverman (2011): Music Therapy is as beneficial as talk therapy
Albornoz (2011): significantly decreased depression scores on the Hamilton Rating Scale for Depression (p = 0.024)
What does the research say?
Lesiuk finds connection in brain structures between addiction and TBI and stroke
Loss of “executive center” leads to relapse
Music stimuli can help
Further Research
MRI of your brainon music.
Relaxation
Reduce anxiety
Changes in blood pressure, heart rate, respiration
Reduce muscle tension
Increase awareness & Reality orientation
Self-awareness
Improved mood
Emotional Expression
Peer Support
Brain regions involved in movement, attention, planning and memory activated from music
Purpose of Music Therapy in Alcoholism Recovery
Assessment
Develop Goals
Treatment Plan
Therapeutic Music
Experience
Generalization of behaviors
Termination
Music Therapy Process
BDI –II
Scores: 7-19
Minimal to mild depressive sx
Reality Orientation
5/12 goals not reality based
42% of goals showed signs of denial
Self-Esteem
Positive statement about self
0% compliance
Assessment
Goal: Improve self-esteem:
Clients will make a minimum of one positive statement about themselves during music therapy session with less than two prompts by February 1, 2014.
Goal: Increase reality orientation
Clients will make one insightful statement [statement based in reality, and reflecting their current situation] per session with less than one prompt by February 1, 2014.
Goals and Objectives
Drum Circle
Lyric analysis
Song writing
TIMP (Therapeutic Instrumental Music Performance)
Drum circle
Meditation
Therapeutic Process
Alcohol recovery is not a linear path
Varying census
Data
Data on Client “D”
0
1
FourthFifth
SixthSeventh
EightNine
Met
th
e C
rite
ria
for
Sel
f E
stee
m
and
Rea
lity
Ori
enta
tio
n
Fourth Fifth Sixth Seventh Eight Nine
Positive Self Esteem 0 0 0 1 0 0
Reality Orientation 0 1 1 1 1 0
Patient D.
Lyric Analysis ~“You’ve got a Friend” James Taylor
Discussion points
Fixing the underlying issues of addiction
Getting counseling
Be that friend
Find that friend
Albornoz, Y. (2011). The effects of group improvistational music therapy on depression in adolescents and adults with substance abuse: a randomized controlled trail. Nordic Journal of Music Therapy, 20, 208-224.
Jacobson, I., Ryan, M., Hooper, T., Smith, T., Amoroso, P., Boyko, E., Gackstetter, G., Wells, T., & Bell, N. (2008). Alcohol use and alcohol-related problems before and after military combat deployment. Journal of the American Medical Association, 300, 663-675. DOI:10.1001/jama.300.6.663
Mascott, C. (2013). .An Introduction to Alcoholism. Retrieved from http://psychcentral.com/lib/alcoholism-and-its-treatment/000270
Mays, K. L., Clark, D. L., & Gordon, A. J. (2008). Treating Addiction with Tunes: A systematic review of music therapy for the treatment of patients with addictions. Substance Abuse, 29 (4), 51-59.
Silverman, M. J. (2011). Effects of Music Therapy on change and depression on clients in detoxification. Journal of Addictions Nursing, 22, 185-192.
Tapert, S. F., Brown, G. G., Kindermann, S. S., Cheung, E. H., Frank, L. R., & Brown, S. A., (2001). fMRI measurement of brain dysfunction in alcohol-dependent young women. Alcoholism: Clinical and Experimental Research, 25, 236-245. DOI: 10.1111/j.1530-0277.2001.tb02204.x
References
{Questions?
Thank you!